Phosphorus

The element, Phosphorus.

Preparation, Triturations.

Authorities. (Nos. 1 to 29 from Hahnemann, Chr. Kr., 2d ed ) 1, Hahnemann; 2, Goullon ; 3, Gross; 4, Hering; 4 a, “Rl.;” 5, Schroeder, 6, Staph; 7,“Bds.;” 8, Hartlaub; 9,“Mbn.;” 10, “Ng.;” 11, Borchwitz; 12, Bouttaz (not accessible, Hughes); 13, Brera, in Voigtel (effects of z to 2 grains, Hughes); 14, Buchner, in Voigtel; 15, Conrad, in Hufel. Journ. (not found for lack of reference, Hughes); 16, Horn’s Archiv (not accessible, Hughes); 17, Hufeland’s Journ. (VII, 3, 11-1, statement about overaction, Hughes); 18, Jahn, Mat. Med. (II, 203, general statement, a mere copy from Voigtel, Hughes); 19, Kortum (Hufel. Journ., X, 2, 41, effects of 1 grain in divided doses, Hughes); 20, Le Roi, in Bouttaz; 20a, same, in Voigtel (effects of 3 grains, Hughes); 21, Lobster (Rech. et Obs. sur le Phosphore, 1815, a collection of observations from authors, Hughes); 22, Menz, in Bouttaz (not accessible, Hughes); 23, Robbi (Beob. ueber der Phosph., 1818, statements and observations, Hughes); 24, Vater, in Voigtel; 25, Voigtel, Arzneimittellehre (IV, 46, statements from authors, Hughes); 26, Wedgel, Diss. Inaug. d. Phosph. us.; 27, Weickard, in Bouttaz (in Voigtel, effects of 2 to 3 grains, Hughes 28, Htb. and Tr.; 29, Zisler, in Bouttaz.; 30, Wm. H. Holcombe, M.D., proving of Ph., took 20 drops of tincture twice first day, three times second day, and at 9 a.m. third day; 40 drops 10 p.m., third day; 20 drops, 9 a.m., fourth day; 30 drops, 10 A.M., fifth day, N. Am. J. of Horn., 1858, p. 144. (Nos. 31 to 42 provings from Dr. Sore, “Der Phosphor,” Leipzig, 1862.) 31, Dr. A. L., aged forty, took 3d. dec. dil., 4 drops, first day, 6 drops second day, 8 drops third day, 10 drops fifth and eighth days, 12 drops twenty-first day, 10 drops twenty-fourth, thirtieth, and thirty-first days, 4 drops thirty-fifth day; 32, Dr. B. took 25th dil. daily, in the morning, for six days; 32 a, same, took 12th dil., repeated doses; 32 6, same, took 2d dil. daily for seven days, 5 to 15-drop doses; 32c, same, took subsequently the 12th dil., repeated doses, for some time; 32 d, same, took 3d dil., repeated doses; 32 c, same, took 3 to 6-drop doses of an alcoholic solution of P.; 33, Otto B., aged fifteen, took 3 drops of 1st dec. dil. first, second, and fourth days; 33a, same, took crude alcoholic solution of P.; 34, Otto R., aged seventeen, took 1 to 5-drop doses of 1st dil. for nearly three months, with interruptions; 34a, same, took repeated doses of 2d. dil.; 34 6, same, took again 1st dil.; 34c, same, took again 2d dil.; 34d, same, took again 1st dil.; 35, G. Muller, took 1st dil. daily for four days; 36, “R.,” aged twenty, took 3 to 10-drop doses of 1st dil. every morning, and after some days took 5- drop doses of 2d dil.; 36 a, same, took 2-drop doses of alcoholic solution of P.; 36 6, same, took 2d dil.; 37, Carl Schenk, aged twenty-seven, took one dose, 3 drops, of alcoholic solution of P.; 37a, same, took repeated doses of 1st dil.; 37 6, same, took various doses of 3d dil.; 37 c, same, took 2d dil.; 37 d, same, took again 1st dil.; 38, Rosalie B., aged seventeen, took 3d dil. every morning; 38a, same, took 2d dil.; 39, Miss T., aged thirtytwo, took 3 drops of 25th dil. daily for three days ; 39 a, same, subsequently took 11th dil.; 39 6, same, took 2d dil., repeated doses; 40, Madame L., aged thirty-two (suffering from anteflexion uteri), took repeated doses of 2d dil.; 41, Miss S., aged twenty-three (habitually suffering for eight days before menses with restless sleep, bad dreams, and the day before with cramp in calves and in abdomen, great pain in back ; usually passed first menstrual day in bed ; menses last eight or nine days; evacuation of bowels difficult; stools hard), took 1st dil., beginning eight days before menses, daily for a week, 3 to 7-drop doses ; 42, Dr. Sore, took 1st dil. first, second, and fourth days; 42a, same, 1st dil. first, third, and fourth days; 426, same, 1st dil., one dose, first and second days ; 42 c, same, 3d dil., one dose; 42rf, same, 3d dil. first and second days; 42e, same, 2d dil. first and second days; 42/, same, 1st dil. first and third days; 42 9^, same, 4th dil.; 42 6, same, 1st dil.; 43, E. R. Heath, took 5 drops of tincture. Am. Horn. Rev., 5, 215, 1865; 44, Robinson, provings, Br. J. of Horn., 25, p. 327, 1867, “an old male took of a solution of one globule of the 30th dil. in 8 ounces of water, a dessertspoonful every third morning ;” 45, same, a young female took a globule of 1st dec. dil. four times a day for eight days; 46, same, a young female took 3d dec. dil. three times a day; 47, same, a female took 30th dil. night and morning; 48, same, H. R., took 20 to 50 drops of tincture at bedtime; 49, E. W. Berridge, M.D., N. Am. J. of Horn., 1875, p. 379, proving of Dr. David Wilson with one dose of “C.M., Fincke;” 50, Dr. H. Noah Martin’s provings, Hahn. Mouth., 12, p. 353, Dr. Kirk’s proving with amorphous Phosphorus; 51, same. Dr. Gumpert’s symptoms; 52, same, Dr. Hand’s symptoms ; 53, Alphonse Le Roy, Mem. de Sac. Emulation, Paris, 1797 (from Sore), provings on himself with a solution of P. in Theriacum, effects of 2 to 3 grains (same as No. 20, T. F. A.); 54, Wedgel, Inaug. Diss., 1797 (from Sore), proving on himself with 1 grain dissolved in oil (same as No. 26); 55, Bouttaz ffro'n Sore), took of a solution of 4 grains in 4 drachms of Naj)htha vitriol, 20 drops every two hours (same as No. 12); 56, Worse, a man, twenty-eight years old, took 1^ grains in hot water, and, experiencing no effects, three days afterwards repeated the dose, death on ninth day, Mem. luc a la Sac. Med. d’Emulat., Paris, 1825 (from Wibmer); 57, Diffenbach, Fror. Noticed, 23, No. 493 (A. H. Z., 74, 77), an apothecary took, as an experiment, 1 grain of P., triturated with sugar, first day, 2 grains second day, 3 grains third day; 58, Grobenschutz, Med. Zeit. Ver. Preuss., 1843 (Frank’s Mag.), poisoning by Phosphorus paste in food ; 59, Shepherd, Lancet, 1843, 1, p. 435, effects of sucking matches, in a child two and a half years old (fatal) ; 60, Lafargue, Loud, and Edin. Med. Journ., 1843, effects of sucking matches, in a child six mouths old; 61, Huss, from a work on Chronic Alcoholism, effects of inhaling vapor of P. (Hempel’s Mat. Med., 1, 722); 62, Strohl, Gaz. Med. de Strasburg, 1845, effects on a workman in a match factory; 63, same, in a woman; 64, same, in a woman; 65, same, in a woman; 66, same, general effects; 67, Russel, Mem. de la Acad, des Sc., effects on workers in match factories; 68, Belfour, Northern J. of Med., effects in workers; 69, Neumann, Preuss. Ver. Zeit., 1846 (S. J., 53, 212), effects of working four years in a match factory, in a healthy girl; 70, same, a girl, aged seventeen, worked seven years; 71, same, in a woman, aged twenty-seven, who worked two years; 72, Lorinser, S. J., 53, p. 76, effects of fumes of P. on workmen ; 73, Annal. de Therap., 1846 (A. H. Z., 33, 57), effects of fumes of P. on workmen ; 74, Plural, Oest. Med. Woch., 1846 (Br. J. of Horn., 6, 284), effects of playing with matches a great deal, in a girl; 75, Dr. Walker, Br. J. of Horn., 4, 287, effects on a workman ; 76, Bibra and Geist, Br. J. of Horn., 11, 116, observations of Generic on workers, mostly women; 77, same, a woman, aged thirty-four; 78, same, in a man; 79, same, in a man, after working nine months {no phthisical predisposition); 80, Sunderlin (Sorge’s Mon.), took i grain in oil; 81, Bibra and Geist, Br. and For. Med.-Chir. Rev., 1848, p. 446, effects on Barbara Klein, aged twenty-two, a worker in P.; 82, Simon, Lancet, 1850, Val. 1, p. 44, effects on a worker for twelve years; 83, Russian Med. Zeit., 1850 (S. J., 70, 97); 84, Easier, Journ. de Toul, 1851 (S. J., 74, 168), effects of a large amount of rat poison, in a girl; 85, Buoyant, Gaz. des Hop., 1851, effects of a large amount of P. paste, in a man ; 86, Bell, Pharm. Journ., 1852-3, 12, p. 517, effects on a woman, worker in match factory ; 87, Weihe, S. J., 82, 87, general effects; 88, Lewinsky, Zeit. d. K. K. Gesell. d. Aerzte zu When, 1853, effects of P. from matches, in a girl, aged twenty-two; 89, Deity, Wurt. Corr. Bl., Val. 22, A. H. Z., 48, 176, effects of P. fumes; 90, Marcy, N. Am. J. of Horn., 1855, p. 94, proving by inhaling 3d dec. dil., in a woman, aged twenty-two, inhalation repeated daily for several days; 91, same, another prover by inhalation ; 92, same, a third prover; 93, Cabot, Bost. Med. and Surg. Journ., 1855, p. 268, effects in a female worker in P.; 94, Campana, Journ. de Chim. Med., 1855 (S. J., 101, 145), poisoning by matches; 95, Marchand, Gaz. des Hop. (Bost. M. and S. J., 53, p. 323), effects of P. paste in soup, on a man, death on third day; 96, Muller, A. H. Z., 50, p. 163, effects on a woman of about 3 grains, scraped from matches; 97, Flugel, S. J., 90, 297, Vjs. f. Ger. Med., 1856, poisoning by matches; 98, Wood, K Y. J. of Med., 1856, p. 312, worker in P.; 99, Leudet, Archives Gen. de Med., 1857 (N. Am. J. of Horn., 7, p. 137), poisoning by matches; 100, same, in a woman; 101, Niche, Dubl. Hosp. Rep., 1857, from Zeit. d. K. K. Gesell. d. Aerzt. z. Wien., poisoning by matches ; 102, Krans, All. Wien. Med. Zeit., 1857 (from. Sore), poisoning by matches; 103, Elwert, A. H. Z., 53, 171, poisoning by matches; 104, Halse, Am. J. Med. Sc., 1858, p. 357, worker in P. factory; 105, Coover, Br. Med. J., 1858, p. 846, two children poisoned by matches; 106, Tueffard, Journ. de Chim. Med., 1859 (S. J., 104), poisoning by P.; 107, Rokitansky, Wien. j\Ied. Zeit., 1859 (S. J., 105,170), a girl poisoned by matches; 108, jMertens, J. de Chim. Med., 1860 (S. J., 107, 171), effects in a man of rubbing some P. paste into a cut in the finger; 109, Kopp, All. Wien. Med. Zeit., 1859 (S. J., 105, p. 297), a girl ate six packets of matches; 110, Kaspar’s Vjs. (from Sore), poisoning of a woman by P. paste; 111, Idler, Annals of Berlin Charities, 1860, a woman drank an infusion of a thousand matches, repeated next morning and evening; 112, von Haff, Wurt. Corr. Bl., 1860 (S. J., 109, 41), effects in three persons of eating soup containing Phosphorus paste; each received about 3 grains of P., first case; 113, same, a boy, aged six years ; 114, same, a girl, aged four; 115, Paul, Edin. Mouth. J., 1860, p. 388, effects in a girl, aged twenty-six, of Ph. in coffee, death on the eighth day; 116, Lilienthal, N. Am. J. of Horn., 9, 448, effects of working in a match factory; 117, Frickhoffer, Nassau Med. Jhrb., 1861 (S. J., Ill, 24), poisoning by a solution of matches; 118, L’Union, 12, 201, tox. by a solution of matches; 119, Ogstou, Br. and F. Med.-Chir. Rev., 1861, p. 350, tox. by scrapings of matches; 120, Cutler, Bost. Med. and Surg. J., 66, 393, a child, aged two, ate P. from ninety-two matches; 121, Page, Med. Times and Gaz., 1862, effects on a man working in P.; 122, same, second case; 123, Lewiu, a girl ate tops of a thousand matches, Med. Times and Gaz., 1862; 124, Adams, Med. Times and Gaz., 1862, a worker in P.; 125, Sore, a woman poisoned by matches. Surge’s Monograph; 126, Wagner, Archiv de Heilk., 1862, a girl, aged thirteen, ate P. paste; 127, Gallavardin, Annals d’Hyg. Oblique, 1855, poisoning of a man by P. mixed with food ; 128, Hering, Med. Corr. Bl.. 1862, a woman, aged thirtytwo, poisoned by one hundred matches; 129, Fritz, Archiv Gen. de Med., 1863, a girl poisoned by paste scraped from sixty matches; 130, Fritz, Ranvier and Verliac, Treatise on P. Poisoning, Paris, 1863, poisoning by matches; 131, same, another case; 132, Bucquoy, L’Union Med., 1863, poisoning of a woman by matches; 133, Laucereaux, L’Union Med., 1863, poisoning of a man by matches; 134, same, poisoning of a man by P. paste; 135, same, poisoning of a girl, aged twenty-two, by matches; 136, same, a man poisoned by matches; 137, Richardson, Br. and F. Med.-Chir. Rev., 1863 (from Tuengee), effects observed in nineteen cases of poisoning; 138, Karrajan, A. H. Z. Mon. Bl., 8, 29, a man took a solution in beer of eight packets of matches; 139, Fraser, Med. Times and Gaz., 1863, a woman took P. paste; 140, Guillabert, L’Art Med., 13, 311, a girl of eighteen took a solution of matches in hot water; 141, Maunkoff, A. H. Z. Mon. BL, 8, 16, a woman of twenty-three took an infusion in cold water of one thousand matches (10 to 12 grains of P.); 142, same, a woman took an infusion of about three thousand matches; 143, same, a man took an infusion of one thousand matches in coffee; 144, same, a woman poisoned by one thousand matches in coffee; 145, Ozanam, L’Art Med., 19, p. 146, a woman took P. scraped from one hundred and twenty matches, death seventh day; 146, Woodman, Med. Times and Gaz., 1864, poisoning of two

Mind p. 369

24 women by P, paste; 147, von Bunan,Vjs. f. Ger. Med., 1864, poisoning by P. in milk ; 148, Levi, Gaz. Hebdom., 1864, effects of eating matches; 149, Memorabilien, 1864, p. 245, effects of eating matches; 150, Guillabert, Gaz. des Hop., 1865, a woman poisoned by matches; 151, Ogle, Med. Times and Gaz., 1865, effects in a worker in P.; 152, Hunt, Am. J. Med. Sc., 1865, p. 353, a worker in matches; 153, Drug, Archiv de Heilk., 1865 (A. H. Z., Mon. Bl., 12,54), a girl, aged fifteen, ate two packets of matches ; 154, same, another case; 155, Mezer, Virchow’s Archiv, 1865 (S. J., 136, 209), effects of eating matches; 156, Pastau, Virchow’s Archiv, 1866 (A. H. Z., Mon. BL, 13, 24), a woman took a solution of eight packets of matches in hot water; 157, Hessler, Archiv f. Ger. Med., 1866 (S. J., 136, 209), a child poisoned by matches; 158, Blix, Gaz. Hebdom., 1866 (S. J., 136, 209), a man took Phosphorus; 159, same, a man poisoned by matches; 160, Heschel, When Med. Woch., 1866, poisoning by matches; 161, Habershon, Med.-Chir. Trans., 1867, a woman, aged twenty-eight, drank a solution of rat poison ; 162, Hillier, ibid., a child sucked matches (about twenty-four) ; 163, Muller, Inaug. Diss., Berlin, 1867, poisoning of a woman, aged twenty-two; 164, same, another case, Ph. in hot coffee; 165, Pestle, L’Union Med., 1867, a man poisoned by soup containing matches; 166, Lett, Wurt. Corr. BL, 1868 (Br. and F. Med.-Chir. Rev., 1869, p. 542), a woman, six months pregnant, ate ends of matches; she died in six Lours, an hour after delivery ; 167, Weihe, Inaug. Diss., Berlin, 1867, a woman poisoned by matches ; 168, Rummel, H. and P. Zeit. f. Med. (S. J., 144, 31), a woman poisoned by matches; 169, Gross, Inaug. Diss., Berlin, 1867, a man poisoned by matches; 170, Maschka, Prag. Vjs., 1867 (A. H. Z. Mon. BL, 16, 58), a girl, aged twenty, took infusion of matches in hot water; 171, Guenzler, Med. Corr. BL, 1867, p. 68, a woman poisoned by matches; 172, Taylor, Guy’s Hosp. Rep., 1868, p. 242, a girl of thirteen poisoned by Ph. rat poison, death on sixth day; 173, Fournier and Olivier, L’Union Med., 1868, No. 86, a girl, fourteen, employed four years in match factory; 174, Dujardin-Beaumetz (N. Y. Med. Journ., 1868, p. 534), effects of small doses; 175, Matthieu, Preuss. Med., 1868 (S. J., 144, 31), a man took a lot of matches; 176, Haselhorst, Inaug. Diss., Berlin, 1868, a boy of seventeen poisoned by matches; 177, Huber, Deutsche Archiv f Khu. Med., 1868, p. 611, a man poisoned by P. paste ; 178, same, a man ate food containing P. paste; 179, Concave, Bovista Clin., 1868 (8. J., 144,31), poisoning by matches; 180, Thiersch, Archiv de Hejlk., 1868 (A. H. Z. Mon. BL, 18, 57), general P. necrosis in workers; 181, Lenftleben, Virchow’s Archiv, 36. 520, poisoning by application of P. in oil to a raw surface; 182, Waterhouse, Br. Med. Journ., 1869, 2, p. 454, a girl took P. paste, recovery; 183, Kay, Lancet, 1869, 1, 836, a woman took an ounce of P. paste, death on third day; 184 to 189, Porte, Inaug. These, Paris, 1869, cases of P. necrosis; 190, Schultz and Reiss, Annal. des Charity Krankenhauser, Berlin, 1869, a man poisoned by an indefinite amount; 191, same, another case; 192, same, a girl poisoned by three hundred matches; 193, same, a girl took five hundred matches; 194, same, a woman took same; 195, same, a girl took one thousand matches; 196, same, a girl took one hundred matches; 197, same, five hundred matches; 198, same, a large number of matches; 199, same, a man took one thousand matches; 200, Ebstein, Archiv de Heilk., 1869, a woman took an infusion of matches; 201, Knoevenagl, Berlin Khu. Woch., 1869, a woman took an infusion of matches; 202, Large, Berlin Khu. Woch., 1870, a man took an infusion of matches; 203, Koller, ibid., poisoning by two hundred matches; 204, Hartmann, Archiv de Heilk., 1871, a woman took a solution of matches in wine; 205, Andant, Journ. de Therap., 1871, matches in soup, effect on a woman; 206, same, on the son; 207,* Anderson, Lancet, 1871, 2, 189, a child sucked the heads of matches; 208, Rommeljere, Traite de P. Intox., Bruxelles, 1871, girl, aged seventeen, took infusion of matches in coffee, cured by turpentine ;t 209, same, another case, poisoned by matches, cured by turpentine; 210, Anstie, Practitioner, 1873, 11, 103, a man, subject to migraine, took three pills, each containing g'^th grain of P., daily for about a week; 211, Wagner, Virchow’s Archiv, 55 (B. J. of Horn., 31, 29), poisoning by P.; 212, same; 213, Sharp, Essays on Med., p. 720, took twice 1 drop of P., 1st cent, dil.; 214, Biermer, Corr. Bl. Schweiz., 1873, p. 269, poisoning of a woman by matches; 215, Jacobson, Deutsche Archiv f. Pr. Med., 1874, p. 467, poisoning of a woman by matches; 216, Courtenay, Med. Times and Gaz., 1876, p. 461, child poisoned by P. paste; 217, Morse,U. S. Med, Invest., 1876, p. 488, effects of inhaling the fumes of burning P.; 218, Goullon, Int. Horn. Presse, 10, 496, a man engaged in packing a large quantity of matches; 219, same, a woman poisoned by eating matches; 220, Tardieu, Empoisonnement, a girl, aged nineteen, poisoned by matches; 221, same, D’Hielly, a girl, aged twenty-three, poisoned by matches; 222, same. Bridle, These, Paris, 1860, a girl poisoned by matches; 223, same, a woman poisoned by matches; 224, same, a woman, two months pregnant, poisoned by matches; 225, same, Tungel’s case of a woman poisoned by matches; 226, same, Tungel’s case of a man poisoned by matches; 227, Breton, These, Paris, 1865, a woman poisoned by matches; 228, Pallad, Annal. d’Hyg., second ser., vol. 31, a woman poisoned by matches; 229, Pittard, Hosp. Gaz. and Archives of Clin. Surgery, 1877, p. 294, effects of tri-daily doses of y^th to Jo-lh grain of P. given for psoriasis; 230, Boring, N. Orleans Med. and Surg. Journ., 1854, experiments on a healthy negro boy with tincture, doses drop to 500 drops (only immediate effects on pulse reported ; those not showing any deviation from health are omitted, T. F. A.); 231, same, experiments on a healthy man, 10 to 200-drop doses, omitted ; 232, Bemis, N. Orleans M. and S. journ., 1867, effects of a box of rat poison, in a woman.

Mind p. 371

Emotional, ^Violent delirium, at first alternating with intervals of consciousness, afterwards interrupted; this delirium, which preceded death, was erotic, with indications of great excitement of the sexual system, followed by stertorous respiration and death

About 6 p.m., violent delirium supervened; the patient became restless, wished to get out of bed, and at last had to be tied (fourth night) ; towards morning, delirium gave place to coma, and he died after a short agony, at 7 a.m. (fifth day)

Sudden delirium, followed by a comatose state, interrupted by occasional screams (ninth night); delirium (tenth day)

Delirium, with fear of death, carphologia, and shrill cries, with at times stiff bending of the body backward

Violent delirium (with intense icteric color of the skin), (fifth day); this lasted till after the seventh day ; the patient forgot to pass water, respiration was very difficult, the pulse very small, skin dry, tongue imcrt

Violent delirium (fourth day)

Mania (after five days)

Delirium, in which the patient got out of bed and was found lying on the floor, screaming frightfully and tossing about

Delirium, with constant attempts to escape ; it was necessary to confine the patient to the bed ; this was followed after some hours by complete unconsciousness, with sunken face, -.- Delirium, with loud screaming, followed by death (fourth day)

Delirium, with fearful cries, striking and biting about him, so that four or five persons were required to restrain him

Delirium (fourth day) ; dozed off frequently, but only to lapse into a semi-delirious state (sixth day) ; a peculiar phase developed itself in his delirium ; wherever he turned his eyes he saw faces ; they swarmed by him in long panoramic succession; they leered at him over the footboard of the bed; they squinted at him through the windows, or came trooping in when the doors were left ajar; he would watch these apparitions for hours, complaining that they would not let him sleep (eighth day) ; the haunting faces of the previous hallucination had disappeared, and he fancied he was some one else, or that he was in several pieces and coidd not get the fragments properly adjusted (tenth and eleventh days)

Delirium, followed by coma and death

Delirium ; the patient tried to get out of the room and out of the house (second and third nights)

Slight delirium just before death (eighth day)

In some cases, evidence of delirium and coma

Delirium, with restlessness, on the last day

Died delirious, with symptoms of paralysis

Delirium at times (third day)

* Delirium (ninth day); (after ten to twelve days); (ninth day)

Slight loquacious delirium (fifth day)

* Loquacious delirium (fifth day)

Exhilaration of the spirits

Foolish, disconnected talking, followed by quiet delirium, with lucid intervals

Attempts to jump out of bed, symptoms of excitement alternating with sopor (tenth day)

The patient became very much confused in mind, sang, cried aloud, passed urine and faeces involuntarily (fifth day)

Succession of piercing screams and strong clinching of the hands (fourth day)

Constant frightful screaming and biting, and tearing the pillow with the teeth

Involuntary starting on some one’s opening the door; noise very troublesome to me (after second dose, second day)

Extreme excitement, with very great heat, great thirst (seventh day)

Great excitement; she sang, laughed, and afterwards fell asleep ; on the next morning woke with great anxiety (after half an hour)

Great emotional excitement (fourth day); (second day)

Great emotional excitement, without any cause

Excited by every trifle

Excited and passionate, almost without cause

Excited mood (first day)

General excitement, followed by delirium, and afterwards by somnolency, afterwards again by delirium (third day)

* Told those about him repeatedly that he coidd not possibly recover, and gave some disjointed directions about his business affairs

Reveries, with preoccupation of mind (fifth day)

As the darkness of night began to inclose the earth, ray peace was disturbed by the most frightful visions and thoughts; constant fear of death, with, an almost uncontrollable desire to commit suicide (after twenty-four hours)

Delirious fantasies, while slumbering and waking, as if she were on a distant island; had a great deal of business, was a noble lady, etc.

Very vivid fancies, caused by reading a foolish story, so that I was obliged to make earnest exertion to do my work

Such vivid fantasies usually in the evening, that the presence of disagreeable things caused shuddering

Passionate, at times

* Shamelessness; she uncovers herself and wishes to go naked, as if insane

Imagines he has hydrothorax

Patient, apathetic, delirious at times (fourth day)

The patient was apathetic and sluggish (third and fourth days) ; on the fifth day became agitated, continuing through the sixth day, when he became delirious, screamed without answering, always complained of pains, but did not designate the locality

* Great apathy, so that the patient was almost unwilling to talk

Patient lies apathetic, screams out how and then, so loud that it aroused all in the house ; at other times she is unconscious, gives no answer when called, though there are free intervals during which she recognizes those about her (ninth day); on the next day consciousness fails entirely ; on the eleventh day she regains consciousness, which she does not again lose

* Apathetic ; he answers very slowly, moves very sluggishly

apathetic; at times tossing about the bed and moaning (sixth day)

The mind that had been clear to the tenth day became confused, the patient became apathetic, followed by death

* Apathy (fourth day); (after five days)

Joyfulness

Was obliged to laugh against her will while she was sad

* Spasmodic laughing and weeping

Freedom of mind, good humor, with agreeable warmth of the whole body, especially of the hands, that are quite red from rush of blood; everything seems brighter to her (second day)

Very good-humored, especially in the afternoon

Lively, good-humored ; she sings and hums to herself

Hypochondriac

Morose, very much affected by every object, especially by people or noises

Morose and indolent

Inconsolable grief, with weeping and crying, in the morning (after five days)

Moaning and groaning

Cried loudly in bursts (sixth day)

Moody, melancholy, and violent weeping, towards morning, on waking from a dream, that caused depression of spirits; he could not stop weeping or get quiet, but continued to moan for. more than a quarter of an hour

* Melancholy

Sadness and melancholy, as if some misfortune had happened (after fourteen days)

* Sadness in the Twilight, for several evenings in succession, at the same hour

* Filled with gloomy forebodings (sixth day)

Great sadness

* Weary of Ute

Sad and ill-humored, though not weeping

Sad mood and very susceptible to emotional disturbances, especially to apprehension, through the whole proving

* Sad, apprehensive, despondent

* Sad, silent, reflective

* Sad and despondent for a long time

* Sad, depressed

Mental depression, and a most uncommon fearfulness or timidity, with a great sense of fatigue (fourth day)

Great depressions Great defection (after five days)

* Depressed, mood, despondent

* Very much depressed in spirits, with disinclination to work, without cause (seventeenth day)

* Despondency (fourth day)

My mind was greatly oppressed with melancholy; tears would start without cause; a feeling of dread, as if awaiting something terrible, yet unable to resist or move, overcame me ; sometimes it seemed as if I was beginning to bloat, and then I could hear a multitude of voices saying in high glee, “Fill him up a little more and he will burst followed by demoniacal laughter, which made the cold chills run over me. I imagined myself an aurora borealis, and could distinctly hear voices shouting Beautiful! Oh, was not that splendid?” as the pains became more severe and lasting; soon, however, the agony became so great that it threw off in a measure the stupor that clouded my senses (after five hours)

Anxious oppression

* Didl and oppressed, ill-natured

When thinking of anything disagreeable, he falls into a kind of apprehension, the sensation of which is mostly in the pit of the stomach

Apprehensive, as if she were grieving about something, frequently recurring

Increasing anxiety and restlessness (after three days)

Great anxiety

Internal anxiety

Anxiety; oppressed, as if I had heard unpleasant news

* Anxiety and restlessness, with much sweat on the forehead and heat of the head.

* Great anxiety and irritability when alone

Great anxiety and restlessness, immediately, in bed, in the evening

She woke every morning with anxiety

* Attack of anxiety, as if below the left breast, that was so painful that her whole body trembled, -at times with bitter eructations and palpitation

She is made anxious by a disagreeable event, mingled with fear and vexation, and is inclined to weep

Anxiety all night, without heat, as if he had murdered some one, with constant tossing about

Much anxiety, in the evening (after eight days)

* Anxiety, as if he loould die, at times, in the evening (first day)

Anxiety, as from impending misfortune

Anxiety and heat

Anxiety

Anxiety and internal restlessness, without grounds therefor

* Anxiously solicitous concerning the unfortunate termination of her illness.

Discouraged about his health

[HO.] Anthropophobia

Horrible fearfulness, late in the evening, as if a horrible face were looking out from every corner

* Fear and dread, in the evening

An indescribable feeling of fright

Very easily frightened.

Frightened feeling, as if I was about to be run over by a locomotive

The world was frightful to him, only weeping could relieve him ; soon afterwards complete dulness and indifference

* Did not like to be alone

Felt nervous, as if I ivere going to diet

Very ill-humored

Ill-humor during the last days of the proving; she became exceedingly sensitive to the crying of a child, which affected her very unpleasantly, which had never before been the case

Ill-humored (third day)

Very bad humor, even under the best circumstances

Ill-humored and fretful

He woke very ill-humored every night after midnight

Out of humor with everything, sad, fretful

Very irritable mood; every ^Yord excites her and she becomes despondent on account of it

* Very irritable mood

* Very irritable and fretful mood (second day)

Very irritable and excited mood, so that she was excited by the least trifle

Mental irritability, uncommon vehemence in argument (third day)

Irritable and peevish

Very peevish before dinner at the merest trifle, followed by a sensation of heat and then pressure in the stomach; afterwards nausea, with much heat in the face, and complete loss of appetite

Very peevish, and unable to forget the cause of vexation

Very peevish, in the forenoon

More peevish than ever

* Felt exceedingly petulant alt day ; nothing went right; felt as dissatisfied with myself as with others; seemed as if everybody said or did something to provoke me

Very much affected, even by a slight vexation

Vexation causes violent anger and rage

Great vexation from the slightest cause, with cold hands, hot face, and palpitation

Vexed, so that he was beside himself at every trifle

She is very easily vexed

Very easily provoked to anger

Obstinate

Tenderness (secondary action)

Tender mood

Very capricious, sensitive

Indifferent to her child, of whom she was usually fond

Extremely discontented

Discontented and irresolute

My wants were numerous and varied

* Great indifference to everything

Feeling of indifference, with prostration and heaviness of the head, in the evening (first day)

Indifferent mood (first day); (fifth day)

Indifferent

Intellectual, ^Increased activity, during the first days,'®.f

* My mind became very clear; I could remember with the utmost distinctness my past life; orations delivered during college days I could rehearse word for word, and tell the day and circumstances attending their delivery; lectures I had heard years before came before my mind (after twenty-three hours)

Rush of ideas that were difficult for her to put in order

Distracted in mind, though inclined to work

* Disinclined to work, and unhappy, though without confusion of the head, ^Disinclination for every work

* For one or two months there was very great indisposition to mental or physical exertion, much more marked than that which almost every one feels and knows under the name of spring fever

Disinclination to study or converse

* Disinclination to study

* iVo inclination to work

Aversion to thought or mental activity

* Inability to think

* Could not study nor keep his mind on any particular subject long at a time

* Slow flow of ideas, absence of mind.

Forgetful and dizzy

Forgetful and stupid, so that he did something quite different from what he wished

Loss of intelligence (tenth day)

Conciousness remained perfect to the last

Seems stupid, at night, on waking

Patient stupid, tossing about the bed, frequently rising up, and calling out the names of people

* Stupid (fourth day)

The patient is very stupid; at times screams out without apparent cause (sixth day)

* Stupefaction (third day),’’‘; (fourth day)

Stupefaction, followed by death

* Lay most of the time in a stupor, from which he could be roused, however, for an instant, only to lapse back into low muttering lethargy (tenth and eleventh days)

Recognized no one (after seven days)

Frequently failed to recognize those about (tenth and eleventh days)

* Loss of senses, as if he could not grasp any thought, with headache

Unable to collect his senses, in the morning on rising; the head is dizzy, heavy, and painful, as if he had been lying at night with the head too low

took no notice of things ivhich were passing about him, but his responses were always correct (third day)

* Seems dumb and dazed for many days,'-.

Consciousness impaired (fourth night)

Seemingly unconscious, and perfectly quiet, except when, at intervals of from two to three minutes, tetanic spasms with opisthotonos occurred (after one hour),’®®

Senses impaired ’®

The period of twelve days was to the patient almost a complete blank; he remembered scarcely anything which occurred during that time

* Unconscious (sixth day)

Loss of consciousness, and quiet, alternating with restlessness (eleventh day)

Sudden loss of consciousness, with screaming, attempts to escape, biting and sobbing by paroxysms, after which she lay quiet for some time (fifth day)

Unconsciousness, with convulsions and black vomiting (followed by death)

Sudden loss of consciousness, restlessness and tossing about the bed, groaning and crying aloud, pulse 140, followed by collapse and death, after five days

Entirely unconscious, with throwing of the hands and feet about the bed (fourth day),’®®

She soon became unconscious, and so remained for over twenty-four hours; during this condition she frequently changed her position, often drew her legs up against the abdomen ; there was a low temperature, 31.2° in the axilla, 31.8° in the anus. The patient was completely apathetic, pupils insensible to light, pulse small, thready, 80, respiration 30, inspiration short, expiration long and stertorous ; the heart gradually became weak, and the patient died

Loss of consciousness, coldness; followed by convulsions and death (fourth day)

Sopor, with great restlessness, followed by coma and death

After the cessation of the sickness, the child lay in a drowsy, stupid, and comatose condition, till within a few hours of its death, when it was seized with convulsions, and died in one of the paroxysms

She continued getting more drowsy, and died comatose (third day)

The patient became partly comatose, although the intellect was not impaired, shortly before death

Coma, followed by death

Prostration, followed by coma and death

Comatose state, cries, trismus, death (eleventh day)

Coma (fifth day); (ninth, tenth, and eleventh days); (fourth day)

Heath p. 376

Confusion, with dulnessand pressure in the head, without real pain (second day)

Confused uncomfortable feeling in the head, in the morning, after rising

Confused headache, as in impending coryza

Long-continued confusion of the head, as if he had not slept enough

* Confusion of the head

The head became so confused, after dinner, that she could scarcely collect her senses

Head dull, confused (after four days)

Confused feeling in the head (fifteenth day)

Violent vertigo, in the evening, while walking; everything seemed to turn about; while standing it disappeared, and returned while walking

Vertigo, so violent at noon that he came near falling from a chair

Transient but violent vertigo, in the evening, lasting ten seconds

Attack of vertigo, so that he did not know exactly where he was, every day, after dinner

* Vertigo several times a day; she staggered ivhile waticing, so that people might think her intoxicated

Vertigo, followed by nausea and pressing-downward pain in the middle of the brain, with stupefaction, and sensation as if he would tumble down, in the morning and after dinner; then, in the afternoon, nausea, heartburn, red face, and sensation as if something were seated in the throat, with sadness and weeping without cause ; in the evening, mistiness before the eyes and itching of the eyelids

* Vertigo, in the morning, constantly increasing, like a heavy pressing downward of the forepart of the head, with a faintish nausea, and on stooping, blackness before the eyes, with much sneezing, lasting till evening, relieved in the open air (after seven days)

* Vertigo, in the morning, after rising from fted

Vertigo, so that he tumbled about, in the morning, after rising

* Vertigo, in the forenoon ; also while walking everything turned around with her; she staggered, and did not have a firm step

Vertigo, frequently at noon, so that on going out he had to take great care to prevent falling

Sensation of vertigo, in the afternoon, as if the chair upon which he was sitting was much higher than usual, and as if he were looking downward, followed by a hypochondriac mood, with sleepiness and weakness, lasting till towards 9 p.m.

A kind of vertigo, after eating, in the evening; objects seem partly dark and invisible, with flickering zigzags and rings before the eye, preventing vision ; the head seems to turn around ; he does not really know whether he is really sitting upon the chair

Awoke with violent vertigo and nausea, about 10 p.m.,’®.

Vertigo, with headache, and accumulation of much saliva; she was obliged to spit a great deal, for three days

Attack of vertigo, as if it turned him around ; afterwards he found himself standing, with outstretched arms, as if he had attempted to take hold of something to steady himself

On closing the eyes, vertigo, as if she were whirling around

The vertigo which she had at times, in a very slight degree, became much more frequent and persistent, so that for several hours she felt as if intoxicated

Vertigo, with dulness or stupefaction of the head, as if her senses would vanish, at times, on coming into a warm room from the open air

Vertigo, on rising from a seat

Vertigo, as though the head were turning in a circle, in the evening, in bed

* A kind of vertigo, as though all the blood rushed to the head, on turning over, in the evening, in bed

Vertigo, on stooping, with chilliness and nausea, from time to time

Vertigo, on suddenly turning and raising the head

* Vertigo, with slight headache

* FeWtyo; (second morning^); (sixteenth day)/*^ etc.

