Oleander

Nerium oleander, L.

Natural order, Apocynacese.

Common names, Rose-laurel; (G.), Larger-rose; (Fr.), Le laurie rose.

Preparation, Tincture of the leaves.

Aidhorities. (Nos. 1 to 8 from Hahnemann, R. A. M. L., 1, 326.) 1, Hahnemann; 2, Franz; 3, Gross; 4, Gutmanu ; 5, Hartmann ; 6, Langhammer; 7, Morgagni, de sedi. et cans, morb., Ep. LIX, § 12 (from expressed juice, in a woman of sixty, Hughes) ; 8, Petros cle Abano, de Yeneuis. (cap. 33, statement, Hughes) ; 9, Buchner’s Repertorium, second ser., vol. lo, three women drank a small glass of the tincture, thinking it brandy ; 10, Kurzak, Zeit. der K. K. Gesellschaft d. .^Erzte. zu Avhen (Vjs. fur Horn., 11, p. 154, case quoted from Gaultier’s Toxicology, 1855), effects in some soldiers, who ate a broth that had been stirred while cooking, with an Oleander stem ; 11, ibid., another case from Gautier, a person took 15 centigrams of powdered leaves, three times a day, afterwards 1 gram and 10 centigrams at one dose ; 12, ibid., a third case from Gautier, a woman took 4 drops four times a day (till she took 40 drops) of a solution of 30 grins, of the extract in 120 grms. of wine ; 13, a man took repeated doses of same solution, beginning with 3 drops, and increasing by 1 drop to 60 drops ; 14. effects of swallowing some flowers, in a child, Lindley’s Veg. Kingdom ; 15, Kurzak (1. c.), effects of eating two handfuls of flowers, in a weakly child; 16, Drug, Schmidt’s Jahrb., 76, 184, a woman drank a tea made of the leaves ; 17, Brought, Br. and F. Med.-Chir. Rev., 25, p. 387 (1860), from Trans. Med. and Phys. Sac. of Bombay, 1859, a man, aged thirty-five, swallowed a cup of “ Kunaree,” which contained more than an ounce of the expressed juice of Oleander.

Mind p. 139

He seemed remarkably lively, and jumped about like a kitten, the whole afternoon, quite contrary to habit

Screaming

Anxiety

Became restless (after ten minutes)

Loss of confidence in himself, and on that account a sad mood

He immediately became overheated ; he became passionate, though he immediately repented of it

He cannot tolerate contradiction

Peevish, fretful, out of humor with everything

* Ill-humored, reserved

Dulness of sense, ill-humor, disinclination to do anything

Disposed neither to work nor to undertake any other agreeable occupation

Weak, indolent, disinclined for every work

Disinclination to work

Mind dull; he cannot think well

While studying he had constantly other thoughts; he found himself dreaming of the future, and busying himself with beautiful images concerning it (after four hours)

* Ou reading a book he comprehends its ideas least if while making great efforts to understand them he thinks that he will not succeed ; his thoughts then become confused, and he becomes quite unable to continue reading; he comprehends everything more easily if he does not think at all that he wishes to understand it; he is then not occupied with any other thoughts besides those of the book itself

* It was very difficult to read a learned book; he was frequently obliged to read a sentence three or four times before he understood it, because he could not, with the greatest exertion, mentally grasp what he had read because his mind was disturbed by other ideas of his own, that always took his attention away from what he was reading

* While reading a long sentence, it was often difficult to grasp the connection

His memory is weak; he is unable to recall the names of those with whom he is well acquainted (after two hours and a half)

He recollected nothing from the moment he swallowed the draught, and could form no opinion of the time which elapsed since the suicidal attempt and his recovery (third morning)

Complete stupidity

Stupefaction

A kind of stupidity, so that he did not understand what was said to him

Slight coma, in which, however, the patient could be aroused by loud calling, when she answered connectedly, though speech was decidedly difficult; as soon as she stopped talking, she sank back into coma, with distortion of the eyes

Complete insensibility

Immediately walked five yards and fell senseless

Loss of senses

Head p. 139

VevtUjo. Vertigo

Vertigo, not amounting to reeling and falling (on walking in the open air) ; he stood firmly, but objects. trees, and people seemed to run together and swim, as in a confused dance, and it became dark before the eyes, with flashes of lightning (as if blinded by snow), (after four hours and a half)

