Petroleum

Rock-oil; Stein-oel; Oleum petrjB.

The crude Rangoon oil, thin and light yellow, is to be used.

Authorities. 1, Hahnemann, Chron. Krank-n., vol. 4; 2, Fossa, ibid.; 3, Benson, Trans. Horn. Med. Sac. St. of JST. Y., 1868, p. 297, proving with 10 drops of 1st dec. dil.; 4, Schelling, A. H. Z., 83, p. 189, effect of P. 300th given a person suffering from chilblains on fingers, cold hands and feet, and weak vision ; 5, Berridge, N. Am. J. of Horn., N. S., 2, 51, proving with one dose of the 3000th (Jenichen); 6, Knorre, A. H. Z., 6, 38, effects of external application ; 7, Jellinck, Wien. Med. Halle, 1861 (A. H. Z., Mon. BL, 5, p. 6), effects of a teaspoonful of P. taken by a woman to break an attack of intermittent fever; 8, Weinberger, Wien. Med. Halle, 1863 (S. J., 121, 34), two cases of asphyxia from the vapor; 9, Mezer, Journ. de Brux., 1865 (S. J., 127, 295), effects of a glassful taken for beer ; 10, E. C. Beckwith, Am. Horn. Obs., 1865, p. 363, effects of drinking the refined oil in a child two years old ; 11, same, another case; 12, Bassett, Am. Horn. Obs., 1869, p. 368, effects of three tablespoonfuls of the refined oil (for lamps), repeated next day ; 13, Muller, A. H. Z., 81, p. 81, about 2 ounces, in a woman; 14, El Arterio Med. (A. H. Z., 78, p. 151), about a quarter of a pound, in a man; 15, Number, Journ. de Chim. Med. (A. H. Z., Mon. Bl., 22, 48), case of poisoning; 16, Gross (A. H. Z., Mon. Bl., 21, 27), effects of a swallow in a man; 17, same, case related by Dr. Clement, poisoning of a man, suffering from gallstones, by Petroleum ; 18, same, effects of external application to itch ; 19, Steiniuger, Mittbl. d. Aertz. Ver. in When, 1872 (S. J., 155, p. 13), effect of about a pint, in a woman forty-five years old; 20, Ziemssen, Handbuch, 1, 459, chronic effects of fumes on workers.

Mind

Dr. Dyce Duckworth, Med. Times and Gaz., 1864 (2), 650, M. J., let. twenty-two, worked in the manufactory ; he often spilt some on his trousers, and generally saturated the parts over his thighs ; his hands and forearms often covered with the oil; eruption after working one week ; suffers from bronchitis

Paraffin

Alex. Ogston, M. D., Edin. Med. Journ., vol. 17, Dec. 1871, p. 544, effects on workmen engaged in manufacture of P. at Messrs. Miller’s Chemical Works in Aberdeen ; they have the skin over portions of the body, especially of hands and arms, but also of feet and legs, brought for many hours daily in contact with the P. shale

Mind

At first an extravagant and exaggerated condition of mind, with internal trembling, followed by sadness and despondency

He rose up and then got out of bed

General excitement

A little wine taken at dinner goes to his head and makes him stupid

The child becomes fierce and uncontrollable

Inclined to be very angry every morning

Angry rage and peevishness

* Violent, irritable, offended at trifles

■ Excessive anxiety

Anxiety at the noise of a crowd of many people

* Great fearfulness; violent shock from a fright at a trifle

Fear of death (after two hours)

Dejected in the morning, quiet, with dimness of vision (after twenty-two, and twenty-three days)

Dejected (after twelve days)

Sad and discouraged, and a sick feeling of weakness of the heart

* Very quarrelsome; he is easily aroused

Ill-humored, quarrelsome, in the morning, on waking

* Vexed about everything, even at the smallest trifle; he will not answer

Quarrelsome, peevish, lachrymose (after a few hours)

Quarrelsome and passionate

Fretful and indolent (after sixteen days)/.

Constant complaining (after two hours)/

Discontented with everything/.

Out of humor; very much inclined to hypochondria, with a feverish condition, lasting fourteen days

* Very irritable; everything makes him very disagreeable and gloomy; he cannot be quiet about many things, which usually seem trifling, and with the greatest effort he cannot be cheerful

Hypochondriac while walking in the open air; inattentive in conversation, etc.

Very irresolute

Very little ambition

No desire to work; no pleasure in objects of which he was usually fond, hence intolerable ennui

Impairment of the mental powers

He cannot easily free himself from the subject on which he is talking

Loss of will power

He lost all power of thought

Impaired memory

Very forgetful and disinclined to thinkf.

He was only partly conscious all day, as if only half alive

Loss of consciousness (after one hour),’l

Comatose condition for twelve hours

Head p. 312

Confusion mid VevtUjo. Confusion of the head, in the morning (fourth day)

Confusion of the head and general discomfort (after twenty hours)

After eating a little the head seems befogged, dizzy, and confused

The customary smoking befogs him (after three hours)

* Vertigo (after eight hours); (after two hours)

Violent vertigo, obliging him to stoop forward, with paleness of the face and nausea, more while standing than sitting, disappearing on lying down, together with a slow pulse, eructations and yawning, loss of appetite, and pressure in the abdomen/.

Constant vertigo, with roaring in the ears, in the evening (second day)

Vertigo and nausea, in the evening, in bed, especially when lying with the head low

Vertigo frequently while walking

Vertigo and nausea on stooping

Vertigo on stooping and on rising from a seat/.

Vertigo on rising up from lying down; while lying down, heat in the face

Vertigo, seeming to be in the occiput, as if she would fall forward, especially on raising the eyes

Dizzy, as if intoxicated

Dizziness immediately after dinner (after nine days)

General Head. Rush of blood to the head, after eating

A feeling of a rush of blood to the head, on every rapid motion, that causes a stitch through the brain

* Heaviness of the head, in the morning, with a sensation of fulness and heat in it, especially on stooping and sewing

* Head heavy (third day)

Dulness of the head, in the morning, thick, heavy, full of heat

Dulness of the head, with pain

Dulness of the head, as if enveloped in a fog

Violent pressure in the head, on stooping

Pressure in the head, teeth, and antrums of the upper jaw

Pressing in the head, with a kind of qualmishness (after two days)/.

Pressure and pressing in the head (after twenty-four hours)

Feeling of compression in the brain/.

Tension in the head

Feeling of tension in the dura mater daily, with dulness/.

A feeling of tension and pulling in the dura mater

Headache

Dull headache, from morning till evening, with drawing towards the forehead, together with violent chill, lasting till noon

* Attack of headache every morning

Headache, in the morning, on rising, for several days/.

Headache immediately in the morning, lasting until after breakfast

Headache, in the evening, after walking in the open air

Violent headache, especially above the eyes (first night)

Pressive headache (after two weeks)

Tearing headache, in the evening

Pinching headache (after two days)/.

Constrictive, contractive headache

Constrictive drawing headache

Drawing headache, preceded by drawing pain in the right arm

Extremely painful drawing, as from a sprain, in the muscles, extending from the mastoid process to the clavicle on both sides; a tearing every five minutes (after eleven days)

Trembling, waving, and roaring in the head and in the ears, as of rush of blood to the head, though without sensation of heat,h

Sticking and much heat in the head

Excessive sticking jerking in the head, on stooping and walking; after every few steps she was obliged to stand still

Sticking, together with pressure, in the head, and nausea

Boring in the head

Sensation of screwing together in the head

Beating in the head

Distressing sensation in the head, as if everything in it were alive and turning and twisting about, with dread of work

A sensation on the head as if a draft of cold wind were blowing across it

ForeJlCdd, Pain about an inch above right eyebrow, and painfulness of the hone, then a pressure, only when stooping (after fifteen minutes). Ditto, but also very slight pain there when not stooping; this also occurred afterwards nov and then, but there was no pain or pressure when not stooping; when stooping and repeatedly pressing the bone, the pain in bone is worse at the first pressing (after fifty minutes). Nearly all gone (after three hours and one-third). The same symptoms on stooping as before (after fifteen hours and five minutes). Pains in head as before (9.30 A.M., second day). Pain and tenderness of bone to pressure returned, just above right supraorbital ridge, when stooping (forty-eighth day). After rising from bed, the same slightly; after breakfast, just as before (forty-ninth day)

* Pressure in the forehead, with some stitches over the eyes (after twenty-six days)

Afterpart of day and night, dull frontal headache

Headache, frontal, dull, and disagreeable; worse while the nausea remained ; the dull headache continued till about 11 oclock the third day, when there was a slight htemorrhage from the nose, after which the headache was relieved

Drawing headache in the forehead, with stitches above the eyes

Sticking pain in the forehead, in the morning, on waking, soon extending over the posterior portion of the head

Violent pulsating waving, especially in the forehead, as though the head would burst; better on motion

Temples. Cramplike headache in the left temple

Cramplike transient drawing in the temples

Cramplike very acute drawing and pressure in the left temple (after four days)

A pinching drawing extending up to the left temple (after eleven days)

Pressive drawing in the right temple, even noticed during a nap (after a few hours)

Vertex and Parietals. Violent pressure on the vertex, with dizziness

Pain in right side of vertex, in evening (eighth day)

Bruised pain on the vertex, as if it were soft

Dull jerking stitches on the vertex, extending into the head, in the evening, soon followed b}'^ persistent pressure in it

Transient rising of heat into the left side of the head, with persistent redness of the cheeks, after eating

Headache on the right side; she could not open the eyes, could not hold the head upright; she was obliged to lie down

[HO.] Both sides of the head are painful to touch, as if suppurating

Pain in the left side of the head, as if suppurating

Throbbing stitches in one side of the head, above the eye

Occiput and External Head. *Heaviness, like lead, in the occiput (second and third days)

Pressure and sticking pressure in the occiput, in the morning.

