Ipecacuanha

Cephaelis Ipecacuanha, A. Richard.

Natural order, Rubiacese.

Common names (German), Brach-wurzel; Ipecac.

Preparation, Trituration and tincture of the root.

Authorities. (Nos. 1 to 15 from Hahnemann.) 1, Hahnemann, Mat. Med. Pura; 2, Langhammer, ibid.; 3, Lehman, ibid.; 4, Staph, ibid.; 5, Clark, in Murray, Appar. Med., I, p. 814 (effects when given in dysentery, without relief); 6, Cleghorn, Diseases of Minorca, p. 249 (when given in dysentery); 7, Fothergill's, Med. Obs. and Inq., Art. XVIH, when given in chronic diarrhoea; 8, Geoffroya, Traits de la Mat. Med., II, p. 92, accidents liable to happen to those who powder the drug; 9, Gmelin, Uutersuch., etc., 1793 (no obs. about Ipecacuanha in ed. of 1787) ; 10, Hillary, Air and Diseases of Barbadoes (page 215, as Cleghorn) ; 11, Heller (D. Nat. A.), in Hufel. Journ., XXVII, 1, p. 51 (effects when given in chronic agues ; subject of nearly all the symptoms had had six paroxysms already ; his face was yellow, and the prsecordia tender); 12, Lemery, Traite Univ. des Drog. SiinpL, p. 438, from the powder drawn into the nose, Hahnemann ; (from taking Ipecacuanha in large doses of powder), local irritations obviated by moistening it; 13, Murray, Med. Pr. Biblioth., Ill, p. 237 (not accessible) ; 14, Pye, Hughes, Med. Obs. and Inquir., Art. XXII, p. 266 (after ineffectual attempts at vomiting) ; 15, Scott, in Edin. Med. Com., IV, p. 74 (effect of powdering Ipecacuanha at a distance in one idiosyncratically susceptible to its influence); 16, Bock, Inaug. Diss., Dieppe, 1830 (A. H. Z., 32, p. 63), took repeated doses of ^ to 15 grains ; 17, Lembke, A. H. Z., 37, p. 125, proving with grain, repeated after half an hour ; 18, Robinson, Br. Journ. of Horn., 24, p. 515, a man took 3d dilution three times a day; 19, Prieger, Rust’s Mag., 1830, vol. 32, effects of powdering Ipecacuanha in a man who had suffered from habitual cough and catarrh ; 20, Bullock, Loud. Med. Gaz., 1836, p. 701, a man affected on entering a room where Ipecacuanha was being prepared ; has been affected the same way a dozen times; 21, Patterson, Bost. Med. and Surg. Journ., 1843, p. 411, effects of using Ipecacuanha in his practice (he had catarrh five years before asthma commenced); 22, Turner, Bost. Med. and Surg. Journ., 1843, p. 229, effects of dust while preparing Ipecacuanha; 22a, same, took ^ drachm of powdered Ipecacuanha in tepid water; 22 5, effects of a single pill of about 1 grain, twice; 22 c, two attacks from exposure to Ipecacuanha ; 23, Hannay, Edin. Med. and Surg. Journ., 1843, p. 322, effects of liniment of Ipecacuanha ; 24, Payne, Western Journ. of Med. (Bost. M. and S. Journ., 1844, p. 84), effects of inhalation while filling a jar ; 25, Roberts, Am. J. Med. Sc., 1844, p. 252, from West. J. of Med., effects of inhalation while preparing a powder of Ipecacuanha; 25a, effect of wine of Ipecacuanha for deranged stomach ; 25 5, same, another inhalation ; 25 c, same, touched tongue to wine of Ipecacuanha ; 25d, same, sequela to attacks; 23, Roberts, from Pereira, effects of remaining in a room while preparing Ipecacuanha ; 27, Tamhayn, Journ. of Pharm. and Therap., I, 397, effects in an apothecary of powdering Ipecacuanha ; 28, Stillmanu, Am. J. of Horn. Mat. Med., 1875, p. 367, effect of syrup of Ipecacuanha in a child eighteen months old, teaspoonful doses repeated every ^ hour till it vomited.

