Cannabis Sativa

(Mix the recent juice squeezed out of the tops of the plant, while blossoming, either male or female, with an equal portion of spirits of wine, and, in a few days, pour off the superincumbent liquid.)

Heretofore the seed had been successfully used as an emulsion or decoction in the inflammatory stage of gonorrhoea, and, by older physicians, against some kinds of jaundice. The curative powers of Cannabis in acute gonorrhoea, depend upon the faculty it possesses of producing a similar morbid condition in the urinary organs. In the country inns in Persia, the herb is used in a very successful manner, to relieve the fatigue of travellers on foot (see Chagrin, voyage en Perse ;) this result depends likewise upon the homoeopathic nature of the drug, as may be seen by symptoms 269 to 275.

Cannabis may be used with great success as a curative agent in various diseases of the genital organs, the chest, the organs of sense, etc. ; this is evident from the following series of symptoms.

Cannabis may be employed in the following affections : Hysterical conditions. — Convulsions ; tetanus. — Acne gutta rosacea (also Caust. Sepia. Led. Lach. Coc. Canth.) — Obtusion of the mental faculties. Mania. Melancholia. Gonorrhoea. Scrophulous ophthalmia, with excrescences of the lamellas of the cornea (in conjunction with ac. nitr. and calc. carb.) — Specks upon the cornea, remaining after scrofulous ophthalmia ; old specks and ulcers in the cornea, incipient leucoma. — Pannus. — Cataract traumatic. — Chronic vomiting. — Gastralgia. — Induration of the liver. — Colic. — Ascites. — Constipation, with retention of urine, phimosis. — Acute and chronic affections of the urinary organs. Nephritis. Cystitis. Gravel (in alternation with rosa canina.) — Dysuria. Hematuria. Impotence. Abortus. Sterility. Leucorrhcea. — Fluor Albus. — Periodical asthma. — Pneumonia, brought on by violent exercise (short, oppressed breathing, owing rather to aching, than stitching pains, cough, with tough green expectoration, palpitation of the heart, with anguish, sympathetic affection of the large vessels ;) peripneumonia. — Carditis. — Cramp in the calf.

The medicinal powers of the hemp from southern regions, are more marked than those of the northern hemp.

Head p. 199

Vertigo when standing, with dizziness. Vertigo when walking, as if one would fall sideways, (a. 1 h.) Sensation as of turning, and stupid feeling in her head (immediately.) Dulness and reeling sensation in the head.

5. Vertigo. Obtusion and gloominess of the head. Uncertainty of the mind ; the ideas become overwhelmingly vivid. Inability to recollect, without any imagination. His ideas seem to stand still; he stares ; he feels as if he were absorbed in higher thoughts, but he is not conscious of them ; accompanied by a slight sensation of headache in the region of the parietal bone.

10. He is indeed able to recollect this and that thing ; but his ideas remain stationary, while he is fixing with his mind's eye the subject that he intends to treat. He frequently uses wrong expressions in writing. Agreeable warmth in the brain. A sort of jerking sensation in the blood of the head, chest and stomach. Considerable rush of blood to the head.

15. Rush of blood to the head, occasioning an agreeable warmth in the head, with headache in the temples. Throbbing pain, extending into the right temple ; accompanied by a warmth around the head ; the cheeks are red and hot ; the nausea increases in the warmth. Violent headache. Piercing headache. Uninterrupted headache the whole day. Continual headache on the top of the head, as if a stone were pressing upon it. Obtusion of the head ; it feels heavy ; she suffers with such a painful pressure on the forehead and eyelids, that they threatened to become closed. Pressure under the frontal eminence deep through the brain into the occiput. When in the opposite side, in the head. Pressure in the temples.