* Pressure in the occiput

Pinching in the occiput

Sticking in the left side of the occiput, in the afternoon

* Pulsation in the occiput when lying upon it

Throbbing in the occiput all day

Profuse falling of the hair

Falling of the hair for three days, especially after twelve days

Some soft swellings on the scalp, with excessive pain when touched

Papular eruption on the head

Bruised pain in the scalp

The head seems numb externally, like wood (after three clays)/.

* 3Inch itchwg on the scalp (after ten hours)/.

* Itching 011 the scalp; after scratching, a pain as if sore/.

Eyes p. 314

Eyes sunken (after half an hour)/.

Eyes glistening (after two hours)/k

Eyes staring, glassy

Eyes staring wildly about (after six hours')

* Eyes very dim (after twenty-two days)/.

Twitching of the eyes,h

Blinking and winking with the eyes

Weakness of the eyes

Eyes easily fatigued

In the morning he cannot open his eyes; vision is dim and misty

Burning in the eyes and pressure, with dimness on exerting them

Burning in the eyes (after five days)

* Much pressure in the eyes, especially in the evening by the light

Violent pressure in the eyes, as from sand

Pressure in the eyes, in the evening/.

Stitches in the eyes and lachrymation/.

Stitches extending from the outer canthus towards the inner

Stitches in the eyes when pressed upon and when not

Cutting in the eyes on exerting them by reading

Throbbing pain in the right eye

Biting and heat in the eyes

Biting in the eyes, as from smoke

[150. j Biting in the eyes

Itching sticking and burning in the eye

Itching and sticking in the eyes

The eyes often feel as though they would be distorted/.

Painful sensitiveness of the eyes to daylight; he was obliged to keep them covered

Jirow (ind Oihit. Sticking and beating in the eyebrows

Slight tenderness to touch of under surface of right supraorbital ridge (in hone), near inner canthus; not affected by position ; this Avas noticed slightly last evening (10 a.m., second day). Pain in same spot of supraorbital ridge when head was bent down (11.20 a.m., second day). Tenderness of orbit less; when repeatedly pressing it, it is most tender to the first pressure (4.10 p.m., second day). Supraorbital ridge less tender; on stooping, pain over right eye (in same spot as before), and tenderness of bone there to pressure (7.45 a.m., third day). Pain in ridge, worse on stooping and walking (10 a.m., third day). Pain in ridge felt when stooping only, especially directly after stooping; some tenderness still (1 P.M., third day). Pain in same place in orbit on beginning to walk in open air, soon going off on continuing to walk (betv/een 12 M. and 1 p.m., third day). Tenderness less ; pain in ridge only felt directly after stooping, going off soon even if I continued the stooping posture, and less severe; pain in same spot for a minute when beginning to walk in open air, going off on continuing to walk, and less severe than before (after 1 p.m., third day). No pain in ridge (even on stooping) on rising from bed, and little tenderness; soon the tenderness increased, with pain, worse on stooping; much better in afternoon (fourth day). Scarcely any tenderness, and what existed was first felt at 8 a.m. (fifth day). A little more tenderness and pain in ridge, in morning (sixth day). Some pain, but very little tenderness, at the same part of ridge, in morning (eighth day). Tenderness of bone to touch at under surface of right supraorbital ridge (inner end), whether stooping or not; sometimes pain over ridge when not stooping, during morning (ibrty-ninth day)

Lids. An inflamed swelling, as large as a pigeon’s egg, in the inner canthus, like an incipient lachrymal fistula, together with dryness of the right side of the nose, lasting several days

Trembling and twitching of the lids

Twitching of the right lid

Burning and pressure in the inner canthus/.

Violent biting on the eyelids (after two hours)

Itching and dryness of the lower lids (after twelve days)

LflchvynifitiOH. Lachrymation for five days (after six days)

Lachrymation in the open, not cold, air

Frequent lachrymation, even in the house (after sixteen days)

Much water presses out of both canthi

Conjunctiva and Pupil Conjunctivitis and blepharadenitis Tatter three weeks)

Pupils greatly dilated for several days; with the left eye he cannot distinguish letters at a short distance; at a greater distance they are distinct, but smaller,b

Greatly contracted pupils, insensible to light (after half an hour)

Pupils contracted, insensible

Vision. Far-sighted,b

Double vision with both eyes,b

* The visual power is weak, the eyes misty (after five and six days),b

Disturbance of vision (after two hours)

Eyes frequently obscured, with at times double vision of some objects (after fourteen days),b

Sparks of fire before the eyes

Black spots before the eyes, that prevent reading

Flickering and fluttering before the eyes; objects seem to have a fine motion

Twitching before the eyes, in the evening (after ten days)

Flickering and black figures before the eyes (after eighteen days)

At times something seems to float and twitch before the eyes, though she sees all clearly and distinctly if she fixes the eye upon them

Ears p. 315

Yellowish bloody discharge from both ears, without odor, thin, more copious from the left than from the right (after two weeks)

* Redness, rawness, soreness, and moisture behind the ea7’S

* Inflamed and painfid swelling of the meatus auditorium

* The meatus auditorium is swollen

Pressure in the ears, with heat (after five days)

* TAe ear is painful externally (from the vapor of the drug)

Cramplike drawing in the right ear (after seven days)

Cramplike pain in the right ear (after sixteen days)

Painful drawing and jerking in the right ear (after five days)

Jerking pain in the left ear (after thirteen days)

Tearing in the right ear

Sticking in the ear (after eight days)

At first, tickling and sticking in the ear, followed by stiffness in the articulation of the jaw, as if it would crack and creak, on moving it

Cutting in the left ear

Bubbling in the ears

Itching within the left ear, with a bloody discharge (after forty-eight hours)

Hecivilig Diminished hearing (after five days)

Loss of hearing in the right ear, within which is a painful drawing, extending from the eye (after thirty-eight days)

Something seemed to come before the ear on eructating, so that he could not hear, immediately

Noises in the ears, at one time as from a clock, at another as from a waterfall (after eight days)

* Roaring in the left ear, like a rushing of water, with at times cracking in it, for three evenings (after twenty-one days)

Roaring, as of a wind, in the ears and diminished hearing

Roaring and pain in the ears

Singing and roaring in the ears during the menses

* Ringing in the ears (after eight days)

Singing in the ears

Cracking in the ear from time to time (after twenty-eight days)

Nose p. 315

Ulcerated nostrils

A pimple in the nose

Bleeding of the nose (after a few hours)

Bloody mucus is blown from the nose, in the morning

A scab in the fold of the left wing of the nose, without pain

Slight htemorrhage from the nose, relieving the headache (third day)

Very violent coryza nearly the whole day (second day)

Coryza, with stoppage of the nose (first day)

Violent catarrh (after thirteen days)

Coryza, lasting till noon (third day)

Chronic catarrhs

Sneezing, with catarrh in the throat, that provokes cough

Much sneezing, with sleepiness, towards evening

Sneezing daily and very frequently

Stoppage of the mucus in the nose; he was obliged forcibly to blow out at night small masses

Stopped catarrh and ulcerated nostrils

A tensive pain in the root of the nose, extending across from one eyebrow to the other, and an ulcerative pain when touched

Burning on and near the nose (after a few hours)

Face p. 316

Face distorted (after two hours)

Face bluish-red

Great persistent paleness of the face,h

Face sunken, pale ; forehead covered with cold sweat, with sunken eyes (second day)

* Pale (after half an hour); (in chronic cases)

Lips cracked

Lips bluish-red

Swelling of both lower jaws; painful on stooping and on pressure

The right articulation of the jaws easily becomes dislocated, with great pain, in the morning, in bed

Drawing and tension on the jaw, beneath the ear

Mouth p. 316

(jrtim. ^Swelling of ihe gum, with sticking pain when touched

A blister on the gum

A black hollow blister by a lower molar, sensitive to water and cold air; the tooth is painful even on opening the mouth

The gum between the lower incisors seems inflamed, with sticking and burning pains

A pustule on the gum, above a hollow tooth, like a dental fistula

The gum is painfully sore when chewing

Teeth, The teeth are constantly unclean

All the lower, and part of upper, teeth are elongated and painful, as if ulcerating

Drawing pain in the upper incisors, with a feeling of coldness (after ten days)

Cutting and constrictive pain in the teeth

Pain in the teeth, as if ulcerating, with throbbing pressure in the right lower jaw, extending to the ear and posterior cervical muscles

Pressive pain in the right back teeth

Boring toothache

Drawing toothache

Sticking toothache, as with a knife, in both jaws, most violent at night; she was unable to remain in bed

Toothache, with a thickly swollen cheek ; she cannot lie upon it at night on account of the pain ; is obliged to rise up in bed