Vertigo; he was obliged to lie down for several days, because as soon as he made any effort to rise the vertigo returned

* Vertigo in the head and roaring in the ears, on rising (tenth day)

Vertigo, with some headache

Vertigo, with trembling

Vertigo, with exhaustion (third day)

Vertigo, with blackness before the eyes

Vertigo, after eating (after three hours)

Vertigo, on rising from dinner (after nine days)

Painful dizziness, eight mornings in succession

Very dizzy and near fainting, after a second stool

Dizziness, with violent headache, shivering, and chill, without thirst, alternating heat in the head, shivering, and discomfort over the whole body (after thirty-six hours)

Dizzy attack ; if she turned herself once she did not know where she was, the same after stooping, in the forenoon

Dizziness in the head, on moving

Dizziness, in the morning, after waking, so great that she had to be assisted from bed

Dizziness, in the evening, in bed

Dizziness, with a feeling of lightness in the head following it, increased in the afternoon

Slight dizziness, with sensation as if the muscles, in walking, would lose their equilibrium (after first dose, second day)

Feeling of lightness in the head

General Head, Very heavy didl feeling in the head, after eating

* Great dulness of the head and vertigo, obliging him to lie down

Great dulness of the head, worse at noon, relieved by the repeated washing of the face with very cold water

Great dulness of the head, with some symptoms of coryza, without real pain or heat, relieved by washing with cold water, by cold air, or motion, worse on sitting and also on stooping

Dulness of the head, especially in the region of the frontal sinuses, in the forenoon; after dinner there was real stupefaction, with vertigo, so that she was obliged to lie down, associated with great feebleness of the whole body, with some cramps in the hollows of the knees

Dulness of the head and general exhaustion, so that she falls asleep while reading, during the menses

Dulness of the head, after eating

Stupid dulness of the head, worse in the fore and upper part of the bead

General slight dulness of the head

* Stupid feeling in the head

Head felt dull and heavy (after two days)

Dulness of the head; (fifth day); (fourth day)

Dulness of the head, with toothache

Dulness of the head, better in the open air

* Great heaviness in the head (after eighteen days)

Heaviness, powerlessness, and confusion of the head, in the morning

Heaviness of the head ; he saw as through a veil

* Heaviness of the head, with some vertigo

Heaviness and dizziness of the head, better in the open air

Heaviness of the head (first day)

Heaviness and warmth of the head

Heaviness and dulness of the head, with a sensation as if she had received a blow upon it

Great weakness of the head, so that she could not endure any sound of the piano

Weakness of the head ; when thinking about it the head aches

Weakness of the head; from laughing, stepping hard, or on stretching out the limbs, a throbbing and beating in the head, especially violent after sitting a long time

Feeling of fulness in the head

Fulness and confusion in the head

Fulness in the brain, not as if it were filled with blood, and without preventing thought

Fulness of the head, with stoppage of the ears, without diminished hearing, except on swallowing

Rush of blood to the head, with burning heat and redness of the face, while sitting

Rush of blood to the head, that could not be endured

Blood rushes to the head easily, towards evening

* Rush of blood to the head

Violent dull headache, with nausea, eructations, and accumulation of water in the mouth

Dull headache, as from studying too much, with some dizziness, that after thinking was not noticed, and apparently disappeared entirely

Dull headache, with a feeling as if he had not slept enough

* DuU headache

Heat of the head, with dull headache, in the morning

Dull headache, as after night watching

Dull headache and bad humor, in the morning, on waking, and after rising (second day)

Dull pain in the whole head, with dizziness, so that he could not hold up the head well, and at times could not see well; on turning the head the pain was aggravated, and extended down into the face, somewhat better on leaning it forward, without heat, with accumulation of water in the mouth and general prostration and sickly look; these symptoms continued to increase for three or four days, only somewhat relieved by sleep, until there appeared, in the middle of the forehead, an irregular circle, about as large as a half dollar, with a border half an inch broad, consisting of turgid skin of the forehead, which was warmer than the surrounding part; the redness disappeared on pressure, but immediately returned (eczema erytheinatosuin); in the middle of this circle there was an irregular round spot of normal skin; the diseased part of the skin was painless, but cold water and cold air caused smarting

Dull pain in the whole head, with some pressure in the eyes and sleepiness, while sitting still, in the morning (fourth day)

Dull pain, with heaviness of the head and perspiration

Headache, consisting of a sensation of heaviness, extending to the eyeballs, as if the head were drawn forward by a weight, with a feeling of fulness and heaviness in the face, as if too full of blood, like that after studying too intensely ; when the headache was the worst it was accompanied by drawing in the left side of the occiput; the headache was only transiently relieved by smelling of spirits of wine, and by shaking the head, aggravated by mental work

Pressive onesided headache, that disappears on walking in the open air (immediately)

Pressive headache here and there, changing to a pain, as if the surface of the brain were beaten and bruised

Pressive headache, or a confusion, with jerking or tearing in the head, every morning on waking, aggravated by motion

Internal pressive headache, mostly on the right side, as if the head were too heavy, with some dulness of the head, and tension in both cheeks, as from too much blood

Pressive and pinching headache

Pressive headache, deep in the right side of the forehead and parietal bone, with ill-humor, in the evening (first day)

Pressive headache, extending as far as the occiput, with a sensation of looseness in the brain, on stooping and rising again

Pressure in various places in the head, as if there were pimples under the skin

Pressure shoots back and forth in the brain

Sensation in the head as though heavily pressed upon

Violent headache, on riding (fifth day)

Violent headache, in the morning, lasting till noon

Violent headache, from stooping (in the open air), (after eleven days)

Headache while reflecting, in the evening

Headache, etc.

Violent headache; (third day); (fourth day)

Headache, that began immediately after lying down in bed, two evenings in succession

Headache at night, following nausea in the evening

Headache, with nausea, while lying, and as it disappeared a kind of vertigo

Headache with the fever (second day); headache (fourth day); with fever, in the afternoon (sixth day)

Headache above the left eye, with floating spots before the vision

Head hot; he complained chiefly of headache (first day); headache less severe (second day)

Headache returned on the fourth day, with great prostration

Constant aching in the heal/

Headache increases, in the afternoon

Headache when beginning to walk, and renewed by any, though slight, ration,h

Headache, from the slightest vexation,h

Mental application caused headache

Headache every day, after dinner

Headache, with dizziness, all day (third day)

The headache, except some confusion and stoppage of the ears, disappears almost entirely after dinner, while walking in the open air, but soon returns in a warm room

A little headache; lancinating darts through the forehead, at intervals (third day)

Drawing headache, in the morning, changing towards noon to a kind of vertigo, with flickering before the eyes, disappearing after eating, but returning about 2 oclock, with excited circulation, lively mood, and mental excitement; in the evening following, unusual weariness and exhaustion, with incapacity for any work

Constrictive headache, every other day

Constant and intense pain in the head (second day)

Pain in the head, with some vertigo

Pain, as if the head would burst, so violent that she wept aloud, from 6 a.m. till after lying down, in the evening

Violent pains in the head; (sixth day)

Pain; disturbance in the head

Bruised pain, or a beaten sensation, in the brain, from afternoon till falling asleep, in the evening, disappearing during sleep

Painful stupefaction in the head, in the morning, on waking, only disappearing some time after rising

Violent numb and dizzy sensation, with pressive pain in the head, disinclination and inability to work, especially to perform mental labor, and sleepiness; almost entirely relieved after lying quietly and partly sleeping, returning only after rising and moving about, with a feeling as if there were no firmness in the head, and with sore pain in various places in the head when touched, for several days

Complains that her head swims (after three days and a half)

Digging and burrowing in the head, from time to time, with dulness the whole day, extending more towards the right side and towards the nose, during rest and motion, and only relieved in the cool air

Anxiety and heat in the head, with red, hot hands, frequently recurring, and apparently relieved while standing

Sensation of heat in the head and moving about, as from a foreign substance

Uneasiness in the head, in the forenoon

Slight tearing in the head, especially above the right eye

Violent tearing in the upper part of the head, extending as far as the zygoma, in the afternoon, while sitting

Tearing stitches in various parts of the head (after five weeks)

Some stitches in the head, in the evening (after five hours)

Stitches in various places in the head, especially in the evening

Turning in the head, in the evening, while lying in bed; she could not lie, but was obliged to rise, followed by four diarrhoea-like stools, with violent shaking chill, and afterwards violent heat and sweat all over

Tickling in the head

Several jerks in the head, especially during a difficult stool

Sensation as if the brain stiffened, on remaining in the open air

Humming and tingling in the head, almost all day

Violent roaring in the head, mostly while sitting

Tingling in the head (after two hours)

Periodic Jerking-throbbing headache in the root of the nose, for eight days together, always about 9 oclock, extending also into the nose and eyes, most violent about noon, when she vomited

Vibration in the head, on talking loudly, so that he did not dare to talk loud

Pulsation in the head, in the morning, on waking

Throbbings in the head

Throbbing in the head, while lying down

Throbbing pain in and on the upper part of the head, especially on chewing, painful to touch

Takes cold easily in the head

The bead feels freer in the open air

Forehead, Dulness and heaviness in the forehead; the head falls forward, relieved in the open air and by wrinkling; the forehead, returning in the house, and aggravated by stooping,’®. Dull pain in the forehead, with heat

* DuU headache in the forehead, better in the open air

* Didl pain in the whole forehead, extending to the root of the nose and to the tipper lids, with some vertigo, aggravated by turning the head or by any violent motion

Pressure, extending from the right side ot the forehead to above the eye

Pressure in the forehead, extending towards the root of the nose

Pressing-out headache above the eyes, as if the forehead would come out, rather external (after twenty-four hours),’. *Pressive headache in the forehead, extending into the eyes, as if they would be pressed

Pressive headache in the forehead, in the evening,’.^ *Pressive headache in the forehead, above the eyes, two days in succession, fiom morning till night, with a burrowing in the upper part of the head (after four days)

Burning headache in the frontal region, at times, with nausea

Burning headache in the forehead

Distracting headache through the forehead and temples, with frequent sharp, shooting pains (fourth day)

Violent tearing pain in the outer and upper portion of the right forehead, as if she had received a blow; the pain seemed to be in the flesh ; sore when grasped

Tearing in the forehead, . Headache in the forehead, above the eyes, woke her every morning, and gradually disappeared after rising, twenty-one days in succession,’. Terrible headache, especially in the frontal region (first to third day),’“®. • Sticking headache in the forehead, during the menses; the eyes close; she desires to lie down

Frontal headache

Headache in the frontal region, with heat in the head, on waking, with disinclination to arise or move about

Violent drawing pain in the bone in the left side of the forehead, which seemed to be somewhat warmer than natural, without vertigo (first day)

Very acute pain in the forehead (second day)

Periodic pain in the forehead, mingled with stitches, especially in the left side, worse in the afternoon and evening

A fixed frontal pain, situated above the eyes (first night)

Pain in forehead,®’. Jerks in the forepart of the head, as if pieces of lead shook about in the brain,. Stitches, at times burning, in the frontal region, in the vertex, and on the side of the head, extending into the left side of the occiput, and into the temples, with, at times, a sensation as if one pulled on the hair, or as if the head would burst, at times after dinner or in the morning, mostly while sitting, and sometimes disappearing on rubbing

Slight stupefaction and headache in the forehead, between the eyes, disappearing after dinner, but returning an hour afterwards and lasting till evening

Transient crawling headache in the forehead

Swelling of the right temporal bone and upper jaw

Pressure in the right temporal region, beginning on waking, in the morning, aggravated by motion, especially by stooping, felt only in the house, and always disappearing in the open air

Pressive headache, alternately in the temples and on the top of the head, with a feeling of fulness in the brain, though not like an orgasm of blood (after two hours)

Drawing-pressive pain in both temples,®. At 10 A.M., neuralgic pain, from left temporal to occipital region,®®. Stitches in the right temple, in the evening (after a few hours)

Stitches in the temples, in the evening, with pain in the whole head

Tearing m temples, vertigo in the forehead, and throbbing, with stitches on the very;ex

Tearing in both temples, transiently relieved by pressure, almost immediately returning violently

Frequent jerking in the upper part of the left temple, followed by drawing to the side of the forehead, after dinner

* Throbbing pain in the temples, frequently for half an hour

Vertex (Ill Varietals. Pressive headache, here and there, in the vertex on the surface of the brain

[HO.] *Dull stupefying headache (on the vertex)

Cramplike drawing beneath the vertex, with stitches in the temples

Spasmodic contractive pain on the top of the head, in the afternoon and evening (after five days)

Pain on the vertex, as if congested

Stitches, as with needles, in the crown

Hammering and sticking on the vertex, coming from the forepart of the head

Throbbing in the vertex, also in the left side of the head, especially in the occiput

Dull pain in the left half of the head

Coldness in the left side of the head, with pain deep in the ear

A cold cramplike pain over the whole left side of the head

Pain in the right side of the head

Headache on right side, from mental application

Drawing-])pressive headache, now in the right, now in the left side, with dulness

Drawing pain in a small spot on the right side of the head, in the evening

Drawing pain in the right side of the head, deep in the maxillary, frontal, temporal, and parietal bones

Tearing-drawing pain in both sides of the head, with painfulness of the hair to touch, that occurs in the evening, and is aggravated at night (third day)

Violent tearing in the right side of the head, extending upward, in the evening, while sitting

Tearing in the upper part of the right side of the head, as if she were pulled up by the hair, whilesitting

Shooting from the side of the head towards the root of the nose, and to the ball of the right hand

Stitches in the right side of the head, for several days

Stitches in the left half of the head

Stitch in the right half of the brain, extending outward towards the right parietal eminence, followed by pressure and heaviness of the right arm (after five minutes, fifth day)

Pulsating pain, deep in the brain, in the right side of the head, in the evening

Throbbing and gnawing in the right i)parietal bone, as if in the bone, in the evening

Oecijtat. Dull pain in occiput, with fever and flushed face

Pain in back of head and left side of head, lasting from 3 to 6 p.m.

Heaviness in the occiput and nape of the neck (fifth day)

Heaviness, with pressive pain in the occiput (eleventh day)

The occiput and nape of the neck are painful and very stiff

Transient pressive pain, as if in the bone, in the side of the occiput (after twenty-three days)

At first sticking and then pressure, in the occiput, followed by violent throbbing in the forehead

Some stitches in the occiput, on the right and left side, without headache (after four hours)

Stitches in the occiput

Violent pulsation in the occiput (sixteenth day)

Pulsation in the occiput, on rising (tenth day)

External Head The hair falls out profusely (first days)

Falling of the hair; the roots seem dry

* A spot above the ear becomes bald (after twelve days)

Unnatural accumulation of dandruff

Itching pimples on the scalp, as painful as a boil to touch

The eruption on the head smarts and bites, with but little itching

Shiny, but not inflamed, painless swelling on the forehead, with a most violent headache above the eyes

Many scabs on the scalp, that sometimes itch (after eight days)

Soreness of the scalp on the crown of the head, increased by pressure (after one hour and a half)

Head still sore on the top (after seven hours)

Sensation as if the skin of the forehead were too tight, with anxiety, for many days (after three hours)

Burning pain, externally, on the head; it was hot to touch, without increased warmth of the rest of the body, with loss of appetite, and lying down (after nine days)

Pressure on the scalp, in the face, and on the throat

Sensitiveness, externally, and jerking on the vertex, as if some one were pulling the hair

Boring and throbbing in the right side of the scalp, while sitting

* Violent itching on the scalp

Itching of the scalp

Ohjecfive. *Blae rings about the eyes

Broad blue rings around the eyes

Puffiness of the eyes (second day)

Fuffiiiess and swelling about the eyes

Swelling of the parts about the eye

Eyes much sunken (fourth day)

Eyes sunken (fourth day)

Eyes sunken, with a general sickly look (after ten days)

Puffy about the eyes

Inflammation of the eyes, with burning and itching in them (after a few hours)

Inflammation of the eyes, with stitches

Inflammation of the eyes (after twenty-seven days)

Inflammation of the right eye, while the left was weak

Redness, inflammation, swelling, and agglutination of the right eye, with burning pain, for two days

Inflammation and redness of the eye, with itching and pressive pain

Rush of blood to the eyes; he is sensible of the eyeball, though not disagreeably so

Redness of the white of the eye, with itching and smarting, and discharge of much burning-smarting water

Eyes and skin of the forehead yellow (seventh day)

White of the eye deep yellow (third day)

Jaundice of the sclerotic (ninth day), of the whole body (tenth day)

Jaundice commencing in the sclerotic (second day)

Yellowness of the white of the eye,®'.t

Slight icteric color of the white of the eye (third day)

Sclerotic was yellow (fourth day)

Jaundice of the sclerotic (fourth day)

Icteric color of the sclerotic (fourth day)

Twitching of the muscles beneath the right eye

Eyes dull and expressionless

Subjective. Sensitiveness of the eyes to the candlelight, in the evening

Eyes weak and sleepy

Great weakness of the eyes, especially in the morning on waking, somewhat better on rising (after five days)

Eyes weak and unsteady (sixth day)

Inclination to look with only one eye

Burning pain in and about the eye

Eyes heated, with burning in them, for four or five minutes frequently during the day

Dryness of the eye, soon disappearing

Dryness of the eyes, in the morning, on waking

Dry sensation in the eyes

Sensation of pressure in the eyes, aggravated by the light (after fifty-one hours)

Pressive pain above the eyes

Pressure and heaviness in the eyes, like an inclination to sleep

Pressure and sticking in the eyes; they are dim and weak

Pressure in the eyes, with dimness

Pressure in the eyes

Pressure and burning in the eyes for two days

Pain in the eyes; it seemed to the patient as though grains of sand were under the upper lids (fifteenth day)

Pressure inward above the margin of the left eye, after dinner

The eyes are painful when reading by daylight or candlelight

Deepseated pain in the eyes (third day)

Burrowing pain in the eyes

Tension in the eyes

Stiffness in the eyes, with lachrymation

Sensation of sand in the eyes

Sticking and dryness in the eyes

Sticking behind the eyes

Stitches in the left eye, and a stye on the lower lid

Biting and dryness in the eyes, while reading

Biting in the left eye (after three hours)

Itching in the eyes

Itching in the left eye, relieved by rubbing

Orbit. Violent tearing in the lower margin of the orbit, as if the flesh would be torn loose

Dull pressive pain in the orbits

Flashes of pain in the upper part of the orbits (third day)

Tickling in the periosteum about the eyes

Lid. Agglutination, in the morning, with burning and sticking in the eyes, and dimness of vision, as from a veil

Agglutination, in the morning, on waking, and difficult opening of the eyes

Eyes gummy, on waking, in the morning (after twenty hours)

Agglutination of the inner canthi, in the morning

Agglutination of the lids, followed by watering of the eyes

Agglutination in the morning, with suppuration and lachryraation during the day

Swelling of the right upper lid, with itching and pressure

Swelling of the left eyelid, with painfulness of the bones of the orbit when touched

A kind of gaseous swelling of the right upper lid

Puffiness, especially of the lids and face, so that a depression, caused by the pressure of a finger, was but slowly obliterated ; on other parts of the body, nape of the neck, back, etc., the relaxed tissues, when pinched by the fingers, but slowly regained their smoothness

Twitching in the lids and external canthus of the left eye, very frequently repeated

Sensation in the right external canthus as if something sharp, salt, or biting were in it, without redness

Burning in the upper lids (after three hours)

Pain in the margins of the lids

A feeling in the right eye as if the edge of the lid had been roughly grazed or rubbed

Pressure in the upper lids

Fine sticking in the inner canthi, worse in the open air, in the morning

Itching in the lids frequently during the day

Lachrymation. Profuse lachryraation, even at night

Profuse lachrymation (after several days)

Lachrymation very easy, in the open air

Lachrymation, in the morning, wdiole at work, with dimness of the eyes (after four days)

Lachrymation

Lachrymation, biting, and mucus in the right eye, in the evening

Watering of the eyes, in a warm room

Watering and dimness of the eyes, while reading

Conjunctiva. Redness of the conjunctiva, with a feeling as if something were in the eye, that obliged constant wiping and rubbing

Conjunctiva and whole body slightly jaundiced, but on the face there were portions of the skin of a deeper and redder color, as if from circumscribed erythema or from subcutaneous effusion (fifth day)

Icteric color of the conjunctiva and of the whole skin

The conjunctiva had a deep-yellow tint (seventh day)

Conjunctiva yellow (after eight days); (third day); (second day)

Conjunctiva dirty yellow

Slightly jaundiced color, especially of the conjunctiva; this icterus increased until the seventeenth day, after which it steadily diminished until the forty-eighth day

Icterus of the conjunctiva and skin, with enlargement of the liver and spleen, and appearance of bile in the urine

A little yellowish tint appears in both conjunctivse, especially at the internal angles; the icteric coloration of the eyes became more and more manifest, and extended also to the face and extremities (third day); jaundiced hue very evident all over the body (fourth day)

Hull, Icteric color of the eyeballs (third day)

Burning in the eyeball for half a minute

Sticking and tearing extending into the right eyeball, in the afternoon, wdiole sitting

The eyeballs are painful, as if pressed ; looking aggravated the pain

Darting pains in the eyeballs (fourth day)

Hupil. Pupils of both eyes were greatly contracted

* Pupils very much contracted

Pupils contracted under the influence of light (fourth day)

The pupils were so dilated that only a narrow ring of the iris was visible, and they were uninfluenced by light (fourth day)

Pupils were widely dilated, and reacted feebly to light (third day)

Pupils very much dilated

Pupils dilated; the patient did not perceive objects brought near the eyes (fifth day)

Pupils dilated, sluggish

Pupils dilated before death (fifth day)

The pupils were equal, but dilated

Pupils dilated (third day); (after nine days)

Pupils slightly dilated, sensitive to light (fourth day),’®®

Vision. *He sees more distinctly in the morning, in the twilight, than during the day

The patient, who retained perfect consciousness, stated that in the horizontal position he could perceive a feeble ray of light, but that when he sat up he could not see at all (fourth day)

The sister stated that there had been a loss of sight during the evening (fifth day)

She said at times her sight left her (third day)

Shortsightedness; contours of distant objects are undefined (as if washed)

* Giving oid of the eyes while reading

Obscuration of vision, followed by death (eighth day)

Vision very weak, dazzling of the eyes; she was unable to thread a needle (twenty-first day)

She was obliged to hold objects near in order to see distinctly; at a distance everything seemed enveloped in a smoke or mist, but she could long retain distinct vision by holding objects near her; she could see better when the pupils were dilated by shading the eyes with the hand

Dreamy and indistinct sensation, as if objects were passing to and fro before the eyes (after one hour and a half)

Vision lost during delirium (fifth day)

Frequent sudden blinding, and a sensation as of a gray covering before the eyes

Blinding of the eyes by the daylight

The patient complained that she was constantly blinded by the light, although the room was darkened, with dilated pupils, almost insensible to light

Cloudiness or dimness of vision

The eyes are very dim ; he sees little

* Everything seems in a mist, with some loss of consciousness

* A green halo about the candlelight, in the evening

Trembling objects in front of vision, in the morning, on waking ; they seem to have indistinct contours

Flickering before the eyes and roaring in the head

* Sparks before the eyes, in the dark

* It seems as though a black veil were before the right eye

* Black floating points before the eyes

Floating dark points before the eyes; these points change their position from time to time,®®’’.f

* Da7’k objects and spots before the eye.?,’®.

Large black spots float before the eyes, after eating

Mind p. 384

Discharge of pure blood from the ears

Swelling of the concha

Pimples, with stitches in the ears

Sticking in the lobule of the right ear

Dull drawing pain in the lobules of the ears

Violent sticking throbbing behind the ear, in the lobule

Frequently very acute needlelike stitches in the right external meatus auditorium

Painful tearing just beneath the right ear, while sitting, disappearing on rubbing

Painfulness in the outer ear, at night, waking him from sleep

In the lobule of the right ear pain like a hard pressure with the hand, and such sensitiveness that she could not tolerate a cloth upon it, disappearing in the evening

Moisture within the ear

Famc/ie

Pressure in both ears in a warm room, disappearing in the cold

Pressure in both ears

Dry sensation in the ear, with and without roaring

Burning sore pain within the ears

Acute drawing pain in both ears

Sudden shooting in the left ear and then roaring in it; soon afterwards difficult hearing, and then discharge of yellowish moisture for several weeks ; after external pressure upon the ear, she hears better for a moment

Jerking in the left ear/®.

Violent tearing beneath the right ear/®

Frightful sticking and tearing in the ear and in the head around it; it seems as though it ^yould split open/.

Tearing in the right ear, also in the forenoon, while sitting

Violent stitches through the ear and teeth, at night/.

A violent jerking stitch from the left ear into the lobule, while sitting

Stitches in the ear

Sharp stitches deep in both ears

Pulsation in the right ear, after rapid walking

Tickling in the ears, as if a veil were drawn over them

Violent itching in the ear

Something seems lying constantly in front of the ears

times something seems to be in front of the right ear

clearing. ^Hearing difficult/®

Difficult hearing, with a feeling as if a foreign body were in the ear

Sense of hearing was lost (fourth day)

Hyperesthesia of all the senses, especially of hearing and smell

Re-echoing of every tone that is spoken Distinctly in the same pitch

Strange and peculiar words re-echo loudly in the ear like an echo

Noises and ringing in the left ear

Noises in the ears

* Loud reechoing in the ears, in the morning

Ringing in the eav's

Frequent ringing in the ears, that at times reminded her of lovely melodies/

Constant singing in the ears, worse when lying down

Constant whizzing in both ears

Violent roaring in the ears (sixteenth day)

Violent roaring in the ears (after twenty-three days)

Roaring, buzzing, and ringing in the ears, impairing the hearing

Roaring in the ears; (fifth day)

Roaring in the right ear

Nose p. 385

Objective Swelling of the nose, that is painful to touch/.

Swelling of the nose, with coryza

Swelling of the nasal bones

Vesicles in the right nostril, burning only when touched/®.

Soreness of the Schneiderian and mucous membranes, with bloody scabs on the margins of the nostrils

* Ulcerated nostrils (sore nose)

Dark redness of one wing of the nose, with a smarting pain when touched

Itching and pimples in the nose

Internal inflammation of the nose, with a sensation of dryness, and slow bleeding of the nose

* Chronic inflammation of mucous membrane of the nose; nose swollen and dry; cannot draw air through it

* Polypus in the nose

Violent sneezing towards evening, with dulness of the head and heaviness of the limbs (seventeenth day)/

Frequent sneezing, without discharge

Frequent sneezing several evenings in succession, without coryza

Frequent sneezing

Frequent sneezing (after half an hour)/.

Spasmodic sneezing, with violent pain in the head and distortion of the limbs, with constriction in the chest

Sneezing, immediately after dinner

Ineffectual efforts, then afterwards complete sneezing and eructations

Frequent inclination to sneeze and frequent sneezing, with dread of it, on account of violent pain in the throat, as if something would be torn out, several mornings

Sneezing, with rumbling in the left flank

Sneezing, with watering of the nose

* Occasional sneezing, which aggravates the unpleasant and stuffed feeling of the breast (after first dose, second day)

Very transient attacks of sneezing, followed by stoppage of the nose, without having taken the slightest cold

Fluxion from the nose, which soon became permanent

Three were laboring under permanent fluxions

Running from the nose, especially when near a window where air is entering, for two days

Much discharge of mucus from the nose, without coryza

Water, without mucus, runs from the nose, in the open air

Membranous clots in the nose, without itching and stoppage

* Greenish-yellow discharge from the nose

Yellow mucus in the nose, in the morning, with blowing of blood

Violent fluent coryza, with great dulness of the head, loss of appetite, and general sick feeling (after forty-eight hours),h

Fluent coryza, with much sneezing,'

Fluent coryza, and discharge of much mucus,'®. Fluent coryza from one nostril and stoppage of the other

Fluent coryza,*. Fluent coryza of only water

Very persistent coryza

Frequent coryza, that suddenly appeared and as suddenly disappeared

Coryza, with much heat in the head (after eight days)

Profuse coryza, with stoppage of the nose

Coryza, after a walk

Coryza, in the evening

* Frequent alternations of fluent and stopped coryza,Coryza, with frequent sneezing and pressive pain in both sides of the head,*®. * Coryza, with inflammation of the throat and great dulness of the head

Sensation as though coryza would come on, disappearing after sneezing a few times

Sensation of coryza and fulness iu the nose, especially in the upper part of the left side, with loose mucus

Violent catarrh, with hoarseness

She is inclined to catarrh ; is constantly obliged to blow the nose

Nasal and bronchial catarrhs

Serous catarrhs are common

Stopped catarrh f

Very profuse epistaxis (second day)

Profuse bleeding from the nose (seventh, eleventh, fourteenth, twentieth, and thirty-third days); the later attacks ivere always accompanied by profuse sTceaf

Very profuse nosebleed (after twenty-four days)

* Frequent and profuse nosebleed

Violent nosebleed, in the evening (after seven days)

* 7Sequent blowing of blood, with yellow mucus, from the nose, in the morning

’'Frequent blowing of blood from the nose

Bleeding of the nose (immediately, also after seventeen days)

* Epistaxis (sixth day); (tenth day)

* Bleeding of the nose several times a day, often quite profuse (ninth day), continuing very obstinate, even after three weeks

Nosebleed, especially during stool

Bloody mucus from the nose

Blowing of blood from the nose, with purulent mucus

* Some drops of blood are discharged from the nose

* Bloody streaks in the nasal mucus

Subjective. Stoppage of the nose, now of the right, now of the left side; the nose was stopped, with sneezing, in the house, in the evening

Stoppage of the nose, with pain extending to the middle of the forehead

* Stoppage of the nose

Stoppage of the nose and difficult breathing woke him, at night

Nostrils stopped every morning

* Stoppage of the nose, so that she coidd breathe only with the moid open

* Sensation7i of stoppage of the nose, with dxdness of the head, as if coryza woxdd develop

* The nose feels stuffed up (after several days)

Feeling of fulness in the diose

Heat and dryness of the nasal fossa (first night)

Sensation of dryness in the nose

Sensation of dryness in the nose, with a constant sensation as if it ivoidd be stuck together

Frequent desire to blow the nose (fourth day)

Frequent sensation as if drops of water passed from the nose

* /Sore pain in both nostrils, even when touched

Violent pain in the nose, in the forenoon

Pressive sensation in the nose, as in coryza

Boring in the nose until blood comes

Itching in the nose

Frequent itching in the left nostril, in the morning

Itching in the nose and bleeding after rubbing

Itching tickling in and on the nose, also after dinner

Smell, *Snell especially acute, with the headache

Smell more acute than usual, especially for offensive odors

The smell of the drug was constantly with him (after two days)

Face p. 386

Objective, Hippocratic face,*®.f

His features had a sort of fixity, which impressed upon his physiognomy a singular air of sadness, languor, and wandering of mind (seventh day)

Countenance fixed and anxious

Expression, when aroused, that of profound bewilderment (sixth day) ; the expression of bewilderment and confusion which came over his face was frequently painful to behold (tenth and eleventh days)

Sleepy expression, with complete consciousness (tenth day)

Countenance peritonitic

Face pinched (eighth day)

Features contracted and the countenance had an air of stupidity (fourth day)

• Face sunken, earthy; eyes deepseated, hollow, surrounded by blue rings (after six, and seven hours)

Falling in of the features (fourth day)

* Expression of general weakness

Countenance expressive of pain (fifth day)

* Pale, sickly expression, in the evening

* Pale sickly color of the face (after eight days)

Face pale, eyes sunken, surrounded by blue rings (second day)

Deathly pale, with cool skin and suppressed pulse, only 20 (not followed by death)

* Pale, yellow /ace

Patient very pale,^’k

Sudden remarkable paleness of the face, with chilliness, colic, and headache (after twelve days)

Face pale, earthy, sunken (third day)

Pale and thin, and has an anxious look

Pale; features slightly changed (second day)

* Face palet ” ; (third day); (after ten hours)

* Face pale, sunken

Marked pallor of the face

* Icteric color of the face (fourth day)

* Yellow color of the face

Face the color of old parchment (tenth and eleventh days)

Yellowish hue to the face

Alternating redness and paleness of the face (fourth day)

Redness of the face

Face red and congested

Face very red

Face red and of an anxious expression

Face greenish red (eighth day)

Face dark leaden-colored, not jaundiced (fifth and sixth days)

In the morning the face was red, in the afternoon the turgescence had increased (second day) ; turgor of the face heightened, and in the afternoon it had assumed a remarkable bluish-red color, from which, however, the middle of the face was perfectly free; a colorless band of about an inch in breath, extended from the highest point of the forehead to the chin, and was sharply defined, giving the face a most peculiar appearance (third day); the bluish-red color of the face had changed into a perfectly c5myotic hue, the median line remaining free from all color (fourth day)

Flushing of face during fever

Rush of blood to the face, with a feeling as if it were distended, in the open air, disappearing in the house

* Face swollen and oedematous,^

Much swelling of the face

* Puffiness of the face

Face somewhat puffy (second day)

* Face pale, puffy

Puffiness of the side of the face upon which he has been lying

Tension of the whole skin of the face

Subjective. Burning in the face, about the nose and upper lip, as from something acrid

Warmth creeps over the upper portion of the face with increased redness, with obscuration of the eyes

* Tearing pains in the face

Tearing in the bones of tbe face and temples, as if everything would be torn out, constantly increasing till 8 p.m.,’®.

Aching in the facial bones

Cheek ami Upper Jaiv. Frequent livid flush over left cheek

Excessive, almost bluish redness of the cheeks, without sensation of heat, at 8 a.m.,®.

Cheeks red (third day)

Swelling of the right cheek, corresponding to three carious upper teeth with expected necrosis of the jaw ; after a few days, however, it had entirely disappeared

Swelling of the cheek (third day); became much larger, harder, and painful, and extended over the left side of the throat (fourth day)

Swelling of the cheek and gum without pain

Twitching of the muscles of the cheeks

Twitching in the left malar bone, disappearing after rubbing

Pressive pain in the malar and maxillary bones and teeth, especially on chewing, swallowing food, and on going from a cold into a warm room

Tearing in the malar bone

Tension in the malar bones, as if they would be forcibly pressed towards each other, disappearing on rubbing

A stitch in the left cheek

Necrosis of the left upper jaw with hectic fever, sleeplessness, entire loss of appetite,'®'. On the upper jaw of the right side there is likewise partial necrosis, as the probe can be passed over a portion of bare bone. Considering the extent ot the disease, and the consequent drain to the system, he enjoys tolerable health

At the end of three years her face began to swell and she then left the business; the swelling gradually increased, and she entered the hospital; several teeth were extracted, with but little relief; she appears to have repeatedly left and returned to the hospital, with the swelling continuing, until atjast an abscess formed in the superior maxillary bone, which left it carious

Violent pain in right upper jaw, which was soon succeeded by swelling and abscess of the gums ; eight teeth in succession became rapidly carious aud were removed ; this had some effect on the swelling, but it soon increased again, extending to the cheek and part of the neck; according to the patient’s account, the suppuration at the commencement had a strong odor of Phosphorus. Pregnancy appeared to have proved favorable to the disease, but on new examination, there was found to be a necrosis of the superior maxilla

About two years before her entrance into the hospital, she began to have severe pain in the second molar tooth of the left upper jaw. The tooth was carious and was removed, but the wound always remained open, though the pain ceased. Seven months before her entrance, there was swelling affecting the whole gum on that side, and extending inwaitls to a considerable extent over the roof of the mouth. Soon after this, there was a discharge of pus from the alveolus of the tooth, and also from the left nostril, and this state of things continued, the swelling not having diminished since the abscess first broke. Soon after the tooth became affected, one of the others became loose and painful, and was extracted. Meantime the left cheek had become unnaturally full. Three months later the alveolar process was found to be diseased, and all the remaining teeth of that maxilla were extracted except the two incisors and the wisdom tooth. Several pieces of dead bone were removed, and the antrum was found to be in communication with the mouth. Two months later, the jaw became again the seat of pain, which in the course of a month became so great as to prevent sleep. On entrance, there was much swelling, soreness, and pain about the gum and roof of mouth. The middle incisor remained, but was quite loose. The antrum was open, and there was a good deal of semi-purulent offensive discharge

Pain in the left upper jaw, with swelling of the upper lip; the pain afterwards disappeared for awhile, but the lip remained swollen ; several abscesses formed in the mouth, discharged matter between the teeth, and the patient had some of the back teeth drawn and experienced relief from pain for a time, but afterwards it considerably increased and the gum became swollen, so that the mouth could scarcely be opened and the bone became denuded

_Gums began to soften and swell, violent pains in the teeth of the upper jaw followed, with swelling extending over the whole cheek; the teeth

becoming carious, fell out, and a fetid suppuration proceeded from the

sockets; on examination, the bone was found largely diseased

Lips

Upper lip swollen, every morning

Eruption on the red of both lips, at

times with stitches

Beep crack in the middle of the lower lipf

Painful blisters as large as peas, filled with lymph, on the inner surface ot the lower lip

Painful ulcer on the inner surface of the lower lip.h

* Lips parched (fifth day)/®h

Lips and face pale/^®.