Whirling vertigo in the forehead, and tottering of the lower extremities, as from weakness of them (after one hour and a half)

On rising from a recumbent posture, he could scarcely walk across the room on account of violent vertigo in the whole head (after ten hours)

He is not free from vertigo, even while walking in the open air

During dinner, which he swallowed with haste, as in ravenous hunger, the head became so dizzy that it seemed as though his vision and hearing would vanish, especially as if it would become black before the right eye

If, on standing erect, he looked towards the ground it became dizzy before the eyes, and it seemed as though he saw everything double; but if he looked straight ahead on standing or stooping he noticed nothing of it (after seven hours)

Whirling, reeling

General Head, He cannot hold up his head on account of a feeling of great heaviness in it; he is obliged to cease reading and lie down ; while lying down he experiences no headache, and is well, but if he rises he feels again the heaviness and dulness of the head, nausea, and other disagreeable sensations (after nine hours)

Dulness of the whole head (after half an hour)

Heaviness of the head (after twenty-four hours)

Pressure in the upper cranial bones, as if they were sore (after thirty-six hours)

Pressive pain in the brain (after six, and fourteen hours),h

Pain in the head, as if pressed forward by a hundredweight (after ten hours)

A pain beneath the ear, over the mastoid process, as if a dull nail were being forced into the head, with stupefaction

Sensation as if the head were tight, more stupefying than painful

Boring pain in the whole brain

Boring pain in the upper part of the brain (after twenty-six hours)

Forehead, Pain in the forehead, as if it ivould burst

A pressive pain in the head, from within outward, above the forehead (after eleven hours and a half)

Pressive headache, from within, oidward., at the forehead (after four, and twenty-four hours)

Acute pressure in the left frontal eminence, from within outward, disappearing after pressing the hand upon it (after one hour and a quarter)

Pressive uneasiness about the forehead

Pressure on the right frontal eminence

A dull compression in the forehead

Sudden stupefying pain in the forepart of the forehead, as from a dull blow

A few beatings in the forepart of the forehead, as with a hammer, in a small spot

Pain, slowly throbbing, like a pulse, in the forehead

Temple and Vertex, Violent pressive pain in the temples, at one time higher up, at another lower down, while chewing

Pressive pain in the left temple, drawing upward and downward, disappearing in the open air

Pain, like a shock, in the left temple

Pinching pain in the right temple

A slight drawing in the left temple

A sensation like that caused by yawning, in the left temple and in the external meatus auditorium

Contractive burning pain, externally on the left side of the vertex

Deeply piercing sharp stitches in slow succession in the right side of the VQvt%x

Parietals and Oceipnt. Stupefying pressure in the right side of the head, as if a dull instrument were slowly pressing inward

Pressure on the right side of the head, as if it were pressed inward

Sharp pressive pain externally on the left side of the occiput

Dull pressure in a small spot in the occiput

A tensive stitch in the occipital bone

External Head, Itching papular eruption on the scalp.h

Desquamation of the epidermis of the scalp

Violent gnawing itching on the scalp, as from lice ; after scratching, a smarting as if scratched raw

* Gnawing itching on the scalp, that obliged scratching,I

Gnawing itching, as from vermin, over the whole scalp, that obliges scratching alternately all day (after fifty-six hours),®

* Constant biting itching on the scalp, at night, as from lice

Eyes p. 141

Eyes sank into their sockets

Eyes distorted

Eyes fixed

Eyes staring, lustreless

Aching of the eyes as if he had too greatly exerted them in reading, Pressure in the left eye, from above downward, and in the left malar bone

Pressure as from a hard substance in the eyes

Sore pain in the right eyebrow, towards the temple, when touched (after fourteen hours)

Biting in the left eye

Orbit and Ziids. Dull pressure on the upper margin of the orbit, intermittent, at one time more, at another less severe

The eyelids are involuntarily drawn together, as if sleepy (after eight hours and a half)

Burning in the left lid and itching about the lids

Burning in the right upper lid (after ten hours and a half)

Burning tension in both right lids, even on motion (after eight hours)

Tension in the left eyelids on reading (after six hours and a half)

Tensive pain in one canthus, as if the eye were turned excessively upward; it was difficult to turn the eye the opposite way, in the evening (after five days)

Fine sticking and itching of the left upper lid

LacJirymatioii and Hall. Lachrymation on reading

Itching of the right eyeball (after thirty hours)

