Cinchona

In the use of Cinchona physicians have constantly started from a false principle, and have thus confirmed the accusation which I have brought forward against them before the enlightened portion of the public : that the generality of physicians, have omitted to perceive that medicine is, by its object and nature, a science derived from and based upon experience, and that they have substituted delusive conjectures, theoretic dogmatism and accidental opinions in the place of impartial observations, pure experiments, and the wisdom acquired by practice.

Avoiding conjectures, and traditional, unverified opinions, I determined to ascertain by experiment the pathogenetic action of Cinchona upon the human body'-, and I found that, as certainly as it cures certain cases of disease, as certainly may it produce morbid symptoms of the most violent kind in the human organism, and lasting a long while. By this means I have refuted the erroneous notion which has been hitherto entertained of the harmlessness, innocent mildness and universality of the curative powers of Cinchona.*

In looking over the subjoined list of symptoms, which have been elicited from Cinchona by conscientious and healthy provers, it will be seen that the pernicious effects of that drug, and the frequently incurable aggravations of the original disease produced by prescriptions of which Cinchona was the chief ingredient, were owing to the excessive quantity in which the drug was administered, and because it was not suited to the case. Previous to these provings, physicians did not know that the aggravations which they, in their kindness to themselves, mistook for a natural and unavoidable development of the disease, were medicinal symptoms inherent in Cinchona.

But I forbear censuring those who have abused Cinchona, and I proceed to lay my own views of the nature and action of that drug before my readers :

3. If the homoeopathic law be correct, which is the case ; if it be a truth founded in nature that diseases can only be safely and permanently cured by remedies the pathogenetic symptoms of which are similar to those of the disease, we shall find, in looking over the symptoms of Cinchona, that this drug will cure only a small number of diseases.

Is that health ? It is not intermittent fever, I grant ; but I say, and I challenge contradiction when I say so, it is not health ; on the contrary, it is another and worse disease than intermittent fever ; it is a Cinchona-disease, worse than intermittent fever, otherwise this could not have been suppressed or rather suspended by it.

And even if the organism recovers from this Cinchonadisease in a few weeks, in this case the intermittent fever reappears in a worse form, the organism having suffered so much.

Our physicians, not knowing when Cinchona is suitable, their cures by means of Cinchona are suppressions of the original affection by exciting a more violent Cinchona-disease, which is said to be a development of new symptoms, and a proof of the obstinate and malignant nature of the disease, the genuine symptoms of Cinchona not being known.

Physicians who are unwilling to lull their consciences to sleep, and whose hearts still vibrate for the well-being of their fellow-men, may learn from the subjoined list of symptoms, under what circumstances and in what conditions of the system Cinchona can be used with benefit and success.

There is one species of abuse of Cinchona bark which is absolutely intolerable and unjustifiable ; it is practised by the adherents of the pretended rationalist school in medicine, in giving Cinchona for every sort oi weakness.

Let me appeal to the conmion sense of those practitioners, and ask them how they can dare to use bark in that host of diseases which are characterized by weakness, either per sc, or where it has been superadded by the so-called regular treatment ? How can they imagine that a sick man can be strengthened whilst he is yet suffering with his original disease, which is the source of his weakness ? Have they ever seen a patient recover from his original disease by the use of a really suitable remedy, who did not recover his strength in proportion as the disease left him ? But if the weakness of the patient can only be removed by curing the disease, and if, on the other hand, that weakness must necessarily remain with the disease, how wrong and absurd must it appear to every intelligent man, that an attempt should be made to strengthen the patient by 'bark and wine, whilst the disease is yet upon him ! These practitioners are unable to ewe the patient, but they undertake to strengthen him, even when left uncured. If bark have power to invigorate every patient, in that case it ought also to be a panacea for all diseases ! But the attempt to restore a patient's strength \t^hile he is yet under the influence of disease, is extremely foolish.

In order to administer a drug, Cinchona or any other, with benefit to the patient, physicians must, in the first place, ascertain its pathogenetic symptoms ; otherwise the patients will be injured more than benefited.

Wherever Cinchona is used as the true, homceopathic, cura. time agent, (not in accordance with theoretical views, deceitful names, or the seductive authority of prejudiced leaders,) there it will impart strength to the patient ; it strengthens the patient by removing the disease ; strength can only be supplied by the organism when it shall have been freed from disease; it cannot be infused as so much matter by a decoction of Cinchona, or by wine.

Whereas the gourmand after rising from a dinner, would scarcely perceive the sweetness of a grain of sugar upon his tongue, irritated by spices, the man who is satisfied by simple fare, would taste that sweetness in the morning to an excessive degree. In the midst of the movement and tumult of certain quarters of a city we may not even hear thewords Avhich a friend may shout into our very cars, whereas, in the depth of a silent night, we should even hear one single note of a flute at a great distance.

In the same way does an organism which is perfectly free from medicinal influences, perceive the slightest impression imparted to it by a remedy which corresponds to the symptoms of the disease by which the organism has become affected.

May I, in conclusion, hope that that which has been said above, will suffice to show practitioners, that homoeopathic medicines can perform the wonders which are claimed for them, only when their influence is left undisturbed by other stimulating agents ? to the favorite use of mild cathartics, two things resulted from it : First, the irritation of the intestinal canal was kept up until the acute disease, which was hushed by that artificial irritation, had run through its natural course : and secondly, a state of weakness was induced by the depleting treatment, which could only be removed by Cinchona ; how this final cure was obtained, no one saw. In the same way, the ordinary tertian fevers of spring, and most other intermittent fevers, which run through their course in a few weeks, were protracted into months of rational (?) treatment, and, in the end, the ignorant patient was glad to escape with his life, whereas a truly scientific cure might have been effected in a few days.

This is what physicians call treating a disease methodically and rationally in very many cases.

It would be just as proper to rob widows and orphans for the purpose of building a poor-house out of the proceeds.

The primary effect of Cinchona is to open the bowels, (see 178 ;) hence it will cure certain kinds of diarrhoea, provided the other symptoms correspond.

In cases of humid gangrene on the outer parts, the other symptoms of the disease will be generally found to correspond to the symptoms of Cinchona ; hence it will cure that condition.

The frequent and morbid excitement of the sexual organs, resulting in an involuntary emission of semen, and caused even by slight abdominal irritations, is permanently relieved by Cinchona.

Bark will scarcely ever be found useful except when the nightly rest of the patient is disturbed similarly lo the disturbance which characterizes Cinchona.

Certain forms of jaundice may likewise be cured by Cinchona as their homoeopathic type.

Marsh-intermittent can only be cured by Cinchona when the patient remains out of the fever-region during the whole of the treatment. The cure is impossible while the patient remains constantly exposed to the cause of the disease.

The attempt has been made to substitute drugs in the place of Cinchona, which has, however, a peculiar and perfectly characteristic influence open the human organism. But how foolish to suppose that the medicinal virtues of Cinchona can be inherent in another totally different substance ! Is not every animal, every plant and mineral something individual and perfectly distinct from all other beings of the same order ? Will a Cinchona-tree ever be confounded with a willow, or an ash, or a chestnut ? And if these things are so different even on their surfaces, where the difference is only perceived' by one sense, the eye, shall their internal difference, their different and peculiar action upon the living organism, remain unheeded ? Is not this difference the highest which distinguishes one created substance from another in reference to man ? Or shall we with Cullen and others consider every thing Avhicli has a bitter and astringent taste, equivalent to Cinchona, something like Cinchona ; and shall we set up the sense of taste, which is scarcely fit to discriminate between the taste of one substance and another, as the highest judge of the medicinal efficacy of different plants ? I should say that it is scarcely possible to proceed with less discretion in matters concerning the highest earthly good of man.

