Ambra Grisea

Tins drug is sold at a very high price ; it is, therefore, to be found genuine only in the best drug-stores. Genuine Ambra is found in the intestines of the pot-fish, as had been demonstrated already by Schwedjaur ; it is, probably, a tallow-like substance formed in the gall-bladder of that fish, and is found of an especial purity in the sea, on the coasts of Madagascar and Sumatra, especially after a gale. This" substance is composed of small, rough, opaque masses*,' -"which are spongy, lighter than water, and may be easily broken into rough, uneven pieces ; externally they have a brown grayish color ; internally they are pervaded with yellowish, reddish, and blackish veins ; they are moreover interspersed with whitish, odorous dots, which are a little greasy to the touch, and omit a faint, but highly pleasing and comforting fragrance.

When held with warm fingers, that substance becomes as soft as wax ; when exposed to the heat of boiling water, it flows like oil, emitting at the same time a strong, delicious fragrance, and, when laid upon piece of red-hot tin, burning up entirely. Ambra ignites easily. Only very little of it dissolves in spirits of wine ; naphtha of sulphur dissolves it entirely ; from this solution a white, wax-like substance may be precipitated by means of alcohol. Tbe weak smell of Ambra is increased a good deal by this solution, and also by triturating it with other substances.

Antidotes of Ambra are Comp. Nux. v. and Puls.

According to Noack and Trinks, Ambra may be used in the following affections : Hysteria and hypochondriasis. — Fainting fits. — Apoplectic fits. — Paralytic conditions of the limbs. — Great nervous weakness. — Melancholia. — Paralysis of the intellectual organs. — Weakness of the understanding and memory. — Nervous vertigo, especially in old people. — Nervous headache. — Amblyopia amaurotic. — Nervous hard hearing. — Epistaxis. — Aching in the liver ? — Complaints from flatulence. — Excitement of the sexual instinct. — Excessive frequency of nightly pollutions. — Leucorrhoea. — Bad effects of a suppressed cold. — Dry convulsive cough, paroxysm Resembling hooping-cough. — Asthmatic complaints, especially in scrofulous children. — Morbid conditions of old people, and of individuals with a dry, thin, bilious constitution. — Rheumatic and arthritic complaints ?

Analogous Remedies : Nux. v. Puls. Staph. — 2. Calc. Cham. Grap. Lyc. Phosp. Sabad. Sep. Verat. Verb. Viol. odor. — 3. Canth. Mezer. Ipec. Rut. Selen. Sil. Spig.

Head p. 23

Violent vertigo. Uncommon, even dangerous vertigo. Vertigo, when walking in the open air, in the fore and afternoon. She had to lie down on account of vertigo, and feeling of weakness in the stomach, (in the forenoon, after 72 h.)

5. He is always as if he were in a dream. He was not able to reflect upon any thing properly; he feels stupid (the first 24 h.) Bad memory ; his thoughts are weak ; he has to read every thing three or four times, and, after all, he does not seize the meaning of what he reads. Great weakness in his head, with vertigo, (a 48 h.) Weakness in the head, with a sort of chilliness of the head.

10. Headache every morning ; the head feels empty and desolate, as if she had been revelling the whole night. Obtusion of the occiput. Tension in the head, which makes one feel stupid. Clawing headache, starting from both temples. Clawing obtusion of the head.

15. Oppressive obtusion of the head, immediately after dinner, especially during motion. Pressure in the forehead, (with apprehension of becoming crazy.) (a. 48 h.) Oppressive headache in the forehead. Aching in the occiput and nape of the neck. Downward-pressing pain in the forehead and the top of the head, every other day, accompanied by heat in the head and burning in the eyes, paleness of the face, beginning early in the morning — increasing only in the afternoon.

20. Congestion of blood to the head for two days. (Painless) feeling of pressure on the top of the head, and heaviness of the head, in the evening, (a. 36 h.) Pressure and stitches in the head. Aching in a small place of the occiput. Aching in the left frontal eminence.

25. Pressive traction ascending from the nape of the neck, and extending through the head towards the forehead, considerable pressure remaining behind in the lower part of the occiput. Tearing pressure in the whole occiput, extending as far as the top and the forehead. Shootings through the head. Traction or tearing in the head, to and fro. Tearing on the left side of the occiput, towards the nape of the neck, and behind the ear.