25. Aching in the right side of the occipital bone. Tension, first in the occiput, afterwards in the forehead, lastly in the temples, (a. £ h.) Painful feeling in the head and nape of the neck, when moving the head. Drawing pain in the occiput, towards the ears. Painful constriction of the forepart of the head. The forepart of the head feels compressed from the margin of the orbits as far as the temples; stooping does not relieve the pain. Throbbing from within outwards under the left frontal eminence ; shortly afterwards a stunning pressure is felt at this place. Cold sensation at a small place of the parietal bone (afterwards also at other places of the head,) as if a drop of cold water had. been dropped upon it. Creeping in the skin of the hairy scalp. A sort of titillating spasm in the temples, (a. * h.)

Eyes p. 200

35. Sensation as if the eyebrow were being depressed. Pressure, with tearing on the upper eyelid. Alternate dilation and contraction of the pupils in one and the same light, (a. 1 h.) Feeling of weakness of the eyes and sight ; both near and distant objects are indistinct, (a. \\ h.) * The cornea becomes non-transparent ; pellicle upon the cornea.

40. A circle of white-flaming irradiations by the side of the visual ray, which causes him to see objects only half and indistinctly. Cataract. Pressure from within outwards in the back part of the eyes. (a. f h.) Sensation of spasmodic drawing in the eyes. (a. £ h.)

Face p. 201

Slight jactitations in many places of the face, especially in the left buccinator muscle.

45. Pale countenance. Drawing pressure in the region of the left zygoma. Itching in different parts of the face. Tingling, itching, and smarting as of salt, in the face.

Nose p. 201

Large nodosity on the nose, surrounded by red swelling, like acne rosacea.

50. Itching swelling of the wing of the nose (in a few h.) Dryness in the nose. Stupefying pressure, as if with a dull point, on the root of the nose. Feeling of warmth in the nose, as if it would bleed. Hemorrhage from the nose, unto fainting.

55. * Bleeding at the nose.

Ears p. 201

Roaring in the ears. Sensation as if a pellicle were stretched across the ears. Momentary pain, as if the ear were being pulled out of the head. Intensely painful darting in the right tympanum, extending into the shoulder.

60. Pain, as from excoriation, in the external cartilage of the ear, which he had probably pressed upon somewhat when in bed at night. Tingling in the ears. Throbbing in the ear. Throbbing, pushing pain in the ear, almost extending into the cheeks, disappearing when stooping, and quickly reappearing when raising the head again, (a. 3 h.) Stitches in the external meatus auditorius, when masticating.

65. Fine stitches in the left ear from within outwards. Pain behind the ear, as if a dull point were being pushed in there with force. Long, sharp stitches in the mastoid process.

Jaws and teeth p. 201

Stupefying, compressive pain on the left side of the chin, which affects the teeth of that side. Cramp-pain in the left teeth.

70. Grumbling in the ramus of the left lower jaw, always followed by a drawing sensation. Grumbling pain in different teeth at the same time.

Mouth p. 201

Eruption in the vermilion border of the lips, and the corner of the mouth. Pinching pressure in the cervical muscles above the throat. Difficult speech. His speech was more like a clangor than human voice. He was unable to talk naturally ; at times he lacked words, at times the voice itself failed him (for four hours ;) towards evening the attacks returned ; at times he uttered torrents of words, as if he were driven ; at times he uttered the same expression ten times in one breath ; sometimes he repeated the whole idea, and was very angry when he was not able to repeat it exactly as he had said it at first. Elevation of voice, accompanied with excessive anguish and torture, owing to pain in the back. Early in the morning, burning dryness in the palate. Burning in the throat.