Mind p. 138

Etnotioucil, *The child cries and screams violently and incessantly ; sticks its fist into its mouth; its face is pale and the body rather cool (after one hour),h

His mind is full of wishes and longings, but he does not know for what,k

Lively mood; he is inclined to talk, and even to joke,lf

Whining mood ; must be carried about

He does not speak a word,!

Takes no delight in anything ; nothing pleases him,!

His courage sinks, and he is extremely inclined to be peevish and illhumored,!

He is thoughtful, fearful, and thinks trifles are very important (after six hours),!

Ill-humored ; he thinks that he is very unhappy,!

Ill-humored the whole day ; had no desire to talk, and was inclined to weep,!

Ill-humored and vexed that his business does not proceed fast enough,!

Ill-humored, quiet, retired in himself, scorning everything,!

Morose mood that scorns everything, and desires also that others shall not appreciate or value anything

He is averse to everything,!

Extremely inclined to be obstinate and fretful,!

Extremely impatient

He becomes exasperated at the slightest noise,!

He frequently becomes angry at the merest trifles; and again just as easily and speedy can be quieted (after five hours)

liltelleetlicil. Disinclination to work

[20.1 Aversion to literary work; ideas fail him (after twenty-nine hours),I

His flow of ideas is very slow

Head p. 139

Confusion and VertiffO. Confusion of the head

Vertigo (after a quarter of an hour)

Vertigo, while walking

Vertigo, as if the head were reeling hither and thither, with momentary disappearance of thought, only when walking, and especially on turning around (after two hours)

General Head, Heaviness and diminished power of thought (quarter of an hour after 2 grains)

Heaviness of the head, with sleepiness

Painful heaviness of the head (after two hours)

Feeling of heaviness and pressure in the head (after a quarter of an hour)

Violent headache

Tensive headache

A dull drawing back and forth in the head (immediately)

Pressure in the head and forehead, as if the brain were compressed by two tables (after quarter of an hour)

Pressive headache

Headache; sticking and heaviness

Acute and severely sticking headache, in short paroxysms, which after an hour changes to a pressure (after eight hours)

Tearing headache in the morning after rising from bed, lasting till noon, less in the afternoon (after thirty-one hours)

Headache as from a bruise of the brain and skull, which pierces through all the cranial bones into the roots of the teeth, with nausea f

Foiehead. Headache extending from the forehead to the vertex (after 1 grain)

Burning pain in the forehead, aggravated by touch (after 8 grains)

Boring pain in the forehead (after half an hour)

Acutely sticking pain in the forehead, caused and aggravated by touching the part

Tearing pain in the forehead, caused and aggravated by touching the part

Violent tearing headache in the forehead, aggravated on stooping (after two hours)

Temples, (Constrictive headache in the left temple and above the orbit), (after one hour)

Pressing-out and almost boring pain, at one time in the temples, at another over the orbits in a small spot, which disappears on external pressure, and is relieved by closing the eyes (after one hour)

YeTtex, Violent sticking pain in the crown of the head

Favietals, Pain externally on the parietal bone, as from a thrust with a dull point (after half an hour)

Occiput. Painfulness of the occiput and nape of the neck, caused by moving the head (after two hours and a half)

Tensive pressive headache in the occiput and nape of the neck, which extends into the shoulders (after three hours)

Eyes p. 139

Objective. Inflammation of the eyes,®.t

Eyes a little inflamed,*®.]

Subjective. Pain in the eyes like that in the head, the eyeballs seemed forced out of their orbits and objects seemed befogged

Awakened at 3 a.m., by raging pain, more severe in the right, less in the left eye, with excessive lachrymation, which soaked the pillow, and loss of vision (first night)

Intense tearing pains, especially in the right eye, extending but a little way towards the temple; on opening the right lids, which were swollen, a copious gush of tears ; the conjunctiva of the bulb was injected and infiltrated ; the tunica vaginalis swollen, the cornea dim as if infiltrated ; on close examination there were noticed a number of small depressions; the iris seemed congested and had a dull look, the pupils contracted, reacting but little or not at all in the light; vision completely lost; after eight weeks these symptoms appeared in the left eye after again pounding Ipecac., but this time associated with nausea and inclination to vomit; a third time, after several months, after pounding Ipecac, he was awakened in the night by tensive pains in the eyes, lachrymation, loss of vision, etc.; a fourth time after pounding Ipecac, he experienced a slight biting and pressing pain in the eye, light blinded him and increased the pain, the conjunctiva became red and chemosis, and again there was copious lachrymation ; this time the right eye was most affected, vision was lost; with the left eye the patient saw fiery rings with rainbow colors