30. Tearing in the left temple, as high up as the vertex, also, in the right frontal eminence, and behind the left ear. Tearing headache in the forehead as far as the upper part of the face. Extremely painful tearing on the top of the head and apparently, in the whole upper half of the brain, with paleness of the face and coldness of the left hand. (Twitchings in the head.) Stitch in the head over the left temple, (a. 3 h.)

35. Jn the evening, several very severe stitches ascending towards the occiput. When making an exertion, he experiences a lancinating and cutting headache ; he feels it at every step ; he feels easier when lying down. External headache : also, in the nape of the neck and in the neck, pain as from straining the parts in lifting, painful to the touch, the whole day. (a. 12 d.) Headache as if a cold would come on, at times increasing, at times decreasing, and continual.

40. On the right side of the head there is a place where the hairs cannot be touched without, suffering pain. Painful spot in the occiput. Humming around the temples. * Falling off of the hair. (a. 24 h.) Oppressive and tearing headache, especiallyover and on the top of the head. Pressure on the left eyebrow. Pressure upon the eyes, as if they were deep in the orbits (with tearing headache extending downwards from the forehead, or from the ear through the occiput.) (a. 3 h.) Short violent pressure close over the nose, in the forehead, in frequent paroxysms ; the headache becomes tearing, and leaves behind it a certain obtusion of the head. Painful pimple on the forehead. Red pimple on the middle of the forehead, close to the hair ; it feels sore when touched, but does not suppurate.

Eyes p. 25

50. Pressure and biting in the eye, as from dust which had got in. Tearing and lachrymation of the eyes. Pressure upon the eyes, which can only be opened with difficulty ; pain of the eyes, as if they had been closed too firmly, especially early in the morning. *Distended veins of the white of the eyes. Tearing, or short tearings in and around the right eye.

55. Burning pain in the right eye. (a. 10 h.) Burning in the eyelids. Itching of the eyelid, as if a stye would form there. Intolerably itching titillation around the eyes. *Turbid sight, as through a mist. (a. some h.)

60. Great obscuration of sight, (a. 3 d.)

Face p. 25

Spasmodic trembling of the muscles of the face. Spasmodic twitchings of the face, in the evening, when in bed. Flying heat in the face. Jaundice-colored face.

65. Pimples in the face, having no sensation. Gnawing and tingling itching in the face. Tearing in the upper part of the face, especially near the right wing of the nose. Red spot on the cheek, without any sensation. Pimples and itching in the whiskers.

70. Tension of the cheek, as from swelling. (Painful swelling of the cheek on the upper jaw, with throbbing in the gums. (a. a few hours.)

Ears p. 25

Tearing in the right ear early in the morning, and frequently at other places.

75. * Roaring and * whistling in the ear, in the afternoon, (after 4 d.) (Snapping, as of a spark from the electric machine, and noise as when winding up a watch.) Deafness of one ear. Hearing decreases every day, five days in succession, (a. 6 d.) Violent tearing pain in the lobule and behind it.

Nose p. 25

80. Cramp of the right wing of the nose, towards the malar bone. (Great dryness of the inside of the nose, although air passes through easily.) Dried blood gathers in the nose. (a. 16 h.) Bleeding at the nose early in the morning. Hot lips.

Jaws and teeth p. 25

85. Spasm of the lower lip, and sensation as if it were being pressed against the gums and torn away. (Pain in the corners of the mouth, as from excoriation.) Stitching aching in the jaws. Pain in the jaws, as if they were being screwed together or asunder. Drawing pain, at times in one, at times in another tooth ; the pain increased by warmth, was suppressed by cold for a few moments, did not become worse by chewing, and went off after a meal ; the gums, on the inner side, were swollen.

90. Considerably swollen and painful gums. Pain in the hollow tooth, in the evening. Pain in the hollow tooth, especially in the open air, as if the nerve were being touched. After dinner, pain in a hollow tooth, more lancinating than tearing, for half an hour. (a. 5 h.) Clawing traction in the upper right molar teeth.

95. Grinding ache, apparently under the left lower molar teeth ; in the evening, when in bed. Drawing pain, sometimes in the teeth of the right, sometimes in those of the left side. Traction in the incisor tooth, as if a current of air rushed into the tooth, causing a stitch there. Bleeding of the teeth. Unusually copious bleeding from the lower teeth of the right side.