80. Dryness in the mouth ; viscid saliva : absence of thirst, especially in the evening, and hot hands.

Appetite and gastric symptoms p. 202

While eating something which he relishes very much, and having nearly eaten enough of it, an inclination to vomit rises into his throat. Gulping up of a bitter-sour, rancid fluid. Tasteless water rises into the throat and gets into the larynx, which produces a suffocative sensation ; however, there is neither nausea nor retching. Eructation, with rising of a bitter-sour liquid into his mouth

85. Rising- of mere air. A sort of retching sensation rises constantly into his throat, as if there were acidity in the stomach. A sort of retching in the pit of the stomach, rising into his throat. Nausea : she feels a desire to vomit. Vomiting of a slimy, bitter-tasting water ; accompanied by a scraping sensation in the throat, followed by dullness and obtusion of the occiput

90. Green, bilious vomiting. Anguish in the pit of the stomach, with oppressed breathing and palpitation of the heart ; rising of warmth in her throat, arresting the breathing, as if something were lodged in the trachea, accompanied with flushes of heat. Fulness in the abdomen, obliging one to take deep inspirations. Cardialgia. Pinching in the pit of the stomach

95. Cutting in the pit of the stomach. After stooping, a cutting sensation across the upper part of the stomach. Uninterrupted, dull stitches in front, below the ribs, by the side of the pit of the stomach, sometimes varying in intensity ; the pain is momentarily diminished by moving the trunk either forwards or backwards, but it soon returns. Burning, painful stitches on the right side near the xiphoid cartilage. In the left side, below the ribs, dull stitches during and between the inspirations.

Stomach p. 202

At different times violent attacks of pain in the stomach, with paleness of countenance and sweat of the same, pulse almost extinct and rattling breathing like that of a dying man. Ulcerative pain of the stomach, when touching it ; it goes off after eating. He feels as if he had caught cold in his stomach ; in the afternoon especially, he feels a moving and pinching in the abdomen ; without any diarrhoea.

Abdomen p. 202

Pinching above the umbilicus (after a meal.) Sensation below the umbilicus as if he had caught cold, several mornings in succession, from 8 to 10 oclock ; he felt a moving about in his abdomen, without diarrhoea

105. Pinching in the abdomen and cutting in the loins. Pinching in the whole abdomen. Anxious throbbing in the epigastrium, like strong pulsations. Pain on the right side near the umbilicus, as if there were a beating from within outwards. Beating as with a little hammer, from within outwards, in the left side under the last ribs, towards the back

110. Pain on the left side near the umbilicus and likewise by the side of the dorsal spine, as if the parts were being pinched by a pair of pincers. All the intestines are painful as if they were bruised. Shaking of the intestines during a violent motion of the arms, as if they were loose. A kind of sore itching in the region of the umbilicus, for several hours, which is much more painful after friction. -Tickling sensation of the integuments of the abdomen, (a. \ h.)

115. Shuddering in the abdomen, as if cold water were moving through it. (a. 8 minutes.) Squeezing from within outwards in the side of the abdomen. Painful, hard swelling in the right hypochondrium. Swelling of the abdomen, without any swelling of the lower limbs. Abdomen and chest are painful externally

120. Drawing pain from the region of the kidneys to the inguinal glands, with anxious and sick feeling in the pit of the stomach. Ulcerative pain in the region of the kidneys, both when touching the parts or no. Sharp pushes in the side of the abdomen, close below the ribs. Q,quickly passing, pinching stitches in the abdomen. Movement in the abdomen, followed by dull stitches in the left side, extending into the ear

125. Incarceration of flatulence in the upper and lower parts of the abdomen, until evening, accompanied by colicky pains. Painful jerkings in the abdomen in successive places, as if something alive were in it ; accompanied by a "drawing from the left to the right os innominatum, and thence into the knee ; the pain remaining at the same time in the hip, where it is felt like pushes, with tearing. In the evening, when in bed, she feels a few dull stitches in both sides of the abdomen ; the pain then darts upwards along the back, terminating in stitches between the scapulae, and afterwards returning to the sides of the abdomen. Intensely painful pushes over the left groin. Pricking on the right side of the mons veneris.

130. A few darting pushes in the region of the pubic arcade, after which the region of the abdominal ring feels stretched wider, and the ring itself as if it were being pressed outwards. Pressing from within outwards in the abdominal ring, accompanied by ulcerative pain. Emission of a quantity of almost inodorous flatulence. Colicky pains in the epigastrium, followed by diarrhoeic stool and smarting in the anus, as if the parts were excoriated.

