Stannum

The element, Tin.

Preparation, Trituration of the pure metal.

Authorities. (Nos. 1 to 12 from Hahnemann, Chr. Kn.) 1, Hahnemann ; 2, Franz ; 3, Gross ; 4, Guttmaun ; 5, Hartmann ; 6, Hayne ; 7, Herrmann; 8, Langhammer; 9, Wislicenus ; 10, Alston, Mat. Med., 1, 152 (statement of a case reported to him, Hughes) ; 11, Gusschleeger, in Hufel. Journ. (effect of swallowing granulated Tin, Hughes) ; 12, Mezer, Abr. Diss. Cantel. de Anthelmintic, Gott., 1782 (observation, Hughes) ; 13, Stahl, Mat. Med., cap. vi (not accessible, Hughes) ; 14, Dr. Patet, Jour, de la Sac. Gall., vol. iv, proving of Bichloride of tin (fuming), 3d dil. in waterv solution, repeated doses, and in progressive order, during ten days in January and February; 15, a young woman took a few doses of fuming Bichloride of tin for pruritus of vulva ; 16, another woman took a few doses of the same ; 17, effects on a third woman immediately after a dose ; 18, G. W. Hazeltine, Bost. Med. and Surg. Journ., vol. xxxi, 1844, p. 38, T. A. E., set. fourteen years, swallowed a draught of Bichloride of tin ; 19, Meinel, Deutsche Khu., 1851 (S. J. 74, 167), effects of Muriate of tin and salt; 20, E. P. Angell, M.D., Ohio Med. and Surg. Rep., vol. ii, 1868, p. 152, a family ate a cold chicken-pie baked the previous day in a new tin pan; 21, Dr. Angell ate a similar dish, very heartily, as a test ; all the other members of the family had similar attacks, varying in degree with the quantity eaten ; 22, a family ate a custard cooked in a new tin pan the day previous.

Mind

Excited and inclined to storms of anger (fourth day)

Violent, very transient anger

Remarkably joyful

Talkative; sociable

Quiet good-humor (after fourteen hours)

Quiet, absorbed in himself, with great discomfort of the body

Quiet, absorbed in himself, solicitous for the future

Sad, hypochondriac mood

Discontented

Great anxiety and depression a week before the menses, ceasing on the appearance of the flow

Indescribable anxiety and despondency for several days

Discouraged

Contented with nothing without being fretful

Fretfulness disappearing, in the open air, the whole day

Quiet fretfulness ; he answers unwillingly and abruptly ; easily vexed, and easily gets into a temper

Peevishness and transient sensitiveness (first three days)

Vexatious ; nothing goes to suit him

Aversion and dread of people

Restless and distracted ; no persistence in work, immediately

Head

Fruitlessly busy, as if a rush of ideas prevented him from completing his work at a certain time; all sorts of things occur to him to be done

Indolent and irritable, with heat in the face; would do everything, but really does nothing

Is inclined to do no work, and inability to think

Dulness of mind, indifference to external objects, indisposition, with paleness and darkness about the eyes/.

Disinclination to talk

Want of memory, in the morning on waking

Head p. 130

Confusion and Vertigo. Confusion and dulness of the head, as before coryza, which, however, did not occur, with sneezing

Vertigo, as if the brain were whirling around ; all thought vanished, and he could not continue to read, and sat as if without his senses

Sudden attacks of vertigo, while sitting down

Vertigo, as if all objects were at too great a distance

Stupefying vertigo, only when walking in the open air ; he reels as if he would fall

Dizziness in the whole head

Dizziness, while sitting, as if he would fall

Dizziness, in the morning on waking from a long sleep, as if he had not slept enough

General Head. Heaviness and dulness of the head, worse in the evening

Heaviness of the head during rest and motion, in the evening, lasting two hours (after nine hours)

Heaviness and tearings throughout the head (twenty- fifth day)

Almost constant heaviness throughout the head, sometimes only at the top (thirtieth day)

Painful heaviness throughout the whole head, sometimes in the forehead only, or in the temples (tenth day)

Now and then, violent heaviness in the head, sometimes general, sometimes partial; sometimes at one point, sometimes at another (twelfth day)

General heaviness throughout the head, especially in the occiput (twentieth day)

Feeling of weakness in the head, and sleepiness

Pain and heat in the head, in the morning on waking

Headache mostly every morning, with loss of appetite ; nausea and fretfulness

The action of raising or of bowing the head causes pain in the muscles which are involved in these movements (twentieth day)

Painful sensation on shaking the head, as if the brain were loose and beat against the skull

Boring, pressive, stupefying pain in the left half of the brain, on the surface

Dizzy pressure through the whole head

* Constriction and sudden pressure in the whole tipper part of the head, slowly increasing and decreasing

Painful pressing in the brain towards the vertex and occipital bones, in the evening, also after lying down

Frequent sensation, as if screwed inward in the head, with slow jerks or drawing pressure here and there at times

Pain, as if the brain were forced asunder, and were tense

Cramplike pain, as if the head were externally constricted by a band

* Sharp jerking pains in the right anterior lobe of the brain, above the orbit (twenty-fourth day),14 Pressive tearings from each side of the brain to the top of the skull (twenty-fifth day)

Sharp and deepseated stitches in the lower part of the left anterior lobe of the brain (above the arch of the orbit), (tenth day)

Tingling in the head ; noise resounds in it

Forehead. ^Headache in the frontal region,™.

* Pain, as from a crashing, in the forehead

Pressure in the forehead

Pressure in the forehead ; aggravated by bending backward, relieved by pressure

Pressive stupefying pain in the brain, just above the eyebrows, during rest and motion

Pressing outward at the frontal eminence

Pressure outward at the forehead, with sleepiness, relieved by pressure

* Dull pressure from within outward, in the forehead

Pressure in the middle of the forehead, extending deep into the brain

Pressure in the forehead, temples, and vertex, relieved by external pressure

A sudden pressive jerk in the left forehead and temple, so that he cried aloud.3.

Violent jerks in the forehead, alternating with dull pressure

Draw ing through the forehead and vertex, with a pressive sensation

Burning pain, like fire, in one-half of the forehead, as also iu the nose and eyes, with external heat in the parts all alike, during rest and motion ; was obliged to lie down, with nausea and retching as to vomiting, from morning till evening

* Pressive tearing in the forehead

* Pressive tearing in the right half of the forehead at intervals, aggravated by stooping, b.

Tearing pain, but transient, in the forehead, the top of the head, and the occiput ; afterwards shifting now to one point, then to another, and sometimes affecting the whole head ; generally more violent in the forehead (twenty-fourth day ,u.