100. Pain of a submaxillary gland, which looked swollen, (a. 3 d.)

Mouth p. 26

Fetid odor from the mouth. Tongue, mouth and lips feel quite numb and dry, early on waking up. Great dryness of the mouth, early on waking up, accompanied by a total want of thirst, for several days. Smarting, and sensation of excoriation in the interior of the mouth ; pain prevented her from eating any thing acrid.

105. Blisters in the mouth, which pain one as if the place were burnt. The tongue is coated grayyellow. Tuberculous growths under the tongue, which feel sore. Feeling of contraction in the salivary glands, during a meal, especially when swallowing the first mouthfuls.

Throat p. 26

Rheumatic pain in the back part of the tongue and fauces, between the acts of swallowing.

110. Tearing pain of the palate, as far as into the left ear. Sensation of rawness in the region of the velum pendulum palate. Rawness of the throat. Rawness of the throat, as in a cold, for some days.

115. Sensation in the throat, as if she had something lodged in it. Tearing in the interior of the throat, and in the back part of the fauces. Sense as of biting in the back part of the fauces, between the acts of swallowing. Pressive, biting pain in the back part of the fauces, from time to time. Sore throat, as if something impeded deglutition, (a. 8 d.).

120. (Sore throat, not when swallowing food, but during an empty deglutition and when there is pressure from without, accompanied by tension of the cervical glands, as if they were swollen.) (a. 4 d.) (Sore throat, produced by a draft of air there are stitches shooting from the neck into the right ear ; the parts are especially painful when moving the tongue.) Secretion of mucus in the throat, with roughness and rawness. Hawking up of mucus early in the morning. Choking and vomiting can hardly be avoided when hawking up phlegm from the fauces.

Gastric symptoms p. 27

125. Although he is used to smoking, yet smoking, although he smokes with pleasure, induces hiccough. Pretty insipid eructations, frequently in the afternoon. Frequent, empty eructations, (a. 3-J- h.) Violent eructations after dinner. * Frequently sour eructations, (a. 48, 72b.)_ 130. Audible eructations, tasting bitter. Heartburn, with suppressed eructations, when walking in the open air. Every evening, sense as of a spoiled stomach, and regurgitation of acrid substances as high up as the larynx, like heartburn. Bitter taste in the mouth, early when waking up. Sourish taste in the mouth, after drinking milk.

135. (Nausea after breakfast.) (a. 72 h.) (Nausea resulting the stomach.) (a. 24 h.)

Stomach p. 27

Qualmishness about the stomach. Burning in the stomach, (a. 3 h ) Burning in the region of the stomach, and higher up.

140. Pressure and burning below the scrobiculus cordis ; this symptom goes off by an eructation.

General symptoms p. 27

Anguish after dinner. After dinner, pressure in the pit of the neck, as if food were lodged there which will not go down. Tearing in the back part of the throat, and on the left side of the palate, during dinner. After a meal, shootings, first around the left, then around the right eye.

145. Oppressive obtusion of the head immediately after dinner, especially during motion. She had to lie down, in the afternoon, on account of a feeling of weakness in the stomach and vertigo, (a. 72 h.) Tension and pressure in the region of the stomach. Spasm of the stomach. Stitches and pressure in the region of the stomach.

Abdomen p. 27

150. Pressure below the scrobiculus cordis and in the hypogastrium, from time to time, also at night. Pressure in the epigastrium, hands and feet being cold. Pressure in the abdomen, which assumes the form of a clawing pain. Pressure in the umbilical region, with heartburn ; this goes off by an eructation. Pressure in the side of the abdomen, over the right hip.

155. Violent spasms in the belly. Continual pressure in the epigastrium, diminishing by walking in the open air, returning when sitting down. Pressure in the hypogastrium, several hours, remaining unaltered either when walking or sitting, (a. 6 d.) Aching in a small place in the right side of the abdomen, in the region of the liver ; the pain is not felt when touching the parts. Aching in the region of the liver.

160. Tension and inflation of the abdomen after every meal, even every time he swallows a drink. Distended abdomen, (after a few h.) Distended abdomen, (a. 5 h.) Compressive weight in the abdomen, early in the morning. The abdomen feels compressed.