Hapils and Vision. Greatly dilated pupils

Pupils somewhat dilated, though reacting to the light

Pupils dilated

Pupils dilated (second day)

Dilated pupils (after one hour)

Contracted pupils (after twenty-five hours)

It becomes black before the eyes on looking sideways without turning the head

It becomes black before the eyes on rising up

It seems as though it would become black before the eyes

Ears p. 141

Cramplike drawing on the outer ear, and below it, as if it were drawn outward, at first gradually increasing, and then diminishing

Sharp pressive pain within the ear

Burning in the entrance of the left ear

Shrill stupefying ringing in the left ear

Singing in the left ear

Incessant whizzing in the left ear

Nose p. 141

Sneezes twice violently

Biting itching on the root of the nose, towards the left eye, as if there were smoke in the room

N umb sensation, like a painless pressure, on the back of the nose

Face p. 141

Face and eyes flushed, soon ; face pale, towards evening

Face very much distorted, after rising, in the morning; he looks very pale; the eyes are surrounded by blue rings, and the cheeks are sunken

Pale face

-Pale color of the face, all day (after forty hours)

Spasmodic twitching of the facial muscles, particularly about the mouth

Pressive pain in the bones of the right side of the face, persistent even on moving the lower jaw (after three-quarters of an hour)

A stupefying dull pressure between the root of the nose and left orbit

Redness of the cheeks, without heat

Violent pressure on the right cheek, near the angle of the lower jaw

A dull, numb, painless pressure on the left zygoma, close to the ear

Pressure upon the malar bone, more stupefying than painful, that extends deeply inward into the head and root of the nose; a tensive’^e, stupefying, troublesome sensation

A benumbing compression in both malar bones, as if they were pinched with pincers

Sensation as if a cold wind were blowing upon the left cheek; when touched with the hand the sensation disappears, and it feels hot to the hand and warmer than the other cheek

Lips and JaiV. Lips, especially the lower, brown; the color of the face in other respects unchanged, scarcely paler than usual

Burning pain in the right side of the lower lip, persistent during and after motion (after seventy-nine hours)

A painless sensation as if the upper lip were swollen (a kind of numb sensation),*. Dull pressive pain in the right upper jaw, below the malar bone (after forty-eight hours)

Mouth p. 142

Teeth. Sharp drawing toothache in the second left molar

Constant toothache, during the night, tearing drawing in the first left molar, and at times in the next hollow tooth; this toothache immediately ceased on rising from bed, and immediately reappeared as soon as he returned to bed, with anxiety as if he were to die, with frequent micturition, qualmishness, and heat of the left cheek (first night),*. A cuttingpressive toothache while chewing, disappearing immediately after chewing; the tooth, however, was not painful to touch or pressure (after two hours)

A simple drawing in the right lower molars

Sensitiveness of the back teeth on chewing, as if they were all hollow,*. Ton<jne nncZ Tnste. Tongue coated white, with a sensation of dryness in the mouth and parched lips (alter thirty-one hours)

The papillae of the tongue were all elevated, that caused the tongue to have a rough look and a dirty-white color,*. Fine stitches in the tongue

Burning stitches in the left side of the tongue (after two hours and a half )

Insipid taste in the mouth when not eating, as from a disordered stomach

In the evening all food has a fiat and nauseous taste f

Bitter taste

SpeecJi. Loss of speech for two days

Power of speech almost entirely lost, with natural respiration; when questioned she endeavored to answer, and was able to utter sounds, but no intelligible worGeneral Month. Sudden swelling about the left corner of the mouth

Convulsive twitching outwardly of the left corner of the mouth

Foaming at the mouth

Burning sticking over the left corner of the mouth

In the mouth a sensation as if all the teeth were loose, with a bluish-white gum over the whole upper and lower jaw (after thirty-four hours)

Throat p. 142

A remarkably numb sensation ascending from the throat externally to the head

Sensation as if a cool wind were blowing upon the left side of the throat

Sharp pressive pain in the left side of the throat, near Adam’s apple

Irritation of the pharynx

Pain as if a dull point were pressing upon the oesophagus, on the right side of the throat; the cervical muscles are also painful to external pressure

Stomach p. 142

Appetite and Thirst. ^Ravenous hunger, tc/f/t trejuhling of the hands while eating and great weakness over the whole body, after walking rapidly for half an hour

The longing for the food before him causes his hands to tremble

* Great hunger, with much appetite (after six hours)