Frequently during the day, cutting, penetrating pains in the left anterior portion of the brain ; they last some moments, and cease, to be renewed subsequently (fortieth day)

Shootings from the anterior portion of the brain to the right side (twenty-third day)

Dull shootings in the left anterior side of the head (thirty-fifth day)

Stitchlike headache, especially iu the left side of the forehead, with fluent coryza

Sticking headache iu the forehead, even during rest, for several days ; on stooping, everything presses outward at the forehead

A long, dull stitch in the left frontal eminence

Fine stitches iu the middle of the forehead

Temple. Boring pain in the left temple all day

Boring pressive pain in the right temple, relieved by external pressure

Compression in the temples and occiput

Pressure in the left temple beginning slight, then increasing and so again diminishing, as if the forehead would be pressed inward

Pressive pain outward in the right temple, almost as if external

* Pain, like a pressing inward in the temples all day

Pressure in the right temple when lying upon it, disappearing on rising up

Pressive drawing in one temple and half of the forehead, causing confusion

Often-recurring, sharp, but transient pains in the right temple (twenty-second day)

Sharp pains in the left temple ; less severe in the right temple (seventh day)

Pulsating stitches in the temples, with heat in the head, chilliness of the body and weakness of the head, so that he almost loses his reason, with slumbering and insensibility

Throbbing headache in the temples

Vertex (ill (I Parietals, Painful sensation of heaviness in the top of the head, almost at the forehead (seventh day)

Sometimes painful heaviness iu the top of the head ; now and then shootings in the right parietal region (seventeenth day)

Sudden sharp pressure on the vertex, with a sensation as if the hair moved

Pressive tearing in the left side of the vertex

Sudden dull stitches in the top of the head

Burning stitches on the vertex

Pressive heaviness, with a feeling of emptiness in the left half of the brain

Pressive pain outward, in the right side of the head

Drawing pressure from the right parietal bone to the orbit

Pressive tearing through the right side of the head

Tearing pressure in the right half of the head

Tearing in the left parietal bone, and in the forehead

From time to time, violent dartings in the left side of the head, or in its posterior portion (twelfth day)

Occiput. Painful heaviness in the occiput (twenty first day)

Painful and almost constant sense of weight on the occiput

Headache in the occiput

Boring in the occipital bones, with acute heaviness/

[HO.] Compression in the occiput, under the skull

Pressure outward, in the left side of the occiput

Pressive tearing in the left occipital bone

Pressive tearing in the left side of the occiput

Shooting in the left posterior portion of the head (twentieth day)

Constrictive pain in the right side of the occiput

External Head. Pain, as from suppuration on the head, externally

Burning tension on the forepart of the scalp, just above the right side of the forehead

Eyes p. 132

Objective. The eyes are prominent and painful, as after weeping

Nightly agglutination of the eyes, with weakness during the day

Dim, weak, sunken eyes (after two days)

Eyes dim

Subjective. Pain in the eyes, as from rubbing with a woollen cloth, removed by moving the lids

Pressure in the eyes

Pressure in the left eye, as from a stye on the lid

Jerking in the eyes

Twitching in left eye, lasting a week

Several sharp dartings in the globe of the right eye (twenty-first day)

Burning sticking in the right eye, toward the outer canthus

Burning in the eyes

Biting in the eyes, as after rubbing with a woollen cloth

Brow and Orbit. A pimple on the left eyebrow, with burning by itself and with pressive pain when touched

Sudden sensitive dull thrusts in the outer side of the upper margin of the left orbit

Jerklike drawing tearing externally above the left eyebrow

Drawing pressure in the upper margin of the left orbit

Sudden jerks on the upper margin of the right orbit and in other parts, with sensitive stupefaction of the head

In the upper part of the right orbit, shootings which penetrate from before backward into the substance of the brain (forty-second day)

Lids. Stye in the inner angle of the right eye

* Pustular swelling of the left inner canthus, like a lachrymal fistula

Twitching in the right inner canthus

Pressure in both upper lids

Pressive pain in the right inner canthus

* Pressure in the left inner canthus, as from a stye, with lachrymation

Constriction of the eyelids, with redness of the white of the eyes and a burning sensation

Sensation as of a hard substance behind the right eyelid

Burning pain in the left lower lid

Small violent burning stitches in the lids of the right eye, more towards the outer canthus

Fine sticking burning in the left canthus

Itching in the upper eyelids on each side, with slight swelling (thirty-third and thirty-fifth days)

Itching in the inner canthus

Lachrymal Apparatus. Acute itching in the right lachrymal caruncula (thirty-second and thirty-third days)

Hall. Shootings in the globe of the left eye, in the evening (thirty-sixth day)

Tensive stitch in the left eyeball, most violent on moving it

Itching in the left eyeball, somewhat relieved by rubbing

Pupil. Pupils first contracted, then dilated

Vision. Sees a rainbow about the candlelight

Ears p. 132

Ulceration in the hole for the earring in the lobule of the ear

Shooting in the cartilages of the right ear (twentieth day)

A drawing stitch in the upper part of the left concha

Pressure externally on the bones behind the ear

Griping tearing through the cartilage of the lobule of the left ear, with at times a sensation as if a cold wind were blowing in it (after four hours)

Earache ; in the outer ear a drawing pain

Boring pain in the right ear, with cold feet

Frequent drawing in the left ear, like an earache

Drawing in the whole right ear externally and internally; painful on moving the lower jaw

Cramplike pain in the whole right ear, lasting eight hours

Tearing in the right meatus, like an earache

Itching in the left ear

Stopped sensation in the left ear, with deafness, which was relieved by blowing the no?e in the morning after rising, lasting four fays?.

Hearing. Screaming in the car when blowing the nose

Rushing in the ears as from a stream of blood

Ringing in the left ear

Creaking in front of and in the left ear, as from a door, in the evening

Rustling noise of a grasshopper in the left ear (eighteenth day)

The jarring of his steps (on walking) resounds painfully in the head (twentieth day)

Nose p. 133

Frequent sneezing without coryza

Violent sneezing, in the evening (eighth day),u.

Profuse coryza (after four days)

Intense coryza, alternating with stoppage of the nose

Coryza of the left nostril (tenth day)

Violent coryza all day (eleventh day)

Diminished coryza (twelfth day)

Blood is blown from the nose, in the morning (seventeenth and eighteenth days)

Nosebleed, in the morning, immediately on rising from bed

Violent nosebleed, in the morning, immediately on waking

Stoppage of the nose, in the morning (ninth day)

Violent stopped catarrh; can get air through only the right nostril, at noon ; on the fourth day the nose becomes free

Can get no air through the left nostril, which is excessively swollen, red, and painful to touch

Heaviness and a stopped sensation in the upper part of the nostril

Respiration through the nostrils is impeded in consequence of a permanently congestive condition of the palate-nasal mucous membrane (twenty-third day)

Face p. 133

* Face pale and sunken, sickly; features elongated

Constrictive pain in the bones of the face and teeth in the right side, as if they would be drawn up shorter

Pressive gnawing in the left side of the face, especially in the malar bone

Stupefying pain in the face, especially in the forehead

Cramplike pressure iu the muscles on the left malar bone

Drawing pressure in the bones of the right side of the face, especially in the malar bone and orbits, paroxysmal/

Cheek. Painful swelling of the left cheek, with an ulcer on the gum ; the pain causes sleeplessness

Burning cramplike pain in the left cheek, in the evening, soon followed by swelling of the cheek, with cutting pressive pain only on drawing up the face, as if a splinter of glass were between the cheek and the teeth

Pain in the malar bone, on touch, before the menses ; during the menses, pain, as from a blow, even on moving the muscles of the face

Tearing extending from the malar bone down into the lower jaw, near the corner of the mouth

Constriction and pressure internally beneath the right cheek

Burning pain in the right cheek, beneath the eye

Burningitching sticking on the malar bones

Pain and swelling of the upper jaw; the cheeks are red, with sticking in them

Lijy. A sticking-tearing pain in a small spot in the lower lip

Chin. Broad cutting stitches in the forepart of the chin

Mouth p. 133

Teeth. Looseness of the teeth

The teeth seem too long

Jerking toothache in all the teeth soon after eating (cold or warm food), with heat in the face, only better iu the open air

Continual and annoying tingling in the roots of the lower incisors (thirty-third day)

Tongue Tongue yellow™.