Severe stitches above the eye on stooping, with a sensation as if it were swollen (after twenty hours),h

Lids, Lids, especially the right, swollen

Hardened mucus in the external canthi (after seven and a half and twelve hours)

Dryness of the lids, with sleepiness (after eight hours),h

Lachrymal Apparatus. Eyes suffused

Effusion of tears,^h

Hupil. Dilatation of the pupils (after two hours and a half )

Pupils easy to dilate (after eight hours),h

Ears p. 140

Pressive pain extending from the concha into the drum, then to the occipital protuberance (after twenty-eight hours)

Dulness of hearing in the right ear, with pressure in it

Nose p. 140

Objective. Sneezing

Much sneezing, with thin nasal mucus (after half an hour)

Violent repeated sneezing

Paroxysms of sneezing, almost sufficient to throw me from my saddle, lasting about two hours and gradually subsiding, with cough and expectoration (after ten or fifteen minutes)

Catarrh, with drawing pains in all the limbs

Nosebleed,®'*'*.t

Subjective. Feeling of dryness in the nose and frontal sinuses (after three hours)

Feeling of dry catarrh in the nose, as if the nostrils were too dry (after three hours)

Attacks of asthma seemed to commence generally with a feeling of irritation of the nasal membrane, which rapidly extended to the bronchi and all their ramifications

Most harassing titillation of the nostrils

Face p. 140

Objective, Countenance anxious and livid

* Face pale and puffed

* Pale, sunken face (after half an hour)

* Pale face, with blue rings around the eyes, and great weakness, as after a prolonged severe illness

His appearance became quite yellow (after seven or eight days)

Lips, Biting sensation on the lips

Sensation in the corners of the mouth as if they were sore, when touched, and on moving the lips

Mouth p. 140

Teeth, Pain in the teeth as if they would be torn out, paroxysmal (after eight hours)

Extremely violent pain in a hollow tooth when biting anything, as if it would be torn out, even to crying out and screaming, followed by constant tearing in it (after one hour)

Tou ffue, Burning in the tongue and upper lip (after a quarter of an hour)

A biting sensation on the margin of the tongue

Biting on the margins of the lips, tip, and sides of the tongue, with accumulation of watery saliva in the mouth, and some pain in the abdomen (after half an hour)

A sensation on the back part of the tongue and on the palate, like that caused by chewing liverwort or Artemisia dracunculus, which profusely increases the saliva

General Mouth, Dryness and rawness in the mouth, especially in the pharynx (after half an hour)

In an instant that peculiar, burning, indescribable sensation was felt in the mouth, which rapidly extended itself to the fauces and down the throat and bronchia, and for two hours I suffered greatly, and had considerable dyspnoea, all of which gradually disappeared

All parts of the mouth much too sensitive and almost painfully so

Saliva Increased flow of saliva

* Increased accumulation of saliva (after a quarter of an hour)

Profuse accumulation of saliva in the mouth (after two hours and a half)

Profuse accumulation of saliva, for some hours,h

Profuse accumulation of saliva, with much nausea and a sensation as if it would amount to vomiting

Saliva runs from the mouth on lying down,h

* Is constantly obliged to swallow saliva (after one hour)

Very much thin saliva (after half an hour)

[Salivation] ,®*.t

Tas«e. Flat taste in the mouth

Taste in the throat as from rancid oil, while swallowing (after a quarter of an hour)

Beer tastes flat (after two hours)

The customary tobacco has a nauseous taste when smoking and causes vomiting

Throat p. 141

Dryness of the throat (one quarter of an hour after 2 grains)

Immediately in the throat and stomach a totally indescribable sensation, but as intolerable to be borne (if life could have been sustained under it), as if I had taken a drink of melted lead ; it was so overpowering that I was unable to think of any method of relief, but in the most distressing agony leaped out of bed and rolled over the floor, from side to side of the room; at length I was urged to drink copiously of warm water, which produced some vomiting and some mitigation of my intense suffering; the distress slowly subsided, and settled into one of my worst attacks of asthma

Spasmodic contractive sensation in the throat and chest

Dull stitches transversely through the throat into the inner ear

Sore throat,®.]