Toothache after breakfast

Tearing in a hollow tooth, from evening till midnight, with a sore painful gum

Sticklike jerk in the teeth every evening till 11.30

Pain in the teeth if the open air enters them

A stitch in a hollow incisor

Feeling of numbness of the teeth, and pain on biting upon them

Both canine teeth seem too long, in the morning

Toitf/ue. Tongue coated (after four days)

Tongue foul (in chronic cases)

The tongue is covered with yellowish spots

Tongue coated in spite of all efforts to clean it

Tongue coated white in the centre, with a dark streak along the edges (third day)

Tongue white

Tongue dry, coated (second day)

The tongue and right side of the palate, towards the cervical muscles, are raw and sensitive, so that he does not dare to eat or move anything hard in the mouth ; acid and salt things cause smarting, as if the tongue were sore

G-e/itevcil 3Ioilth. Ulcers form on the inner surface of the cheek

* Bad odor from the mouth; even the saliva has an offensive odor

Bad odor from the mouth, noticed by others

Mouth offensive, at times like garlic, at others foul

Mouth very pasty for twenty days

Mouth slimy, with no desire for food or drink

Bitterness in the mouth, after breakfast, with scraping in the throat and eructations

Insipidity and saliva in the mouth, as from a disordered stomach

Dryness in the mouth, in the morning

Violent burning in the mouth, throat, and stomach, immediately

Saliva and Taste. Profuse accumulation of saliva in the mouth always after eating; was obliged to spit a great deal

* Great accumulation of mucus in the mouth and nose

* Slimy taste in the mouth, with a white tongue

Acid, slimy taste in the mouth

Bad taste

Bad taste in the mouth (second day)

Taste as of a disordered stomach and heaviness in the head

* Sour taste in the mouth

Bitter sour taste, in the morning

Rancid taste in the throat

Foul taste, as of spoiled meat

Throat p. 316

Constant hawking of mucus, in the morning, with headache

He was constantly obliged to hawk up thick mucus, especially in the morning,h

Throat covered with mucus,h

Swelling of the throat and dryness in the mouth,h

Inflammation of the throat, immediately

Great dryness in the throat, causing much cough

Dryness of the throat (after a few hours)

Dryness in the throat, with eructations and loss of power

Dryness in the mouth and throat, in the morning, so violent that it took away her breath

Stopped sensation in the posterior nares

Violent tickling in the throat, extending to the ear, on swallowing

Violent burning in the throat, immediately

Sore pain in the throat, and a feeling as if ulcerating

Sticking pain in the throat on swallowing, as if it were prevented by a fish-bone

Sticking sore throat only on swallowing

The throat seems swollen internally

Fauces and Fliarytix. Burning in the fauces, oesophagus, and upper part of the thorax (after twelve hours)

Constriction of the pharynx (after half an hour)

Sensation of rawness in the pharynx, extending to the stomach (after six days)

Rawness in the pharynx on swallowing

Scraping and scratching in the pharynx

Crawling in the pharynx and nose, as from snuff

Sivalloivillf/. When swallowing, a portion is forced up into the choanse

External Throat, ^Swelling of the submaxillary glands.

Violent painful swelling of the submaxillary glands

Stomach p. 317

Appetite and Thirst. "^Ravenous hunger frequently, so that she became quite sick on account of it, and was also frequently awakened at night by it

Ravenous hunger, but speedy satiety after a stool

Insatiability at dinner

During this trial the appetite was variable, at times could not eat, at others relished a hearty meal

A nibbling appetite

No appetite and no thirst

Violent unquenchable thirst (second day)

Excessive thirst; (after thirty minutes),"; (after two hours)

Much thirst all day

Thirst (second day)

* Much thirst for beer, for a whole week

Eructation'HS. Frequent eructations (second day)

* Repeated hot, sharp, sour eructations and uprisings

Scrap^ing eructations, even after a light meal (after four days)

Eructations, with pressure in the stomach, after a glass of milk (third day),h

Eructations, with pressure in the abdomen

Eructations, all the afternoon, after eating

Eructations, tasting like bad eggs, in the morning (after twenty-four hours)

Sharp sour eructations, after dinner

Sour eructations, with weak vision

* Sour eructations, that set the teeth on edge

Uprisings of sour water into the mouth, after breakfast

Tasteless eructations all day

Unpleasant eructations

Hiccough and Heartburn. Violent hiccough, as many as three times a day, for several days

Violent hiccough twice in the evening, followed by much sneezing (after thirty-six hours)

Heartburn, in the morning

Heartburn, towards evening, and eructations

Rancid heartburn

Maasca, After a normal (second) stool, qualmishness and a feeling of weakness (after twenty-four hours)

* Qualmish sensation in the stomach (after twenty-four hours)

Qualmishness on coughing

* Violent nausea, xvith cold sweat and sticking in the right side of the abdomen

Incessant nausea (after two hours)

* Sudden nausea on walking, with accumulation of water in the mouth; sudden heat of the face and vertigo, lasting a quarter of an hour (after fourteen days)

* Nausea every morning, immediately after waking; she could not eat breakfast

Nausea, in the morning, on waking, lasting an hour, till breakfast

Momentary nausea, in the morning or evening, with efforts to vomit

* Nausea, in the morning, with accumulation of water in the mouth

* Nausea and qualmishness all day (after six, and ten days)

* Nausea all day, often so violent that it takes away the breath, with- Old vomiting

Naufiesi, all day, with loss of appetite, sour taste in the mouth, and dry white tongue,h--Nausea, with eructations (after twentyfour hours),h

Slight nausea, which increased (before two hours and a half); before 7 a.m. the sickness of the stomach had increased, so that at one time l thought I should vomit; so great during the day that several times I was obliged to lie down ; the attacks came on every ten or twenty minutes, and lasted from three to five; they extended up into^the throat, and the parts about the larynx seemed constricted,l

Vomiting ff Violent vomiting (after one hour),’l

Constant vomiting of bile and blood

Whenever she swallowed liquids, it was followed by violent efforts to vomit; vomiting of bile, at times mixed with blood (second day)

General Stomach. The epigastric region was so distended that he was obliged to press the hands tightly upon it, in spile of the great sensitiveness (after two hours)

Distension of the stomach, in the afternoon

Stomach and abdomen very sensitive to touch (second day)

Stomach and abdomen frequently painful; at one time they seem constricted, at another distended

Violent burning in the stomach (second day),f

Burning in the throat, stomach, and right side of the abdomen

Burning in the pit of the stomach (first night)

Stomach and pharynx seemed to be on fire (after two hours)

Sensation of constriction of the diaphragm (after half an hour)

Feeling of great emptiness in the stomach, as after long hunger

Feeling of emptiness in the stomach, with stupefaction in the head

Fulness, with pressure, in the pit of the stomach, after a very moderate dinner (after three days)

Pressure in the stomach and diarrhoea, in the afternoon, preceded by colic

Pressure in the stomach, fasting, removed by eating

Pressure in the pit of the stomach, two mornings in succession, fasting, with nausea

Violent pains in the stomach

Violent pain in the pit of the stomach, as if something would be torn away

Pain in the stomach, in the morning

Pinching in the pit of the stomach (after two days)

Clawing in the stomach, as from taking cold ; woke her very early in the morning

Clawing in the stomach, as after taking cold, with anxiety, in the evening, lasting a quarter of an hour

Cutting about the stomach, with desire for stool (after four days)

Stitches in the pit of the stomach, in the afternoon

Intolerable heaviness in the stomach, relieved by violent exercise on foot

The stomach feels relaxed

Very bad feeling in stomach and bowels at intervals

Much insipidity and uneasiness after eating

Discomfort after supper

A little food, especially sour-krout brain-krout etc., disorders his stomach and digestion, especially in stormy weather, so that he has diarrhoea day and night

All food, even the slightest, disorders her stomach ; she cannot tolerate anything

A little food causes fulness and apprehension (second day)

It seems apparent that Petroleum at first causes complete paralysis of the stomach and oesophagus, so that emetics had no effect, and only after irritating the epigastric region with friction was it possible to induce vomiting

Abdomen p. 318

Mijpochondria. Pressure in the left hypochondrium (after twelve days)

Pressure in the hepatic region

Stitches in both hypochondria, disappearing without emission of flatus

Stitches in the hepatic region, on some physical exertion

Umbillcas and Sides. V ioleut constrictive pain about the navel and in the pit of the stomach

Awoke at 5 a.m. with pain below umbilicus; on movement the pain became sharp and cutting, and increased the desire to have a passage from the bowels (second day)

Clawing and biting about the umbilicus, iu frequent paroxysms,b

Clawing in the umbilical region (first night)

Clawing iu both sides of the abdomen, from below upward, with heaviness in the lower extremities and great sleepiness

Stitches in the right side of the abdomen, with nausea

General Ahdoitieu. Abdomen swelled (after thirty minutes)

Distension of the abdomen, for two days (after three days)

Abdomen wonderfully distended or bloated

Abdomen very much distended, from drinking a little (after four days)

Abdomen very much distended, in the evening, on going to sleep

Distension of the abdomen, especially after a meal, with pressure below the pit of the stomach

Abdomen distended, tense, with indolence, in the afternoon, lasting several hours

Abdomen distended by flatus

Flatulent distension, after a stool

Rumbling in bowels, at 5 a.m. (second day)