Stool p. 203

Regular stool the first five days, * complete obstruction the two next.

135. Pressing in the small of the back and rectum, as if the intestines were descending and were being pressed out ; when sitting. Sensation in the anus, as if something cold were dropping out along the skin. Contractive pain in the anus ; accompanied by a sensation as if the thighs were being drawn towards one another, so that she is obliged to close them. Itching of the perinaeum.

Urinary organs p. 204

Desire to urinate with aching pain.

140. Urine white and turbid. Difficulty to urinate ; paralysis of the bladder.* Urine full of filaments as if pus had been mixed with it. Enuresis : he is obliged to urinate frequently, at short intervals, emitting a large quantity of urine resembling water, (immediately.)

145. Tearing, as if in the fibres of the urethra, like zigzag. Itching, tingling stitches in the forepart of the urethra. Burning stitches in the posterior portion of the urethra, during the emission of urine, (a. 10 h.) * Pain, during micturition, from the orifice of the urethra until its termination at the bladder, burning-smarting, rather stinging posteriorly. * Simple, but violent burning in the forepart of the urethra, during the emission of urine.

150. Burning in the orifice of the urethra during micturition. Burning during micturition, especially immediately afterwards. Burning during micturition, especially however afterwards and worst in the evening. During micturition he feels a pain from the glans to the termination of the urethra, burning in the beginning, and afterwards smarting. Between the acts of micturition a sort of burning pain in the forepart of the urethra, exciting a constant desire to urinate, although there is no urine left in the bladder.

155. Stinging-smarting pain during micturition ; biting pain between the acts of micturition. Between the acts of micturition, a desire for an emission of urine in the forepart of the urethra. Stitches along the urethra, between the acts of micturition. Darting stitches in the posterior portion of the urethra, when standing. Burning in the whole of the urethra, at the commencement and termination of micturition.

160. Fine stitches, with a sensation as of pecking, in the forepart of the urethra, between the acts of micturition. Cutting pain in the forepart of the urethra, during micturition. Discharge of watery mucus from the urethra. Painless discharge of a clear, transparent mucus from the urethra (prostatic juice?) without erection. Closing of the orifice of the urethra by mucus, which becomes visible when pressing upon the part.

165. The penis is somewhat swollen, without erection. * The urethra feels inflamed, and is painful through the whole of its length, when touching it ; tensive pain during an erection. * Spreading stream. Frequent erections, followed stitches in the urethra. * Painless discharge of mucus from the urethra (a kind of gonorrhoea ?)

Genital organs p. 205

Swelling of the glans and penis ; a sort of erection without sensation. Coldness of the genital organs, with warmth of the rest of the body (on the same day, continuing three days.) Aversion to an ambr. — amel75. Swelling of the right and lower side of the prepuce. Swelling of the frgenulum and prepuce, especially at their union. Agreeable itching of the margin of the prepuce, and the orifice of the urethra. Disagreeable itching of the anterior border of the right side of the prepuce, more towards the inner side ; it becomes pleasant during and after scratching. Itching of the lower part of the prepuce and the fraenulum, with some redness and humor behind the corona glands.

180. The whole prepuce is dark-red, hot and inflamed. Smarting, as from excoriation, of the margin and inner side of the prepuce. Continual burning of the whole prepuce and glans, for four days ; bathing the part with cold water brought on a pain, as from excoriation. Corrosive burning and stinging of the outer parts of the prepuce and of the urethra in the region of the corona glands. Soreness of the margin of the prepuce.

185. The glans is dark-red, the same as the prepuce. The skin of the prepuce is covered with bright-red spots, of the size of a pea ; they are brighter than th glans itself. When walking, the whole penis feels sore and burnt, (it had to be suspended.) Formation of humor behind the corona glands, round about. Painful piercing pushes in the right side of the penis, both when at rest and. in motion.