* Tongue coated with yellowish mucus (after five days)

Burning iu the tongue, in the morning (twentieth day)

Pretty frequent itching in the tip of the tongue (nineteenth day)

During the proving, frequent itching of the anterior third of the tongue

General Mouth Mouth and fauces wonderfully corrugated; he could scarcely swallow, and his mouth felt hard aud leathery

Tenacious mucus in the mouth

* Bad odor from the mouth

Sensation in the velum pendulum palate similar to that caused by taking a pinch of snuff, which, by a strong inspiration, is drawn down even to the throat, in the evening (eighth day)

Sensation in the velum pendulum as if there were a foreign body there, or some mucus which could neither be hawked up nor swallowed ; the same sensation in the posterior portion of the nasal fossa (ninth day)

Sensation of disagreeable acidity at the velum pendulum (tenth day)

Stolid Salivation, with bad odor from the mouth

Acid saliva runs from the mouth, in the morning ou waking

Accumulation of saliva in the mouth

Td&te. Beer tastes stale and acid bitter

Insipid taste in the throat

Bitter taste to all food (solid and liquid), but not to water, but no bitter taste when not eating

Bitter, sour taste in the mouth

Herby taste to beer

Bitter and sour taste in the mouth (first and third days)

Speech. Talking was difficult, because the strength to talk was wanting

Talking was irksome

Throat p. 134

Bad odor from the throat

Much mucus in the throat

* Some mucus sticks in the throat, and the efforts which are made to raise it excite vomiturition (seventeenth day)

* Thick gray-green mucus, mixed with blood, is detached from time to time in the throat by the efforts to expectorate (twentieth day)

* Thick, viscid, grayish, blood-streaked mucus adheres to the throat, and is detached with great difficulty (twentieth day)

* Thick mucus adheres firmly to the throat, and the efforts to raise it excites an almost resistless inclination to vomit (twenty-second day)

* Daring the rest of the day, continual expulsive efforts to detach a thick, grayish, and bloody mucus from the throat, efforts which constantly produce an inclination to vomit (twenty-third day)

* Secretion of a mass of thick, viscid, bloody mucus in the throat, efforts to expel which were accompanied by attempts to vomit

Inclination to hawk up much mucus from the throat, in the evening, followed by a sore pain in the throat

* Rawness in the throat (seventeenth day) ; in the morning (eighteenth day)

Sensation of rawness and of dryness in the throat, without thirst (eighteenth day)

Rawness and dryness of the throat, without thirst, in the morning (twentieth day)

Sensation of ulceration, of rawness, and of extreme dryness in the right side of the throat, without thirst (twentieth day)

Sensation as if the right side of the throat were ulcerated, with such dryness that it seems as if the part had ceased to be lubricated by mucus (twentieth day)

* Permanent rawness and dryness in the throat, and during deglutition a painful feeling of being denuded (twenty-second day)

* Extreme rawness and dryness of the throat, without thirst; these sensations are much more painful during deglutition; thick grayish or greenish mucus adheres to the throat; strong efforts are required to raise it, and these excite inclination to vomit (twentythird day)

Scraping roughness below the pit of the throat internally

Scraping in the throat, in the evening

Sensation of dryness and sticking in the throat, in the right tonsil, which provokes cough, and is somewhat relieved by hawking and swallowing

Dryness of the throat

Sore throat, like a swelling, with a sensation of dryness and drawingtensive pain

Pain in the throat, as if swollen, with sore pain, not affected by swallowing ; after hawking of mucus, the voice is much higher than usual

Tickling crawling in the throat (larynx?), with a sensation of dryness, compelling to cough

Scraping in the throat, in the morning

Dull boring stitches extending from the fauces internally to the cervical muscles

Fauces and Pharynx. Tobacco has a sharp and dry taste in the fauces

Stitches in the upper part of the fauces, causing dryness, when not swallowing

Cutting in the pharynx, as with knives, on swallowing

External Th roat. Painful swelling of the submaxillary glands (after eight hours)

Stomach p. 135

Appetite and Thirst Increased hunger and appetite

* Great appetite and hunger; he cannot satisfy himself

Loss of appetite

Loss of appetite, with a natural taste of food

The child leaves the breast of the mother who has taken Tin, and will not drink anything more

Loss of appetite, with emptiness in the stomach, only one noon

Increased thirst

Eructations. Eructations immediately, in the morning, at first like bad eggs, afterwards only of gas

Eructations of a flat taste, with much saliva in the mouth

Acid eructations, succeeded by rawness in the pharynx, while walking in the open air

Acid risings five hours after the evening meal ; uneasiness in the epigastric region, as from slow digestion, although he had eaten less than usual (twentyfourth day)

* Bitter eructations frequently after eating

Frequent empty eructations

Sweet uprisings into the throat

Hiccough. Frequent hiccough

Hiccough from time to time

Hiccough soon after eating, while smoking as usual

Nausea and Vomiting. Nausea after eating

Nausea and qualmishness in the pharynx

Shuddering nausea several times, with nauseating fulness in the pit of the stomach

Nausea and bitterness in the mouth

Nausea in the fauces and pharynx, as if li3 would vomit

Nausea, with bitter bilious vomiting, after eating some soup

Retching, in the evening, followed at first by sour, then bitter, taste in the mouth (first day)

Retching, with great nausea, aud sensation of bitterness and disorder of the stomach (second and third days)

Constant efforts to vomit and vomiting of mucus

Vomiting a quantity of thick slimy mucus of a dark-green appearance, soon

Vomiting of undigested food, preceded by violent retching (after two hours)

Vomited a quantity of thick slimy mucus of a dark-green appearance

Sour vomiting

* Vomiting of blood

(The vomiting of blood is stopped by Stannum as by a charm),10.f

Stomach. Fulness and distension of the stomach, yet with hunger

A swelling up under the skin in the epigastric region, with griping in the abdomen, when walking

It causes troubles in the stomach and intestines

Sensation in the pit of the stomach as if disordered

Digestion is accomplished slowly ; acid water comes up even to the throat a long time after dinner (thirty-third day)

(Hysterical and hypochondriac cramps in the region of the diaphragm and abdomen)

Griping between the pit of the stomach and umbilicus, as if some one were pinching up the muscles

Spasmodic griping in the stomach and about the navel, with constant nausea aud with anxious uprisings to the pit of the stomach

Great pain at stomach

Violent pain in the epigastric region

Intolerable pressure in the stomach

Pressure in the stomach, in the forenoon

Pressure in the stomach aud discomfort after taking some soup

Pressure and obstruction in the pit of the stomach, which, when, touched, pains as if suppurating

Anxious pressure in the pit of the stomach, only when lying down, as if a gush of blood would occur, for several hours, relieved by pressure

Tensive pressure in the pit of the stomach

Violent pressure in the stomach

Dull hard pressure near the left side of the pit of the stomach, just beneath the cartilages of the lowest ribs, somewhat relieved by pressure

Cutting about the stomach

Very transient burning beneath the diaphragm

Abdomen p. 135

Hyptocliondria . At first a simple pain in both hypochondria, afterwards dull thrusts from the left to the right side, seemingly aggravated by pressing upon the right side

Pressure in the hepatic region

Pressure in the upper part of the liver

Burning pain in the hepatic region, then dull pain in the rectum, with the stool

Cutting in the right hypochondrium, aggravated by sitting bent over

Pressive cramplike pain in the left hypochondrium, now better, now worse

Umbilicus and Sides. Griping cutting in the umbilical region nearly the whole day

Griping in the umbilical region, as from taking cold

Spasmodic pain above and below the navel, soon relieved by lying over a table, without emission of flatus

