Kali Ferrocyanatum

Potassium ferrocyanide (But-laugen-salz).

Preparation, Triturations.

Authorities. 1, Dr. James B. Bell, provings Hahnemann. Month., 2, 43, D. R., a man aged 27, took j grain of 1st trit., at 3 p.m. ; 2, Miss H. R., aged 28 (subject to dysmeuia), took 2 grains of 3d trit. in some water, at 10 P.M.; 2 a, same prover took 4 grains of 3d trit., eight days later; 3, Dr. Burleigh Smart, Amer. J. Med. Sc., 15, p. 365, effects of continued “ full doses ” in patients.

Feeling of sadness and some disposition to tears, caused by an impression that he was soon to die and leave his friends; disposition to take a sad view of the beauties of autumn; the apprehension of approaching sickness and death can be overcome by reason, but soon returns (in the afternoon, third day),h—Irritable and easily vexed (second day),^

Head

Vertigo, coldness, and numbness, with a sensation of gastric sinking, sometimes universal tremors, as in an ague fit

Nose

Desire to sneeze, very soon

Much sneezing during the forenoon, and mucous discharge from the nose (second day),h

Face

Ptyalism, with redness, swelling, and tenderness of the gums, and aphthie of the mouth and fauces

Throat

For three days the throat feels dry and sore on waking, but soon after expectoration came on with relief,h

Wakes early, with a sensation as though the pharynx was raw and the tonsils swollen ; relieved after rising by expectoration of creamlike mucus (second day)/.

Stomach

Slight nausea for a few minutes, while dressing in the morning (second day)

[lO-] Sensation of gastric sinking

Sexual Organs

JIale. Almost involuntary coition in a half waking state, with imperfect erection ; too early emission and little pleasure (first night),h

Emission of semen, with indistinct amorous dreams (second and third nights)/.

Female. Leucorrhoea, all day; is subject to it only just after menses (second day)/.

Menses came on four days too late (after eleven days); the usual pain commenced at the proper date, but the flow did not begin as usual with the pain; bearing-down pains much less than usual (curative?)

Heart and False, Lessens the action of the heart, diminishes the number of its beats in a minute, and softening and lessening the volume of the pulse

A full dose of this substance will often reduce the number of pulsations in a well person ten beats in a minute, in a few minutes after being taken

Superior Extremities

Pain in the shoulder-joints on motion, in the morning, on rising (second day)/.

Fingers slightly swollen about the joints, in the morning on rising (second day®.

Lameness of the fingers and wrist-joints of both hands, left rather worse, in the morning on rising (second day)/.

Inferior Extremities

Pain and lameness in right hip-joint, early in the morning, going off in the afternoon ; only felt when walking (second day) ; felt for three or four days, at times worse in the forenoon,h

Pain through the hips, lower part of the back, and bowels, like the pain she feels during the menses; same bearing-down or dragging-down feeling; left hip more than the right; feels irritable and easily vexed (is subject to these feelings during the menses, but they are not now present); after a ride in a carriage in the afternoon (second day)

Severe pain in the knees, on stooping, in the afternoon (second day)

Generalities p. 331

Sometimes universal tremors, as in an ague fit

Numbness

(Morning) pains all disappeared about 2 p.m. (second day)

Fever p. 331

Coldness

Conditions p. 331

Aggravation.

(Morning), On waking, throat dry, etc.; on waking, pharynx raw, etc.; while dressing, nausea; on rising, pain when moving shoulder-joints; on rising, lameness of fingers, etc.

(Forenoon), Only Avhen walking, pain, etc., in hip-joint.

(Afternoon), On stooping, pain in knees.

Potassium iodide.

Preparation, Triturations.

Authorities. 1, Symptoms from Hartlaub and Trinks, Mat. Med., 3,37; 2, Hout Pathogenesis nouvelles Donnees de Mat. Med.,” etc.; 3, effects of salve, consisting of 1 drachm to ounce of fat, rubbed on a small goitre for a long time, in a girl 10 years old ; 4, Dessaiques, a young Avomau took 1^ drachms in solution, J. de Chim. Med., 1828; 5, Bost. Med. and Surg. Journ., 1838, effects of an overdose; 6, Horst, Hufel. Journ., 1843 (Frank’s Mag., 2, 763), a man aged 40, “ with constriction and induration of bowels experienced symptoms in a flav minutes after every spoonful of a solution of drachm in 6 ounces of water; 7, Dr. J. Adair Lawrie, effects of 7^ grains in three doses (could take no more) in secondary syphilis. Loud. Med. Gaz., July, 1840; 8, Bain, effect of longcontinued use, Bost. Med. and Surg. J., 11, p. 320; 9, Dr. Carson, effects of 3 grains three times a day, Lond. Med. Gaz., 1840; 10, characteristic effects in syphilitic patients, Record, Bull, de Ther., Sept. 1843; 11, characteristic effects in patients, Earache, Ann. de Therap., 1844; 12, effects of four or five doses of a solution of 12 grains in half pint of sarsaparilla, in chronic articular rheumatism. Dr. Lord, Bost. M. and S. Journ., 1847 ; 13, effects of six Aveeks use of drug administered for hypertrophy of cervix uteri, in a nursing AAomau, Dr. Collier, Br. and Fr. Med.-Chir. Rev., 1848 ; 14, characteristic action in syphilitic patients, Drs. de LoAvry and Costilhes, Gaz. Med. de Paris, 1848; 15, same reference, fatal effect of doses gradually increasing from | to 15 grains. Dr. Biechy; 16, effects “in usu morbis Dr. Flag, Charleston Med. J., 1848; 17, effects in chronic rheumatism, Dr. O’Really, N. Y. Journ. of Med., 1854; 17 a, same reference, effects in chronic rheumatism (patient had formerly suffered from syphilis treated Avith mercury); 18, effects of 8 grains, three times a day, in rheumatism, Dr. Philip, Bost. M. and S. J., 1853 ; 19, general effects. Wood, N. Am. J. of Horn., 1856 ; 20, effects of 10 grains, tAvo or three times a day. for 10 years, Dr. Parker, Edin. Month. Med. J., 1852, from B. J. of Horn., 11, 681; 21, effects of large continued doses in “venereal taint same as last; 22, effects of 6th dilution in water, night and morning, Robinson, B. J. of Horn., 25, p. 324; 23, effects of ^-grain doses, every two or three hours, in acute hydrocephalus. Dr. Fluder, Bost. M. and S. J., 27, p. 216; 24, experiment on Mr. Rosenthal, with 4 grains to 1 drachm daily. Prof. Schneider, Wien. ]\[ed. Halle, 1862 (from Syd. Sac. Yr. Book, 1862); 25, effects of 10 and 12 grains in a case of gastralgia. Dr. Mecklenburg, K. Z. F. H. Kl., 12, p. 8 ; 26, effects of four doses, of 9 grains each, in lumbago, otherwise in good health, Dr. Orth, Nass. Med. Jhrb., 15-16, p. 747 (Syd. Sac. Yr. Book, 1861); 27, effects of a spoonful, morning and evening, for a week, of a solution of 2 scruples in 4 ounces of water, A. H. Z., 45, p. 64; 28, effects of a spoonful, morning and evening, of a solution of 4 grains to 4 ounces, in a girl with goitre, from same as last; 29, effects of using Kali iodatum, triturated with the salt used for seasoning food, in proportion of 1 to 1000, for patients with goitre, two ladies over 60, and a gentleman of 45, Rilliet, I’Art. Med. and U. S. J. of Horn., 1860; 29 a, same man as last passed several weeks at the seashore, had return of former symptoms, and developed others ; 30, a lady at seashore suffered from lod. in air or in the salt, same source as last; 31, effects in young woman with chronic rheumatism. Dr. Cartwright, M. Horn. Rev., 12, 411; 32, same, effects in young lady with amenorrhoea; 33, same, effects in a man ; 34, a woman with pelvic abscess was twice obliged to suspend the drug on account of iodism Dr. Errand then applied a shirt dipped in a solution and dried, changed after three days, producing symptoms, Ed. Med. J., 1869, p. 468 (from Bull. Gen. de Therap.); 35, effects of drug (with other alkalies) in a man with light-colored stools (5 grains three times a day). Lancet, 1867, Dr. J. B. Curzeinan (when the Iodide was omitted and the other alkalies continued the bad effects disappeared) ; 36, effects of a single dose in the daughter of the previous lady ; 37, effects of 3 grains, three times a day, for enlarged testis. Dr. Roods, Lancet, 1860, p. 479 ; 38, same, effects on another, similar case ; 39, same, effects in ovarian dropsy; 40, same, effects of 1-grain doses in a daughter of last; 41, same, effects of a 5-grain dose in facial neuralgia (which it removed); 42, same, effects on self for a rheumatic affection of acromion-clavicular joint, 3- to 5-grain doses; 43, same, general effects; 44, general effects, Tilbury Fox, Lancet, 1867, p. 455 ; 45, effects in a patient. Dr. Hodges, Lancet, 1865 ; 46, same, effects in amenorrhoea; 47, proving with 151 grains daily, Rabuteau, Practitioner, 1869, p. 188 (from Central blatt) ; 48, general effects. Dr. Casey, Bost. M. and S. J., 32, p. 41; 49, omitted; 50, effects of 28 centigrammes daily, six times, in a lady for sleepiness and anorexia. Dr. Maunoir, from Rilliet, Memoire sur Iodism, 1860; 51, Gautier, from Rilliet, poisoning of a man by 6 or 7 centigrammes, in less than five days, taken for goitre; 52, D’Spine, from Rilliet, effects of 121- centigrammes, in sixteen days, for goitre; 53, Rilliet, effects of 60 centigrammes, in four months, in a lady with goitre; 54, same, effects of 90 pills, each containing 2 milligramme, in a woman ; 55, same, tox. of a man aged 45, by sea-salt (20 centigrammes of Kali iodatum); 56, same, tox. of woman aged 55, by three weeks use of Charles water (containing Kali iodatum 1 centigramme to 1 litre); 57, effects of large doses in case supposed to have old syphilitic taint. Dr. Lemon, Gaz. Med. de Paris, 1875; 58, proving with one dose of 15 grains. Dr. Colby, by Dr. J. Heber Smith, N. E. Med. Gaz., 1872, p. 25.