190. Tensive pain in the spermatic cord, when standing, and contraction of the scrotum, with a contractive sensation inside. Sense as of pressure in the testicles, a sort of dragging, when standing. Swelling of the prostatic gland. Great excitation of the sexual instinct, accompanied by sterility. Excites the sexual instinct of both men and animals.

195. Profuse menstruation. Confinement in the eighth month, accompanied by frightful convulsions.

Cold, catarrh p. 205

Dryness, and sensation of dryness in the nose. (a. 5 d.) Sensation of dryness and heat in the nose. Sneezing, and. sensation of dry coryza ; the nose, however, is not stopped up.

200. Early in the morning, tough mucus is lodged in the lower part of the trachea ; it cannot be hawked up ; he makes great exertions to loosen some of it ; nevertheless this does not get into the mouth, and has to be swallowed ; after the coughing and hawking, a sense as of scraping remains in the trachea, as if it were raw and sore ; finally the mucus gets loose, and he has to throw it off. Early in the morning, she feels a rawness in the chest, as if she had swallowed salt ; she has to make an effort at raising something, but that which is got loose, does not get into the mouth, and has to be swallowed. Towards the seventh day the mucus, which was tough previously, becomes loose, and the difficulty of breathing, which she had felt up to this moment, diminishes at once, (he had felt as if his chest had been oppressed by a board.) Oppressed breathing, owing to a tensive aching in the middle of the sternum, which is also painful to the touch at that place ; accompanied by drowsiness. Her breathing is labored ; she feels as if a load were oppressing her chest.

205. Her chest feels oppressed ; she feels a sort of anxiety in her throat ; she has to fetch a deep breath. Violent pinching under the sternum, in the lower part of the chest, which does not hinder breathing ; it disappears when bending the head backwards, and is most violent when stooping, and, while stooping, worse during an inspiration. A sort of pushing in the left side of the chest, without oppression of breathing, with intermittent, dull stitches, a sort of pressing inwards. Pushes or beatings in both sides of the chest, frequently recurring and arresting the breathing at the same time, most painful in the region of the heart. When taking exercise, or when stooping, he experiences a few violent shocks against the heart, as if it would fall out ; at the same time he felt warm about the heart, (a. 48 h.)

210. She feels a throbbing in the left side in the region of the ribs. Sense, as of hammering, from within outwards, under one of the cartilages of the ribs, near the sternum. Sense, as of burrowing, under the upper part of the sternum, without arrest of breathing. Drawing pain in the region of the left last rib. Stitches in the integuments of the chest.

215. Cutting, transversely across the integuments of the chest. Tensive dullness of the left half of the chest, with soft jerkings, palpitation of the heart, and oppressiveness. Nodosity on the xiphoid cartilage, growing for two years, without causing any pain, and afterwards causing difficulty of breathing. The beating of the heart is felt in a lower place than usual. Pain in the region of the heart.

220. Asthma. Difficult respiration, without any expectoration. Difficult breathing. Orthopnoea ; he was not able to breathe, except with his neck stretched, with wheezing in the trachea, and by greatly distending the abdomen. Difficult respiration when lying down.

225. Inflammation of the chest and lungs six or seven times in succession. * Inflammation of the lungs, with vomiting of a green, bilious substance. * Inflammation of the lungs, with delirium. Painful pricking in the right nipple. Cough, excited by expiration.

230. Short and hacking cough, occasionally, commencing in the pit of the throat, a cool, salt liquid being felt in the lower part of the throat. Continual cough. Dry, violent cough.

Back p. 207

Pressure, as with a sharp point, on the os coccygis. Pain on the left side of the os coccygis, in the bone, as if that part were being pressed violently against a hard body.