Lips very dark (eighth day)

Dryness of the lips and palate, without thirst

Lips blue

Lips livid (seventh day)

Lips dry all day

Skin about both lips rough

Numbness of the right side of the upper lip and of the tip of the tongue (first day)

Heat in the lips, that were denuded of epithelium (after seven hours)

Burning, like fire, of both lips

Burning pain on the red of the lower lip, with white blisters on its inner surface, with burning pain (after eleven days)

Burning stitches on the margin of the upper lip, while sitting

Chin. Gradually a red swelling appeared on the under part of the chin; at first it was the size of a fourpenny piece, and quickly enlarged until it extended over the face as far as the eyes; except upon the chin, however, the swelling remained pale and doughy; upon the original swelling of the chin there was found a group of pustules of the size of hempseed and larger, which, after discharging their thin turbid contents, formed an ulcer the size of a sixpence ; at the same time the parts beneath became disorganized into a thin, slightly discolored offensive purulent mass. A disagreeable smell also emanated from the mouth ; the gums aud teeth, particularly the front teeth of both jaws, became loose from salivation, which set in at the same time ; and the child, from the commencement of the affection, complained much of toothache aud headache. Within eight days the ulcer had destroyed the soft parts, even to the bone; after the use of remedies for ten days, three thin pieces of bone, the size of a bean, detached themselves from the surface of the lower jaw at the chin, and on the following days other small very thin fragments of bone were observed upon the lint; upon this the sanious discharge was arrested ; the surface of the ulcer became clearer and began to discharge a thin pus, and to form granulations; three weeks after the exfoliation, the ulcer was cicatrized

Suffered much from violent toothache, accompanied with considerable swelling of the right side of the face ; he had a double tooth extracted, but without relief; the affection progressed so quickly that in a short time he ceased to be able to follow his employment; one tooth after another dropped out; he became so weak that he was unable to work ; a swelling of the size of an egg formed below the right orbit, which in a fortnight burst, discharging a large quantity of white pus; he continued to get worse, all the teeth having fallen out, the gums of the lower jaw retracted, and he now presents the following appearance: The right cheek is considerably swollen ; at the right angle of the lower jaw exists an opening, discharging laudable pus, through which the probe can be passed a couple of inches along bare bone; two inches anterior to this there is another aperture likewise leading to dead bone ; on opening the mouth, the whole of the lower jaw, as far as the ascending rami and down to the reflection of the mucous membrane on the cheek, is quite dead, denuded, and of a leaden-grayish color

Closure of the jaws so that she could not separate the teeth

Trismus

Glandular swelling of the articulation of the lower jaw

Inferior maxillary bone completely denuded of soft parts, and its surface grayish, rough, rugous, and covered with a fetid suppuration. After remaining a month, she left the hospital, and died soon after,®l

Out of eighty-eight cases reported, in thirty-two the upper jaw, in thirty-eight the lower jaw, and in ten both jaws were affected

Necrosis of the inferior jaw with all the ordinary symptoms, with removal of the jaw and recovery

Necrosis of the jaw, with cedematous swelling of the face and neck

Necrosis, preceded by great pains, in the lower jaw,’®®

Necrosis of the jaw, during the progress of which the patient was attacked with the most violent erysipelas, which threatened her life

Seized with toothache, and swelling on the right side of the lower jaw; to relieve it the gums were lanced, and, finally, the tooth extracted; after this the pain ceased, but the swelling gradually increased, until a spontaneous opening formed on the under side of the jaw, with a discharge of pus, which has continued since; she remained in the factory until one week previous to her admission into the hospital. Upon examination after her admission, the inferior maxilla was found necrosed on the right side, and partially on the left; the jaw was painful, and that side of the face swollen ; the discharge was at times profuse, and a part of it took place through the buccal cavity, rendering it very annoying; her appetite was good, but mastication difficult and painful; the necrosis gradually extended, but her general health continued good,®®

Two years ago he began to be troubled with carious teeth: the three molars on the left side of the lower jaw became so painful that he was obliged to masticate on the right side exclusively. Afterwards the teeth on the right side pained him, and he was forced to employ the left ones again. Two months ago he took cold, and after a few days, he found a swelling about the left side of the lower jaw, accompanied with pains in the bone, extending to different parts of the head and face. He had three teeth extracted, which were rotted away at their crowns, but their fangs were entire. At the time of his admission, the three remaining incisors were quite loose; entire gum on left side swollen and spongy ; fetid pus escaping on the slightest pressure, from the previous site of the extracted teeth ; a probe passed into these openings strikes on bare bone ; over these parts there was considerable exterior swelling ; pulse quick and feeble ; general strength impaired ; face puffy and very pallid; sleep disturbed by pain in the jaws and general articular pains. The pain and swelling increased on the right half of the face, speedily bringing it into the same condition as the half first affected. The ulceration of the gum over the diseased alveoli advanced ; and as the several openings became confluent, the alveolar margin of the bone became exposed. The soft parts rapidly retracted from the surface of the bone, and the denudation became every day more complete, and its exposure was attended with a copious and most fetid suppuration. From then until now the only difference that has occurred has consisted in the gradually advancing isolation of the bone

Began to suffer with toothache in the right side of lower jaw; this lasted for some time, and was followed soon by a hard lump upon the outside of the jaw; the pain continued to increase and the swelling to enlarge until an abscess formed in the submaxillary region, and burst, and discharged a large quantity of purulent matter. Upon introducing a probe into the discharging orifice, I found that it led directly to the jaw, which was deprived of its periosteum and in a necrosed condition; there was, however, no indication that exfoliation had taken place from any part of the jaw, but, on the contrary, the whole bone was firm and solid. At this time the disease seemed to extend only from the right lower canine tooth to the angle of the same side of the jaw. Later he presented himself in a condition much worse than before; now trom weakness and exhaustion he had been forced to give up his occupation. All the teeth upon the right side of the jaw have loosened and fallen out; besides several openings upon the outside of the face, that were freely discharging pus, there were two or three inside of the mouth, from which there issued a large quantity also, and which led directly to the diseased bone. The disease now seemed to involve the whole of the right side of the lower jaw, without there being made the least attempt, seemingly, by the periosteum to replace the dead bone with a new casing of osseous deposit such as usually forms in ordinary cases of necrosis; nor was there any disposition to exfoliate or to form a sequestrum, but on the contrary the whole jaw was as firm and solid as at the time when it was first examined. His constitution had now become seriously affected, as he was much emaciated and weakened by the great drain of pus that was constantly poured forth from the diseased parts. Later, in the mouth can be felt and easily seen the denuded jaw for an extent of two inches. His breath smells very offensively. The disease now extends from the right temporo-maxillary articulation to the left lower canine tooth. He cannot eat solid food, though his appetite is tolerably good

During the last half year she had occasionally suffered from toothache on the right side of the lower jaw. In a few months it became more severe and ceased to be limited to the carious teeth, and extended through the whole jaw, over the cheek, and even to the temporal region and the neck. At the same time considerable febrile disturbance, with occasional rigors, supervened, accompanied by swelling of gums and cheek, with erysipelatous redness of the latter. On admittance, the examination showed the right cheek much swollen, and very tense towards the eye, the mouth, the chin, and neck ; the tenderness most considerable in the vicinity of the lower jaw. Pain deepseated, throbbing, piercing, concentrated at the angle of the jaw, and radiating thence over the adjacent soft parts. . Extreme tenderness on pressure. The gums of the diseased side of the jaw much swollen, tense, darkened, and tender; the mucous membrane of the cheek equally so; between the angle of the jaw and first molar, fetid pus of a phlegmonous character oozed out on pressure. The first and fourth molars on the right side of the lower jaw were carious, the other molars deficient. The swelling of the gums increased, became more tense, extended to the soft palate; dysphagia and salivation supervened, and the jaw became almost immovable. Suppuration increased, pus laudable, but fetid. During the second week, the four incisors and one molar became loosened, suppuration ichorous and rusty, gums softened and livid, formation of sinuses on the external and internal surface, through which the probe reached the bone, which appeared in part rough, iu part smooth. In the progress of the disease, increased retraction of gums from the alveolar surface, fresh abscesses, increased discoloration, and burrowing sinuses, so that the entire jaw was exposed to the probe, both externally and internally. The bone appeared almost entirely detached from the soft parts, floating in an excessively sanious fluid

The disease appeared to commence by a swelling in that part of the jaw whence a tooth had been extracted two years before; the swelling continued to extend until the entire bone became affected. He said that he had suffered great pain through the entire jaw, and that his nights had been sleepless. He looked very ill, was much emaciated, and he presented a curious appearance of the mouth, which was pursed up into a round aperture iu consequence of the protrusion forward of the enlarged jaw. There were two fistulous openings, one on each side of the upper part of the neck ; and a probe introduced struck the angle of the jaw, which was quite dead. I examined the mouth and found the jaw quite dead. I could distinguish every part of the bone except the condyles, which were imbedded in soft tissue. There was a large quantity of fetid discharge around the bone, but the principal part came from the vicinity of the condyles. The outside of the cheeks about the masseteric regions was much thickened. The teeth were all gone, and the appearance of the jaw was that from an edentulated cranium

Toothache in the left lower jaw, formation of an ulcer on the side of the middle back tooth with violent pains; as the ulcer opened a piece of bone was discharged ; at last the cheek became swollen and erysipelatous and abscesses formed, which discharged much matter; the necrosis of the bone progressed until the whole half of the lower jaw had to be removed

A carious molar of the right side of the lower jaw was extracted; from this time (seven months since) the peculiar Phosphorus necrosis may be said to have fairly begun, and it progressed rapidly, for the subject of it was compelled to give up the charge of his department about a fortnight after the tooth was drawn. The face was very much deformed by indurated swelling, which was particularly conspicuous on the right side and about the chin ; three fistulous openings, surrounded by flabby granulations, were upon the right side of the neck; from these fetid pus exuded freely ; a horribly offensive odor came from the mouth, and saliva and pus were constantly dribbling out; the gums were spongy on the margin, but partook of the general induration at the sides ; four sound but loose teeth occupied the right alveolar cavities; the upper jaw seemed healthy ; the patient could not part the two jaws sufficiently to introduce a finger with facility ; a probe detected necrosed bone both on examination in the mouth and through the sinuses; the ex aminations gave excessive pain ; a portion of the left lower jaw only seemed clear of the disease; the symphysis was completely involved

The disease seems first to attack the gum of diseased teeth; it usually makes its appearance in a year or a year and a half after beginning work in the factory; it is still questionable whether the disease is due to Phosphorus, Phosphoric acid, or to the ozone generated by the Phosphorus, or even whether it may not be due to general chronic Phosphorus poisoning. The lower jaw was affected in nine cases oid of ten, the upper jaw in one case ; the disease very seldom spread from the upper jaw to the bones of the face. The first symptom was tensive pain in the teeth, then looseness of the teeth and discharge of matter between the gum and teeth ; if now the teeth be drawn the swelling and pain increase and involve the whole half of the jaw; usually the disease progresses slowly and irregularly, with transient periods of improvement; the soft parts covering the jaws, cheeks, sides of the mouth, become swollen and intolerably painful; one tooth after another becomes loose, and every pressure upon the gum causes discharge of pus; the pus often is discharged through the cheek externally. The skin of the margin of the lower jaw becomes red, soft, loosens, and at last infiltrated ; from this infiltration there follows a discharge of matter that seems to come from the alveolar process; wherever the opening is probed denuded bone is found ; at the same time it is found that the periosteum that has been loosened from the bone has a new deposit of bone on its inner surface, so that the sound passes between two surfaces of bone, one consisting of old bone, the other of new growth; the denuded bone decays in various directions and is gradually discharged with the matter. After two or three years these necrosed pieces of bone separate from the whole extent of the jaw. With this the patient suffers from fever, at times violent, considerable emaciation ; nutrition is very much disturbed on account of the difficulty of swallowing, and the digestion suffers on account of the mixture of offensive matter with the food ; sleep at night is possible only by means of increasing doses of Morphia, and the patient gradually sinks with hectic and exhaustion. During the prostration tuberculosis frequently develops; at times also lobular pneumonia, terminating in gangrene of the lung and pyohaemia

The Phosphorus disease of the jaw consists in the first stage of an inflammatory swelling of the gum and soft parts of the mouth, extending over the face and neck, associated with the development of masses of osteophyte of varying extent and thickness about the jaw ; in the second stage the teeth become black, the gum recedes, the osteophyte suppurate, and the jaw becomes denuded, rough, and blackish or grayishgreen, and the teeth fall out; this stage is associated with the most violent pain in the face and head, disturbance of digestion, sleeplessness, fever, salivation, fistulous burrowing of the matter in the muscles and integuments of the face, which became erysipelatous, followed by exfoliation of the bone, and sometimes by extension of the necrosis to all the bones of the skull, and death with hectic fever

Necrosis of the jaw ; the disease begins as toothache, involving one or more teeth in the upper or lower jaw; the disease spreads to the jawbone, which increases in volume and becomes painful to pressure; afterwards the soft parts become swollen, especially the gums and cheeks, in the latter erysipelatous inflammation develops, even extending over the whole side of the face and down on to the neck ; the patients have fever, yellow color of the skin, especially of the face, loss of appetite, thirst, irregular stools; the pain at last extends to the ear and temple, with increased secretion of saliva. Various teeth become loose, and between them there is a discharge of offensive matter, that collects in various parts of the jaw under the gum or under the skin externally, and gradually makes its way into the mouth or through the skin, usually by a number of circuitous channels. The teeth fall out, the jaw becomes denuded, and the necrosis either becomes circumscribed or involves the whole jaw

Diseases of the gums and maxillary bones, terminating in necrosis and sometimes in death, were not uncommon ; the complaints only appeared after a sojourn in the factory for at least two years, and in individuals habitually exposed to the fumes ; all the workmen whom he had observed had decayed teeth before the disease commenced, not unfrequently before commencing the manufacture; many other workmen with sound teeth have preserved them in the midst of phosphoric vapors, a fact which induces him to believe that carious teeth constitute a predisposing cause of the disease

The disorder at first resembled ordinary toothache, attended, however, with swelling of the face ; as the severity of the symptoms increased she became a patient at the Royal Infirmary, but derived little benefit from the treatment; six months later all the teeth on the right side of the lower jaw fell out, or were removed without difficulty, before the jaw was removed, and on the left side as far as the second bicuspid, all the teeth were sound. There is a great deal of new callus thrown out in the situation of the old bone, so much so that there will be scarcely any disfigurement from the loss of the jaw, a little from the loss of the teeth ; she can close her jaw and chew her meat and bread well; the bone and teeth of the upper jaw are in a perfectly healthy state, and she now enjoys excellent health

Scrofulous subjects are most affected, and in them the disease is most fatal; almost all the girls employed have the gums more or less affected, and at their junction with the teeth a red ulcerated line, like that produced by mercurial salivation, is apparent. When the individual is robust and the necrosis is confined to a small portion of the bone, exfoliation takes place and a gradual cure follows, but where there exists any tendency to scrofula, phthisis becomes developed. and the patient sinks under the combination

Sharp pain and difficulty when masticating, in the middle of the left jaw (first day),”®. Pressure, drawing, and tearing in the lower jaw, extending towards the chin

Jerking in the lower law, almost like toothache,'. Violent drawing in the lower jaw

Tearing in the right lower jaw, extending from the mental foramen backward (first day)

Tearing in the maxillary bones, in the evening, while lying down, disappearing on eating and moving the jaw

A violent stitch in the middle of the left lower jaw, extending deeply through the cheek and eye, to the forehead

Mouth p. 394

Teeth, Profuse purulent discharge from sockets of teeth

Discharges from all the sockets of the teeth

Looseness of all the lower incisors, so that they could be taken out

Looseness of the teeth, so that she could not chew

The last right upper back tooth became somewhat loose, sensitive, and apparently elongated,®*®. Teeth of lower jaw became loose

Sordes on the teeth,”; (eighth day),'®'. Teeth discolored, gray

One tooth becomes hollow (after ten days),'. Soon lost all teeth in the upper jaw

Necrosis of the jaw was usually associated with caries of the teeth, but one case was reported in which all the teeth were absolutely sound

Sudden bleeding of the upper back teeth, without cause

Involuntary, somewhat painful gnashing of the teeth, as from spasm

Bluntness of the teeth (after eighteen days)

When biting, the teeth seem smooth, as if they had been rubbed with soap or fat

Her teeth felt loose, and the gums bled readily

Feeling as if the teeth were chattering, with general trembling, in the morning, on waking

* Pain in the teeth

Pain in the teeth of the right lower jaw; formation of abscesses, with caries of the bone

Violent pain in the left back teeth on violently blowing the nose, that ends with chattering of the teeth and subsequent heat in the cheeks

The teeth of the affected side were painful, when pressed (fourth day)

Violent toothache on the left side, and two days afterwards very painful swelling of the throat, with five large white blisters in the mouth

Very unusual and violent pain in the teeth, immediately upon eating some candy (after second dose, second day)

Toothache, in the morning, after waking, in two lower back teeth, disappearing after rising

Violent toothache, in the evening, in bed, three evenings in succession

Toothache, only at night, in bed, disappearing on rising

Toothache, on walking in the open air

Toothache in a hollow tooth, caused and aggravated by the warmth of the bed (after twenty-two days)

Toothache, with headache and excitement in the blood

Violent toothache, that always begins when eating, during the menses

Toothache, with swelling of the cheek

Toothache always on becoming heated,®®b.

A sore kind of toothache

Pressure upon the left upper and lower teeth, from behind forward (after eight days)

Pressing pain in the left upper back teeth

Boring-burning toothache, aggravated by cold or warmth or chewing, so that the patient could take only liquid or soft food ; at times the pain became dull, like a sensation of numbness; at times it seemed as though all the teeth were loose and would fall out

Constant boring in a right back tooth

Gnawing in a lower left back tooth

Violent gnawing and boring in a tooth, in the morning and evening, while lying in bed

Tearing in the right upper back teeth, at times shooting, frequently returning, and always relieved by pressure

Tearing in the right upper back teeth

Tearing in a left lower cavity, disappearing on pressure

Tearing extending from the back teeth to the zygoma, disappearing on rubbing, while sitting

Tearing in the teeth all day, evening or morning, mostly in the open air or after going into the house,h

Sticking tearing in several roots of the right upper teeth, in the evening, disappearing on pressing upon them

Toothache (tearing?) in the upper incisors, caused by inspiring cool air, by warm food, and by touch

Tearing and boring in a left back tooth in every position, even on touch and chewing

Drawing pain in the anterior incisors

Drawing in a lower back tooth

Drawing in the lower back teeth, followed by stitches in the right upper jaw, extending into the ear, in the morning

Drawing and burrowing in the teeth

Drawing toothache, with cold hands and feet

Some little twitches in decayed teeth (after first dose, second day)

Very painful jerking tearing in the roots of the right upper back teeth

Jerking pain in two hollow teeth on opening the mouth, with great sensitiveness to touch of the tongue, renewed by chewing, if any food gets into them

Throbbing jerking and sticking in the teeth from the slightest open air, not in the house or when the cheeks are wrapped up

Throbbing pain in the two right upper back teeth (fourth day)

Pulsation in a left hollow canine tooth, from getting cold air into it, frequently repeated ; usually he never suffered from toothache

Violent sticking pain in the upper incisors, with great swelling of the upper lip

Guns, The gums and teeth, particularly the front teeth of both jaws, became loose from salivation; she complained much of toothache

Looseness of the gums of the upper and lower incisors, that bled easily ; every morning, on rising, the anterior surface of all the incisors was covered with mucus and blood ; the gums of these teeth and of the eyeteeth, all of which were sound and firm, were swollen above and below, very red, the margin became grayish-yellow, and looked as if suppurating; it bled easily on pressure (the posterior surface of the gum was normal), with bad odor from the mouth

* The gum bleeds easily, and is separated from the teeth

The gums bled readily, and her teeth felt loose

Gums bloody (eighth day)

Bleeding of the gums on the slightest touch

* Bleeding from the gums

Bleeding of the gums, with pain (third day)

A bleeding ulcer by a hollow back tooth

Ulcer on the gum, after toothache

Ulcer on the gum, with swelling of the upper lip (after seventeen days)

Great swelling of the gum

Swelling of the gum above a bad tooth

Swelling of the gum, with itching

Swelling of the gum and swollen cheeks, before and after menstruation

Sore painful swollen gum

Inflammation of the gum

Gum and tongue covered with a tenacious, dirty-yellow, or blackish mucus (third day)

Dirty-brown coating on the gum, that seemed to be loose, and bled when touched

The gums of the affected side were of a violet color (fourth day)

Painful sensitiveness of the gum, on account of which he could not eat, with two small ulcers on it

Burning and sore pain in the gum, internal, to the upper front teeth

The gum is painful, as if sore

Itching and throbbing in the gum

Tongue. Two small clear blisters, burning when touched, on the tip of the tongue

Many small red bleeding points, with burning, on the anterior surface of the tongue

Small ecchymoses on the tongue and lips

Blisters on the tongue, an hour after eating

Left margin of the tongue swollen

Tongue large and moist (fourth day)

Tongue swollen, especially on the left side, with redness and vesicular swelling of the papillae

Swelling about the root of the tongue (second day)

* Tongue swollen, dry, and blackish along the median line

Tongue slightly coated (second morning)

Tongue pale, moist (second day)

Unclean tongue,'’.f

Tongue furred/”®®

Tongue much furred (second day)/®l

Tongue loaded (first day)/®

Tongue coaled (after ten days)/®; (third day)/**®®.

Tongue thickly coated/®®; (third day)

Tongue coated like fur

Tongue coated and inclined to become dry (third day)

Tongue dry, coated (tenth day)

Two slimy streaks along the tongue

Tongue coated white; (third day)

* Tongue dry, white (after eight days)/*®.

Tongue burning, coated white, at night

White slimy tongue, with slimy mouth

Tongue white and moist (first day)

Tongue chalky ivhitef

Tongue heavily coated a dirty yellow (sixth day); dry, fissured, and thickly coated a dirty brown (tenth and eleventh days); cleaned tardily/

Tongue coated yellow (second day); (fourth day)

Tongue yellowish posteriorly, with a red stripe anteriorly

Tongue covered with a gray coating (fifth day)

Tongue gray, dry in the middle (third day)

Tongue red and swollen (after one hour); (second day)

The tongue, in both, was intensely red, bare of epithelium, and the papillae strongly prominent

The tongue is red, dry, rugose (after three days and a half )

* Tongue red and dry (fourth day)

Tongue red in the middle, somewhat slimy

Tongue dry, brownish-yellow

* Tongue brown and dry in the midfZ/e

Tongue coated with a thick fur, dark centre, and red edges

* Tongue dry, and brown down the centre (third day)/®®.

Tongue very dry, with thick brownish coating (eighth day)

Tongue dry and dark-colored (eighth day)

Tongue brownish-black

Tongue dry and black (eighth day)

Tongue black, coated

Tongue dry (fifth day)

Tongue dry, not coated (after fifty-one hours)

Dryness of the tongue, without thirst

Sensation of dryness on the tongue, with thirst/

Tongue dry, but clean (fifth day)

Tongue dry and parched (fifth day)

Tongue and throat dry (second day)

Burning on the tip of the tongue, with a sensation as if there were an eruption

Burning on the tongue, afterwards extending to the soft palate

Burning posteriorly on the right side of the tongue

Burning on the tongue, afterwards extending to the larynx, where it provoked frequent cough, afterwards extending into the change, causing an unnatural smell

Burning on the tongue/

The tip of the tongue feels burnt and raw

Transient burning sensation on the tongue, after every dose

Slight transient burning on the tip of the tongue

The tip of the tongue feels burnt, all day

Painful irritation of the tongue and oesophagus, as if one were thrusting a needle down

Prickling sensation on the fraenum linguae

Fine stitches in the tip of the tongue

Pain in the fraenum linguae and palate, that prevents eating and talking

A sense of swelling in the tongue (after three-quarters of an hour)

General 3IoutJi, Breath was light (phosphorescent), (immediately)

A thick white vapor exhaled from his mouth and from what he vomited (after one hour)

Breath was smelling very alliaceous (after one hour)

A distinct alliaceous odor was given off from the breath (sixth day)

Breath smelled strongly of Phosphorus, filling the whole room with its characteristic odor (second day) ; fetid and cadaverous in smell (fourth day)/

Breath smelt strongly of Phosphorus

Breath had a garlicky odor (third day)

Bad odor from the mouth (third day)

Exceedingly offensive smell from breath (first day)

Breath extremely fetid (fourth day)

Offensive odor to the breath

Breath offensive. even to myself/®.

Breath cool (third day)/

Mouth tightly closed (after seven days)/®.

The mouth could only be opened with difficulty for examination (fourth day)

A painful pimple on the inner surface of the cheek,h

Painful blisters in the mouth, with sore throat on swallowing, and thirst

Blisters on the palate, that suppurate and burst

Pustules in the corner of the mouth

Separation of the mucous membrane of the jaws and palate/®®.

Rawness of the mouth, and feeling of soreness in various places

Redness and soreness of the lining of the cheeks

In many parts patches of the mucous membrane were quite destroyed

Mucous membrane of the mouth pale

Blood comes into the mouth (after twentyfour hours)

A bloody fluid constantly flowed from the left corner of the mouth (fourth day)

* Bloody erosions here and there in the inner surface of the cheek

Sensation of blood in the mouth

* Dryness in the mouth, with very cold feet

Dryness and rawness of the palate, in the forenoon

Excessively dry sensation in the mouth, glutinous, with violent thirst; though he drank much water the thirst was not relieved

Sensation of dryness in the mouth, with burning on the tongue, compelling to drink at night

Constant alternation of dryness and moisture in the mouth

* Dryness in the mouth,(tenth and eleventh days)

Much heat and dryness in the mouth at night; she was obliged to drink several nights

Dryness of the mouth, with thirst

Dryness of the mouth (second day); increased (third day)

Mouth tender and dry

Burning sore pain in all the soft parts of the mouth and face, exteuduig through the Eustachian tubes, with much redness and some swelling, with a feeling as though all the parts were sore and covered with ulcers

Burning superiorly on the palate

Severe burning pain in the mouth (immediately)

Burning-biting sensation in the palate, with dryness and thirst

Burning in the palate/®

The mouth feeling as if “all on fire and irritated by the air breathed

Both complained of a hot burning taste in the mouth, and a similar feeling in the stomach

Painful spot on the palate

Painful sensitiveness in the mouth, on the gum and palate

Sensation on the palate as if the skin would be denuded ; it became wrinkled and painful

Scraping sensation in the palate and fauces

Scraping in the mouth and great weariness after eating; Avalkiug affects him very much; he is chilled and out of humor (after twenty-five hours)

A stitch superiorly on the palate, immediately after dinner

Prickling itching posteriorly on the palate, as in catarrh, obliging her to scratch it

Itching on the palate, lasting several minutes

Incessant tickling about the palate

Sdlivd, Accumulation of water in the mouth, with bitterness in the throat

Frequent accumulation of water in the mouth, with a sensation as if he couUl not swallow it (second day)

Accumulation of saliva in the mouth ®'®.

Saliva runs from the mouth in sleep, even while sitting

Frequent accumulation of sour water in the mouth, with slight nausea

Bitter sour saliva comes into the mouth

In the evening she expectorated saliva, that tasted like foul water

After eating, the saliva tastes of the food (after nine days)

Much watery saliva in the mouth

Saliva like thick soapsuds in the mouth, without bad taste

Tdste. Bitterness in the mouth, with rawness in the throat

Bitterness in the mouth and throat, in the evening, with great dryness, much thirst, and copious drinking of water, disappearing after lying down

Bitter taste in the mouth, all day

Very bitter taste in the mouth, in the morning (first day)

Bitter taste to the breakfast

Bitter taste, especially after eating bread (sixth day)

Taste bitter

Sour taste in the mouth, immediately after taking milk

Very sour taste in the mouth ; was obliged to spit a great deal

Sour and insipid taste in the mouth, in the morning, disappearing after eating bread

Sour taste in the mouth, mostly in the morning

Sour taste in the mouth

Salty sweetish-sourish taste, with a sensation as if much saliva were collecting in the mouth

A disagreeable glutinous taste in the mouth, in the morning, on rising (after one day)

Metallic taste in mouth (second morning)

Persistent taste of Phosphorus in the mouth (second day)

Taste of the drug constantly with him (after two days)

Bad taste in the mouth (fourth day)

Taste slimy

Flat taste in the mouth (eighth day)

Milk had a burnt taste

Unnatural taste to bread, especially in the morning

Bread has no taste; it tastes like dough

Nothing tastes right

Speech, Stuttered when endeavoring to articulate

* Difficidt articulation (tenth day)

* Speech difficult and weak

Articulated slowly and with great difficulty (seventh day)

* Speech slow; the patient answers questions with difficulty; the answers are unsatisfactory and disconnected (eighth day)

Throat p. 398

Continually hawking and clearing the throat, worse from singing

Much hawking of mucus, in the morning

Constant ineffectual hawking (after half an hour)

Tenacious mucus hawked up (fourth day)

The mucus that was hawked up had a sour taste

Waked with considerable mucous accumulation in the throat, expectorated with difficulty (fifth day)

Gray salty expectoration, by hawking

* The mucus hawked up in the morning is cool

Acidity in the throat, and scraping in the pharynx

Rancidity in the throat

Sweet taste in the throat, that causes accumulation of saliva (after an hour and a half)

Full up into the throat; it takes away her appetite

Sensation as though he had eaten something rancid, so that the throat became quite raw

Dryness of the throat, so that she could scarcely swallow, in the morning, on waking, disappearing after eating

* Throat dry and parched; (first night)

Throat dry and burning (first day)

Extreme dryness of the throat (second day)

Dryness in the throat ®''®®; (second day); (after twelve hours)

Sore throat; a feeling of rawness and soreness, posteriorly in the throat, with dark redness

Sore throat, as from swelling of the uvula

Sore throat, as if sore and grown together, when swallowing and when not; frequent pain in the larynx, on external pressure

Soreness in right side of throat, after breakfast until 11 a.m.,®®.

Soreness of the throat (after several days)

Sore throat, as from a cold

Sore pain in the throat, when swallowing and when not

Sore pain in the throat, on coughing

Burning in the throat

The vomited matters left in the throat a peculiar burning sensation (first day)

Intense burning heat in the throat and stomach, and excessive thirst (soon)

Burning heat in the throat and nose (second day)

Severe burning pain down the throat and in the stomach (second day)

Roughness of the throat (after seven hours)

Rawness in the throat

Rawness in the throat, lasting four days, in damp weather

Rawness and burning in the throat, when swallowing and when not

Rawness in the throat, with violent coryza

Rawness in the throat, that provokes cough, in the morning

When coughing, a sensation in the throat as if a piece of flesh would be raised

Scraping in the throat provokes cough, in the afternoon, in the open air

Violent sticking irritation to cough, in the throat

Scraping in the throat, in the afternoon and evening

* Scraping in the throat

Raw scraped feeling in the throat (after thirtyfourth hours)

Scraping in the throat, from heartburn (fourth day)

Severe pain in the throat; the pain was paroxysmal, at intervals of five minutes (after three-quarters of an hour)

Pain in the throat on sneezing and yawning

Pain in right side of throat, at breakfast, relieved after swallowing a few times

Pain in the throat and stomach (second day)

Intense pain in the throat, deglutition almost impossible, with an expression of great distress (fifth day)

Pressure in the throat, like a sore throat

Pressure in the throat, in the morning

Sticking pressure in the pit of the throat

Pressure in the upper part of the throat, extending down to the stomach

Pressure in the throat, with swelling of the tonsils, touch of which causes a hacking cough

Sensation of pressure in the pit of the throat, with nausea, and a feeling as if he could not vomit on account of this pressure, with frequent accumulation of water in the mouth, so that he was often obliged to spit (a few hours after a dose)

Constriction of the throat (second day)

Feeling of tightness about the throat

Oppressive feeling of the throat-pit (after six hours)

Sticking sore throat, on swallowing

Crawling in the throat, that afterwards, while talking in school, changed to scratching

Tonsils.

Great swelling of the tonsils f

Great swelling of the left tonsil, on swallowing, and impeding motion of the head (after eleven hours)

Redness and swelling of the tonsils

Enlarged tonsils, with much dysphagia (after seven to eight days)

Momentary sensation, as if the left tonsil were swollen and would drop into the throat

Tharynoa and CEsopJiayns. Pharynx, uvula, and tonsils swollen, red (second day)

Sharp bitterness in the pharynx, with rawness

Frequent collection of mucus in the pharynx (after three weeks)

Fulness in the upper part of the pharynx, as if the food stood high up and must be vomited, without nausea

* Dryness of the pharynx and fauces f

Pain the length of the pharynx and oesophagus (second day)

Burning in the pharynx

Sensation of heat in the pharynx and oesophagus (second day)

Pain along the pharynx and oesophagus, and in the epigastrium (second day)

Sensation as if little lumps rolled up the oesophagus to the throat, relieved by swallowing, then returning again, with slight nausea

Burning in the oesophagus and stomach

Severe burning pain along the course of the oesophagus and about the stomach (first and second days)

Violent burning in the oesophagus and pharynx

Acute pain in the oesophagus, stomach, and abdomen (soon)

Pain, somewhat below the oesophagus

Twinging in the upper part of the oesophagus

Swallowing. Deglutition painful; the mucous membrane of the pharynx appeared normal (fifth day)

Deglutition difficult; (second day)

Difficult swallowing, with pain, towards noon

External Throat. Parotid gland tense, especially on stooping, and painful to touch

Throbbing in the carotids

Burning, at times, in the parotid gland

Stomach p. 399

Appetite, Violent appetite, amounting to ravenous hunger (after second dose)

Appetite ravenous, but the smallest quantity of food, the moment it enters the stomach, produced vomiting and passages from both bowels and bladder (after twenty-three hours); could eat but little food, as a few mouthfuls satisfied my ravenous appetite (third day); could eat nothing but the most easily digestible food, spiced food and pastry invariably producing looseness of the bowels (after two months)

Great appetite, with ravenous hunger

* Ravenous hunger, at night, that no eating quiets, followed by weakness, with heat and sweat, afterwards chill, with external coldness and chattering of the teeth

I increased hunger and appetite (tirst and second days)

Ravenous hunger

Patient complained of great hunger (fourth day)

Appetite is greater than usual, and food has a more natural taste

Ravenous hunger, preceded by pressure in the stomach

When eating, I do not know whether I am satisfied or not, and so eat less than usual,®’'.-

In the evening, he is satisfied with eating only a little, but immediately he feels uncomfortable in the pit of the stomach; sleep restless, and no appetite the next morning

A comfortable feeling of satisfaction, after eating, that he usually never really experienced

Appetite impaired and irregular

Diminished appetite; (second day)

Little appetite, and also no satiety

No appetite for breakfast, dinner, or supper

Diminished appetite, with weakness

No hunger all day ; when she eats, has an appetite

In the morning, he not only has no appetite, but after eating breakfast he feels full and uncomfortable, as if overloaded

No relish for breakfast, with a natural taste

Want of appetite from the very commencement of their work

Could eat no dinner (third day)

Loss of appetite, in the morning, with a white tongue and fulness in the pit of the stomach, with natural taste to food

Loss of appetite and no hunger; he was very indifferent to eating, and would not have eaten had it not been the usual time; no natural taste to food or drink; all food has but little, not an unnatural taste, and almost everything tastes alike; alcoholic drinks taste watery, and he has not his usual desire for smoking

Loss of appetite, with nausea

* Loss of appetite ®’® ’®, etc.

Great loss of appetite, for several days

Complete loss of appetite; (fourth day)

No appetite (second morning); utter loathing of food, and it was with difficulty that he could be induced to take even the lightest nourishment (sixth day); nourishment of every kind was refused (eighth day)

No appetite and no thirst

No appetite, no hunger (after three days)

Complete anorexia

* Great longing for acids and spicy things

Easily satisfied with tobacco; he can smoke but little, though it has not a bad taste

I was repeatedly obliged to lay aside the segar that I had scarcely begun, because I became so averse to it, and it caused such a feeling of emptiness in the stomach and abdomen, as if I had smoked too much; this disappeared after sleep (fifth day)

Was obliged to lay aside a segar in order to avoid vomiting (first day)

Aversion to meat and especially to fat (fifth day)

Very averse to cooked milk

Thirst, Thirst intolerable; drink did not quench it, but caused drops of cold clammy sweat to exude from the pores of the skin the moment the water entered the stomach

Constant excessive thirst, which was rather increased by drinking water

Excessive thirst; he drank, during the night, six quarts of water

Excessive thirst, only momentarily relieved by copious draughts of cold water (first night)

Constant and excessive thirst (second dayExcessive thirst,®® ‘®’, and many others.

Unquenchable thirst,^'^^-, (third day Increased thirst^^’’^-, (after eight hours)

Abnormal thirst began to be developed (second day); the thirst was intolerable, and large quantities of water were taken at a draught (fourth day); the thirst was fairly consuming, being more urgent at night than during the day (tenth and eleventh days)

Burning thirst (after fifty-one hours)

Burning thirst, in the afternoon (second day); thirst increased (third day)

Thirst, with burning in the throat (after ten days)

Intolerable thirst (seventeenth day)

Frequent thirst for small quantities

Great thirst, at night

Lively thirst (second day)

Constant thirst

Thirst,etc.

Much thirst for water

Thirst, at noon, before eating

Thirst, after eating

She has no relish for food, but wishes to drink constantly

Constantly wanting drink (tilth day)

Thirst, in the morning, immediately after rising

Thirst for large quantities of water, at rather long intervals

While eating supper, great thirst

JEructatioilS Eructations **'***®.

Frequent eructations (after first dose, second day)

Frequent eructations, and she declared there issued from her mouth fumes of a strong garlicky taste, which were luminous in the dark (immediately}'); painful regurgitations, with expulsion of gas having an alliaceous odor (third day)

Violent eructations, followed by pain in the chest (after a few hours)

Regurgitations of food, after supper

Frequent eructations; the stomach seems distended by gas

Constant eructations, with fermentation in the abdomen (after twenty-four hours)

Uprisings of food and eructations, without bad taste

Regurgitations of a mouthful of bile, on stooping low down

Burning uprisings from the stomach into the chest, while sitting, with anxiety, and perspiration on the forehead and chest (after two hours)

Frequent eructations and yawning (after six hours)

Eructations, with burning

Frequent loud eructations

Eructations, with pain in the stomach

Many eructations (fourth day)

A pressive rising up, as in eructations

Frequent eructations of white tasteless mucus

Constant inclination to eructate, with nausea, in the stomach

Foul eructations

Eructations of tasteless water (after one hour)

Frequent eructations, tasting like bad eggs, with a feeling as if diarrhoea would occur

Eructations, with accumulation of water and constriction in the mouth, increasing to retching, with mucus expectoration, followed by eructations and yawning (after a few hours)

Eructations, tasting like bad eggs, at night

Belching of large quantities of wind, tasting like rotten eggs

Eructations of the odor of olive oil, and a rising up through the nose, from which a white vapor issued

Uprisings of bitter water

Bitter eructations

Uprisings of bitter rancid water

Frequent eructations, tasting of urine

Eructations, tasting like oranges

Uprising of water from the stomach into the throat, as after taking saltpetre

Eructations after eating, at first empty, afterwards of food, as if there had been no digestion

Frequent eructations, tasting of the food (twelfth day)

Eructations, in part tasting of the food and in part acid

* Eructations, tasting of the food (fifth day)

* Frequent eructations, tasting of the food, even several hours after eating, without other symptoms of indigestion (eleventh day)

Frequent eructations, tasting of the food (eighth day)

* Violent eructations, tasting of the food, even the most simple, with moving and rumbling in the abdomen, as after a purge

Eructations tasting of the drug (first day)

Eructations of the odor and taste of Phosphorus, with blue exhalation from the mouth

Eructations, tasting of Phosphorus, with yawning, burning, and rawness in the mouth, mucous expectoration, and dulness of the head

Frequent eructations of sour bitter water

Frequent eructations, as from a fluid rising from the stomach, once of a sour taste, after breakfast (after one hour)

Frequent acid eructations and prostration of the whole body

Sour eructations (fourth day)

Sour uprisings of food, with horribly tasting regurgitations, sometimes after eating, for several days

Eructations sour, and at times foul, towards evening (third day)

Sour eructations, in the evening

Sour eructations, always after eating

Sour eructations, after drinking milk

Acid eructations,'

Frequent empty eructations, especially after eating/.

Empty eructations, soon after a dose

Frequent empty eructations, even while eating

Empty eructations (after three hours;,®; (after ten minutes)

Empty eructations, after eating

Empty eructations (after ten minutes)

Empty tasteless eructations, with constant nausea, aggravated by drinking cold water (after half an hour)

Empty eructations, at times, with nausea (second day)

Frequent empty eructations (fourth day); (after half an hour); (first day)

At first ineffectual, and then empty, eructations

* Many ineffectual eructations, with pressure in the chest (after eleven days)

Ineffectual eructations, with griping in the abdomen (after ten days)

Frequent ineffectual effects to eructate, with a feeling as if everything about the hypochondria were filled with air that could not be sufficiently expelled

Ineffectual eructations, with nausea, in the pit of the stomach (first day)

Ineffectual eructations, with at times ineffectual eff()rts to yawn

lliccomjh. *Frequent hiccough during the day, even before eating (after fifteen days)

Hiccough, after dinner, so violent that he had pressive pain in the pit of the stomach as if it were sore

Hiccough after eating (after seven days)

Persistent hiccough

lleaHbnvu. Heartburn (first days)

Heartburn, in the morning and afternoon

Heartburn, even after moderate eating of fat food

Heartburn, two afternoons in succession

Violent persistent heartburn after a glass of beer with a segar (quite unusual), (filth day),*'A

Waterbrash, after a meal, with eructations, nausea, and running of water from the mouth

Waterbrash

Acidity after eating

Increased acidity, always after eating, with pulsating headache in the forehead

Everything causes acidity, even the most harmless things

Nausea and Vouiltunj, *iVamea,®’®®'’®’, etc.

Nausea, in the stomach, with vertigo and oppression in the pit of the stomach, and eructations tasting of Phosphorus

Nausea, with shivering, for two days

Great nausea, on rising up in bed, sour vomiting, oppression of the chest, cold sweat on the forehead, and vertigo while walking, on the appearance of the menses

Nausea, even with much mucous expectoration, without cough

Nausea, with great thirst

Nausea, nearly all day

Nausea, in the morning, from 8 to 9, amounting even to faintness

Nausea, towards noon and in the afternoon, disappearing after drinking

Nausea, from 1 to 5 p.m.; then dull pain in occiput, followed by fever and flushed face and thirst, until 9 P.M.; also passing great quantities of loud wind from bowels

Nausea, from 1 p.m. until retiring, at 11 p.m.,®®.

Nausea, in the evening in bed, that made her voice weak

Nausea, late in the evening, amounting even to faintness and vomiting

Frequent nausea

Nausea, with great thirst and loss of appetite ; she was obliged to lie down

Nausea, so that eating was difficult, in the evening (first day)

Nausea and vomiting, while riding in a carriage

* Nausea, that disappears on drinking ivater

Nausea all day, and vomiting, in the evening

Nausea, with such violent empty eructations that it made the chest sore, disappearing after sup{)er

Nausea, with accumulation of water in the mouth and frequent spitting, in the afternoon (first day),®A

Nausea, with disinclination to eat, in the morning (third day)Nausea, which soon disappeared a after taking water (after first dose)

Nausea, aggravated by every odor, ot tobacco, wine, beer, etc.,’®®.

Constant nausea (after eleven days),’; (after fifty-one hours); (first day)

Great nausea

Considerable nausea, but no vomiting (second day)

Frequent nausea, and vomiting of everything that he ate/’®.