Painful digging in the abdomen, above the umbilical region ; on pressing upon it, pain, as if upon a sore spot

Sudden painful compression in both sides beneath the true ribs

A dull slow pressure near the right side of the navel

Burning pressure in the right side of the abdomen

Sensation as if stretched in the right abdominal muscles, above the anterior spine of the ilium

Stitches in the right side of the abdomen, followed by drawing in the right shoulder ; she was obliged to lie down, with perspiration on the face and arms, followed by creeping chilliness

Several violent stitches in succession in the right side of the abdomen, especially on coughing and breathing

Boring stitch in the left upper abdomen while walking

Crawling movements in the right side of the abdomen, as from a purge

A bruised pain in the left side, below the ribs

General Abdomen, Distension of the abdomen

Painful distension of the abdomen, with painful sensitiveness to external touch

Fulness in the abdomen after eating

Frequent accumulation of flatus in the abdomen

Incarcerated flatus

Great rumbling in the abdomen

Rumbling, as from emptiness, in the abdomen on stretching the body

Loud rumbling in the abdomen after every meal, only while lying down

Bubbling in the abdomen

When a morsel is not far from the orifice of the stomach, there is a dull rumbling in the abdomen

Sensation of great emptiness in the abdomen (though without hunger), as if everything were crushed ; food relished ; he eats much and feels better afterwards, together with loss of strength in the body

* Sensation of emptiness in the abdomen after eating

The abdomen is painful to touch, as if suppurating, with shortness of breath

Sensation of soreness in the whole abdomen, aggravated by touch

Windcolic in the morning (thirty-seventh day)

Wind-colic during the day (fortieth day)

Colic ; fetid flatulence (fortieth day)

Frequent colic in the abdomen and rectum (forty-fifth day)

Griping in the abdomen at times, with rumbling, as if diarrhoea would occur

Griping movements in the abdomen, as from incarcerated flatus

Griping and pressure in the abdomen, especially in the umbilical region, with urging to stool

Frequent paroxysms of pain in the abdomen

Digging in the abdomen before every stool

Drawing pressure here and there in the abdomen

Tensive pain in the abdomen, more towards the small of the back, most violent on stooping

Pain in the abdomen, extending to the stomach and to both sides beneath the ribs, on pressing the hand upon the umbilical region

Smarting pain in the abdomen

Burning pain in the abdomen

Frequent persistent desire as for diarrhoea, in the evening, with griping and painful movements in the abdomen, as from taking cold, and with thrusts in the left side, as from a child in the uterus, with distension of the abdomen, soon followed by a thin stool, succeeded by urging, and persistent colic, lasting till she went to bed

A stitch, as from a knife, on breathing, suddenly shoots through the abdomen from the left to the right side, so that she starts up in affright

Hypogastviii in and Iliac Hcffion. Rumbling in the lower abdomen

Pressure in the lower abdomen, as before the menses, aggravated by pressure

Pressure here and there in the lower abdomen, with urging to stool

Fine sticking pain in the lower abdomen

Drawing cutting in the lower abdomen, close to the right ilium

Cutting, as with knives, transversely across the lower abdomen

Burning in the lower abdomen

Oft-repeated, strong, and jerking pulsations in the inmost part of the ri<rht inguinal canal, upon the track of the cord (twenty-seventh day)

Pinching pain just above the left ilium, as if the intestines were overstretched, on stooping

Fine stitches in the symphysis pubis, to the left

Sensation as if a hernia would protrude in the left groin

Pressure in the inguinal glands, with some swelling

Fine griping in the left groin

Stitches in the right groin on stooping, as if he had sprained himself, disappearing on rising up

Rectum and Anus p. 137

A pimple like a hemorrhoid in the left side of the anus, with painful soreness, when touched

Pressive pain in the rectum

Sharp shootings at the end of the rectum (thirty -first day)

Violent shooting, as if from needle-pricks, in the base of "the rectum, extending even to the anus (twenty-sixth day)

A violent thrust, as with a needle, in the rectum (fortieth day)

Itching stitch in the rectum

Sensation of soreness and smarting in the anus, with fine stitches, immediately after a stool

A corroding pain about the anus, while walking and sitting.1.

Burning in the anus, immediately after a stool, and at other times

Constant itching in the anus

Frequent urging to stool (which was otherwise natural)

Frequent desire for stool, but a scanty evacuation, at times consisting of only mucus

Sudden desire for stool, the first part of which was natural, then pasty, at last thin, with shivering over the whole body, from above downward, and drawing from the small of the back down through the thighs; when he attempts to rise it constantly seems as though he had not yet finished

Renewed desire soon after a stool

Frequent inclination for stool

Frequent ineffectual desire for stool

Ineffectual desire for stool

Stool p. 137

Diarrlicea. Most violent dysentery; the stools were at first loose, with much urging and tormina (after fourteen hours) ; afterwards the discharge became bloody and mucous, with the most intolerable tenesmus

Severe attack of something like dysentery

Soft stool, in the evening, preceded by colic, only felt a moment before the urging to stool (forty-fourth day)

In the evening, as on the preceding days, soft stool preceded by colic, only felt at the moment of the urging to stool ; fetid flatulence (forty-fifth day)

Several evenings in succession, a soft stool preceded by colic (forty-second day)

In the forenoon a soft stool, in the afternoon a thin one

Stool green.-h, scanty

Scanty stool

Dry large stool, with violent cutting pains

Stool dry, in lumps

Hard stool, which seems slippery, but is not

Evacuation of some hard pieces of stool, with pressure

Difficult evacuation of consistent but not hard fieces, as if the intestines had not sufficient power to expel them (after twenty-four hours)

Evacuation of mucus in the form of worms

Evacuation of mucus after a stool

Constipation. Constipation

Constipation for some time, in a mother and her infant

Retention of stool for twenty-five hours

Stool six hours later than usual

Urinary Organs p. 137

Kidneys and Bladder. Dull stitches in the region of the kidneys, extending inward

Sensitive pressure in the neck of the bladder and along the urethra, alter urinating; it constantly seems as though more urine would pass and some drops follow, when the pressure is still worse

Urethra. A blister on the margin of the meatus urinarius

Soreness in the tip of the urethra

Burning in the forepart of the urethra, especially on urinating; he had a desire to urinate every minute and passed much

Micturition and Urine. Frequent desire to urinate, even at night, obliging him to rise from bed, for three days; followed by more infrequent micturition and a smaller discharge of urine than during health

Desire to urinate, only like a feeling of fulness in the bladder; urine scanty, offensive, and infrequent, but without pain

Retention of urine

Sexual Organs p. 138

Male. Burning internally in the sexual organs, as in excessive irritation to discharge semen (after twenty-four hours)

An intolerable voluptuous excitement in the genitals and in the whole body, even to emission of semen (after forty hours)

Erections immediately ; on the following days want of erections

Nocturnal erections, without lascivious dreams

Jerking in the penis, as far as the posterior portion, almost as when evacuating semen

Sticking sensation, as from needles, in the glans penis

Burning pain in the glans penis, immediately followed by desire to urinate

Burning stitch in the glans penis

Nocturnal pollution during sleep, while lying on the back (fifteenth and seventeenth nights)

Emissions without lascivious dreams

No sexual desire and no ability for coition, not even when excited thereto (secondary action J)

Female. Prolapsus of the vagina, aggravated during a hard stool

White transparent mucus in the vagina

Leucorrhcea ceases

Itching of the vulva

Menses more profuse than usual (twelfth day)

Respiratory Organs p. 138

* Raitmess in the larynx

* Mucus in the trachea, in the forenoon, easily expelled by a forcible cough, with great weakness of the chest, as if eviscerated, and with weakness of the whole body and of all the limbs, in which the sensation of weakness extended upward and downward, several mornings in succession?.