235. Violent aching, and fine, painful stinging, for fifty days, in the vertebrae, at the base of the chest : the pain sometimes darted towards the loins or the scapulas. Dull stitches in the left side of the back, below the last rib, slowly coming and going. Pain in the middle of the back, as if some one were pinching the part with a pair of pincers ; the pain extending gradually towards the abdomen. The pain in the back frequently arrests the breathing. On the right side of the scapula, itching, fine stitches, going off after scratching.

240. Burning, under the right scapula. Lancinations, as with a knife, in the lower part of the nape of the neck. Drawing in the nape of the neck, along the cervical vertebras, from below upwards. Drawing, from the nape of the neck to the ear, resembling a cramp, and rather externally.

Superior extremities p. 207

Pressure, with tearing, on the top of the shoulder, at intervals.

245. Pressing upon the part between the end of the clavicle and the head of the humerus, causes a pain which darts into the fingers. When extending the arm, sensation in the shoulder, as if it were bruised. Crampy contraction of the right hand, going and coming. (The wrist-joint feels dead ; he was unable to move his hand.) Cramp-like contraction of the metacarpal bones.

250. Dull stitch in the palm of the hand, over the carpal bones. Coldness, and feeling of coldness of the hands. Cramp in the joint of the thumb, while writing. Tingling in the tips of the fingers, as if they had gone to sleep, and as if they were pithy, (immediately after taking the medicine.) Sudden, paralytic weakness of the hand ; when eating, he was unable to hold his fork ; the hand trembled when holding something ; the hand seemed to be awkward, and felt a paralytic pain.

Inferior extremities p. 207

Pimples on the nates and thigh ; small, white vesicles, with large, red, smooth border, burning like fire, especially when lying upon them and touching them ; at the end of two days, they leave brown-red spots, which are very painful to the touch. A darting, strangling cramp-pain in the right hip, extorting almost a cry. Intensely painful, sharp prickings in the flesh of the thigh, near the womb. Thrills of shuddering on the thighs, (immediately.) Shuddering on the right thigh, as if goose-skin would form.

260. Painless, crampy sensation on the back part of the right thigh, as if a muscle would begin to twitch. Continued pressure, in front, on the middle of the thighs, when sitting. Frequent chills of shuddering on the feet, from below upwards. Prickling burning on the left knee, at intervals. Cramp in the calf, when walking.

265. When walking, drawing, like cramp, in the bend of the knee, along the inner hamstrings. When going upstairs, the patella suddenly starts out of its normal position, and somewhat overlaps the tibia. The right leg is first difficult to move, then paralyzed, so that there is less motor than sentient power. Burning in the right tibia when standing. Painful sudden peckings in the dorsum of the foot.

270. Painful, tensive stretching in the bend of the foot. Drawing to and fro in the left foot, from the toes to the ankles. Drawing and pressing in the heel, when sitting. Drawing in the ball of the right big toe. Stinging itching in the ball of the left big toe.

General symptoms p. 208

275. Rheumatic drawing in the periosteum of the long bones, as if they had been bruised by blows, during motion. Superficial pinching in various parts of the flesh, as if the parts were seized with the fingers. Tearing, contractive pressure about the left knee, in the forehead, and in several other parts of the body. Prickings, as with a thousand needles, over the whole body, at night, when in bed, and getting into perspiration ; he cannot endure it ; first he feels it in a few places ; after removing the sensation by scratching, he feels it in other places ; this symptom is accompanied by great anguish, and a sensation as of having hot water repeatedly thrown over him ; the symptom subsides upon uncovering himself. Tearing pushes, and deeply penetrating lancinations in different places, especially in the limbs.