Great hunger, after the qualmishness

He relishes his dinner, but is obliged to stop eating soon, because he becomes nauseated and qualmish

He is without appetite, though not without hunger; he eats very little, and more with discomfort than with satisfaction

Loss of appetite; he relished his food, but was speedily satiated (after five hours and a half)

No appetite, and yet a ravenous hunger; he greedily swallowed large amounts

Loss of appetite

No appetite; everything nauseates him, as if afterwards he would vomit or have diarrhoea

She relished nothing, took nothing

No appetite for food or smoking

Aversion to cheese, which he usually relished

Thirst; he drinks more than usual

Thirst for cold drinks, especially for cold water (after thirty hours)

Eritctafions. Violent frequent empty eructations, while eating, at noon

Frequent violent empty eructations

During eructations, something rises from the stomach into the mouth

Frequent eructations of a bad odor (alter four days)

Nausea and Voniitinf/. Nausea, as if in the mouth, and frequently, with every attack of retching, water rises from the mouth, as in waterbrash, for two hours, wherewith the cervical muscles are spasmodically and painfully contracted, as if it would strangle him; at the same time the abdomen and abdominal muscles are similarly affected; at first, with much retching, he raises only some mucus from the fauces, afterwards some liquid tasting of the food, and afterwards of a sour taste, for two hours (after six hours)

Nausea in the mouth, as if he must vomit (after four hours)

Nausea, worse on rising up

Nausea

Nausea and vomiting

Qualmishness increases on stooping, and is for the moment relieved by eructations

He becomes qualmish, and water collects in the mouth

Qualmishness in the pit of the stomach, while lying in bed, after sleeping, as though he would vomit, with difficult breathing, that was relieved on rising up (after five hours and a half)

He becomes very qualmish, and water collects in the mouth; if he swallows it, the qualmishness disappears for the moment, with a flat taste in the mouth

General sick feeling, with qualmishness

Violent vomiting of a green liquid of a bloody appearance

Frightful vomiting, followed by thirst

Repeated vomiting of mucus and bile (after four hours)

Vomiting of a yellow-green water of a bitter taste (after twelve hours)

Copious painful vomiting

Retching and vomiting, soon

Vomiting (after a few minutes)

Heaving of the stomach immediately after eating a bite of bread, and he was obliged to vomit, but he vomited only small bits of bread, which he had just eaten, with a quantity of water (after six hours and a half)

General Stoniaeh. Pain in the stomach

Pain in the epigastric region

Heat, with constrictive pain, in the stomach

Painful pressure beneath the left short ribs, in the epigastric region, in only a small spot, on every expiration, disappearing on every inspiration, aggravated by external pressure, and lasting half an hour (after three hours)

Sensation in the pit of the stomach as if he felt every beat of the heart through the whole chest, as after being greatly heated, though he noticed nothing of it when touched with the finger, and the heart beat no more violently or perceptibly than at other times

Feeling of emptiness in the pit of the stomach, with a feeling of fulness of the abdomen

Intermitting throbbing in the left side of the pit of the stomach

Abdomen p. 143

Untbllicus and Sides. Rumbling and gurgling in the umbilical region, with a sensation of emptiness in the abdomen, soon followed by emission of some flatus (after half an hour)

Painful sensitiveness about the umbilicus, with a feeling of discomfort in the whole lower abdomen and an uneasiness about the umbilicus, that at times became a pressure, at times a gnawing

Pain, like needle stitches, below the umbilicus (after fifty-eight hours)

A gnawing internally below the navel

Gnawing 2>ain in the left side, just above the navel

Alongdrawn sticklike pain, as if winding out of the abdomen, near the right side of the navel

Dull stitches or blows in the left side, below the navel

Itching fine stitches in left side of the abdomen, just beneath the short ribs

A kind of jerking pressive pain in the side of the abdomen, above the left hip-bone

General Abdomen. Rumbling in the upper and lower abdomen

* Rambling in the abdomen

Emission of much very offensive flatus, having the odor of bad eggs (after twenty-six, and thirty hours)

Profuse emission of flatus

Colic, followed by thin stools ’(after two hours)

Violent colic (followed by death)

Great emptiness in the upper abdomen

Intermitting griping in the abdomen at times, with indications of diarrhoea,®.-Griping in the bowels (after twenty-four, and seventy-five hours)

He feels as if the bowels were weakened by laxity, and as though he would have diarrhoea