165. Weight in the abdomen, and sensation as if the parts had been sprained and were suffering a pressure, coming from the spinal marrow. Pressure in the abdomen is followed by the emission of inodorous flatus. Clawing pain in the right iliac region. First, clawing pain in the belly, then, a little cutting in the epigastrium, which goes offby an eructation. * Trouble caused by incarcerated flatulence, occasioning a pain, especially in the left side of the abdomen. — 17©. After midnight he wakes up with a considerably distended abdomen, especially a distended hypogastrium, owing to incarcerated flatulence exciting a colic, or, at any rate, a violent pressure downwards ; this accumulation of flatulence disappears during the subsequent sleep, without any emission of flatus, the abdomen becoming easy. Fermentation, and audible rumbling in the abdomen, which, however, is not felt. Sense as of clawing in the hypogastrium, with violent fermentation and gurgling in the epigastrium, when lying in the bed early in the morning, diminished by rising, renewed by lying down again, especially when lying upon the back. Violent colic, in the evening. Colic, when in bed, after midnight, even during a general sweat.

175. Colic, with a soft stool, early in the morning, two mornings in succession, (a. 5 d.) Violent colic, with diarrhea occurring three times ; three days in succession, (a 5 d.) (Burning in the abdomen.) Sense of coldness on the abdomen. Coldness of one side of the abdomen, for two days, (a. 48 h.)

180. * Twitchings in the abdominal muscles, in the evening. Stitches over the hips, for two days. (a. 5 d.) Sharp pressure, or dull stitch over the right hip. When drawing the abdomen in, one experiences violent prickings in the hypogastrium, which may also be excited by pressing the parts from without. Stitching pain around the navel, when moving the abdomen, especially when drawing the abdomen in.

Stool p. 28

Frequent tenesmus, no stool ; this gives her a good deal of anxiety ; during this time the neighborhood of other people is intolerable to her. Tenesmus is followed by a clawing pain in the hypogastrium, especially of the right side. (a. some days.) Tenesmus of the rectum. Scanty stools, (a. 24 h.) * Constipation, (a. 4 d.)

190. (Traction in the rectum.) Itching of the anus. Itching of the anus. (a. some h.) Itching of the rectum. Itching and biting of the rectum which go off by rubbing.

195. Stitches of the rectum. Four ordinary evacuations within the space of a few hours, (a. a few h.) Copious, soft, light-brown stools, (a. 8 d.) (Ambra appears to improve stool which had been delaying heretofore a. 10, 15 d.) A quantity of blood is passed with the soft stool. (a. 7 d.)

200. Pressure deep in the hypogastrium, after the evacuation. (After every evacuation, one experiences a weakness about the pit of the stomach.) Tenesmus in the abdomen remaining after the stool, (he feels as if he had not yet done,) upwards of a minute.

Urinary organs p. 29

Pain in the rectum, and simultaneously in the bladder, (a. 5 d.) Sensation as if a few drops passed out of the urethra.

205. The urine is of a lemonyellow color, almost inodorous, a little flocculent. Brown urine. Whitish flocculent urine. A little urine, with a reddish cloud, without any thirst. The urine is dark-brown, and a little turbid, already so while being emitted, (a 20 h.)

210. The urine is turbid already ivhile being emitted, yellowbrown ; it formed a brown sediment, while the urine above it was yellow. Urine, with a reddish cloud. The urine obtains an acrid smell, after having stood awhile. Bloody urine, (a. 7 d.) Diminished secretion of urine (the first three days.)

215. Little urine, which deposits a reddish sediment, in a few hours. Frequent micturition, at night. Urgent desire to urinate, early after rising, he often cannot retain his urine. The urine he emits is three times the quantity of what he drinks, especially early in the morning, afterwards a dull pain in the region of the kidneys. Copious, bright-colored, cloudless urine, (a. 4 d.)

220. Burning in the orifice of the urethra and the rectum. Burning in the orifice of the urethra, (a. 6 d.) (Twitchings in the urethra) (a. 12 d.) (Twitchings in the testicles.) (a. 14 d.) Tearing in the glans.

Genital organs p. 29

225. Pain in the glans, as from ulceration. An itching pimple on the male parts of generation. Internal burning in the region of the seminal vesicles. Burning, biting, tickling and itching of the pudendum and the urethra, during micturition. Burning in the genital organs, with a few drops of blood being emitted, especially after a walk and hard stool.

230. Violent itching of the pudendum (less frequently of the anus) ; she has to rub the parts. Soreness and itching of the pudendum, even when she does not urinate. Swelling, soreness, and • itching of the labia pudendi. Itching of the glans, which continues when sitting, lying, standing, or walking. Vehement, voluptuously-delightful feeling in the interior of the genital organs, without any considerable erection or irritation of the external organs ; that feeling continues for hours, (a. 4 d.)