Griping and rumbling in the abdomen, in the evening

Rumbling in the abdomen, in the evening

Emission of much very offensive flatus, for many days

Very offensive flatus, before a thin stool

Belching of wind

Accumulation and moving about of flatus in the abdomen (immediately)

Violent cutting colic for two days, with clawing, in the abdomen, followed by many eructations, vomiting of clear water, diarrhoea, and headache (after a few hours)

Violent colic, xvith efforts to vomit (immediately)

* Cutting colic, late in the evening; she was obliged to bend up

Cutting colic, several times in the morning, followed by diarrhoea of a very offensive camphor-ated odor, with ineffectual urging after the evacuation

Colic, as from taking cold

Colic, with pressive pain

Colic (after two hours),*k

Painful tension across the whole abdomen, with pain in the lower portion of the left side of the abdomen, as if something would break through, or as from an internal sore, in paroxysms for two or three hours

Tension and cramps in the abdomen (after three days)

Griping in the abdomen, every ten minutes; she was always obliged to bend together (after thirteen days)

Griping in the abdomen, several evenings (after forty-eight hours)

Griping in the abdomen and diarrhoea, the whole day (after twentyfour hours)

Pressure and griping in the abdomen, as after taking cold, woke him about midnight

* Gutting in the abdomen (immediately, and again after seventy-two hours, in the morning on waking, and several times during the day)

* Cutting in the upper abdomen, with nausea and diarrhoea, woke him at 4 a.m. (after forty-eight hours)

Much cutting in the abdomen, for two days, and evacuations, at first fecal, afterwards of bloody mucus, with little faeces

Cutting in the abdomen, as from talcing cold, followed, by diarrhoea, with pressure (after thirty-six hours)

Drawing cutting in the abdomen, with eructations and emission of flatus

Violent pains in the abdomen, especially along the transverse and descending colon (after twelve hours)

Slight pain in transverse colon and left lumbar region (before two hours and a half)

A kind of crawling falling asleep of the abdominal muscles, extending to the thighs, while sitting; she was obliged to rise and walk about (after twenty-one days)

Feeling of diarrhoea in the abdomen, without a stool, in the evening

Unpleasant itching, internally, iu the abdomen, not relieved by external rubbing

Hypoijastrium and Iliac Legion, Pressure in the right inguinal ring (after a few hours)

Pain iu the groin, as if a hernia would protrude, on every paroxysm of cough

Cramplike pain iu both groins, like a pressure, when walking and lying, but mostly while sitting

Sticking in the right groin, following a nocturnal emission

Rectum and Anus p. 319

Constant feeling of weakness iu the rectum

Pressive pain in the rectum two days before the menses ; she was obliged to bend forward ; whenever the body became erect there was a sticking in the rectum, and when walking the stitches increased,'. Rectal fistula,'. Frequent urging to stool (second day)

Frequent urging to stool, always with scanty diarrhoea-like discharge, with much pressure, as if there were still much more to pass (after twenty-four hours),'. Frequent urging to stool, always followed by a scanty diarrhoea-like discharge,, with much pressure, as if more would follow

Stool evacuated only after much exertion, as if there were not power in the rectum to expel it

No stool for two days, but much urging; the rectum seems too weak to expel the faeces (after four, and five days)

Stool difficult to pass, with a sore pain in the anus

Scabs on the margin of the anus, with a tickling smarting sensation

Burning pain in the region of the anus

Burning and sticking in the anus (after eighteen days)

Pressure in the anus (after six days)

Violent smarting stitch, extending from the anus over the ilium to the glans penis (first day)

Itching in the anus, on going to sleep

Itching of anus

Stool._UUirrhoea. Violent diarrhoea; evacuations involuntary (after one hour)

Profuse diarrhoea

Diarrhoea, xvith cutting colic

Diarrhoea, with a disordered stomach, especially in stormy weather

Inclination to diarrhoea and two soft stools (after twenty-four hours)

Diarrhoea-like stool twice, followed by excessive exhaustion

Profuse mucous diarrhoea (after a few hours)

Free movement; diarrhoeic, lightish-brown color, and very thin, at 6 a.m. ; an hour later, had an urgent desire to have a movement, but did not go out, and it passed off; the desire, ineffectual, however, returned a little later. No more movements of the bowels till about 6 p.m., when a natural movement occurred (second day). At 3 a.m. was awakened by an urgent desire to have a stool; movement very free and watery, came with a gush, a little pain just before and after; awakened again at 5 oclock and had another similar movement; also another at 6 a.m.; at 8 a.m., had an ineffectual inclination to a movement (third day)

Diarrhoea of much bloody mucus (after four days)

Frequent stools, consisting only of bloody mucus, with great weakness

Watery stools, with colic, for six days

Stools watery, containing scrapings ot the intestines and blood (second day)

Copious thin stools (soon)

Frequent thin stools

Soft difficult stool, as from inactivity of the intestines

Evacuation of ascarides

Stool soft, but with tenesmus

Copious, pasty, brownish-yellow stools

The child passes blood with a difficult stool

Mucus with the stool

Ascarides pass with the stool

The stool becomes harder in the secondary action (after twenty-eight days)

No stool (first day); two thin stools (second day)

Bowels a little constipated

VriiKii y Ovijmis.

Kidneys and Bladder. Catarrh of the pelvis, of the kidney, and of the bladder (second day)

Bladder moderately distended ; micturition excessively painful and very scanty (second day)

Violent constriction in the region of the neck of the bladder, at both sides of the mons veneris, especially during micturition, during which the urine often stopped

Cutting in the neck of the bladder, at the commencement and close of micturition

Burning in the neck of the bladder, during micturition

Pressure upon the bladder; is obliged to urinate as many as ten times in the afternoon ; he always waits a long time before the urine passes (after nine days)

Jerking in the urethra, as in ejaculation of semen

Burning pain in the urethra, towards evening

Itching in the female urethra on urinating, preceded by urging to urinate,h

Burning pains during micturition (first night)

3Iictlirition, and TJpilie. Very frequent micturition, always very scanty (after four, and seven days)

Micturition twice as frequent as usual and far more than the liquid taken (after twenty-four, twenty-five, and twenty-six days)

He woke two or three times at night to urinate, and passed much urine

Profuse micturition (after ten days)

Involuntary micturition

Much micturition, at night

Frequent desire to urinate; the urine passes in a divided stream, with burning pain, and with a tearing in the glans penis

Frequent desire to urinate, but only a little urine is passed

Desire to urinate, with burning micturition (first day)

* Dribbling of urine, after micturition

Offensive odor to the urine; it deposits a red slimy sand that adheres tightly to the vessel

The urine has a very ammoniacal odor

Burning urine

Urine bloody red and turbid

Urine suppressed (after twelve hours); scant, with brick-colored sediment and of carbon-oil smell (second day)

Urine brown, of a very offensive and sourish odor

Urine, with a white sediment (after nine da3's)

Very dark-yellow urine, with much red sediment (after three, and four days)

Dark-brown clouds in the urine, after standing awhile

The urine speedily deposits a red sediment, and the surface is covered with a glistening film

Albumen and sugar were found in the urine (second day)

Discharge of mucus with the urine

Sexual Organs p. 321

3Iale. Tearing and twinging stitches in the seminal ducts, especially of the right side (after two days)

Burning in the genitals, with some discharge of blood (after a few hours)

A smooth red spot on the glans penis, without sensation (after twelve days)

Reddish eruption on the glans penis, with itching

Tearing in the glans penis (immediately)

A stitch in the penis while urinating

Itching in the glans penis, becoming a sticking

Red and moist soreness on the side of the scrotum

An itching pulling in the right side of the scrotum, persistent

Itching and moisture on the scrotum

Cramplike pain in the left testicle (spermatic cord?), with retraction of the scrotum

Erections every morning on waking (first eighteen days)

It restored erections and sexual power, for two months

Frequent erections, without amorous thoughts (after twenty-one days)

Erections at night, without amorous thoughts

Two emissions (first night)

Emission during caresses (after eleven days)

Emission, followed by anxious heat, in the morning (after forty-eight hours)

Violent desire for an emission, in the morning, after waking, within the genital organs, without flatulent symptoms (after four da^'s)

Emission delayed on coition (after twentyone days)

Less inclination to coition and less excited fantasies than usual (the first days)

Female. Soreness near the pudenda

Profuse leucorrhcea daily, for several days (after a few hours)

Leucorrhoea like the white of an egg

The menstrual blood causes itching on the genitals

Menses too early (after four days)

Menses some days too early and too scanty (the fourth day)

Menses several days too early (after eight days)

Menses about five clays too early (after two days)

Menses about six days too early

Menses delayed about ten days, till the time of the full moon (after twenty-four days)

Reappearance of the long-absent menses (after six days)

Aversion to coition (in a female), (first four weeks)

Respiratory Organs p. 321

Bronchi i and Trachea. Bronchial catarrh, with frothy, wine-yellow sputum of an oleaginous appearance and consistence (after three weeks)/

Rattling in the trachea on breathing, in the evening, in bed,h

Rattling in the trachea, in the evening, in bed, before falling asleep

Voice, Voice weak (after half an hour)

Hoarseness, in the afternoon

Great hoarseness, for several days,h

CoKffh and Expectoration. Cough always on smoking,h

Dry vexatious cough that takes away the breath ; she cannot cough it out

Coughing and retching

Cough towards evening, caused by irritation, low down in the trachea, affecting the chest