Fauces and Pharynx, Dry, burning sensation in the fauces, amounting almost to suffocation

Fine sticking in the pharynx (after half an hour and one hour)

Pain in the pharynx as if it were much too dry, raw, and sore, which is always relieved for only a short time by swallowing saliva or the usual drink (after one hour)

Sivalloiving. Swallowing difficult, as from paralysis of the tongue and pharynx (after eight hours)

Pain on swallowing, as if there were a swelling in the pharynx (after one hour)

Stomach p. 141

Thirst. Loss of thirst

Eructation. Eructations (after a quarter of an hour)

Eructations every eight to ten minutes, also the following day, with rumbling in the abdomen

Empty eructations

Nausea and Vomiting. *Nausea (after a quarter of an hour)

* Nausea, as from the stomach, with empty eructations and accumulation of much saliva (after half an hour)

Nausea rising from the stomach with hiccough, only at last disappearing after several pasty stools, immediately after smoking tobacco as usual (after fourteen hours)

Nausea, qualmishness

Nausea, qualmishness, and efforts to vomit (after one hour and a quarter)

Nausea and vomiting

(Nausea and heaviness in the abdomen)

At times nausea and convulsive but ineffectual efforts to vomit

Slight degree of nausea

* Distressing nausea

Qualmishness in the abdomen, with incipient colic

Inclination to vomit (^ grain); (a quarter of an hour after 2 grains)

Great inclination to vomit, several times, at momentary intervals

Severe inclination to vomit (after 4 grains)

Vomiting, and a feeling as if he would fall down, on stooping

Vomiting (after half an hour), followed by great inclination to sleep (after 15 grains)

Vomiting, repeated three times

Vomiting of food, without previous eructations, on stooping (after one hour and a half)

[Vomiting of large masses of mucus]

[Vomiting of masses of yellow mucus]

[Vomiting of grass-green mucus],®*_ [Vomiting of green bilious mucus]

[Vomiting of large pieces of offensive mucus]

Vomiting of food; mucus yellow, green, black; empty retching; vomiting of everything swallowed

Stomach• Rumbling in the stomach (soon)

Warmth in the stomach

Agreeable warmth in the stomach, with rumbling in the intestines (after a quarter of an hour)

Sensation of emptiness and laxity of the stomach

* Sensation as if the stomach hung down relaxed, with loss of appetite (after one hour)

[Excessive pain in the stomach]

Violent griping in the stomach (after 4 grains)

Dull sticking pain in the pit of the stomach, as from a sharp stick

[Extremely sore feeling in the stomach]

Abdomen p. 142

Hypochondria Pinching pain in both hypochondria and in the region of the pit of the stomach (after three hours)

Violent stitches in the left hypochondrium (after half an hour)

TJtnhillcal and Sides, Cutting pain avoid the umbilicus, with shivering

Cutting pain about the umbilicus, as if menstruation would appear, with chilliness and coldness of the body, while internally heat mounts into the head (after two hours)

Cutting pain in the side of the abdomen, in the umbilical region, aggravated by touch and external pressure, accompanied by white frothy saliva in the mouth and dilated pupils (after one-eighth of an hour)

(Sticking pains in the abdomen, and burning and sticking in the rectum with urging to stool)

Violent stitches in the right flank for several minutes

Tearing pains about the umbilicus

Colic in the umbilical region, aggravated by pressure

General Abdomen, Abdomen distended, with constant pain

Distension of the abdomen (4 grains; quarter of an hour after 2 grains)

Feeling of extreme distension and enlargement of the abdomen

Uneasiness in the abdomen (after half an hour)

Griping in the abdomen (after quarter of an hour)