Tingling in the trachea, which provokes several fits of dry coughing, in the evening (thirtythird day)

Irritation to cough, in the trachea, as from mucus, on breathing, with neither a loose nor dry cough, felt more while sitting bent over than when walking?.

Voice. *Hoarseness, weakness, and emptiness in the chest, on beginning to sing, so that she was constantly obliged to stop and take a deep breath ; at times a few expulsive coughs removed the hoarseness for a moment

* The voice is husky, hollow (eighteenth day)

Coufjli and Expectoration. ^Scraping cough, with greenish expectoration of an offensive sweetish taste, worse in the evening before lying down, with a hoarse voice ; a sore sensation in the chest and trachea after every cough (the irritation which provokes it is low down in the trachea)

* Frightful cough, with expectoration and spitting of blood

* Fatiguing paroxysms of cough, so that the epigastric region was painful, as if beaten

* Violent, shattering, deep cough

* From time to time short cough, as from weakness in the chest, with a hoarse weak sound

* Tickling cough, as from soreness, low down in the trachea ; a scraping, extending upward into the throat

Hacking cough, in three paroxysms

Constant inclination to cough caused by constant constriction in the trachea

* Constant inclination for hacking cough, as if caused by much mucus in the chest, with an internal sensation of scraping and rattling?.

* Much inclination to cough, before midnight, with scanty expectoration, for several nights

* Yellow expectoration of afoul taste from the trachea

Expectoration of viscid and thick mucus, which seems to come from the velum pendulum, where it may have heen secreted (tenth ,jay)M,_ * Expectoration of a globular, grayish lump of thick mucus, containing a clot of black blood, and appearing to come from the throat (eighteenth day)

* Salty expectoration from the chest

Respiration. *Short difficult respiration, caused by weakness of the respiratory organs, with great emptiness in the chest, though without dyspnoea

Respiration was shorter, in the evening, with anxiety ; was obliged to breathe rapidly for a long time, until he could once take a deep breath, after which everything passed off

Paroxysms of dyspnoea, short breath, and anxiety, in the evening

* Dyspnoea and want of breath, on ascending steps, and on the slightest motion

* Dyspnoea, as if the clothes were too tight ; he was obliged to open them in order to breathe as usual

Chest p. 139

* Oppression of the chest, as if it were internally constricted, with a sensation as if the inspired air were very dry

Oppression of the chest, as if something rose up into the throat and took away his breath

Distressing oppression in the upper part of the chest, was frequently obliged to take a deep breath, xvith a sensation of great emptiness in the pit of the stomach

::He was always very much oppressed when coughing

* Constriction of the chest, with anxiety, in the evening

Constrictive pain in the chest beneath the right arm ; a sticking on moving about

Drawing pressure on the conjoined cartilages of the last left ribs

Pressure from within outward, in the chest, beneath the right nipple

Pressive cramp in the chest, while sitting, aggravated by inspiration

Pressure, low down in the chest, as from a weight

Tension and pressure across the upper part of the chest, in the morning on rising from bed

Aching in the whole of the chest, especially above the pit of the stomach, worse on inspiration

Wandering pains in different parts of the chest, and drawings here and there (thirty-first day)

* Bruised pain in the chest, during rest and motion

* Sore pain in the whole of the chest, starting from the throat

Sensation as if mucus were in the chest, with rattling when breathing, perceptible internally and audible externally

Burrowing pain in the chest, extending thence into the abdomen, with desire for stool

Drawing from the clavicle into the left axilla

At times, during rest, sensation as if the chest dilated, though with a feeling of anxiety, as in palpitation

Muscular twitches in the upper part of the chest by the left axilla

Twitching jerking in the muscles of the false ribs

Sharp piercing needlelike stitches iu the clavicle

Stitches in the chest and shoulder-joint on breathing

Cutting stitches frequently through the chest, from below upward and outward, in the forepart of the uppermost ribs, not affected by respiration

* Violent stitches in the chest and sides, preventing respiration, several forenoons; iu the afternoon, distension of the abdomen

Front and Sides. Tearings at the inner surface of the sternum, in a line with the fifth and sixth ribs, extending a little way into the left side of the chest (twenty-ninth day)

Tensive stitch in the sternum, persistent during respiration

A long fine stitch by the ensiform cartilage, soon after eating

Boring-gnawing pains in a point at the left side of the chest, sometimes before, sometimes behind the shoulderblade (twenty-second day)

Sensation of internal gnawing at a spot in the anterior portion of the chest on the left side (thirty-third day)

Sensation in the thoracic walls, iu a line with the apex of the heart, as if an insect was biting the parts there (thirty-first and thirtysecond dav)

During the night, dull wandering pains, in the anterior portion of the left chest behind the scapula, with sweat on the chest only (forty-fifth day)

During the whole day, but not continually, sensation at a spot in the right side, as if a vessel were there into which a liquid was dropping rapidly (thirty-second day)

Cutting pain in the right side of the chest

Cramplike cutting in the right ribs, while walking, only on inspiration

Tearing cutting in the left side of the chest, while walking and standing

Stitches as from a flea, in the last right true and in the left false ribs

Burning stitches in the left chest, worse on expiration, while walking in the open air,fi.

* Sudden, sharp, Jen if like stitches in the left side of the chest

* Suddenly a long stitch in the left side of the chest, a hand's breadth beneath the axilla, causing fright

Tensive stitch iu the right side of the chest that almost took his breath

* A tensive stitch in the left chest, persistent during respiration, worse on stooping

* Sudden drawing beneath the left breast, on rising up in bed, followed by sharp knifelike stitches, extending thence into the clavicle towards the shoulder, where the pain persisted, and in the left side extending downward into the lower abdomen ; aggravated by bending inward, pressing upon it, and especially by inspiration and hacking, which also caused a painful shock

Violent itching on the nipple

Heart and Pulse p. 140

Pain in the precordial region and hiccough

Pulse 100,19.

His pulse became indistinct and fluttering

Neck and Back p. 140

Neck. The nape of the neck drawn upward, with a feeling of stiffness, so that she could not move the head easily

Cracking in the cervical vertebra, audible even to others, on shaking the head suddenly

Weakness of the cervical muscles, as if she could not hold up the head, with pain on moving the head

Pain in the nape of the neck, on bending the head forward

The deepseated muscles of the posterior region of the neck are painful to touch, near their insertion. to the occiput (twentieth day)

The pain (rheumatic) which I felt yesterday, at the right side of the nape of the neck, in the fibres of the trapezius, was aggravated during the night (twenty-fifth day)

Itching stitches in the nape of the neck, in the morning in bed

Sudden acute stitch in the lower portion of the nape of the neck

Hack. Pain as if beaten, in the back and lower extremities, in the morning on rising; she is weary, as if she had slept too little, and her body was not sufficiently rested ; somewhat relieved a few hours after rising

Stitchlike tearing in the left side of the back, and from below upward, while standing

Sharp jerking stitches in the left side of the back, and at the same time in the left thigh

Fine burning stitches in a small spot iu the middle of the back

Fine stitches, from within outward, at the back

Dorsal. Pressive drawing in the spine, below and between the scapulae, worse on motion, especially on turning the body

On raising a weight, he was suddenly affected between the scapula? as if sprained, more to the left side, with violent sharp knifelike stitches on the slightest movement, breathing, or yawning; intolerable pains on bending backward

Drawing tearing in the left scapula, partly towards the back, partly towards the shoulder

Sticking griping in the back by the false ribs

Burrowing stitches in the right dorsal muscles, persistent during respiration

Violent burning sticking in the upper part of the scapula), transiently relieved by rubbing/

Broad dull stitches, from within outward in the spine, between the scapulae

Slow, intermittent, dull stitches between the scapula), iu the middle towards the spine

Lumbar. Pain pressing from above downward, in the left side of the back above the hip

Pressive burning in the small of the back, somewhat to the right side

Violent crawling in the small of the back

Acute pain in the right lumbar region, in the morning

Violent tearing in the lumbar vertebra, from both sides into the region of the kidneys, worse on every motion of the trunk

Dull thrust? in the lumbar region, with a sensation of external coldness against him

A wavelike shock in the back above the left ilium, so that he started in fright

Upper Extremities p. 141

* Great loss of pozver in the arms and lower extremities, as if there were no strength in them, and as if the latter would not support the body?.