* Cough, at night

Very violent cough, only at night, after falling asleep

Cough from low down in the chest (after three days)

Cough, with scraping in the throat (after four days)

Cough, caused by dryness in the throat (after ten days)

Short cough (after eighteen days)

Cough, caused by scraping in the throat (after nineteen days)

Violent cough and much expectoration for eight days (after twenty-three days)

Profuse expectoration of grayish-white mucus from the pharynx

Iiesj)ration. Respiration short and rapid (after half an hour)

Difficult respiration, especially on ascending steps, on beginning to walk, and on loud talking

Sobbing respiration (second day)

If the child fell down once or hit against anything, it immediately lost its breath

Dyspnoea, in the evening, for several hours

Dyspnoea and suffocation, as from constriction of the trachea, with tickling, provoking a dry cough

Complete asphyxia

Chest p. 322

Pneumonia on the right side (possibly caused by dashing with cold water)

Very j)painful craraplike spasm in the chest, that takes away the breath, immediately after eating, in the morning and at noon ; stooping relieved, though the difficulty of breathing returned on rising again

* Oppression of the chest, at night, and restless sleep

Oppression of the chest and difficult breathing, more while sitting than while walking

Pressure and digging in the chest

Pressure and tightness in the chest, in the afternoon

Sticking in the chest and constrictive pain in the head on coughing

Sticking in the chest

The chest is very sensitive to cold air, and if she sits in it, the chest is very much oppressed, for several days afterwards

Feeling of coldness in the chest, in the precordial region

Front and Sides. Pressure upon the upper part of the sternum, at night, disappearing after eructations

Pressure upon the sternum, in the morning

A griping pressure above the chest from the forepart

Sticking-cutting pain in the forepart, from the right side of the chest to the left, if he bends the body to the left (during a meal)

Violent pain in the chest below the arm, more tearing than sticking; it lasts the whole night, after going to bed

Sticking in the right, then in the left side of the chest, just under the arm

Acute pressive-drawing pain oh the left short ribs, on the left chest, and in the right hypochondrium

Violent stitches in the side

Heart and Pulse p. 322

Great precordial anxiety (after two hours)

Violent stitch at the heart, taking away the breath

At times, palpitation for a moment

A kind of palpitation extends as far as the umbilicus, in the evening, while sitting still

Violent circulation of blood, on slight motion

Violent orgasm of blood, in the evening, with a bitter taste

Violent pulse, especially on walking and going upstairs (after two or three days)

Violent pulse, while walking, with paleness of the face and difficult speech (after nine days)

Pulse 140 (after twelve hours); 130 (second day) ; 100 (third day) ; 80 (fourth day)

Pulse excited

Pulse excited, hard, not compressible, 60 to the minute (in health, 80); afterwards sank to 48 (after half an hour)

Extremely small, thready pulse

Pulse contracted (after two hours)

Pulse and respiration imperceptible

Neck and Back p. 323

Neck. The right side of the neck seems stiff

* Heaviness in the nape of the neck

Pressive pain in the nape of the neck, aggravated by the slightest motion

* Very painful distressing drawing in the nape of the neck, extending up to the occiput

* Pain in the nape of the neck

Hack. Spine bent backward and stiff (opisthotonos)

Vertebral column bent backward and stiff (after thirty minutes)

The spine is painful from comfortable riding in a wagon, as from a shock

Stiffness in the back

Stiffness and drawing in the back

Drawing in the back, disappearing on bending backward

Heaviness in the back

Pressure, heaviness, and weariness in the back (after eleven days)

Pain in the back so violent that he could not move

Pain, as from a sprain, in the back and scapulae, extending into the chest, two or three times a day, impeding respiration

Cramp in the back and ribs, with pearly drops of perspiration on the face and arms, for three-quarters of an hour, followed by profuse mucous diarrhoea (after a few hours)

A painful jerk in the back, always on swallowing, also with incomplete eructations, at times also without swallowing, during rest; but always followed by oppressed respiration

Tearing stitches in the back and left shoulder (first day)

Dorsal. Pain, as from a sprain and pressure, between the scapulae, extending forward into the chest

Tearing in the back, between the scapulae, so that she could not move

Lumbar. Great weariness and stiffness in the small of the back and coccyx, in the evening

Weakness in the small of the back, after walking (after eight days)

Violent but transient pain in the small of the back, on rising from a seat (after fourteen days)

Cutting pain in the small of the back, in the morning after rising, and in the evening before going to sleep, only on moving about and stooping, not on standing upright

Pain as from a sprain, in the small of the back, in the morning, in bed, also while sitting

Painful jerking in the small of the back, on various motions

Sacrum The coccyx is painful on sitting

Upper Extremities p. 323

Weakness of the joints (after fifteen days)

* The upper and lower extremities seem stiff and without joints, in the morning after rising

Twitches in the limbs during the day (after seven days)

Uneasiness of the limbs; cannot remain in any place

Heaviness of all the limbs, and indolence

Heaviness in the limbs and weariness in the back, at night

Cramplike drawing and pressure in the limbs (after five days)

Cramps of the extremities, extending into the toes and fingers

Bruised sensation in the limbs, in the evening; he does not know where to put them (after thirteen days)

The upper and lower extremities easily fall asleep

Superior Extremities p. 323

Shoulder. Pressure upon the shoulders and in the back

Frequent jerking in the right shoulder (after eight hours)

Tension and drawing in the shoulder

The shoulder-joint is painful on raising the arm

Pain as from a spain in the shoulderjoint, on raising the arm

Drawing pain in the left shoulder, extending to the elbow

A-rm. Erysipelatous inflammation of the arm, with burning pain

In the morning, in bed, the arm stretched itself; he was involuntarily obliged to stretch it out

Muscular twitches in the arms

* Great weakness in the arms

Internal trembling of the arm

Sharp pressure on the right upper arm, commencing like a jerking (after sixteen days)

A sudden cramplike pressure, here and there, in the arm

Violent cramp in the upper arm, renewed by holding a trifle in the hand, and on the slightest motion ; the deltoid muscle became very hard; the next day the spot was painful, as if beaten,b

Tearing in the right upper arm

Drawing pain in the right arm, then in the head

Stitches up and down the whole right arm, extending above the elbow, especially on bending the arm, also during rest

The arms and hands fall asleep easily if he lies upon them at night

The left arm falls asleep, for several days

Jilboiv, Paralysis about the elbow-joint, for two days

The right elbow-joint began to be painful and to swell ; the swelling became so great that it obliterated the fold of the elbow and the olecranon process of the ulna ; here rapidly developed an abscess, which afterwards rapidly disappeared,*b

Rheumatic drawing in the fingers and elbow-joints of both sides; it was interesting to note that pronation of the arm caused pain, while flexion did not cause pain in the joint, but in the axillary fossa ; while supination was painless

1'Vt‘ist find Hff/ild, The wrist is painful, as if sprained

Sticking in the right hand, extending into the fingers, in the morning, in bed (after fifteen days)

Drawing pain in the right hand and index finger (third day)

Fiuffevs. In the evening, stiffness, first of one finger only, then of the other fingers, at last extending through the whole arm, with an attack of faintness; on walking rapidly, in the open air, it all disappeared except persistent palpitation and heaviness of the arm (after nineteen days)

Pain, as from a sprain, in the first joint of the thumb

Splitting pain on the first joint of the right thumb

Transient stitches in the ball of the right thumb (after six days)

Drawing in the fingers, for a moment

Picking in a wart on the finger, in the evening, in bed; the warts when touched are very sore

Burning pain in the warts on the fingers, as if they would suppurate, in the evening, in bed

Sticking pain in the last joint of the index finger, as from a splinter in the bone, with itching externally

* The fingernails are pain ful when touched, as if bruised

* Tips of the fingers rough, cracked, fissured, with sticking-cutting pain (after eight days)

Drawing in the tips of the fingers

Inferior Extremities p. 324

Pain and stiffness in the lower extremities (after five days)

The lower extremities are heavy

Sense of heaviness in the lower extremities (second day)

Great heaviness of the lower extremities; they totter while walking

Drawing pain in the left lower extremity

Uneasiness in the lower extremities ; was constantly obliged to move them back and forth

Cramp in the calves, thighs, and feet, all day.