235. Violent erection, early, on waking up, without any voluptuous desire, the parts being externally numb ; when the erection subsides, there is a tingling tearing in the forepart of the urethra. The erections subside, (reaction.) The menses occur three days before the time. (a. 4 d.) The menses appear four days before the time. (a. 20 d.) Sensation in the abdomen as if the menses would come on, although they had appeared twenty-one days ago. (a. 2 h.)

210. Haemorrhage from the uterus, (a. 2 h.) During the menses, the left leg becomes blue from distended veins, and experiences a pressive pain. (Profuse leucorrhoea, at night.) (Discharge of bluish-white clots of mucus from the vagina.) Leucorrhoea consisting of thick mucus, increasing from day to day, each discharge being preceded by a stitch in the vagina.

Cold, catarrh p. 30

245. Sensation in the forehead and eyes, as when a cold is about breaking out. Headache when blowing the nose. # Obstruction of the nose, which feels sore internally. Great dryness of the nose, which continues a long time, accompanied by a good deal of biting in the nose, as if one would sneeze. Occasional sneezing, the nose being dry.

250. Tingling in the nose, as if one would sneeze. Frequently precursory indications of sneezing. She sneezes almost every day ; this never happened before. Dry coryza. Rawness of the throat, as in a cold.

255. Roughness and hoarseness of the voice ; tenacious mucus collects in the throat. Hoarseness ; rough, deep voice, alternating with thick phlegm in the larynx ; he easily throws it up when clearing the throat, or by a slight cough, (a. 10, 24 h.) Badly-smelling breath, early after waking up. Cough and coryza, accompanied by the expectoration of white mucus. Tickling in the throat, which induces coughing.

Chest p. 30

260. Cough only at night, produced by an excessive irritation in the throat — there is no cough by day. Cough excited by rawness of the throat. Accumulation of grayish phlegm in the throat, which it is difficult to hawk up ; accompanied by rawness of the throat. Tickling in the throat and the thyroid body, during the act of coughing. Burning and itching titillation, extending from the larynx down to the abdomen.

265. Pain in the side below the scrobiculus cordis, during a cough. Cough, every evening, with pain under the left ribs, as if something were dashed loose there. Nightly cough owing to an excessive irritation in the throat. Occasionally, considerable paroxysms of cough. * Violent convulsive cough, accompanied by frequent eructations and hoarseness.

270. A kind of whooping-cough, (a. 48 h.) Deep, dry cough, with accumulation of water in the mouth, and subsequent rawness in the throat. Sensation during the act of coughing, as of a sore place in the throat. Saltish expectoration, when coughing. "When coughing, there is a pressure in the umbilical region.

275. Sense of rawness in the chest. Burning in the chest. Burning in the external parts of the chest. Burning ache near one of the ribs of the right side ; it is aggravated by external pressure ; afterwards, a similar pain in the left mamma. Stitch in the chest, extending to the back, (after a few h.)

280. Violent, dull stitch in the right mamma, intercepting the respiration. Wheezing in the chest. Oppression at the chest. Oppression in the back, across the chest. Oppression of the chest and back, between the scapulae ; it subsides for sometime in consequence of eating.

285. Oppression at the chest, with much uneasiness the whole day. (a. 3 d.) Tightness of the chest ; she cannot breathe deeply, and the yawning cannot reach its natural termination. Anguish about the heart, increasing even to the extent of arresting the breath, with flying heat. Palpitation of the heart, when walking in the open air, with paleness of the face. Violent palpitation of the heart, with pressure in the chest, as if a lump were lodged there, or as if the chest were obstructed.

290. Feeling of pressure deep in the right half of the chest during a strong expiration ; the pressure is most painful at a small place. Pressure in the superior part of the chest, in paroxysms for three minutes. Pressure on the top of the chest. Pressure below (in?) the left half of the chest. Pressure in the praecordial region.

295. Aching in the chest, over the scrobiculus cordis, as if the parts had been bruised by blows ; relieved by eructations. Pain of the right, lowermost, true ribs, as if the parts had been bruised by blows, more towards the back. Rheumatic pain on the right side of the chest, below the arm. Tearing pressure in the left side of the chest.

Back p. 31

Violent pressure in the lower part of the small of the back.