* Clawing griping in the abdomen, as if grasped by a hand so that each outstretched finger pressed sharply upon the intestines, relieved by rest, extremely aggravated by the slightest motion

Pinching pain and distension in the abdomen (after 1 grain)

Pinching colic (after half an hour)

Colic (quarter of an hour after 2 grains)

Colic with rumbling in the intestines (after 8 grains)

Flatulent colic

Hypogastrium. On coughing, pain in the abdomen as if obliged to urinate and the urine could not pass, as in retention of urine

Anus p. 142

Sticking, cutting, burning pain on the margin of the anus, as in obstinate haemorrhoids (after three-quarters of an hour)

Violent stitches in the anus

Crawling in the anus, as if threadworms would extrude

Stool p. 142

Stools like diarrhoea, as if fermented (after one hour)

Purging

Frequent thin stools, with a weak sensation in the abdomen

* Stools frequent, of greenish mucus

Soft stool (after two hours),**.t

(Thin stool, with burning sticking pain in the rectum and anus)

(Stools lemon-yellow)

(Porraceous stools)

[Grass-green stools]

Offensive stools

* bloody s<oo4‘,*®.|

Fecal discharge covered with red bloody mucus.

Urinary Organs p. 142

Urethra. (A purulent fluid flowed from the urethra of a child for several days, with biting pain)

Alictuvition. Inclination to urinate, although urine had been passed an hour and a half

-)- The second the same morning, contrary to his habit.

I This and S. 192, 213, represent the following: She coughed up at times some small quantities of blood, and had also some mixed with her stools and urine._ Hughes. before, and nothing had been eaten or drunk since

Frequent desire to urinate, with scanty discharge (after two hours, and two hours and a quarter)

(Frequent micturition of straw-yellow urine, with great burning and urging before the discharge, without subsequent tenesmus), (after two hours),*. Vvine. *Urine red, scanty,ht

Bloody urine,’^]

Urine became bloody (after seven or eight days)

[Urine turbid with a brickdust sediment]

Sexual Organs p. 143

ISlnle Voluptuous itching on the glans penis, while standing, which obliges scratching (after three hours and a half)

Twisting drawing pain in the testicles (after eight or ten hours)

Sticking in the testicles, when resting one thigh over the other (after two hours)

Female, Pressing and dragging towards the uterus and anus

A show of the menses fourteen days before their time,*^§

The bloody discharge at the close of menstruation was suppressed,*.1|

Respiratory Organs p. 143

Larynx. ^Rattling noises in the airpassages during respiration

Dryness, burning, and scraping in the larynx (after 8 grains)

Cough and Expectoration. Cough caused by a eomtrictive tickling sensation extending from the upper portion of the larynx to the lowest extremity of the bronchi (after four, six, and seven hours)

* Cough causing inclination to vomit without nausea (after one hour)

Cough incessant after walking in the cold air and after lying down in the morning and evening, caused by deep inspiration; accompanied by pain in the abdomen as if the umbilicus would be torn out, heat in the face (head) and sweat on the forehead

Violent and convulsive cough

Extremely violent convulsive cough between 6 and 7 p.m.,®.

Suffocating cough, whereby the child becomes quite stiff and blue in the face (after ten hours)

* Suffocative racking, very exhausting cough, lasting an hour, towards evening

Suffocative, extremely exhausting cough, lasting half an hour, with coldness of the extremities, about 7 p m.,®.

* Dry cough caused by tickling in the upper part of the larynx (after two, three, and five hours)

Cough with expectoration of thick disagreeable, metallictasting mucus,*®.*[[

* Cough, with expectoration of i/ood,® *® *®.tt

Throbbing pain in the head and pit of the stomach, after coughing

When expectoration became free, and mucus was formed in great quantities by the mucous membrane of the bronchia, in the morning, after resting through the night from the cough, expectoration would commence freely on stirring about a little, and mouthfuls would be thrown up, which any person at first sight would have pronounced to be a mass of small, nearly transparent worms ; on close examination I discovered it to be thickened mucus which had collected in the small ramifications of the bronchial tubes during sleep, and was actually discharged so as to be real casts of those tubes; this would sometimes be thrown up in such quantities, in the morning, that it really surprised me that sufficient air could have passed through the lungs for the purposes of life while sleeping

