Jatropha

Jatropha curcas, Linn.

Natural order, Euphorbiaceae.

Common names, Physic Nut; (Cuban), Pihon Botija.

Preparation, Triturations of the seeds.

Authorities. 1, C. Hering, M.D., Amer. Arzneipruf., proving of _2d trituration of seeds; 2, Jablanczy, from Hering, proving with 24th dilution ; 3, Thore, Beitrage, provings with the 30th, and after with the 3d trituration ; 4, Lembke, Allg. Horn. Zeit., 34, proving with, first day, 1 drop of y^th dilution ; third day, 5 drops ; fifth day, 10 drops ; sixth day, 20 drops; 4a, same, provings with 1st trituration, first day, 3 grains; second day, 8 grains; fourth day, 26 grains; sixth day, whole outer rind of nut, weighing 6 grains; seventh day, the seed remaining from nut; tenth day, one seed weighing 7 grains, then two seeds weighing 8 or 10 grains; 5, Humphreys’s provings with 1st, 2d, and again 2d dilution, from Hering; 6, Davis, proving with 2d dilution; 7, Zumbrock, took ^ drop of tincture; 8, G. de V., case of poisoning, from Hering ; 9, poisonous effects, additional, from Hering; 10, Farquharson, Am. Jour. Med. Sci., 1850, vol. 46, p. 102, two sailors ate ripe seeds, one only three or four; 10 a, same, the other ate a handful; 11, Honigberger, general effects, from Hering; 12, Soubeiran, from Hering; 13, Buchner, from Hering; 14, George Bennett, London Med. Gaz., 1831, p. 8, “I took four of the seeds;” 15, case of poisoning, reported by Leathery, London Med. Gaz., 1848, N. S., vol. 7, p. 116, James Cole ate kernels of five seeds ; (16 to 31, report of thirty-three persons poisoned by eating nuts, some three or four, others forty or fifty. Dr. Russell, Med. Times and Gaz., 1864, p. 703); 16, T. M., aged 14, ate forty or fifty ; 17, T. W., aged 14, ate thirty or forty; 18, G. R., aged 12, ate two handfuls ; 19, H. C., aged 16, ate twenty-four; 20, C. W., aged 15, ate twenty ; 21, C. W., aged 15, ate more than two handfuls; 22, T. F., aged 14, ate a handful; 23, T. H., aged 12, ate a dozen (symptoms as last, and others in addition) ; 24, T. O., aged 15, ate a dozen; 25, T. M., aged 18, ate a dozen ; 26, W. F., aged 12, ate eighteen ; 27, T. H., aged 14, ate a dozen ; 28, W. H., aged 16, ate a dozen; 29, G. R., aged 13, ate five; 30, J. M., aged 13, ate ten; 31, general symptoms in remaining cases not detailed; 32, A.Vautherin, Des Graines de Croton Tiglium, Monograph, Paris, 1864, experiment on self with the oil.

—Delirium, with insensibility,“.—Delirious, and ultimately quite insensible, lasting about twenty minutes (after two hours),—An ecstasy, as if an ideal had appeared to a poetic painter, or like that which sometimes comes to a dying person, with bright eyes directed upward, a feeling of lovely warmth and ethereal lightness, during the painful diarrhoeas,^— Anxiety, with burning in the stomach and coldness of the body,®.—Attacks of anxiety at night, which constrict the chest and do not permit sleep till towards morning,^—Anxious events very easily disturb his equanimity, quite unusual with him,h—Ill-humored, laconic,®.—Ill-humor returns to his mind in sleep; he wakes on account of it, and after falling asleep again, dreams of it,®.

Head

Confusion and Vertigo. Confusion of the head for two days

Confusion and stupefaction of the head (second day)

Confusion and heaviness of the head (after half an hour),k

Constant confusion of the head (tenth day)

Head confused, dizzy, as if he were turned around (fourth day)/

Head feels confused and almost without ideas (tenth day)/

Dizziness and vertigo, accompanied by great restlessness

Giddiness (after half an hour) (after one hour)

Giddiness and pain on raising his head (second day)

Giddiness, pain in the throat and stomach, and inclination to drowsiness (after ten minutes)

Very giddy (after one hour)

Extremely giddy (after two hours)

General Head. Heaviness of the head (fourth day)

Head heavy, contused (sixth and seventh days)

Heat in the head, especially in the forehead (sixth day)

Heat in the head and face (sixth day)

Heat in the head and some catarrh at noon

Constant heat and confusion of the head (tenth day)

Great heat in the head, with heaviness (tenth day)

Headache

Headache; after some minutes a pressing inward in the temples, lasting half an hour

Forehead, Heaviness and pressure in the forehead (tenth day)

Headache in the forehead externally, and on the right zygoma, lasting several hours