300. Stitches in the small of the back, when sitting, (a. 8, 9 h.) Single, violent, sharp stitches in the small of the back, increased by the slightest motion. Painful tension in the muscles of the loins. Rheumatic pain in the back, on the right side. Pain in the back, as if the intestines were being compressed, with a heaviness in the back,#as if he were not able to right himself.

305. Burning in the left scapula. Stitches in the left scapula (the first days). Rheumatic pain in the right scapula. Drawing ache in the nape of the neck. Tearing in both shoulders.

Superior extremities p. 31

310. Tearing in the left shoulder-joint. In the evening there is traction in the shoulder ; it feels sprained and paralyzed. Violent, dull stitch in the top of the right axilla, (a. 2 h.) The arms easily go to sleep, *when lying upon them. At night, the right arm frequently feels *numb ; and goes to sleep.

315. The left arm often goes to sleep during the day, when at rest. Tearing in the right arm, early, for five minutes. Sense as of gurgling in the arm. Twitchings in the arm. (Paralysis of the right upper arm.)

320. Tearing in the right elbow. Tearing about the right elbow. Tearing in the right elbow and fore-arm. Drawing ache in the right fore-arm, as far as the elbow. The hands go to sleep at night.

325. *Cramp in the hands, (a. some h.) In the evening, the fingers are drawn crooked, (a. 7 d.) Paralysis of the hand, for a few minutes, (a. 6 d.) Weakness of the fingers, at night, so that he had to make an effort in order to press them against the palm of the hand, or to move them rapidly. Icy cold hands for a long time.

330. Painful coldness of the hands for a long time. Icy coldness of the hands, in the evening ; the hands feel chilly. Tearing in the interior of the middle portion of the right hand. Stingings in the hands and fingers, as of flies. Stitches, at times, in the right index ; at times, in the right thumb.

335. Itching in the palms of the hands. Rheumatic, pain extending from the posterior joint of the thumb through the metacarpal bone as far as the wrist-joint. Tearing in the muscles of the thumb. Tremor in the thumb, in the evening, in repeated short paroxysms. Tearing in the posterior joint of the left index-finger.

340. (The posterior joints of the fingers become stiff in the evening, and the posterior joint of the thumb becomes swollen, and is, then, painful on being bent ; this symptom is worse when she did not exercise her fingers during the day.) Tearing in the right index-finger. Tearing in the last two fingers, in the evening, before falling asleep. Traction in the fingers and the thumb. Tearing in the point of the little finger of the right side.

345. Tearing under the nail of the middle finger of the right hand. The skin of the points of the fingers becomes wrinkled, early in the morning. The wart on the finger feels sore. Itching of the tips of the fingers. There arises an itching little tetter between the thumb and the index finger.

350. Lancinating pain in the tip of the left thumb ; when touched only slightly, the part feels as if a splinter had been thrust under the nail ; this feeling decreases when the part is pressed upon. Tingling in the tip of the thumb, as if it had gone to sleep ; this symptom passes off for some time by pressing upon the parts.

Inferior extremities p. 32

Tearing in the left, and afterwards in the right hip. Tearing ache in front, close below the left hip. Sense as of a gurgling tearing behind, under the left half of the nates.

355. Tearing in the right half of the nates. Tearing in the left leg, early in the morning. Rheumatic tearing in the right leg. Heaviness of the legs. Tension in the thigh, as if the tendons were too short, especially when walking.

360. Straining and relaxation in the lower extremities. Feeling in the lower extremities, as if they had gone to sleep ; he has no firm step. (a. 8 d.) Tearing in the right knee. Traction in the knees and the malleoli. Paralysis of the knee for a few minutes, (a. 6 d.)

365. Pain as from a sprain, above the knee, especially after having been seated, (a. 5. d.) Itching of the knees. Stiffness of the bend of the knee, early in the morning, (the first days.) Soreness in the bends of the knees, which is most painful in the evening. Tearing under the left knee, in the upper part of the tibia.

370. There is more coldness in the legs, than on the legs. The right leg, especially the knee, is very cold. Cold feet. Very cold feet. Painful spots on both shins, (a. 28 d.)

375. (The legs, especially the feet, are very much swollen.) (a. 3 d.) Swelling of the internal malleolus of the left foot ; walking causes pain there, which, however, disappears by continued walking, (a.. 7 d.) Itching of the legs, over the malleoli, in the evening, when lying down ; after rubbing the parts, they feel sore and as if bruised by blows. Intermittent tearing in the left calf. Tearing in the lower part of the left leg.