EiflOtiOHUl, Half mad all night (after first dose),^k

Troublesome and unreasonable mental impressions, easily strengthened into fixed ideas

She is very talkative and quarrelsome (after twelve days),b

Weeping from the slightest cause

* Sadness

Inclined to sadness and weeping

Depression

Anxiety

Very easily frightened

She is frightened at every trifle (after five days),h

Very apprehensive and lachrymose, as if some evil were impending, in the evening, lasting two hours

He dreads the return of dawn, and the most trivial details of daily life seem insupportable to him

Very great irritability, and unwonted harshness of demeanor

Previously an affectionate father, his children instead of diverting his mind from care, now became simply burdensome to him; he had to force himself by a strong effort to attend to them, and his irritable temper was shown towards them especially; this was the more remarkable, as being quite opposed to his ordinary disposition, for he had always been a fine example of the “mens sana in corpore sano

Very passionate and spiteful temper

Very peevish and excited; everything goes wrong, and she is ready to quarrel with every one (after seventeen days)

Feelings easily disturbed, as if something was always happening to trouble her

Morbid sensitiveness; easily and frequently moved to tears

Stubborn obstinacy

Intellectual, Intellectual weakness, and paroxysms of dementia, accompanied by severe headache

Mind incoherent

Inability to think connectedly or to follow a train of reasoning

Loss of memory

Head p. 333

Vertigo. Vertigo

Vertigo, especially mornings or evenings or after meals

Vertigo, with reeling

Vertigo, with confusion of the head

Vertigo and dulness, frequently with stomachache, and pains in the kidneys and bowels

Violent vertigo (after one hour)

Sensation of intoxication; he cannot keep his head from falling on his breast

General Head, Congestion of the head

Congestion to the head, with symptoms threatening apoplexy, especially after meals

Cerebral excitement, evinced by mild intoxication, and sometimes cerebral congestion

A degree of cerebral excitement has occasionally shown itself; symptoms of slight congestion, which have given rise to a condition analogous to that of the intoxication produced by alcoholic drinks

Sense of weakness in the head, with drowsiness and inability to collect his thoughts

Dulness and heaviness of the head

Heaviness of the head (second day)

Heaviness of the whole head after dinner, making her very fretful (after six days)

The head is very heavy on stooping (after thirteen days)

Head very uncomfortable (after a few doses)

Sensation of fulness in the brain, as if it were full of fluids, with frequent and copious discharge of mucus from the nose, which seems to relieve the head,l

Sensation as if a great quantity of water Avas forced into the brain, with heaviness of the head, and drowsiness without being able to sleep

Headache,’^; (after one hour)

Headache, with inclination to vomit, and sensation as if a nail had been driven into each temple

Headache, as if from metastasis, with delirium, weakness of mind, loss of memory, and paroxysms of fright and dementia

Constant headache

Severe headache

Intense headache,**; (three hours after third dose); (after fourth dose),*; (first and third days)

Violent headache, Avith heaviness,_at o A.M.; she does not knoAV how she can lay her head on account of it; it disappears after rising (third day)

Pressure and drawings in the head

Sensation of pressure, inflation, and distension in the brain

Pressive and lancinating headache, aggravated in the evening, by heat, Avine, and cold air, but somewhat relieved by motion

Lancinating and pungent pains in the head, with sensation as if an insect was crawling under the scalp

A sharp painful stitch above the left frontal eminence,h

Throbbing pains in the head

Disposition to incline the head to the left side

He has to keep rocking his head from side to side in order to relieve the pains,l

Forehead. Burning in the frontal region, eyes, nose, and mouth, with intolerably anxious burning in the throat, extending and very distressing down behind the sternum to the ensiform cartilage (after three hours)

Heaviness in the forehead and vertex, which are also very sensitive to touch, in the evening, and lasting the whole night (after six days)

Heaviness, as from a weight in the left side of the forehead, in the morning after rising (after fourteen days)

Feeling of heaviness in the forehead in the afternoon (seventeenth day)

Sense of weight and pain over the frontal sinuses (fourth day)

Dull stitches in the forehead on stooping

Tearing or jerking stitches above the left eye, in the frontal sinus, lasting a long time

Violent tearing and sticking in the right side of the forehead, removed for a short time by pressure, in the evening

Temples. Feeling of heaviness in the right temple (after twelve days)

Extremely violent sticking and tearing in the left temple at 6 P.M.

Painful throbbing in the left temple in the evening

Vertex. "^Pain in the tipper part of the head, as if it would he forced asunder; that part of the head is hot to touch, though he is generally chilly, and relieved by external warmth, frequently recurring for several days (after twenty-eight days)

Tension and sticking in the top of the head, and tearing in the left temple, extending into the nape of the neck (after thirteen days)

Frequent pinching here and there in the upper part of the head

Some sharp stitches on the top of the head, in front of the vertex, in the evening (thirteenth day)

Farietals. Heaviness in both sides of the head in the morning (thirteenth day)

Painful screwing together in the head from both sides, disappearing in the open air, in the morning (ninth day)

Pain as from a screwing together in the upper part of the right side of the head, in a small spot, gradually spreading from that place (eighteenth day)

Violent pain on left side of head, like a digging in the brain

Violent stitches extending from the left upper jaw to the parietal bone in the morning in bed (eighth day)

Sharp stitches in the upper part of the right parietal bone (after fifteen days)

Sensation as from blows on the sides of the head

Occiput. Pressive heaviness in the occiput towards evening (after five days)

Tension in the occiput, as if in the bones, with painful stitches (after sixteen days)

External Head. Great disposition of the hair to change its color and fall out,l

Small ulcers, which seem to corrode the flesh beneath the right parietal protuberance and on the sinciput

Sensation of tension, followed by small fissures in the scalp, especially near the nape of the neck

Sensation as if the scalp were forcibly scraped

* The scalp is painful on scratching, as if ulcerated (after eleven days)

Eyes p. 334

Objective. Fixed look

Ferrety eyes (second morning)

Dark rings around the eyes

Dark circles under the eyes

Eyes swollen, red, and painful, with great lachrymation and photophobia

Swelling of the cornea, as from an internal tumor, which is pushing its way out

Sunken eyes, surrounded by blue rings

A condition of the eyes resembling catarrhal ophthalmia

Obscuration of the cornea, as if it was entirely covered by a cataract

Peculiar state of the eyes; pupils dilated, and both eyes were in a state of incessant motion; these motions strongly resembled those of a child who has congenital cataract, that is. constant oscillation; lie found himself quite unable to fix them on any object

Purulent mucus in the canthi,h

Discharge of purulent mucus from the eyes in the evening,h

Subjective. Woke in the morning with an uneasy feeling of the left eye; the edge of the orbit at the external part tender on pressure; eyelids swollen and infiltrated on that side. The following morning, right side similarly affected; the tenderness was evidently seated in the periosteum of the orbit, and exclusively at the outer side. On the following day, a strange sensation was felt; it appeared like a pain extending in a direct line from the external border of one orbit to that of the other at the same spot; the sensation was very peculiar and difficult to describe; it was pain and something more,^%

After an hour he awoke with violently increased pains in the eye, with profuse lachrymation and burning in the nose and throat

Burning of the eyes and redness of the lids, with lachrymation of the right eye

Burning in the eyes, in which purulent mucus is secreted, in the evening (fourth day),h

Violent burning of both eyes in the afternoon (fourth day)

Pressure and burning in the eyes as if proceeding from the forehead

Cutting pain in the right external canthus in the evening (second day),h

Sensation as if something was sticking in the eyes

Biting in the right eye, disappearing on scratching but recurring in the evening (after four days)

Orbit. Painful drawing in the right upper orbital margin, frequently repeated (second dav),h