Pressure in the forehead (fourth and tenth days)

Pressure in the left frontal and temporal muscles (tenth day)

Pressive pain in the frontal muscles (tenth day)

Transient stitches, now in the right now in the left half of the forehead (after several days)

Tenia)les. Pressure in the temples (tenth day)

Pain pressing inward in the temples the whole day while he is in the house (second day)

Pain in the temples pressing inward and somewhat throbbing (after one hour), now and then extending as far as the crown (after two and three hours)

Violent pain pressing into the temples, extending to the crown, disappearing in the open air, and returning on entering the house (second and third days)

Oeci)Ut, Heat in the occiput (seventh day)

Heat and confusion in the occiput (tenth day)

Heat in the occiput, with burning heat of the ears (tenth day)

Pressure in the occiput (sixth day)

Fife p. 183

Lids. Trembling of the left eyelid (first day)

Repeated trembling of the left lid

Repeated trembling of the left upper lid

Itching of the lids, lasting several days

Itching and smarting of the margins of the lids, better after rubbing (first and second hours)

Fapil. Pupil either normal or, in the opinion of many who observed the cases, markedly dilated, in those who had taken a large quantity of the poison

Pupils smaller than usual (sixth day)

Vision. Bright and dark spots before the eyes (fourth day)

Black points before the eyes (tenth day)

Ears p. 183

Burning in the ears (sixth day)

Aching in the right ear, lasting a quarter of an hour

Stitches in the left ear, several times

Constant stitches deep in the left ear (sixth day)

Hearuig. Difficult hearing

Roaring in the ears

Nose p. 183

Objective. Ulcers in the nose and mouth

Catarrh and heat of the head, at noon

Sudden attack of coryza, with sneezing, running from the nose, frequent copious discharge of mucus, which very goon became alternately yellow and white, lasting a long time, with infrequent paroxysms of cough, with expectoration only with difficulty; in the intervals, however, frequent easy hawking of large lumps of mucus, together with transient headache at times here and there (after triturating)

Sneezing

Sneezing, catarrh, and discharge from the nose

Sabjeetive. Constant sensitive feeling in the nose, always on drawing in the air, which seems cold, though it is warm

Increased itching in the nose while eating

Face p. 183

Countenance pale and somewhat anxious (after four hours)

Pale face with dark rings below the eyes, in the afternoon (second day) Feeling of warmth in the face, as with catarrh

Cheeks. Pain in the left zygoma, gradually extending to the right, and ending with aching in the right ear (second day)

Aching in the right zygoma,h

Contractive pain in the left muscles of mastication

Pressure in the left masseter muscles (fourth day)

Pressive pain in the right muscles of mastication

Lips. Lips cracked and painful during the whole proving

Soreness of the left corner of the raouth

Mouth p. 184

Teeth. Slight rheumatic drawing in a hollow tooth

Stitches in a hollow tooth

Drawing feeling in the front teeth of the left side (first day),l

Tongue. Numbness of the tongue (after four hours)

Burning, long-lasting pains in the tongue

General 3Louth. Dryness of the mouth the whole night

Dryness of the mouth, without thirst (first and second hours), followed by a sensation as if the mouth had been burnt, the whole night and morning (third day)

Distressing sensation of dryness in the mouth, followed by a real dryness of the mouth and tongue without thirst, lasting the whole night, from the second to the third day, then a feeling as if the mouth had been burnt, lasting till the sixth day, always worse at night

Sensation of heat and dryness in the mouth and throat (after four hours)

Burning in the mouth and throat

Burning sensation in the mouth and throat, continuing over an hour (after ten or fifteen minutes)

Sfllivu. Much saliva (fourth day)

Increased accumulation of saliva (tenth day)

Much accumulation of saliva (tenth day)

Frequent accumulation of thin saliva (first day)

Frequent spitting of saliva the whole morning, with a metallic, bloody taste

Much spitting of saliva with the stools

Tuste. Taste metallic, bloody, with frequent spitting of saliva, the whole morning

Insipid taste of the drug, very slightly nauseating, without acridity or heat; after swallowing, this taste became more decided at the back of the throat (three drops)

Throat p. 184

Throat symptoms (after one hour)

Throat affected (after three hours and a half)

Complained of his throat (after one hour)

Pain in the throat (after one hour and a half)

Dryness of the throat (after one hour and a half); (after two hours)

Dryness and pain in the throat (after half an hour)

Dryness and burning of the throat (after one hour); (after two hours and a half)

Dryness and scraping in the throat (seventh day)

Throat hot and dry (after one hour)

Burning in the throat (after one hour); (after one hour and a half )

Burning pains in the throat

* Acrid feeling in the throat, which gradually, and with greater violence, extended to the stomach, and at last caused vomiting