Slight nausea (after one hour'l.^h

Q,ualinish nausea, at times with uprisings of water, even in the forenoon, while sitting

Qualmish nausea, and attacks of faintness, with dull pressure in the pit of the stomach, so that she could tolerate no clothes (after forty-one hours)

Qualmish nausea, in the morning, lasting till breakfast

Qualmish nausea, even to faintness, partly in the forenoon and partly in the evening

Nausea and qualmishness, in the stomach, in the forenoon, while sitting

Qualmishness in the pit of the stomach, soon followed by shivering

Qualmishness and uneasiness in the stomach, like efforts to vomit, almost daily after eating

Qualmishness, nausea, and efforts to vomit, in the stomach, with at times uprisings of water

Qualmishness, as if to faintness, a few hours after dinner; she was obliged to sit down

* 3Inch qualmishness at night, and constant eructations of food

Qualmishness, after eating a little, though he had no appetite for his meals, Nausea, followed by vomiting (after twelve hours)

Nausea and vomiting,®''■‘'®'”, etc.

Nausea and retchings of watery fluid

Nausea and vomiting frequently accompanied the cough, especially soon after eating

Violent retching and vomiting

Retching and violent vomiting

* Vomiting,'®', etc.

Violent vomiting,®'®'®', etc.

Violent vomiting and eructations, smelling of garlic (fifth day)

Violent sickness came on, which continued during night and day; the matter ejected being luminous, as well as the breath, emitting a strong phosphorescent odor (after eight hours)

Violent vomiting and purging (soon); sudden recurrence of vomiting, in the morning and evening; vomiting of dark ruinous fluid (fifth day)

Violent vomiting, during which she ejected almost all the poison (after half an hour)

* Violent vomiting of food that had been eaten, colored grayish-yellow, during the first and second chills, and usually after the succeeding chills

Coi - start vomiting of blackish-green substances, at first tenacious, afterwards watery (second day)

Frequent vomiting

Copious vomiting, with constant nausea

Vomiting always after taking food

Frequent and violent vomiting (second and third days)

Frequent vomiting (after three hours); after an administration of an emetic, the stomach ejected a greenish fluid, which contained portions of undigested food, mucus, and some ends of the Phosphorus matches (first day)

Vomiting, lasting all night (after five hours); continued, inodorous, consisting merely of the liquids ingested (second day)

(1400.] Repeated vomiting, at first of water, mucus, with epithelium, and portions of mucous membrane, afterwards scanty, with clots of blood

Excessive vomiting (after one hour)

Constant vomiting

Frequent vomiting, and pains in the pit of the stomach, the first symptoms noticed (after more than thirty-six hours)

Vomiting, in the morning (second day)

Vomiting, increasing till a short time before death coffee grounds were evacuated

Vomiting, with intense pain (after half an hour); the vomited matters were ph()S[)crescent

Vomited several times during the night (first night)

Constant vomiting, internal spasms, loss of consciousness, paralysis of the arm (followed by death)

Vomiting, with pains in the stomach ; the ejecta were at first yellowish, afterwards blackish-brown

Vomiting, with most extreme weakness, small, rapid pulse, and pains in the abdomen (followed by death),®'.I

When the patient began to vomit she became pale and collapsed, pulse was scarcely perceptible, temperature fell to 34.(5“'

-j- From two grains

lluGUEs.

Vomiting, with pains in the epigastric region, extending to both hypochondria and afterwards to the lumbar region

* Hematemesis for seven days, with violent vomiting and intense thirst, in a less degree in the younger

Vomiting of all tbod, for two days

Vomiting repeated several times

Vomiting, repeated about every hour (after twentyfour hours)

Vomiting and diarrhoea (after half an hour)

Repeated attacks of retching,®®

Frequent vomiting

Unceasingly painful vomiting, towards evening (first day)

Vomiting (immediately)

Vomited at intervals, and rejected food (second day)

After eating, was seized with severe vomiting (after three hours)

Vomiting, alternating with hiccough ; the vomited matter was of a dirty-gray color, and n)ixed with mucous flakes, and the first appeared luminous when ejected (first and second days); small quantity of blood (fourth day)

Tendency to vomit set in in the evening of the second day, and continued until the next morning, and urgent attempts continued for two days; the vomit was yellow, and was said to smell of Phosphorus

Vomiting only after taking milk (third day)

Violent bilious vomiting, in the evening (first day)

Bilious vomiting; (fourth day)

Sour bilious vomiting, towards evening, preceded by violent vertigo, with nausea; together with icy coldness and complete numbness of the hands, afterwards of the feet, with cold sweat on the forehead ; after repeated vomiting, two natural stools within two hours; the nausea and cold sensation disappeared only after lying down (the twenty-sixth day)

Violent bilious vomiting (third day)

Substances vomited were fluid and of a yellowish-green color

Vomiting of bile, for eighteen hours, and followed for four hours by qualmish nausea and loss of ap{)etite, without an unnatural taste in the mouth (after eighteen hours)

Vomiting of bile, several times

Vomiting of bile, all night

* Had vomited twice copiously ; the vomited matter was as black as soot; on examining it with the microscope I found it composed of a mixture of fatty substance and blood-corpuscles, mostly misshapen, or even reduced to the condition of amorphous molecules; the liquid vomited was acid (fourth day)

* Vomiting of dark filamentous substances consisting of blood mingled with bile and mucus (second day)

* Vomiting of dark acid matter, always mixed with some blood (fifth day )

Vomiting of a dark matter (first day); at intervals (second day)

* Vomiting of black substances (third day)

Vomiting of black substances consisting of decomposed blood, followed by death

* Black vomit

Vomiting of black substances shortly before death (fifth day)

Vomiting scanty, greenish (after fifty-one hours)

Vomiting of sour and brown liquid

Vomiting of quantities of a dark-brown liquid

Vomiting brownish-black, with a metallic taste (after six hours)

Vomiting of yellow masses (first day); frequent nausea; vomiting of all food (after four days)

Vomiting of yellow mucus, and afterwards of dark-brown substances (second day)

Vomiting, consisting of dark reddish-brown, bloody ejecta (after six days)

She was at times very sick, and the matters thrown up were thick and of a dark reddishbrown color (fourth day)

Ejecta, by vomiting, brownish-red and bloody (ninth day)

Sourish vomiting, on coughing

Sour vomiting or retching, for several mornings, after a stool (alter fourteen days)

Vomiting; the vomited matter emitted the distinct phosphoric odor, and presented the characteristic luminosity of appearance of Phosphorus when viewed in the dark

\oniiting of food, in the evening

Vomiting of mucus, tasting of olive oil, at night

Vomiting of a peculiarly offensive kind

* Vomiting of food (third day')

Vomiting ; the vomited matter “lighted up like a match, and smoked like a firebrand (soon),"-.

Vomiting of about 100 grams of pure blood (daily, from the eleventh to nineteenth days, except on the fourteenth, and also on twentyfifth day)

* Vomiting of blood (eighth day)

Vomiting of bloody mucus

Ineffectual attempts to vomit, with most frightful tremors, relieved only by drinking cold water

Empty vomiting

General Stomach. Stomach greatly distended, the abdomen retracted (third day)

Stomach distended

Epigastric region tense, very sensitive to pressure; abdomen soft, not painful (third day).

Epigastric region greatly distended and painful

* Epigastric and hepatic regions distended and sensitive to pressure (tenth day)

Stomach distended by gas

Swelling and sensibility over the stomach to touch

Great distension of the epigastric region (third day)

Epigastrium distended

Epigastric region tense and very painful (third day)

Epigastric region painful and distended (fourth day)

Violent gastro-enteritis; the patient was lying cold and pale, like a dying person, unconscious, sunk down in bed, skin covered with cold clammy sweat, here and there a waxy-yellow color, the face almost leaden-gray, with dark rings around the eyes, mouth closed, lips blue, respiration retarded, short, difficult; heart’s impulse weak, intermittent, radial pulse small, slow, irregular, now and then intermittent; epigastric region and abdomen distended, exceedingly sensitive to the slightest touch ; the patient could scarcely bear the weight of her nightdress, so that she made constant automatic efforts to free herself from all clothing

Symptoms of the most violent gastro-enteritis ; lips red, tongue white, epigastric region very painful to pressure and rather hard, abdomen tympanitic, but painless; very great thirst;' respiration 40

lufiammation and gangrene of the stomach and intestinal canal, with violent burning and cutting

After bleeding him at the instep, the stomach became memorized (after even days)

Inflammation of the stomach

Sensitiveness of the epigastric region, aggravated by pressure; at the same time the pulse became very rapid, 128, the temperature rose to 38.5°; during the following night tormented by violent thirst, without sleep, small pulse, 96, temperature 38.8°, with headache; the icterus of the body was very intense, even the face was slightly yellow ; tongue dry, yellowish ; fetid odor from the mouth ; epigastric region distended, very sensitive to pressure; palpitation beneath the right ribs moderately painful; this was followed by rapid prostration, collapse, and death

The stomach was very sensitive, and tolerated only light food for several days

Epigastric region sensitive to the slightest touch

Epigastric region very sensitive

Epigastric region very sensitive, only on deep pressure

Di.-- comfort in the epigastric region (seventh day)

Sensation of a disordered stomach, in the evening, as though it were pressed together, aggravated by real pressure

Stomach disordered, weak for a long time

Feeling as of a disordered stomach, at night

Bad digestion,"’.t

Difficult digestion of food, usually taken without trouble

Disturbances of digestion are common among the workers; eructations, irregular stools, etc.

Sensation of heaviness in the stomach

A little heaviness in stomach (second day)

* Great fulness in the stomach

Fulness in the stomach

Very distressing sensation of distension in the stomach, as if it were full of gas, associated with a feeling of hunger, without eructations

Pain in the stomach, as if full, in the evening, lasting till falling asleep

Distended pain in the stomach, in the morning

Feeling of tightness in the pit of the stomach, soon after a dose

Sensation of stoppage in the region of the fundus of the stomach (after a few minutes)

Tightness of the pit of the stomach (first day),'‘’h

A sensation of emptiness and fasting in the stomach

Stomach feels empty, without ap])etite

Sensation of emptiness and weakness at the pit of the stomach (second day)

Heat, with violent pain, in the pit of the stomach

Heat in the stomach (second day)

Sensation of fervent heat in the stomach, afterwards over the whole abdomen

Violent burning in the stomach

Violent burning pain in the pit of the stomach (second day)

Violent burning pains in the epigastric region

Violent burning in the stomach, with violent thirst, anxiety, facial convulsions, violent shivering, cold extremities, bright watery eyes, pale lips, w^eak pulse, loss of strength (followed by death)

Violent burning in the stomach and intestines

Violent burning heat in the stomach, that even came out of the mouth like a hot gas

Incessant burning pain in the stomach

Violent burning in the stomach

Constant and increasing burning sensation at the epigastrium, for tw'o days tatter five days)

Burning in the epigastric region (first day)

Burning in the stomach (after ten days) "®.

Burning in the stomach and intestinal canal

Burning and cutting in the epigastric region

Burning in the stomach extending into the throat, like heartburn

Burning pain in the epigastric region and over the whole abdomen, and extending upwards into the fauces

Burning pain in the epigastric region, aggravated by deep pressure (third day)

Burning sensation in the stomach, and craving for cold water to drink

Burning pain in the epigastric region

Slight burning and prickling in the stomach, accompanied by eructations of whitish vapors through the n)outh and nose (after fifteen minutes)

Glowing sensation throughout the epigastrium and chest (after second dose, third day)

Glowing sensation in the stomach (first day)

Feeling of warmth or heat in the stomach, at times with cold hands

Slight warmth in the stomach (soon)

Feeling of coldness in the stomach, at times alternating with warmth

Violent pain in epigastric region

* Violent 'pain in the stomach, gradually spreading over the whole abdomen, with vomiting, at first of green, afterwards of blackish substances

Complained of violent pain in the stomach and bowels, attended with unceasing painful vomiting and diarrhoea, towards evening (first day)

Violent pain in the pit of the stomach

Most violent pain in the stomach encircling the base of the thorax like a girdle

Violent pains in the epigastrium and right hypochondrium, with frequent vomiting (second day)

Violent pains in the epigastric region on pressure (third day)

Very acute pain, with burning heat, in the epigastric region

■ Excessive painfulness of the epigastrium and right hypochondrium

• Intense pains in the epigastrium (after twelve hours)

Much pain in the stomach, with nausea and dulness of the head, at noon, a few hours after eating

Pains in the stomach (after eight hours); increasing in extent, and extending to both hypochondria, and in the second evening to the lumbar region

Acute pain in the epigastrium

Acute pain in the epigastrium and abdomen (second day)

Pains in epigastrium,"® "® "®, etc.

Pain in the epigastrium for about an hour, after taking this morning’s dose (fourth day)

Pain in the cardiac orifice of the stomach during eructations, as if it would be torn apart

Pains in the stomach (second day)

Pain in the stomach, as if compressed, in the morning in bed, preceded by perspiration

Pain in the stomach, as if empty, with uprising nausea, in the morning, after rising

Pain in the stomach, an hour after dinner, disappearing after sometime

Pain in the stomach, and burning

Pain in the epigastric region and abdomen (first

Pains in the stomach becoming greatly aggravated, with rapid pulse, restlessness, cool skin (fifth day)

Pain in the stomach on coughing,h

Acute pain in the stomach and abdomen

Pain at the epigastrium and abdomen (third day)

The child writhed convulsively. and was evidently suffering great pain in the epigastric region (sixth day)

Pains in the stomach and liver (second day)

Violent pains in the stomach and liver

Acute pains in the stomach

Pain in epigastrium increased by pressure (fourth day)

Complained of great pain in her inside (fourth day)

Gastric pains

Sharp pains in the stomach (after one hour)

Bruised pain in the epigastric region (second day)

Painful cramps in the stomach (first day)

Cramp in the stomach, in the evening, on I ving down in bed (after twenty five days)

Cardialgia,''.t

Aching in the stomach (first day)

* Pamfuliiess of the stomach, in the morning, to external touch, and also on walking

Great epigastric tenderness (second day)

Complained of slight tenderness in the epigastrium, in the morning, increased towards evening (second day)

Pain in the stomach, aggravated by pressure (second day)

Could not bear the slightest pressure over the stomach (third day)

* Sensitiveness to pressure in the region of the pylorus

Region of stomach slightly sensitive to pressure (second day) ; more marked, and the tympanitic percussion-.sound audible over a greater extent (third day)

The epigastric region is painful to touch

Epigastric region very sensitive to pressure

Epigastric region painful to pressure (sixth day)

Violent pain in the epigastrium, aggravated by pressure

Pain in the epi^rastrium, aggravated by pressure

Epigastrium painful to pressure '"*''®.

* Epigastric region became exceedingly painful to pressure, with enlargement of the liver

The slightest pressure on the epigastrium produced great pain (sixth day)

* Epigastrium and right hypochondrium very painful to pressure (sixth day); (fourth day)

Slight pain was produced by pressure at the epigastrium (fifth day)

* Pressure in the stomach '3 23.

Violent pressure in the stomach, always after eating (after two hours)

A very violent pressure in the stomach, followed by distension and a sensation as if I would vomit, with retching and eructations of gas, lasting from 9 p.m. till midnight

* Sensation as if something were pressing heavily upon the stomach, aggravated by pressure

* Pressure at the cardiac orifice of the stomach, especially on swallowing bread, which remains seated there

Pr-^sure in the pit of the stomach, persistent, even when fasting, though still more on sitting

* Pressure, as from a hard substance, above the pit of the stomach, with coldness (soon)

Pressure in the stomach, in the morning, in bed (after eight days)

* Pressure in the stomach, after eating, as if a heavy weight were in tV

Pressure in the stomach, in the evening (after two days)

Pressure in the epigastric region (after twenty-five hours)

Fulness, pressure, and moving about in the stomach

Pressure in the stomach after eating (after four days),'.-- Tension and pressure about the stomach, and great distension of the abdomen, after dinner

The most severe pressure in and above the stomach, afterwards also in the whole sternum and on the ribs, taking away the breath, equally while sitting and walking (after two hours),h

Pressure in the epigastric region, as from a blow

Pressure and a feeling of fulness and nausea, in the stomach, relieved by eructations

Pressure in the epigastric region, with some rumbling in the abdomen (soon after a dose, twentieth day)

Pressure in the stomach, not affected by eating or drinking (fifth day)

Pressure in a small spot in the stomach, and at the same time in the right temple

* A sharp pressure in the pit of the stomach, with every cough

Burning and pressive weight in the stomach

Pressure just above the stomach

* Oppression at the epigastrium

Oppression of the pit of the stomach (soon)

Compression from both sides of the stomach, while sitting

Painful jerks, extending from the stomach up into the throat, as though caused by mucus, while sitting

Spasmodic sensation in the stomach, before and after supper; it then extends into the chest from both sides

Spasmodic sensation, with chilly trembling, in the pit of the stomach and chest

Slight griping in the epigastric region, extending to the transverse colon, and afterwards farther down the abdomen, equally on both sides, accompanied with a sensation of slight warmth, as from incarceration of flatus (after a few minutes, second day)

Griping and twisting in the stomach, at night

Constrictive griping in the stomach (after six days)

Griping in the epigastric region, at intervals, and of a duration of a few minutes (twenty-second day)

Griping constrictive pain in the epigastric region, which was sensitive to pressure ; afterwards the pain increased and extended upward and downward, so that he was frequently obliged to bend forward, which, however, caused a pressive pain in the forehead, without vertigo or heat; neither of these pains were affected by walking or by lying down, but were decidedly relieved by eating

Tensive constriction in the stomach, with sourish eructations

Constriction and gnawing in the stomach

Drawing at the pit of the stomach (third day)

Drawing pain in the stomach, extending into the chesty.

Drawing and tension in the stomach, while riding in a carriage

Lightning-like cuttings from the stomach to the umbilicus

Cutting in the epigastric region

When coughing she was obliged to press the hand upon the pit of the stomach on account of striking pain, with pain in the throat, as if raw

Stitches above the stomach and through the abdomen, which then became large

A stitch in the epigastric region

Stitches in the pit of the stomach, so that she could not get a breath, disappearing after eructation, every evening at 10 oclock

Violent pulsation beneath the pit of the stomach, soon after eating (after four days)

Pricking in the epigastrium (after three-quarters of an hour)

Gastric symptoms, with nausea and inclination to vomit

Abdomen p. 408

Hypochotidvia, Right hypochondrium distended and hard, with enlargement of the liver (fourth day)

* Liver enlarged (third day),*®®**®*®*, etc.

Liver very much enlarged (eleventh day)

She suffered from icterus and enlargement of the liver

Decided enlargement of the liver (fourth day)

The liver, which had been very greatly enlarged, shrank on the eighth day to its normal size; at the same time the distension of the abdomen diminished, the patient became more unconscious, with tendency to delirium

Liver rapidly enlarged, with an increasing icteric color of the skin, with disappearance of the perspiration, the day before death

Liver enlarged, extending two inches below the margins of the rib (third day)

Liver was enlarged, and could be felt distinctly nearly two inches below the ribs; it reached to the left hypochondrium (fifth day),’®h

The liver became small, associated with meteorismus, thin colorless stools, and on the next day furious delirium, with much jaundice, albuminous urine, followed by sopor, frothing from the mouth, rapid pulse, contracted pupils, and death

Liver enlarged, painful (eighth day)

Liver greatly enlarged ; the margins seetri blunted, the surface smooth (seventh day)

Liver greatly enlarged, feeling doughy and smooth ; the lower margin obtuse (fifth day)

Liver enlarged, painful to pressure (fifth day)

Dulness over the liver increasing (fifth day); the next evening the lower margin of the liver could be distinctly felt above the navel; on the seventh day the margin of the left lobe of the liver could be felt three inches to the left of the median line, and dulness over the liver extended above the fifth rib; the painfulness to pressure was always increased during and after the chills; diminution in the volume of the liver took place the twentythird day; this corresponded to the diminished painfulness over this region; on the seventy-ninth day dulness over the liver was found to be unnaturally small; there was none to the left of the median line; at this time, and afterwards there was decided enlargement of the spleen

Spleen enlarged,’®® ’®®, etc.

Spleen somewhat enlarged (third day) ’*®.

Spleen enlarged and painful (third day)

Spleen greatly enlarged (seventh day); (sixth day)

Violent pains, especially in the right hypochondrium, which was painful to the slightest touch

Violent pain in the hypochondria (first night)

Violent pain in the left hypochondrium ; cannot stoop nor lie upon the right side

Commencing pains in each hypochondrium (second day); pains increased (third day) ; somewhat abated (fourth day)

Pain in both hypochondria, especially in the right, aggravated by pressure (second day)

The right hypochondriac and epigastric regions were so painful that the slightest touch could not be endured

Pressure on the right hypochondrium caused pain

Right hypochondrium very sensitive to pressure (third day)

Pain in the spleen and groins, aggravated by thirst (third day)

Pressure over the region of the spleen very painful (third day)

Region of the spleen painful to pressure, with enlargement of the spleen (third day)

Pain in the region of the liver, whose normal boundary was not higher, but increased towards the left about an inch or an inch and a half (third day)

Pressure in the right lobe of the liv’^er (first day),*®h

Hepatic region exceedingly painful to pressure (fourth day)

Hepatic region painful to pressure (Iburth day)

Pains in the hepatic and epigastric regions, aggravated by pressure (third day)

Great painfulness to pressure in the hepatic region (first four days)

Hepatic and epigastric regions very sensitive (eleventh day)

Pain over region of liver (seventh day)

The hepatic region is sensitive, with dull sensitive pain when touched, especially when lying on the right side

Region of the liver very sensitive to pressure

Hepatic region very sensitive to pressure (second day)

Hepatic region painful to touch (eighth day)

The liver is sensitive to pressure; projects a very little beyond the false ribs (fourth day) ; very painful on pressure; extends two fingers breadth beyond the edge of the false ribs (ninth day)

Griping in a small spot in the hypochondria, especially in the right, disappearing on rubbing

Stitches in the right hypochondrium and extending into it, at times with burning in the skin, that disappears on rubbing, or with a sensation as if it were tightly adherent

Stitches in the left hypochondrium, even while sitting, at times followed by sensitiveness of the part

Stitches in the hepatic region/.

JJmhiliciiS mid Sides. Abdomen above the navel tympanitic (after six days')

Great tympanitis ; the right side of the abdomen especially distended (fourth day)

Pain in the umbilical region

Laborlike pains about the navel and in the back, so that the patient lay as in opisthotonos

Griping pain in the navel (third day)

Griping, moving about, and dragging below the umbilicus, followed by urging as to diarrhoea, though a consistent stool was passed

Colicky flatulence in the right side (after third dose, second day)

Dull stitches in the right side of the abdomen

Violent griping in the left side of the upper abdomen, extending towards the epigastric region, followed by a sensation of something living there, while standing aud sitting

Griping in the left side of the abdomen, and afterwards in the epigastric region

Stitches in the right side of the abdomen, with violent tearing in the head, while sitting

General Abdomen. Great distension of the abdomen; (eighth day)

Dtsfennon of the abdomen (first two days),’; (fourth day); (seventh day)

Distension of the abdomen caused by moving flatus, with evacuation of a thin stool instead of flatus (first twelve hours); on the second day, with the moving flatus in the abdomen, a bruised pain in the intestines; on the third day, incarceration of flatus in the right side of the abdomen, with pressive pain ; on the fourth day, incarceration of flatus in the right side of the abdomen, with griping pain

Abdomen distended and very sensitive (third day)

Abdomen distended and very painful to touch

Abdomen distended, painful (third and fourth days); (third day)

Abdomen distended, walls tense (fourth day )

Abdomen distended, exceedingly sensitive to the slightest touch

Distension of the abdomen, with some oppression of breath (first day)

Flatulent distension of the stomach and abdomen, with inclination to eructate, that, however, did not always relieve

Distension of the abdomen seems to be diminished b}’- taking coffee

At night the abdomen was full and pressed up towards the stomach, especially after midnight it was very much distended

Abdomen distended by flatus, though with emission of much flatus

Abdomen distended, hard, with much flatulence

Abdomen swollen, exceedingly sensitive

* Abdomen very jnll, tense

Abdomen puffy, even with good rapid digestion

Great fulness in the abdomen

Abdomen hard, tense, on eating a little, with little appetite

Abdomen very tense and distended (third day)

* Abdomen distended, tympanitie (second day)

Abdomen greatly distended and tympanitic

Abdomen tense (eighth day)

Abdomen tympanitic (third day); (second day)

Abdomen somewhat distended, and it was tympanitic over its greater extent (fifth day)

Abdomen was somewhat swollen, and was sensitive on pressure (first day)

The abdomen was tense, and covered with a cold clammy sweat and extremely sensitive

Fulness in the abdomen immediately after eating, though with appetite

Great relaxation of the abdomen after a soft stool (after three days)

Abdomen was retracted (fourth day)

Abdomen contracted ; pressure excited plaintive cries and irregular movements (after seven days)

Easy emission of flatus at times, in the evening, with desire for stool

Emission of much, flatus ®®.

Frequent emission of flatus, without colic (after four hours)

Emission of much odorless flatus (sixth day)

Frequent emission of odorless flatus

Emission of fetid flatulence, in the afternoon and evening

A great deal of offensive wind, with several loose stools

Passing great quantities of loud wind from bowels

Flatulence, with “sinking sensation at the stomach fifth evening)

Emission of very offensive, at times lond, flatus

Unsatisfactory emission of flatus, iu the evening, after lying down

Rising, like flatulence, from the abdomen up to the throat; this was followed by eructations, when it went down

Pressive incarceration of flatus in the lower abdomen while sitting and lying, scarcely at all felt on Walking; it seems as though the abdomen were drawn inward, with a disagreeable sensation

Incarceration of flatus, with coldness of the body and heat of the face

* Incarceration of flatus beneath the ribs, with oppression of the chest

Ineffectual efforts to emit flatus (after an hourb'®.

Inclinations to flatulence, with eructations (after two hours)

* Very loud rumbling in the abdomen (after an hour)

Rumbling in the abdomen

Great rumbling iu the abdomen (first day),®'Sensation as if the abdomen were entirely full after a very moderate meal, with loud rumbling in the abdomen (third day)

Painful rumbling in the abdomen

Rumbling and gurgling in the abdomen, or a sensation as if bubbles of air would burst, with inclination to eructate

Frequent rumbling in the abdomen, with frequent emission of flatus (first day),'-®.

Moving about, rumbling, dragging, and gurgling in the abdomen, at times extending towards the sacral region

Rumbling and gurgling in the place of a hernia

Rumbling of flatus iu the abdomen, as if diarrhoea would occur (after forty-eight hours)

Rumbling and movements in the abdomen (second day),'-

Rumbling in the abdomen, with frequent emissions of flatus, worse after supper (first day)

Movements in the abdomen (fourth day)

Rumbling in the abdomen and desire for stool, without relief (third day)

Rumbling in the abdomen, even after eating (after four days)

Rumbling in the bowels, but slow stool

Rumbling and discomfort in the abdomen

The bowels rolled and tumbled about, and were frequently distended with gas (sixth day)

Rumbling and gurgling in the abdomen, with emission of much flatus

The symptoms pointed to extension of the inflammation of the mucous membrane of the duodenum, which seemed to close the bile-ducts and cause a great accumulation of bile in the gall-bladder

Tore off with violence everything placed on his abdomen (after seven days)

Abdomen extremely sensitive to touch (.seventh day)

Abdomen sensitive to every touch or change of position

Sensitiveness in the abdomen, below the navel, on pressing upon it

Most violent cramp colic, first in the right side, afterwards extending towards the back (also in the right testicle), and extending upward in the epigastric region, with perspiration, loud groaning, and distortion of the facial muscles (after seven days)

Violent colic during the menses (after thirteen days)

Colic and diarrhoea

Colic, without diarrhoea

Violent colic (first day),"'; (third day)

Colic

Colic, followed by a thin brownish stool (twelfth day)

Constrictive colic, with some chilliness

Colic, with pressure below the left short ribs and accumulation of water in the mouth (second day)

Colic, with frequent ineffectual desire for stool

Paroxysmal colic about the navel, extending inward, with nausea and accumulation of water in the mouth ; pressure of the hand over the fundus of the stomach was very sensitive

Colic relieved by bending up and lying on the right side

Woke with cutting colic, lasting an hour, at 1 a.m. (after twenty-one days)

Colic, with rumbling in the abdomen and empty eructations (first day)

Violent cutting colic

Violent cutting colic, in the evening, before going to sleep

Flatulent colic, ^specially in the sides of the abdomen, as from incarceration of flatus here and there; flatus was passed within twelve hours, though in short interrupted emissions, with great exertion

Attacks of colic starting from the place of a hernia and extending to the stomach,k

Colic pain, as if diarrhoea would occur, transient, but frequently Renewed, followed, on pressing inward above the ileum, by a violent sore pain

Colic, with sore and sticking pain, relieved by lying upon the abdomen

Colic, in the morning, preceding a hard stool

Twisting colic, with much rumbling, in the abdomen, at noon and evening, after eating

Sticking colic, with paleness of the face, chilliness, and headache, at noon (after twelve days)

Violent griping in the abdomen at 2 A.M., followed by a thin stool, that is succeeded by burning in the anus; repeated at 5 a.m.,*®.

Violent griping pains in the abdomen

Severe griping pain in the bowels, with tenesraic inclination to stool (third dav)

Frequent griping in the abdomen, as if diarrhoea would occur

Spasmodic griping and constriction below the navel, as if in the uterus, in the evening, during and after stooping

Griping in the abdomen, after dinner

Griping in the abdomen, followed by sour-smelling fecal diarrhoea, then by some tenesmus and burning, with erection, in the morning

Griping and moving about in the abdomen, with diarrhoea of brown liquid, followed by some burning, and relief of the pain

Griping and cutting in the upper abdomen, as from a purge, while walking

Feeling of general discomfort and fulness in the abdomen, just above the navel (sixth day)

Sensation of great emptiness in the abdomen, after emission of much flatus (after nine days)

"‘"Emptiness and a feeling of weakness in the abdomen

Feeling of great weakness in the abdomen and back, so that she was obliged to lie. down (after twenty-eight days)

Tension in the upper abdomen, always caused by every motion of the trunk

Relaxed feeling in the abdomen

Agreeable warmth in the upper abdomen

Sensation of warmth in the abdomen

Heat in the abdomen and face, in the morning

Burning and cutting in the abdomen

Burning, like fire, in the colon, and especially in the anus

Burning and pressure in the abdomen

Burning in the abdomen while eating, followed after an hour by a soft stool

Sharp burning pain in the abdomen (soon)

Sensation of coldness in the intestines, above the umbilical region (after eleven days)

Sensation of coldness in the abdomen *®.

Violent pain in the whole abdomen f ’®"’; (second day)

Most violent pains in the whole intestinal canal

Very acute pain in the abdominal region (second day)

Constant pain in the upper portion of the abdomen (fourth day)

Severe pains, colic, and diarrhoea (after five hours)

Abdomen exceedingly painful to pressure (second day)

Pain in the abdomen; (fourth day),*’*; (after a few hours); (third day)

Pain in the abdomen (soon), "followed by burning pain in the abdomen (after four hours)

Pains in the abdomen, aggravated by pressure

Acute pains in the abdomen (after three weeks)

Abdomen sensitive to pressure

Indescribable pains in the abdomen, with violent shaking chill and moaning respiration

Abdomen sore, but not tender to the touch

Awoke with pain in the bowels and diarrhoea, at 4 A.M.,®

Fugitive pains in both abdomen and thorax (after second dose, second day)

Pain in the abdomen, especially in the morning

Pain as if something in the abdomen burst

Pain in the abdomen, in cold weather

Violent pain in the place of a hernia, even when not touched, during the menses

Drawing-pressive pain in the upper abdomen, and a sensation as if the place were sore

Pressure in the abdomen, in the evening (third day)

Constrictive sensation in the left side of the abdomen/®.

Anxious pressure in the abdomen, with distension, always after eating

Pressure in the abdomen, at night (first days)

Pressure in the abdomen, upon the small of the back, as from flatus, that is also scantily emitted, with some relief

Pressure low down in the abdomen, like a desire for stool

At times a very painful constrictive pressure in the whole abdomen, of short duration

Constrictive pain in the intestines at times

Sensation of distension of the abdomen, at times pressive, relieved by motion ; at times with difficult deep respiration, or with bruised pain in the small of the back and abdomen when touched

Cutting in the abdomen, with transient urging to stool

Violent cutting in the abdomen woke her from sleep, followed by thin forcibly ejected stool, with relief of the pain, at 3 a.m.,'®.

Cutting pain in the abdomen, with desire for stool (fourth day)

Frequent cutting in the intestines, especially in the evening

Sharp cutting pain in the abdomen before going to stool (seventh day)

Stitches extending into the abdomen, while sitting

Fine stitches in the left side of the abdomen, beneath the false ribs

Stitches at times transversely through the abdomen

Paralysis of the intestines

Sensation as if diarrhoea would come on

Inclination to diarrhoea and flatulence (second day)

ITtjpogastviuril find Iliac Jiegioil. Hypogastric region exceedingly sensitive to touch

Tension in the lower abdomen, above the bladder

Pains in the lower part of the abdomen (after half an hour)

Pain in the hypogastric region; (twenty-sixth day)

Pain, as from a soreness or inflammation, in the lower abdomen, extending to the pudenda, especially painful on touch, as if the intestines were sore, with weakness

Pain in the right side of the lower abdomen, above the hip, as from a swelling and injury, but when touched a pain as if bruised

Immediately after slight exertion at stool, pain above the anus, for six days in succession (after eight days)

He woke, at night, with pressure in the lower abdomen, almost as if upon the bladder

Pressure in the lower abdomen, in the forenoon and also in the evening, after eating (first days)

Cramplike pressure low down in the lower abdomen, in the genitals, in the morning, in bed

Pressure in the lower abdomen, every morning, on waking, almost as if on the bladder

Burning constrictive pain in the lower abdomen, at night, as before the menses (that had already stopped for several days); she did not know what to do on account of the pain (after four days)

A griping jerk at times, in the afternoon, in the lower abdomen, followed by emission of flatus

Jerking and sticking in the lower abd - men, above the genitals, in the morning, in bed

Drawing and jerking in the lower abdomen, as if the menses would occur

Painful cutting in the left side of the lower abdomen, extending across above the umbilicus, on inspiration, with pain, as from a very tense swelling, on pressing upon it, while walking after dinner

Long stitch extending from the lower abdomen to the perineum

Swelling of the inguinal glands

■ Painful dragging towards both inguinal rings, with flatulent colic, as if a hernia would occur

Aching in the left groin

Rectum and Anus p. 413

Great protrusion of the htemorrhoids during the stool, with burning pain when touched, on sitting and walking (after a few hours)

Protrusion of large htemorrhoids that are very painful, after a stool

Greatly protruding haemorrhoids

A hernia protrudes during a soft stool and becomes very painful, as if incarcerated, when stooping, touching it, or walking, and even while lying on the side he does not dare to reduce it with the hand

A drop of blood from the rectum

Blood from the rectum, during the emission of flatus (after eleven days)

Profuse discharge of blood from the anus (after a few hours}

AVhite corrosive mucus passes from the anus, awhile after a stool (after a few hours)

Sore pain in the haemorrhoids for several days, while sitting and lying, with violent sticking and pressure in them on rising

Sticking itching in the haemorrhoids, during the menses

The rectum lost its sensibility; the sphincter became paralyzed, and I had a slight prolapsus ani after each passage

Violent difficult spasm in the rectum, in the morning, in bed

In the evening, a sensation in the rectum as if something were lying in it that prevented the evacuation of faeces, with a stool that was not hard

The rectum seemed contracted, and with the evacuation of the stool, that was even soft, there was a sharp, biting, sore pain in it that lasted several hours and extended up into the abdomen

Violent pressure with the stool, that was not hard

Pressure in the rectum, after a stool

Stool accomplished only with pressure

Burning in the rectum

Constant cramplike dragging about tbe rectum

Violent constrictive pain, with stitches, in the rectum, before the stool

Tearing in the rectum

Tearing in the rectum and genitals, even to sinking down

Cutting in the rectum and anus, especially in the evening (after six, and seven days)

* Needlelike stitches in the rectum, when not at stool

Smarting in the rechvm, during the evacuation of a stool that was not hard

Crawling and itching in the rectum, during a soft stool

* Violent burning in the anus and rectum, with great exhaustion, after a soft stool

Frequent sharp scratching and burning in the anus, with burning desire to urinate, without discharge of much urine, after a stool

Burning pain in the anus

Pain in the anus, so violent that it seems as though the body would be torn asunder, with cutting and movements in the whole abdomen, with constant ineffectual desire for stool, heat in the hands, and anxiety; the pain was relieved only by the application of warm cloths (third day)

Sore pressure in the anus, preceding and accompanying a hard stool

Soreness in the anus, after a stool

Sticking and clawing in the left side of the anus, after dinner

Stitches in the anus

Crawling stitches in the anus, while walking

Pruritus in ano (first day)

Biting and itching m the anus (after seven days)

Tickling and itching in the anus, in the evening

Violent itching in the anus, during a walk, disappearing in the house

Frequent itching and crawling in the anus, after walking in the open air

Itching in the anus, after walking, and in the evening

Urging to stool, though only flatus is forcibly passed

Frequent ineffectual desire for stool

Urging to stool

. Great urging to stool, after eating

Urging to stool, with a soft pasty evacuation (fourth day)

Tenesmus, after a stool

Difficult evacuation of the stool (after twenty-four hours)

Tenesmus of the rectum (fourth day)

Frightful tenesmus in the anus and rectum, for some time after a stool

Stool p. 414

Uiorvhoea.

Diarrhoea,®* *'*, etc.

Profuse diarrhoea,^; (alter two days)

Frequent diarrhoea

Diarrhoea, which is something very unusual with me, as my bowels are generally constipated (third day); bowels still quite loose (fourth day) ; diarrhoea greatly increased, accompanied by a sharp cutting pain in the abdomen, before going to stool (seventh day); continued, but with much less pain, and less frequent discharges (eighth day). All the symptoms of diarrhoea did not disappear until the expiration of two weeks

Diarrhoea, with pain in the abdomen, on rising, in the morning, with heaviness and weakness in the limbs, recurring every morning, for four days (after three days)

Diarrhœa, with emission of flatus and some colic

Awoke with diarrhoea and pain in the bowels, at 4 a.m.,®

Diarrhoea, towards evening (first day) ; since the first day ot the poisoning, the alvine evacuations had stopped (seventh day); afterwards became involuntary

* I)diarrhoea-lice stool, containing muco membrane and clots of 6/ood

Diarrhoea, with violent colic,Some suffer from diarrhoea

Diarrhoea and colic (after five hours)

The elder purged highly offensive matter, dark and grumous, evidently containing blood ; the younger, offensive mucus, without blood,’®®!

Diarrhoea, with discharge of threadworms

Infrequent diarrhoea

Diarrhoea began after the vomiting stopped (third day)

Violent purging and vomiting (soon)

Diarrhoea and vomiting (fourth day)

Diarrhoea-like stool, with tenesmus in the anus and rumbling in the abdomen, for sixteen days, relieved by drinking coffee

* Bloody diarrhoea

Involuntary evacuations (previous to death)

Involuntary evacuation of colorless stool (eighth day)

Involuntary evacuation of stool and urine (seventh day)

Excessive watery diarrhoea

Four stools since yesterday (fourth day)

Daily, from one to two loose watery stools, preceded by colicky pains

Two loose stools, at 6 p.m.,®®.