Pinching sticking in the abdomen, while walking (after sixty hours)

Transient jerking thrusts, that made him start, above the root of the penis, very low down in the lower abdomen

Dull stitches in the ileum posteriorly, that hurts on pressure

Rectum and Anus p. 144

Burning in the amis when not at stool; it also precedes and follows the stoolf

[220.'] Ineffectual urging to stool

Ineffectual pressure and urging to stool

Diarrhoea

Involuntary evacuations of the bowels

Soft stool (after forty-eight hours)

Stool very thin and yellow, preceded by rumbling and gurgling in the abdomen (after thirty-nine hours)

Bloody stools (after four hours),. Stool scanty, thin, watery (after six hours and a quarter)

The first portion of the stool is like diarrhoea, the last harder, so that he is obliged to strain

No stool (first days)

Stool hard and difficult (after thirty-one hours)

* The food eaten the preceding evening passed rather undigested, and almost without effort; he thought he had emitted only flatus (after_ forty-eight hours)

Stool only after twenty-four hours, the first part of which was hard and crumbly, the rest thin

Urinary and Respiratory Frequent discharge of much urine (after twenty-four hours)

involuntary emission of urine

Frequent urging to urinate, with scanty discharge (after twenty-seven hours)

A kind of burning in the pharynx, extending to the stomach (after nine hours)

Fine stitches in the thyroid cartilage

Tickling in the larynx, that on inspiration causes a short cough, shaking the whole body

Tenacious mucus in the trachea; he was obliged to hawk very much, on rising in the morning

Stertorous breathing

Chest p. 144

External soreness of the right chest, as if pressed hard

Oppression of the chest, in the pit of the stomach, while lying down, and a quarter of an hour after lying down vomiting of mucus, water, and small bits of bread previously eaten ; the oppression of the chest was relieved on rising up (after seven hours and a half)

While lying down the chest seems too tight; he is obliged to take long and deep breaths (after six hours)

Sensation as though something heavy were lying upon the chest that compresses it, causing deep anxious inspiration, while walking, standing, and lying (after ten hours)

Violent palpitation, with sensation as if the chest had become larger ; he then breathes with great heaving of the chest, without anxiety

Stitches in the diaphragm, while lying down, during in- and expiration, that ceases on rising up (after thirty-one hours)

Dull stitches in the chest, while walking, aggravated by expiration (after eight hours)

Great emptiness in the chest, as if it were eviscerated

Rrotit and Sides, A dull continuous stitch in the sternum (after twentyfour hours)

Tensive stitches in the sternum, more violent on stooping (after twelve hours)

Tensive stitch in the middle of the chest (after thirty-one hours)

Crawling stitches in the sternum

Dull pressure on the upper part of the sternum

Dull pain in the sternum (after ten hours)

Some intermitting dull thrusts in the ribs of the left side

Intermitting gnawing on one of the ribs of the left side, opposite the pit of the stomach

Jerking in the right pectoral muscles (after fifteen hours)

A beating, like dull thrusts, on the chest, below the right shoulder

A burrowing aching in the costal cartilages of the right side, with intermitting pressure upon a small spot, aggravated by pressing upon it

Dull stitch in the left chest, persisting during inspiration and expiration (after twenty-nine hours)

A stitch, as with a knife, in the left chest (after forty-eight hours)

Fine stitches in the left chest (after one hour and a half)

Dull stitches in the left side of the chest, while walking

Pinching stitch in the left side of the chest, coming out at the false ribs (after six hours)

Dull stitch in the right chest, persisting during inspiration and expiration (after five hours and a half)

Dull stitches in one of the false ribs, near the right side of the sternum, where it hurts when pressed upon

Heart and Pulse p. 145

Dull drawing pain about the heart, more violent 011 stooping, and lasting during expiration (after fifty-five hours)

Distress at the heart and anxiety,*.f

Anxiety about the heart, without anxious thought, with trembling of the whole body, lasting several hours (after seven hours)

Several attacks of palpitation

Pulse full and rapid, in the evening

Quick pulse: later it sank to a thread

Pulse slower than usual, in the morning, after rising

Pulse small, irregular periodically intermitting

Pulse weak, very slow

Intermission of the pulse every four or five beats; afterwards every ten to twelve beats, then thirteen, etc. (second day)

Pulse very irregular, at one time rapid, at another slower; at one time full, at another soft, small, and weak