Some fine painful tearings beneath the left eye (second day),h

Gnawing on the right lower orbital margin (twelfth day),h

Lids. Bright red spots on the lower eyelid, as from the stings of insects

Swelling of eyelids

Great swelling of the upper lids, especially in the tarsal regions, which were bluish-red (after three hours),V

Eyelids swollen, red, and ulcerated

Painless twitching of the lower lids, frequently recurring and impairing vision

Terrific burning in the lids, so that she cannot endure any light in the evening (first day),h

Some fine stitches in the left lower lid (after twelve Lachrymal Apparatus. Lachrymation (fourth day)

The right eye is watery the whole day (after three days)

Conjunctiva. Affections of the conjunctiva, fauces, and nasal cavities and larynx, together with the integuments

The conjunctiva may be affected alone, br else together with the mucous membrane of the nasal fossae or of the bronchia

Injection of the conjunctivce (three hours after third dose)

Intense injection of the conjunctivse and lachrymation

* The conjunctiva of one or both eyes is often seen to he affected; the attack commences by a more or less general and more or less rapid vascular injection, to which is speedily added a tumefaction of the mucous membrane, and an infiltration, generally well marked, of the submucous cellular tissue, which give rise to considerable chemosis of the eye and cedema of the eyelids

Conjunctiva sometimes influenced; both conjunctivae may become inflamed, characterized by great vascularity and chemosis; (it principally occurred during the first days after doses of 1 to 2 grammes)

I have been twice disposed to attribute to it the occurrence of a slight conjunctivitis

Ball. Strabismus

Sensation as if the eyes would start from their sockets and fallout

JPupil. Pupils much dilated

Vision. Very weak sight

Cannot read without greatly fatiguing the eyes

* Vision dim and foggy; she sees objects only indistinctly (after four and fourteen days)

Sight disturbed (fourth day)

The eyes w^ere painfully sensitive to light, and the field of vision was obscured by disagreeable undulations

Found the patient with a shade on; she had caught cold in the eyes, and could not bear the light (second day); the Iodide was discontinued, and the eyes were well in twenty-four hours

All the eye symptoms are aggravated by cold air

Ears p. 336

Otorrhoea of yellow matter often mixed with blood,I

A feeling as though something had fallen in front of the ears, or as if a leaf were lying in front of them; still she heard well,h

It seems as though something had fallen in front of the ear, with tearing in the ears,h

[1^0.] Distensive pain and digging in the ears, as if an insect had got into thera

Painful boring in the right ear

A violent pain in the left ear, as if one were boring about in it (after sixteen days),h

Cutting pains in the internal ear

Lancinating and tickling pains in the ears, with desire to cough

Transient sticking extending into the left ear, making her start (second day),h

Violent sticking in the right ear, frequently during the day (after five days)

An extremely violent stitch in the left ear extending into the head, in the evening in bed (third day)

Tearing, now in the right, now in the left ear, for a long time

Frequently-repeated tearings in the right ear, which becomes very sensitive on account of them, in the evening (after four days)

Painful tearing deep in the right ear, in the forenoon (second day)

Violent tearing in front of the right ear, extending into the temple, so that the whole side becomes painful on account of it (second day)

Some violent tearings in front of the left ear, extending into the temple, in the bones (second day)

A painful gnawing within and behind the left ear

Itching in the left ear

HeavUKJ. Hardness of hearing

Hearing almost gone (fourth day)

Ringing in the ears,^k

Buzzing and ringing in head,^’’; (three hours after third dose)

Vibration and roaring in the ears

Nose p. 336

Objective. Ineffectual efforts to sneeze

Sneezing (first day)

Frequent sneezing with running of clear water from the nose (third day)

Frequent sneezing with lachrymation

Running from the nose

Coryza (fourth day)

Symptoms of severe coryza, and of bronchitis, with the exception of fever and muco-purulent expectoration

Acute coryza; great redness of the mucous membrane of the eyes, nose, throat, and palate, with profuse lachrymation, violent sneezing, and running of ivater from the nose, frequent irritation to cough and swelling of the upper lids; this coryza lasted for a long time

Fluent coryza, the head being badly stuffed up,l

He can get scarcely any air through the nose on account of catarrh, in the morning after waking (after twenty-three days)

(The catarrh previously existing disappeared), (after eight days)

Found him in bed with his head wrapped up in a flannel nightcap ; he had got a desperate cold, somehow, the day before, with which he woke up, but was getting better (second morning); he took no more Iodide, and was free from his desperate cold the next day

Accumulation of very tenacious mucus in the nostrils

Profuse discharge of thick yellow mucus from the nose

Discharge from the nose of greenish-black or yellow matter, of a foul and sickening smell

Burning water runs profusely from the nose and makes the skin sore

Nosebleed, whereby she lost more than half a pound of blood in two hours (second day)

Violent nosebleed, which could not be stopped by anything (after eleven days)

'’'Discharge from the nose of decomposed greenish-red 'bloodif

Subjective. Feeling in the upper part of the nose as though a leaf were lying in front of it, with burning (sixteenth day)

Stoppage of the nose, from which only clear water runs

Burning in the nose and throat (after one hour)

Burning in the nostrils with running of water from the nose, and at the same time stoppage of them (after eleven daj'^s)

Sensation of fulness in the nose, with heating pains in the nasal bones,I

Fine tearing in the upper part of the left nostril (after twelve days)

* Gnawing sensation in the nasal bones, with lancinating and boring pains extending to the forehead

* Throbbing and burning pains in the nasal and frontal bones, with swelling

Loss of smell (after twelve days)

Face p. 337

Objective, Look characteristically quick and anxious

Remarkably earnest, wild, uncertain look

Remarkably sad and dejected expression of countenance

Looks sometimes excited, sometimes depressed

Paleness of face (after one hour)

(Great paleness of the face, with the spasmodic attacks)

* Face colorless and transparent-looking, like a porcelain mask

Discolored complexion

Earthy-looking complexion

Bistre-colored complexion

Complexion rather yellow

Yellow, bilious complexion, with black circles around the eyes

Complexion more yellowish-green than dead white

Face yellow, greenish, dark, and much emaciated

Red, puffy, inflamed face; with a phlyctenoid eruption

Face very red (after three hours)

Swelling of face

Swelling of the face, particularly of the eyelids, and of the submaxillary region (three hours after third dose)

Inflammation and swelling of the facial bones

Emaciation of face and neck

Lengthened visage

Subjective. Face very sensitive to air, which also aggravates all the symptoms of that part

An indescribable pain extending out from the left ear, and if she only moves the hand towards the ear Without even touching it, it creeps over the whole side of the face, as though it were mesmerized ; in the evening

Cheeks, Wrinkled, flabby cheeks

Swelling of the left cheek for three days (after fourteen days)

Such an uncomfortable sense of distension and stiffness about the cheeks and submaxillary spaces that it had to be discontinued

Fine, but painful sticking and like a jerking in the left cheek, lasting a long time; afterwards the spot remained sensitive to touch for a long time

Tearing and sticking in the left zygoma, in the morning in bed, when lying upon it (after four days)

Lips. The lips are full of glutinous mucus in the morning after waking (sixteenth day)

The upper lip and nostrils are very sensitive, even when not touched (fourth day)

The lips are dry and cracked (after fifteen days)

Painful drawing in the right side of the upper lip and in the gum (second day)

Chitl. Some uneasiness and stiffness in the jaws (second day); difficulty increased (second day); jaws immovable (third day)

Sticking in the left lower jaw, in the tibia, in the left thigh and left forearm, in the bones, in the forenoon (after twelve days)

Tearing in the left lower jaw and corresponding teeth (twelfth day)

Violent tearing in both sides of the lower jaw, as if it would be torn out (after fifteen days)

Gnawing in both sides of the lower jaw

Mouth p. 337

Teeth. A feeling as if the teeth were too long, with painfulness of them, in the evening

Grumbling in a left lower hollow back tooth (after thirteen days)

Grumbling in a hollow tooth, when walking in the open air (sixth day)

Toothache, with swelling of the cheek

Painful"griping in a left lower hollow back tooth, in the evening (first day)

Painful drawing in a left lower back tooth

Tearing in the left upper row of teeth (fourth day)

Painful tearing in the right upper back teeth and in the margin of the right orbit (twelfth day)

Feeling of tearing in both lower rows of teeth, and a feeling as if a weight hung from the lower jaw, in the evening (first day)

Violent ulcerative pain in the teeth, beginning in the evening and continuing the whole night, and even the next morning (after five days)

Gnawing in the right upper

Throat p. 337

22 teeth, afterwards in the left ear, and at last in the tendons of the hollow of the left knee, in the forenoon (second day),h

Violent jerking or shooting in the right eyetooth, scarcely to be endured, frequently lasting for an hour, but worse in the ev^ening after lying down till midnight, and from 4 to 5 A.M.; aggravated by cold, relieved by warmth ; at times the pain is so great that it seems as though the tooth would break ofi, or as if a worm were digging in it (after twenty-five days),k

Gums. Tumefaction of the gums

The gum is swollen and painful (after twenty-five days)

Swelling of the gum about a hollow tooth (after fifteen days)

Painful stitches in the gum, frequently during the day (after eighteen days)

Slight, though strongly marked, soreness of the gums, with headache and nausea

Ulcerative pain in the gum of the right lower row of teeth (after eighteen days)

The gum of the right side is painful as if ulcerated and swollen, for several days (after eight days)

ToitCf ne. Tongue swollen

Hypertrophy of the tongue, which was tender and covered with lobes or nodes and fissured by deep cracks

Tongue in some places hard and lobulated, in others fissured by deep cracks

blister on the tip of the tongue, with burning pain (after sixteen days)

Burning in a small spot in the left margin of the tongue (after seven days)

Burning on the tip of the tongue as from a vesicle (after seventeen days)

At night, after retiring, but before going to sleep, had a terrible spasmodic pain at root of the tongue, extending to both sides of the throat; for about fifteen or twenty minutes the pain was excruciating, causing a fear that death was impending; there was a sensation as if a spasm would close the pharynx

Geuevul Moutli.