Fits, weakness p. 208

280. Hysteric symptoms. Tetanic spasms of the upper limbs and the trunk, from time to time, continuing a quarter of an hour ; during the spasms he vomited a yellow fluid, and was somewhat deranged. (The spasms resulted in paralysis and death. The post-mortem examination revealed pus in the kidney ; thickening of the coats of the bladder ; congestion of the blood-vessels of the diaphragm ; water in the convolutions of the brain, none in the ventricles.) After a meal, he feels weary and indolent ; every thing fatigues him, even talking and writing. Her feet feel heavy after a meal. Immediately after a meal, he feels tired in all his Limbs, and experiences a tearing pressing in the left side under the short ribs ; the place feels sore when pressing upon it.

285. Indolent feeling in every part of the body. He is indolent and weak, yawns a good deal and stretches himself, as if he would sleep. Great weakness after little exercise ; after going up stairs, he remained for a long while lying on the sofa quite exhausted, before he was able to move about again, and to talk freely. She feels sick in her whole body ; cannot remain up ; has to lie down, owing to weariness and heaviness of the limbs. He fears lest he should sink down, owing to a sudden weakness of the lower limbs ; he staggers when performing the least motion ; however, his walk appears to be more steady, (a. 3 h.)

290. Weariness, vacillation and dull pain in the knees, (a. 1 h.) Want of strength of the whole body.

Sleep p. 209

Continual, frequent yawning for a quarter of an hour. (a. 1-J- h.) Drowsiness by day. Unconquerable drowsiness in the forenoon.

295. Drowsiness the whole day. Sleeplessness. Sleeplessness after midnight. Restless sleep. In the night he is waked from his slumber by frightful dreams, without knowing where he is.

300. (He has great fear of the bed ; nevertheless he lies down in his bed afterwards.) Restless sleep at night, frequent waking, confused, sometimes anxious dreams, emission of semen, followed by light sleep. He dreams of accidents which happen to other people. Disagreeable and frightful dreams ; he succeeds in nothing, and every thing fills him with great anguish. He has confused dreams every night ; he recollects them after waking. Up.

305. Vivid, horrid dreams ; they do not give him any anguish ; he maintains a sort of presence of mind. Early in the morning, after waking from an uninterrupted sleep, he feels more tired than he did the evening before, when lying down.

Fever p. 209

Small pulse. Slow pulse, scarcely perceptible. Chills.

310. Fever, chills, with violent thirst; after drinking, shaking, coldness of the hands, knees and feet ; accompanied by hurriedness, tremor, distortion of the face ; at times weeping, at times joyous, at times furious mood ; he was angry at all things, they made him mad ; at one time the chilliness was mingled with warmth in the back and feet, which perspired somewhat, but were not warm to the touch. Chills, with thirst. without any subsequent heat or sweat, in the afternoon, (a. 52 h.) The whole body is cold, the face becomes warmer and warmer. Warmth, and feeling of warmth in the face. Sweat on the forehead and neck, in the night.

315. Thrills of shuddering over the trunk, accompanied with a certain sense of uneasiness, at short intervals. Thrill of shuddering over the whole body ; it likewise reaches the head, and draws the hairs together as it were. Chilliness for several hours (immediately.) His limbs feel cold to the touch, he trembles from chilliness. Orgasm of the blood.

Moral symptoms p. 210

320. Nothing gives him any pleasure ; he is indifferent to all things. Low-spirited in the forenoon, cheerful in the afternoon. Sadness. Bright mood, as from an excitement by liquor, (a. 1 h.) Unsteadiness and* vacillation of temper.

325. Anxious mood. Even a little noise causes him to start, (a. 14 h.) Out of humor, especially in the afternoon. Mental derangement, partly with merry, partly with serious mood. He gets vehemently mad even at trifles.

330. Sometimes he is attacked with a furious frenzy, so that he spits into people's faces. *) A poultice upon the head produced convulsions, subsultus tendinum, death. The post-mortem examination revealed tubercles and pus in the lungs, inflammation of the pleura and diaphragm, polypi attached to the ventricles of the heart.

Notes p. 204

* The urine had to be drawn off by the catheter ; but afterwards it could not even be drawn off by the catheter, on account of its becoming clogged with mucus and pus.