Itespiration. Instead of the ordinary wheezing, the muscles of respiration seemed tetanically convulsed, producing a condition not unlike what is denominated holding the breath with slight sighs or catches at intervals barely sufficient to keep the wheels of life from ceasing altogether (in two instances); on the first occasion relief was obtained by swallowing two drachms of Mh. sulph.; on the other, where the interrupted breathing had continued fearfully long, and where swallowing was impossible, inhaling the fumes of burning paper previously saturated with Nitras. potass., alleviated the symptoms almost instantaneously

In about the usual time for an emetic to operate, there seemed to be a simultaneous effort to breathe, cough, and vomit, while neither of these functions was performed in any degree of perfection, producing a state of suffering indescribable by words; the whole muscles of the chest and abdomen seemed in a state of violent irregular spasm, every effort to vomit being interrupted by an attempt to cough; and notwithstanding a cold March wind was blowing, it became necessary to open the windows and support me in an erect position for nearly an hour to prevent immediate suffocation ; at the end of about an hour, without any previous mitigation of symptoms, I was almost instantaneously and completely relieved; on the appearance of the eruption

Sudden attack of troublesome shortness of breath with a wheezing noise,^^f

Attack of suffocation, lasting two to three days

Most violent attack of suffocative constriction in the air-passages and pharynx, face deathly pale, with most frightful anxiety for want of air

* Cough impedes respiration, even to suffocation f

Dyspnoea

Dyspnoea, or suffocating sensation of stricture of the chest, and a most distressing oppression at the prsecordia

Dyspnoea for several hours

Dyspnoea in the evening

Dyspnoea renewed after twenty-four hours, from 10 p.m. till 10 A.M., for eight days

Immediately seized with most urgent dyspnoea, with a sense of constriction‘across the chest, accompanied with violent and convulsive cough, which, together with the sneezing, continued for some time, until at length his countenance became anxious and livid

Dyspnoea comes on in a violent degree, attended with wheezing and great weight and anxiety about the praecordia (in a few seconds); the attack generally remains about an hour, but I obtain no relief until a copious expectoration takes place, which is invariably the case

A severe paroxysm of asthma, continuing several days (after eight or ten hours)

Severe and convulsive paroxysm of asthma; the danger of suffocation seemed imminent in the extreme (after ten or fifteen minutes)

The paroxysms usually came on suddenly, preceded by tickling in the nostrils and sneezing, and continued from three days to three weeks, during which I was unable to remain in a recumbent position

Suddenly seized with a violent attack of asthma, attended with the most distressing dyspnoea and oppression at the praecordia; bleeding and active cathartics relieved the attack in five or six days

Spasmodic asthma, with great constriction in the throat and chest, with which a peculiar kind of wheezing noise is heard,'®.]

Chest p. 144

Peculiar uneasiness in the chest, which caused me to withdraw; this becoming somewhat less, I returned to the operation, but before I had emptied all of the article out of the paper, the sensation in the lungs grew so distressing that I was alarmed; great difficulty of breathing, with a sense of suffocation; a dry, hacking cough

Contractive sensation beneath the short ribs/.

* Constriction of the chest, with shortness of breath and wheezing respiration; she was obliged to open the window and gasp for air, with paleness of the face, scarcely perceptible pulse, and apparent danger of suffocation, from evening till 9

(Griping (jerking-tearing?) pains in the right chest, beneath the shoulder, of short duration)

Pressure in the chest (a quarter of an hour after two grains)

Oppression of the chest

* Oppression of the chest in the forenoon, with shortness of breath, as if he were in a great dust, and could not breathe on account of it

Oppression of the chest after eating

Heart and Pulse p. 145

[Indescribable aching about the heart (pit of the stomach?)]