* Venj offensive odor from the mout/i, which makes even herself nauseated (after fifteen days)

Horrible odor from the mouth, almost as after onions, in the morning after rising (sixteenth day)

Aphthie in the mouth

Dryness of themoidh

Dryness in the mouth with thirst, during the chill in the evening (fourth day)

Mouth dry and slightly fuliginous

Dry and bitter mouth and throat

Mucous lining of the mouth dry, on waking in the morning

Numbness of the mouth, in the morning after waking (after two and fifteen days)

Burning heat in the mouth, as if she had eaten something hot (fourth day)

Scraping all over the mouth, with sensation as after chewing tobacco

Saliva, "^Increase of saliva

Increased secretion from the salivary and pituitary mucous membranes

Increased flow of saliva

Saliva dribbled from the mouth (in two cases)

* Copious salivation.

Abundant salivation and desire to vomit, with drawing in the stomach, and headache as if a nail was sticking in each temple

The patient was profusely salivated

The salivation very much resembles that of pregnant women; the saliva has very little viscidity; it seems to come not only from the cavity of the mouth, but to be also the product of a kind of Regurgitation; the mucous membrane of the mouth may be rather irritated and cedematous, but there are not any signs of inflammation, as in mercurial stomatitis, nor is there observed any tendency to the ulceration peculiar to the latter; in the majority of cases it is impossible even to discover any appreciable alteration of tissue; the salivary glands are not the seat of any tumefaction, nor is there any peculiar odor from the breath; patient complains that the saliva has a saltish taste, resembling that of the loduret of Potass.,*®.

Bloody saliva, with disgusting taste in the mouth (after three days)

Flow of mucus and saliva from the mouth, without alteration of the gums or raucous membrane (third hour, after third dose)

Collection of water in the mouth, with nausea in the stomach

Salivation rare in women (only one case)

Taste, Dreadful taste in the mouth (ninth and tenth days)/.

Rancid taste in the mouth always after eating and drinking (after four days)/.

Astringent metallic taste, excessively disagreeable, for some days; this can usually be got rid of by cleaning the teeth and gargling the mouth with fresh water

Bitter taste

Bitter or sour taste in mouth

Great bitterness in the mouth, and still more in the throat, disappearing after breakfast (second day),k

Sweetish bitter taste in the mouth after waking (second day),k

Saline taste in the mouth, subsequently giving place to that of Iodine

Taste of tobacco in the mouth

Food has no taste, or a taste like straw (after thirteen days)/.

Throat p. 339

Objective, Inflammation and swelling of the whole throat, and even of the neck

Yellowish-gray spots and ulcers in the throat

Subjective. Dryness and frequent cramp in the throat, with apprehensiveness

A feeling of dryness and itching was experienced in the throat, with burning at the epigastrium, copious salivation, running from the nose, intense injection of the conjunctivas, and lachrymation

Disagreeable dryness and irritation in his throat (third day)

Burning and Rawness in the throat, as from heartburn (thirteenth day)

Feeling of constriction in the throat

Choking in the throat, as if something were sticking in it; on hawking, a piece of thick mucus was raised, and the choking ceased (after six days)

Dull stitches and ulcerative pain in the left side of the throat, only when swallowing, worse in the evening

Sore throat; sticking and a feeling of pressure in it on swallowing; even on reading she experiences pain (twenty-first and twenty-second days)/.

Scraping sensation in the throat, with sanguineous congestion

Rawness and scraping in the throat

Rawness and dryness in the throat, with frequent hacking cough, in the morning in bed (third day)

Sense of occlusion of the posterior nares (fourth day)

Burning and uneasy sensation in the oesophagus and stomach

The act of swallowing was painful and difficult, and there were redness and swelling of the soft palate and tonsils (particularly the right)

fExtevnnl Throat. ^The glands in the neck enlarged

The glands in the neck suddenly enlarged, and to a degree highly disfiguring; at least two months elapsed before the swellings showed the slightest symptom of subsidence (after three weeks)

Swelling of the whole thyroid gland, increasing very rapidly, with some sensitiveness to touch, and pressure (after eight days)

A small swelling became after three years a large bronchocele, a ponderous tumor

* Swelling on the neck like goitre

(Sensitiveness of the goitre to touch)

The goitre seems smaller and softer for a short time/.

Swelling of the cervical and maxillary glands

Swelling of snbraaxillary region

Swelling of the parotids, with lancinating, crampy, distensive pains in the entire jaw

Bellows-murmur in the carotids

Muscular pain, extending over the whole region of the neck (fourth day)

Stomach p. 339

Appetite. Improvement of the appetite

Appetite usually increased ; it is remarkable how soon after taking Iodine the desire for food arises (first day); diminishing or disappearing (second day)

Great hunger, but he can scarcely eat on account of bad digestion, nausea, and vomiting

Bulimy

Desire for milk, wine, and spirits

Loss of appetite

Total want of appetite; or rather she was convinced she could not eat

Anorexia

Aversion to all food; (after seventeen days)

Aversion to broth/.

Thirst Thirst several evenings in succession (after five days)/.

Constant thirst (after fourth dose)

Great thirst the whole clay and even at night (after three and fifteen days)/.

EructdtiOil mid Hiccoiiijli. Eructations, with taste of food long after eating

Frequent gulping eructations of a large quantity of air,h

Frequent regurgitations of bitter matter, with desire to vorait

Raising of phlegm morning and evening, and often after meals

Hiccough, in the evening (after four days),h

Very frequent, empty, hiccoughlike eructations

Constant inclination to waterbrash, without its really occurring

Nausea mid Vimiitiug. *Nausea (immediately)

Nausea in the stomach, even vomiting

Nausea, with pressure in the stomach

Nausea, with great straining, and tearing sensation in the chest,l

Frequent nausea

Constant nausea, accompanied with frequent vomiting and smart fever (fourth day),®h

Slight nausea

Retching (three hours after third dose)

Inclination to vomit after an embrace

Vomiting

Vomiting and purging at the same time (after fourth dose)

Copious and painful vomiting, frequently after meals, with drawing in the stomach extending to the back, and colic

* Violent vomiting, with accumulation of saliva (after one hour)

Spontaneous vomiting of a yellow fluid, tasting strongly of Iodine (after one hour)

Vomiting of food and bile mixed with blood

Frequent and painful vomiting of food, bile, and blood

Vomiting of blood, preceded by heat and burning in the stomach

StoiuacJl. Indigestion

Digestion constantly deranged

The stomach feels empty and hungry, being unable either to retain or digest anything

Pain in the stomach like an emptiness and coldness, not relieved by warm soup, in the evening (sixteenth day),h

Feeling of great emptiness and qualmishness in the stomach, not relieved after eating (after twenty-one days),h

Sensation as if the stomach were full of bile

Constant cracking and crying in the stomach (seventeenth and eighteenth days)

Discomfort in the stomach

After the pains in the abdomen have lasted for some time, the stomach also begins to pain, and both then together disappear

Pain in the cardiac portion of the stomach (after large doses)

Slight pain and heaviness in the stomach (first day); the pain, however, is not always present; diminishing or disappearing (second day)

Sudden attack of severe gastralgia, lasting several months

Burning at the epigastrium

Burning sensation and very acute pain at the epigastrium (immediately)

Burning in stomach during digestion

Burning in the stomach, as if there was a charcoal furnace in it

Burning and pressure in the stomach, relieved by eructations, but immediately returning

Burning pains in the stomach, with throbbing and contraction

Terrible burning externally in the pit of the stomach, as if the place were inflamed

Pains, as if the stomach was perforated

Sensation as if from corrosive ulcers in the stomach

Painful beating in the left side of the epigastric region, in the evening/-

Abdomen p. 340

Hypochondria. Pains extending from the liver into the stomach and chest, and giving rise to frequent suffocative paroxysms

Violent burning externally in the left hypochondrium, and afterwards in both groins (after six days)

Sensation of swelling and distension in the hepatic region, with throbbing and cramplike pains

Sensation of fulness and heaviness of the spleen

Painful constriction in left hypochondrium, on a line with the cardiac orifice of the stomach (soon after); this sensation was felt after each daily dose of a spoonful, for five days

Stitches in the left hypochondriac region

Sharp stitch in the right hypochondrium, and at the same time in the left side of the chest, on talking (twelfth day)/.