Paralysis of the left arm and foot, from fright, disappearing at night

Weariness in the arms and lower extremities; was obliged to let the arms sink down

Painful weariness in the extremities, while standing, with unsteadiness and tottering; they could not support the body

Heaviness in all the limbs, weakness of the chest, and alternating excessive anxiety

Bruised pain in the limbs, and especially above the small of the back

Bruised pain in all the limbs (twenty-fifth day)

Bruised pain and coldness in all the limbs (twenty-fifth day)

Superior Extremities p. 141

* Paralytic weakness of the arms if he holds a light weight for only a short time

* Paralytic weakness and heaviness in Hie arms, especially in the right arm, chiefly in the upper arm and joints; aggravated by every motion, at times associated with dyspnoea

* The arms easily become fatigued from moderate exercise, so that everything he holds is allowed to fall

The arms and fingers are almost immovable

Acute jerking, now in the arm, now in the hand, now in a finger, as if he had received a hard blow upon it

Pain as from a sprain, in the joints of the arm ; she could not bend them without great pain

Tearing in the left arm, especially in the upper arm, deep internally

Paralytic tearing in the left arm, especially in the wrist, aggravated by motion

Shoulder. Pressure and drawing, as from a weight on the left shoulder, in the outer portion of the upper arm and extending from the elbow to the deep-lying muscles of the forearm, gradually disappearing in the house

Paralytic pain, as from a sprain, just beneath the shoulder-joint, only during rest, only transiently relieved by motion/.

Sensation of compression in the shoulder

Tearing on the left shoulder

Paralytic tearing in and beneath the right shoulder-joint, more violent on motion

During the night, constant sharp pain in the right shoulder, in the fibres of the trapezius, aggravated by lifting the arm, and by touch (twenty-fourth day)

Sudden acute hard beating on the right shoulder

Itching stitches in and beneath the axilla

A burning stitch in the top of the right shoulder

Arm. Piercing pain, at intervals, in the bone of the left upper arm, as if it were compressed and crushed, during rest and motion

Bruised pain in the lower portion of the left upper arm

Twitching in the muscles of the upper arm, above the elbow, during rest (after five, and twenty-six hours)

Muscular twitches internally in the left upper arm, while resting the arm upon anything; on changing the position it disappears, but in the former position it returns

Transient drawing, extending from the elbow to the upper arm

Drawing in the left deltoid muscle, as from loss of power

Pressive tearing in both upper arms, at intervals

Pressive tearing in the middle of the right upper arm, suddenly appearing and disappearing

Tearing in the anterior and upper part of the right upper arm

Tearing pressure in the middle of the left upper arm, posteriorly and internally

Burrowing stitch in the right deltoid

Elbow and Forearm. Tension and sensation of soreness in the tip of the elbow, especially on bending the arm

Cramplike stiffness in the right forearm

Pressure on the right forearm, towards the anterior and outer portion

Paralytic tearing in the right forearm

Pain as from a sprain, above the left wrist, in the styloid process of the radius

Pinching just above the wrist, on the radial side

Pain as from a sprain, in the left wrist

Dull pains in the right wrist (twentyfifth day)

Every few moments, in the evening, at night and towards the morning, sharp pain in the right wrist-joint, sometimes extending even into the forearm (thirteenth and fourteenth days)

Sudden drawing at short intervals, extending from the radial side of the wrist to the hand

Pressive tearing in the right wrist, aggravated during motion

Hatld. Swelling of the hands, in the evening

Chilblains on the hands, during mild weather

Trembling and sensation of heat in the left hand

Weakness and trembling of the hands, mostly when lying upon a table and when writing, which was very annoying

Cramplike contraction in the palm of the left hand

Cramplike pain on the back of the left hand between the index and middle fingers

Transient jerking in the left hand above the joint

At night, after waking, wavelike drawing jerks, deep in the hand, as if in the nerves, so that he could have cried out

Jerklike tearing in the hand, coming from the fingers

Intermittent pressive tearing in the bones of the hand and wrist, and also in the first finger-joints

Dull intermittent pains, in the posterior surface of the metacarpus of the left hand, in the evening (eleventh day)

Sharp pains in the first metacarpus of the right hand, every few minutes (thirteenth and fourteenth days)

Sharp and rapid pains in the first metacarpal bone of the left hand; the same pain in the right ankle (fortieth day)

Fingers. Very painful hangnails on the fingers

Pain in the middle joint of the left middle finger (forty-third day)

Pain as from a sprain, in the whole of the left index finger, on bending, stretching it out, and during rest, frequently recurring for five days

Sharp pain in the second articulation of the left ring finger (thirtieth day)

Dull or sharp pain internally, in the first phalanx of the left forefinger, near the metacarpophalangeal articulation ; same sensation in the right forefinger (twentyfifth day)

Dull pain at the inner surface of the posterior extremity of the first phalanx of the left forefinger (twenty-sixth day)

Sharp drawing in the second joint of the left middle finger (twenty-sixth day)

Sharp drawing pains in the articulations of the first with the second phalanx of the left ring finger (twenty-fifth day)

Drawing in the first phalanx of the left thumb and below the wrist

Cramplike drawing pain in the left middle finger, with jerking, so that the finger trembled

Cramp in the fingers, which remain contracted for a long time

Tearing in the first joint of the index finger, which gradually disappeared on moving the hand

Pressive tearing in the first phalanges of the right fingers, worse during motion

Acute jerking pain between the thumb and index finger, when holding a pen ; when holding the pen loosely and when ceasing to write nothing was felt, but the jerking soon returned and lasted a long time

Cutting in the ball of the left little finger, worse on bending it up

Fine dull acute thrusts in the metacarpal bone of the left index finger, and in other parts of the hand, as if a tense nerve were struck with a little hammer

Shootings in the second joint of the left middle finder (twenty-fourth day)

Shootings, which start from the metacarpophalangeal joint of the left index finger, and spread even to the end of the finger (twenty-fourth day)

Stitches in the tips of all the fingers

Pressive sticking burning on the outer margin of the metacarpal "bone of the left little finger

Fine needlelike stitches in the tip of the left middle finger

Drawing stitches in the first joint of the left index finger, towards the tip

Inferior Extremities p. 143

Sensation of weakness in the lower extremities, as if fatigued by a long walk

Weakness of the right lower extremity, especially in the thigh, as if in the bone, so that it was painful while standing, and he was obliged to rest upon the left limb