Feeling as if the throat were swollen

Sticking feeling in the throat, especially on swallowing (sixth day)

Sore throat (after half an hour)

Scraping in the throat, during the whole proving

Feeling of soreness in the soft palate

Fauces (ind (Esophugus. Dryness of the fauces

Dryness of the upper part of the fauces and throat, with some thirst; yet he dreaded to drink on account of constant nausea ; after several hours vomiting of food, with short, hacking, persistent cough

Constant dryness in the fauces

Dull pain, as though rising from the stomach into the oesophagus

External Thvoat. Pain along the external jugular vein of the left side

Stomach p. 184

Appetite. Little appetite for a whole week

Loss of appetite

No appetite (tenth day)

Thirst. Thirst (after one hour); (after three hours and a half); (after one-quarter of an hour)

Decided thirst in the evening: (fourth day)

Thirsty

Less longing for vine,h

Eructation (ni(l Hiccouifli. Eructations the whole first day

Eructations of air (second, fourth, and sixth days)

Frequent eructations of air (seventh day)

Constant eructations of air for twenty-eight hours

Empty eructations (first and seventh days)

Empty eructations (seventh day)

(Hiccough and vomiting of a quantity of dark green bile, during convalescence from cholera, in two cases')

Nausea (Hid Vomiting/. Nausea (sixth and tenth days)

Nausea that comes and goes (tenth day)

Nausea after eating (tenth day)

Nausea during the stool,h

Nausea, with a feeling of warmth in the stomach (after half an hour),h

Nausea and burning in the stomach for some hours (after half an hour)

Some nausea

Constant nausea, worse the second day than the first

Constant nausea and accumulation of saliva (tenth day)

Great nausea, with almost efforts to vomit (tenth day)

Dreads to drink on account of nausea

Peculiar qualmish sensation in the pit of the stomach (tenth day)

Sensation of loathing, without acridity or heat; something like that following a dose of castor oil, or of croton oil, when diluted with fifty parts of almond oil (10 drops)

Loathing at the stomach, continuing until he took food (3 drops after twenty minutes)

Vomiting (after two hours); (after one hour and a half); (after one hour),®^, etc.

Vomiting of all food (a few hours after Madeira wine)

* Very easy vomiting of a large amount of a watery albuminous substance, together with %vatei'y diarrhoea

Vomiting, of a violent character (in the course of an hour)

Violent vomiting and diarrhoea

Vomited ; portions of the nuts in the vomited matter (after half an hour)

Vomited several times (after half an hour)

Vomited several times within an hour and a quarter

Vomited copiously (after one hour)

Sickness (after half an hour),”; (after two hours); (after one hour)

Sickness, which ended in his vomiting freely (after one hour)

Violent sickness (soon after ten or fifteen minutes), and during the subsequent hour vomited five times, and was very actively purged

Very sick; vomiting freely (after one hour)

Stomach. Rumbling in the stomach (first day)

Anxious feeling in the pit of the stomach (fourth and seventh days)

Sinking feeling in the pit of the stomach, and slight nausea, immediately ; also the second day, after a soft stool

Pain in the stomach (after quarter of an hour); (after two hours)

Pain in the stomach aggravated by pressure

Pain in the stomach, with pyrosis (second day)

Pain in the stomach, extending paroxysmally towards the umbilicus and into the oesophagus (second day)

Constant pain in the stomach (after half an hour)

Very severe pain in the stomach (after one hour and a half)

Warmth in the stomach (first and second days)

Feeling of Warmth in the stomach (sixth and seventh days)

Constant feeling of Warmth in the stomach (seventh day)

Heat in the stomach (immediately),'; (sixth and tenth days)

Feeling of heat in the stomach, with cramp rising into the oesophagus (tenth day)

Severe feeling of heat in the stomach (seventh day)

Burning in the stomach, and very easy vomiting of large quantities

Burning pain in the stomach

Very unpleasant burning sensation in the stomach and bowels, Avith nausea, Avhich after an interval of nearly two hours terminated in vomiting; then purgative effects followed soon afterwards, and operated mildly; the sickness had then nearly passed away, but the burning sensation continued for some time longer

Feeling of cramp in the stomach, on stooping (second day)

Violent drawing pain in the stomach

Painful pressure in the epigastric region (fourth day)/®.