Awoke at 5 a.m., with loose and watery stool, and belching of gas like rotten eggs; no pain, and no control of sphincter ani; no appetite for breakfast

A few loose discharges from the bowels (third day)

Loose discharges from the bowels, dark-colored, with pain before and after stool

Three liquid stools, dark and offensive, with pain before and after stool, and also between times; worse in the afternoon

Liquid stools, accompanied by urging and very sick feeling

Thin stools, with relief of the pain in the abdomen

Thin stools

Thin stools daily (after three days)

Had four very loose watery stools from 4 to 6 A.M.,®

Several soft stools a day, with colic

Two thin pasty stools, in the evening (first day)

First part of stool natural, the last part soft, with considerable quantity of florid blood (third day)

Somewhat unsatisfactory thin stool, with burning in the anus (eighth day)

For two or three weeks, bowels alternately constipated and loose

Semifluid stool, three times in the morning, for six days

Soft stool, with pressure and cutting in the colon (second day)

Very soft stool, in the evening, without difficulty

Scanty semifluid stool, forcibly evacuated

The passages were like the scrapings of the intestines and almost constant, attended with tenesmus for upwards of two hours; "^involuntary passages on the least motion; eight hours later, the passages changed to mucus and mucus mixed with blood and slime, still involuntary. At the end of twelve hours, passages began to become periodical at every half hour, and then every hour, still involuntary, with tenesmus at least an hour after each passage, when they became as fur apart as two hours. During the second night I was compelled to use the vessel a number of times, making my calculations to have a passage every two hours, *as they were involuntary the moment anything entered the rectum ; this condition lasted for two days, obliging me to go to stool as often as every three hours. During the whole time the passages were odorless, except a slight mouldy smell. After three days, every time I went from a warm room into the open air my bowels would move. For more than two months spiced food and pastry invariably produced looseness of the bowels

Soit pasty stool, in the evening, (fourth day)

Pasty stool, at an unusual time (first day)

Soft colorless evacuation from the bowels

The stool feels hot when passed

Green stool (in an infant whose nurse was taking Phosphorus)/.

Stools green and black/'.f

Stool green, rather soft,I

Stools greenish-blue, shortly before death (fifth day)

Stool light-brown, shortly before death

Stool luniinous

* Stool whitish-gray (fifth day)

Stool white, offensive,*'l

* Stool gray Stool grayish-red (ninth day)

Stools black ( twelfth day )

White lumps of mucus with the soft stool

Passed involuntary motions of a dark color, apparently containing coagulated blood (fifth day)

Stool almost colorless (even after taking calomel)

The bowels not having acted, an enema was administered, which produced an evacuation of a yellowish hue, but not possessing any odor resembling that of Phosphorus (third day)

Discharge of prostatic fluid daring a hard stool.®.

* Blood passes almost daily with the stool

After a soft easy stool, a considerable discharge of blood, without pain; have been subject to bleeding piles, but have had no symptoms for several months (second day)

Blood during the stool, for two mornings (first day)

Blood during the stool, four days in succession

* H(emorrhagefrom the bowels

Stools profuse, containing blood (eleventh day)

Numerous bloody stools, with tenesmus

* Discharge of pure blood with stools

Very fetid bloody diarrhoea (third day)

Frequent evacuation of bloody mucus or of fecal masses mixed with blood, with desire for stool, followed by spasmodic tenesmus and burning pain in the anus

Stools consisting of dark bloody liquid (after nine days)

Urgent stools, followed by about two teaspoonfuls of florid blood, a less quantity than before (fourth day)

Stool partly bloody, like that of yesterday (fifth day); a few drops of blood after stool (sixth day)

Evacuations from the bowels containing blood

Stool preceded by movements in the abdomen and griping about the umbilicus, at first consistent, then semi-liquid, accompanied and succeeded by burning in the anus (fifth day)

Stool hard, crumbly, like clay (cathartics caused copious but always whitish-gray evacuations; after the suppression of the cathartics the stool became again indolent, and only possible by the aid of a clyster; evacuations effected by these were tolerably copious, pasty, consisting of white and light-yellow masses)

Hard firm stool (first, second, and third days)

Stool hard, with cutting in the anus

Stool hard, covered with mucus, with some blood

Hard stool, in small lumps

Stool, with little faeces, followed by blood from the anus

Stool retaided (fourth day)

Stool evacuated only by means of injections, like clay (fourth day)

Natural stool four times daily, though only a little each time

Natural stool twice daily (first day)

* The bowels were sluggish

The next stool is omitted (after twenty hours)

After the emission of flatus, at one time a crumbly stool, with stitches, as from needles, in the rectum, followed for a long time by sensitiveness

Stool, with violent pressure, at first crumbly, then consistent, then soft

Stool, with great pressure, with which also only small pieces were discharged

* stool, with constriction in the rectum, preceded by griping in the abdomen ; two hours afterwards another stool, without griping, preceded by emission of much flatus and followed by renewed constriction of the rectum (first day)

Coiistlpation. Constipation,**'*.]

Obstinate constipation, for three days

Excessive constipation that could only be overcome by castor oil and injections, with symptoms of accumulation of faeces in the descending colon; namely, sensitiveness to pressure about the left PouparVs ligament, abnormal hardness low down in the left iliac region ; these symptoms increased until about the fortieth day, then almost a dysentery of watery stools mixed with whitish-yellow and cheesy masses, and tenesnnus, though not bloody stools; this lasted until the sixtieth day

Constipation for three days ; on the fourth day a stool, consisting of blackish masses, seeming to consist of only inspissated blood ; on the next day there were no bloody stools (after thirteen days)

Constipated stools, difficult to expel, apparently from inactivity of the rectum

Suppression of the evacuations,"®. Constipation, with very hard stools (secondary action),*._ Constipation for six days, with pressure in the pit of the stomach after eating; distension of the abdomen and incarceration of flatus (after twenty-four hours)

Constipation, followed by bloody diarrhoea (twentyseventh day)

Stool, none, or delayed for several days

Constipation for several days

Constipation ; dry and sluggish stool

Retention of stool for two days (fourth day)

iVo stool (first day)

Stool delayed about twenty-four hours (immediately)

Stool only every second day, and hard

Urinary Organs p. 417

Kidneys. Pains in the kidneys (twentysixth day)

- Pain in the kidneys, especially in the right side (twelfth day)

Pains in the kidneys and bladder

Pains in the kidneys, worse in the open air

Some pain in the kidneys (second morning)

Very acute pain in the region of the kidneys (third day)

Pain in the region of the kidney (tenth day)

Evacuation of urine, accompanied by very acute pain in the region of the kidneys (thirty-seventh

Sensitiveness over the region of the right kidney, with suppression of urine

Dull heavy pain in the region of the kidneys (after twenty-three hours)

Bladder. ^Discharge of pure blood from the bladder

Tenesmus of the bladder (twenty-sixth day)

Tenesmus of the bladder, that persisted during the first part of the poisoning, changed after about fifty days to incomplete incontinence of the urine, which was especially troublesome while walking

A stitch extending from the neck of the bladder into the penis, in the evening, on falling asleep

(Rather severe pressure in the bladder, with cutting and burning during micturition, lasting throughout the menses, while usually this symptom occurred only during the first day and was very slight)

In all the cases the bladder remained perfectly empty in spite of copious drinks

Slight spasmodic sensation in the neck of the bladder

Much pain in the bladder and kidneys (fourth day)

Dribbling of fluid from the urethra (not urine) during stool, and after urinating; also from friction against his clothes, and while talking to a young lady

Moisture in the orifice of the urethra, as from prostatic fluid

Glairy mucus in the orifice of the urethra

Moisture in the orifice of the urethra, that afterwards became yellow, and caused a yellow stain

Oozing of some prostatic or urethral mucus from the urethra, while the genitals were relaxed

On urinating the first time after a stool, a few drops of mucus were discharged from the urethra, with pain in the perineum

Violent burning pain in the anterior portion of the urethra while urinating

Burning in the urethra, with desire to urinate, in the evening

Burning pain in ihe urethra, extending from the scrotum forward, often when not urinating

Burning in the urethra

Burning and cutting during micturition

Sticking-burning pain in the urethra, always provoking to urinate

.Slight burning in the urethra, while urinating

Disagreeable sensation in the forepart of the urethra

Biting and smart-

Sexual Organs p. 417

27 ing in the meatus urinarius, extending backward for an inch, with pale red swelling on the right side of the apex of the glans penis, beginning at the upper surface and extending to within the orifice of the urethra ; after urinating a drawing extending from the meatus urinarius to the membranous portion of the urethra

Pain in the urethra and penis, most violent when urinating

Cramplike pain in the urethra and upper part of the scrotum

Sticking in the urethra and anus,h

Sticking drawing in the middle of the urethra

Transient drawing sensation in the urethra, extending to the meatus urinarius

Sudden drawing, back and forth, in the urethra, extending to the bladder, with constrictive sensation (after ten days),h

Cutting on urinating, with bloody urine,h

* H8hematuria (thirteenth, fifteenth, twentieth, twenty-fifth, thirtieth, thirty-fifth, and fortieth days),^‘^h

The hematuria still continued, after nearly two months, with acute pain in the region of the kidneys and liver, with some jaundice; more than two months afterwards the hematuria, which had gradually ceased, returned after great emotional excitement; at this time there was also profuse bloody vomiting

Micturition and Urine, Burning micturition

Micturition painful; (second day)

Slight pain while urinating

Frequent sudden desire to urinate; micturition without any difficulty

Desire to urinate sudden, scarcely to be restrained, in the morning (after three weeks)

Frequent urgent desire to urinate, with some pressure

Constant desire to urinate, while standing, though always only a few drops passed; disappeared while sitting

Frequent desire to urinate, with scanty discharge

Frequent desire to urinate (second day)

Violent desire to urinate, without thirst; he cannot restrain the urine, and it passes involuntarily

Great desire to urinate and defecate (after three days)

Urging to urinate felt in the neck of the bladder, relieved immediately after the evacuation of the first drops of urine (fourth day); this pressure afterwards extended as far as the meatus urinarius, and lasted for two or three days

Urging to urinate, moi’e while sitting than while walking

Urging to urinate, during the day (after three days)

Increased desire to urinate

Loss of desire to urinate; even when the bladder is full she feels no desire to urinate; however, she is able to accomplish it without trouble

Frequent micturition, of a normal amount, five times in two hours, in the morning, after rising, for several days

Distressing and ineffectual desire to urinate (third day)

Frequent micturition

Frequent micturition, but little at a time (after forty hours)

Micturition frequent and increased (second day)

Much micturition, while riding in a carriage (after a few hours)

Frequent micturition, even at night (first fourteen days)

Frequent micturition, at night, of only a few drops ; urine clayey

When coughing, a few drops of urine escape

If he does not obey the first call to urinate (reddish) urine passes involuntarily

Involuntary emission of urine, frequently

Involuntary evacuation of urine and fseces (fourth day)

Urinary discharge became involuntary (after seven days)

Profuse emission of urine

Nocturnal enuresis

Frequent enuresis

Had to pass a very large quantity of urine before daybreak (first night) ; urination more frequent than usual (second day)

Passed a large quantity of urine at 10 p.m.,®

Passed water frequently during the morning, notwithstanding I had four watery stools, after midnight

Passed a large quantity of water in a.m.,®

Diuresis; urine yellow, sp. gr. 1007, containing a little albumen and considerable bile

Difficult evacuation of urine, as if there were an impediment

The urine stops for a raiment and will not flow, with flatulent distension

Difficulty in passing urine (third day)

Micturition is difficult on account of a dull pain in the lower abdomen, in the morning, in bed, preventing his passing the last drops of urine; after a short interval there is a renewed necessity to pass urine, when it is passed scantily and by drops (ninth day)

Urine diminished (first day)

Micturition dribbling, with burning, like fire

Micturition difficult, with violent burning

Dysuria, with burning urine

Strangury, with excessive desire to urinate, that could not be satisfied ; the moment that micturition was accomplished the trouble began anew (thirty-fifth to thirty-eighth day)

Retention of urine and fjeces

Retention of urine

Suppression of urine

Urine suppressed; attempts to pass catheter were accompanied by burning and pains in the region of the bladder

Suppression of urine, with constant, ineffectual, distressing efforts to urinate, complete emptiness of the bladder, with sensitiveness over the region of the right kidney

Urine suppressed, with a constant desire to urinate; later (after twentythree hours), the passages became frequent, copious,scalding, high-colored, with a strong ammoniacal odor

Suppression of urine, for two days (third day)

Urine increased, dark-brown, smelling of garlic and sulphur

Urine increased (after first day)

Increased secretion of urine

Urine greatly increased in amount (after four days), and diminished in specific gravity, containing albumen from the fourth to the fourteenth day, containing bile pigment for two weeks; on the fourth and fifth days it contained large amounts of casts of fat drops; from the fifth to the tenth days a large amount of peptones; after ten days a profuse sediment of urates

Urine very copious, pale (second day)

Urine copious, sp. gr. 1020 to 1026, at first slightly acid or neutral, afterwards quite acid ; the triple phosphates at first were very abundant, but disappeared and gave place to an abundant sediment of urates; the urine was dark-colored and contained much bile-pigment; after the fourth day of the poisoning the urine contained increasing quantities of albumen ; the microscope showed hyaline cylinders, with here and there some fat or fatty cells of kidney epithelium

Amount of urine 800 c.c., sp. gr. 1023 (seventh day); steadily increasing to the twelfth day, when it was 3000 c.c., sp. gr. 1021 ; afterwards it varied, and after three weeks was 3050 c.c., sp. gr. lOlO; afterwards varying, until after about five weeks it ranged from 1100 to 1600 c.c. daily, sp. gr. 1012 to 1016; urea was always present in large amounts ; the ethereal extract of urine always contained more or less hippuric acid, portions insoluble in alcohol contain a large amount of urates; urine increased on the ninth day, contained creatin

Urine scanty, at times mixed with blood

Urine scanty (third day)

Urine acid, containing albumen, hseraatin, especially constituents of the bile, blood-corpuscles, cellular elements, epithelium and fibrous cylinders, leucin, and pyrosis

The urine contained albumen and some bile-pigment, much lactic acid, no leucin nor pyrosis

Urine contains albumen and bile; the quantity increased, sp. gr. 1016, reaction acid (third day)

* C7nne a/6irmwioMS; (after five days)

Necrosis of the jaw was accompanied by albuminuria and acute fatty degeneration of all the viscera

Urine dark-red, with greenish-yellow foam (fifth day); albuminous (sixth day); contained albumen and bile-pigment (ninth day)

Urine dark-brown, containing bile, coloring-matters, albumen, casts, with fatty degenerated epithelium from the kidneys, large cells from the bladder (seventh day)

The urine on the tenth day contained traces of albumen and bile-pigment; chemical analysis showed an increase of extractive matters, a very small amount of urea, and a very large amount of lactic acid,'®b

The urine was high-colored and frothy; its specific gravity increased, and it was found to contain albumen and exudation-cells; the coloring-matter was augmented, as were also the sulphates and phosphates, but the chlorides were diminished in amount. This state of urine continued during the whole course of the disease

During the afternoon she had passed a small quantity of urine, which contained some albumen ; and under the microscope it presented a large quantity of epithelium, with casts of tubes, and a few blood-corpuscles (fifth day)

The urine examined daily, contained much albumen and bile-pigment; on the fourth day also granular, fibrous casts, which at last became very numerous ; the urea gradually disappeared, until just before death it was almost entirely wanting; large amounts of lactic acid

Urine scanty, specific gravity fell from 1024 to 1012 in three days; it contained some albumen

Urine brownish-black, acid, sp. gr. 1027, containing albumen, pus-cells, and bloodcorpuscles

Urine dark-colored, albuminous, and bloody, but very careful microscopic examination failed to detect any casts

* Urine bloody, largely albuminous

The urine contained biliphsein and albumen

Urine contains bile (fifth day)

Urine contained a large amount of bile-pigment, some albumen, a moderate amount of urea (sixth day)

Urine yellow, containing bile-pigment (fifth day)

Urine clear, yellow, containing much bile-pigment, sp. gr. 1021 (seventh day); albuminous, containing streaks of blood, sp. gr. 1016 (after nine days)

Urine dark, containing bile-pigment (third day)

Urine contained bile-pigment (after eight days)

Urine contains bile, but no albumen (seventh day); red and turbid, sp. gr. 1023 (eighth day) ; 1021 (ninth day); very profuse, 1017, and with a very copious sediment (tenth day) ; 1020, containing no bile, but a large amount of creatin (in twenty-four hours from 8 to 10 grams), (eleventh day)

Urine brown, and containing bile and albumen (third day)

The urine gave a reaction of bile-pigment, with some albumen ; sp. gr. 1026; the coloring-matters of the bile gradually increased, but the albumen was not constant; there were at times copious dejections of water; on the fourth day a copious secretion of urine commenced ; the urine was greenish-yellow, sp. gr. 1009, decided bile-pigment, decided albumen ; on the twentieth day the urine became clearer, with less bile ; there seemed to be no relation between the amount of bile in the urine and the paroxysms of fever

Urine contained bile (fourth day)

The little urine passed on the second day was loaded with salts, contained some bile and albumen (the albumen appeared forty-eight hours after the poisoning)

Urine dark-colored, containing bile coloring-matters (third day)

Urine contained bile-pigment, some exudative casts with epithelial cells (sixth day)

Urine scanty, dark-colored, containing bile-pigment, but no albumen, sp. gr. 1020 (third day)

Urine dark-colored

Urine white, of a strong odor

Urine pale (first day)

Much watery colorless urine, during the attacks of pain

Urine scanty, orange-colored, thick

Urine scanty, deep-yellow, smelling like garlic

The urine, that was golden-yellow when passed, soon deposited a whitish sediment (after thirty hours)

Urine evacuated by a catheter yellow, turbid, depositing a light flocculent sediment, sp. gr. 1013, acid, containing bile and a little albumen (fourth day)

Urine red, scanty (after three days and a half )

Urine dark-red, containing many free phosphates, exhibiting a yellowish-green froth when shaken, free from albumen (fifth day); containing albumen (seventh day); urine reddish-brown, very turbid, containing albumen and some bile (eighth and ninth days)

Urine acid, dark-brown, specific gravity 1020, depositing a flocculent sediment, containing granulated casts with fatty epithelium and some albumen, and a large amount of bile-pigment

Urine as brown as beer, sp. gr. 1021, acid, with copious sediment; urophan diminished, uroxanthin increased, urea diminished, uric acid increased, no chlorides, phosphates increased, sulphates increased; with much albumen, many urates, bile coloring-matters (sixth day)

The urine has the odor of violets,®''^ 32e

Turbid, offensive urine, smelling of violet root

Urine very offensive, for several days

Urine dark, turbid, almost black, after previous suppression of the urine, for twenty-six hours

Urine scanty, high-colored, and odorous

[2190.1 Urine highly colored, and of a very disagreeable smell (eighth day)

Urine very red, smelling of sulphur; after standing two hours it deposits a thick, copious, white, slimy sediment

The urine has a strong ammoniacal odor, becomes turbid, and deposits a whitish-yellow sediment (after six days)

Urine scanty and of a dark color (third day)

Urine as clear as water

Urine dark-yellow, clear, frothy; nitric acid caused a sediment that formed slowly (tenth day)

Urine pale-yellow, soon exhibiting a cloud (after three days)

The urine becomes soon turbid, and deposits a brick-red sediment

Urine at one time dark, at another light, often turbid, frequently depositing a mucous sediment that disappeared on heating, at times acid, at other times neutral

Urine when passed clear, but became turbid and cloudy on standing

Urine dark-red, depositing a bright-red sediment

Urine turbid and high-colored

Urine became rather thick

Urine red, depositing a sediment (fifth day)

The. pale urine forms a white line around the side of the vessel

Whitish deposit from the urine

* The urine deposits a white cloudy sediment

Yellow sediment in the urine

Urine thick and red (fourth day)

Urine yellow, with copious sediment (third day)

Urine with a dark-colored sediment (eighth day)

* Urine brown, with red sandy sediment

Iridescent fatty membrane upon the urine

Sexual Organs p. 421

Hale, Swelling of the spermatic cord, that, together with the testicle, is painful (during a soft stool)

Great relaxation of the genitals; erections were weak

An ulcer on the prepuce (that soon heals)

Slight pain in the prepuce, while urinating, for several days

Drawing-tensive pain in the spermatic cords

penis. Violent erections, in the morning (after six days)

Frequent erections, at night (after four days)

Painful erections twice during the night, without dreams

* Frequent and painful erections, which awoke me several times

In one case (age fifty, dose one-twentieth of a grain, tridaily), morning erections became more frequent

Erections, in the morning, after waking

Erections day and night.

Erection, without desire, in the evening

In an old man an occasional vigorous erection the first seven days, then none at all for twenty-two days, but from the twenty-ninth to the forty-third again, all the more vigorous

* Ineffectual erections during coition, which was seldom; he had never suffered from this before this proving

No erections (after seventeen days)

Constant sticking pain in the whole penis, especially in the urethra

Peculiar sensation in the mons veneris, as though a testicle had slipped up there

Pain in the tip of the glans penis

Sticking pain in the forepart of the penis, after urinating

Biting pain in the glans penis, at the close of micturition and afterwards (after thirty-two hours)

A stitch in the glans penis, in the region of the fraenum

Pruritus of the glans penis, in the evening

Scrotum and Testicles. Pain in the scrotum

Sensation as though one testicle were pushed upward and com pressed

Violent drawing in the testicles

Pain in the testicles for several days,h

Desires. ^Extreme irresistible desire for coition

Strong desire for coition, with feeble erections

Excessive sexual desire

* At first he was tormented by great desire for sexual intercourse; this, however, disappeared at a later period, and for the last six months all erectile power had left him

Almost unrestrainable desire for coition on the following days

Sexual desire increased

Much internal sexual irritability, in the forenoon

Well-marked venereal desires (first evening)

(There was no sexual excitement, except in dreams, during the proving, but a slight exaltation of that function has been noticeable ever since (after three months) ; in that respect I am quite sure that the Phosphorus had exerted a curative power)

Sexual desire disappears during the first days

Diminished sexual desire, with too sudden ejaculations of semen during coition, lasting for about four months after the proving, and gradually disappearing

The proving of the drug had a depressing influence upon the sexual organs for several months

Sexual desire, that has been very active for ten days previous to the proving, becomes suddenly diminished (first day)

Diminished sexual desire, and a sensation as though erections would be incomplete (fifth day)

Aversion to coition (in a man), (after twenty-five days)

Complete impotency; no longer erections

Profuse emissions two or three nights in succession every week,®®.f

* Seminal emissions nearly every other night

Two emissions in one night

Nocturnal emissions, with dreams

Emission in the night (third and sixth days)

Unusual emissions, with confused dreams, two nights in succession (ninth and tenth days)

Emissions, without dreams

Emission during restless sleep, about midnight, after which the sleep was better

Emission soon after coition

Emissions, without excitement of fancy (after eight days)

Emissions, at night, without lascivious dreams (after eight and ten days)

Emissions, at night, with erections and pleasant sensation

Female. *Hemorrhages from the genital organs (seventh day)

Hseniorrhage from the vagina (menstruation ?)

* Discharge of blood from the uterus, for two days, during the interval between the menses (after nine days)

Reddish discharge from the vagina, in an old woman

Scanty bloody discharge from the genitals (the menses had been suppressed for five weeks), (third day)

Fetid bloody discharge from the vagina (after death the patient was found to he pregnant, and the foetus had become putrid)

A whitish discharge from the vagina, with considerable fever, in the evening (fifth day)

Profuse leucorrlum, lasting seven days (after nine days)

Burning excoriating leucorrhoea, succeeding menstruation

Slimy leucorrhoea, in the morning, while walking

Milky leucorrhoea

Tenacious leucorrhoea instead of the menses (after twenty days)

Acrid leucorrhoea, causing soreness (after five days)

* When in a woman the poisoning occurs just before the menstrual period, hyperemia of the sexual organs obtains; the parietes of the vessels are lowered in their power of resistance by the fatty metamorphosis, and the hemorrhages become more severe, often

•)• This was very remarkable, since formerly emissions were very infrequent and slight. so severe that general anaemia is a consequence

Oedema of the labile, first of the left, afterwards of both, followed by gangrenous slough and hferaorrhages

Unusual irritation of the genitals

Unusual irritability of the genital organs

Sometimes excitement of the genital organs

Painful heat of the genitals after the emission of turbid highly colored urine (after ten hours)

Tearing pain in the genitals, as from a sore or ulcer, during or after walking in the open air

Severe pain in the uterus and vagina (after half an hour); the pains in the back, uterus, etc., have increased greatly, and resemble very much real labor-pains, particularly in the lower part of the abdomen (after seven hours)

Drawing and dragging downward towards the pudenda and rectum, as before menstruation, with at times ineffectual desire for stool

Bearing down and painful feeling of the uterus and bladder, with a smarting sensation, when walking (after six hours)

Stitches through the female pelvis,h

Menses two days too early, formerly very thick, now very right-red

* Menses two days earlier than usual, and scanty

* i)menses two days too early (after eighteen days),h

Menses three days too early (after eighteen days),h

■ Menses three days earlier than usual, more scanty, and the discharge darker than usual

Menses four days too early and too scanty (after seventeen days)

Menses five days too early, sudden; ceased, on their third day, in the morning; returned again slightly in the afternoon, and lasted till the next (ay,■'’®^t

Menses nine days too early, immediately

Phosphorus causes a delay of the menses (secondary action)

Menses two or three days later than usual, very profuse, and lasting longer than usual

Menses four days too late (after seventeen days)

Menses five days too late (after forty-one days)

Menses six days too late (after twenty-two days)

Menstruation delayed seven days, ushered in by pain in the small of the back and colic, lasting a short time and very slight,®®*.J

Menses fourteen days too late,®®'’.§

Menses delayed for nine weeks; the next time occurred after twenty-seven days, and the third time after twenty-nine days

Constant sensation as though the menses would occur (three days before they were due;,®®

Menstruation regular, but very scanty, accompanied with spasmodic pains in the uterus and ovaries

‘Menstruation appeared at an unusual time, with violent uterine colic, the discharge copious, black, viscous, coagulated; menstruation painful (second day)

The menses came on with less pain, were less profuse, and lasted only five days (the next period, previous to which she had taken no medicine, occurred, sooner than expected, and was less painful than usual); in a subsequent proving the menses came on almost entirely without pain, indeed almost unnoticed, but lasted only two days

Menstruation came on, with colic and pain in the small of the back, drawing in the lower extremities, and bruised feeling in all the limbs, making her very sick, and taking away all desire to eat or work (had never suffered from similar symptoms before)

* Menses pale, with very violent colic, nausea, and diarrhoea .

The catamenia, which ought not to have appeared for eight days, came away in great abundance (sixth day)

In a woman, fifty-one years of age, who had not menstruated for a year and a half, the menses came on violently, and lasted five days; the blood had a bad odor,b

The menses, that had been suppressed for several weeks, now appeared (third day),b

The menses, that had been suppressed for three months, reappeared

Menses, that had ceased a few days previously, returned (third day)

Recurrence of the menstrual flow at an unusual time

The menses, that had not occurred for seven weeks, appeared (second day)

Aversion to coition, in a female (secondary action?), (after twenty-five days)

Respiratory Organs p. 424

Larynx and Trachea. Choking

* Rawness in the larynx and trachea, with frequent hacking cough and hawking

For two years and a half, farther than the laryngeal irritation produced by the acrid fumes, he suffered but little

Very considerable mucous accumulation in the trachea, with some hoarseness (fourth day)

* After talcing at night, a feeling of contraction in the larynx and trachea, as though he must suffocate f

* Irritability in the louver portion <f the trachea, with suffocative pressure in the upper part of the chest

Tickling in the trachea woke her two nights in succession, about midnight, and caused a dry cough

Voice, ^Roughness of the voice (third week)

* Voice somewhat husky

Broken voice, when attempting to sing high

* Hoarseness

* Hoarseness ; the larynx seems coated; is unable to speak a loud word

* So hoarse that he could hardly speak above a whisper (after a few hours)

Hoarseness, in the morning

* Hoarseness, with a rough voice, for several days

* Voice nearly lost, with great prostration; it was exceedingly difficidt to answer questions, though the intellect was not at all impaired (second day)

Couffh and Expectoration. Violent cough, with expectoration of mucus, woke her about 2 a.m.

Frequent cough, xvith much expectoration, even at night

Constant cough, with expectoration of mucus, with tensive pain in the chest,’®.f

Spasmodic cough, with oppression of chest, and some expectoration of mucus (after eight days)

Cough hollow, mostly dry, with pressure in the pit of the stomach, so that he could not sleep all night

Tickling cough (after eight days)

Hollow cough, mostly in the morning fin bed, and also at night; it prevents her falling asleep

Frequent irritable cough, from scratching in the throat

Loose rattling cough, as in old people, when eating f

* Loose cough, without expectoration, with pain and a feeling of soreness in the chest, so that she dreaded to cough

Waked with some hacking cough (third morning)

Some hacking, tickling cough (after second dose, second day)

* Frequent short hacking cough (after half an hour)

* Frequent dry hacking cough, even in bed, preventing sleep, in the evening

Frequent, dry, short hacking cough, caused by tickling in the throat, all day, mostly in the evening

Violent dry cough, only when sitting and lying, not at all on moving about

* Violent dry cough on reading aloud, in the evening f

Violent dry cough, with pressive headache, all day (immediately)

Frequent dry cough (third day)

* Dry, irritating cough (second day); more troublesome, especially when the patient was lying upon the right side, or upon the back, and was attended with slight mucous expectoration (third day); racking and deep (eighth day); though severe, less racking (after eleven days); there remained for two months a deep harassing but dry chestcougb, the patient insisting that when the spells came on he could feel something loose and fluttering in the lungs, which occasioned persistent tickling sensations ; the cough was frequently accompanied by nausea and vomiting, especially soon after eating

Frequent dry cough, with scanty expectoration, with catarrhal symptoms in the posterior and lower portions of both lungs, especially of the right side; on the thirteenth day (first chill), percussion showed slight dulness on the right lower portion posteriorly, with diminished respiratory murmurs and fine vesicular rales ; change of posture caused a change in the area of dxdness; vocal fremitus dimished beneath the line of dimness on the right posterior portion of the ninth dorsal vertebra; on the fourteenth day (second chill), the dimness extended upward half an inch, and bronchial breathing was distinct over the area of dxdness; on the seventeenth day the dxdness had somewhat diminished, acid the expansion of the lung on the posterior right side was more noticed on deep inspiration ; the rales had dimished, bxd not in the place of the coxtgh; the cough vas xxoxv paroxysmal accompanied by expectoration of tenacious purulent mucus; the paroxyms of cough were always aggravated after a chill; on the fiftieth day there were no physical signs of anything abnormal, though the cough was frequent and violent

* Dry cough, xvith pain in the head, as if it xvould burst, with coryza (after thirty-five days)

• *Dry troublesome cough, causing soreness in the forepart of the chest, that woke her from, sleep, fourteen nights in succession

Dry cough, though slight in degree (after fifteen days); frequent tormenting cough, with muco-purulent expectoration (later)

Dry cough ; frequent excitement to cough, with flying shootings under the sternum and towards the right side of the chest; copious muco-purulent expectoration, with constant tickling and scratching sensation at the bifurcation of the trachea

* Dry intolerable cough, with violent bronchial catarrh; aftexxvards the coxigh was associated with a slimy, purulent expectoratioxii with rapid respiration, violent oppression of the chest; so that when coughing was obliged to sit up, xvith violent pain beneath the stomach and sensation of constriction; in the tipper third of the right thorax there was remarkable sonority, in the lower portion moist sibilant rales; ribs almost completely immovable; thorax decidedly arched

* Dry coxigh

* Cough, with great exertion, until expectoration of tenacioxis mxicus

* Coxigh, with faintness

Cough, day and night, with much mucous expectoration, accompanied after some days by very violent stitches in the chest, with violent cough

* Cough, in the morning, after rising, with expectoration of transparent mucus, and a sensation in the middle of the sternum as if something were torn loose,'-.

* Cough, with white expectoration, difficidt to loosen

Cough, causing pain in the abdomen, so that she was obliged to hold the abdomen on account of the pain

Cough, with chilliness over the whole body

Cough, caused by cold air, which affects the chest very much

Violent paroxysm of cough about midnight, loose, though without expectoration, relieved by sitting up, lasting an hour, after which she fell asleep with the cough ; in the morning, only a sensation of soreness in the throat

Cough, after dinner

Cough, with a sensation of soreness in the throat, immediately after dinner

Cough, in the open air, causing pain in the chest and abdomen

* Cough, mostly when drinking anything (either cold or xvarm)

* Cough, caused by constant tickling in the throat

* Cough, from irritation in the larynx, in the afternoon

Cough, with a stitch below the pit of the stomach, so that she was obliged to hold the chest

Cough, consisting of two shocks, after dinner

Cough, with sticking pain beneath the hypochondria

Cough, worse from warmth

Cough, causing pain in the base of the sternum (second day)

Cough, with burning in the throat

Cough, with sensation as if something was tearing loose in the chest

Cough, preceded by tickling in the throat

Cough, with draggy feeling in lower part of the chest

Cough, worse from exercise, and from going into the house from out of doors

Two or three single coughs come together

Cough, without expectoration

* Cough, with difficult respiration, and violent bronchitis., at first without fever, with remarkably soft pulse; great prostration and emaciation

Cough, complicated with all the symptoms of acute bronchitis

Cough and bronchitis of more or less intensity

After two years and a half he began to cough very much, and expectorate a thick white mucus

Cough, with difficult expectoration

Short cough, coming at irregular intervals

Slight cough, immediately after rising, with large quantities of a grayish phlegm as if mixed with dust (after twenty hours)

A great number are taken with cough, xvhich is sometimes so severe as to oblige them to leave off work

Exhausted by purulent expectoration, depending on true bronchial blennorrhoea, with emphysema of both lungs ; this blennorrhoea was the result of a bronchitis that had frequently recurred, and was never perfectly cured during the last two years. The patient was in danger of succumbing

Expectoration of thick, light-colored lumps of phlegm, in small quantity

(The usual expectoration of mucus in the morning without cough is very much relieved)

Expectoration of tenacious mucus (sixth day)

Expectoration of flakes of mucus, with smarting burning behind the sternum

* Bloody expectoration, with mucus, when coughing (after twenty-four hours)

Expectoration of blood, with mucus, with short slight cough (after thirty-six hours)

* Bloody expectoration from the lungs

* Streaks of blood in the mucous expectoration from the chest (after four days)

Expectoration contained streaks of blood (seventh day)

Expectoration of blood, with fatiguing hacking cough, without pain, the day preceding, and on the first day of the menses

* Slight hcemoptysis (seventh day)

Slight mucous expectoration with the cough (third day); expectoration more copious, phosphorescent, and, when dry upon the floor, burned readily from the application of a lighted match (fourth day) ; almost puslike in character and quite profuse (eighth day)

lies/)ir(ltion. Breathing rather hurried

Respiration became slow, rattling, shortly before death

Respiration slow and easy (after seven days)

Respirations slow

Shortness of breath and vertigo

* Respiration always very short after coughing

* Short respiration

* Tightness of breath after the slightest food

Breathing short and attended by a violent pressive kind of pain in upper part of sternum, for a minute or so, at intervals of two to three days

Respiration 40, interrupted by attacks of dyspnoea (third day)

Respiration 40, deep, associated with contraction of the sterno-cleido-mastoid muscles, at times stertorous (fourth day)

Vesicular respiratory murmurs, with sonorous, almost tympanitic percussion

Slight crackling could be heard at the end of each inspiration at the base of the right lung (old pleuritic adhesion), (fifth day)

Respiration became stertorous shortly before death

Moist rales, with very weak vesicular respiration (fourth day)

* Mucous rales were easily distinguishable in different portions of both lungs, but more noticeable in the lower lobes (sixth day)

coidd breathe only with a loud rattling noisef

Respiration became like a suppurating bronchitis

Gasping on ascending a hill

Respiration anxious, panting, oppressed (second day)

Anxious, short, and hurried resp)ration, with elevation of the whole thorax, and especially of the left sideff.

Anxious respiration while reflectin{2:

* Respiration anxious, frequent (third day) ■

Respiration very labored (second day)/®

Disposition to take deep inspiration, with discomfort on doing so (after first dose, second day)

Inclination to take a deep breath

Respiration deep and difficult (fourth day),^^h

Respirations deep (fifth day)

Respiration difficult and irregular (third day)

Difficult and quickened respiration

Respiration a little difficult (eighth day)

Respiration difficult, though auscultation revealed no rales (after three days and a half)

* Respiration difficult (seventh day)

Difficult respiration, in the evening, in bed (after three days)

Difficult respiration on account of tension in the pit of the stomach

Great difficulty of breathing

Respiration sxiperjicial, 36 (second day)

Respiration is impeded by rapid walking (after a few hours)

Respiration impeded from fulness of the abdomen, in the forenoon, in all positions

Oppression of breath, with chilliness and violent headache, so that he could scarcely collect his senses (after an hour)

Oppression of breath (first day)

Respiration very much oppressed, breathing very short

* Patient complained of avant of air, though she frequently took a deep breath™.

* Sense of suffocation and involuntary passages on the least motion

Feeling of suffocation

* Dyspnoea and extreme prostration

Dyspnoea (tenth day)

Dyspnoea, with transient nausea

Dyspnoea on taking a deep breath

Dyspnoea, with at times pain or a small stitch in the right side of the chest, above the heart, without cough, never observed while walking, but after sitting a long time

* Great dyspnoea

Chest p. 427

Constantly rubbing the breast and region of the stomach, during spells of unconsciousness (sixth day)

Glandular swellings under the arms

* Percussion over the lower portion of the thorax was dull on the right side, with indistinct bronchial respiration and numerous rules, partly dry, partly moist; on the left side vesicular murmurs and some moist bronchial rd/es

Percussion brought forth a clear tone in the middle of the right side of the thorax; auscultation revealed diffused mucous rales, with pectoriloquy

In some cases, especially in those of a scrofulous tendency, tubercles of the lungs develop, with hectic fever, in addition to the necrosis of the jaw

* The respiratory organs become rapidly involved, and the lungs rapidly suppurated, xvith formation of cavities and purulent exudation into the cavity of the thorax, with infiltration of the mesenteric glands, tubercular idlers in the intestines, etc.,*®.

Considerable irritation was felt about the lungs (after a few minutes)

Severe pain in the posterior part of the left lung, sometimes aggravated upon inspiration, sometimes not (third day)

Frequent sharp pains, as though a knife were thrust into the lungs (after two days); no pain (sixth day)

* Frequent stitches through the lungs, especially on deep inspiration (fourth day)

Contraction of the whole lung

* Lungs felt clogged; dyspnoea troublesome

* Sensation of heat in the lungs (after first dose, second day)

Raw feeling of the lungs, particularly the left one (after one hour and a half)

* Soreness of the lungs greatly increased; find great difficulty in taking a full breath (after seven hours)

* Cannot fill my lungs as usual (worse on left side)

* Weakness of the chest

Weakness of the chest for several days, and a feeling as if she would discover pain in it

Towards 6 P.M., very weak feeling in the chest, slight pains in different parts of the chest, and disagreeable cough, lasting until after retiring

* Heat in the chest,™.

Glowing sensation throughout the chest and epigastrium (after second dose, third day)

* Rush of blood to the chest

Rush of blood to the chest on every emotion, with a cramplike drawing between the scapulae

* hush of blood to the chest and head (after forty-eight hours)

Trembling of the chest and hands, as if he had drank too much coffee

* Great oppression of the chest, so that the patient, during the attack of cough, and in order to expectorate, must sit up in bed, when she experiences great pain, with a constrictive sensation under the sternum; mucous rattling; rhonchus sibilant in the two inferior thirds of the right lung, in the upper third of the right lung anteriorly, and in the lower half posteriorly; uncommonly clear tone on percussion; almost complete immobility of the ribs at these parts; great arching of the pectoral walls.