380. Cramp in the legs, and almost every night, cramp in the calves. Sense as of grumbling in the calves and feet. Tingling in the feet, they feel numb ; after rising, he felt like fainting, his eyes saw dark; he could not remain up, he had to vomit and lie down again. Itching of the malleoli. Tearing of the malleoli.

385. Arthritic pain in the articulations of the foot. *When walking, pain in the articulation of the left foot. Tearing and stitches in the left foot. (a. 26 d.) Occasional stitches in the left foot. Tension in the left foot (at noon.)

390. Stiffness of the feet ; they feel weary and exhausted, (a. 6 d.) Arthritic pain in the ball of the big toe. Stitch in the ball of the big toe. Itching of the toes. Intolerable tickling of the point of the big toe.

305. Tearing in the middle toes of the left foot. Tearing in the external border of the left foot. *Pain in the heel when walking. Stitches in the heel. Itching of the inside of the soles of the feet, Avhich cannot be removed by scratching.

400. 'Violent burning of the soles of the feet. Pain of the corns, they feel sore.

General symptoms p. 33

The symptoms decrease by walking a little in the open air, but they return when sitting. Profuse sweat, when walking, mostly on the abdomen and the thighs. Sweat, the whole day. (a. 24 h.)

405. Itching, almost all over, even on the abdomen. The itch is reproduced upon the skin, with a good deal of itching. The tetters are reproduced. Burning in several places of the skin of the body. Early, on waking up, the skin feels numb and is insensible as far as the knees, without being cold ; the hands have but an indistinct sensation; the skin seems to have gone to sleep, but there is no tingling.

410. We can perceive the pulse in the body ; it feels like the tick of a watch. * Twitchings in the limbs. Uncommon twitching in all the limbs, and coldness of the body at night, (a. 5 d.) When walking in the open air, one feels an agitation in the blood ; the rapidity of the circulation increases, accompanied by greater weakness of the body. Uneasiness in all the limbs, like a tingling, accompanied by a sort of anguish, only by day.

Weakness and fainting fits p. 34

415. Early in the morning (in a room which was extremely heated) he suddenly felt so weak that he was not able to walk alone, hands and forehead being covered with a cold sweat. A good deal faintishness. (a. 8, 24 h.) * Faintishness, early in the morning, when in bed. Great lassitude in the legs, early in the morning. Weariness, all the limbs feeling sore.

420. Lassitude, which disappears by walking, (a. 5 d.) Heaviness in the body ; he feels weary and exhausted, (a. 7 d.) Failing of strength, the knees give way. (a. 3 h.) Weakness of the feet, they feel insensible, (a. 48 h.) She had to lie down on account of vertigo and a feeling of weakness in the stomach, (a. 72 h.)

Sleep p. 34

Disposition to stretch and to extend one's self. '(Sleepiness by day.) Sleeplessness before midnight. He cannot sleep at night, he knows not why. Sleeplessness for several nights ; slumber early in the morning, which is full of fanciful ravings.

430. Frequent waking up during the night. Frequent waking up ; at two oclock in the night, one is seized with a long uneasiness in the whole body, especially in the occiput. Falling asleep late ; afterwards * uneasy sleep — owing to a pressure in the epigastrium, especially on the right side. Pain over the eyes, with nausea, for several nights in succession ; the pain always comes on after midnight and lasts until seven or eight oclock. Rending ache in the forehead, coming from the occiput, in the evening, when in bed after having fallen asleep.

435. Heat in the head, the first half hour. Uneasiness in the occiput after midnight. He wakes up at night with a headache ; this goes off by rising from the bed. When waking up he feels faint, his mouth is dry, there is a good deal of pressure in the epigastrium which increases when lying upon the abdomen ; when the pressure has disappeared, he feels a tearing in the small of the back, which disappears in its turn, by lying upon the back. On waking up, about midnight, there are the following symptoms : weakness, nausea, violent pressure in the pit of the stomach and in the abdomen, violent erections without any voluptuous sensation, dryness in the mouth, and insensibility of the surface of the body.