Pressure in the stomach, at times (first day)

Dull pressure in the stomach (fourth day)

Constant dull pressure in the stomach, extending up into the oesophagus (first day),^/. Slight pressive pain in the stomach (first day)

Constant cutting pain in the stomach and whole of the abdomen, aggravated by pressure (first day)

Cramplike stitches in the stomach (after half an hour),h

Sensitiveness of the epigastric region, aggravated by pressure

Jerking pains in the epigastric region

Abdomen p. 186

Hypochondria. Indefinite pain in both hypochondria and in various parts of the extremities

Piercing pain in the left hypochondrium extending to the lumbar muscles (second day)

JJnihilical. Pain in the umbilical region

[190.} Pain about the umbilicus, with rumbling, emission of flatulence and desire for stool, in the morning (second day)

Violent pain in the umbilical region, extending into the left hypochondrium and left side of the chest (seventh day)/

Pain deep in the umbilical region

Constant pain deep in the umbilical region

■ Constant dull pain deep in the umbilical region (fourth day)

Violent tearing pain deep in the umbilical region, aggravated by pressure (after one hour)

Every attack of spasm in the bladder comes on with a twisting pain in the umbilicus, and extends downward to the neck of the bladder; these attacks, like the nausea, gradually disappear between 6 and 7 P.M.; they are preceded and followed by many noises of liquids in the abdomen and by sour eructations (tenth day)/®.

Crawling about the umbilicus the whole forenoon

General Abdomen. Distension of the abdomen,**; (fourth day)

* Abdomen distended and soft

Abdomen moderately distended, soft, and painful deep in the umbilical region to slight pressure (seventh day)

Abdomen distended, tympanitic (second and fourth day)

Abdomen much distended, tense, tympanitic (first day)

Abdomen tympanitic (seventh day)

With much rumbling the abdomen soft (first day)

The distended abdomen becomes soft and sunken, without emission of flatulence (second day)

Some intestinal movements, but without pain or purgation (25 drops)

Noises as of liquids in the intestines (sixth day)

Noises as of a liquid moving about in the abdomen, frequently (fourth day)

Constant noise as of a liquid gurgling in the intestines (fourth day)

]\[any noises as of a liquid in the abdomen (sixth day)

* Much noise in the abdomen, as if a full bottle were emptied, in the evening, followed about 10 p.m. by a thin stool without other symptoms; the noise remained unchanged after the evacuation, without another stool until the next morning, when the abdomen was soft and sunken (second day)

Much gurgling of liquids in the abdomen (tenth day)

Rumbling in the abdomen (fourth day)

Rumbling in the abdomen the whole night

Rumbling in the abdomen, the pain shooting through deep in the abdomen

Rumbling and empty eructations

Rumbling and emission of flatulence (second day)

Rumbling in the abdomen and pain in the transverse colon (five and six hours)

Rumbling in the abdomen, with sharp colicky pains in the transverse colon; the rumbling lasted the whole day, ceased on going into the open air, returned in the warm room and continued the whole evening and night (second day)

Much rumbling in the abdomen (seventh day)

Much rumbling in the abdomen, and at times pressure in the stomach (after five hours, first day)

Much rumbling in the abdomen and pain in the umbilical region (tenth day),*.®.

Much rumbling in the abdomen and desire for stool (sixth day)/

Frequent rumbling in the abdomen/; (sixth day)/

Constant rumbling in all parts of the abdomen, with distension, immediately

Emission of flatulence

Sensation like that preceding a stool, which, however, only occurs the next morning

Pain in the abdominal region (after four hours)

Pain and distension of the abdomen (after two hours and a half)

Pain in belly (after one hour and a half),^k

Pain in the bowels (after half an hour)

Pain, with a sensation of heat in the bowels (after half an hour)

Slight pain in the bowels; (second day)

Violent pain in the whole abdomen, especially along the course of the spine, aggravated by slight pressure, with distension of the abdomen, and desire to urinate (seventh day)

Slight griping in the abdomen

Aching and uneasiness in the abdomen; a sinking feeling in the stomach as during a violent diarrhoea, the whole forenoon (third day)

Colic ; (51 drops; after half an hour)

Colic, with desire for stool (fourth day)/

Colic and a sensation of impending diarrhoea, in the morning (second day)

Sharp colic in the transverse colon, and rumbling in the abdomen

Abdomen sore and distended, continuing over an hour (after ten or fifteen minutes)

Hijpogastviuni and Iliac Hegions. Noises low down in the abdomen (tenth day)

Constant gurgling as of liquids low down in the abdomen, with rumbling of air (seventh day)

Aching in the lower portion of the abdomen and inclination to stool, for some hours

Peculiar tension in the inguinal regions

Feeling of tension and protrusion in the left inguinal ring, at times, on rising or blowing the nose, whereby the left leg is involuntarily flexed and drawn up towards the abdomen (sixth day)/

Pressing outward in the left inguinal ring on blowing the nose (tenth day)

Rectum and Anus p. 187

Violent burning in the rectum after a stool, lasting an hour (first day)

Stitches in the rectum/; (second, sixth, and tenth days)

Violent crawling of worms in the rectum, in the evening (first day),®.-^oft hemorrhoidal swellings