When putting right foot to ground in walking, sudden sharp pain in outer side right thigh, but most felt at outer side of hip and outer and anterior part of knee; it came on every time I put ray right foot to the ground, making me limp; after a few minutes was only felt in right knee (when walking as before); afterwards, when sitting and raising right leg to cross it over left, pain in right knee; all this lasted five to ten minutes (10 A.M., sixth day)

Constant paralytic sticklike asleep sensation from above the knee down to the foot, while walking and sitting

Hip mul ThiffJi, Pressure in the hips, while sitting

Transient drawing pain in the left hip-joint (after seven days)

Pain, as from a sprain, in the hips, near the sacrum, on motion

Gouty pain in the hip, knee, and ankle-joints, at night

* The thighs are stiff and heavy, on walking

Tensive pressure in the thigh, posteriorly above the hollow of the knee

Transient jerking pain in the left thigh (after sixteen days)

Pain in the left thigh, on motion ; she could not rise from a seat on account of it (after eight days)

Painful tearing in the thigh, during the menses

When walking quickly, the muscles of left upper thigh (inner side, rather posteriorly) felt tight for a few minutes, in morning (eighteenth day)

Cramp in the thighs all day

Kneed. ^Stiffness in the knees and ankles

Stiffness of the knees and legs

Stiffness in the hollows of the knees and in the legs (after nine days)

Painful weakness in the knees, in the morning, immediately after rising from bed

Weakness of the right knee while walking, disappearing ort continuing to walk

Cracking in the knee, as if a cartilage slipped, with pain on moving it

Tension in the knee on the first step after sitting

Tension and burning in the hollows of the knees

Tearing in the left knee, in the evening; she could not stretch it out

Sticking in the right knee-joint, as from a sprain, in the evening, while walking and lying down, not while sitting

Stitches in the knees

Cramp in the left knee, while walking

Cramplike ain in the knee-joint

Pulling pain, with tickling, in the knee-joints

Bruised pain in the knees and tibiae

Pain in the patella, as after a blow

Frequently a cold spot on the knee, from which a cold stream extended through the whole extremity

Let/ and Anhle. Places on the lower legs painful to touch, during the menses

Tearing, sticking, and pressure on the leg, in a spot formerly ulcerated

The lower leg, and especially the ankle, seemed surrounded by an iron band

Jerking in the right leg, from the knee-joint down, painful only when walking

Paralytic pressive drawing in the left tibia and forearm, alons; the extensor surfaces (after twenty-four hours)

Cramplike drawing in the right tibia

Violent cramp in the legs, immediately

Cramp in the calve.s, at night

Pain in the tibiae, on walking

Pain, when walking, in muscles on outer side of right lower leg, very near the ankle; to-day, also, pain there on flexing and extending right foot or leg (thirteenth and fourteenth days)

Cracking in the ankle on moving the foot

Cramp in the tendo Achillis, at night

Foot and Toes. Swelling of the feet for several days

Stiffness of the foot and, on moving it, cramp in the sole

Heaviness of the feet and whole body

Pressive pain on the foot, and a weakness below the external malleolus

Violent drawing and jerking in the feet (after nine days)

Drawing in the foot, for a moment, while walking

Cramp in the feet, with tension of the tendons of the dorsal surface (after three weeks),'l

Tension in the foot, when walking (after seven days)

Swollen sensation in the feet

Swelling and heat in the anterior portion of the sole of the foot, two evenings in succession, lasting an hour, with burning

Cramp in the soles, at night (after eight, and eleven days)

Tearing in the heels, in the morning, on waking

Throbbing in the soles of the feet, worse when he became quiet

Tearing drawing in the ball of the right great toe

Pressure in the right heel

* Stitches, as from a splinter, in the heelf.

The toes are drawn inward by a cramp, in the evening

Pressure in the ball of the great toe as if it had been frozen, or as if an iron band were about it

* Burning pain in the eom

* Stitches in the corns

Pain, as from a sprain, in the first joints of the toes, on stepping

Stitches, as from needles, crossing in different directions through the toes

Generalities p. 325

Visible emaciation, with good appetite

Loss of flesh (in chronic cases)

The parts of the body upon which he was lying became very red

General convulsive movements (after two hours)

Violent tetanic spasms; the patient suffered frightful pains, at times followed by general rigidity, accompanied by incessant cries; after ten minutes quiet, the paroxysms would return with renewed violence; during this no liquid could be taken, and six men were unable to hold the patient on account of the violence of the paroxysms

Twitchings in sleep at noon and at night,h

Trembling, in the morning, on rising

After riding, descending from a carriage, and walking up and down in the open air, sudden violent nausea and so great weakness that she sank down, with inclination to stool, very cold sweat on the head, throat, and chest, and complete paleness of the face and blue rings around the eyes; after a stool violent chill, and afterwards, in the evening, some heat

Restless (after half an hour)

Very restless (after two hours)

Patient very restless, tossing to and fro, with constant cries (second day)

Restless; he does not know what to do with himself

Constant desire to change the position (after two hours)

Night restless (first night)

Very weary, in the morning, in bed; the limbs feel bruised (after eleven days)

Overpowering weariness

Weariness and bruised sensation in the limbs, especially in the evening, on lying down

Great weakness, without any cause (after fifteen days)

Great weakness, after a walk (after eleven days)

Great weakness and dizziness after a stool; the vision vanishes, and he is obliged to close his eyes in order to recover himself

Very weak, in the n)morning, on rising; she was obliged to sit still for half an hour to collect herself

So weak that the limbs were painful on account of weariness

So weak that she was obliged to sleep while sitting

A kind of nervous weakness of the whole body, after a short walk

Weakness of the body, and heaviness of the lower extremities

He easily became weary from a slight exertion

The weakness that he had frequently experienced disappeared after eating

Physical weakness and prostration, during the menses

Exhaustion of the whole body, in the morning; he could only with effort walk about the room, and was obliged to lie down again

Powerlessness (after seven days)

Sudden, almost momentary, loss of power, even a faintness, with paleness of the face and sudden nausea, quickly coming and going, lasting a quarter of an hour (after four, and five days)

Feeling of faintness, in the morning, on entering the house after going out; he felt sick, heat mounted into the face, and a veil seemed to come before the eyes, with a feeling of compression in the temples; he was near fainting, but he gathered himself up, and everything passed off in three minutes

Feeling of faintness before an approaching storm

A slight vexation affects her very much ; the taste becomes bitter; the appetite is lost; a short walk then affects her; she has frequent diarrhoea, orgasm of blood on falling asleep, eructations and nausea, restless sleep, and the next morning a trembling and waving through the whole body, diarrhoea, and an internal misery, so that tears constantly stand in her eyes (after nine days)

Everything seems too hard to her, while sitting and lying

Takes cold easily; she becomes faint on account of it

The open air affected him, while walking; he was averse to it

Dread of the open air

Dared not repeat the dose; patient could not leave the bed until 11 A.M.; at 12, noon, symptoms all gone (third day)

(The chilblains and the cold feet, for which the Petroleum had been given, disappeared), (after three days)

Sick, fearful, weeping at trifles

An indescribable feeling of sickness, with great anxiety (after half an hour)

Tremulous tension through the whole body, with apprehension and illhumor and cracking in the joints

A general intolerable sensation, as if severe illness were impending, with a tremulous condition and great weakness (after three days)

Taking cold causes headache, lachrymation, inflammation of the throat, cough, and coryza (after two days),h

Pain, as from a sprain, in the arms, chest, and back, in the forenoon (after eighteen days),h

Felt the least pain when lying down,I

Weary pain in the shoulders, spine, and loins,h

Sharp jerking pressure in one or another part (after sixteen days),h

Drawing pressure here and there in the bones, not relieved by walking in the open air (after three days),h

Frequent drawing in the trunk,h

The whole body jerked together, in the evening, in bed, while still awake,h

Stitches here and there in the body (second and third days),h

Cyanosis and marble-like coldness of the whole body, especially of the extremities

Unhealthy skin; even slight wounds suppurate and spread

JEnt2)tions />/’//. Yellow spots on the right arm (after six days)

* Skin of the hands fissured (after thirteen days)

Skin of the hands cracked and rough f

Redness and moist soreness on the upper and inner portion of the lower extremities (after twelve days)

A large red spot on the left knee, afterwards with pressive pain

Papular eruption about the eyes

Papular eruption on the eyelids

Eruption on the outer ear, lasting thirty days

Papular eruption on the right ear, disappearing in the evening (after five days)

Papular eruption on the face

On left cheek, at anterior border of whiskers, a pimple, painful to touch (eleventh day)