I grant that all the medicinal substances which have been resorted to in the place of Cinchona, have cured certain kinds of intermittent fever ; but the very fact that those substances have cured even when, according to the statements of those who employed them, Cinchona would do no good, shows, that the fevers which could only be cured by those substances, were different from those to which Cinchona corresponds.

Cinchona differs from other medicinal substances not only by its bitter and astringent taste, and by its so-called aroma, but there resides in its whole irmiost nature an visible, dynamic agent, which can never be separated as a material something from the body of the substance, and which distinguishes that substance from all others as respects their influence upon the human organism.

Every substance which is recommended in intermittent fever, has a peculiar influence upon the human organism, different from that of any other substance, according to eternally imchangcable laws. God intended that evei'y medicinal agent should be distinguished from other agents, not only by its shape, taste, color, etc., but also by its internal dynamic properties, that we might be enabled, through this variety, to cure the endless number of morbid phenomena with which man is visited.

If any one of those agents has cured cases of intermittent fever, (which I am not disposed to deny, wherever the agent has been administered uncombined with others,) and if any other agent was unable to cure those same fevers, does it not follow that the fevers which could only be cured by certain agents must have been different from fevers which could only be cured by certain other agents ? There must certainly exist the same difference between the fevers that there is between the remedies used to cure them ; and vice versa, the remedies must differ as much as the diseases, and cannot, therefore, be used in the place of one another.

Boundless Nature is much more profuse in creating medicinal agents than the compilers of our systems of Materia Medica imagine ; and she produces a corresponding variety of abnormal states of the organism, a good deal more than a bungling pathologist is able to comprehend, who would like to reduce the legion of morbid states to a few names,' probably for the sake of facilitating the business of prescribing, committing a certain number of prescriptions for each name.

We might leave the fact of iron being mixed in a great many prescriptions, and the patient being made to swallow a preparation looking very much like ink, unnoticed ; but it behooves us to tell physicians that such a preparation possesses neither the virtue of Cinchona, nor iron.

This follows from the fact that Cinchona and iron may be used, and are used to neutralize each othei's injurious effects, provided those effects correspond to the pathogenetic symptoms of the drug to be used as antidote.

Cinchona may be used in the following affections : Atrophy. — Asthenic inflammations. — Congestions of the liver, spleen. — Hemorrhages from weakness. — Consequences of cold.— Intermittent neuralgia. — Scrophula. — Rheumatic affections. — Arthritis — Chlorosis. — Ha3morrlioidal complaints. — Dropsy. — Jaundice. — Hydrargyrosis. — Morbus Hippocratis niger. — Bad effects from tea. — Scurvy.— After-diseases of small-pox and measles. — Spontaneous carbuncle. — Dry and humid gangrene. — Abscess of the psoas-muscle. — Caries scrophulosis. — Scrofulous ulcers. — Sleeplessness. — Bilious, rheumatic, nervous fevers. — Cholera Asiatica. — Febres lenta;. — Intermittent fevers. — Scrofulous ophthalmia. — Photophobia without much redness. — Affections of the eyes from sexual excesses, or drinking. — Hemorrhage of old people. — Prosopalgia, — Nervous toothache. — Glandular indurations. — Stomacace. — Gastric conditions. — Saburral vomiting. — Gastralgia andcardialgia. — Chronic gastroenteritis. — Induration of the liver and spleen. — Tympanitis. — Bilious diarrhoea. ^ — Hemorrhage from the bladder. — Weakness of the sexual organs from onanism. — Excessive irritability of the sexual organs. — Swelling of the testicles. — Amenorrhoea from chagrin, with vicarious swelling of the breasts. — Amenorrhoea after a cold. — Metrorrhagia from atony of the uterus. — Metrorrhagia abortion. Fainting fits during hemorrhages of parturient women. — Protracted lochial discharges. — Putrefaction of the uterus. — Induration in the abdomen, in hysteric females. — Phlegmasia alba dolens. — Leucorrhoea. — Catarrh of the air-passages. — Suffocative catarrh. — Haemoptysis. — Asthma after iin successful venesections. — Pleuritis. — Pneumonia, — Phthisis florida. — Suppurations of the lungs. — Palpitation of the heart from loss of blood, humors. — Pains in the back. — Rheumatism of the muscles of the back. — Acute rheumatism of the loins and hips. — Acute articular rheumatism. — Acute articular gout- -(also Bry., Puls., Sulp.) Arthrophlogosis internal chronica. — Arthrocace.— Hydrarthrus. — (also Puls.)

(The symptoms which have been iurnishedto Hahnemann by other provers, will be found annexed to Hahnemann's own symptoms. Figures enclosed in brackets, refer to the symptoms of other provers.)

Head p. 32

Vertigo and nausea with vertigo, followed by a general feeling of heat. [Compare with (1) — (4).] The head feels affected as by vertigo from dancing, and when taking cold. [Comp. with 12 and (8).] His thoughts come slowly, he is averse to motion, and is more inclined to sit and lie down. Slowness of thought.

5. He is absorbed in thought (as if his ideas were arrested.) (a. 3 h.) He is unable to regulate his ideas, he makes mistakes in writing and talking ; he places words which ought to follow, before others ; he is very much disturbed by the talking of others. [6, 7, and (713)— (716) are alternate effects of 3, 4, 5, and (5).] A number of projects. The head feels dull and desolate, as from sitting up over night, (a. 1 h.) [Comp. 8, 9, 10 ,with (6)— (12) and (16).] Stupefaction of the head, with pressure in the forehead, (a. ^ h.)

10. Dull, stupefying headache early in the morning when waking from sleep. Headache, at times in one, at times in another part of the brain. Headache in the temples, like dry coryza. [Comp. with 2 and (8).] Headache over the orbits, coming on in the forenoon, aggravated by walking, going off by eating dinner, (a. 18 h.) Heaviness of the head ; (at noon the head is affected with a painless reeling sensation.) [Comp. 14, 15, with (13,) (14,) (15) — 15.] Headache, a sort of heaviness and heat in the head, worst when turning the eyes, accompanied by darting pains in the temples. Headache from afternoon till evening, a sort of pressure in the middle of the forehead. Aching pain when walking, first above the forehead, afterwards in the temples, a. 6 h.) [Comp. with (20)— (26) and (28).] Pressure of the blood upon the brain. [Comp. 18, 19, with (27) and (29)— (35) and (53).] Headache as if the brain were being pressed together from both sides and out of the forehead, increased by waiting in the open air,

20. Aching and pricking pain in the forehead and one temple, (a. 4 h.) Stitches on the left side between forehead and temple ; when touching the temple he felt a violent throbbing of the artery, and the pricking disappeared by this contact. [Comp. with (62) ; also with (57)— (61) and (63).] Darting headache, in the temple, extending into the superior jaw. [Comp. with (49) (50), also partly with (46) — (48).] Headache, first of a spasmodic nature in the top of the head, afterwards on the side of the head, as if bruised, increased by the slightest motion. Headache, when walking in the wind, a sore and bruised feeling.

25. Headache as if the brain were sore, increased by touching the head or parts of the head ever so little, but especially by continued attention and deep reflection, even by talking. Sweaty hair. Sweaty hair when walking in the open air. (Creeping in the integuments of the forehead.) Frequent change of complexion.

30. Pale countenance. [Comp. (30)— (33) with (78).] Wretched, livid complexion. Sunken, pale countenance. Hippocratic countenance (pointed nose, hollow eyes with blue margins,) indifference, insensibility ; he does not care about hearing any thing of things or persons that were otherwise very dear to him. (a. 1 h.)

Eyes p. 33

Contracted pupils.

35. The pupils are movable, but more disposed to contract than to dilate, (a. 20 h.) Black points hover before the sight, (a. 4 h.) [Comp. with (112) to (114).] Smarting in one, afterwards in the other eye, with lachrymation. Smarting pain in the eyes, as from salt, with pressure; she is obliged to rub them constantly, (a. ^ h.) [From the vapor, comp. with (105).] Eye-gum in the outer corner (after sleeping).