Stitches in the orifice of the anus

Violent itching in the anus, at night in bed (fourth day)

Inclination to stool (after half an hour)

Much desire,for stool

Great desire for a diarrhoea-like stool, in the morning (first and third days)

* Sudden desire for stool, and constant noises as of liquids in the abdomen, especially in the left side (sixth day)

Stool p. 187

Diarrhoea, Diarrhoea

Copious diarrhoea, with watery stools, after which he felt much relieved (second day)

Painless diarrhoea, with slight cramplike jerkings in both calves

* Watery diarrhoea, as if it spurted from him

Profuse mucous diarrhoea (after five hours and a quarter)

* Purging (after a quarter of an hour); (after two hours and a half)

Severe purging, with tenesmus (after several hours)

Purging of a violent character (in the course of an hour), (in both cases)

Very actively purged (after ten or fifteen minutes)

Severely purged

Purged three or four times

Purged three or four times, very copiously (after three hours and a half)

Stools copious, mucous, and not unlike the well-known rice-water stools

Bowels moved copiously upwards of a dozen times; his stools being mucous and watery (after one hour)

Several soft stools, with nausea and much spitting of saliva

Three natural stools a day instead of one

Small stool (after four hours and one-sixth), followed by another in half an hour (51 drops)

Stool at night, which he scarcely ever had

Soft stool at the usual time, followed by much rumbling (sixth day)

Soft stool, without relief of the pain in the abdomen, which disappeared after half an hour, with emission of much flatulence (after two hours, first day)

Stool softer than usual, followed by constant pain in the umbilical region (after one hour, second day)

* Thm stool preceded and followed by much rumbling, and at times a noise as if a bottle were being emptied (after one hour and a half)

Stool harder than usual (second day)

Constipation,, After soft stools for several days, there follows constipation, with slight headache, pressing inward in the temples (sixth day)

Stool delayed (second day)

Stool delayed, scanty and very hard (after the proving)

Urinary Organs p. 188

Hladdev. Every attack of nausea is accompanied by spasm of the neck of the bladder, with drawing pain and desire to urinate (tenth day)

Painful pressure and stitches in the neck of the bladder (tenth day

TJiethra. Clear mucus oozes slowly from the urethra, while walking and sitting

Stitches in the urethra (tenth day)

Constant irritation in the navicular fossa of the penis, like a tickling, with frequent micturition

31ictlirition. Desire to urinate (fourth, seventh, and tenth days)

Desire to urinate, even after micturition (second day),*».

Much desire to urinate (second day)

Frequent desire to urinate,*; (sixth day)

Very frequent desire to urinate

Constant desire to urinate,*; (fourth, sixth, and seventh days)

Constant desire to urinate (though he had urinated during stool three-quarters of an hour previously)

Renewed desire after micturition (fourth day)

Frequent urging to urinate (tenth day)

Much micturition.

Copious discharge of quite watery urine without odor or color

Difficulty in making water (second day)

Dysuria (after one hour),^*; (after two hours andahalf),“; after several hours

JJvine. Remarkable increase of urine after exertion, in the evening (fourth day)

Urine much more scanty than usual, and very dark-brown, clear

Urine bright yellow (second and sixth days)

Urine bright yellow, frothy (after one hour and a quarter, fourth day)

(White urine)

(Blood with the urine)

Sexual Organs p. 188

Aching in the genitals, as after excessive sexual intercourse, the whole day (sixth day)

Aching of the genitals, especially of the right testicle, with diminished discharge of urine (fourth day)

Drawing pain in the genitals, extending along the inner side of the right thigh to the knee (sixth and following days)

Aching in the left testicle (third day)

Respiratory Organs p. 188

Larynx. Painful pressure in the right side of the larynx at night, on account of which he woke ; not aggravated by touch (first night)

Couyh. Short, hacking, persistent cough the first day; on the second day so violent that he took golden sulphuret of antimony

Hollow cough (first night)

Respiration. Respiration quick and panting

Increased difficulty of respiration (sixth day)

Chest p. 188

Pain in the region of the left third rib, above and somewhat to the inside of the nipple (after a few minutes)

Constriction in the chest, with attacks of anxiety, so that he was unable to sleep at night

Violent pain in the left clavicle, forenoon (third day)

Aching in the left clavicle, lasting only a few minutes, but returning after a few hours (second day)

Aching, amounting to a throbbing pain in the left clavicle, in the morning (third day)

Pressure in the left pectoral muscles, which seems to make respiration difficult (seventh day)

Painful pressure in the right pectoral muscles (fourth day)

Pressive pain in the right pectoral muscles (tenth day)

Frequent stitches behind the cartilages of the sixth and seventh ribs (seventh day)