JJmbiliccil and Sides. Distension about the umbilicus and movings in th abdomen, followed by two soft stools (sixteenth day),h

Great painful distension beneath the umbilicus, disappearing after a stool

Gripings and movings about the umbilicus

Griping and burning about the umbilicus (after eighteen days),h

Cutting and burning about the umbilicus, with qualmishness in the stomach and inclination to eructate, which afterwards even occurs; violent itching externally about the umbilicus, and inclination to emission of flatulence; in frequent attacks, lasting a quarter of an hour, in the afternoon (after seventeen days)/.

Cutting pain in the left side near the umbilicus (second day),h

Stitches in the left side of the abdomen at the side of the umbilicus (fourteenth day)

Violent tearing, extending from both sides of the abdomen towards the umbilicus, as if the flesh would be torn off in the afternoon (fourth day)/.

General Abdomen. Swelling of the abdomen as in ascites, with emaciation, constipation, constant thirst, and scanty, turbid, red, and brown urine

Sudden distension of the abdomen as if it would burst, disappearing after emission of flatus, afterwards diarrhoea twice, in the morning after waking (seventh day)/.

Inflammatory inflation of the abdomen, with inactivity of the bowels and great constipation

Inflammation of the bowels, with burning, crampy, and tearing pains extending to the loins/.

Much incarcerated flatulence

Moving as of flatus in the abdomen, followed by tension in both groins (after four days),h

Moving about and rumbling in the abdomen from time to time/.

Rumbling in the abdomen as though something alive were moving in it, so that she started up (sixth day)

Loud gurgling in the abdomen, especially in the stomach, audible at a distance (after sixteen days)

Great emission of flatus

Respiration is strongly felt in the bowels

Indescribable uneasiness in bowels, especially at night, without anorexia or dyspepsia

Griping in the abdomen and groins, with a feeling as if something would come out through the pudenda (second day)

Pain as if the bowels were perforated

Great pressure in the abdomen and loins

Cutting and tearing from above downwards in the abdomen/.

Lancinations in the abdomen, with sensation as if it were distended and torn/.

Colic (second day)

Colic and lancinating pains in the abdomen, extending down to the legs

Burning colic, passing from the abdomen to the loins

Flatulent colic, with spasms and contractions of the abdomen ; he is obliged to twist about in every direction, so severe is the pain/.

Irritation of the bowels

The pains in the abdomen and stomach disappear in the evening after lying down, but return in the morning after waking

In the open air there is no trace of the pain in the abdomen, but immediately on going into the house the cutting-burning pains return, for several days (after sixteen days)

H(jog(tstriuni and Iliac JEteijions. Feeling of heat in the lower abdominal region ; she could keep nothing warm upon it, during menstruation

Pinching on the right side of the lower abdomen, extending up above both groins/.

Pressure and dragging pain in the lower abdomen, as if in the uterus, while walking, disappearing while sitting

Sudden burning as from a glowing coal in the left groin (sixth day)

Drawing in the left inguinal region, with a feeling as though something living were in it

A sudden extremely painful dragging in both groins, so that she was obliged to bend together, after taking the usual cold milk in the morning; frequent yawning,great weariness in the thighs, violent griping in the abdomen extending to the thighs, extreme restlessness, so that she could not remain in any position, chilliness, with gooseflesh ; anxiety and warmth in the head ; followed by eructations and rumbling in the abdomen. The menstruation which had just commenced, partly stopped ; afterwards nausea and pressure in the stomach, with inclination to vomit, aggravated by moving about; shivering in the face and hands, with heat and perspiration of the face (after fourteen days),b

A cutting and extremely painful stitch in a small spot in the right groin,b

Pressive bruised pain in both groins and in the small of the back, during menstruation

Rectum and Anus p. 342

Inflammation and swelling of the rectum and anus

Hremorrhoids, with very painful pimples at the anus

Great itching at the anus, especially at night

Stool p. 342

Diarvhoea. Diarrhoea (second day)

Serous diarrhoea, unattended by febrile action

Diarrhoeic stools mixed with glairy matter, bile, and blood, with anorexia, great weakness, emaciation, and strong and painful beating of the heart

Purging and vomiting at the same time (after four doses) ; purging lasted several days, notwithstanding the exhibition of demulcents and opiates

Red, dark, semiliquid stools, as if caused by intestinal hDemorrhage

* Light green and yellow watery stools

Slimy and bloody stools

Stools with constant tenesmus, and spells of weakness

Stool hard (fifth day),k

First hard, then soft stool, preceded by some colic (third day),h

Constipation. [430.1 Constipation

Obstinate constipation followed by diarrhoeic stools

Stool very hard ; it is only with extreme exertion that she can pass a few small fseces (first day) ; after five days the stools became more natural and occurred more frequently

Stool omitted (second day),k

Urinary Organs p. 342

Kidneys and Bladder. Burning and throbbing pains, as from an abscess, passing from the kidneys into the abdomen

Cramps in the kidneys, with yawning, nausea, vomiting, raising of phlegm, urging to urinate and desire to remain in bed

Digging in the kidneys, with heat and distensive pains

Lancinating and burning pains in the kidneys, ineffectual urging to urinate, and tenesmus

Nephritic colic, with inclination to ease the pain by clenching and grinding the teeth, digging and weakness in the spine, and complete retention of urine

Sensation of congestion and heaviness in the neck of the bladder, with priapism

Contraction of the neck of the bladder just as urination begins, and during its continuance

Irritable bladder

TJvethra. Muco-pumlent discharge from the urethra, of a gummy consistency, with inflammation of the penis

Discharge resembling blennorrhagia, with tearing and burning pains in the penis, constant priapism, colic, and feeling of exhaustion

Burning and tearing pains in the urethra, frequently with emission of blood

Micturition . Frequent urging to urinate

Painful urging to urinate (fifth day),k

(The urging to urinate which usually accompanied menstruation was wanting)

She is obliged to rise at night to urinate (after four days)

Frequent and profuse discharge of urine as clear as water (after three days)

Greatly increased discharge of urine (sixteenth day)

The emission of urine was materially increased, the patient passing from forty to fifty quarts in the course of twenty-four hours, drinking in the same proportion ; each time the loduret of Potas. was suspended this accidental supersecretion ceased, but it was reproduced as soon as its use was resumed

The absolute quantity of urine discharged was not increased unless, owing to the dryness of the throat, more water was ingested

The bladder is full and swollen, but cannot be emptied

TIrine. Increased secretion of urine

Urinary secretion is more abuiulant, that is, the patient passes more than he drinks (first day) ; this symptom is almost constant; the urine is clear and transparent; the patients urinate more by night than by day; sometimes, however, the urine is not increased

The most remarkable of its effects are a rapid and very considerable increase of the urine, and what is quite remarkable is, that gradually the uric acid sediments entirely disappear, while those of the am-mono-phosphate of magnesia decidedly increase

Profuse urine, with sediment

Excessive secretion of urine, sometimes with pain in the kidneys

Considerable diuresis (in three cases)

* Clear, limpid urine

Bilious-looking urine, almost"black

She frequently passes very pale and watery urine (after five days),b

Blood-streaked urine, and flow of blood from the urethra, especially in the evening

The urine smells very badly, and decomposes almost immediately

White flocks in the urine

Yellow or gray deposit, adhering to the sides of the vessel, like calcareous concretions

Urea eliminated, from 325 to 372 grains daily (before the proving) ; fell to between 201 and 294 grains (after the proving)

Passage of calculi with the urine

Sexual Organs p. 343

JTale. Penis swollen, inflamed, with constant semi-erections and sexual desire

* Extensive swelling of the glans penis, with paraphimosis

Erection even after an ejaculation

Chancrelike ulcers, with raised edges on the penis, with burning in the urethra

Raised, suppurating, syphilitic-looking condylomata on the penis

The penis is excoriated by the least friction

The left testis had almost entirely disappeared; it was reduced to the size of a pea,®h

The right testicle was found to have disappeared ; the left was about the size of an almond ; coition was accompanied by pain, erection taking place slowly and lasting a long time; the duration of the venereal act was much prolonged, and no emission of semen took place (after twelve months)

Descent of the testicles, with serous effusion into the scrotum

Compressive pains in the testicles, with sensation as if they were returning into the pelvis

Lancinating and throbbing pains in the scrotum, frequently after coition

Greatly Increased sexual desire

Seminal losses, and frequent profuse nocturnal emissions

Tardy or premature ejaculation of semen

Female, Inflammation and swelling of the uterus, with sensation as if its walls were being scraped