Palpitation

Palpitation, almost without anxiety

Quick pulse

Pulse rapid

Neck and Back p. 145

(Pinching pain between the scapulae on motion)

Extremities in General p. 145

Creaking and cracking in the joints

Sleepiness and heaviness in all the limbs (after two hours)

Pains in the joints, as is usual when the limb goes to sleep (after three hours)

Drawing pain in the bones of the upper arm and thigh in the evening after lying down (after five hours)

Pressive and spasmodic pain in the hollow of the right knee and in the left arm, aggravated by touch (after four grains)

Fain, as if bruised in all the bones (after three hours)

When she wishes to sleep, she feels shocks through all the limbs

Superior Extremities p. 145

Sudden spasmodic contractions of the arms

Pinching pains in the right arm (after three hours)

Inferior Extremities p. 145

Twitching of the lower limbs

Weariness of the lower extremities (after four grains)

Pinching pain in the left hip, extending from the crest of the ilium to the great trochanter (after four grains)

Weariness of the thighs and lower limbs (after eight and nine hours)

Pains shooting, as it were, from the right kidney down the thigh of the same side to the knee-joint, like cramp (after seven or eight days)

Pain in the knee, as if the tendons and ligaments were wearied by a long walk

Pain in the left knee, as if sprained, especially when walking; seldom and unnoticed while sitting (after one hour)

Some stitches in the right tibia (after four grains)

Twitching and crawling in the muscles of the calf, as if a limb were asleep

The feet feel weary

Pinching pain in the right foot (after four hours)

Generalities p. 145

Objective. A swaying to and fro of the body to either side, as in drunkenness, with stupefaction of the head, while walking in the open air in the evening (after ten hours)

Stiffness of the body

* The body of the child is stretched out stiff

* The whole body is outstretched, stiff, whereupon a spasmodic contraction of the arm follows (after a quarter of an hour)

Opisthotonos

Symptoms of emprosthotonos and opisthotonos (after ten hours)

He is awkward, clumsy, and knocks against everything

Very weak, indolent, depressed, and chilly (after half an hour)

* Extreme weakness (after one hour)

Exhaustion

Extreme restlessness; it continued three days

Subjective. Excessive sensitiveness to cold and warmth

Anxiety in the blood in the morning on waking, as if he had been in great heat, or had perspired profusely, or were awakened by anxious dreams, though he was neither hot nor sweaty, together with heaviness in the head, as if the brain were compressed

On waking, a peculiar sensation of lightness.

Skin p. 145

f Original revised by Hughes. with good appetite (after one hour and a quarter),'h

(Sticking pains here and there in the body, caused by motion, ending in burning)

Skin p. 146

Objective. Very numerous small papulre and vesicles, seated on a deep-red base of irregular extent (after about thirty-six hours, or sooner); they become flattened in a short period, and assume the pustular character; many of them run together, are confluent, the part feels hot to the hand of another, and a tingling sensation, never amounting to pain, is experienced by the patient; the eruption endures pretty vividly for a few (three) days, during which the pustules become covered with a scablike scale and fall off, leaving no mark; they never ulcerate

Burning heat over the whole surface of the body, which was found to proceed from a kind of erysipelatous eruption, covering every portion, similar to what is seen after exposing the naked skin to the burning sun; the patches were circular, and varied from the size of a sixpence to that of the palm of the hand, considerably elevated, with thick rounded edges, and of a fiery color (after one hour)

[Lips covered with eruption externally]

[Lips covered with aphthfe and scabs]

(Nettlerash on the forehead, extending into the hair and down on the cheeks)

(Tetterlike eruption on the wrist and about the arms, which itches most in the evening and after lying down; after scratching, red pimples appear on the skin, though the itching does not cease)

Subjective. Feeling of formication on the calf (after four grains)

Sleep and Dreams p. 146

Sleepiness. Yawning and stretching after eating

Frequent yawning (after a quarter of an hour)

Sleepiness

Sleepiness (after one grain)

Sleepiness, weariness (after two hours)

Sleep, immediately

Sleep, with half-opened eyes (after six hours)

Sleeplessness. Uneasy sleep

Sleep full of restlessness and sobbing

Sleep interrupted by frequent waking and frightful dreams (after ten hours)

He starts up in sleep}.