Sudden violent stitches to the left of the ensiform cartilage, behind the costal cartilages, which arrest the breathing (sixth day)

Ft'Out, Tension in the middle of the sternum

Pressure deep in the chest behind the sternum (second day)

Sticking pain, extending from above downward deep in the chest, behind the sternum,h

Heart and Pulse p. 189

Frwcordiam. Feeling of sinking and nausea in the precordial region, followed by soft stool (second day)

Heaves A-Action, The beating of the heart suddenly became distinct to the hand, and was even felt in the chest,h

Violent beating of the heart (after one hour)

Violent beating of the heart, for several days

Violent beating of the heart, shaking the chest, when walking slowly about the room (tenth day)

Palpitation (after an hour and a half)

Palpitation of the heart, after moving about (after six hours)

Uneasiness at night from palpitation, and rush of thoughts

Heart’s action very irregular, and so weak that the impulse against the walls of the chest could with great dithcultybe perceived

False. Pulse accelerated, for two days

Frequent and weak pulse (after several hours)

Pulse slow, full, and soft (after one hour, tenth day)

Pulse diminished 2 beats (after one hour)

Pulse 5 beats less than usual (after a quarter of an hour, fourth day)

Pulse 6 or 7 beats slower than usual (after half an hour); 10 beats slower than usual (after one hour, tenth day)

Pulse 9 beats less than usual (after three-quarters of an hour); 5 beats less than usual (after one hour and a quarter, fourth day)

Pulse 140 and weak (after four hours)

Pulse 120 (second day)

Pulse 87, large, full, almost jerking (after two hours, tenth day)

Pulse 80, strong (after one hour)

Pulse 80, hard, and throbbing

Pulse irregular, of normal frequency (sixth day)

Pulse small, thready, and intermittent

Almost pulseless (after five hours and a quarter)

Neck and Back p. 189

Nape. Stiffness in the nape of the neck

Stiffness of the muscles of the nape of the neck (tenth day)

Stiffness of the muscles of the nape of the neck and forehead (fourth day)

Back. Pain in the muscles across the back (seventh day)

Painful pressure in the lumbar, dorsal, and pectoral muscles (fourth day)

Transient pressure in the muscles of the back and left upper arm (first day)

Constant bruised feeling in the muscles of the back and chest (sixth day)

Dorsal. Pain in the region of the sixth dorsal vertebra

Constant pain in the rhomboid muscle in the region of the fourth and fifth ribs of the left side, dull pain lasting twelve hours

Lamhcir. Painful stiffness of the lumbar muscles (fourth day)

Very transient pains in the lumbar muscles, chest, and shoulders

Painful thrusts from the umbilicus to the lumbar region (seventh day)

Feeling as from a thrust in the muscles, in the region of the small of the back, while walking

Stitches in the lumbar muscles (seventh day)

Feeling of soreness in the small of the back (after one hour)

A sore feeling in the small of the back and i*rectum, as in diarrhoea (after one hour)

Crawling beneath the skin of the small of the back (after three hours)

Extremities in General p. 189

Muscles of the extremities contracted by violent spasms

Painful feeling of weakness in the limbs, especially in the knees (fourth day)

Cramps in the hands and feet (second day)

Most severe cramps in the arms and legs (after one hour)

Drawing pains in various parts of the extremities, in part seeming to be under the skin

Pressure in the left calf, right knee, and right wrist (tenth day)

Pressure in the upper arms and right calf alternately, though only while sitting (second day)/

Pressive pain on the back of the right foot, on the posterior surface of the left upper arm, and in the flexor surface of the left forearm (sixth day)

Pressive pain in the muscles of the shoulder and back, in the knees and calves, with a feeling of Weakness (sixth day)

Pressive aud contractive pain in various parts of the extremities, especially in the wrists, toes, and calves,k

Superior Extremities p. 190

Bruised feeling in the muscles of the arm (first day)

Shoulder, Pain in the right shoulder and arm, extending into the hand, worse along the ulnar nerve

Rheumatic pain in the right and afterwards in the left shoulder (third day)

Drawing in the muscles of the left shoulder (fourth day),^>.