The cervix uteri is swollen and contracted

Chancre-like tumors on the cervix uteri

Cramps, burning, and contractions of the cervix uteri

Constrictive pains in the uterus, impeding parturition

Severe burning, tearing, and twisting pains in the ovarian region, especially on the right side

Sensation of congestion and swelling in the ovaries, with pain as from a corrosive tumor there

Biting in the pudenda with leucorrhoea

Leucorrhoea for several days, so acrid that it corrodes the skin (after twenty-five days)

Leucorrhoea milky-white, or red like the washings of meat

Yellow or green leucorrhoea, of a putrid smell

Leucorrhoea resembling blennorrhagia, with redness, itching, and burning of the vulva and thighs

(The leucorrhoea became thinner and more watery), (after seven days)

Menstruation reappeared after having been suppressed for six months, and flowed profusely, with pain in the abdomen and looseness of the bowels (in a woman thirty-eight years old), (after forty-six days)

Discharge reappeared a week after the menstrual period (one case)

Flow of blood between the menstrual periods

Menses two days later but more profuse than usual

She menstruated imperfectly once (during several weeks, while the medicine was taken); but, though several years have elapsed, she has not, as far as I know, menstruated since

Menstruation sometimes too early, sometimes retarded

Decrease in quantity of menstrual fluid, Menstruation that had existed for two days was diminished

Respiratory Organs p. 344

Larix, Trachea, mid JironchL Accumulation of mucus in the larynx and bronchi

Considerable accumulation of mucus, and of what seems like false membranes, in the throat and larynx, with difficult respiration and rattling

Affection of the mucous membrane of the air-passages

All the symptoms of severe spasmodic croup (fourth morning)

Sticking in the air-passages and a feeling of rawness in them, which obliges hawking, whereby she expectorates mucus

* Eaw pain in the larynx, as if from granulations

Occasional and trifling alteration in the sound of the voice

Voice as in catarrh

Hoarseness and frequent aphonia, with much obstruction in the throat and larynx, and weakness of the chest

Her voice is short, like her-answers

Voice feeble, at times rather tremulous

* Loss of voice (third night),’; for a long time

Coilfjll and JExpector((tiou. Inclination to cough

Constant provocation in the larynx to a dry cough (after six days)

Cough worse in the evening or at night and preventing sleep

Severe cough, especially towards evening

Short hacking cough caused by rawness in the throat (soon)

Whistling cough, as in croup, or spasmodic, as in hooping-cough

Dry cough, several mornings in succession (after six day.s)

Dry cough, with a feeling of soreness in the larynx, in the evening (after fourteen days)

Dry cough, morning and evening (after sixteen days)

* Deep, hollow cough, with whitish mid greenish expectoration, and tearing-out pain starting from the ensiform cartilage

Hoarse cough, with great obstruction of the larynx, sensation of tearing in the chest, and dark-red expectoration

Spitting of blood

Respiration. Shortness of breath

Patients generally experience well-marked difficulty of breathing, and bring up a large quantity of expectoration similar to that observed in the first period of simple bronchitis; the expectoration ceases as it began, that is to say, without passing to the purulent state

He awoke during the night with great difficulty of breathing and loss of voice (third night)

Chest p. 344

Objective. Emaciation and debility of the right side of the chest, as from pulmonary disorganization, with very copious purulent expectoration

Inflammation of the chest, with sensation as if the lungs were swollen and obstructed, fever and great dyspnoea

Subjective. Pains in the chest, as if the lungs contained large tubercles or cavities

Oppression, with cramplike pains in the chest, and suffocative paroxysms; inability to remain lying, especially at night

Constant oppression of the chest

Pains in the chest as if cut to pieces, in the evening (third day)

Dull sticking in the middle of the chest, disappearing on moving about (after five days)

Sharp sticking in the left side of the chest, in the evening (fifteenth day)

* Fine transient stitches deep in the middle of the chest.

Sharp stitches in the upper part of the left chest, while sitting bent over, disappearing after becoming erect

Sharp stitches in the right costal region, behind the breast

An extremely violent stitch in the middle of the chest, while walking

Sore pain with sticking low down in the chest, in the lowest right ribs, at 8 p.m.

Front. Sharp sticking and pressure in the middle of the sternum, in the afternoon (sixth day )

* Violent stitches in the middle of the sternum, extending to the shoulders

Sides. Several sharp stitches in the right side of the chest

Pain in the left side of the chest, as if sore externally, worse when touched (after twelve days)

^lain/tnw. The breasts began to diminish in size, but the supply of milk was especially diminished (soon)

Heart and Pulse p. 345

I*raiCOvdiu7n. Heart feels as if enlarged and heavy, and beats very slowly

Sensation as if all the vessels of the heart were dilated, with inclination to take deep inspirations, and to sigh as if fetching breath

All the symptoms of endocarditis; oppression, faintlike exhaustion, tumultuous, violent, intermitting, and irregular action of the heart and pulse, with tensive pain across the chest, especially affecting the right ventricle, which gradually became dilated (after two weeks)

Lancinating, cutting, and burning pains in the heart

Lancinating, burning, and rheumatic pains in the heart, with sensation as if it were surrounded by water

A few sharp stitches in the region of the heart, frequently while walking (fifth day)

He is afraid to stir; the least movement aggravates the pains in the heart

Heavt^S Action, Palpitation

Strong palpitation of the heart

Very annoying palpitation

(Cure of palpitation of the heart, which she had previously been subject to)

Intermitting beats of the heart, with lancinations, cramps in the chest, stupor, and loss of breath

Pulse. Accelerated pulse; (tenth day)

Pulse rapid and small

Pulse very rapid and irregular

Quick and very full pulse (after four doses)

Pulse almost always strong and quick

Pulse quick and small

Pulse very quick, at least 120, but varying every moment

Pulse 130,®®.

Pulse hard, tense, not frequent

Pulse small, soft (after three hours)

Neck and Back p. 345

Neck. Hard, painless tumor, like a wen, on the nape of the neck

Stiffness and swelling of the neck, with cramplike pains and great difficulty in moving the head

Sticking in the right side of the nape of the neck, while lying down

Back. Curvature of the back, with weakness of the chest

Lancinating and burning pains in the back, with inability to remain lying

Bovsal, Throbbing several times between the shoulders (after seventeen days)

Lunihav. Pain in the small of the back like that before menstruation, with two diarrhoea-like stools (after fourteen days)

Violent pain in the small of the back, so that she could not lie quietly anywhere (after sixteen days)

Feeling as if screwed in in the small of the back, very painfid (after three days)

Frequent sharp stitches in the small of the back, while sitting (third day)

Constant pain in the small of the back almost as if beaten, especially when sitting bent

Violent pain in the small of the back the whole night as if beaten, so that she does not know how she shall lie (after five days)

Digging in the kidneys and loins as if they were stroked with hot iron rods

Sacral. Pain in the coccyx as if she had fallen upon it (after six days)

Extremities in General p. 345

Ohjective. Burning, red swelling of the arms and legs, with great tendency to suppuration

Gouty swelling of the joints, with inability to move them

Rapid growth of the nails

Tremor of the limbs

Trembling of the limbs and unsteadiness of the extremities, as in an intoxicated person, so that the patient was obliged to lie down

Spasms and convulsive movements of the arms, hands, and legs

Jerkings of the limbs, especially violent in the left arm, also in the whole of the face, especially on the left side, with great anxiety, apprehensiveness, and palpitation ; this attack was repeated six times on the first day and twice on the second day, but was more violent and lasted an eighth of an hour and ended with vomiting and violent headache ; on the second day violent rolling of the left eyeball, both pupils contracted, the facial muscles contracted, the left corner of the mouth drawn downward, the mouth opened and closed numberless times while uttering unintelligible words ; violent palpitation, short rapid respiration, pulse hard and full, forehead, neck, and chest covered with perspiration, face fiery red, with loss ot consciousness ; after the paroxysm, trembling, weeping, complaints of heaviness of the left arm, abdomen small, soft, tongue white rather than yellow ; efforts to vomit relieved by vomiting; these attacks were repeated on the two following days, after which there were no spasms, only cramp in the throat with a sensation of dryness

Subjective. Pains in the joints as if dislocated and bruised

Sprained pains in the joints of the arms and legs

Tearing just above the right malleolus, in the left index finger and right arm, though not in the joints (tenth day),h

Superior Extremities p. 346

Paralytic rigidity of the arms

Arms lost all power (fourth day)

Lancinating and cramplike pains in the arms, with cedematous swelling

Shoulder. Pain in the tendons of the right shoulder, on motion and touch, like a tension and as if swollen

Paralytic pain in the shouldei’s, only on moving them (after four days)

Transient tearing in the right shoulder and afterwards extremely violent tearing in the right ear

Violent tearing in the left shoulder

Transient bruised pain in the left shoulder

Elbow. Tearing in the left elbow, now in the shoulders, now in the right elbow (after seventeen days)

Forearm. Pain like a tension and sticking in the articular extremity of the radius, on moving the right index finger