40. Boil upon the cheek.

Ears p. 33

Redness of the cheeks and lobules. Tearing in the lobules. [Comp. with (121).] Heat of the external ear. Vesicles behind the ears.

45. Eruption in the concha. (Aching pain in the ear, like otalgia.) (a. 3 h.) A noise in the ear, like the tick of a distant watch. Throbbing sensation in the ear, followed by long tingling. [Comp. 48, 49, with (115) (116) (118).] Tingling in the ears.

50. Humming in the ears. [Comp. with (119).] The internal ear feels closed up, as if deaf. (a. 1 h.) [Comp. with (120).]

Nose.: Redness and heat of the nose. (a. 12 h.) Aching pain in the root of the nose (after the heat of the cheek had passed ofi") the pain moves to one side. (a. 5 h.) Tearing pain in the dorsum of the nose.

55. (He imagines he smells a corpse.)

Mouth, jaws and teeth p. 34

Shrivelled skin of the lips, (a. 5 h.) The lower lip cracks (when sneezing) (chapped lips). The internal surface of the lower hp is sore and excoriated. [Comp. with (128,) (129).]

60. Drawing toothache comes on easily in the open air and in a draft. Toothache, dry coryza and lachrymation. Toothache, stitches through the anterior teeth from behind forwards. [Comp. with (137) and (148).] Throbbing toothache, (Comp. with (149).] Toothache with vacillation of the teeth, (a. 3 h.)

65. Vacillating teeth, only paivfid during mastication. Tearing, with pressure, in the right upper and lower jaws, before midnight. [Comp. with (141) and (145) and (146), partly with (138) (140) (142) (144) (147).] The lower incisores are painful as if they had been knocked against something. (Red rash on the forepart of the neck, no itching.) The nape of the neck feels painful during motion. [Comp. with (74), also (424) (425).]

70. Pain in the nape of the neck, towards the front, when turning the head, as if the glands were swollen, although they are not ; the pain increased when touching the parts as if bruised (after a walk). Shooting pains in the parotid gland. Simple pain in the submaxillary glands, especially when touching or moving the neck. A sort of clawing or squeezing pressure in one of the submaxillary glands, especially when moving the neck, or when touching the parts. Sensation in the pit of the throat, as if swallowing would produce a feeling of soreness (although he docs not feel any pain when swallowing).

75. Swelling of the submaxillary glands, with painful deglutition, the glands are especially painful when swallowing.

Pharynx and esophagus p. 34

stinging in the right side of the throat, only when swallowing. The inside of the throat feels swollen ; stinging, during deglutition, on the left side of the tongue ; an aching pain is felt here when talking or taking an inspiration. Stitches in the throat, between the acts of deglutition, from a slight draft of air. (Stinging in the throat, in the evening after going to bed, not during deglutition, but during an inspiration.)

80. Painless swelling of the velum pendulum palate and the uvula, (a. 3 h.) [Comp. 80, 81 with (152), partly with (151).] Painful swelling of the posterior border of the tongue. Smarting pain on the middle of the tongue as if the place were sore or burnt. Vesicle under the tongue, painful when moving the tongue. Fine stitches in the tip of the tongue. [Comp. with (158).]

85. Sensation on the tongue as if it were dry and covered with mucus, (a. 1 h.) [Comp. (163) — (165).] (Yellowish tongue, not furred.)

Taste and appetite p. 34

The mouth is slimy and he taste watery and insipid. Slimy taste in the mouth, giving him an aversion to butter. Insipid taste in the mouth, after drinking.

90. Sahish taste in the mouth. [Comp. with (180), partly with (179) (184).] Sensation in the mouth similar to what one experiences after smelling of strong vinegar. [Comp. 91, 93, with (183) (185).] (Choking and contraction in the fauces without impeding respiration.) Sourish taste in the mouth, frequently, as if he had spoiled his stomach by fruit. Brown bread tastes sour. (a. 3 h,) [Comp. 94, 99, with (182), partly with (181).]

95. Food, especially wheat-flour, tastes bitter, (a. 6 h.) [Comp. 95, 96, 101 with (177) partly with (174) (178) (180.)] No bitter taste in the mouth, but food tastes bitter, not after it had been swallowed. The taste in the mouth is always bitter. [Comp, 97, 98, with (172.)— (176.)] Bitter taste in mouth, early in the morning. Coffee tastes sour.

100. Aversion to coffee, although food has a good taste. Beer tastes bitter and affects his head. Aversion to beer. Aversion to water, desire for beer. Great desire for wine.

105. Smoking, to which he is used, affects his nerves. [Comp. (190), partly (187) (189).] He feels as if he had eaten, drunk and smoked enough, nevertheless food and tobacco taste naturally (in a few h.) [Comp. 106, 108 with (195).] No desire for food, his taste being good. He relishes supper, but he is immediately satiated, and can eat but little. Indifference to food ; he gets a little appetite while he is eating, and relishes the food somewhat, (a. 6 h.)

110. He does not relish his dinner. [Comp. with 191), partly with (189).] Canine hunger with flat taste in the mouth. He has a desire for food; but he knows not which. [Comp. 112, 113, 114, with (200).] He has a desire for many kinds of food ; but he does not know which. A longing for things unknown.

115. Hunger, but no appetite. No desire for either food or drink. [Comp. partly with (196) (197).] Excessive aversion and loathing to certain aliments which are not disagreeable, even when he hears them merely spoken of, accompanied by dread of labor, continued drowsiness by day and yellowness of the eyeballs, (a. 8 h.) [Comp. with (194).] Sensation as if a putrid vapor came out of the mouth. Bad, jmtrid smell out of the mouth towards morning, going off as soon as she eats something.

120. Mucus in the mouth, early in the morning after waking, and after a somewhat fatiguing exercise ; he imagines that the mucus has a bad smell.

Gastric symptoms and stomach p. 35

A badly tasting mucus frequently rises into his throat. Bitter eructations after a meal. (a. 2 h.) [Comp. with (181).] Eructations tasting of the ingesta. Risings of mere air. (a. 2h.) [Comp. with (204) (205.)]

125. Scraping sensation in the fauces, especially about

CINCHONA. the border of the larynx, as is felt after rancid eructations or heart-burn. A sort of half sobbing, half eructation, (a. f h.) No appetite, nauseated, he wants to vomit, but cannot (fore and afternoon). A sort of canine hunger, with nausea and inclination to vomit, (a 2 h.) Inclination to vomit and vomiting.

130. During a meal stitches in the side and back, and constant inclination to vomit, (a. 5 h.) Drawing, darting pain during a meal in the side of the abdomen, (a. 2 h.) Fullness after a meal, good appetite before. [Comp. 133, 134 with (211).] Repletion after a meal for a long time.

135. Stool after a meal. Drowsiness after a meal. [Comp. 136, 137, 138 with (218) (219).] Great desire to sleep after a meal. Weakness after a meal, he would like to lie down. After a meal, nausea, flushes of heat and orgasm of the blood disappear.

140. After the pressure at the stomach, a burning sensation is felt from the stomach to half way up the chest. Hard pressure at the stomach after a meal. [Comp. 141, 143, with (225), and also the alternate effect (224).] Pressure at the stomach, griping in the stomach. [Comp. with (221) to (224) and (226) to (230).] After eating a meal with good appetite, he is attacked with pressure at the stomach, afterwards accumulation of flatulence, and lastly vomiting. Colic, after eating a moderate supper with good appetite ; distended abdomen, sharp, aching pains, with occasional pinching, in all the bowels. [Comp. with (220.)]

145. After a moderate dinner and supper he feels a pinching pressure somewhat above the umbilicus in the epigastrium ; motion makes this pressure intolerable, it is appeased again by complete rest. Colic, before and shortly after dinner, as if from incarceration of flatulence. Fermentation in the abdomen from eating fruit (cherries). The nourishment which had been taken for supper, remains in the stomach undigested. [Comp. 148, 149, 150, and part of 151 with (217) and (231).] The stomach is easily spoiled by milk.