Sobbing fearfulness during sleep

Dreams. Vivid unremembered dreams, with frequent waking, as from wakefulness, at night

Fever p. 146

Chilliness. He became cold over the body

He has no warmth at all in his body

Chilliness

Chilliness; he is unable to endure the slightest cold

* Chilliness, followed by heat, and afterwards '-perspiration, coming on after the pain in the eye had lasted for some time

Frequent chilliness

Constant chilliness beneath the skin, and more when sitting in a warm place

Chilly, feverish, and thirsty (after seven or eight days)

Chilly the whole night in bed ; was unable to sleep on account of chilliness

External coldness with internal /teat

Shivering, with yawning (after half an hour)

Shivering, with eructations

* Febrile paroxysm, first shivering, then chilliness, xvith coldness, without thirst, about 4 P.M. (after five hours)

Shivering coldness in the limbs, immediately, as if one were startled by something

Hands cold and moist

One hand is cold

The hands and feet are icy cold, and wet with cold sweat, with redness of one cheek and paleness of the other; he feels extremely sick and weak in mind and body, with dilated pupils (after ten hours)

Heat. Heat of the whole body in the evening

Sudden general heat about 4 p.m., with perspiration on the arms and back (after sixteen hours)

A violently increasing, almost burning heat (sensation of heat) in the head and over the whole body, though with cold hands and feet; as the heat increases to its greatest severity, some perspiration breaks out on the trunk and head, with biting-itching, especially on the neck (after one hour)

External without internal heat (after several hours)/.

Feeling of warmth, extending from the abdomen up into the chest, and at times accompanied by sticking (after eight grains)

(Heat and redness of the face, without thirst)

Feeling of heat in the cheeks, even perceptible externally, though without redness (after three hours)

Sensation of heat in the afternoon and evening, almost burning, in the head, on the forehead and cheeks, without thirst (after six hours)

Would not be covered or bear much warmth

Sweat, [Sweat]

Sweat on the night after beginning to take the drug,®.f

[Profuse, sour sweat, with turbid urine]

[Perspiration, lasting several hours]

Perspiration about midnight (after twelve hours)

[Sour-smelling perspiration]

Conditions p. 147

Aggravation.

(Morning'), After rising from bed, tearing headache; on waking, anxiety in blood.

(Afternoon), Between 6 and 7 oclock, convulsive cough; towards evening, suffocative cough; about 7 oclock, suffocative cough ; about 4 oclock, general heat.

(Evening), Dyspnoea; heat of body.

(Night), Yvoxn 10 p.m. till 10 A.M., dyspnoea; from evening till 9 a.m., constriction of chest, etc., in bed, chilly.

(Walking in cold air). Cough.

(Coughing), Pain in abdomen.

(After eating). Oppression of chest.

(After lying down). In morning and evening, cough, etc.

(Motion), Griping in abdomen; pain between scapulae.

(Pressure), Colic in umbilical region.

(Stooping), Headache in forehead; stitches above eye; vomiting, etc.

(Touch), Pain in forehead; pain in umbilical region; pain in hollow of knee, etc.

(Walking), Vertigo; especially on turning around, reeling vertigo; pain in knee.

(Sitting in warm place). Chilliness.

Amelioration p. 147

(Closing eyes), Pain in temples, etc.

(Pressure), Pain in temples, etc.

(Rest), Griping in abdomen.

(Sitting), Pain in knee.

Footnotes p. 138

† Curative reaction from the previous opposite condition of mind.—Hahnemann.

† Local effect.—Hughes. J Original revised by Hughes.

† As S. 51.—Hughes.

† Omit Heller, and note, “after ineffectual attempts to vomit.”—Hughes. j As S. 51.—Hughes.

† Compare S. 171 —Hahnemann. | See note to S. 185.—Hughes. g Original revised by Hughes. II From the secondary or antagonistic reaction of the system : the primary action of Ipecac causes bloody discharges from all the orifices of the body, and especially brings on menstruation; hence it homceojiathieally cures such conditions as these when tue oilier symptoms of the patient correspond to those of Ipecac. Compare S. 154, 198, etc —Hahnemann. ^ As the asthmatic paroxysms of S. 236 passed off.—Hughes. ft See note to S. 185.—Hughes.

† Original revised by Hughes. i In two women, caused by the dust of the powder in a distant room, the distress continued fourteen days.—Hahnemann.