440. Waking up early ; this is followed by a frequently interrupted, but very deep sleep, the eyes being tightly closed. Early in the morning, after waking up, when in bed, he feels very weary, especially in the upper part of the body ; there is obtusion in the head, and a sensation as if the eyes had been tightly closed, accompanied by a little nausea in the pit of the stomach ; he can scarcely prevail upon himself to rise. Weariness early in the morning, when in bed, with a sensation in the eyes as if they had been closed too tightly. At night, when asleep, he lies upon his back, with bent knees, the occiput being supported by both his hands ; these symptoms are accompanied by vivid dreams. Startings as with fright, in the evening, when falling asleep ; he imagines that there is too much light in the room ; he jumps out of his bed with a sort of anguish, (a. some h.)

445. Uneasiness for three nights in succession, with many dreams, (a. 5 d.) Vivid, uneasy dreams come on the moment he falls asleep ; they almost prevent him from sleeping, (a. 8 d.) The child's sleep is uneasy ; it talks while asleep, and desires to drink. * Uneasy sleep with anxious dreams, (a. 5 d.) Uneasy dreams at night ; they fill him with anguish.

450. He falls asleep late ; afterwards he has anxious dreams as if he were abused and too weak to defend himself; on waking up he feels a great weakness in the upper part of the body, accompanied by a clawing pressure under the pit of the stomach, nausea ; these symptoms appear when lying down and falling asleep again, and are then accompanied by pressure in the left side of the abdomen ; the symptoms, however, disappear when one is wide awake, sits up, and moves about ; they terminate with the emission of flatulence, fermentation in the abdomen, and eructation. Vexing, anxious dreams and talking while asleep, for eight days, (immediately.) Dreams full of stir. Uneasy sleep at night, owing to coldness of the body, and twitchings in all the limbs. Internal chilliness at night, which prevents him from falling asleep, or which rouses him from sleep at night : he did not get warm.

455. Chilliness and weariness, which gives him an inclination to go to sleep, four forenoons in succession ; this symptom went off by taking some dinner, (a. 72 h.) Chilliness, sleepiness, weariness, and dull headache ever since the morning ; the headache disappeared when walking in the open air. Chilliness, weariness and headache, after two diarrhoea-like evacuations. Slight chills before dinner (the first days.) (Cold skin over the whole body, except face, neck, and genital organs.)

460. Heat two evenings in succession, from seven to eight oclock, (a. 12 d.) Heat in the face and over the whole body, every quarter of an hour. (a. 5, 6 d.) Night-sweat, two nights in succession, (a. 6, 7 d.) Profuse night-sweat, two nights in succession, (a. 5 d.) General perspiration, after midnight, for many nights.

465. Good deal of moisture every night, almost like sweat. Moderate night-sweat over and over, the whole body being veiy warm. Sweat every morning, worst on the sick side. Very uneasy by day.

Moral symptoms p. 36

Uneasiness the whole day, the chest feeling oppressed.

470. The mind feels uneasy and agitated. Huniedncss in performing some mental labor. Irritated mood, as if one had weak nerves and were impatient. She is irritated, loquacious ; talking fatigued her, she was unable to sleep at night, got a headache, as if she carried a large load upon her head ; she felt oppressed at the chest, had to sit up in bed, and was attacked with anguish and sweat all over. Uncommonly long agitation of mind.

475. Talking irritates her, she is attacked with trembling through the whole body, especially in the lower extremities, and has to be alone for some time in order to rest herself. Music causes the blood to rush to his head. Lewd fancies, even when dreaming : the mind, and the sexual organs, however, do not feel excited by them, (first 24 h.) Distorted images, grimaces, diabolical faces crowd upon his fancy ; he cannot get rid of them. Anxious thoughts arise in his mind.

480. In the evening one feels a sort of anguish. Anguish and tremor, (a. 8 d.) Great depression of spirits, (a 6 d.) He is overwhelmed with sad thoughts, and feels a sort of qualmishness about the heart ; he feels sad for a long time. Great sadness, (a. 72 h.)

485. Despair, (a. 48 h.) Whining mood, followed by peevishness and quarrelsomeness, for two hours, he feels easily roused to indignation. Constant alternation of depression of spirits and vehemence of temper this prevents him from having a calm mood. One is indifferent to joy or grief, more depressed, however, than composed.

490. Great equanimity.1

Notes

1 She had been dangerously ill heretofore ; but this day enjoying for the first time excellent health, she had been taken to a concert, and°had there sang the passage from Beethoven, "Ah ! period," five hours before her betrothed, who was especially susceptible of mesmeric influences.

1 Note: Reaction of the organism.