Neck and Back p. 145

Perceptible, violent and full, though slow, pulsation of the carotids

A pressure, seeming to press from below upward, in the anterior cervical muscles, so that he was obliged to loosen the neckband ; a suffocating choking sensation

A dull tearing pain in the left side of the neck and in the left scapula, alternating with tearing in the temple and second left molar, towards evening and in the night

A burning stitch in the back, below the left scapula, while sitting, that disappears on moving about (after seventy-eight hours)

Tensive stitches in the spine, when walking and standing (after twenty-nine hours)

Sudden fine stitch in the right half of the back, deep internally, so that he almost started up in fright

Pain in the right side of the back, as if the hand were forcibly pressed against it, or as from a sprain

Upper Extremities p. 145

Excessive stiffness of the extremities, especially of the fingers of the left hand ; rising up in bed was difficult on account of stiffness of the back

Stretching of the limbs, associated with a general feeling of comfort (after four hours and a half)

Some convulsions of the limbs

Pain in the joints

Pinching pressure in several parts of the body, and of the limbs, fingers, and toes, as if the bones were crushed

Cramplike pain (a cramplike drawing) in several parts of the limbs, as, for example, balls of the thumb, soles of the feet, etc.

Superior Extremities p. 145

Stretching of the upper part of the body and of the arms (after nine hours and a half )

Twitching of the muscles of the left arm (after thirty-six hours)

Shoulder and Arm. If he raises the arm high, or puts it under the head, when in bed, there is pain in the shoulder-joint, as if dislocated

Dull pressure on the top of the right shoulder

A persistent stitch in the left axilla, relieved by rubbing (after twenty-seven hours)

A pinching pain, externally, in the upper part of the left upper arm

Cramplike drawing in the left humerus, by

f Original revised by Hughes. the elbow, in rhythmical jerks

Itching, somewhat persistent, stitch in the left upper arm (after thirty-one hours)

Sensation of jerking in the right upper arm

Forearm and Ha^^d. Dull pressure in the forearm, as if caused by a hard blow,l

Dull pressure in the forearm, just below the elbow,l

Drawing in the right forearm, above the wrist,l

Pulsating pain on the inner side of the right forearm, by the wrist

Dull stitches, or thrusts, in the left forearm, near the wrist

Intermitting pressure, in a small spot, on the outer side of the left forearm,®. Burning stitch in the left forearm (after twenty-eight hours)

Trembling of the wrists

Veins of the hands swollen, without heat

Trembling of the hands, while writing (before eating)

Cramp in the left hand (second day)

Intermitting dull pressure in the palm of the dix\A

Fin(j€VS, Sudden swelling of the ring finger, with burning pain; he could not bend it

Tensive burning on the tip of the left thumb (after two hours)

Pain in the last phalanx of the thumb, and as if he had received a hard blow upon it, so that the thumb trembled

Fine pinching on the finger

Cramplike jerking tearing in the first phalanx of the left middle finger

Cramplike pain in the fingers (a cramplike drawing)

Drawing in the first (metacarpal) finger-joints

A burning stitch in the last phalanx of the right index finger, making the finger tremble

Burning stitches in the tip of the left index finger (after twelve hours)

Inferior Extremities p. 146

Weakness of the thighs and legs, and a sensation in the forepart of the feet, mostly in the soles, as if they were asleep, while walking (after twelve hours)

Whizzing, extending down through the lower extremities

Surging sensation in the legs, while sitting, as after a journey on foot

Thight Knee and Leg. Bubbling sensation in the right thigh

(Burning tension in the right thigh)

A constrictive pain in the gluteal muscles of one thigh, when walking, as if sprained

A pain in the forepart of the thigh, while walking rapidly, as if some one pressed upon a bruised spot

Dull sticking pressure on the right thigh

Benumbing pressure on the outer side of the left thigh, as if the part were tightly bound up, and the circulation thereby arrested

Intermitting pressure on the upper part of the right thigh, aggravated by pressing upon it

A simple pressure on the thigh just above the knee

Pain, like needle-stitches, in the muscles on the inner side of the left thigh (after one hour and a quarter)

Drawing stitches in the right thigh ; unnoticed on standing or ascending steps (after thirty-seven hours)

A stitch on the right thigh, just above the knee, with burning and fine sticking pain

A painless jerk on the under surface of the left thigh, as if a muscle were moving

Itching stitch in the posterior muscles of the thigh, with burning after scratching