Great weariness and heaviness in the lower extremities after a two hours walk

Uneasiness in the lower extremities ; was obliged to move them hither and thither, in the evening

Great heaviness in the lower extremities; she could scarcely ascend steps, and was then obliged to sit down immediately

Paralytic heaviness and weariness in the lower extremities, especially in the thighs and knee-joints; can scarcely walk ; is obliged to sit and lie

Bruised pain in the lower extremities on ascending steps; on descending them, so powerless and weak that he was in danger of falling

Hip. Violent pain in the muscles about the hip-joint, on raising up the thigh

Pain, as from a sprain, in the right hip while walking, so that he was almost obliged to limp, lasting several hours

Paralytic pain in the hip-joint, while walking

Drawing in the left hip

Transient dull pressure in the ischia, while sitting

Thifjli. Loss of power in the thighs

Muscular twitches in the left nates

Pain, as from a sprain, in the thigh beneath the hip-joint, while walking

Pain, as from a sprain, on the thigh, just beneath the hip, only when walking

Dull pulsating pressure on the inner side of the middle of the thigh

Pressive drawing in the inner side of the left thigh, iu the groin, from the ascending ramus of the ischium to the back part of the thigh, then from the hip over the small of the back to the right side ; at times grumbling in the ischium

Pressive drawing in the outer side of the right thigh, which rests over the left, while sitting

Drawing tearing in the left thigh, during rest and motion

Drawing tearing from the bone, from the knee to the middle of the thigh, while sitting

Tearing pressure in the forepart of the right thighjoint, extending inward and beneath the patella

During the night, sharp pain, but of brief duration, in the upper part of the right thigh above the crural canal (seventh day)

Sharp pains in quick, jerking twitches, returning at intervals, which are sometimes quite lengthened, in the anterior part of the right thigh ; similar pains in the left thigh some moments after (seventh day)

Cutting internally in the left thigh

Stitches, as from a needle, on the inner side of the left thigh

Sticking pain in the muscles of the right thigh, only while standing

Itching stitch very high up in the inner side of the thigh

Constant itching stitches in the left nates, near the anus

Knee. Stiffness in the hollow of the right knee

Sudden stiffness of the knee, so that he could bend it only with great pain

While walking, especially in the sun, the knees frequently give way, with weakness of the whole body, and the perspiration of weakness on the face

Weakness in the knee-joint, so that he could scarcely walk, with inclination to slumber

Bruised pain in the hollows of the knees, and in the calves, as after a long walk, in the evening during rest and motion

Tensive pain in the hollow of the left knee

Drawing, extending from the hollow of the right knee to the calf

Pressure in the right knee-joint

Burning scraping on the outer side of the left knee

Tearing iu the ligaments, in the inner side of the left knee

Itching twitching beneath the patella

Fine painful stitches in the right knee, and in the hollow of the knee, while sitting

Dull stitches on the outer side of the right knee only on standing, disappearing on moving the limb, and while sitting, . ~L€(J. Great weariness in the legs, especially in the left leg, extending up from the feet, and jerklike drawing in the knees, especially while standing, with sore pain in the soles of the feet

A painful sensation, as if a heavy weight were hanging upon the left lower leg while sitting, if it rots over the other leg and hangs down

Tension in the left leg

Cramplike tearing in the right leg, while walking

Drawing tearing in the leg, while sitting

Sensation, as if the lower leg were tightly bound up

Small swelling on the tibia, with a red point; it was painful to touch, as if ^the flesh were loose from the bone

Pulsative pressure in the right tibia

Lancinating pains, which seem seated in the upper part of the outer surface of the left tibia, near the femora- tibial articulation (eighteenth day),1 . Violent cramp in the calves almost all night

Painful tension on the inner side of the left calf, while standing

Pressure in the whole right calf

Pressure in the left calf, during rest and motion

Painful drawing on the outer side of the calf, during rest and motion

Pain, as from heaviness, in the outer muscles of the left calf frequently, while walkings

Pinching in the upper part of the inner muscles of the calves

Ankle. Sudden swelling of the ankle, in the evening

Pain below both ankles, in the evening when lying in bed, as if the heel were torn out

Itching stitch beneath the left inner and outer malleoli

Sharp shooting in the tarsal bone, below the right ankle (twentieth day)

Foot. Red swelling of the feet, especially about the ankles, with a sensation as if the feet were tightly bound

Cramplike pain in the sole of the right foot, while sitting

Pain in the feet from above the ankles to the soles, when sitting, less when standing and walking

A dull sticking pressure in the outer side of the right heel, extending up into the calf, on stooping, only when walking ; disappearing on raising the foot

Sharp pressure transversely across the sole of the right foot, while sitting

Tearing pressure in the right heel

Tearing aud jerking in both malleoli of the right foot, extending thence to the toes, while sitting; while standing it seems better, but then a tearing extends from the toes upward

Crawling in the feet, as after a long walk, or as if they would fall asleep, gradually extending into the legs

Toes. Drawing tearing between the metatarsal bones of the two last toes

Shootings in the second joint of the right middle toe (twenty-fourth day)

Sharp shootings in the tip of the right great toe (twenty-fifth day)

Violent shootings in the metatarsophalangeal articulation of the right second toe (forty-fourth day)

Shootings in the metatarsophalangeal articulation of the right great toe (forty-fifth day)

Generalities p. 144

(Genuine epilepsy),12.f

It causes emaciation aud consumption

The whole body and limbs are tremulous and unsteady ; yet the hand trembles more when resting it lightly upon anything than when grasping anything tightly

* Weariness of the whole body, especially after ascending steps, for seven days

Great weariness after descending steps, so that she could scarcely breathe ; on ascending the steps she felt nothing

Very weak and sleepy, so that he could scarcely endure it

* &Ae was suddenly attacked by weakness so that she could scarcely

f "In a boy who suffered frequently from convulsive attacks, especially in the morning fasting, Tin was given to destroy the worms, which were; supposed to be present; and thereupon the tits increased and multiplied to perfect epilepsy.

Hughes. breathe, while dressing, after rising from bed

* Great weariness during the day; he was obliged to lie down, but could not sleep, and when he slumbered was attacked with vertigo, vanishing of sense, and dulness of mind, for half an hour

Great weariness, with constant inclination to sit down ; it is most felt when walking slowly, so that he involuntarily walks rapidly

* Excessive prostration ; constantly wishes to sit or lie down, and when about to sit down falls upon the chair, because he has not the power to sit down slowly

* Most distressing debility, almost preventing my riding home, a distance of a few miles

When walking rapidly he feels the exhaustion less, but all the more afterward

* Loss of power, as if the limbs were beaten3.

Extreme exhaustion of mind and body; cannot continue at any work on account of irresistible sleepiness ; is obliged to lie down and sleep, but frequently wakes in different dreams

Uneasiness in the whole body, with burrowing on the tibia?, after waking from a deep sleep, at 1 a.m.,1.