* Oppression of the chest, in the morning, in bed, lasting half an hour

Oppression of the chest, after walking in the open air, at night, so that she could not perfectly yawn

Oppression of the chest, as if very hot blood surged up to the throat, in the morning (after thirteen days)

Oppression of the lower portion of the chest, with shortness of breath, in the evening

Oppression of the chest, in the morning, with palpitation and nausea, lasting an hour

An anxious oppression of the chest

Oppression of the chest, above the ensiform cartilage, with tightness of breath, always on stooping, always relieved by becoming erect, in the evening

Frequent oppression of the chest, with nausea

* Frequent oppression of the chest

* Oppression of the chest, with anxiety, after dinner

Oppression of the chest, worse while sitting, relieved by eructations (after twenty-two days)

Transient oppression of the chest

Slight oppression of the chest

Sensation of great distress in the chest (fifth day)

Distressing anxiety and pressure in the chest, amounting to real suffocation, so that deep inspiration was difficult but not impossible, with burning and sticking pains behind the sternum

Anxiety in the chest, with want of breath

Anxiety in the chest, with throbbing in the lower portion of the right side of the chest

Anxiety in the chest, in the evening

Anxiety and heaviness in the chest, as if compressed, with arrest of breathing

Heaviness of the chest, as if a weight were lying upon it

Sensation of heaviness in the chest on inspiration, while walking, immediately after dinner

* Tightness of the chest, as from rush of blood, especially in the morning, on waking

Tightness of tipper part of chest (after several days)

Tightness of the chest (after thirteen days)

Tightness about the chest, as if the air was forcibly kept out

* Tightness of the chest (fifth day)

Tightness of the chest and pit of the stomach (first day)

At 5 p.m., feeling of fulness about chest

Tension and dryness in the chest,^

Tension on the chest, without dyspnoea f

Sensation as if the clothes were too tight about the chest

Tight tensive sensation on the chest

* The chest is constantly tense, as if a band were about itf

Tight tensive sensation behind the chest

A feeling of constriction about the chest began to be troublesome (after two days)

* Constrictive pinching sensation very high up in the chest f

Feeling of constriction in the chest, with painful, difficult breathing, in the morning

Spasmodic contraction in the chest

Pressure upon the lower portion of the chest

Pressure in the chest, so that he could not breathe easily (immediately)

Pressure in the upper part of the chest, drawing downward, followed by empty eructations

Pressure upon the chest and short breathing, after eating

Contractive pressure in the upper part of the left chest

Contraction in the chest, with pressure or pinching in the upper abdomen

Violent burning pain in the lower portion of the chest (oesophagus), stomach, and through the whole abdomen

Pain in lower part of chest, when drawing a long breath

Pleuritic pains through the thorax, extending into the throat and down the right arni

Darting pains in the chest (third day); pains in breast intolerable (fourth day)

Severe pains in his chest

Pains in the chest,®l

Pain and tightness in the chest (third day)

Pain, as if bruised, behind the right breast, beneath the axilla, on pressure

Pain in the chest, especially on inspiration

Fugitive pains in both thorax and abdomen (after second dose, second day)

(Three months have elapsed since the proving, and I have been uncommonly free from fugitive thoracic pains, which have generally annoyed me with apprehension of a tubercular diathesis)

Bruised pain in the upper part of the chest, on motion, stooping, and touch

Sore pain in the clavicle, when touched and when not

Soreness on pressure, on both sides, under the short ribs

Rawness in the chest (after twenty-four hours)

A feeling in the chest and abdomen as if everything would sink together

Catarrhal coating of the chest, in the morning

Violent aching in the pectoralis major muscle

* Cramp in the chest, at night; he thinks he will suffocate

Cramp in the chest that constricts it, several evenings in succession

Cramp in the chest, after riding in a carriage, toward evening

Drawing cutting beneath the short ribs, while walking

* Stitches and sticking in various parts of the chest, especially while sitting, at times with burning

Painful dull stitches beneath the left breast, deep internally, on rising from a seat

Stitches in the chest, externally, without affecting respiration

A stitch in the right clavicle, at the shoulder

Stitches in the chest and back, and also in the right amt, on motion, especially at night, in bed (after eleven days)

Transient stitches in the upper part of the chest, at the origin of the neck

Sensation of dryness in the chest,**,t

Itching, internally, in the chest

Itching in the chest (trachea), and beneath the pit of the throat, with dry cough, that does not relieve it

Front and Sides. ^Intense sensation of heat behind the sternum,^

Burning sensation on the lower end of the sternum, extending towards the left clavicle, after dinner,*®

Acute pain behind the sternum and in the epigastric region (first day)

Great pain behind the sternum, extending into the stomach (after one day)

Pressive pain below the middle and somewhat to the right of the sternum, with slight oppression of the chest, relieved by eructations (first day)

Sticking, commencing at the sternum and extending through the chest to the left scapula, aggravated by working, worse in the evening while spinning; in the evening the sticking was usually accompanied by slight chilliness, lasting only a few minutes, followed by slight perspiration; during this paroxysm she was obliged to keep very quiet, else she suffered from a feeling of apprehension, with palpitation ; the corresponding portion of the back was very sensitive to pressure

Stitches, as with knives, in the middle of the sternum, extending to the right scapula, from morning till evening, somewhat relieved during breakfast; so violent that they took away his breath, aggravated by inspiration, relieved by motion (fourth day)

■ Drawing-pressive pain in the left side of the thorax and abdomen, relieved by rubbing with the hands, and disappearing after eructations of wind and emission of flatus, disturbing sleep, towards morning

Dull pressure upon the right ribs, with dulness of the head, mostly in the parietal portion

Pressive sensation beneath the short ribs of the right side

Pains in the upper portion of the right side of the chest, affecting respiration, afterwards changing to a deeply seated pain corresponding to the sixth and seventh ribs, so that deep respiration was at times impossible; with this burning pain there was a constant desire to cough, which was with difficulty suppressed on account of the pain (tenth day)

Three females in Charity Hospital (doses-goth to ggd) complained of pain in the left side; upon examination we found distinct pleuritic friction, without present or subsequent serous effusion

Acute pain in the left side, when taking breath, increased by a full respiration (after one hour and a half)

Dull pain, like rheumatism, in the left thorax

Pain in the right side of the chest, as if the skin were raised up with a needle

Short sticking pain in the right side of the chest

Shooting pains in the right side of the chest (after first dose, second day)

A stitching pain on the right side, under the false ribs, when riding horseback

Violent stitches in both sides of the chest, during rest and motion

* Stitches in the left side, beneath the ribs, lasting five days

* Stitches in the left side of the chest, on breathing.

Stitches in the right side of the chest, on breathing

Dull stitches in the left side of the chest, relieved by deep inspiration

Beating, as from a finger, on the right side of the chest, while sitting

Chest symptoms are worse on the left side

ISld^milce. Anxious feeling beneath the left breast, with bitter eructations, every day

Burning and pinching, externally, beneath the right breast, with mounting of heat into the head

During the day, three or four attacks of violent cramp pain in the breast, high up under the sternum, lasting from fifteen to thirty seconds, and disappearing, with flatulent eructations (fourth day)

Pain in the fleshy part of the right breast, as if a gland were violently pressed

Pain half an inch below nipple, shooting like electricity, lasting three-quarters of an hour

At 3.30 p.m., pain from left nipple to right nipple, from right nipple to right shoulder, thence down to little finger on right side

Stitches in the mammary glands

Stitches beneath the left breast, with much anxiety.

Heart and Pulse p. 430

* Anxiety about the heart, associated with nausea and a peculiar sensation of hunger, somewhat relieved by eating, distressing her even in bed, sometimes for several hours, after 10 p.m.

Sensation of warmth above the right side of the heart and beneath the left clavicle (after ten minutes); this warmth afterwards extended to the tip of the left scapula and to the acromion process, while at the heart it disappeared

Sensation of pressure above the heart, extending to the region of the thyroid gland, as from incarcerated flatus, with frequent need of taking a deep breath, and slight attacks of nausea (after five minutes)

Slight pressure in the precordial region, not relieved by eructations,®k

* Pressive sensation about the heart (first day),®k

Precordial pain,*®k

Great anxiety in the precordial and epigastric regions

Heaviness of the precordial region

Aching in the precordial region on every paroxysm of cough

Rush of blood to the heart and palpitation, that becomes very violent after eating (after nine days)

The heart is not enlarged and in its normal position, bid the impulse is of a whirring character; the first sound of the heart at the apex is blowing, the second clear; at the orifice of the heart a systolic murmur is heard (seventh day)

Bruit de souffle with the first sound of the heart (after sixteen days)

Peculiar blowing sound, synchronous with the systole of the heart, over the arch of the aorta (eighth day)

Marked bellows murmur with the first sound of the heart (alter three days and a half)

The second sound of the heart accompanied by a peculiar blowing sound, best heard at the base of the heart; heart’s action weak ; pulse 20,”®.

Blowing sounds of the heart persisted for a long time after the poisoning

At the base of the heart systolic murmurs ivere heard (fourth day)

Heart’s sound didl; systole always accompanied by blowing sounds (fourth day)

The systolic blowing sound of the heart still remained after three weeks

The second sound of the heart was very feeble (fourth day)

Heart’s sound very feeble, scarcely audible, with systolic murmur (seventh day)

Heart’s sound remarkably dull and feeble

Heart’s sound weak ; pulse small (second day)

Heart’s sound w^eak, scarcely perceptible on account of their whirring character; the first sound ivas always accompanied by a blowing noise, though both sounds ivere audible (fifth day)

Second sound of the heart and great vessels no longer audible (fourth day)

Beats of the heart regular and deep (after seven days)

* Violent palpitation (fifth day)

Violent palpitation, lasting one or two minutes (third day)

Violent palpitation, at night (fifth night)

Violent pulsation in the morning, in bed, on waking, and in the evening on lying down

Thumping of the heart for two hours after dinner, frequently provoking cough, with redness frequently mounting into the face (fourth day)

Violent palpitation, in the afternoon, after slight emotional excitement, lasting an hour, so that he could not remain lying down ; another slight attack on going to sleep (after ten days)

[2630:] ^Somewhat violent beating of the heaH on slight motion, especially of the left arm, on sitting up in bed, stretching, etc., disappearing during rest

Frequent violent palpitation

Frequent palpitation, during which she was very much inclined to weep, and seemed very unhappy without reason

Palpitation, at times for two, three, or six violent beats (while walking and sitting after a meal); while lying on the left side, at night, only for one or two beats

Palpitation and anxiety, in the evening and morning, on waking, in bed

Palpitation, in the morning, after the usual breakfast

Accelerated circulation

Palpitation, with ringing in the ears, with a feeling of uneasiness in the blood, with much tossing about and numerous unpleasant fancies, preventing falling asleep, in the evening, after going to bed

Heart’s impulse noticed over an increased area, at times intermittent

Heart very weak; pulse very small, often imperceptible, 72; temperature 37.6° (sixth day)

Heart weak (third day)

Pulse. Pulse very rapid, scarcely perceptible, with pale skin and diminished temperature (third day)

Pulse rapid, very small, 144; temperature 38.9° ; in the evening (seventh day)

Pulse increased; increased warmth and comfortable feeling over the whole body

Pulse accelerated, small, hard

Pulse rapid and full,’® *’.f

Pulse rapid and small

* Pulse rapid and weak

Pulse rapid (seventh day)

Pulse rapid, soft

Hard rapid pulse

Pulse rapid, small, soft (third day)

Pulse rapid, full, hardish

Pulse small, rapid (third day)

Face natural in color, with rapid pulse and oppression of breathing

The pulse, which had continued normal the first three days, rose from 72 to 88 (fourth day)

Pulse full and quick (sixth day); wiry and quick (tenth and eleventh days)

Weak and quick pulse (fourth day)

Pulse increased

Pulse moderately accelerated, sometimes intermittent

Pulse rather quick (fifth day)

Pulse short and quick

Pulse full and quite frequent

Pulse 124, very feeble (fourth day)

Pulse 120, regular (second day)

Pulse very compressible, 120,**®.

Pulse 140 (second day)

Pulse 112 (fourth day)

Pulse 100, weak and quick

Pulse tense, 92 (third day)

The pulse was a little hard (seventh day); disappeared at the wrist towards evening (eighth day)

Pulse 90 (after three days and a half)

Pulse 90 and feeble (second day); no pulse at the wrists (third day)

Pulse 84 per minute (fourth day)

Pulse at first 80 to 90, afterwards normal, then just before death 120 to 140, small, compressible, at last scarcely perceptible

Pulse 70,®

Pulse 70 and feeble (after one hour)

Pulse weak, 66,”®.

Pulse 64, regular, but very feeble and easily obliterated

Pulse small, thready, 60 (third day)

Pulse small and soft, about 60 (seventh day)

Pulse small, regular, 60 (fifth day)

Pulse down from 50 to 60 (fifth day)

Pulse 40, 42, contracted and scarcely perceptible (third day)

Pulse slow, at times full and hard (after two, three, and eight hours)

* Pulse feeble (second day)

Pulse weak, almost imperceptible

Pulse of a weak thready character

Pulse 20 (not followed by death)

Pulse not accelerated during the paroxysms of heat

Pulse 1.36, very small and irregular, the day before death

Pulse small, 120,®®®.

Pulse small, thready, 96 (second day)

* Pulse small, compressible, 80 (second day)

Pulse 84, small and weak, with respiration of 16, temperature 37.7° (after fifty-one hours)

Pulse small, soft, 56 (second day), afterwards rising to 60 and 65,’®®.

* Pulse small and soft

Pulse small, compressible, thready, 64 (second day)

Pulse small, frequent

Pulse small, feeble (second day)

Pulse very small (fifth day)

Pulse very small and weak, scarcely perceptible (fourth day)

Pulse intermittent, thready, and varying from 53 to 135 (after twenty-four hours)

The pulse intermits after every three to six beats

Pulse 108 (eighth day); 132 (ninth day)

Pulse 74 (before the experiment); 76 (after one and two minutes); 74 (after three minutes); 72 (after four, five, and six minutes); 70 (after seven and eight minutes) ; 72 (after ten minutes) ; 74 (after twenty minutes, and continued)

74 (before the experiment); 72 (after one, two, and three minutes) ; 70 (after four, five, six, and seven minutes) ; 72 (after eight and ten minutes) ; 70 (after twenty minutes, and continued some time longer)

Pulse 90, weak (second day); increased in frequency and weak (110), (third day)

Pulse 120 to 140, with a temperature of 38.8°,’®®.

Pulse frequent (first day); 92 (second day); morning 100, but moderately full and strong; 140, small and weak, in the afternoon (fourth day)

Pulse fell to 75 (after ten hours); rose to 90, became feeble and irregular (after sixteen hours); 70, regular, in the morning; 60, strong and regular, in the afternoon (second day); 60, regular (third and fourth days) ; 72, feeble and irregular, in the morning; 90, feeble, at noon; 125, rapid and very feeble, in the afternoon; 130, very weak, in the evening (fifth day); imperceptible just before death (sixth day)

Pulse almost imperceptible, 110 (sixth day)

No pulse could be felt at either wrist, and the first sound of the heart was scarcely audible (fifth day)

Elder pulseless

Neck and Back p. 432

Glands of the neck swollen

A hard lump as large as a hazelnut, in the neck beneath the chin, painful to touch

Neck Stith

Stiffness in the nape of the neck

Peculiar kind of painful stiffness at nape ot neck

A strange kind of catch at nape of neck, like what is called a “crick in the neck

Soreness in the nape of the neck; right side worse when pressed upon; came on at 9 a.m.; pain worse when twisting the head to the left, not to the right side

The anterior cervical muscles are painfully sensitive to touch and motion

Feeling as of a weary weight on the nape of the neck

Pressure in the nape of the neck

Tearing in the bloodvessels of the right side of the neck, extending to the shoulder

Tearing in the nape of the neck, when stoo] - ing and when not

Coldness and tearing in the leftside of the neck

Twitching of the cervical muscles

Sticking in the anterior portion cf the neck, extending towards the right ear, and tearing extending thence to the vertex

Stitches in the left side of the neck

Hack. Tension in all the muscles of the back (twelfth day)

Pressure iu the back and right hypochondriac regions, very painful to pressure (fourth day)

The back seemed bruised, so that she was constantly obliged to turn in bed (second day)

Violent pain in the spinal column, in the region of the insertion of the last false ribs (third day)

Violent pain in the back, as if beaten, during the menses

Intolerable, periodically recurring pains in the back, preventing walking

Violent pain in the back, on sitting a long time

Much pain in the back and small of the back, so that he could scarcely rise from a seat

Pain in the back after walking

Pains in the back (second day)

The patient complained only of pain in the back and calves (thirteenth day)

Dull sensation, as from fulness of blood in the whole spine, with at times a paralytic sensation in the os sacrum (fifth day)

Heaviness over the back and small of tl e back (third day),'®h

Heaviness and weariness in the back, on lying down

Feels paralyzed iu the back and arms after the midday nap

A feeling as though the back were asleep or sprained, after the midday nap

Interrupted stitches in the spine all day, at various hours (after twenty-two days)

JDocsal. *The spinous processes of the dorsal vertebrae between the scapulae became exceedingly sensitive to pressure, also the muscles between the spinous processes and the left scapula ivere sensitive, much worse on the left side; sticking pains were noticed, beginning at the bone near the left scapula, and extending forward through the chest, or in the reverse direction, from before backwards, at times also extending to the upper arm, relieved by firm pressure upon the back, by rest, and by warmth ; the pains were aggravated by lifting, by working; worse during the menses, and especially aggravated by unpleasant emotional excitement and by vexation

A very decided and remarkable sensation as from a draft of cold air from being too near a half-opened window, in the muscles of the right scapula and along the posterior portion of the right upper arm to the elbow, or a sensation as if a raw wind were blowing upon a moist surface ; at the elbow this sensation changed into a numbness that extended to the fingers (second day)

Pressure just beneath the scapula

Sensation as if some one were tightly grasping both scapulae, on lifting and carrying anything with both hands

Heaviness in the upper portion of the back (second day),'®b.

* Fains in the back between the shoulders (third day)

Pain as from a plug in the left scapula

* A rather burning pain between the scapulae

* Dull pain between the shoulders (first day)

Jerking pain in the left scapula, extending into the shoulder, while sitting

Slicking pain in the right scapula

Throbbing and tearing in the right scapula, as if in the bone, soon recurring after rubbing

* Throbbing pain in a small spot between the shoulders

Tearing in the left scapula, disappearing on rubbing

Tearing in the right scapula

A violent stitch in the dorsal muscles above the left hip (after seven days)

Stitches in the right scapula

Stitches in the scapula (second day)

Stitches beneath both scapula; frequent stitches lasting a quarter of an hour

Lunihav, Weakness in the small of the back, as if asleep, while sitting and on rising from a seat

Weakness and lameness in the small of the back

Weak-

Back p. 433

28 ness of the lower portion of the back

Nervous weakness in the loins, after an emission

Tremulous sensation in the lower portion of the spine, in the jaws and fingers, for some time

Great nervous sensitiveness, associated with weakness, most severe in the lower portion of the spine, in the region of the last lumbar vertebra and in the sacrum ; every slight exertion fatigued him, and the carrying of a small basket, which usually would have been a mere trifle, caused pain along the whole back

Region of the kidneys very sensitive to pressure

Burning in the small of the back, especially with delayed menstruation

Pressive, at times violent, sticking pains deep in both kidney regions; these regions were sensitive to only great pressure

Pressive pain in the last lumbar vertebra, near the right side of the spine, while sitting, and at times also while standing

Severe pain at the base of the spine (after six hours)

Pains darting from the small of the back towards the splenic region (after third dose, second day)

Pain in the small of the back, after sitting a long time (after eleven days)

Pain in the small of the back, above the sacrum, and in the neighboring parts of the ilium, especially on sitting bent and after dinner, with great weakness

Pain in the small of the back, while rising from stooping and standing, less while walking

Fains in small of back •, (third day); (sixth day)

Gnawing pain in the small of the back and sacrum, where it disappears on rubbing

Violent pain in the loins (fifth day)

Pains in the loins (third day)

Sharp stitches in the lumbar and splenic regions (fourth day)

Stitches in the lumbar region (after first dose, second day)

Stitches in the lumbar vertebrae, that cause crying out

SdCVal. Pain in the sacrum at its union with the last dorsal vertebra, as if I had lifted too heavy a weight (after one hour); not noticed wdiole sitting, lying, stooping, or rising, but only while standing and walking; aggravated by standing with the sacrum bent backward, coughing, and especially when standing on one foot with the other turned inward and forward, also by bending towards one side ; pressure upon the sacrum was not sensitive, but on the spinal processes of the two last lumbar vertebrae and the neighboring parts it caused a sensation of numbness and rigidity in both feet; this symptom gradually disappeared in the afternoon,’

Very sharp stitches in the left sacro-iliac region behind (after second dose, third day)

Paralyzed sensation in the upper portion of the os sacrum, and in the lower lumbar vertebrae (first day)

Transient pain extending from the coccyx through the spine to the vertex, that drew the head backward during the stool

The coccyx is painful to touch, as from an ulcer

Pain in the coccyx that impedes every motion ; she can find no comfortable position ; followed by painful stiffness of the nape of the neck (second day)

Lower Extremities p. 434

Convulsions of the limbs (second day)

Trembling and convulsive movements of the limbs

Stretching of the limbs and chest in the morning, in bed

Convulsive movements, with contractions of the extremities (third day)

Violent spasmodic pains in the upper and lower extremities (fourth day)

Spasmodic movements of the upper and lower extremities

Could not extend my limbs, but lay with them drawn up

Paralysis of all the limbs, in the morning, in bed, disappearing after rising

* Loss of power in all the limbs, especially in the joints, and as if j^paralyzed, with good appetite

* Great weakness of the limbs, especially of the thighs, in the morning, soon after rising

* Great weakness in the limbs, for more than three weeks

* Weakness and prostration in the extremities, especially in the knee-joints, with slight sticking and burning in them, worse in the morning after rising, and aggravated by rest, relieved by walking, for several days

Constant weakness in the arm and knee-joints

* Weakness in all the limbs (third day)

and pro-duration in all the limbs (first day)

Great feebleness of the limbs

Feeling of fatigue in the limbs, in the evening (first day)

Very painful sensation of lassitude in the arms and limbs (second day'),'

Prostration of the limbs

The hands and feet seem prostrated

The limbs frequently fall asleep

The arms and legs easily fall asleep

Falling asleep of the arms and feet at night, that woke her

Falling asleep of the hands and feet

The hands, feet, and nose seem stiffened

The hands and feet feel paralyzed, in the morning, after rising

The hands and feet feel dead

Numbness of the extremities (second day)

Indolence in the limbs, especially in the forenoon

Indolence and heaviness in the limbs

* The hands and feet are as heavy as lead

Heaviness in the joints of the arms and knees

Heaviness in the extremities, in the morning, before rising

Heaviness of the limbs, during a storm

* Heaviness of the limbs (seventeenth day)

* The extremities became as heavy as lead, and at last paralyzed, with pains in the muscles (fourth day),”l

Heaviness in the limbs, back, lower extremities, almost only in the morning, on waking

Very unpleasant fulness and heaviness of the limbs

* Heaviness of the hands and feet

He experienced all night severe pains in both the upper and lower limbs; these pains, which he compares to cramps, persist all the time, but undergo occasional exacerbations, during which the muscles are stiffly contracted (second night)

■ Pain in all the limbs

Pains in the extremities, causing loud cries (eighth day)

At the expiration of three days the pains seemed to leave my bowels and settle in my joints, producing a crackling noise on motion

■ Transient pains in the joints

Pains in the limbs

All the joints are painful, mostly on motion

Bruised pain in all the limbs

Bruised pain and heaviness in the left knee and elbow

Bruised feeling in the extremities, on going upstairs

Drawing-pressive pains in one or another joint, worse during rest, relieved by motion

Drawing pains in the limbs

Drawing pains in the joints, after rising, in the morning

Drawing in the arms and lower extremities,with weeping mood (after thirteen days)

Violent drawing in the Light arm and leg, at night

Cramps, with lancinations and contractions of the arms and limbs (first night)

Cramps in the extremities (after ten to twelve days)

Painful cramps in the limbs, calves, and feet (second day)

Excessively painful cramps in the limbs (twentieth day)

Tearing in the right forearm and knee, as soon as she becomes cold

While in a state of rest, the muscles of the whole body, but especially those of the extremities, seemed to be twitching to and fro, though they were not painful; different muscles or bundles of muscles twitched at different periods ; at times the twitching stopped, but it puis easily excited by contact

Slight tremulous sensation in all the limbs, as after emotional excitement

Transient sticking and pressive sensations in one or another joint

Needle-like stitches caused by pressure of the finger, in both the upper and lower extremities (fourth day)

A feeling as if dislocated in all the limbs, on rapid motion

Sensation as though a fluid ran from the trunk into the limbs, especially into the knees, elbows, and wrists,®‘f

Burning in the hands and lower extremities

Frequent crawling in the limbs

Crawling and numbness in the limbs was noticed for a long time after the proving

Superior Extremities p. 435

* Weakness of the arms, so that she could not rest them (after sixteen days)/.

Weakness in the joints of the arms, with distended veins in the hands/.

Paralysis of the left arm (tenth day),^h

* T/ie arms become numb, while working

Falling asleep of the left arm, with numbness of the fingers (without coldness) and contraction of them, especially in the morning, after which the arm is quite weak

* The arm, upon which the head ivas resting, fell asleep

Falling asleep of the right arm, in the morning (after eight days)

* Falling asleep of the arms

Sensation as though the right arm were asleep, in the evening

Heaviness of the right arm, so that he could not raise it as easily as usual, as if the shoulder-joint were stiff (half an hour after first dose)/

Heaviness of the whole right arm, and when it hung down a sensation as if it were drawn downward (eighth day)

Heaviness of the right arm during and after washing (fourteenth day)

Remarkable heaviness of the right arm, noticed on writing, soon after rising, in the morning (seventeenth day)

Heaviness of the arm while writing (twenty-third day)

Heaviness of the whole right arm, with such great stiffness and pressure in the right shoulder on washing, brushing the teeth, and on combing the hair, in the morning, that I was obliged to let tbe arm hang down (twentysixth day)

A’^violent pain, extending from the left shoulder-bone to the muscles of the arm, both above and below the elbow, with coldness at the back of the hand, and terminating with pricking at the finger-ends,’f

Pain, sensation of numbness, and loss of power in the right arm, mostly about the elbow-joint, in the evening, when lying down in bed, disappearing on changing the position of the part, though soon afterwards returning, and so frequently repeated

Paralytic sore pain in the arm, with trembling, if she holds anything in the hands

Pain, as from a sprain, in the right arm/.

Transient pains in the arm (nineteenth day)

Drawing tension in the muscles of the arras, extending from the shoulders half way down the forearms

Drawing pain in the whole arm, increasing in the evening

Drawing and tearing in the arms

Tearing in the left arm and hand

Dull tearing in the bones of the right arm and hand

Tearing in the right arm

Shooting, like an electric pain, down the right arm into the little finger,®'/

Constant crawling and an asleep sensation in the right arm,’/

Shoulder, Swelling of the axillary glands, with burning pain in the skin of the arm

Glandular swelling, the size of a hazelnut, in the left axilla, suppurated and discharged,®/

Two glandular swellings in left axilla rapidly increased in size lor one week and then gradually disappeared; very hard, red, and painful; worse in the afternoon, evening, and forepart of the night; slight pressure did not increase the pain, but hard pressure made them very painful ; from these, running down the inner surface of the left arm to the wrist, small lumps, about the size of a pea split in half, at irregular intervals, worse from pressure or rubbing quickly,®/

Glandular swelling in the right axilla, increased to the size of a turkey’s egg, hard and painful, in the afternoon and during the night, less towards morning ; in about a week suppurated, and discharged a quantity of thin, bloody pus; pain was of a stitching and dull character; discharge became offensive before healing,®/

Heaviness in the shoulders and arms (after two days)

Stiffness of the right shoulder, a kind of tension, extending up to theocciput (third day)/

A tensive pressive sensation in the deltoid and upper dorsal muscles, extending up the nape of the neck (eighth day)/

Tension and pressure in the muscles of the shoulder and nape of the neck of the right side (fourteenth day)

Tension, stiffness, and heaviness of the right shoulder, so great that the arm must be allowed to hang down for some time, while brushing the teeth (twentieth ^Feeling of stiffness and pressure in the shoulder, with heaviness of the arm, on washing, in the morning (twentythird day),^h

Tension and pressure in the shoulder, with a feeling of stiffness, especially noticed on raising the arm to comb the hair or brush the teeth, so that I was obliged to let the arm hang down ; this tension lasted nearly the whole morning (twenty-fifth day)

Pains in the region of the right shoulder (third day Pain, as from a sprain, in the right shoulder, especially on raising Uie arm,h

Rheumatic pain in the right shoulder, extending to the upper ribs, lasting an hour (after seven

Dull painful stitch in the left shoulder, after dinner, disappearing on motion, with long, consequent, painful sensitiveness of the part

Rheumatic pain in the right shoulder, in the morning, after waking (after thirty-six hours),h

Pain in the shoulder-joints, after walking in the open air,k

The shoulder is painful on touch and motion,h

Slight burning pressive sensation in the right shoulder-joint, especially on raising the arm, while washing (after 10 drops, eighth day),®k

Pressure and drawing in the shoulders

Boring in the right shoulder, after dinner, aggravated by motion, relieved by rest

Tearing in the left shoulder especially at might, in bed

Tearing in the left shoulder, also in the joints, at times, with tearing in the knee, mostly after dinner

Dull stitches, extending broadly from each other, under both axilla3,'®.

Tearing in the left shoulder, with headache

Cracking in the shoulder-joint

Stitches in the axillae, extending through the shoulders

Sticking and stitches in the right shoulder

Ann Great weakness of the upper arms

Painful pressure in the periosteum of the humerus and radius, like a bone-pain (after six hours)

Tearing in the outer surface of the right upper arm, appearing after rubbing the forearm, together with visible twitching

Tearing in the upper arm

At 3 p M., the pain in the knees gone, aud now feel some of it in the left arm above the elbow

Rheumatic pain in the right upper arm, after a slight cold

Bruised pain in the right upper arm, while sitting

Bruised pain in the left humerus, extending up and down, from the elbow to the shoulder, while sitting

Elbow. The elbow-joint is painful, as if broken

A blow and jerking in the condyles of the elbow, while sitting

Gnawing pain in the right elbow, extending towards the shoulder, while sitting

Tearing and boring in the elbowjoint, extending towards the shoulder

Tearing aud drawing in the right elbow-joint

Tearing and sticking in the right elbow

Stitches in the elbow-joints, after a fright, and then also in an abraded spot on the ioot

-Forest‘ni. Prostration and weakness, especially in the forearms

Slight pressive pain in the muscles on the ulnar side of the right forearm, while washing, in the morning, followed by heaviness of the whole arm (second day)

Drawing pain in the right arm, extending from the elbow to the knuckles, with some nausea aud ravenous hunger

Bruised pain in the right radius

Violent tearing on the inner side of the left forearm, as if the skin would be rubbed off, in the morning

Tearing, extending from the elbow along the inner side of the forearm down towards the thumb-joint, as if the bone would be toru out, disappearing after rubbing

Tearing in the forearms, especially about the wrists

Paralytic tearing in the bones of the right forearm, on the dorsal surface of the metacarpus, that once extended into the humerus; after a few hours (towards evening), the whole dorsal surface of the right hand felt numb for awhile (first day)

Wrist. Swelling of the wrist, with tlirobbiDg in it as in an ulcer, with tearing, extending into the fingers, even during rest, and still worse on moving the wrist, that was stiff (after taking cold (?) ),h

Acute stitches in the wrists,during rest (after seventeen days-

Tearing in the wrists, with paralytic weakness, in the evening

Pain, as from a sprain, in the wrist

Hand, He did not die, but his hands ever afterwards remained paralyzed,^''‘h

Paralysis of both hands and fingers, lasting only half an hour (fifth day),^'’k

Violent contraction of both hands; the right hand \vas greatly pronated, the thumb adducted towards the middle finger, the index and middle finger extended, the fourth and fifth fingers partially flexed ; the left hand was in a similar condition, only the last three fingers were strongly flexed ; therewith the patient complained of drawing and pain in both hands and arms; in the muscles of the thumb and little finger were noticed violent fibrillar twitchings (third day),^®k

Paroxysms of contraction of both hands, accompanied by tearing pains in the extremities (appearing like hysterical attacks), (third day)

Rapid swelling of the hands and fingers,b The right hand became swollen as far as the wrist, soft and cedematous ; the base of the index finger and the whole finger thickened, became grayish-black, gangrenous; sensitiveness to pressure almost completely disappeared; there was no pain; the whole bone mummified, as in gangrenous senilis; amputation of the first phalanx became necessary

Rush of blood into the hands (and head), as if coming from the stomach, with injected veins on the backs of the hands

* Trembling of the hands f ®.

Trembling of the hands, so that he was unable to wife

Trembling of the hands, so that he was unable to write down his symptoms (seventh day)

Trembling of the hands, in the morning

Heaviness and trembling of the hands while allowing them to hang down, with redness and distended veins, and a feeling as if blood were forced into them

Hands and arms restless (sixth day)

Falling asleep of the right hand, in the morning, in bed (after nine days)

Falling asleep of both hands, in the morning, on waking; there was a sensation of numbness (twenty-first day)

At times his hands seem paralyzed for several hours

Sensation of numbness on the flexor surface of the right hand (first day)

Acute sensation of stiffness in the hands, especially in the middle finger of the right hand (twenty-fifth day)

Drawing in the right hand (second day)

Drawing in the hands and fingers, after wetting the hands with warm water

Tearing in the hands, especially in the knuckles, mostly at night, in bed

Tearing in the metacarpal bones

Pressive pain in the right metacarpal bones (second day)

Tearing and cracking in the hands and wrists

Deepseated and very severe pains in the bones of the left hand and fingers (third day)

Burning and sticking in a spot on the inner margin of the right hand

Burning sensation in the hands, without external heat

Fi'iKjevs, Paralysis of the fingers; she had the power of feeling, but could scarcely mov’e them

From time to time the fingers are draxvn bent, as from cramp f

Jerking of certain fingers

Swelling of one finger, with pain, mostly when pressed

Swelling of the first joint of the thumb, painful when touched, and a tensive pain, as if sprained, on motion

Weakness and jerking in one finger, all day

Violent jerking in the left little finger

Paralytic jerking of the right thumb at times, while writing, so that he could scarcely hold a pen

Contraction of the adductors of the thumb and flexors of the index finger (fifth day)

Frequent sensation of stiffness and swelling in the right finger-joints, so that she could not use the needle

Numbness and insensibility in the fingers of one handi iviih falling asleep of those of the other; the middle finger of the right hand was quite numb, dead, bloodless, and cold, in moderately cold air

Sensation of numbness in the tip of the right little finger and thumb (first day),*^>.

* My fingers were all thumbs,*l

* Heaviness in the tips of the fingers

Tension in the fourth and fifth fingers of both hands, as if sprained

Tension in the fingers of the left hand

Gnawing sensation in the second phalanx of the right middle finger (fourteenth day)

Pain, as from a sprain or wrench, in the fust joint of the thumb, on motion

Pain, as from a sprain, in the thumb, on grasping anything

Pain, as from a sprain, in the finger-joints (after six days)

Acute sticking pain in the bone in the ball of the right little finger (first day)

Pressive pain in the right middle finger and elbow

A pressive sensation in the extensor digiti medii, extending up into the middle of the forearm (fourteenth day)

Cramplike drawing and tearing in the little finger

Tearing in the right little finger

Transient tearing in the knuckles and thumbs

A kind of burning sticking in the tips of the fingers of the right hand, repeated several times, in the evening (second day)

Slight burning, moving back and forth, along the bone of the second phalanx of the right index finger (after fourteen days)

Crawling in all the fingers of the right hand, and in the index finger and thumb of the left hand, and in the outer toes of the right foot, and in the red portion of the upper lip ; in the right thumb there was also, at times, a sensation of warmth (second day),'‘A

Numb crawling in the ungual phalanges of the right little finger and thumb (first day)

* Nuinb crawling in the tips of the fingers of the right hand, in the left thumb, and in the right little toe (first day)

Inferior Extremities p. 439

Swelling of the lower extremities disappeared (after nineteen days)

Gait so unsteady that she thought she Avould fall at every step

Spasmodic contraction of the lower extremities, so that she could not stretch them out, during the menses

Violent tonic spasms of the lower extremities and feet, which were outstretched ; followed by spasms of the upper extremities and afterwards trismus, so that it was impossible to open the mouth, a few hours before death

Great uneasiness in the lower extremities, with icy-cold hands, especially in the evening

* Weakness and weariness in the lower extremities, especially on ascending steps

Much weakness and prostration, especially in the lower extremities and knees, with a feeling of looseness in the knee-joints, so that he could scarcely stand, at times relieved by walking

Weariness in the lower extremities, in the morning

Great weakness of the lower extremities ; she easily falls down

Lower extremities very sensitive to touch

Sensation as though she had been deprived of the lower extremities, although their sensibility and motility remained intact (second day)

Muscles of the lower extremities, especially of the thighs, exceedingly painful to pressure (eighth day)

Falling asleep of the left lower extremity, without cause, in the morning

Very paralyzed sensation in the right lower extremity, at night

Complete insensibility of the lower extremities and of the body, as far up as the chest, before death (fifth day)

* Complete insensibility of the lower extremities and of the body, as far up as the chest (fifth day)

Pain in the lower extremities, in the morning, on rising, as after a long walk

Bruised pain in the lower extremities, as from excessive weariness, at night

Drawing pains in the lower extremities, extending from the knees to the tips of the toes ; putting one leg over the other in hed caused most violent pain (third day)

Heaviness in the lower extremities (after four days)/.

Tearing in the lower extremities/®

Tightness in the whole right lower extremity, even during rest,h

Tension in the lower extremities and a pressive stiff pain in the left lower extremity

Cramplike contraction in both lower extremities and feet, with jerking

On attempting to walk my feet and limbs seemed swollen and glued to the floor

Painful paralyzed sensation in the left hip in the evening, so that he could step upon it with difficulty, though without trouble while sitting and lying/.