Pressure in the shoulder-joint (fourth day)

Pressure in the left shoulder (tenth day)

Bruised pain in the shoulder-joints (first day)

Bruised and stiff feeling in the shoulders (second day)

Arui. Weariness in the upper arms

Pressure in the muscles of the right upper arm (tenth day)/

Forearm, Aching along the left ulnar nerve (after one and two hours)

Gnawing in the ulnar nerve

Pain along the ulnar nerves, extending from the left elbow to the tips of the fourth and fifth fingers (immediately)

Pain, Avith a feeling of numbness extending from the elbows to the tips of the fourth and fifth fingers, Avith a burning, causing insensibility, lasting half an hour (after half an hour, and Repeated after four days)

Internal pressure in the flexor muscles of the left forearm (fourth day)

Hand, Drawing on the back of the left hand (seventh day)/

Pain in the metacarpus of the right thumb, extending to the Avrist and hand (after five hours)

FifUjers. Violent pain in the first joint of the right index finger, extending to the tip (after five hours)

Aching in the first joint of the right thumb, extending to the Avrist, in the morning (second day)

Inferior Extremities p. 190

Gait tottering; the body involuntarily inclined towards the left, Awhile Walking (fourth day)

Feeling of stiffness and unsteadiness in the legs, when Walking (fourth day)

Kn ee. Pains in the hollows of both knees, for several days

Pressive pain in the right knee and left calf, on Walking slowly up and doAvn the room (seventh day)

Painful tearing in the left knee and malleolus (after seAcn hours)

Bruised pain in the knees,k

Bruised feeling in the knees, while sitting

Leg. Stiffness of both calves (fourth day)

Feeling of stiffness in the left calf (second day)/

Feeling of stiffness in the calves, Awhile Walking up and doAvn the room (seventh day)

Feeling of stiffness and pressure in the left calf and back of the left foot (first day)

Pain in the calves, even Avhen Walking, Avith internal draAV- ing in them (fourth day)

Constant compression in the muscles of the left leg, especially in the loAver portion of the calf (tenth day)

Internal jerking and pressure in the left calf and toes, more towards the inner margin of the tibia, extending up and doAvn the inner surface (fourth day)

* Slight cramplike jerkings in both calves, with painless diarrhoea

* Violent cramplike pain in the lower legs, and cramps in the calves, which become knotted

Slight cramps (after a quarter of an hour); (after three hours aud a half)

Severe cramps aud pains in the legs and feet (after three hours aud three-quarters)

Violent cramps, in the evening (after several hours),®b

Violent cramps aud twitchings the calves Averse tAvisted around to the shins (Heriug.)

Pressure and stiffness in the left calf, especially towards the tibia (sixth day)

Painful pressure in the external muscles of the legs, Avith internal crawling (fourth day)

Pressing in the left calf (seventh day)

Pressive pain in the calves,k

Constant pressivedrawing pain in the outer portion of the right calf (first day)

Sticking in the calves/.

Constant bruised feeling in the calves, especially while sitting (sixth day)

Peculiar bruised feeling, extending from the knees into the legs and becoming seated in the ankles (seventh day)

Scraping feeling on the inner surface of the left tibia (seventh day)

Pulsation in the left calf (fourth day)

AnhJe, Rheumatic pain in the left ankle, worse in the forenoon (third day)

Violent rheumatic pain in the left ankle (third day)

Pressive pain in the right ankle (tenth day)

Pressing pain in the left ankle, left upper arm, left hypochondrium, and left inguinal region (seventh day)/

Jjoot. Rheumatic pain in the ball of the right foot, in the morning (fourth day)

Slight drawings in the balls of both feet (first day)

Rheumatic drawing in the sole of the left foot, extending into the ball of the great toe

Drawing on the back of the right foot (tenth day)

Sticking and pressure in the sole of the left foot and in the left calf (second day)/

Sticking and jerking in the sole of the left foot uninterruptedly, while sitting

The heels are very sensitive when stepping upon them (fourth day)

Toes. Pressure and drawing in the great toe and on the back of the left foot (fourth day)

Stitches in the left great toe (sixth day)

Inward twitching in the toes of the right foot (fourth day)

Tearing in the toes and on the back of the left toot in rapid alternations (tenth day)

Crawling in the toes (tenth day)

Constant crawling in the left great toe (seventh day)

Generalities p. 191

Ohjeetive. Depression very great, in some cases

Great depression of the vascular system (after one hour and a half)

General weakness

Extreme weariness and sleepiness (first day)

Weakness (tenth day)

Great weakness, and heaviness of the head (tenth day)

So exceedingly weak as hardly to be able to walk about, after the perspiration broke out (after about one hour and a half) ; this debility greatly increased during the next half hour; in another half hour he had so far recovered as to be able to walk to the London Hospital; was very weak (after four hours)

On the slightest exertion, painful Weakness of the muscles used, even when writing or standing (fourth day)

Prostration (after half an hour)/.