Uneasiness, so that he cannot remain long in one place

A frequent agreeable sensation of lightness on deep breathing

Many pains, especially the pressive-drawing, beginning slight, increasing slowly, becoming severe, and just as slowly disappearing

Severe pain (second day)

Heavy pressure, now in one, now in another bone

Sticking griping in various parts of the body alternately

All were affected in a similar manner to myself, and after a lapse of about the same time

While walking the symptoms seem to disappear, but immediately return during rest; only the weakness is most noticed, when walking

Skin p. 145

Objective. Itching eruption over the whole body

Itching pimples on the face, painfully sore to touch, or on washing

A red, somewhat elevated spot on the forepart of the neck, with a white, quite painless pimple in the middle of it

In the middle of the sternum, a kind of small, red, sharply circumscribed pustule, causing, for a few moments only, acute itching, two evenings in succession (eleventh day)

A boil in the right angle of the lower jaw, red, with drawing pain, aggravated by touch, lasting eight days

Small itching hives below the wrist, through the day ; the itching was aggravated by rubbing

Small red, painless spots on the backs of both hands

Itching pimple on the left thigh

Round yellow spots on the left leg, lasting two days

Subjective. Violent burning in the hands and feet

Fine needlelike stitches over the whole left side of the body ; the next day only on the right side

Biting itching over the whole body on undressing ; was obliged to scratch

Itchingburning stitches over the whole body, especially on the thumb, chiefly in the morning in bed, for several days

Burning itching, as from fleabites on the back of the hand for eight hours, not relieved by rubbing

Sticking itching on the outer side of the thigh, only transiently relieved by rubbing (after half an hour)

Itching on the back of the left foot

Sleep p. 145

Frequent yawning, as if he had not slept enough

Much yawning, when walking in the open air, though with oppression, as from a cord about the chest

Stretching of the arms and yawning (after a few minutes)

He is excessively impelled to yawn, yet he cannot yawn sufficiently, however wide he opens his mouth

Sleepiness, after walking in the open air, especially caused by music, and a vivid dream immediately on closing her eyes

Sleepiness and inclination to yawn ; the eyes close

Falls asleep early in the evening after lying down, and wakes late in the morning

Deep sleep, several nights

Frequent waking at night, as if he had slept enough

Frequent starting up, as from fright in bed, at night

Sleep restless, and interrupted by pain (twenty-fifth day)

Mind p. 145

10 Slumbering in the evening hindered by constant uneasiness in the legs

At night, on waking, he was lying upon the back, the right leg stretched out, and the left drawn up and half uncovered

The child moans in sleep, at night, cries, begs, and is frightened

(He talked in sleep, and spoke of the uselessness of an external remedy for an internal trouble, as if in a somnambulistic state)

Dreams. Very vivid anxious dreams, at night

Vivid dreams full of terror (second night)

Pleasant dreams of earthly splendor and greatness, which keep her in good humor after waking

Lascivious dreams, with erections, without emissions

Lascivious dreams and emissions, without erections

Amorous dreams, with physical enjoyment, without a pollution (twenty-second day)

Anxious dreams of quarrel, strife, and battles

Anxious dreams of neglected business, about the same subject, two nights

Dreams of fire

He heard a loud noise in a dream

Confused, unremembered dreams

Confused, vivid dreams in which many things are mixed up, sometimes she talks aloud, tosses about the bed, frequently wakes, and always finds herself sitting up in bed

Vivid, confused, half-remembered dreams

Fever p. 146

Chilliness. Chilliness

* Chilliness over the whole body, lasting half an hour

Coldness of the whole body, with bruised pain in the limbs (twentieth day)

Very transient chilliness, especially along the back

Shivering several forenoons about 10 oclock, with coldness in the hands, deadness of the fingers, and insensibility of their tips

Coldness and bruised pain throughout all the limbs (twentieth day)

Gooseflesh over the arms and chattering of the teeth, as in convulsion of the masseter muscles, with only slight sensation of coldness and moderate shivering

Shivering only in the left arm, wherewith it jerked up

Shivering only in the left foot, extending half way up the thigh, in the evening

Very cold knees and feet

Heat. Heat

Great heat over the whole body, especially on the chest and back, with a sensation as though hot sweat were running down, without externally perceptible heat

Sensation of heat over the whole body, especially on the thighs and back

Heat and perspiration over the whole body from 4 to 5 p.m., followed by chilliness ; during and after the heat thirst, which recurred several afternoons about the same time

Anxious heat and perspiration broke out constantly, even on the slightest movement

Anxious heat, as though perspiration would break out, attacks him at intervals

Sensation of heat, especially internally

Internal heat, after walking in the open air, especially in the chest and abdomen, without thirst

Skin hot and dry

Great heat in the head, with heat of the forehead, with redness of the face, together with general though with slight heat over the whole body, worse in the evening, with much thirst, five evenings in succession (after five days)

Heat in the forehead, even perceptible externally.1.

Flushing heat in the face, perceptible internally and externally

Flushes of heat in the feet

Disagreeable heat in the feet, though little noticed externally

Sweat. Hot sweat over the whole body and complete exhaustion, even on only slight movement

A cold, clammy sweat broke out

* Profuse nightsweats, for two nights (after forty-eight hours)

* Profuse perspiration after 4 a.m., every morning

* Morning -sweat, mostly on the neck, nape of the neck, and forehead

Conditions p. 146

Aggravation.

(Morning), On waking, weakness of memory, dizziness ; pain and heat in head ; headache ; after rising, stopped sensation in left ear ; nosebleed ; on waking, acid saliva runs from mouth ; scraping in throat; eructations; weakness; tension and pressure across chest ; in bed, stitch in nape of neck ; on rising, pain in back and lower extremities; pain in lumbar region ; itching stitches over whole body ; 4 A.M., sweat.

(Forenoon), Pressure in stomach ; stitches in chest ; 10 oclock, shivering.

(Afternoon), 4 to 5 p.m., heat.

(Evening'), Heaviness aud dulness of head ; pressing in brain ; cracking in front of ear ; scraping in throat ; constriction of chest, with anxiety ; swelling of the hands.

(Night), Pain in nape of neck.

(Ascending steps), Weariness of whole body.

(Bending backward), Pressure in forehead.

(Bending finger), Cutting in ball of left finger.

(Breathing), Stitches in abdomen ; deep, feeling of lightness.

(Coughing), Stitches in abdomen; oppression.

(Descending steps), Weakness of body.

(After eating), Bitter eructations ; nausea; fulness in abdomen ; emptiness in abdomen ; stitch by ensiform cartilage.

(Expiration), Stitches in left chest.

(Inspiration), Cramp in chest ; aching in chest; cramp in right rib; drawing beneath left breast.

(Lifting arm), Pain in right shoulder.

(Lying ttpon temple), Pressure in it.

(During menses), Pain in malar bone.

(Motion), Drawing in spine ; stitches between scapula? ; tearing in lumbar vertebra? ; weakness of arms; tearing in left arm; tearing in right shoulder; tearing in right wrist; tearing in first phalanges of right fingers.

(Music), Sleepiness.

(Pressing on right side), Pain in hypochondria.

(During rest), Pain beneath shoulders ; twitching in muscles of upper arm.

(Rubbing), Itching.

(Shaking head), Crackling in cervical vertebrae.

(Sitting), Pain in feet; pressure across sole of right foot.

(Sitting bent over), Cutting in right hypochondrium.

(Soup), Pressure in stomach.

(Standing), Stitches in muscles of right thigh ; stitches on outer side of knee ; tension in calf.

(During hard stool), Prolapsus of vagina.

(Stooping), Tearing in forehead ; pain in abdomen ; pain above left ilium ; stitches in right groin; stitch in left chest.

(Touch), Soreness in abdomen ; pain in boil.

( Walking in open air), Vertigo, eructations.

( Walking), Pain in hip; pain in thigh ; tearing in right leg; slowly, weakness.

Amelioration p. 147

(Open air), Fretfulness.

(Pressure), Pressure in forehead ; pain in right temple ; pressure in pit of stomach.

( Walking), Symptoms.

Footnotes p. 135

† Revised by Hughes. % Revised by Hughes.