Papular eruption at the corner of the mouth, with a sticking pain

Scabby pimples above the upper lip, with sticking pain when not touched

Eruption on the lips

Papular eruption on the abdomen, burning when touched

Small itching pimples on the angle between the scrotum and thigh

Pimples, that itch very much, on both legs

Greatly inflamed papular eruption above the knee

Eruption between the toes

Eruption of nodules and pimples on the exposed skin, speedily breaking out on those who are, for the first time, engaged in the manufacture, lasting for a few weeks or months, and then generally diminishing or disappearing. In a few exceptional individuals the eruption does not disappear, but, assuming a chronic character, produces so marked and prolonged an affection of the skin that the general health becomes impaired, and the cessation of this employment becomes a necessity. In the acute form of the eruption, which soon appears in those exposed to the influence of crude paraffin, the skin of the hands, wrists, arms, feet, and legs becomes covered with a rash of bright-red nodules, closely approximate to each other, and usually largest and most numerous on the wrists, or wherever the dress tightly embraces the skin ; the dorsal aspects of the parts being most severely affected, and the palms of the hands and soles of the feet enjoying a complete immunity; similar nodules arise, though to a less extent, on the face, neck, and other parts of the body to which the oily matters find access; on examining minutely the skin of those affected in this w^ay, the following are the leading peculiarities of the eruption: the bright-red nodules, hard to the touch, tender on pressure, varying little in size, which is about equal to that of a grain of barley, are of a rounded form, and consist each of a single hair-follicle with the parts immediately surrounding it, which are inflamed, indurated, and reddened; the hair emerges from the very summit of the nodule, and the orifice of the hairfollicle is much enlarged and easily visible to the naked eye as an aperture of a magnitude similar to that of a pinhole in a card ; the dilatation extends to the deeper part of the follicle, which forms the kernel of the inflamed knot, the retention of its contents evidently contributing to the inflammatory induration around; the gaping mouth of the follicle exhibits masses of cast-off epithelial scales, dry and friable instead of greasy and tenacious ; the nodule has little of the tendency to run on to suppuration observable in an ordinary coraedone, and its contents cannot be squeezed out; on the contrary, the redness and induration, after remaining for some little time, gradually diminish, and finally disappear, leaving the hair-follicle enlarged, and its mouth gaping sb as to exhibit the retained epithelial masses, these latter being rendered more distinct by continued retention and accumulation of dirt; in fact, the acute form of the eruption consists of successive crops of these nodules, which are at the same time seen in all stages of their growth, full development, and subsidence ; while the skin between them, studded with the black gaping mouths of such follicles as have already passed through or are about to undergo tbe process, retains, contrary to what is observed in the chronic form of the malady, its natural pliancy and elasticity. In all paraffin-workers patency and enlargement of the hair-follicles continue, to some extent, so long as they are engaged in this manufacture, and the black dots in the skin of their hands and face strike the eye of the observer at once; men with dark complexions and strong hair being especially deformed in this way, while fair complex-, ions and light or reddish hair escape comparatively unaffected ; a few exceptional individuals, with swarthy complexions and hairy skins, suffer so much from an exaggerated patency of the follicles that they are compelled to quit their occupation and seek a more suitable calling. When the disease assumes a chronic form it exhibits the following characteristics: the backs of the feet and toes, the dorsum of the hand, and the backs of the fingers between, but not over, the joints, exhibit a peculiar honeycombed appearance of the skin, which is elevated, thickened, and inelastic, so as to prevent or render difficult and painful the flexion of the fingers and hands ; these elevated honeycombed patches are of natural color, and not inflamed (except where the isolated papule exhibits the appearance described under the acute form), but consists of densely grouped arrays of hair-follicles, with the indurated cutis between and around them, the follicles packed with dry brittle accumulations of epithelial scales, so extensive as to be easily visible through the dilated mouths of the follicles, these latter being large enough to admit the extremity of an ordinary probe ; the hairs themselves have disappeared from these patches, having probably become atrophic from the pressure of the epidermic masses, while cracks and bleeding fissures traverse the indurated parts, and in rare instances a follicular abscess gives variety to the picture; the knuckles of the fingers and toes, the palms of the hands, and the soles of the feet remain unaffected bv the disease; in the subjects of the chronic malady the complexion is pale and the tongue foul, while the loss of flesh betrays the effects of the sleepless nights caused by the constant irritation and pain of the skin of the affected extremities,"l

EriijMons. Moist. On the front of the thighs and legs, and the backs of the forearms, there is a vesicular eruption ; it is everywhere similar in character; on the thighs there are some thickened patches of cuticle and sordes covering part of the eruption ; the vesicles are aggregated in places and isolated at the margins; there is no itching in the affected parts, but some irritation is complained of (after three weeks); two days later, has had two baths; some of the cuticle and sordid matter is removed from the thigh, and the nature of the disease is better seen; some of the vesicles seem inclined to be pustular at their summits; a hair is seen in the centre of each of them,^h

Blisters on the heel

Eruptions, Eiistulciv. *The patient was unable to bend the head forward or to turn it on account of the 'pain caused by the development of abscesses on the nape of the neck; these furuncles were associated with a moist eruption on the margin of the hair of the occiput, like eczema; one boil after another opened and discharged, and the vertigo and other head symptoms disappeared

A pustule on the nose (after seven days)/.

A pustule on the right wing of the nose, painful to touch,h

A pustule, with a red areola, internally, on the lower portion of the septum of the nose/.

Eruption of small pustules on the face,h

A pustule on the chin, painful to touch,h

Sticking in an ulcer,k

A boil on the upper lip,k

Two boils on the anus, that disappeared without opening (after three weeks),^k

A boil in the axilla, with pain more tearing than sticking, threatening to suppurate

On the forearm a boil, with sticking pain, when touched,k

A large boil on the thigh (after twenty-five days),k

Violent sticking in a painless soft boil, that had existed for several years, on the upper and inner portion of the right thigh,k

Sensflf ions, ^Painful sensitiveness of the skin of the whole body; all clothing is painful

The skin on the left side of the back is painful, as if abraded,k

Burning over the whole body, while walking,k

Burning in the hands, in the morning, on waking (after six days),k

Burning in the palms of the hands (after four days),k

Burning itching on the external malleolus

* Itching of the lids; he ivas obliged to rub them

Itching in the skin, with a shaking chill

Itching over the whole body, in the morning, while still half awake

Itching of the tip of the nose

Itching here and therein the face (from the vapor)

The nipples itch and have a mealy coating

Itching in the bend of the elbow (after twelve days)

Itching in the palms of the hands (after sixteen days)

Itching on the finger-joints

Itching in a red spot on the upper and inner side of the thigh

Itching stitches over the whole body, with great anxiety, at 7 p.m.

Sleep p. 329

Sleepiness, Great sleepiness and weariness in all the limbs

Sleepiness (second day),k

Sleepiness during the day (after seventeen days)

Sleepiness while sitting still, for several evenings

(Sleepiness at noon; falling asleep while playing the piano), (first day),k

Weary and sleepy, in the morning (third day),k

He lies in a constant slumber

Sleeplessness and Dreams, Restless sleep and anxious dreams (after ten days)

Sleepless nights (in chronic cases),^k

Restless sleep and frequent waking (second day),k

Sleep restless at night, full of dreams, with cold feet and frequent waking (third night),k

He imagined that some one was lying near him

She started up in sleep; had palpitation, trembling, vomiting, and profuse diarrhoea-like stool

Starting up at night from frightful dreams

Starting up in the evening in sleep, so that the limbs trembled

Snoring in sleep, in the morning

Unable to fall asleep for a long time, in the evening, in bed, and tossed about all night

He tosses about at night in bed, and sleeps for only a quarter of an hour at a time

No sleep at night, only fantasies about the same disagreeable subject, with nightsweats

Dreamy slumber*, at night

Sleep at night interrupted by emissions and desire to urinate

Sleep at night full of dreams

Confused dreams at night, and frequent waking

Anxious dream at night

Vivid horrible dreams, every night

Vivid unremembered dreams (after two days)

Constant dreams of one and the same subject, though lying in different postures (first day),k

Dream of lewdness and murder, with great anxiety, repeated during the midday nap, as if he were murdering the same person

Dreams of robbers, etc. (first night)

Frightful dreams of robbers, every night/.

Frightful dreams every night; each dream continues all night, and in the morning she is weak.h

Fever p. 330

Chilliness. Excessive chill from morning till noon, with dull headache, and drawing towards the forehead all day (after twentyfour hours)

Violent chill, at 10 A.M., with coldness of the hands and face, without thirst, for half an hour; then in the afternoon heat of the face, especially of the eyes, with thirst, for an hour

Chilliness every afternoon, at 3 or 4 oclock, lasting two hours, with cold hands and dryness of the mouth

Chilliness in the evening, followed by flushes of heat in the face

Violent internal shaking chill, at 10 p.m., lasting a quarter of an hour, for several evenings

Shaking chill, every evening

Violent shaking chill

Shaking chill, at 7 p m., lasting an hour, followed by perspiration in the face and over the whole body, except the lower extremities, which were quite cold (after six days)

Chilliness through the whole body; he was obliged to lie down (after seventy-two hours)

Chill, followed by heat, with great thirst (after a few hours)

Chilliness, with trembling of the whole body ; the face was cool, the cheeks bluish, with blueness of the fingers and nails, with pulse 66, but bard, temperature 36.6° C., towards morning (second day)

The air affected him very much ; while walking in the evening he was chilly (in July)

Fever and chilliness, with complete exhaustion, and a painful sensation in the whole body (after two days)

Shivering on the back and loins in a warm room (first day)

The hands were constantly chilly; she was obliged to cover and wrap them up

Temperature depressed

Coldness, in the evening, in bed, so that she could not get warm, followed by nightsweats

Skin cold and dry (gooseflesh), (after half an hour)

Lower extremities cold (after two hours)

Feeling of coldness in the right lovver extremity, at night

Feet icy cold, from 10 A.M. to 3 p.m., with heat of the head (second day); (had never been so cold for so long a time before)

Coldness of the feet at night, preventing sleep

Cold feet, every evening

Unable to fall asleep for four hours on account of cold feet (second day)

Febrile coldness, at 6 p.m., and blue nails (after seven days)

Heat. Fever, with full pulse and burning in the skin, though without pain

He became intolerably hot at night under the bedclothes ; was obliged to uncover from time to time

Anxious heat at night (with itching), so that he was beside himself with despair, and did not know what to do

Heat and chill at the same time (almost like a shaking chill), both internal, at 10 p.m., with a weeping mood

Sensation of heat over the whole body, lasting thirty-six hours

Heat over the whole body, in the morning, on waking

Flushes of heat over the whole body (after five days)

Flushes of heat, six or eight times a day, so that he immediately perspired all over

Flushes of heat in the face, burning hot hands, dry tongue, and accelerated respiration, every evening from 5 to 6

Heat from 5 to 6 p.m., several evenings (after nine days)

Violent heat of the head sind nose, especially after a glass of wine ; was obliged to go into the open air to cool off (second day)

Heat in the head ; cold, moist hands

Sensation of heat and perspiration, mostly on the head, after eating

Heat o f the face, redness of the cheeks

Sensation of heat in the face (after three days)

Much heat of the face all day, especially after dinner (after four days)

Heat of the face and head (after six days)

Heat of the face and eyes (immediately)

Burning heat on the forehead and face, with itching

Heat, with burning pain in the mouth, before midnight; after midnight, chilliness (after four days)

Heat and dryness in the trachea, with internal heat of the body, with discomfort, irritability, and exhaustion

Heat in the soles and hands during the menses,h

Silent At first, heat in the hands, and then perspiration in the pallas,h

Profuse nightsweats (after six days),h

Very profuse nightsweats (after twenty-four hours),h

He easily broke into a perspiration,h

Profuse perspiration on the head, in the evening, after lying down

(Woke on back twice, on one occasion perspiring on body and right hand. It was a hot night, therefore this symptom is somewhat doubtful), (first night)

Perspiration at first on the back at night, that woke him about 4 oclock ; followed by internal dry heat, with discomfort, on account of which he could not fall asleep again,k

Perspiration on the back and chest, while at rest, during the day,k

Profuse perspiration in the axilla

Much perspiration on the hands

Perspiration on the legs, as far up as above the knees and on the forearms, especially on the wrists

* Profuse perspiration on the feet (after fifty-six days)

Perspiration on the soles

Conditions p. 331

Aggravation.