Feeling of cramp in the right forearm above the wrist, on moving it (second day)

IVrist, Tearing in the right wrist, afterwards itching on it, not relieved by scratching, followed by the appearance of an itching vesicle (after twelve days)

Hand. Swelling of the hands as if from chilblains

Very characteristic trembling of the hands

Tearing in the metacarpal joints of the fingers of the left hand, in the evening (third day)

Bruised pain in the margin of the right hand above the little finger

Fingers. Very painful swellings on the fingers, like paronychia

Pinching on the first (metacarpal) joint of the left thumb

Tearing in the index finger, from the base to the tip

Tearing in the inner surface of the right ring finger, which is thereby involuntarily flexed and for a long time cannot be extended

Painful tearing in the right thumb as if it would be torn out (fifth day)

Violent tearing on the inner margin of the right thumb

Violent tearing on the left middle and ring fingers, in the evening (thirteenth day)

Extremely violent jerking-tearing and sticking in a very narrow line on the outer side of the left thumb, as if in the bone

Inferior Extremities p. 346

The gait is disturbed

Affected in his lower limbs; his legs gave way under him (fourth day)

Legs stiff, or very weak and unable to support the body

Painful weakness of the legs

Hip. A sharp stitch in the left hip on every step, so that she was obliged to limp

Gnawing in both hip-bones

Thigh. The upper part of the thighs seem to be compressed during menstruation (after fourteen days)

Some sharp stitches in the upper part of the left thigh (after sixteen days)

A stitch frequently, now in the thigh, now in the tibia (eleventh day)

Tearing in a small spot in the middle of the left thigh, whereupon the thigh as far as the knee was painful, as if paralyzed (third day)

Tearing and sticking in the posterior portion of the right thigh (third day)

Tearing pain in the left thigh-bone (second day)

Extremely painful tearing in the right thigh, extending to the knee, disappearing when lying upon the sound side; lying upon the painful side or the back, was intolerable, on and after waking at 11 p.m. (after thirteen days),b

A gnawing pain in the middle of the right thigh, while sitting in the evening with the right thigh over the left (first day),h

Knee. Tearing twitching in the right knee,h

Tearing above the hollow of the knee, immediately afterwards also below it (second day),h

Tearing in both knees, at night (after six days),h

Several transient tearings in the outside of the left knee, while sitting

Violent tearing in the left knee, as if in the periosteum, with a feeling as though it were swollen, at night, lasting two hours (after six days),h

Swelling of the legs in the evening

Violent gnmving pain in left leg, as if in the periosteum (after several days)

Tearing from above downward in both tibiae, in the evening (seventeenth day]

Painful tearing in the right tibia

Very painful cramps in the calves

Painful drawing in the calves, while sitting

Tearing and tension in the left calf, while standing, relieved by walking (twelfth day)

Tearing in the left calf followed by weakness of the whole leg (fourth day)

Foot. Gouty pains, especially in the heels, which are red and swollen

Throbbing and burning pains in the feet

Violent pain in the left instep as if beaten, in the evening (sixteenth day)

Painful tearing in the back part of the left heel, while sitting

Violent tearing in the right heel, while standing, disappearing on walking (twelfth day)

Ulcerative pain in the heels and in all the toes

Toes, Tearing in the whole of the right great toe

Tearing in the second toe of the right foot

Two painful tearings in the left great toe

General Symptoms

Objective. Nerve-sanguinetemperament

Augmentation of the secretive action of the mucous membranes, especially of those lining the genital organs

Excessively thin

* Emaciation,^

Considerable emaciation

Considerable general emaciation,®* ®h

Great emaciation, with accumulation of water in different internal organs

Remarkable emaciation

Marasmus resembling the third stage of phthisis

Extreme marasmus

It affects the fibrous structures, as the periosteum, and capsular ligaments of joints

Ostitis with suppuration

Trembling

General trembling

Some have been affected with spasms, and even a degree of subsultus tendinum

Nervous twitchings and facial contortions

General depression

General depression

Languor and weakness, which did not disappear for several days after suspension of the medicine (after four days)

General debility

* Great general debility

Marked debility

His frame greatly debilitated

Notable diminution of strength

Extreme weakness

Great prostration of strength (after four doses)

The vital powers were prostrated to the lowest degree, every moment seemed about to snap the thread of his earthly career

Fell unconscious (fourth day)

He emitted a most abominable smell from his whole person

Great restlessness (three hours after third dose)

Great restlessness, with inclination to keep moving, to practice gymnastics, and to squeeze forcibly anything taken into the hands

Extreme restlessness (after one hour)

Great nervous mobility

General uneasiness (first three days)

Great uneasiness in every position (alter three hours)

Agitation and nervous uneasiness

Subjective. Nervous susceptibility exaggerated, but without any appreciable localization of disease

Skin very sensitive to cold

Very distressing condition of the nervous system

Nervous irritation harassed him very much

General feeling of weakness and depression, making him incapable of exertion ; could scarcely walk or stand

Felt poorly (after third dose)

Began to feel unwell (after third dose)

General malaise (immediately)/.

During the pains in the kidneys, abdomen, and stomach, vertigo, dulness, intoxicated sensation, malaise, and debility ; he does not know what to do with himself, as every position is tiresome and painful

Indescribable sensation of anguish (soon after)

Continual complaints (after one hour)

Burning, lancinating, throbbing, pungent, and rheumatic pains, and pains in the bones, especially at the beginning of the cold season, after excesses, or resulting from syphilitic affections

Pinching here and there in the whole body, worse in the evening (after fourteen days),h

Tearing here and there in the whole body, for several days in succession (after eight days)

(Never failed to see a decrease or suspension of the pains of the bones), (after one or two days)

Lower Extremities p. 348

Objective. Redness of skin, as after strong friction

Skin dried up, and as if glued to the bones,l

Skin in general rough, like hog skin

Skin easily injured, the slightest wound tends to become a bad sore

Swellings resembling condylomata or wens,l

JEvilptionSf Dry. Different forms of cutaneous disease, as acne, eczema, and purpura

Cutaneous eruption, sometimes; when these eruptions make their appearance the patient is disquieted ; they are generally of the character of urticaria; if the medicine be continued they assume the character of eczema and prurigo; in some cases, especially when the eruption appears on the face, a congestion of the cellular tissue, beneath the skin, is added to the other symptoms, giving rise to slight excrescences, having the appearance of tubercles; the eruption will disappear in a few days, after discontinuance of the medicine

Different eruptions, and more especially eruptions of a psydracious form, somewhat resembling the pustules of acne, with this difference, that they are not confined to the parts habitually affected with acne; thus they are found not only on the face and shoulders, but on every part of the body without exception; in one case we may have eczema, in the other herpes, while in others it may cause simple erythema ; in two patients, at two different periods, there appeared an eruption of papulous erythema on some parts, of erythema nodosum on others, and in a patient affected with cancer of the face, to whom it was given in rather large doses, it on several occasions caused an eruption of impetigo on the hairy scalp, and of a rupia, offering the characters of a cachectic rupia, on the legs and forearms, symptoms which disappeared as soon as the remedy was omitted, and showed themselves again when its use was renewed

Miliary and urticarious or vesicular eruptions, with itching and burning, which allow no rest

Purpura, in a predisposed subject, and of course erythema and other symptoms of iodism

Many small yellow spots appear, now in one place, now in another, which exfoliate, like herpes

Blotches on the face and other parts of the body (after a few doses)

* Red blotches on different parts of the face

I have seen it produce on three several occasions, after a fortnight’s use, a genuine spotted disease on the legs of a gentleman ; in the case of a lady I ordered it for removal of very serious tertiary symptoms of syphilis; it caused towards the termination of the cure a petechial eruption on the lower limbs

Erysipelatous swelling and redness of both cheeks, extending towards the temples, with a few spots on the forehead (second day)

Several pimples on the chin and nose (after five days)

Red pimples, miliary eruptions, with great itching of the vulva

A sticking-burning pimple in the skin, below the corner of the mouth

A sensitive pimple on the cheek, surrounded by redness and swelling (after six days)

A very sensitive pimple on the nostril (after five days)

Miliary eruptions, with burning-itching and palpitation in the face

Dry tetter as large as a penny on the cheek, with violent itching (after ten days)

Itching tetter on the face (after fourteen days)

J^ruj^tions 31oist, Scaly herpes, with large copper-colored pimples on the face

Syphilitic-looking herpes, difficult to cure, especially on the cheeks, and in the beard

Eczema impetigonoides (in one case),^k

A small pimple on the chin, which itches very much, and exudes water

Vesicles and yellow liver-spots on the face

After tearing in right wrist, itching on it, not relieved by scratching, followed hy the appearance of an itching vesicle (after twelve days),k

Eruption and herpetic scabs behind the ear

Herpetic eruptions and obstinate ulcers on both lips

Severe corrosive herpes on the prepuce

Erysipelas of the face (after taking it three or four days) ; some time afterwards it was given again with exactly the same result; after an interval of several months, he began to take the medicine a third time; after about a fortnight he was attacked with erysipelas of the face, scalp, neck, etc., rather severely