A feeling in the right hip as if it were held tightly, without pain, while sitting

The right hip-joint was painful

Violent pain in the region of the right hip (after half an hour)

Pain, as if sprained, in the hips

Dull pain in the hip-joints, as from a hard bed; at night, in bed, was obliged to change his position constantly ; it soon disappeared, in the morning, after rising

A violent stitch in the right hip, extending to the chest

Stitches in the left hip, disappearing on rubbing, after dinner

Thi(/h. On the upper third of the lower extremity (below the knee) are two moderately extensive wounds, not extending to the bone. After the necrotic parts had been thrown off and granulation was commencing, they were attacked by nosocomial gangrene; after this had been subdued by strong caustic remedies, extensive gangrenous periostitis of the tibia, with severe febrile disturbance, supervened; the periosteum peeled off from a large area upwards, as far as the knee-joint; the bone was rough. It being impossible to expect this to heal, and as the enormous suppuration, the high fever, and the continual sleeplessness were threatening to completely exhaust the patient, amputation of the femur above the condyles was performed on the 4th of February. During the operation it was observed that the periosteum, although of normal thickness, and apparently of intact structure, adhered but very loosely to the bone, and could be turned back as far as the condyles with the greatest facility. We were obliged to take away the sutures a few days after the operation on account of the great pressure oT the shaft of the bone against the soft parts; as soon as this Was done, the periosteum of the whole circumference of the shaft peeled off right up to the trochanter minor, and fell back with the soft parts in the form of a flabby funnel-shaped sac, so that the superficially necrosed shaft, to the length of half a foot, stood out free. With continued high fever, irregular rigors, and increasing collapse, death followed on the sixth day after the operation

Soreness on the inner portion of the thighs

Violent pressive pain on the left ischium, on sitting a long time

Bruised pain in the middle of the thigh ; the place is painful to touch, so that he cannot walk on account of pain

Veiy severe bruised pain in the muscles of the thighs

Momentary tearing pain in the left thigh, extending up from the knee

Pain in the tendons of the semi-membranous and semi-tendinous

Drawing pain in the thighs, relieved by walking, which he was obliged to do

Violent drawing back and forth in the thigh, during the midday rest

The nates are awful, as if suppurating, on sitting a long time

Visible painful jerking in one nates and thigh

Dull pain, extending along the posterior surface of the thigh, from the lumbar region to the knee, as after great exertion in lifting, worse during rest, and becoming so violent that she was obliged to leave company and return home, relieved by moving about

Transient pressive and boring pains, as if in the bones of the left thigh and leg (twentyfifth day)

Rhythmical tearing on the posterior portion of the thigh, in the evening, after lying down

Tearing jerking on the posterior portion of the thigh superiorly, extending to the knee, during and after walking in the open air, every four minutes, with sore pain in the part when touched

Burning in the thigh, very much aggravated by touch

Sticking and burning in the right thigh, just above the knee, at short intervals, disappearing on rubbing, while sitting

Twitching in the nates,l

Pulsation in the nates

Knee. Knees drawn up (sixth day)

Trembling of the knees

Rheumatic symptoms in the left knee, making it difficult to go upstairs; on suddenly bending the knee she experienced tightness of the tendons, and the internal condyle of the thigh was sensitive to pressure,®®‘'.f

Feeling of rheumatism in the knees and small of the back

Heaviness in the hollows of the knees

[3060.1 Cramplike tensive sensation in the hollows of the knees, lasting all da_v

Outline tension in the knees, as if sprained; they are hot to touch

Tightness of the tendons under the knees, as if they were too short, while walking

■ Paralyzed feeling in the left knee

Spasmodic drawing in the knee, when walking

Drawing from the left knee to the foot (after twenty days)

Drawing pain from the knees to the feet

Drawing from the knee to the foot, in the evening, always followed by painful jerking (after fifteen days)

Tearing in the knees and patellae, at times, as if in the bones, sometimes disappearing on rubbing, also after dinner

Tearing pain, extending from the knee to the back of the foot, with falling asleep of the anterior portion of the left foot, disappearing on rubbing

Tearing in the knees, in the open air, several evenings

Violent tearing, extending from the knee-joint to the inner side of the calf, as if the flesh would be torn from the bone, disappearing on rubbing, after dinner

Tearing in the hollow of the right knee, at night

Pain, as from a sprain, in the left knee

Dull pain about the right knee-joint

Slight pain, like rheumatism, in both knees, in the morning

Stitches in the knees, by paroxysms, at night

A stitch on the inner surface of the right knee on every step, but on raising the limb, while sitting, a bruised pain ; it disappears on rising from the seat

Let/. Trembling of the legs like a shuddering

Sudden red inflamed swelling and smarting pain between the calf and hollow of the knee

Very marked hyperesthesia of the legs (fourth day)

Anasarca of the lower extremities made its appearance (after about two weeks) ; became excessive in the course of three or four days, but disappeared entirely in the space of a fortnight

Sensation as though a soft foreign substance were lying between the articular surfaces of the knees and ankles, so that walking was exceedingly difficult; when walking she was obliged to be very careful to prevent falling, with some swelling of the soft parts about the joints, without redness or pain ; flexion gave rise to a sensation of great rigidity, but there was no crepitation or fluctuation

An unusual sensation in the leg, like a falling asleep, when riding one leg over the other

* Legs feel heavy and weary

Very remarkable sensation of numbness in the left leg, from the knee to the toes, with at times a sensation as if hot blood circulated through it

Numbness of the right leg, as if fallen asleep, without formication

Numbness of the left leg, while lying on the left side; relieved by lying on the back or right side

After sitting a long time the legs become numb and insensible, disappearing on moving about

Falling asleep, extending from the calves to the feet, as if the circulation were arrested by a tight band below the knee

Great sensitiveness of the muscles of the calves (fourth day)

Violent pain in the bend of the left leg

■ Muscles of the calves very painful to pressure (sixth day)

Muscles, especially of the calves, painful (fourth day)

Paralytic drawing pain in the malleoli, extending up to the knee

Pain in the tihite, on walking

Bruised pain in the periosteum of the tibiae, that is always sore to touch.

Bruised pain in the tibiae

Cramp in the legs

Cramp in the calves, followed by jerking in the legs, on stretching them out, when walking

Cramp in the calves(sixth day)

Cramp in the feet and legs (first night)

Rhythmical tearing in the left tibia, in the forepart above the foot, in the morning, on waking

Tension in the right calf, when walking

Tearing stitches, extending down the tibia

Stitches, as with a knife, on the outer side of the right leg, about the middle of the tibialis anticus muscle ; this pain was repeated during the day, at longer or shorter intervals, but especially as a burning sticking, at times acute ; they occurred only while sitting and on crossing the legs, and while standing, not on motion ; the points to which they constantly recurred were about the middle of the tibialis anticus, and at the origin of the extensor communis dig. ped. (twenty-fourth day)

A-ltlxle. Pain in the ankle, as if sprained, on walking; tension on stepping upon it (after four days)

The ankle is easily sprained and wrenched, when stepping

Pain in the left ankle, extending up to the calf

Painful feeling in left instep

Swelling of the tendon by the right malleolus

Stitches in the malleoli, often lasting for hours, so unpleasant that she complained of them, relieved by motion

Violent stitches in the left ankle

Sticking pain in the right malleolus, about which it is swollen ; she could not step on account of the pain

Tearing in the left malleolus, at night, so that he could not sleep

Foot. Increased swelling in the feet, with severe pain in the bones of the same, but continue warm as they did at first (after two hours); feet very sore and painful, in the afternoon (first day) ; feet not quite so bad, a dull pain in the joints (third day). The puffiness of the toes and feet, and the gouty pain in the great toes continued for several week.s, rendering it quite difficult and painful to walk or stand

Swelling of the feet, in the evening (after seven days)

Swelling of one foot

Swelling of the feet, even in the morning

Swelling of the feet, on walking

Heaviness of the feet, as if swollen

Heaviness of the feet (after eleven hours)

Heaviness of the feet; walking was less vigorous, with frequent stumbling over an uneven path (fifth day)

Heaviness of the feet, so that walking was difficult

Heaviness of the feet, so that standing was troublesome ; he was obliged to sit

* Weariness and heaviness of the /eef

Weakness and a sensation of falling asleep in the feet, with great uneasiness

An unusual sensation of numbness in the feet, especially when crossing them, while sitting (twenty-fifth day)

Pains in the feet (fifth day)

Dull drawing in the right metatarsal bones (second day)

Jerkings and lightnings in the feet

The feet and toes, formerly frozen, began to be very painful, especially in the shoes, while walking (after forty-eight hours)

Falling asleep of the left foot when riding it over the other leg

Paralyzed feeling in thefeetf.

Transient sensation of numbness in both feet

Tearing pains in the feet

Violent tearing and sticking in the feet, so that he was unable to sleep, at night

Stitches in the swollen feet

Pain in the soles, on walking ; they are red

Constant inclination to cramp in the soles and toes

Cramp in the soles (after three days)

Pain in the soles, as if she had walked too far/.

Tearing stitches in the soles of both feet/.

Jerking in the feet, with crawling cramp in the soles

Distressing sensation of dryness in the soles (after twenty-seven days)

Tearing and sticking in the soles, so that he could not step upon them/.

Tearing on the inner margins of the left sole, extending from the heel, while sitting

Cramp in the soles

Beating pain in the heels, at night; she was obliged to rub them till warm, which gave relief/.

Tension in the heels, in the morning, in bed

Crawling in both heels

The corns on the heels are painfully sensitive to the slightest pressure, even to the bed covering

Toes. Chilblains appear in March (after nine days)/.

Old corns on the little toe begin to be painful, also the toe swells

Stitches in the corns, that afterwards disappear

Increased pain, accompanied with swelling and an inflamed appearance all around the joint of the left large toe (after twenty hours)

The great toe is painful, as if frozen

Stitches in the corns, while walking

Pain in the corns, which pierces through the bone and marrow

Violent pain in tbe left great toe/.

Acute pain in the joint of the left great toe (after one hour and a half )

Pressive pain and burning in the toes, that had been frozen, while in the shoes, on walking

Tearing in the toes, while sitting, disappearing on rubbing

Jerking in the left great toe, while sitting

Violent sticking pressure, like a boring with a knife, in the corns/.

A pricking sensation in the right great toe, increased while walking (after one hour and a half)

Violent stitches in the ball of the great toe, with inflammation in it

Stitches in the left great toe, worse on motion, in the evening/.

A violent stitch in the right great toe

Generalities p. 443

Greatly increased vigor on the following days

Increase of the general health

Increase of muscular activity

Increased muscular power

Emaciation

Extreme emaciation

Reduced almost to a skeleton (tenth day)

Rapid emaciation

Emaciation, especially in the hands, so that the veins were very prominent

She turned the head alternately to the right and left, and kept the eyes fixed

Those who have been often affected by inflammatory catarrh, and these constitute the majority, are strikingly emaciated, sometimes suffer from palpitation of the heart, although the heart or large vessels are not diseased

At one time the patient seemed quiet, as if sleepy, at another made most violent jerking motions of the u})perand lower extremities (fourth day)

* She lay constantly on the right side, throwing the body about, but especially the head/®.

The patient lay upon the left side, with the feet drawn up, because it was impossible to lie in any other position (fourth day)

He lay only on the right side, at night

* Dorsal decubitus (fifth day)

He walks as if paralyzed, without noticing it himself

Symptoms of paresis of the right side of the face and right arm, followed by complete paralysis of the facial and hypoglossal nerves (second day)

Consumption and hectic fever,®’.f

Mucous membranes pale (fifth day)

Death caused especially by erysipelas and inflammation,’® 16 20 27_|_[-3i9o.]

The affection of the bone is difficult to characterize; it is not a simple caries, nor is it a simple necrosis; the soft parts detach themselves from the bone to a large extent, and leave below a bony, gray, rough, but solid surface, and a gray fetid suppuration exhales ; after an uncertain period this separates, without any appearance of new bone being formed

Swelling of the body (fourth day)

* Vomiting of nearly pare blood (fifth dav). Vomiting, or rather regurgitation, without effort, of nearly pure blood, with very profuse epistaxis, oozing of blood from both ears; the blood of these haemorrhages was very fluid and difficult to coagulate (twentyfirst day). The next day the patient raised a little blood from the throat; with these hemorrhages nervous symptoms returned, pain and numbness of the left arm, and afterwards of other extremities, pain in the region oj the throat, stricture of the throat, and sensation of suffocation; as the hemorrhages diminished, the skin became more deeply jaundiced. After more than a month the haemorrhage returned ; the stools contained a large quantity of pure blood; there was epistaxis, regurgitations of blood in the throat, and haematuria, followed by great prostration, almost complete loss of voice, very feeble pulse, cold extremities, bruit de souffle with the first sound of the heart; these haemorrhages gradually diminished, and ceased entirely after about a week. On the fiftieth day there were renewed haemorrhages from the throat, nose, anus, bladder, with pain in the right iliac fossa and in the thigh of the same side, with weakness of the limbs, so that the patient was unable to walk; these renewed haemorrhages lasted several days, except a little blood with the urine, which continued for five days; the patient was very much less prostrated by this haemorrhage than by the preceding. After seventy days blood reappeared in the urine ; the patient stated that she had lost as much as two glassfuls of nearly pure blood with the urine. On the next day there was profuse vomiting of blood; the urine continued to be colored by blood for nine days. This patient, even after three months, suffered from weakness, the bruit de souffle in the praecordial region persisted, and though she was pregnant she did not miscarry; the blood seemed to be completely restored, and her vital forces re-established; but afterwards, in the fifth month, she was taken with profuse uterine hcemorrhage, which, however, was arrested, and miscarriage did not take place; she passed through her pregnancy, and was delivered without accident, but afterwards she was seized with inveterate diarrhoea, not bloody, which could not be stopped, and which terminated her life eight months after the poisoning

Hemorrhages from free surface and from the tissues

Orgasm of blood from the customary smoke (after twenty-four hours),b

Frequent orgasm of blood, with at times violent palpitation,b

Great orgasm of blood,b

Orgasm of blood, at night, with chilliness and trembling, together with uneasiness in the intestines

Constant orgasm of blood, in the evening, and a feeling of warmth,b

Rush of blood at night; he hears the rush through the body at the same time,b

[3200.1 "^Discharge of blood from various parts of the body, haemoptysis, bleeding of the gums, haemorrhoids, etc.,b

* Small wounds bleed very much,b

* The blood when drawn seemed very pale, and under the microscope exhibited only about twice as many red as white corpuscles (tenth day)

drop of blood drawn from the finger had a grayish-red appearance, containing only twice as many red as white corpuscles (seventeenth day),^bb

Very great anaemia remained after the poisoning,”®.|

Extreme anemia; (sixteenth day)

The general appearance is that of a person laboring under typhoid fever, great depression, and general prostration ; she can with difficulty raise herself in bed (after three days and a half)

* The patient presented the phenomena of ataxia and adynamia, that reminded one of typhoid fever

* Lax muscular system

* J/«sc/es General relaxation of muscular power; when going upstairs the muscles of the lower extremities seem to refuse to act, so that she was in danger of falling down

Towards evening an incomplete attack of syncope, whilst drinking a glass of cider (second day)

* Motions involuntary and uncertain, as one attacked ivitli palsy

* Considerable tremulousness, especially of the hands, whilst writing (third day)

Trembling

Tremulousness, in the morning, with perceptible jerking in the limbs (after eight days)

Muscular tremors, amounting even to clonic spasms, contractions, and general convulsions; symptoms of collapse, with weakness of the heart, but perfect consciousness, followed by death

Trismus, with clonic spasms of the limbs, dilated and insensible pupils, profuse sweat, and death (after ten days)

Convulsions ®®'®

General convulsions, that lasted almost without intermission for two days (after Avhich the patient lived for three days)

Convulsions on the fourth day preceding death,'“I

Convulsively agitated (after seven days)

Convulsed, hands clenched, and eyeballs fixed (first day)

Convulsions, followed by death

Symptoms of irritant poisoning, with convulsive attacks, apparently of an hysterical kind; she died at the end of seventy-seven hours

Spasms, followed by death (tenth day)

Spasms

One worker, especially exposed to the fumes, was attacked with fatal tonic spasms (the post-mortem showed spinal arachnitis and partial softening of the spinal cord)

Weariness, on walking, with pains in the limbs (after three weeks)

* The patient complained of great weariness

* Great weariness

After getting the feet a little wet and cold, weariness in all the limbs, burning in the hands, headache and lying down, followed the next day by coryza

Unusual weariness from a short walk, with some headache

Weariness and exhaustion of the whole body, in the morning, after waking, disappearing after rising

Weariness in the whole body, especially in the thighs, in a usually robust man (after nine days)

So weary in the afternoon after a little wine that he was obliged to sleep for a few hours, followed by a sleepless night (after forty-eight hours)

Great debility

Weakness; (sixth day)

* Weak, oppressed sensation all day

Recipient sudden attacks of great weakness

Weak and sick, towards noon, without cause ; was obliged to lie down for an hour (after fifteen days)

Great weakness, with nausea

Much weakness, in the morning, on rising

Weakness and prostration

Great weakness, in the morning, on rising, and during the day general sick feeling, heartburn, and after rapid motion ravenous hunger and trembling of the limbs

Hysterical weakness, so that she could scarcely move the leg, with constant yawning, uprisings, and distress and pressure on the chest

Great weakness of the whole body

* So weak that he was unable to work

* Very weak; coidd lie only on his hack (.seventh day)

She feels very weak (especially in the evening) during the menses ; has pain in the back, as if beaten and torn, drawing in the whole body, palpitation, with anxiety, griping above the stomach, with constrictive pain ; is weary and weak, even to sinking down, and cannot keep up on account of great nausea; is obliged to lie down

Weak, sore, and almost helpless

Even those patients who are affected in a slighter degree are in a state of excessive weakness

General weakness, with evening fever

Sudden weakness; (first day)

* Extreme weakness and p/prostration (after fifty-one hours)

Very weak and almost speechless (fifth day)

* Great weakness (fourth day); (fourth day),'"®, etc.

Patient so weak that he could scarcely raise his hands (seven-- teenth day)/®

* Patient complained only of weakness (first day)/'®.

* Extreme weahiess, being unable to walk without suppoi’t

* Complaining of weakness (eleventh day)/'®.

* General weakness

* The patient constantly became weaker from day to day

Great weakness of the whole body, especially of the affected parts, after eating

* Weakness and prostration of the whole body, with heaviness of the feet, so that walking was difficult

Walking fatigues him very much

Feeling of iveaknessin the back, as if crushed, followed by weakness of the extremities and trembling after the least exertion. When admitted into the hospital, both the liver limbs were so feeble that the patient teas only able to stagger for a moment or two with a trembling step; when attempting to stand, his knees shook and gave way; his ha')ids and arms trembled when he attempted to use them; so feeble that the patient was neither able to raise himself nor to remain in a sitting posture; all efforts to help him were fruitless; he continued to live three or four years longer, although the paralysis went on increasingly

* After urinating, in the morning, he is so weak that he has to lie down

* Sensation of weakness and prostration, almost with tremulousness (fourth day)

■ * Weakness of the whole body'*^*^~

Weakness and prostration for several days

Weak and prostrated, with peevish, fretful mood (fourth day)

Remarkably weak and depressed, without the slightest desire to attend to ordinary business

Great weakness, with frequent yawning (third day)

* Weakness so great that the patient could scarcely speak

The symptoms began to abate (after twenty-three hours); I was not able to assume an upright position while walking, or endure much fatigue for some time, nor did I become free from the effects for more than two months ; I regained my strength very slowly

Dressed myself with difficulty and went to ray office; I was as weak as one suffering from a long and severe fit of illness; I then took eight pellets of Camphor®, this being the first I had taken, the attack being so sudden and prostrating I was not able to help myself to medicine or call assistance (after thirty-five hours)

Not able to assume an upright position, while walking, for some time

Sudden general loss of power, with great heat in the face (after eleven days)

General great and sudden loss of power

Loss of all power

Excessive exhaustion (third day); (second day)

Utterly exhausted, after a walk of an hour (fourth day)

General exhaustion, with attacks of faintness

* General nervous exhaustion; inexpressible heaviness of the \whole body, so that every motion was difficult and unpleasant; the patient desired to keep the bed, and dreaded motion

General exhaustion towards noon, less in the afternoon

* Exhaustion, especially in the chest, for several days

Exhaustion of mind and body, in the morning.

Exhaustion (after two hours)

Profound prostration,****'****^**^, Qic.

General prostration

Very great prostration (fifth day); (after eleven days)

General prostration, relieved by stimulants

The exertion or attempt to move my arms, hands, or even turn myself, produced great prostration

Prostration of mind and body (second day)

Prostration (second day); (after sixteen hours)

Prostration, similar to that of typhus (fourth day)

Faintness; (fifth day)

Great restlessness (fourth day),"'; (third day),'^^; (seventh and eighth days)

Extremely restless, and appeared to suffer much pain, rolling about its head and moaning

Very restless (filth day)

Very great and general anxiety and restlessness (third day)

Constant restlessness, with continual crying and sleepiness, followed by death (ninth day)

Patient restless, in bed (third day)

Patient restless and delirious, with talking, afterwards somnolent,^®h

General restlessness, also tossing from side to side (sixth day)

Restless and irritable (fifth day)

Jactitation and restlessness (tenth day)

Restlessness (fourth dav)V ; (second night)

Great uneasiness (after two days)

Uneasiness

Uneasiness at night, caused by pressure in the stomach and nausea

Uneasiness during a storm

Some uneasiness (immediately) ; general uneasiness (malaise), (second day)

Agitation (second day)

Frequent desire to change the position, while lying in bed

Must move about, not satisfied in any particular place

Violent starting of the whole body, whilst falling asleep (second night)

Nervoussymptoms, worse in afternoon and evening

Great excitement of the nervous stem

Collapse sudden, pupils dilated and insensible, extremities cold, pulse scarcely perceptible and intermittent, followed by death

Collapse

Collapse and great restlessness (fourth day)

Condition of complete collapse; limbs relaxed, patient unconscious, could scarcely be roused by loud cries into the ear

Elder, collapsed

Collapse, with tightly closed jaws, followed by death

Collapse, with cold skin, feeble pulse, and some stupidity (sixth day)

Takes cold easily, in the open air, that causes griping in the abdomen, pain in the nape of the neck, stiffness of the arms, toothache, lachrymation, hiccough, cutting and sticking in and above the stomach, dulness of the head, or at last coldness and moist coldness of the feet and hands, with a hot cheek, etc.

Feeling of taking cold in the whole body, with chilliness and sleepiness

Sensitiveness to cold weather

Takes cold on rising, after a little nightsweats, with toothache and slight jerking in the teeth

A kind of insensibility of the whole body

General malaise, with extreme exhaustion (second day)

Decided malaise, with feeling of exhaustion (third day)

Tremulous feeling in the whole body, like a pulsation

* Paralyzed and sick feeling in the whole body

General sick feeling prevents sleep at night, till 2 oclock

The whole right side feels paralyzed, with nausea

Feeling of mental and physical paralysis, in the morning, after rising, lasting all day

Feeling as if paralyzed, after sitting, lasting several minutes

Sensation of paralysis, with a tremulous sensation over the whole body (first day)

Feels paralyzed and bruised, in the morning, after rising (after six days)

Great sense of fatigue, with mental depression, and a most uncommon fearfulness and timidity (fourth day)

* Great languor and disinclination to movement, but the sufferer still kept about his usual employments (third day)

Languid, unwilling to exert themselves (second day)

Great sense of fatigue (first day) ; the feebleness did not prevent her from walking about all day in the rain (second day)

Great lassitude (second day)

Extreme lassitude ; the patient was scarcely able to turn or move in bed (second day)

Felt indolent all day (second day)

Feel stupefied, intoxicated, dizzy, and reeling, on waking, at night

A certain light and comfortable feeling in the whole body

General sick feeling, prostration of all the limbs

Unpleasant sensation of sickness and discomfort in the whole body, especially in the stomach, even in the open air

Sick, prostrated, joyless, out of humor with everything

Sick feeling in the whole body, weakness and exhaustion in the joints, especially in the knees, on motion, and while sitting (after fourteen days)

Anxiety and uneasiness in the blood, after eating a little

Tensive drawing in the glands, even on the neck

Very tired feeling, without having taken the usual exercise (after second dose, second day)

Feeling of increased vigor (third day) ; of exhaustion (fourth day)

At no time was I free from pain/l

General pains (fourth day)

In intolerable pain (fifth day)

The slightest motion caused great pain

Pain in right side, with occasional stitches

She complained of pain in the whole body, especially in the bones of the limbs

Transient drawing and numb pains here and there in the body

Drawing pain in the bones of the left arm and in the lower jaw; also other pains, mostly transient, in various parts of the body, reminding him of rheumatism, from which he had never suffered

Tearing pains over the whole body

Darting cutting pains gave me much distress, starting from one point and flashing over the whole abdominal region, each one having a separate starting-point (after five hours)

Slight fugitive pains during the night (first day)

Distressing burning and boring pains in the bones, that at night became intolerable and almost prevented sleep; the pains were especially severe in the bones of the skull, palate, and nasal bones, and in the teeth (after two weeks)

Burning in the whole right side of the body

The moment the bowels begin to move, the pains assume the form of cramps

Soreness of the body all over

It seemed as if a flame of fire was passing through me

Heaviness of the upper part of the body, until a sensation as if everything about the chest were too tight, lasting all day,”b.

Pressive heaviness of the head, spine, and in all the limbs, with ill-humor, toward evening (first day),*’a.

Heaviness and a feeling of fulness of the whole body (first day)

He complained also of being heavy and dull, and inclined to sleep

Painful heaviness in the whole body, nov in the chest, now in the head of the thighs and legs, now all over at the same time, which made him very inactive and extremely fretful; previously there was general exhausting perspiration

Heaviness in the whole body

* Numbness of the whole body, accompanied by a pricking sensation, as being encompassed by innumerable needles that just touched, and, on the slightest motion, entered my body, at first severe, then followed by vibrations of less distinctness

The whole body feels bruised, powerless, and constantly sleepy; wherewith he is very pale, though with appetite

Sensation as if the muscles in walking would lose their equilibrium, with slight dizziness (after first dose, second day)

At times transient, at times sticking or pressive sensations in various joints or bones of the body (twenty-fourth day)

Some piercing stitches here and there in the body

Stitches in different parts, passing off soon

Violent stitches

The symptoms first manifest themselves upon the alimentary tract, afterwards upon the respiratory organs, and then upon the skin

The pains are worse from 5 or 6 p.m. till towards morning

He experiences pains previous to change of weather

* Lying on the left side at night causes anxiety (after nineteen days)

The pains always commence when eating, and last as long as he continues to eat, at noon and in the evening

General improvement in the cold open air

The open air seems good to him, and he feels better in it (after one, and two hours)

She is impelled to walk a long distance in the open air

Most of the symptoms cease in the afternoon, after eating

The symptoms gradually disappeared after dinner

General relief after supper and a glass of beer (second day)

Better after supper

Skin p. 448

Objective Jaundice,’®* ’®'', etc.

General jaundice (fourth day); (third day)

General jaundice, commencing on the fourth day

General jaundice, especially of the conjunctiva (fourth t^tty)

General jaundice, with delirium, rapid pulse (fifth day)

Jaundice (fifth day); becoming more intense after twenty-four hours, accompanied by a febrile condition, with delirium, irregularity of the pulse, followed by great prostration and death two days afterwards

Jaundice, extending over the whole body, increasing daily, from the fourth to the tenth day, associated with great enlargement of the liver, and with great weakness of the heart’s action

Jaundice (third day); on the following day accompanied by extreme pain in the epigastrium and vomiting of black thready substances consisting of blood,‘'^l

Jaundice commenced on the fifth day and rapidly increased, with enlargement of the liver, which was very painful to pressure (fifth day)

Jaundice, especially of the chest and abdomen (fourth day)

[3-410.] Commencing jaundice (third day); jaundice very decided (fourth day)

There was a jaundiced condition of the skin, except in the face, which was congested (fourth day)

Jaundice commenced in the face and extended over the whole body (third day)

Skin and coujuuctivje were jaundiced (fourth day)

Jaundice commenced in the eye on the third day, and gradually extended over the whole body

Jaundice (fifth day); increased on the following day, associated with enlargement of the liver, that was also sensitive to pressure

Jaundice of a yellowish-brown color (sixth day)

Jaundice very intense (seventh day) ; had decidedly decreased, instead there was remarkable paleness of the skin and of the mucous membrane, which continued for some time (after eight days)

Jaundice commenced after four days, associated with confusion of mind, and later with delirium

Jaundice commenced in the conjunctiva, on the fourth day, and the next day became more general

The skin became yellow, with distension and sensitiveness of the epigastric and right hypochondriac region, with constant moaning and semi-unconscious condition, half-open eyes and mouth, pulse 150, respiration difficult, with twitching of the face and arms, followed by great distension of the abdomen, swelling of the liver, that was very sensitive to touch (fourth day)

Skin inteuscdy yellow (eighth day)

Intensely yellow color of the skin (sixth day)

Whole body intensely yellow, towards evening (eighth day)

Skin of a dark-yellow color, with livid appearance of the lips, nose, forehead, and extremities, on the day of death

General yellow color, especially of the eyes

Jaundice color of the skin

Icteric color

Yellow color of the whole body (fifth day)

Skin assumed a yellow color (sixth day); yellow tinge, darker and more visible (eighth day)

The skin suddenly becarnp yellow (fourth day)

Whole body of an icteric tint (sixth day)

Yellow color of the surface of the body (third day); this icterus increased, became associated with delirium, and she died on the sixth day

Skin deeply orange-yellow, with sclerotic very yellow (filth day)

Icteric color of the skin and eyes increasing (third day)

Pale-yellow color of the skin

Skin over the thorax became slightly yellow (third day)

Slight general yellowness commenced to appear on the eyes, the chest, the limbs (after four days and a half)

Paleness of the skin, such as is only seen in leuchseraia (fourth day)

* Remarkable paleness of the skin and mucous membrane

Peculiar paleness of the whole body

The skin is pale, at times dirty-yellow, puffy, especially of the face

Jaundice has disappeared, but has given place to general paleness of the skin ; the mucous membrane was entirely bloodless (sixteenth day)

Skin had a dark appearance (sixth day)

Limbs blue (fifth day)

Ends of the fingers and lips cyanotic (third day)

Skin presented a livid shade (seventh day)

The left foot was of a darkbluish color, and cold (third day)

The surface of the body had a general bluish appearance (third day)

Peculiar bluish-red color of the toes and of both elbows, as if suffused with blood (fourth day),™

Skin dry (third day)

Skin dry and wrinkled

Skin perfectly dry (third day)

Skin dry and parched (sixth_ day)

Skin_ dry, dirtyyellow in the face, other parts gray

The skin loses its elasticity ; when pinched into folds it returns to its normal condition very slowly Haemorrhage from the subcutaneous cellular tissue of the thorax, and especially of the lower extremities (after death, also found in the anterior and posterior mediastinum, endocardium, pleura, parenchyma of the right lung, and mesentery)

Raw bleeding surface under the scabs, . turns, Dry. The skin is covered with numerous peach-colored spots, in the centre of which were discovered red spots of purpura (fd^rth day), . Numerous red spots on the body, associated with great weakness, recognized as purpura; on the next day the oldest spots became brownish-red, while the newest were bright-red

_ Upon the arms are seen some red spots, which disappear on pressure (sixth day), . Red points, with corrosive itching, in a spot as_ large as the hand, in the bend of the right elbow

Bluish-red spots under the skin, especially on the legs; bleeding from the leechbites was very difficult to stop; it was necessary to keep them constantly and tightly bound (fifth day)

Numerous small bluish spots, almost like petechiae, on the legs

A large yellow spot on the abdomen, to the side of the navel

Brownish, dark, at times elevated, spots in the hollows of the knees, on the chest, forehead, and below the corner of the month,k

Transparent coppery spots on the body,k

Spots on the feet

* Petec/i(a/ spots in the skm

* Spots similar to purpura hemorrhagica, at the base of the neck, on the shoulders, and backs of the hands (sixth day)

Numerous petechiae, of a dull livid hue, over the epigastrium

Some spots of purpura were observed on the chest (seventh day)

Small ecchymosed spots on the chest and face (afterseventh to eighth day)

Ecchymosis over the abdomen

of ecchymosis over the skin (third day)

Purple-like exanthema over the whole body, especially on the lower extremities (fourth day)

Exanthematous spots over the anterior portion of the abdomen, disappearing on pressure with the finger

Desquamation of the skin of the face

Desquamation of the epidermis

The skin of the hands is very rough and dry

The skin cracked over the finger-joints, as from great cold

Indurations in the skin (of the nates)

Itching, scabby, cracked, and scaly eruption on different parts of the body; the arms and hands most affected

On the anterior and posterior borders of the axillary space the skin was chapped, rough, and scaly; appeared first on the right, and then on the left side

* (Edema of the lids and about the eyes^"(

* Lips and eyelids became eedematousf.

Both had urticaria ; in the younger, much resembling measles, in the elder, more raised, crimson, and less crescentic

Violent urticaria, with numerous large hives and great itching (first and second days)

Aiicesthesia of the skin

Covered with itching eruption of a troublesome character’,®

Sore abraded spots, with redness and smarting or sticking pain, in the skin of various parts

Pimples and indurated spots and also brownish and reddish-blue spots have an increased color

Pimples all over the body ; color bright-red, with an almost intolerable itching; scratching seemed to relieve it for the time being only, in the afternoon

Fine gritty eruption on the forehead and chin

Pimples on the face and wing of the nose

Papular eruption on the face

Some red pimples on the face

Eruption on the face, raw, red, mottled, somewhat elevated

Papular eruption on both cheeks

An itching spot on the left side of the lower jaw; was obliged to scratch till sore

A painful pimple on the right wing of the nose

Papular eruption in the right corner of the mouth

Many freckles on the nose, in the morning, after being heated by exercise at night (after twelve days)

A few pimples, with burning-sticking pain, on the margin of the labile, lasting fourteen days

Violently itching pimples in the axilla, that burn after scratching

Itching eruption upon the anterior surface of the arms, from the bends of the elbow down nearly to the wrist

Itching eruption on the anterior surface of the arms

Eruption on the right hand, extends along the anterior surface of the ulnar side of the hand; on the left, it extended over the metacarpal bone of the thumb

Warts appear on the hands

Eruption on the thighs and legs

Large pimples on the posterior portion of the thigh, painful to touch

Several small spots, like freckles, on the lower portion of the tibia

Eruptions 31lost, A peculiar eruption affected the skin about the joints, consisting of small vesicles, in groups, without any areola, followed by desquamation of thin scales, that were frequently renewed

Vesicular eruption, with thin transparent fluid, afterwards milky

Much itching, eruption, and itch-vesicles

Itching nettlerash eruption, with large blisters, over the whole body, even on the face

Vesicular eruption behind the ears

Vesicles, with burning pain, in the concha

Vesicles in and about the nose, so that it is almost inflamed

Vesicular eruption, more on the right than on the left hand; also between the fingers of both hands ; crusty and cracked

Itching vesicles between the fingers and in the hollows of the knees

Painful hard blisters, here and there, without itching

Exudation of black blood from the scar of an old blister

Blisters, like gangrene, that burst and exude water

Heat blisters on the backs of both hands, with itching, worse at night

The blisters and ulcers on the feet increased

Blister on the heel, which breaks, becomes moist, and is very painful on walking (after fourteen days)

Eruptions Etustiilar. Pustular eruption on the forehead (twentieth day); two days later it extended over the face, as large as a barleycorn, surrounded by a bright-red areola, in the centre of which was the opening of a hair-follicle; at the same time ecthymatous pustules developed on the nates, about the anus, and a few days later a furuncle, as large as a hazelnut, on the left nates, that discharged a greenish bloody matter; these healed completely about the thirty-second day

Pustular eruption on the chin

Frequent pustules and scabs on the face, after the slightest injury of the skin

Pustular eruption on the hands and arms, like ecthyma; purpura of the whole body

Round spots of tetter over the whole hodyf

Tetter above the upper lip

Tetter in the left corner of the mouth, with cutting and sticking

Tetter above the knees and below the patellae

Corners of the mouth ulcerated (after thirteen days)

* Obstinate ulcer about the nail, that would not heal

* Ulcers bleed on the appearance of the menses

Inflammation and swelling of the left nipple and whole left breast, with great pain and suppuration,, after ten days

Erysipelatous inflammation of one breast (covered with eruption), with swelling, redness, burning, sticking, and at last suppuration

A boil on the margin of the orbit

Small boils on the nape of the neck, chest, and thighs

Two boils on the abdomen

Suppurating boil, with burning pain, in the groin

Two boils, surrounded by red areola, with a dark colorin the centre, on the thigh

Large boils on the thighs, chest, and forehead

Subjective. Peculiar insensibility of the skin of the extremities (first day); sensibility so much diminished that she could not pick up a pin between her fingers (second day)

Skin dry, hot, and burning (eighth day),”®

Skin painful to the slightest contact (hyperesthesia), (second day)

The skin is painful, especially on the vertex, as from a blow, aggravated by pressure

A soft relaxed feeling of the skin

Sticking pinching, externally, on the neck, while walking in the open air

Pinching contractive pain in an old scar

Burning itching over the whole body (after ten days)

Burning in a wart, as in a suppurating wound, in the evening, after lying down

Burning smarting in the skin of the face, as after being in the cold sharp air

Burning in the skin of both upper arms

Burning in the arms and thighs

Burning sensation in the {)alms of the hands

* Formica-

In the left arm he experienced a continued sensation of formication under the skin

Formication on the right fingers

Formication of the right fourth and fifth fingers (first day),^'

Formication of the left thumb

Formication in the thighs (first night)

Creeping and twitching sensation under the skin

Intolerable feeling of ants over the whole upper part of the body, especially on the neck, chest, and occiput, on coming into the house

Crawling on the hands, in the open air, while yawning (after a quarter of an hour)

Violent crawling on the second knuckle of the left third finger

Crawling in the feet, at night, as if asleep

Crawling, as from ants, on the feet and toes

Crawling beneath the toes

Frequent stitches in the skin, like fleabites

Stitches in a boil on the throat

Frequent small stitches in the skin of the abdomen

General itching over the whole body (after twenty-two days)

Itching over the whole body, at night, with much heat and dryness of the mouth (after twelve hours)

Sticking itching over the whole body, during the menses

Itching (or biting like formication), here and there, relieved by rubbing

Irresistible desire to scratch, which temporarily relieved; continued scratching caused a raw, smarting, burning, sore feeling

Itching formication in the i^paralyzed parts

Itching of a wart on the forehead

Violent itching of the face, so that she scratched till it was all bloody and raw,k

Itching of the upper lip, with pain, after rubbing

Much itching and biting about the abdomen; on the arms and thighs, red streaks, caused by scratching (after twenty-six, and twenty-seven days)

Itching in the navel itself, that could not be relieved by rubbing (after six hours)

Itching on the right side of the chest and abdomen, disappearing on scratching

Violent itching, at night, on the arms, lower extremities, back, and abdomen (after twelve days)

Violent itching in the right axilla, and a glandular swelling as large as a pea

Much itching on the arms

Itching of the hands

Intolerable itching in the hands, in the evening, in bed

Very acute sticklike itching on the backs of both hands, so that he cannot fall asleep, at night; scratching does not relieve it

Itching on the hips

Violent itching in a small spot on the thigh, with smarting, after scratching

Itching on the thigh and patella

Itching on the back, and in the hollows of the knees

Troublesome itching of both legs.

Violent itching on the calves and tibiae

Violent itching on the soles and toes, in the evening

Itching beneath the toes and on the soles

Sleep p. 452

Sleejtiiiess, Constantly wishes to yawn and cannot

Frequent yawning, stretching, and sleepiness, even after dinner

Constant yawning, with great weakness (fourth day),.'®®.

Frequent yawning, with chilliness, in the evening

Constant yawning and watery urine, during the attacks of pain,k

* (tenth day)

Drowsiness,^'^^; (after ten hours)

* Heainj and drowsy,Very drowsy, and retired at 11.30 P.M., but was long in getting asleep

Felt an uneasiness, accompanied by drowsiness, which was unusual (after five hours)

Drowsy and fell asleep, in which state she continued for twenty hours, with scarcely any intermission (third day),^®k

The elder manifested all day long a strong disposition to sleep ; the same in the younger, though in a less degree

Increased sleepiness (fifth day)

* Sleepy and stupid, hard to

Face p. 453

* Constant sleepiness (fourth day),"'®.t

Overpowering sleepiness; on falling asleep sudden starting up, with talking irrationally, or during sleep erotic ecstasies or lascivious dreams, also with automatic movements, as in sexual intercourse

Overpowering sleepiness, after dinner

* Great sleepiness during the day, even before dinner

* Great sleepiness (third day),'"; (fourth day)

Great sleepiness (fifth day) ; restlessness (sixth day)

Sleepiness, during the day, after walking in the o|)eu air, and alter dinner

Sleepiness during the day (after ten, and eleven days)

* Sleepiness

Much sleepiness in the evening

Sleepiness after eating

Sleepiness after dinner (after fifteen days)

Very sleepy until 11 a.m.,®®.

Very sleepy in the evening; could hardly keep his eyes open

Sleepy, as if dizzy, without being able to sleep

* 'Sleepy, while eating

Sleepy, early in the evening, followed by restless sleep

Sleep, at night, sound and stupid ; in the morning, ou waking, she had no desire to rise, but wished rather to lie down again

She lies in a stupid slumber, during the day

Long-continued sleep, in the morning (second day)

Very long stupid sleep

Somnolence (fourth day); (after sixteen hours)

Increasing somnolence (eighth day)

Somnolency and death on a sudden increase of all the symptoms (sixth day)

The patient became somnolent, could not answer intelligibly, screamed from time to time; the screaming became so incessant and terrible that she was removed to the delirium ward, after which she died (fifth day)

Complete somnolence; when aroused the patient seemed to be in a raging delirium, and beat about him (fifth day)

Very soporous.s

Sopor interrupted by screaming (eighth day)

Starting up in fright on falling asleep

Crying out and talking in sleep, at night

Frightful starting up in sleep, towards morning

He lies at night ou the back, with the left hand under the occiput

Great inclination to sit sleeping, with the head bent forward (after five hours)

Slee/flesh- ness. Insomnia (fifth day)

Sleeplessness,^^^'^ etc.