(Morning), Angry; dejected, quiet; on waking, ill-humored ; confusion of head ; heaviness of head; dulness of head ; headache ; on rising, headache; on waking, sticking pain in forehead ; pressure in occiput; unable to open eyes; vision dim and misty; bloody mucus blown from nose; in bed, right articulation of jaw painful; canine teeth too long; dryness in the mouth ; bitter, sour taste; hawking of mucus, with headache; dryness in mouth and throat; eructations tasting like bad eggs; heartburn ; after waking, nausea ; pressure in the stomach ; pain in the stomach ; clawing in the stomach ; 5 a.m., pain below umbilicus; rumbling in bowels; cutting colic; on awaking, cutting in the abdomen; 4 a.m., wakened by cutting in the abdomen, with nausea and diarrhoea; on awaking, erections ; emission, followed by heat; on awaking, desire for emission in genitals; pressure upon sternum; pain in small of back; after rising, extremities seem stiff’; in bed, arm stretched itself; sticking in right hand ; after rising, weakness in the knees; on waking, tearing in the heels; on rising, trembling; weakness ; exhaustion ; on entering house after going out, faintness; on waking, burning in the hands ; itching of the whole body ; weary and sleepy ; snoring in sleep ; on waking, heat in the whole body ; 4 a.m., wakened by perspiration on back.

(Forenoon), Plan in arms, chest, and back; chill, with headache; 10 A.M., violent chill.

(Noon), Sleepiness.

(Afternoon), Sticking in left side of occiput ; after eating, eructations; distension of the stomach ; pressure in the stomach and diarrhoea; stitches in the stomach; abdomen distended ; hoarseness; pressure and tightness in the chest; 3 or 4 p.m., chilliness; febrile coldness and blue nails.

(Toward evening). Sneezing, with sleepiness; heartburn; eructations; burning pain in urethra; cough.

(Evening), Vertigo, with roaring in the ear; in bed, vertigo and nausea ; after walking in the open air, headache; tearing headache ; pain in right side of vertex ; stitches in vertex, followed by pressure ; pressure in the eyes ; twitching before eyes ; roaring in left ear; tearing in a hollow tooth ; sticking in teeth ; hiccough ; clawing in stomach ; on going to sleep, abdomen much distended ; griping and rumbling in abdomen ; cutting colic; griping in abdomen ; feeling of diarrhoea in the abdomen, without stool ; in bed, rattling in trachea; dyspnoea; while sitting still, palpitation ; orgasm of blood, with bitter taste ; weariness and stiffness in small of back and coccyx; bruised sensation in limbs; stiffness of fingers and arms; picking in a wart on the finger; in bed, pain in warts; tearing in left knee ; while walking and lying down, sticking in right knee-joint; swelling and heat in sole of foot; on lying down, heaviness and bruised sensation in limbs; in bed, whole body jerked together; while sitting still, sleepiness; chilliness; 10 p.m., internal shaking chill; shaking chill; coldness ; cold feet; 5 to 6 p.m., heat; after lying down, perspiration on head. ■

(Night), Sticking toothache ; much micturition ; cough ; oppression of chest; pressure upon upper part of sternum ; heaviness in the limbs, and weariness in the back; gouty pain in hip, knee, and ankle-joints; cramp in the calves; cramp in tendo Achillis ; cramp in soles of feet; restless sleep; dreamy slumber; coldness in right lower extremity ; feet cold ; heat. (Before midnight), Heat, with burning pain in mouth.

(About midnight). Awakened by pressure and griping in abdomen.

(After midnight). Chilliness.

(Acid and salt things). Smarting on tongue.

( Open air), Lachrymation ; entering teeth, pain.

(Bending arm). Stitches up and down arm.

(Bending body to left). Cutting pain in right side of chest.

(After breakfast), Toothache ; bitterness in mouth ; uprisings of sour water.

(During caresses). Emissions.

(When chewing). Gum sore.

(Coughing), Sticking in chest, and pain in head ; nausea.

(Paroxysms of coxigh). Pain in groin.

(^/ter dbmer). Dizziness ; heat of the face ; sour eructations; moderate one, fulness, with pressure in the stomach.

(Eating a little food). Disorders his stomach, and causes fulness and oppression.

(After eating). Head seems befogged; rush of blood to head ; rising of heat into left side of head, with red cheeks; accumulation of saliva; in the morning and at noon, cramplike spasm in chest; insipidity and uneasiness; heat and perspiration on head.

(Following nocturnal emission). Sticking in the right groin.

-(Incomplete eructations). Painful jerk in back.

(Exerting eyes). Burning and cutting in them.

(Physical exertions). Stitches in hepatic region.

(Flexion of arm). Pain in axillary fossa.

(Going upstairs). Violent pulse.

(Keeping quiet). Throbbing in soles of feet.

(Lying upon part). Pulsation in occiput.

(During menses). Singing and roaring in ears; tearing in thigh ; places in knee painful to touch ; weakness and prostration; heat in soles and hands.

[Menstrual blood). Itching on genitals.

• (During micturition). Constriction in region of neck of bladder; cutting in neck of bladder; burning pain.

(After micturition). Dribbling of urine. (After a glass of milk). Eructations, with pressure in the stomach.

(Motion), Rapid, feeling of a rush of blood to brain ; slight, violent circulation of blood ; pressive pain in nape of neck ; cramp in upper arm ; pain in hips; pain in left thigh.

(Moving about). Cutting pain in small of back.

(Moving foot). Cramp in ankle and sole.

(Pressure), Painfulness of bone above right eye; lower jaw painful.

(Pronation of the arm). Pain in arm.

(Pitting right foot to ground in talking). Pain in hip and knee.

( Raising eyes). Vertigo.

(Raising arm). Shoulder-joint painful.

(During rest), Stitches up and down arm.

(Riding in a wagon), Spine painful.

(Rising from a sea^), Vertigo; pain in small of back.

(Rising up from lying doivn),Nertlgo.

(Serving), Fulness and heat in head.

(Sitting in cold air). Oppression of chest.

( While sitting). Crawling; falling asleep of the abdominal muscles; cramplike pain in both groins; pain in small of back; coccyx painful; pressure in the hips; sticking sensation from above knee to foot.

(On going to sleep). Itching in anus.

(During sleep). Noon and night, twitchings.

(Smoking), Befogs him ; cough.

(Stepping), Pains in first joint of toe.

(After stool). Dizziness ; ravenous hunger.

(Stooping), Vertigo and nausea ; pressure in head ; sticking and jerking in head ; sensation of fulness and heat in head ; pain above right eyebrow; lower jaw painful; cutting pain in small of back.

(Stormy weather). Diarrhoea, with disordered stomach.

(Before an approaching storm), Faintness.

(Swallowing), Sticking pain in throat; rawness in pharynx; liquid, vomiting; painful jerk in back.

(After supper), Discomfort.

(Touch), Finger-nails painful.

(On urinating). Itching in the female urethra; stitch in penis.

(Walking), In open air, hypochondriac; vertigo; sticking jerking in head; sudden nausea; violent pulse; stitches in body; rapidly, muscles of left thigh felt stiff; weakness of right knee ; cramp in left knee ; painful jerking in right leg, from knee-joint; pain in tibia ; pain in muscles of right lower leg; sticking sensation from above knee to foot; thighs stiff and heavy ; tension in foot; burning over the whole body.

(After walking), Weakness ; nervous weakness of whole body ; weakness in small of back.

( IFarm ?-oo?n). Shivering in the back and loins.

(Wine taken at dinner), Goes to his head and makes him stupid.

Amelioration p. 333

(Bending backward). Drawing in back.

(Eating), Pressure in stomach.

(After eating). Weakness.

(Exercise o/i/oof). Heaviness in stomach.

(After eructations). Pressure upon sternum.

(Hemorrhage from nose). Headache.

(Lying down), Yertgo.

(Motion), Pulsating roaring in forehead.

(Stooping), Cramplike spasm in chest.

(Walking rapidly in open air). Stiffness in fingers and arm.