Cramplike drawing in the right knee, that was bent

Pulsating pain in the hollow of the knee, while the leg was drawn up

Wavelike drawing in the bones of the leg

Tearing in the left calf, while walking (after thirty-four hours)

Painless cramp in the right calf, while sitting

Twitching sensation in the right calf

Painful pressure just above the right ankle, at long intervals, while standing

Foot, and Toes. Itching, somewhat persistent, stitch in the right ankle, towards the forepart, continuing even during motion (after twenty-nine hours)

Painless sensation of weakness in the feet, as after a long journey on foot

After sitting for awhile with the feet drawn up, he notices, while walking, a paralytic weakness in them

The feet ached while sitting; at one time he was obliged to stretch them out, at another to draw them up, in order to obtain momentary relief

A simple pressure on the back of the forepart of the foot

Weariness and pain in the soles of the feet, after a short walk

Intermitting dull pressure in a small spot in the sole of the right foot, as if he had received a blow upon it

Itching sticking sensation in the sole of the right foot, during rest (after twelve hours)

An itching stitch on the right inner malleolus, that disappears on scratching (after ten hours)

Burning in the tip of the right great toe, while sitting (after thirty-one hours)

Painful throbbing above the ball of the left great toe

Tensive stitches in the tip of the left great toe (after thirty-two hours)

A pain in the little toe and its ball, as if it had been pressed hard

Dull stitches in the left fifth toe, during rest and motion (after three hours)

Generalities p. 147

Violent spasmodic contractions of the muscles of the entire body, but more remarkably so in the superior than inferior extremities; during the intervals of spasms the patient lay evenly upon his back, but when action commenced, the superior contraction of the left side threw him over on the right, in which position he remained during the paroxysm, after the subsidence of which he fell back into the natural position of exhaustion ; the spasms were apparently produced by any attempts to move or rouse him ; towards evening they decreased

The arms are drawn up against the chest, the lower extremities to the abdomen, and the chin down towards the chest (after four hours)

- Sudden shuddering as in most violent chill, or as from a violent fright

I found the girl outstretched, stiff, very pale, the extremities cool

She lay as in a slumber, though conscious and able to move

Swelling

(The symptoms are more severe on the second day than on the first)

Weakness of the whole body; he was unable to walk alone, and was obliged to be carried home and put to bed, where he lay and slumbered till evening, and even then slept well through the night

Weakness of the body

Weakness (third day)

Weakness, worse on rising up

Great muscular weakness

Weakness and weariness of all the limbs; could scarcely walk across the room because the knees were so weak

General sick feeling and weakness of the limbs

A bad feeling, and weakness in the abdomen and chest; he did not feel at all well,®.-

Faintness

Exhaustion, as if every breath would be his last

Great general prostration (after four hours)

Very much prostrated and exhausted; general giving way

A forcible pressing inward, in several parts of the body, gradually increasing or diminishing

Skin p. 147

Red swelling below the eye, looking as if an eruption would break out

Pustules on the right and left sides of the chin (after fortyeight, and seventy-eight hours)

Itching vesicles on the nates

Great sensitivess of the skin of the whole body; it becomes sore, raw, and painful from slight rubbing of the clothes, as for example on the neck, from the neckband, on the thighs from the rubbing of the clothes when walking

General itching

Itching, here and there, over the body, so that he was obliged to scratch

* Biting itching over the whole body, as from an eruption, on undressing compelling him to scratch (after forty hours)

Burning itching on the forehead, left cheek, and tip of the chin, whereupon small pimples appear, with hard elevated margins, that are painless when touched and when not

An itching biting on the right cheek

Itching about the nose, all the afternoon

Fine sticking itching on the root of the nose and left malar bone near the eye

Itching on the right scapula

Itching on the tip of the right elbow (after thirty-four hours)

Sensation of itching above the bend of the elbow,®. Fine sticking and itching on the first phalanx of the middle finger/.