150. The stomach is easily spoiled by eating a little too much, were it ever so innocent, there appears an insipid taste in the mouth, a sense of fullness in the abdomen, ill-humor, and headache. Sense of emptiness and flatness in the stomach. Feeling of coldness in the stomach. Feeling of coldness in the epigastrium after every cold drink he swallows, recurring at every inspiration, (a. 4 h.) Stitch in the precordial region after every drink he swallows. (Comp. with 251.)

155. Shuddering or chilliness with goose-flesh after every drhik he swallows, (a. 6 h.) Colic after drinking, as when one takes a cathartic.

Abdomen p. 36

Colic in the umbilical region, accompanied with shuddering. Painful distention of the abdomen and especially the hypogastrium. [Comp. 158, 159, with (264) — (267) and (269)— (274).] Distention of the abdomen, without flatulence.

160. Flatulent conc (a. 2 h.) Flatulent colic in the hypogastrium : the lowermost intestines feel constricted, the flatulence endeavors in vain to escape, causing aching and tensive pains ; even under the short ribs this tension and an anxiety are felt in consequence. Pressure in both sides of the abdomen, as if stool would come on and could not be expelled. Cram]>pain in the abdomen, composed of pressure and constriction, (a. 24 h.) Pressure and heaviness in the abdomen. Pinching in the hypogastrium, withincreaseof hunger and faintness. (a. 3h.) When a flatus is about to be emitted, the abdomen is pinched together, causing violent pain. [s. 170, 171, and (305).] Pinchingpricking pains in the abdomen, (a. 1^ h.) [Comp. with (242) (254).] Shooting stitches in the stomach and abdomen. [Comp. (247) (252) (253) (256) (257) (308) to (313).] (Desire for stool resulting merely in emission of flatulence.)

170. Colic previous to the emission of flatulence. Previous to the emission of flatulence cutting pains dart through the abdomen in all directions, (a. 1 h,) [Comp. 196, and (314).] Accumulation and subsequent emission of a quantity of flatulence, (a. -|- h.) [Comp. 268).] Discharge of violent fetidjlatulence. (a. 10 h.) The abdominal muscles feel bruised, (a. 1 h.)

175. Sore pain in the abdominal ring, and sensation as if hernia would protrude through the ring. (a. 4 h.) Colic previous to stool. [Comp, 176, 177, 179 with (316) (322).]

Stool p. 37

Stool with colic. Diarrhoea of undigested food, a sort of lienteria. [Comp. 178, 179, 180 with (325) (326) (330) to (332).] Three times a soft diarrhoea with a smarting, burning pain in the anus, and with colic before and after stool.

180. Thin stool resembling diarrhoea. White stool and dark urine, (a. 48 h.) [Comp. (538) (539),] Sensation in the anus, during stool, as if an acrid matter were passing over the parts. Burning and burning itching of the anus (immediately). Diarrhoea with burning pain in the amis.

185. Stitches in the anus during stool which was mixed with blood, (a. 5 h.) (Comp. 185, 188, 195 with 33J.) Costiveness and accumulation of fffices in the bowels, with heat in the head and dizziness. [Comp. 186, 187 with (333) (335) to (337).] (The costiveness produced by bark is a reactive effect of the organism.) After long tenesmus stool is expelled with much pressure, the expulsion causing a good deal of pain. Piercing stitches in the anus and rectum, between stool, (a. 5 d.) Tingling in the rectum after stool.

190. Tingling in the rectum, with discharge of ascarides- Continual burning pain in the rectum, after the

CINCHONA. siesta, (a. 4 d.) Pressure m the rectum, (a. 2, 6 h.) Tearings, and tearing jerks in the rectum, when lying in the bed. (a. 10 h.) Contractive pain in the rectum, especially when sitting, (a. 72 h.)

195. Stinging pain in the perinaeum, especially painful when sitting down. Pressing and cutting in the intestines, during and after the emission of a whitish, turbid urine, [s. 171, and 314).]

Urinary organs p. 38

Spasmodically contractive pain from the rectum through the urethra as far as the glans and through the testicles, in the evening. Tingling in the anus. Tingling creeping, and itching, in the anus and urethra, with burning in the glans.

200. Burning smarting in the forepart of the urethra, in the evening, during micturition. [Comp. (343) (344).} Bubbhng sensation in the region of the bulb of the urethra, (a. 6 h.) Stitching in the urethra when urinating. Painful sensitiveness in the urethra, especially during erection ; also perceptible when sitting or rising. Pressing in the bladder after frequent and almost unsuccessful desire to urinate.

205. Diminished secretion of urine, the first twelve hours, afterwards increased. Feeble stream and slow emission urine^ with frequent desire. Frequent micturition, (a 24 h.) Frequent and urgent desire to urinate, the urine coming off involuntarily. Whitish, turbid urine with white sediment. [Comp, (342).]

210. Scanty urine with brick-red sediment, and red, spotted, hard, tense swelling of the foot. [Comp. (348).]

Genital organs p. 38

Swelling of the spermatic cord and testicle, painful to the touch. Drawing pain in the testicles. A sort of tearing pain in the left testicle and the left side of prepuce, in the evening when in bed. Itching creeping in the scrotum, in the evening when in bed, obliging him to rub the part. [Comp. (350).]

215. Darting pain between the glans and prepuce, when walking. Pressing pain in the glans, before micturition. Itching of the glans. in the evening when in bed. Fine pricking in the frsenulum, becoming more painful when touching the part, the pain then becoming stitching and tensive ; no change could be discovered externally. Burning ])ain in the orifice of the urethra, during and 'after micturition, (a. 3 h.)

220. Continual burning in the orifice of the urethra. The scrotum hangs down low. (a. 1 h.) Frequent erections, (a. 6 h.) Nightly pollutions. [Comp. (349).] Increased sexual instinct.

225. The existing menses were converted to metrorrhagia ; the blood coming off in black lumps, (a. 1 h.) (225 appears to be the primary effect of Cinchona, and (351) the secondary effect of the organism ; hemorrhages from the nose (125)— (127), from the mouth (161), and from the lungs 242, are rather frequent primary effects of Cinchona.)

Respiratory organs and chest p. 39

Sneezing (a. f 12, 3 h.) Sneezing with coryza. (a. 1, 2 h.) The larynx is affected, making the voice to be deeper and impure when singing or talking, (a. 2 h.) [Comp. 228, 229, 230 with (358)— (361).] Whizzing and wheezing in the trachea during respiration, (a. 2 h.)

230. The chel^t feels oppressed during night ; wheezing, raUng, whizzing in the trachea, without the tenacious mucus obliging him to cough, (a. 5 h.) A sort of suffocative Jit, as if the larynx were filled with mucus, especially towards evening and night, when waking from sleep, (a. 8 h.) [Comp. 231, 232 with (363)— (372).] Difficult, painful inspiration and quick expiration. Inclinations to deep inspirations before dinner. Suffocative cough in the night at two and four oclock (a sort of whooping-cough) ; she screams, but only after she had had a few fits. [Comp. 234, 235, 236 with (405) (406).] Aching pain in the chest and sore feeling in the larynx, from coughing. [Comp. 237, 244, 245, 246, with (374) — (380).] Violent pressure in the sternum after a meal, worse when stooping and raising his arms, while sitting. Violent cough immediately after a meal. (a. 4 h.)

240. Tickling, inducing cough, in the evening ; he was able to suppress the cough. Cough excited by laughter. (Cough, with bloody mucus.) [Comp. with (408).] (Creeping in one-half of the chest, as if something were crawling about in it.) (Sharp pressure, mingled with creeping, in one side of the chest.)