Great prostration, with frequent and weak pulse, in the evening (after several hours)

Great restlessness

Subjective. More susceptible than, usual to wine

Feeling of agreeable Warmth, ethereal lightness

Skin p. 191

Ohjeetive. SeA^eral small pimples on the wrist and back of the right-hand (second day), disappearing after a few days

Two badly looking, hard though not painful pimples on the middle of the right cheek, slowly disappearing

Sore painful pimples on the back of the neck (second day)

Sore painful pimples in the bend of the right thigh (second day)

Ulceration, smarting, and tension in the right corner of the mouth, in the morning (fourth day)

Subjective. Prickling on the back of the left hand (second day)

Crawling in the skin of both lower legs and feet (tenth day)

Itching and tension of the lips, in the morning (second day)

Itching and slight tension around the mouth, better after rubbing (after tAVO hours)

Itching between the right index and middle fingers, and on the palm of the hand (after seven hours)

Itching between the toes, in bed (first night)

Violent itching, as from the itch, between the thumb and index finger, at first aggravated then relieved by rubbing

Violent itching of the commissure between the first and second fingers, relieved by rubbing, in the morning (third day)

Internal itching of the fingers, worse on the left hand (fourth day)

Sleep and Dreams p. 192

Sleepiness. Much yawning, with nape, accumulation of saliva and many eructations (tenth clay)

Drowsiness (after a quarter of an hour); (after one hour)

Drowsiness very marked, many of the patients falling asleep in the cabs on their way to the hospital, and many dropping off to sleep repeatedly in the waitingroom, but they could all be immediately aroused

Drowsy,”; (second day)

Very drowsy

Very drowsy and prostrated (after one hour)

Very drowsy, hot and feverish, after vomiting (after one hour},™

He thought that he had a fever so that he had to sleep, without being cold or hot or sweaty (first day)

Dropped off to sleep every half minute, although easily aroused (after five hours and a quarter)

He is scarcely able to wake from sleep; in the morning and afterwards; he is obliged to forcibly make himself move, after which he feels better,k

Sleeplessness. Sleepless, with throbbing of the pulse for several hours after lying down (third night)

Restlessness at night on account of rush of thought and palpitation

Restless tossing about, sleepless, with throbbing of the pulse, the whole night

Attacks of anxiety at night did not permit sleep till towards morning,k

On account of angry conversation which he had had in the evening, he awoke at 2 a.m., because he had it in his mind in sleep; he fell asleep again and dreamed of it

Dreams, Incessant dreams,k

Fever p. 192

Ch illness, Skin cold and moist,™

Chilliness with a feeling of coldness extending through the abdomen ; the palms of the hands previously dry become moist and cold (fourth day)

Much chilliness, cold hands and blue nails (after three hours, first day)

Much chilliness, with cold tips of the fingers (tenth day)

* Coldness of the body, shivering and clammy sweat, with vomiting and diarrhoea

Cold shivering over the whole body (after one hour)

Chilliness up and down the back (fourth day)

Chilliness creeping over the back

Chilliness through the back extending into the upper arms, constant, even in a warm room

Chilliness in the spinal marrow (second day)

Chilliness starting from the lumbar vertebrjB (seventh day)

Chilliness deep in the lumbar vertebrae, with desire for stool two or three hours earlier than usual in the morning

Much chilliness in the region of the lumbar vertebrae (tenth day)

Constant chilliness in the back (sixth day)

Great chilliness creeping through all the limbs, extending to the scalp

At times coldness through the back (second day)

Much coldness in the back, extending into the upper arm (first day)

Great coldness deep in the spine

Extremities cold, nails at times blue

The hands hitherto warm became cold and the nails blue (after half an hour)

Hands rather cold (after four hours)

Shivering in the back (sixth day)

Frequent shivering through the region of the lumbar vertebrae

Required application of warmth to the extremities, in the evening (after several hours)

Heat, Hot and feverish (after one hour)

Hot and feverish during the evening

Very hot and feverish (second day)

Slight fever, as indicated by rapid pulse, hot skin and dry tongue (second day)

Very feverish (second day) ; slightly so (third day)

Feeling of heat extending from the stomach to the spine, repeated in rapid succession (fourth day)

Heat across the back (fourth day)

Sw€((t, Promotes perspiration

Profuse perspiration broke out upon the whole surface of the body (after about one hour and a half)

Sweat during sleep

Conditions p. 192

Aggravation.

(lornhig), Desire for stool; aching in thumb; pain in ball of foot.

(Forenoon), Pain in ankle.

(Evening), Thirst.

(Night), Attacks of anxiety; feeling in mouth ; in bed, itching in anus; pressure in anus; in bed, itching between toes.

(On entering hoxise), Pain in temple returns.

(Pressure), Pain in stomach; pain in umbilical region.

(Rubbing), Itching between thumb and finger.

( While sitting). Muscular symptoms ; bruised feeling in calves.

(Sitting down after walking aboxd room). General bruised sensation.

(On stooping). Feeling of cramp in stomach.

(While walking). Feeling in small of back.

(In warm room). Rumbling in abdomen returned.

Amelioration p. 193

(Open air). Symptoms in general; pain in temples;. rumbling in abdomen.