Night sleepless (.seventh night); (fifth day); (fifth to tenth day)

Sleepless, from 1 to 4 a.m.,'®.

* Sleeplessness and uneasiness, in the evening, in bed (after thirty-six hours)

Sleepless, inclined to study much later than usual (second and third nights)

Is not sleepy, in the evening in bed, followed by light sleep, so that every slight noise wakens him

Sleepy, but unable to sleep (.second day)

Night sleepless and restless, with delirium (second night)

* Very restless nights, constant dreaming

Very restless sleep

Restless nights, on account of many dreams

Night restless; (fourth day)

Restless sleep, at night

Restless sleep, with tossing about and dreams, and while awake anxiety in the whole body

* Sleep restless and full of dreams ; headache, in the morning, on waking

(Sleep restless)

Restlessness, that prevents sleep, several nights

Restless sleep, at night, and lascivious dreams, with emissions, whereupon he became very wide awake, afterwards but little sleep, only confused in the morning hours, before 6 oclock

Restless, dreamy sleep, at night, with much tossing about (third day),^''h

Restless night; waking frequently (third night)

Night restless, woke towards 4 A.M., and could not fall asleep again (fifth day)

Restless night; was a long time getting asleep

Was unable to sleep ; the desire to sleep was very great, but I could not find a comfortable position (after five hours)

Little sleep (third night)

Somewhat restless, at night (second night)

Restlessness (first night); much greater, the sufferer rolling from side to side in fitful slumbers, and getting up frequently for water (second day); very restless (fourth day)

Sleep interrupted

Restless and no sleep, during the night (fourth night)

Tossing about and weeping, all night, with anxious dreams

Little sleep, owing to restlessness (first night); with constant tossing from side to side; bemoaned his inability to sleep (sixth day)

He was obliged to turn over constantly, at night

Great uneasiness, at night, with anxiety

Uneasy sleep, with many dreams and frequent waking, for several nights

* After waking in the evening and night, he cannot fall asleep again for a long timet

* He cannot fail asleep before midnight, is obliged to get out of bed and only after lying down can he fall asleep

She could not fall asleep, at night; on account of a feeling as if the eyes would not close, she was obliged to close them with the hands, with a whirling in the head (after six days)

cannot fall asleep until 1 oclock on account of restlessness also he cannot get the feet warm, four nights in succession

She is unable to fall asleep, in the evening, on account of uneasiness, and on waking she is immediately restless (after five days)

Cannot fall asleep at flight,, for two or even four hours

Difficult falling asleep, and frequent w^aking

Difficult falling asleep, in the evening, with restless tossing about

She could not fall asleep, at night, after going to bed, on account of numerous fancies ; sleep throughout the night was partial, and associated with confused fancies

Lies a long time in bed, in the evening, before falling asleep

Frequent waking on account of heat, without sweaty at night

Frequent waking, at night, with chilliness

Waking after three hourssleep, tormented by heavy anxious dreams

After falling asleep, preceded by long-continued restlessness, she woke with oppression, as from a weight on the chest, and difficult respiration (after twenty-two days)

Sleep disturbed by frequent waking

She woke towards morning, started up in fright

Frequent waking, at night, with boring in the teeth

Anxiety during unconscious sleep, ringing the hands as in despair, sobbing, lamenting, tossing about, short breath ; in fear she grasps at bystanders, or deliriously grasps after them

Feeling in the morning as if he had not slept enough, weak and indolent

Even quiet sleep does not refresh her

Awoke at 7 a.m., feeling unrefreshed

Dreams. Distressing dreams of vermin

Unusually vivid and constant dreams, at night (eleventh day)

Many dreams upon scientific and philosophical subjects (first night); many dreams, character unremembered (second night); erotic dreams (third night) ; a fearful dream of being bitten by a ferocious black horse, so vivid as to make a very painful impression on the mind (fourth day)

The fitful slumbers were filled with dreams of fighting, or of violent physical exertion, accompanied by a running comment of incoherent talk (eighth day)

Vivid dreams, at night (second day)

Unusually vivid dreams remembered after waking, in the morning (quite unusual), (twenty-third day),^h

Vivid dreams full of restless work and business, which he could not finish

Vivid dreams

Vivid, partly recollected dreams

Historical dreams, every night

Nightmare, so that he cried out, from a dream of imminent danger

Uninterrupted remembered dream of the business of the day, at night

Vexatious dream

Dreams of dead people, of fights, etc.,'®.

Sleep full of dreams, interrupted, exhausting

Dream of robbers

Dream of a hsernorrhage

Sad dreams

Fretful dreams

Hideous dreams

Immediately on falling asleep, he dreams of things that make him anxious,and he wakes

Dreams of fire, with crying out and beating about her

Heavy anxious dreams, towards morning

Frightful and anxious dream (first night)

Confused dreams, at night

Anxious phantasm, on falling asleep, as if a bad man grasped him by the throat and tried to choke him (after four days)

Anxious dream, as if an insect were stinging: behind the ear

Anxious dreams (after forty-eight hours)

Very anxious dreams

Anxious dreams of biting animals; she cried out and woke in great anxiety

Dream that she was pinched on the back and breast, and tickled on the soles

Solicitous dreams of necessary business, for attention to which he frequently rose and made preparations

Frequent lascivious dreams, with emissions

Lascivious dreams and emissions

Frequent lascivious dreams, with erections

Ludicrous dreams

Fever p. 455

Chilliitesst. Chilliness (fourth day); (third night)

* Severe chill, followed by a. fever, flushed cheeks, the left oie much more than the right (after two hours) ; fever, with headache, but no chill (second day); considerable fever, in the evening, with a whitish discharge from the vagina (fifth day); fever, with headache, in the afternoon (sixth day)

Chilliness and trembling of the whole body, especially of the abdomen, at night, on waking from anxious dreams; great orgasm of blood and oppression of the chest, so that he could not get a breath and could scarcely rise (after ten days)

* Constant chilliness towards (first day),^''^; (third day)

The patient complained of constant chilliness (third day)

Frequent chilliness (first day),'; (second day)

Feeling of chilliness, alternating with heat (second day); fever increased (after three days)

Chilliness, with increased temperature and pulse (third day)

Chills, accompanied with ringing in the ears, most in the right

Chilliness on rising

Chilliness, even in a warm room (second morning)

Chills at 1 p.m., lasting till 5 p.m. (this symptom came three days in succession)

Chilliness over the whole trunk, as if it were in cold water, without thirst, not relieved by an overcoat and a glass of beer,'". Chilliness over the whole body, lasting half an hour, after every dose

Internal chilliness several afternoons, for half an hour or an hour, and at times with a sensation as of hot water in the pit of the stomach and in the back

Chilliness, in the evening, on falling asleep

Chilliness, with cold hands and pale face, frequent nausea, empty eructations, while walking in the open air, at 7 p.m.

Chilliness while sitting, not while walking

Chilliness and symptoms of fever (third day)

Chilliness for two hours, in the morning, with yawning, without subsequent heat

Much chilliness, with cold hands and feet, during the menses

Chilliness in the hands, though they were warm, red, and the veins distended

-Chilliness towards 6 p.m., and falling asleep from weakness; towards midnight, waking from heavy dreams, with profuse general perspiration

Chilliness, every evening, ■with shivering, without thirst, though with dryness of the throat

Chilliness, with anxiety, in the evening

He was so chilly that he trembled all over, even by a warm stove

Violent chill before the stool

Chilliness in the back and arms, followed by chilliness in the head (second day)

Chilliness and shivering, with loss of appetite, and without subsequent heat

Creeping chill up the back during the day

Chilly, several evenings, after lying down in bed

Violent shaking chill; cold creeping over the back ; was obliged to lie down and cover himself, when he became warm only slowly, and on putting the hands out of bed there was immediately renewed shivering, with stiffness of the hands from cold and painful dulness of the head, without subsequent heat (after twenty-six hours)

* Violent shaking chill, at night, with looseness of the hives four times, followed by great heat and perspiration all over, and preceded by perspiration before midnight, for several nights

Violent shaking chill, followed by sweat, at night; on the days previously, great restlessness for two days together (ninth day)

Shivering chill over the back

Shaking chills

* Constantly more shivering, then warmth, lasting only a short time; the shivering was not relieved by the warmth of the stove (after three hours)

Frequent shivering, with yawning, and with at times gooseflesh on the arms

Shivering over the whole body, without chilliness

Shivering, with pain in the head and stomach (after three hours)

Slight shivering, alternating with heat of the head and hands (after three hours)

Slight shivering at 7 p.m.,'®.

Great coldness

Gen; eral coldness (after three weeks)

Coldness of the whole body, especially of the extremities (second day)

Complained of being very cold (fifth day)

Long-continued coldness, without thirst, then thirst, at night; after the fever, diarrhoea

Coldness every afternoon, and weakness for several days

Coldness ; lack of warmth in the whole body

Cool feeling over the whole body

Skin cold (after three days and a half),'*^; (second day)

Skin dry and cold (second day)

Coldness in the head and body, frequently alternating with heat (after two hours)

Body cold (fifth day)

Face and hands cool

The extremities became cold, covered with clammy sweat, shortly before death

Extremities cold, bluish (seventh day)

* Coldness of the limbs,'

* Extremities eoM,'®'"*'®', etc.

* Cold hands

Icy coldness of the hands and feet all day, even in bed

Sensation of coldness in the lower extremities (second day)

Coldness in the knees constantly, at night, in bed

Cold feel in the insteps of both feet

Feet icy cold ; he could not get them warm even in bed (in June)

Heat, Violent fever, with red, hot face (fourth day)

Of one hundred and seventy workers in match factories (mostly boys), one hundred and twenty were attacked with typhus, often complicated with pneumonia and bronchitis, that often developed into consumption

Woke, at night, in fever, alternations of heat and chill, with violent pains in the head, abdomen, and lower extremities, afterwards vomiting, before midnight, lasting more than twenty-four hours, with disappearance of appetite and sleep (after fourteen days)

Sudden fever, with great restlessness, colicky pain in the epigastric region, with retention of stool and urine (third day)

Fever, two days in succession, during the menses; in the first afternoon chilliness, then heat and headache, without thirst; the second day chilliness, for an hour, at noon, then spasmodic shaking of the whole body, with chattering of the teeth, followed by heat, especially in the head, and headache (after ten days)

* Fever from 5 to 6 P.M.; fi^'st violent chill, so that he could not get warm, followed by heat, with thirst, and internal chilliness, and after the latter had passed off, heat and perspiration all night, in bed, till morning (after eight hours)

Fever, with very quick pulse

Fever, during the night, and vomiting (after twelve hours),™

Fever, with thickly coated tongue

Well-marked fever

The greater number suffer from fever

* Fever,in the afternoon, for many days; heat, with or without previous chill

Fever, with tossing about the bed

Inflammatory fever

Feverish (sixth day); more feverish (seventh and eighth days)

Moderate fever at first, afterwards sinking of the temperature

Feverish excitement

the first jive days the patient had a moderate but regular elevation of temperature, in the evening; in the morning it was nearly normal, or even lower, with a relatively given frequency of the pulse (from 104 to 120). On the sixth day there was a constant fever of the remittent type, continuing and reaching its highest point in the evening of the eighth day, when the pulse was exceedingly small and soft. After the eighth day the temperature fell. On the thirteenth day there began a more regular intermittent form of fever, with a decided shaking chill; on the thirteenth day a shaking chill at 8.15 A.M., lasting twenty minutes, with a temperature of 41.8° C.; pulse 140; the temperature fell, during the copious perspiration, to 40.1°, in the evening rising to 41°. On the fourteenth day chill in the morning, temperature 40.6°; temperature in the evening, during the copious perspiration, 37.9°. On the seventeenth day a third chill, in the evening, lasting twenty-five minutes. On the eighteenth day the fourth chill, beginning in the morning, lasting half an hour; temperature 41°, falling in the evening to 38.8°. The next morning 38.2°, after which there was almost a regular diminution of temperature, without a regular type till the twenty-eighth day. There was, on thb average, the normal temperature until the thirtysecond day, when there was a fifth chill, beginning in the morning, with sweat in the evening; also a chill on the thirty sixth day, in the morning, after which there followed a remarkably low temperature for a long time, 36.4°, and even 36.1°, in the morning, and 36.8° to 36.9° in the evening, then the patient had no chill nor fever for nearly four weeks. On the sixty-third day there was a seventh chill, lasting twenty minutes, temperature 37.4°. On the sixty-fifth day a chill, temperature 38.3°. Seventyfirst day a chill. Seventy-ninth day two chills, the first at 8 A.M., the second about 10 a.m. ; temperature fell in the afternoon to 36.7°, next morning 36.2°; after this there were three additional chills, during which the temperature did not rise above 38°. On the one hundred and twentyninth day the sixteenth chill, temperature 38.8°. On the one hundred and thirtieth day the seventeenth chill. On the one hundred and forty-third, one hundred and forty-fourth, one hundred and forty-sixth, and one hundred and forty-ninth days, chills, after which there was no chill for more than three weeks

Temperature exceedingly high

Temperature very much increased (eighth day)

Increased heat of the whole body

Febrile heat from 2 to 3 and from 6 to 7 p.m., especially in the face (after fourteen days)

Dry heat, at night, without thirst, with pain in the part upon which she lies, as from a hard bed

General heat towards 8 p.m., with loss of thirst, not preceded by shivering

General heat, with sweat, without thirst, from 7 to 12 a.m.,'®.

General, not disagreeable, increased warmth of the body

Great heat in the body (second day)

Great heat from 1 to 4 a.m., with short breath, without thirst, with general transient perspiration, dry lips, and dry tip of the tongue; the posterior portion of the mouth is moist

Paroxysms of anxious heat at times (after

-j- Original revised by Hughes. six days)

Sensation of heat, and

Heat through the whole body, with a sense of internal pruritus, with rush of blood to the head

Anxious heat over the whole body, after breakfast (after half an hour)

Heat over the whole body, especially in the head and hands, with bitterness in the mouth and nausea in the stomach (after two hours and a half)

Heat, in the forenoon, lasting two hours, with thirst for, beer, and preceded by shaking chill, and followed by chilliness; all this transpired in a dreamy slumber, with much motion of the hands

* Heat, at night, without thirst, and sweat, from which he frequently avoke

* Febrile heat and sweat,’at night, with ravenous hunger, that could not be appeased, /o^- lowed by chilliness, with chattering of the teeth, and external coldness; after the chill internal heat, especially in the hands, with constant external coldness

Some heat of the body preceding the stool

Attacks of flushes of heat, especially in the evening, with slight febrile restlessness and burning heat in the palms

Flashes of heat and cold across the shoulders (after six hours)

On thinking very intently she is attacked with heat, as if dashed with hot water

Constant heat, sweat, and thirst

Internal warmth through the whole body, with dulness in the head

Frequently increased warmth of the whole body at times, while sitting, disappearing in the open air or after dinner, at times also with anxiety, as if sweat would break out

Warmth of the whole body, with itching internally

The warmth of the room seemed intolerable, on account of dry heat in the face, head, and feet

Warmth over the whole body

Warmth and sweat over the body, especially on the shoulders, lasting a long time; only the feet are dry; an hour after dinner

Heat first in the hands, then in the head, then in the nape of the neck, with a feeling as if sweat would break out (after three hours)

Mounting of heat from the chest into the head and whole abdomen, while eating soup, with a feeling as if sweat would break out

Frequent rising of heat from the back into the head, with redness of the face, in the afternoon, while sitting

Increased sensation of warmth in paralyzed parts

Skin very hot (tenth and eleventh days)

Skin hot and dry; (second day)

Skin dry, not very hot (third day)

Skin hot (fifth day)

Skin of the whole body very hot, alternating with chilly sensations, in the night, then profuse perspiration, during sleep

Heat in the head and chest on excited talking

Heat in the head, with dulness, better by moving about

Much heat, and sensation of heat in the head, especially in the forehead and face (also in the hands), at times with throbbing in the head, at times mounting up (from the back), and disappearing in the cool open air

Heat in the head, then in the whole body, and also in the feet, as if sweat Would break out, an hour after dinner

Heat and perspiration on the head and hands, even on the feet, with only moderate external warmth, lasting three minutes; afterwards, about 2 oclock, almost every half an hour, and also the following day, though at longer intervals, and even in the open air

Increased heat in the head (after one hour and a half)

Transient heat and perspiration on the head and hands (after two hours)

Heat and redness of the face, with slight perspiration on the forehead and dulness of the head (after twelve hours)

Heat and redness of the ear

Violent heat in the face, with red spots after washing

Much heat in the face, immediately after eating

Great heat in the face, towards evening (after fourteen days)

Much heat, in the evening, especially in the face, with vertigo (after eight days)

Frequent paroxysms of heat, especially in the face, with dryness of the mouth, without thirst, .~*Heat of the cheeks (first Gloivinff heat of one or the other cheek, every evening, lasting two hours, withoutthirst

Temperature 39.8° in the axilla (second day)

The chest is very warm externally

Feverish feel in hands and feet, at night

Feet, which were habitually cold, very warm (after one hour and a half)

Siveat. *Profuse perspiration over the whole body (second day)'®®

Sleep and Dreams p. 459

* General perspiration (fourth day)

* She perspires very profusely on slight exertion

The patient sweated profusely, and the vapor arising from the body gave out an intensely phosphoric odor, particularly perceptible on raising the bedclothes; sweat nitre profuse and odor stronger in the evening (fourth day),*®*._ Perspiration smelling of sulphur

Free perspiration (fourth day)’*®®.

Perspiration during dinner

Perspiration on the body, with coldness of the head

Perspiration all over, every morning, exhausting him (after twenty-four hours)

Increased perspiration and secretion of urine

Flushes of perspiration, in the forenoon

Perspiration, in the morning, lasting three days

* Perspiration, in the morning, in bed, especially about the feet and hands

* Anxious perspiration (after a few hours)

Perspiration during sleep, after midnight, lasting till morning, without thirst

Perspiration and feeling of anxiety, towards morning

* Slight perspiration, after waking, in the morning (third and fourth days)

Skin moist (fifth day)

Perspiration at first only on the anterior half of the body, especially on the abdomen, afterwards on the chest, then under the shoulders and on the back, disappearing during dinner

Profuse perspiration, especially on the head and ces>i

* Perspiration on the head and hands, frequently alternating with transient coldness (a^ier three days)

Perspiration only on the head, afterwards in the house, after moving about in the open air (after one hour)

Perspiration only on the head and palms of the hands, after eating soup (after one hour and a half),*®. Perspiration on the forehead luminous,'■’.■f

Forehead covered with perspiration

Sweat on the forehead

Perspiration on the face, with coldness of it and nausea, in the forenoon

Perspiration on the palms (after three-quarters of an hour)

Moisture all over the body, but more particularly in the palms of the hands and on the chest (after one hour and a half)

Sweat on the feet

Surface cold, and bedewed with a perceptible though slight moisture

Skin covered with clammy perspiration

clammy sweat (third day)

Whole body covered with cold sweat, towards evening (eighth day)

Skin moist, and not particularly hot; there was a peculiar garlicky smell on approaching the bed (second day)

* Skin covered with cold sweat (fourth day)

Profuse nightsweats (first night)

* Nightsweats (after one, and five days)

Perspiration and turbid urine at night, preceded by weakness all day, immediately

Nightsweats for six nights (after four days)

Conditions p. 459

Aggravation.

(Morning), Grief; on waking, anxiety; on Using, unable to collect senses; after rising, confused feeling in head ; vertigo; dizziness; heaviness of head; heat of head, and dull headache; while sitting still, dull pain in head ; on waking, pressive headache; headache; on waking, stupefaction in head; pulsation in head; headache in forehead; weakness of eyes ; on waking, dryness of eyes; agglutination of eyes, etc.; in open air, sticking in inner canthus; twilight, vision better; on waking, trembling objects in front of vision; re-echoing in ears; sneezing; yellow mucus in nose; blood and yellow mucus from nose; nostrils stopped; itching in left nostril; upper lip swollen; toothache; gnawing and boring in tooth ; on waking, feeling as if teeth were chattering, with general trembling; drawing in lower back teeth; sour taste; glutinous taste ; hawking of mucus; on waking, dryness of throat; rawness in throat; pressure in throat; after rising, thirst; 8 to 9, nausea; qualmish nausea; after stool, sour vomiting ; distended pain in stomach ; pain in stomach ; in bed, pressure in stomach ; colic ; heat in abdomen and face ; 4 a.m., woke with pain in bowels and diarrhoea ; pain in abdomen ; on waking, pressure in lower abdomen ; in bed, spasm in rectum ; three semifluid stools; desire to urinate; micturition; erections; hoarseness; after rising, cough; oppression of chest; on waking, tightness of chest; constriction in chest; catarrhal coating of chest; on waking, pulsation ; in bed, stretching of limbs and chest; paralysis of limbs ; after rising, weakness in limbs ; before rising, heaviness in the extremities ; after rising, drawing pain in joints ; falling asleep of arms; tearing in inner side of left forearm; trembling of hands; falling asleep of hands; weakness in lower extremities; falling asleep of left lower extremity; pain in lower extremity; on waking, tearing left tibia ; in bed, tension in heels; tremulousness ; on waking, weariness and exhaustion; on rising, weakness; after urinating, weakness; exhaustion of mind and body ; after rising, feeling of mental and physical paral3isis; after heated exercise at night, freckles on nose; perspiration.

(Forenoon), Peevish; vertigo; dulness of head; uneasiness in head; 10 A.M., neuralgic pain from left temple to occiput; pain in nose; nausea and qualmishness; pressure in lower abdomen ; indolence in limbs; towards noon, exhaustion.

(iVoon), Vertigo; dulness of head ; before eating, thirst; sticking colic, etc.

(Afternoon), Good-humored; dizziness; headache; while sitting, tearing in head ; pain in forehead ; 3 to 6 p.m., pain in back and left side of head ; while sitting, sticking and tearing in right eyeball; heartburn; 1 to 11 p.m., nausea; griping in abdomen; griping jerk in lower abdomen; 5 p.m., fulness about chest; swelling in axilla ; nervous symptoms; pimples over body; 1 to 5 p.m., chills; internal chilliness; coldness; while sitting, rising of heat from back into head.

(Toward evening), Rush of blood to head.

(Evening), Vivid fancies ; in twilight, sadness ; in bed, anxiety and restlessness ; fear ; while walking, vertigo ; after eating, vertigo ; in bed, dizziness; 10 p.m., woke with vertigo; while reflecting, headache ; stitches in head ; in bed, turning in head ; pressive headache in forehead; pain in forehead ; stitches in temples and pain in head ; drawing pain in right side of head; while sitting, turning in right side of head; throbbing in right parietal bone; pulsating pain in brain ; sensitiveness of eyes to candlelight; lachrymation, biting mucus in right eye ; green halo about candlelight; sneezing ; coryza ; nosebleed ; in house, nose stopped ; pale, sickly expression ; while lying down, tearing in maxillary bones; toothache; gnawing and boring in tooth ; tearing in roots of right upper teeth ; bitterness in mouth and throat; sour eructations; in bed, nausea; vomiting; distended pain in stomach; after lying down, cramp in stomach ; 9 p.m. till midnight, pressure in stomach; 10, stitches in pit of stomach ; before going to sleep, cutting colic ; griping and constriction below navel; cutting in intestines; after eating, pressure in lower abdomen ; sensation in rectum ; cutting in rectum ; after walking, itching in anus ; on falling asleep, stitch from neck of bladder into penis; burning in urethra; pruritus of glans penis; on reading aloud, dry cough; in bed, difficult respiration ; oppression of lower portion of chest; anxiety in chest; cramp in chest; sticking through chest; 10 p.m., anxiety about heart; on lying down, pulsation ; pain in arm ; swelling in axilla ; uneasiness in lower extremities; pain in left hip; after lying down, tearing in thigh ; drawing from knee to foot; in open air, tearing in knee; swelling of feet; on motion, stitches in left great toe ; orgasm of blood ; weakness; nervous symptoms ; after lying down, burning in wart; in bed, itching in hands ; itching in soles and toes ; yawning, with chilliness; sleepiness; flushes of heat; glowing heat of cheeks.

(Night), After midnight, woke ill-humored; toward morning, on waking from a dream, moody and melancholic; on waking, stupid ; headache ; pain in ear; stoppage of nose; toothache; tongue burning, coated white ; dryness of mouth, with burning heat; thirst; eructations, tasting like rotten eggs; vomiting of mucus, tasting of olive oil; feeling as of a disordered stomach ; griping and twisting in stomach ; distension of abdomen; pressure in lower abdomen; erections; emissions; after waking, constriction in larynx; woke about midnight by tickling in trachea; about midnight, paroxysms of cough; 2 a.m., cough and expectoration of mucus; after walking in open air, oppression of chest; cramp in chest; on motion, stitches in chest and back; falling asleep of arms and feet; drawing in arm and leg ; swelling in axilla; in bed, tearing in right shoulder; tearing in hands; paralyzed sensation in right lower extremity; bruised pain in lower extremity; in bed, dull pain in hip-joints; tearing in right knee; stitches in knees; tearing in left malleolus; beating pain in heels; orgasm of blood ; uneasiness; 5 or 6 p.m., till towards morning, pains; intoxicated feeling; pain in bones; itching of blisters on hands; crawling in feet; itching over whole body ; restless; frequent waking; historical dreams; before midnight, chill, preceded by perspiration; in bed, coldness in knees; sweats.

(About 9 oclock). Throbbing headache.

(Open air), Sensation as if brain stiffened ; rush of blood to face; water from nose ; throbbing, etc., in teeth ; pain in kidneys; cough ; while yawning, crawling in hands.

( Walking in open air). Toothache ; sticking pinching in neck ; pain in genitals ; pain in shoulder-joints.

(After walking in open air). Pain in genitals; itching and crawling in anus.

(Cold air). Pulsation in left hollow canine tooth ; cough.

( When alone). Anxiety and irritability.

(Ascending a hill). Gasping.

(Ascending stairs). Bruised feeling in extremities ; weakness and weariness of lower extremities.

(Odor of beer). Nausea.

(After a glass of beer and a segar). Heartburn.

(Bending to one side). Pain in sacrum.

(At breakfast). Pain in throat.

(Breathing), Stitches in side of chest.

(Burning in choance). Unnatural smell.

(Burning in larynx). Cough.

(Chewing), Pain in molar and maxillary bones and in teeth ; toothache.

-(A/fer a chill). Paroxysms of cough.

( On closing eyes). Vertigo.

(C'o/d), Toothache.

(Coming into /loitse). Feeling of ants over whole body.

(Coughing), psdn in throat; pain in stomach; pain in abdomen and chest; pain at base of sternum; pain in sacrum.

(On crossing legs). Stitches in right leg.

(At the dark). Sparks before eyes

(After dinner). Confusion of head; vertigo ; headache; jerking in upper part of left temple; pressure inward above margin of left eye; sneezing; stitch in palate; hiccough ; pain in stomach ; tension and pressure about stomach ; griping in abdomen ; sticking and clawing in leftside of anus; cough ; oppression of chest, with anxiety; burning in lower end of sternum ; tearing in shoulder; sleepiness.

(After every dose),Chilliness.

(Drinking),Cough.

(After drinking milk),Qour taste.; sour eructations; xomtmg.

(Dri)iking water). Thirst; empty eructations.

(Drawing long breath). Pain in lower part of chest.

(During attacks of pain). Yawning and watery urine.

(When eating), During menses, toothache; burning in abdomen ; at noon and evening, pains; soup, mounting of heat from chest into head.

(After eating), Yertgo; head heavy, dull; candy, pain in teeth; blisters on tongue; scraping in mouth and weariness; saliva tastes of food; bitter taste; thirst; hiccough; eructations; sour eructations; empty eructations; acidity ; qualmishness ; pressure in stomach ; pulsation beneath pit of stomach ; pressure in abdomen, with distension ; at noon and evening, twisting colic, with rumbling in the abdomen ; urging to stool; pressure upon chest and short breathing; rush of blood to heart, and palpitation; weakness; anxiety and uneasiness in blood ; heat in face ; sleepiness.

(After an emission), Weakness in loins.

(Unpleasant emotional excitement). Pain from scapula through chest.

(Exercise), Cough ; slight perspiration.

(Mental exertion). Headache; pressive headache; headache on right side.

(After exertion at stool). Pain above anus.

(During eructation). Pain in cardiac orifice of stomach.

(Every other day). Constrictive headache.

( Warm food). Tearing toothache.

(After food). Tightness of breath.

(After a fright). Stitches in elbow-joint.

(Fulness in abdomen). Impedes respiration.

(Going into house from oid of doors). Cough.

( Going from a cold to a warm room). Pain in malar and maxillary bones, and in teeth.

(Grasping anything), Pain in thumb.

(In the house), Dulness and heaviness in the forehead.

(Becoming heated). Toothache.

(Inspiring cool air). Toothache.

(Inspiration), Heaviness in chest; pain in chest; stitches in sternum ; deep stitches through lungs.

(Irritation in larynx). Cough.

(Lifting), Pains from scapula through chest.

(Lifting and carrying anything xvith hands). Sensation in scapula.

(Light), Pressure in eyes.

(Daylight), Blinding of eyes.

(Looking), Pain in eyeballs.

(On lying down). Singing in ears; heaviness and weariness in back.

( While lying cZorcn.),Headache : throbbing in head; pain in hjemorrhoids; dry cough.

(Lying on right side). At night, anxiety ; pain in hepatic region.

(Lying on left side). Numbness of left leg.

(After a meal), Waterbrash ; nausea, etc.

(During menses). Sticking headache in forehead ; pain in place of hernia ; colic ; sticking itching in hsemorrhoids ; pressure on urinating ; pains from scapula to chest; pain in back ; contraction of left lower extremity; sticking itching over whole body; chilliness, with cold feet.

(After midday nap), Paralyzed feeling in back.

(71/otton), Pressive headache; slight headache; violent, dull pain in forehead ; tension in abdomen; bruised pain in upper part of chest; stitches in sternum ; beating of heart; rapid, dislocated feeling in all the limbs ; joints painful; boring in right shoulder; pain in joint of thumb ; pain.

(Moving about). Dizziness; numb and dizzy sensation in head.

(Moving wrist). Tearing in swollen wrist.

(Pressure), Pain in epigastrium and stomach ; sensitiveness of epigastric region ; pressive sensation in stomach ; deep burning pain in epigastric region ; pain in hypochondria ; pain in hepatic and epigastric regions; pain in abdomen ; pain behind right breast; pain in skin

(Putting one leg over the other). Pain.

(Raising arm). Tension and pressure in shoulder; pain in right shoulder; pressure in right shoulder.

( While reading). Biting and dryness in the eyes ; watering and dimness of eyes ; giving out of eyes

(Reading a foolish story). Vivid fancies.

( While reflecting). Anxious respiration.

(Aes^duration), bill, pain in left side.

(During rest). Weakness and prostration in extremities; stitches in wrist; pain in thighs.

(During midday rest). Drawing in thighs.

(Acting). Headache.

( If7ti7e riding in a carriage). Nausea ; drawing ancl tension in stomach ; micturition.

(After riding in a carriage). Cramp in chest. (Riding horseback). Pain in right side.

(Rising up in bed), Nausea; vomiting, etc.

(Rising from a seat). Vertigo; stitches beneath left breast; weakness in small of back.

(Rising from stooping), Pain in small of back.

(After rubbing), Nosebleed.

(Scratching), Red streaks on abdomen.

(Scratching in throat). Cough.

(After scratching), Burning in pimples in axilla.

(Singing), Hawking.

(While sitting), Dulness of head; roaring in head ; tearing in right side of head ; boring and throbbing in right side of scalp; rush of blood to head ; tearing beneath right ear; jerking stitch from left ear into lobule; burning stitches in margin of upper lip; burning-hot uprisings; jerks from stomach to throat; pressure in pit of stomach; stitches in right side of abdomen, with tearing in head; pain in htemorrhoids ; urging to urinate; dry cough ; oppression of chest; stitches and sticking in chest; beating in right side of chest; jerking pain in left scapula; weakness in small of back; a long time, pain in back ; pain in last lumbar vertebra; bent, pain in small of back ; pain in upper arms ; jerking in condyles of wrist; gnawing pain in right elbow ; stitches in right leg ; on crossing feet, numbness; tearing in soles ; tearing in toes; jerking in left great toe; warmth of body.

(After sitting a long time). Throbbing and beating in head; dyspnoea ; pain in small of back; pain in left ischium; pain in nates; paralyzed feeling.

(Sneezing), Pain in throat.

(While standing), Y)q.?:\vq to urinate; pain in small of back; pain in sacrum ; stitches in right leg.

(Before stool). Pain and stitches in rectum.

(During stool). Difficult, jerks in head; pressure; smarting in rectum ; crawling and itching in rectum.

(After stool). Protrusion of htemorrhoids ; burning in anus and rectum; scratching in anus; soreness in anus; tenesmus in anus and rectum.

(Stooping), Yertgo; headache; dulness of head ; dulness and heaviness in forehead; pressure in right temporal region ; tensity of parotid gland; regurgitation of bile; bruised pain in upper part of chest.

(Stooping and *rising again), Pressive headache.

(During a storm). Heaviness of the limbs ; uneasiness.

(After supper), Rumbling in abdomen.

(Swallowing), Pain in malar and maxillary bones, and in teeth; sore throat; swelling of tonsils; bread, pressure at cardiac orifice of stomach.

(Talking loudly). Vibration in head.

(Excited talking), Tiddit in head and chest.

(Tension in pit of stomach), DdYicwh respiration.

(Thinking intently). Heat.

(Thirst), Pain in spleen and groms

(Tickling in throat). Dry cough.

(Odor of tobacco). Nausea.

(Touch), Pain in nose; burning in vesicles in right nostril; pain in wing of nose; tearing toothache; pain in stomach ; pain in upper part of chest; burning \i i\igh.

(Turning head), Pain in head; dull pain in forehead.

(Turning and raising head). Vertigo.

(Twisting head to left side). Soreness in nape of neck.

(While urinating), Fa\n in urethra; burning and cutting; pain in urethra and penis; pain in prepuce

(After urinating). Pain in forepart of penis.

( Vexation), Anger; rage ; headache ; pains from scapula through chest.

( Walking), Pain in stomach ; rapidly, respiration impeded ; pain in blister on heel.

( While walking). Griping and cutting in upper abdomen; cutting in leftside of lower abdomen; stitches in anus; itching in anus; incontinence of urine ; bearing down and pain in uterus; cutting beneath short ribs ; tightness of tendons under knee ; drawing in knee ; tension in right calf; pain in ankle; swelling of feet; pain in soles ; stitches in corns; burning in toes; pricking in right great toe; weariness.

(After walking), Coryza ; pulsation in right ear; pain in back.

(In a warm room). Pressure in ears.

( Farm^/i-), Toothache; cough.

( Warmth of bed). Toothache.

(After getting hands in warm water). Drawing in hands and fingers.

(Previous to a change of weather). Pain.

(Odor of wine). Nausea.

(Working), Sticking through chest; pain from scapula through chest; numbness of arras.

(While writing'), Heaviness of right arm.

( Yawning), Pain in throat.

Amelioration p. 464

(Morning), After rising, headache; paralysis of limbs; weariness.

(Afternoon), After eating, the symptoms ; pain in lobule of right ear; after lying down, bitterness in mouth.

(Open air), Vertigo, etc.; dulness of head ; heaviness and dizziness of head; dulness and heaviness in forehead; dull headache in forehead; pressure in right temporal region; the symptoms ; warmth of body ; heat in head.

(Walking in open aiV), Pressive headache; after dinner, headache.

(Cold arr), Dulness of head ; digging and burrowing in head ; pressure in ears.

(Becoming erect). Oppression of chest.

(Bending up). Colic.

(Coffee), Distension of abdomen; diarrhoea.

dinner), Stupefaction in forehead; the symptoms.

(Drinking water). Nausea.

(Eating), Tearing in maxillary bones ; griping pain in epigastric region ; anxiety about heart.

(After eating bread). Sour taste.

(After eating). Dryness of throat.

(Emission of flatus). Pain in left side of thorax and abdomen.

(Eructations), Pressure in stomach ; oppression of chest; pain in left side of thorax and abdomen.

(After eructations), Stitches in pit of stomach.

(Deep inspiration). Stitches in left side of chest.

(Lying quietly). Numb and dizzy sensation in head.

(Lying upon abdomen). Colic and sticking pain.

(Lying on back). Numbness uf left leg.

(Lying on right side), Colic; numbness of left leg.

(Motion), Dulness of head ; sensation of distension in abdomen ; pain in joints ; stitches in left shoulder; stitches in malleoli.

(Moving about). Heat in head and dulness; dull pain in surface of thigh.

(Movingjaw). Tearing in maxillary bones.

(Pressure), Tearing in right upper back tooth; tearing in lower cavity ; pains from scapula through chest; exanthematous spots over the abdomen.

(Rest), Pains from scapula through chest; boring in right shoulder.

(Rubbing), Itching in left eye; tearing beneath right ear; twitching in left malar bone ; tearing from back teeth to zygoma ; tension in malar bone; griping in right hypochondrium ; stitches and burning in right hypochondrium ; pain in leftside of thorax and abdomen ; tearing in left scapula; pain in small of back; tearing along forearm ; stitches in left hip; tearing from knee to back of foot; tearing from knee-joint to inner side of calf; tearing in toes; itching.

(Scratching), Itching in right side of chest and abdomen.

(Shaking head). Headache.

(While sitting). Desire to urinate ; cough.

(Smelling of spirits of wine), Pleadache.

( While standing), Vertigo ; anxiety and heat in head.

(Stimulants), General prostration.

(After supper). The symptoms.

(After supper and a glass of beer). The symptoms.

(Swallowing), Sensation in throat.

(After swallowing), Pain in throat.

(Walking), Weakness and prostration in extremities; weakness and prostration in lower extremities; pain in thighs; pain in tibue; cramp in calves.

( Warmth), Pains from scapula through chest.

( Washing face with cold water), Dulness of head.

( Wrinkling forehead), Dulness and heaviness in forehead.

Footnotes p. 371

† Symptoms observed subsequent to turpentine not included, although she suffered from jaundice, bile in urine, etc.

† Not found.—Hughes.

† Not found in Voigtel.—Huqhks.

† This proven took Phosphorus on account of internal hyperaemia of the eyes, with sensitiveness to lamplight and inability to work long by the light; even during the day she could not sew long without pressure in the eyes and photophobia; this was not relieved by Phosphorus, but she subsequently improved by repeated bloodletting.

† Preceding death.—Hughes.

† See S. 3812.—Huqhks.

† From repeated overdosing; with S. 1571 and 2023.—lluonKS.

† Original revised; seesymptom 1490.—Hughes.

† Not found.—Hughes. I See note to 1490.—Hughes.

† She usually menstruated five to six days ; this weak and short menstruation was very remarkable and entirely unusual. X During the previous proving the menses had delayed, flowed profusely and longer than usual.

† This irregularity could be ascribed onl}' to the drug, since the menses had always been regular, and after the proving returned to their former condition.

† See S. 2518.—Hughes.

† See S. 2'il8.—Hughes.

† In Lobstein’s case no fulness is mentioned.—Hughes,

† She had this symptom the year before ; at this time there was no apparent cause for it.

† With S. 1490, 1571, 2023.—Hughes. J In one case all parts of the corpse were luminous.

† Autopsy showed only a slate-colored tint of the whole mucous membrane of the intestinal canal. J The patient had taken iron during the latter part of the trouble.

† Coincident with commencing enlargement of the liver.

† Not found.—Hughes.