245. Pressure on the whole of the front part of the chest, during night, when lying on the back. Aching pain in the side of the chest, oppressing respiration. Tensive pain, especially in the external muscles of the chest (in the morning). Burning pressure from without inwards, in the whole of the chest. Bonepain in the joint of the ribs, as if bruised, during an inspiration.

230. Pain in the side as if bruised, or contused. Some stitches through the sternum towards the back, soon after drinking, (a. 8 h.) (Comp. with 184.) Violent stitches in the pit of the stomach during inspiration, (a. 3 h.) [Comp. (246) (248).] Violent stitches under the last ribs, during an inspiration, arresting the breathing. Under the last rib of the right side there is a small spot, causing a stitching pain when walking, or when pressing ever so slightly upon it.

255. Stitches in the side during night ; in day-time they are only felt during motion or when touched, (a. 13 d.) Boil on the muscles of the chest. (Throbbing in the sternum, evening and morning.) Palpitation of the heart. [Comp. with (409) (411).]

Back p. 39

Intolerable pain in the small of the back, as if from a cramp, or as if bruised or pounded to fragments ; the pain causes one to shriek when making the least motion. [Comp. (421).]

260. Creeping itching on the os coccygis, going off only for a short time by rubbing, (a. 1 h.) Sweat in the nape of the neck and back when moving about ever so little. Pain in the back during the least motion, as if bruised, (a. 3 h.) Throbbing and stitching pain in the back. [Comp. (410) (417.)] Pain in the scapula as if sprained, (a. 24 h.)

Upper extremities p. 40

265. Weakness in the arms, felt when clenching the hands. [Comp. with part of (429) and (433)— (435).] Tension in the arms and hands, (a. 2 h.) Tearing darting through the left elbow-joint, recurring frequently. Tearing and drawing in the arm, when standing near the window. Bone-pain, drawing, from the elbow to the fingers, in the evening, (a. 24 h.) [Comp. (441)— (433).]

270. When moving the left hand, one feels a drawing pain over the dorsum of the hand, which is swollen. When bending the fore-arm, it goes to sleep, with fine stinging in the tip of the fingers. (Comp. 277, 308.) The hands are alternately warm and cold. One hand is icy-cold, the other warm. The knuckle of the middlefinger is swollen ; he is unable to move it, from stiffness and pain.

275. Drawing from below upwards, in the left thumb, index and middle finger. Darting pain in the external parts of the left little finger. [Comp. (448) (449) and (454) (455).]

Lower extremities p. 40

The lower limbs go to sleep when sitting, (s. 308.) The posterior muscles of the thigh feel bruised, when sitting. Tension when walking, in the anterior muscles of both thighs.— ^280. Tearing in the thigh, in jerks. Weakness in the thighs. [Comp. (461).] (Burning in the anterior and superior parts of the thighs.) Hard swelling of the thighs, extending sometimes beyond the knees as far as the feet, becoming thinner towards its termination, reddish, and painful when touched. [Comp. (407) (502) (503).] Coldness and chilliness of the knees (a. -J- h.)

285. Daicting pain in the knees. [Comp. (482) and part of (489).] Hot swelling of the right knee, with drawing, tearing pains, which rouse him from sleep during night. Pain in the knee when moving it ever so little, as if bruised, (a. 3 h.) [Comp. (481)]. Pain in the knee when bending it, preventing sleep, with nodosities under the skin. [Comp. (478).] Pain on the side of the patella, when touching it. (a. 2 h.)

290. Pain in the bones of the leg, when setting down the foot as if bruised by blows, and worse still when touching the parts ; when feeling them, the whole foot was seized with a shuddering and chilliness, as if she had plunged it into cold water. Sensation in the leg as if garters had been tied round it too fast, and as if it would go to sleep and become rigid. Cramp-pain in the left calf during the night, when) extending and curbing the foot ; this pain hinders sleep, (a. 16 h.) Pain in the lower half of both legs, as if the periosteum had been bruised and were swollen, only when standing ; erosive pain when feeling the parts, as is felt in a sore and bruised spot. Weariness of the feet as if bruised, (a. 4 h.)— 29'5. Cold feet, in the evening. Boring stitches in the tips of the toes. [Comp. (501).] Very soft swelling of the soles of the feet.

General symptoms p. 41

Bone-pain in the articulation of the ribs, limbs, shoulders, scapulae, as if bruised, when he stirs or moves ever so little. (298 is an alternate effect of 299, 3(i0, and 302.) Pain of the joints, when sitting or lying down ; the limbs cannot be left quiet in one position, as occurs when they have been excessively fatigued by a long journey, or when exhausted by blood-letting or excessive loss of semen ; the linibs require to have their position changed all the time, extending or bending them, etc. [Comp. 299 to 302 with (490.)] The weakness alluded to in this paragraph, as if it had been caused by a great loss of humors, and still more especially indicated in 326, 328, 329, 331, (558) and (563), together with the moral symptoms (407) (409) (410) (416) to (423), the symptoms indicating a disturbance in the digestive organs 85 to 90, 94 to 98, 106 to 124, 128, 132 to 134, the ailments after a meal 136, 137, 141 to 146, 148 to 153, 158, 159, the easily excited sweat, especially in the back, during motion and sleep 261, 365, 367, 368, 399, and the affections of the head 9, 10 and (6) to (16), is precisely that kind of weakness for which Cinchona is a specific, and which affects almost without an exception persons who have lost a portion of their strength by hemorrhages and frequent venesection, galactirrhoea, excessive lactation, coition, onanism, involuntary emission of semen, profuse natural or artificial sweats in disease, natural or artificial diarrhoea. (When Cinchona is given for any other kind of weakness, which is not the disease itself, its exhibition may be followed by the most pernicious consequences, and may even endanger life. Indeed, even in these cases, it produces an excitement, but it is not a natural excitement, it is an overstraining of the vital powers of the patient, which may be followed by a perfect collapse, or may entail upon the patient a cachectic condition of the system which it is either difficult or frequently impossible to cure.)

300. All the joints feel bruised during the morning-sleep ; the pain increases in proportion to their being left quiet ; the limbs therefore require to be moved frequently, because the pains diminish by motion ; they go off when wide awake. Pain in all the joints, as if they were being pressed upon by a heavy weight, in the morning when in bed ; the pain goes off when rising. Pain in the joints when sitting, as if pressed upon by a heavy weight ; the longer he sits the greater his weariness. Ail the joints feel stiff when rising from his siesta. When rising from bed, 'in the morning or after the siesta, he feels a paralytic stiffness in all the limbs, oppressing the mind.

305. Cracking in the joints. He feels a pain all over, in the joints, bones and periosteum, as if he had strained the parts, or like a drawing and tearing, especially in the dorsal spine, small of the back, knee and thighs. Oppression of all parts of the body, as if the clothes were too tight (after a walk in the open air). The limbs, upon which he lies, go to sleep, (s. 271, 277.) The limbs feel numb and pithy.

310. Excessive, almost painful sensitiveness of the skin of the whole body, even of the palms of the hands, (a. 10 h.) [Comp. (344.) (477).] Digging-np pain in the wound. Boring pain in the ulcer. Stinging, itching pain in the wound (ulcer) for two hours (in a few hours). [Comp. 313, 314 with (519).] (Stinging, throbbing pain in the ulcer, even when at rest.)

315. The ulcer becomes painfully sensitive, a boring pain is felt in it. Throbbing pain in the ulcer, when moving the part, not during rest. (An ichor having a putrid sniall forms in the ulcer ; a burning and a pressure are felt in it ; he cannot let his foot hang down ; the foot is painful when standing.) Itching of the arms, loins and chest, especially in the evening ; scratching brings on pimples. Smarting itching, almost only of those parts upon which he lies when in bed ; scratching relieves it momentarily ; when lying upon the unaffected sides so that the itching parts are uppermost, the itching soon disappears, (a. 8, 9 h.)