Itching on the right thumb, so that he was obliged to scratch, whereupon at first it disappeared, but soon changed to a gnawing

Itching on the outer and anterior portion of the right thigh, disappearing for a time after scratching

Itching, that compels scratching, upon the nates

Fine sticking and itching on the left hee]

Sleep p. 148

Frequent yawning, always with shivering, running over the whole body, causing all the muscles at first to shake and then to tremble (immediately)

Marked sleepiness

Inclined to sleep (after four hours)

He went to sleep about the usual time and seemed to sleep quietly; but when his father spoke to him he made no answer; he was lying with the eyes open, face and body pale, pupils very small, the head and other portions of the body cold and insensible ; pulse and respiration small and irregular, and he could not be aroused ; after emetics the child vomited, but whenever aroused soon sank back into deep sleep

No rest and no sleep at night

Sleeplessness

Voluptuous dreams, with emissions (second and third nights)

Uneasy dreams

Fever p. 148

Chilliness. Shaking chill all over, with cold hands and warm cheeks, without thirst, during rest and motion (after three hours and a half),®.-

Febrile shivering over the body, without thirst and without subsequent heat, during rest and motion (after one hour and a half)

Shivering while yawning

General coldness, with cold sweat

Feeling of coldness, as of a cold breath upon the right side of the lower abdomen

Sensation of coldness in the right side of the abdomen

Sudden sensation of coldness on the left chest

Extremities rapidly became cold

Cold extremities (after four hours)

Heat and Sweat. Hot skin

Sensation of heat, and at the same time chilliness in the whole body, without thirst; wherewith he was warmer to the touch than usual (after seven hours)

Heat forces itself out of the body while reading

Head hot and perspiring

Heat commencing at one time on the top of the right, at another on the top of the left concha, and extending over the side of the head, and thence over the whole face

Sensation of heat, and heat of the cheeks without redness, with dryness of the palate and throat

A sensation of heat in the side of the thigh, followed by a sensation of coldness low down

Flushing of heat all over, especially if he was doing anything eagerly (even while sitting) ; also if he walked rapidly he became very warm, and the heat caused a prickling in the face, as from many needles

Cold sweat

Conditions p. 148

(Morning), After rising, face pale, blue rings about eyes, cheeks sunken ; on rising, tenacious mucus in trachea, requiring hawking.

(Afternoon), Lively; itching-about nose

(Towards evening). Face pale; pain in left side of neck and in left scapula; tearing in temple and left molar tooth.

(Evening), Pain in canthus; pulse full and rapid; flat and nauseous taste to ^ood.

(Night), Biting itching on scalp; in bed, toothache ; tearing in temple and left molar tooth ; pain in left side of neck and in left scapula ; sleeplessness.

( While chewing), Pressive pain in temple; toothache; sensitiveness of back teeth.

(During dinner). Dizziness; hearing and vision vanish.

(TF/uVe eating), Ravenous hunger, with trembling of hands; empty eructations.

(Exercise), Flushes of heat over body.

(Expiration), Pressure beneath left short ribs ; stitches in chest.

(Looking toward ground), On standing, double vision.

(Looking sideways). Black before eyes

(Lying in bed). After sleeping, qualmishness. (Lying down). Oppression of chest; tightness in chest; stitches in diaphragm

(DitrtM^r and after motion), Pain in lower lip.

(Moving), After rising, slow pulse.

(i/fer qualmishness). Great \\\ingQv.

(External pressure). Pressure beneath left short ribs ; aching in right costal cartilage; pressure in thigh.

ar»i), Pain in shoulder-joint.

(While reading). Mind distracted ; tension in left eyelids; lachrymation.

rest), Itching sticking: in soles of feet.

up). Vertigo ; black before eyes; weakness.

(While sitting). Surging sensation in legs; cramp in right calf; sore feet; burning in right great toQ

(Standing), Compression of chest; stitches in spine; pressure above left shWXq.

(Stooping), Stitches in sternum ; drawing pain above heart.

(While studying),MmA distracted.

( Touching part), Pain in right eyebrow.

( Walking in open air). Vertigo.

( While walking), Pinching sticking in abdomen ; stitches in left side of chest; compression of chest; stitches in spine; weakness of thighs and legs; pain in gluteal muscles of thighs ; pain in forepart of thigh ; tearing in left calf.

(After walking). Weakness of whole body; pain insoles of feet.

Amelioration p. 149

(Open air). Pain in left temple.

(Inspiration), Pain beneath left short ribs.

(Lying down). Headache.

(Moving about), Stitch in back.

(Pre-sswre 0/And), Pressure in left frontal eminence.

(Rising from bed). Toothache.

(Rising up). Oppression of chest; stitches in diaphragm

(Rubbing), Stitch in left axilla.

Footnotes p. 142

† With small and feeble pulse, death following in four hours.—Hughes.