JEriiptioiiSf The most frequent eruption is the pustule of acne, which shows itself from the end of the first to the second day ; it most frequently occurs on the face ; it does not usually last as long as the treatment, that is, it disappears in fifteen or twenty days

A long-continued use of Iodide of potassium will, in some subjects, occasion an eruption, generally of a pustular form (almost always ecthyma)

Pustular herpes, often ulcerated, and with small red veins on the face

Phlegmonous swellings, as from bruises

Suppurating ulcers, such as arise from burns and bruises

Inflammatory swellings, which assume a gangrenous character

Small ulcers, with raised borders and grayish bases, on the vulva

Ulcers corroding to the bone, on the head, nose, arms, and legs

Eruption on the face (after some days) ; subsequently all over the body; maculae first of a dark-red color came out, which gradually got darker, until the spots resembled ; the cuticle next became raised over some of the spots, and was filled with a fluid of a purple color, constituting large bullae an inch in diameter; on the cuticle giving way, the true skin was found sphacelated underneath ; the ulcers continued over a month,*k

He presented a most grotesque appearance, looking more like a leopard than a man; he was mottled all over with spots; those on his face were purple, whilst those on the lower extremities were of a dark-red color ; the spots on the legs came out last; there were two large bullae on the forehead, one on the lip, two under the left clavicle, two on the inside of the right thigh, one on the side of the prepuce ; after a few days the prepuce corresponding to the hullaehad sphacelated, and the integuments of the penis, as far as the pubis, were involved in mischief; mortification had also seized upon the lip and the other parts specified as having bullae ; the eruption disappeared first from the face, and afterwards from the lower extremities ; the sphacelated parts were thrown off, including the whole penis, body, and integuments, from the pubis, not leaving a vestige of it behind

The tip of the left thumb is ulcerated and yellow, as if it would break, which, however, it does not do (after forty-one days)

Ulcerated chilblains

Subjective, Some patients have experienced only a feeling of heat and pricking of the skin, attended at times with more or less pruritus

Great itching all over, especially on the face, arms, and thighs

Violent biting on the nape of the neck and on the forehead, which burn after scratching (fourth day)

Itching on the right nates, disappearing after scratching (after eighteen days)

Itching on the inner side of the right upper arm ; after scratching there remains for several days a dry, red spot, which at first itches (after fifteen days)

Itching on the right instep, worse after scratching, in the evening (after four days)

Great itching of the pubis

Sleep and Dreams p. 350

Sleepiness. Frequent yawning, as though she had not slept enough, without sleepiness

Excessive, frequent yawning (fifteenth and sixteenth days)

Invincible drowsiness, after 2 p.m.

Heavy and painful sleep in the morning, and after meals

Deep sleep during the first half of the night; wakefulness in the morning

Sleeplessness. "^Sleeplessness

Night almost sleepless; she was quite wide awake most of the time, and only became sleepy towards morning (after thirteen days)

Nightly restlessness

Restless sleep (after fourteen days)

Restless sleep, from which he awakes with a start and a feeling of distress, as if caused by some strong emotion, or the sense of a great calamity

Sleep restless, especially in the morning, with dreams, which are not remembered on waking

Sleeps much less soundly than usual, but has no nightmare

She started up during the first sleep, but soon fell asleep again (fifth day)

She wakes every hour, at night (after fourteen days)

Sleep was disturbed and unrefreshing

She cried aloud in sleep, towards morning, but after waking remembered nothing of it (after three days)

Dreams. Joyous dreams

Very anxious dreams (after thirteen days)

Dream of falling and consequent violent starting up, in the evening, while napping (after eleven days)

Dreams that she would be killed (after fourteen days)

Nightmare,®k

Fever p. 350

Ch illness. Chilliness from afternoon till the next morning (after forty-six days)

Chilliness from 6 to 10 p.m., disappearing after lying down (after five days)

Chilliness with sleepiness, from 6 to 8 P.M., beginning by creeping up the back, and extending over the whole body (after seventeen days)

Chilliness, with shaking, at 10 p.m., lasting half an hour (third day)

Chilliness from 4 to 7 p.m., with thirst; she was able to get warm in bed, but not by the stove (after fourteen days)

Chilliness, which was difficult to relieve by the warmth of a stove, in the afternoon (tenth day)

She was so chilly at night that she could not get warm (after three days)

Shaking chill at night, on frequent waking (after eleven days)

Shivering (first day)

Shivering and coldness all over; he feels frozen, and cannot get warm with any amount of covering

Violent shivering fit (one hour after fourth dose)

Constant shiveringcreeping, with icy coldness over the hands, with pressure and griping in the lower abdomen, during the menses

Creeping in the back, followed by coldness of the whole body, in the evening (fourth day)

Coldness of the feet, with swelling

Heat. Heat of the skin (after fourth dose)

Heat, followed by perspiration, in the afternoon, from 1 to 3 (third day)

Heat, with copious sweat, malaise, itching, and bruised sensation in the skin

Great heat, as after overexertion, followed by excessive coldness, with trembling

Flushes of heat, with dulness in the head and discomfort of the body (fourth day)

Symptoms of fever (after some days)

Fever, especially in the morning on waking, in the evening when going to bed, and during the night

Fever, with languor, coldness of the back and legs, urgent thirst, longing for sugared water, and loss of appetite

Slight attack of fever

Smart fever with the nausea and vomiting (fourth day)

Heat of head (three hours after third dose)

The head felt hot, while the rest of the body shivered, in the morning

Great heat in the head, with burning and redness of the face

Sa^eat. Profuse svyeat, especially in the morning in bed

Skin covered with perspiration, without thirst (after three hours)

Conditions p. 351

Aggravation.

(Morning), Vertigo at 5 oclock, disappearing after rising; headache; after rising, heaviness in side of forehead ; heaviness in sides of head, disappearing in open air; screwing together in head ; in bed, stitches from jaw to parietal bone; in bed, when lying on it, tearing, etc., in zygoma; after waking, lips full of mucus; from 4 to 5 oclock, jerking in eyetooth ; after rising, odor from mouth ; after waking, numbness of mouth; in bed, rawness, etc., in throat; after waking, distension of abdomen, etc.; after waking, pains in abdomen, etc.; dry cough ; restless sleep; on waking, fever; head hot, etc.; in bed,sweat.

(Ko?*e?ioo?«.), Sticking in lower jaw, etc.

(Afternoon), Heaviness in forehead ; towards evening, heaviness in occiput; burning in eyes ; tearing in abdomen ; towards evening, severe cough ; sticking, etc., in middle of sternum ; from 4 to 7 oclock, chilliness, etc.; chilliness ; from 1 to 3 oclock, heat, etc.

(Evening), Vertigo ; headache ; tearing, etc., in forehead ; throbbing in temple; stitches in top of head; discharge of mucus from eyes; burning in eyes; burning in lids; in bed, stitch in ear; tearings in ear; pain over side of face; stitches, etc., in side of throat; thirst; hiccough; pain in stomach; beating in epigastric region ; cough ; dry cough, etc.; pains in chest; sticking in side of chest; tearing in metacarpal joints; tearing in fingers; swelling of legs ; tearing in tibiae ; pain in instep ; pinching in whole body ; itching on instep ; from 6 to 10 oclock, disappearing after lying down, chilliness ; from 6 to 8 oclock, chilliness, etc.; at 10 oclock, chilliness; creeping in back; when going to bed, fever.

(Night), HXxq symptoms; heaviness in forehead, etc. ; after lying down, till midnight, jerking in eyetooth; uneasiness in bowels ; itching at anus ; emission of urine ; cough ; oppression, etc., of chest; pain in small of back; tearing in knees; tearing in left knee, etc.; from afternoon till morning, chilliness ; chilly; fever.

( Walking in open air). Grumbling in hollow tooth.

(Sitting bent over). Stitches in upper left chest; pain in small of back.

(Cold afr). The symptoms; headache.

(After dinner). Heaviness of head.

(Heat), Headache.

(After meals), A^vertigo; congestion of head.

(Motion), Pains in heart.

(Best), Most symptoms.

(Sitting), Stitches in small of back ; tearings in knee ; drawing in calves; tearing in head.

(Standing), Tearing, etc., in calf; tearing in heel.

(Stooping), Stitches in forehead.

(Talking), Stitch in right hypochondrium, etc.

{ Wind), Headache.

( Walking), Stitch in middle of chest; stitches in region of heart.

Amelioration p. 351

(Evening), After lying down, pains in abdomen, etc.

(Open air), Pains in abdomen.

(Motion), Headache; sticking in chest.

Footnotes p. 331

† Symptoms taken from patients haA'C been selected with care, and only Avhen clearly the effect of the drug. Cases have been selected with a view of furnishing a complete account of the action of the drug ; many cases that added nothing new and only increased the bulk of the matter, have been omitted here as elsewhere.