320. Smarting itching, almost only of those parts, upon which he does not rest (during the siesta) and which are turned uppermost, (a. 26 h.) Itching of the skin ; scratching brings on blisters the same as nettles. Itching of the skin ; when scratching it, blood exudes from the pores. Burning itching in the bend of the knee and on the inner surface of the arms, in a warm room, and at night, when in bed, with an eruption of small vesicles containing water and disappearing in the cold air. He feels ill all over.

325. The whole nervous system is so to say morbidly excited, strained. Excessive sensitiveness of all the nerves, with a morbid sensation of general weakness. (Comp. 326 with the symptoms mentioned in the note to 299.) Internal feeling as if a disease were approaching. Excessive irritability, with discouragement and intolerance of noise. Languid condition of the mind and body, with excessive sensitiveness. [Comp. (558).]

330. Ailments from a little draft of air. Excessive sensitiveness of the nervous system ; sight, smell, hearing and taste are too strongly affected by every thing, it offends his internal sensations and affects his mind unpleasantly. The previous pains feel as if checked and suppressed violently, leaving a great heaviness in the whole body.

Fits, weakness, sleep p. 43

Lassitude. Tremulous weakness of the limbs, with dilatation of the pupils. [Comp. (560).]

335. Inclination to lie down. Drowsiness, with palpitation of the heart. Drowsiness in day-time. [Comp. 338 to 342, with (572,) (573).] Unceasing yawning ; without drowsiness, [337 and (596,) (597,) are alternate effects of (573).] The eyelids are about to close, from weakness and drowsiness, (a. \ h.)

340. Continual drowsiness in day-time ; he falls asleep unawares. Invincible drowsiness when sitting. As soon ae she sits down, in day-time, she falls into a doze ; but as soon as she lies down, she becomes wide awake from the least noise. She is unable to sleep, the whole night ; disagreeable thoughts crowd upon her one after the other. He is prevented from going to sleep by a number of ideas and reflections occurring in rapid succession ; in this way he wakes almost the whole night ; this makes him to be quite warm in the morning ; nevertheless he cannot bear being uncovered; no thirst, (a. 30 h.)

345. Sleeplessness after midnight ; although he is very sleepy, nevertheless his thoughts remain wide awake ; at the same time he closes his eyes and changes his position in the bed frequently. He fell asleep late ; the thoughts which crowded upon his mind prevented him from sleeping ; his sleep was not sound, and in the morning, when rising, he felt quite worn out. When on the point of going to sleep, he is roused from sleep by frightful fancies. (347, 348, 3.53, 354, 355.) Cinchona is characterized by restless night-sleep with dreams causing anxiety and starting ; when waking from those dreams one finds it difficult to come to one's senses, or the anxiety continues. 349, 350 ; see (583) to (592,) (594.) Terrifying dream in the night, (a. 3 h.) Heavy dreams in the night, the anxiety continuing even after waking.

350. Dream causing anxiety ; he imagines he is to descend a steep precipice ; this rouses him from sleep ; but the dangerous spot remains so vividly before his fancy (especially when closing the eyes) that the fear which he felt continues yet a long while. In the morning, when waking, he is tormented by anxious ideas and thoughts. She has ugly dreams as soon as she closes her eyes. He starts when about to fall asleep. Restless sleep full of dreams and shrieks.

355. He is unable to collect his senses when waking in the night. When waking in the night, he felt a giddiness, so that he dared not raise himself. He starts in the night, when asleep. Snoring and moaning, when asleep, in children. (Comp. 354.) Snoring inspirations and expirations when asleep.

360. Snoring inspiration (through the nose) wheti asleep, (a. 3 h.) When asleep, the inspirations are somewhat snoring, the expirations pu/Jing. When asleep, one eye is open, the other half closed, the eyeballs being turned backwards, as in dying persons, (a. 1 h.) When sleeping, he lies on his back, the head bent backwards, the arms extended above the head, with slow expirations and strong and quick pulse. Heat in the head towards morning, and oppression of the chest.

365. He sweats in the night unceasingly, even when but lightly covered. When covering himself he gets into a profuse perspiration all over the body ; this is very disagreeable to him ; nevertheless he feels so drowsy that he is unable to collect his senses and to rise. Sweats when sleeping. Sweats, early in the morning, while sleeping. Greasy morning sweat.

370. The face became sweaty, in the morning shortly after rising.

Fever p. 44

Dread of the open air. Cold hands, (a. -j- h.) Feeling of icy coldness in the left hand ; externally it feels as warm as tbe right. [Alternate effect of (610,) (611).] Cold hands, feet and nose.

375. He is cold all over. [Alternate effect of (627) to (629).] Yawning. Stretching. Yawning, with chilliness. Feverish attack, commencing with sneezing.

380. (Thirst during the chills.) [This symptom, together with (661), does not seem to have been observed correctly ; for in all my other observations I have found that the Cinchonafever is characterized by the thirst not appearing during the cold stage, either shuddering or chilliness 382, (618) (629) to (634) (658), that, on the contrary, thirst came after the cold stage, as is shown in 381, (635) (636), or, which is the same thing, that thirst came shortly before the hot stage set in (663). There is likewise no thirst in the Cinchona-fever during tbe hot stage, see 394, 395, 403, (655) (656) (669) (670) (671), except some burning of the lips (668), or some dryness of that part 396, (670), which dryness accounts for the symptom (645) : sensation of slight thirst during the hot stage ; the " thirst accompanying flushes of heat." (662) is not to be considered as characteristic of the perfect fever-heat. In the Cinchona-fever thirst sets in 'after the hot, (643) (664) (667), or, which is the same thing, during the sweaty stage, 399. The fever-heat accompanied with stinging over the whole body, seems to form an exception (678) (679).] Thirst after the thrills of shuddering through the skin. Chills with shaking of half an hour's duration early in the morning, without thirst, and without any subsequent heat. Shuddering and diilUness, when entering a warm room from the open air. (a. 5 h.) [A rather rare alternate effect of 384, (598) to (602) and (643).] Chills on chest and arms, when -walking in the open air.

385. Chilliness over the arms, with inclination to vomit about the stomach, afterwards cold limbs, with shuddering and returning nausea. Palpitation of the heart, and shortly after chilliness, (a. 20 minutes.) [The Cinchona-fever frequently commences with an accessory symptom, palpitation of the heart 386, or sneezing, 379, or great anxiety, 403 and (641), or nausea, 385, (642), or great thirst, (663), or canine hunger, (668,) (669), or aching pain in the hypogastrium, (639), or headache, (640).] Violent chills with shaking, in the evening when lying down.) Redness and heat of the cheek and lobule, with chilliness over arms and abdomen, (a. 1 h.) Redness and heat of the cheek and lobule of one or the other side ; before this has passed, a chilliness is felt over the whole body, and lastly over the lower limbs, (a. 4 h.)

390. Heat in the face, and, in a few hours, shuddering and chilliness, with coldness over the whole body. Heat in the head, with distention of the veins of the hands, (a. 4 h.) [In the Cinchona-fever the veins are generally distended, even when the head is merely hot, as in this instance, or, when there is a general increase of temperature of the body, 394, or when the patient feels a heat, without any heat being felt when touching him, 393, and also when there is a real external heat, (671).] The blood rises to the head, the forehead is hot and the limbs are cold. [391, 392. One of the most frequent symptoms of Cinchona-fever is the rush of blood to the head, generally accompanied with redness and heat of the face, 390, (670), frequently with chilliness of the other parts of the body, 388, 389, (654), also when there is external coldness, (651) (652), or when there is merely coldness of the face perceptible internally, the cheeks feeling cold when touched, and there being a cold sweat on the forehead, (653).] Sensation of heat through the whole body, with distended veins, cold feet, the general external warmth of the body not being perceptibly increased. The warmth of the body is somewhat increased, with distended veins, but no thirst, and easily dilated pupils, (a. 8, 12 h.)

395. Heat over the whole body, without thirst, (a. 3 h.) During the hot stage, shortly after midnight, no thirst, only dry lips. In the hot stage he can scarcely uncover his hand without feeling a pain. In the morning, after the nightly sweat, the skin is not sensitive to the air, nor liable to catch cold ; he may uncover himself without any injury. After waking (at three oclock in the night) sweat of the body, with thirst, but no sweat on the feet ; there is no sweat about the head, except on that cheek upon which he rests.

400. Violent sweat over the whole body, when walking in the open air. Cold sweat in the face, with thirst. Cold sweat over the whole body. (a. I h.)

Moral symptoms p. 46

Intolerable anxiety (at eight oclock in the evening and two oclock after midnight) ; he jumps out of the bed and wants to kill himself, and nevertheless dreads to approach the window or the knife, with heat of the body, no thirst. He tosses about in the bed, beside himself and in despair. [Corap. (694) (695).]

405. Inconsolable. [Comp. (697,) (698).] Distressing moaning and screaming. From time to time she has a weeping fit, without any external cause, brought on by some imaginary cause, an imaginary want, the idea that she cannot eat to satisfy her appetite, etc. (a. 20 h.) Cheerful mood, with sudden, short-lasting shrieks and tossing about, without any apparent cause. Lamenting ill-humor.

410. Moaning ill-humor. [Comp. 410, 411, 412, with (709,) (710).] Taciturn. Obstinate silence. Disobedience, want of docility. His ill-humor is increased by caresses.

415. He despises all things, (a. 1 h.) [Comp. with (707).] Dissatisfaction ; he thinks himself unhappy acid imagines he is tormented and teazed by every body. (a. 5 h.) He is vexed, and gets easily angry, (a. 4 h.) [Comp. 417, 418, 420 with (701,) (703).] Anger increasing to the most violent wrath, he could have stabbed one. He gets vexed when excited, otherwise he is stupid, embarrassed, discountenanced.

420. Inclines to feel angry, and seeks opportunities for it; afterwards quarrelsome, and disposed to grieve and reproach others, (a. 2 h.) Ill humor \with irresoluteness : she is unable to attain her ends, this makes her angry (in a few hours). Excessive and anxious cautiousness. Excessive solicitude about trifles, (a. 1-^ h.) Ill-humored, but neither sad nor quarrelsome, (but not disposed to think fast. [Comp. with 4, 5 (5.) (704,) (705,) (711).]

425. Mood gloomy, has no desire to live. Has no desire to work. Desire to work, read, write, reflect ; extraordinary disposition to be industrious (curative effect).

Head p. 46

Vertigo. Vertigo in the occiput v/hen sitting. Vertigo, the head inclining to fall backwards, more violent during motion and when walking, less when lying down {in a few minutes). Continual vertigo, the head inclines to-fall backwards, in any position, but especially when walking or when moving the head. (a. 6h.)

5. Periodical arrest of ideas. Cloudiness of the head. Obtusion of the head. The head is affected as in a cold. (a. 9 d.) (See 2 and 12.) The forehead feels dull.

10. The head feels heavy as after an intoxication, with pressure in the temples. Gloominess spread over the whole head for half an hour, (a. f h.) Dull feeling in the lower and posterior part of the head, as when waking from sleep. Heaviness of the head. [Comp. (13) (14) (15) with 14, 15.] Heaviness of the head, which inclines to fall backwards.

15. When waking from sleep, in the morning, heaviness of the head and weakness in all the limbs. In the morning the head feels dreary as after an intoxication, with dryness of the mouth. Aching in the forehead. Aching in the temples. Headache, weakness, followed by some coldness.

20. Aching in the occiput. [Comp. (20) to (26) with 17 and. (28).] Pressure in the outer farts of the left iemfle. Compressive sensation in the temples, (a. 5 h.) Aching in the temple, in the evening. Aching in the right side of the forehead. — 2.5. Aching in the forehead ; when bending the head backwards, both temples felt that aching in an increased degree ; when sitting the aching was only felt in the forehead. Headache, first a sort of pressure in the forehead, afterwards spreading over the whole head. Violent aching deep in the brain, with feeling of constriction, especially in the right side of the forehead, and in the occiput, increased by walking- [See 18, 19, (29) to (53),] Aching pain in the head, especially the occiput. Pressing headache, increased by the open air. (a. 9 h.)

30. Hard pressure in the occiput, as if the little brain were being pressed out. (a. 5^ h.) Painful pressure in the head, tovi^ars the forehead, as if the parts inside were too heavy and were pressing forwards, relieved by pressing upon the parts with the hand. (a. 8 h.) Pressing headache in that side to which he inclines, A sort of oppression of the head, with sweat on the forehead, (a. -J- h.) Pressure above the eyes, like a fullness in the head, (a. 2 h.)

35. Headache, as if the brain were pressed into a ball, with excessive mental excitement, inquietude, excessive and overstrained attention and fancy. Tearing, with pressure, in the temporal region, as if the bone were being pressed out. [Tearing or (drawing) with pressure and pressure with tearing (drawing) appear to be a characteristic pain of Cinchona ; see (427) (428) (466) (470) (492) (493).] Tearing aching in the left temple. Tearing in several parts of the head, increased by walking and moving the head. Tearing headache from the right part of the occiput to the right frontal eminence.

40. Drawing headache from the occiput to the forehead, as if the whole forehead were being contracted ; this pain terminated in the temples as a throbbing ; decreasing when walking, increasing when sitting and standing, and ceasing when pressing upon the parts with the hand. Drawing pain in the occiput, when sitting. Drawing pain behind the ears, in the head, extending to the mastoid process. Drawing pain in the left side of the occiput, going off by bending the head backwards. Drawing pain in the forehead.

45. When touching the forehead with the hgfnd, he feels in that part a pain which moves to and fro. Violently darting tearing in several parts of the head, increased when moving the head or walking about, decreasing when lying down. (a. 1 h.) Darting tearing in the frontal eminences. Darting tearing in the right temporal region, for three days. Dartings, from both parietal bones along the neck. [Compare (48) (49) with 22.]

50. Headache, a sort of darting towards the forehead, increasing until evening, when it disappeared, Digging-up pain in the left side of the forehead, when sitting down unoccupied, or when doing something which did not interest him. Headache, a sort of digging-up in the left side of the head, when sitting, (a. 9] h.) Headache, so intense as if the skull would burst ; the brain seems to strike against the skull, like waves. Violent hammering in the head towards the temples. Headache in the left parietal bone, a beating pain. Uninterrupted, dull, cutting pain, extending from both temples and the occiput as far as into the orbit, more intense when moving the parts and when stooping. Stitching headache, especially in the left side of the forehead, (a. 1^ h.) Burning violent stitches between the forehead and top of the head. Continual stitching sensation in the right temple.

60. Stitching headache, in the forehead, when sitting. Stinging in the left temple. Stitching headache between the right temple and forehead, with violent pulsation of the temporal artery, (a. \ h.) (s. 21.) Single stitches, darting through the internal ear from above. Lancinations in several parts of the head, increased when moving the head.

65. The scalp is so sensitive to the touch that every part of it becomes painful, and especially the roots of the hairs, (a. 36 h.) Painful drawing in the right side of the occiput. Drawing pain in the articulation of the condyles and the atlas, when touching the parts, obliging him to incline the head backwards. Painful drawing in the outer part of the occipital bone. Contractive pain on the left side of the occiput in the skin.

70. Contractive, external pain nthe left side of Die occiput, sensation as if the skin were being drawn together in one point ; is not increased by touching the parts. Pain as if the upper part of the scalp were grasped with the hand. Contractive pain, with sensation as if the contraction took place in a circle, on the top of the head. (a. ^ h.) Sharp stitches in the left side of the hairy scalp. Several stitches in the nape of the neck (leaving a sort of stiffness behind.) [See 69 and (424) (425).]

75. Stinging itching on the hairy scalp, (a. 1 h.) Stitching pressure in the outer part of the left frontal eminence, accompanied with vertigo and some nausea in the throat. Stitching- pressure in the right frontal eminence, more violent when touching the parts, (a. 10 minutes.)

Face p. 49

Sunken, pointed countenance, pale, sickly, as after excesses, (s. 30 to 33.) Bloated, red countenance.

80. Heat in the face. Burning heat in the face, when entering the warm room from the open air. Alternate heat and redness of the face. Momentary contraction of the integuments of the forehead, as if they became drawn together in one point in the centre of the forehead, (a. ^ h.) Burning pain on the forehead and hot sweat on the forehead.

85. Pressure over the face, especially near the nose and cheeks, accompanied with drawing together of the eyelids, as if the upper and lower lids were drawn towards one another, (a. 3 h.) Stitching pressure on the forehead, above the nose and on the cheek, (a, 32 h.) A sort of pecking pain in the zygoma and in one of the right molares. Fine stitches in the right malar bone, going off by pressing upon them. Soft pressure from below upwards, anoa^e the root of the nose and in the region of the eyebrows, going off when touching the parts, the skin of the left wing of the nose feeling tense.

90. Pressure in both eyebrows, rather externally, aggravated by moving the muscles of the forehead, (a. 3 h.)

Eyes p. 49

Pain over the left orbit. Tearing about the left outer canthus. Fine-itching pain over the orbits. Itching of the left eyelid.

95. Titillating sensation of the eyelids, (a. 5 h.) Violent pain of the eyelids. Feeling of dryness between the eyelids and eyeballs ; when moving the eyelids, the pain is like a rubbing, without any visible change about the eye. Itching pain in the outer canthi. Painless pressure in eyes, as is caused by weariness and privation of sleep (a. 10^, 12 h.)

100. When waking in the night, the right eye feels as if bathed in tears, (a. 19 h.) Sensation in the eyes as if they had sunk a good deal, which is not the case. (a. | h.) Tremor winking, twitching in both eyes. (a. 2} h.) The left lower eyelid is jerked to and fro. (a. 6 h.) Lachrymation with tingling pain, of the inner surface of the eyelids.

105. The eyes are somewhat red, with aching, burning pain in the eyes and much heat (in the afternoon.) (a. 6 h.) Contraction of the

CINCHONA. pupils, (immediately and a. y h.) Contraction of the pupils, (a. 4 h.) Contraction of the pupils, (a. 1 h.) Dilatation of the pupils (a 1, h.)

110. Great dilatation of the pupils, (a. f h.) Excessive dilatation and almost staring of the pupils with weakness of sight, hindering him from distinguishing anything at a distance, the complexion being fresh and the spirits good. (a. 6 h.) Obscuration of sight. [Comp. (112) to (114) with 36.] Dimsightedness. Amaurosis.

Ears p. 50

Frequent tingling in the right ear, accompanied with a tickling creeping in the same, as if an insect had got in. [Comp. (115) (116) (118) with 48, 49.] Tinging in the ears, with headache in the temple. Ticking in the ear. Humming in the ears. (s. 50.)

120. Hardness of hearing, (s. 51.) Tearing in the cartilage of the ear and the meatus auditorius externus. (s. 42.) Pain in the left ear only when touching it. (a. 6 d.)

Nose p. 50

Biting sensation deep in the left nostril, becoming a painful stitch at every inspiration ; when compressing the nose, the biting increases, and then an itching is felt in the dorsum of the nose, in the evening, (a. ^ h. Fine prickings in the cartilage of the septum.

125. Bleeding from the nose between 6 and 7 oclock in the morning, after rising, several mornings in succession. Frequent, profuse bleeding at the nose. Bleeding at the nose, after violent blowing.

Mouth and jaws p. 50

On the right side of the upper lip, near the corner of the mouth, a sore feeling, as is felt after wiping the nose a good deal when affected with a cold. [Comp. (128) (129) with 59.] Pain in the lower lip, near the left corner of the mouth, as if a corroding ulcer had formed there.

130. Eruption on the lips and tongue, little ulcers which itch and burn. Dry lips without thirst, (a. 7 h.) Blackish hps. Neck drawn to one side. Aphony.

135. Slight shuddering with subsequent speechlessness. Cutting burning pain in the upper jaw, when standing, (a. 7 h.) Darting dull stitches in the right lower jaw. [Comp. 62 and (148).] Tearing in the left lower jaw. Swelling of the gums and lips.

140. When biting the teeth together, he feels an aching pain in the crowns of the right raolares. Toothache, resembling a pressing drawing in the left jaw. [s. 66, and (145) (146).] Jerking tearing in the upper and posterior molares of the left side. (a. 5 h.) Digging-

up in the upper molares, momentarily relieved by biting the teeth together and by pressing upon them (a. 40 h.) (When

smoking, to which he is used) he feels a tearing pain in the

upper jaw, moving upwards and backwards, and followed by a fainting fit.

145. Aching and drawing pain in the left upper row of the molares, with sensation as if the gums or the mterior of the cheeks were swollen, (a. 1 h.) Drawing aching pain iti one of the upper molares, in the morning, with sensation as if they were numb. (a. 24 h.) Drawing pain in the anterior incisores in the morning. (Rhus tox. appears to be an antidote to both these last sj-mptoms.) Small, line stitches, with tearing, in the upper molares of the right side, neither increased nor diminished either by contact or by inspiring the open air. (a. 2^ h.) [s. 62, (137).] Pecking pain in one of the upper molares. (s. 63.) Sore throat. Contractive sensation in the throat. [Comp. (151) (152) with SO, 81.] Difficult deglutition, as if the oesophagus were too narrow. Tension in the pharynx, when bending the head backwards ; this, however, does not impede deglutition. Scraping sensation in the palate, also between the acts of deglutition, (a. 8 d.)

155. The smoke of tobacco seems to him uncommonly sharp and biting in the posterior part of the palate, (a. 24 h.) Troublesome feeling of roughness in the throat. Biting sensation on the tip of the tongue, as if caused by pepper, followed by conflux of saliva at that spot. Burning stitches in the surface of the tongue, (s. 84.) Contractive sensation in the salivary glands ; ptyalism.

160. A quantity of saliva in the mouth with nausea, (a. 2 h.) Conflux of saliva, accompanied with nausea. After an agreeable surprise a quantity of bright blood appeared in the mouth, (a. 24 h.) Dryness in the mouth. [Comp. (163) to (165) with 85.] Dryness in the mouth with thirst.

165. Great feeling of dryness in the throat, with cool breath, (a. 1 h.) Tongue very much coated, especially in the afternoon, (a. 7 h.) Tongue coated white, early in the morning. Tongue coated with a thick, dirty-yellow crust, (a. i h.) Tongue coated yellow.

170. Tongue coated yellow. Pure tongue with bitter taste.

Taste and appetite p. 51

Bitter taste. [Comp. (172) to (176) with 97, 98.] Bitter mouth. Bitter taste in mouth ; even the tobacco tastes bitter when smoking.

175. Bitter taste in the throat, on account of which he has to swallow the saliva all the time, (immediately.) Bad, sometimes bitter taste in the mouth ; the food had no pleasant, nor had it a bitter taste. Bitter taste in the mouth when drinking coffee. Bread tastes well when chewing it, but it has a bitter taste when being swallowed. The wheat bread and butter taste bitter and salt, with dryness in the palate, and thirst ; between the meaJs he has no strange taste in the mouth, only dryness and thirst.

180. All the food has an uncommonly salt taste, afterwards a bitter taste. Bread and butter excite bitter- sourish eructations. (a. If h.) (s. 122.) Imperfect, sourish eructations after drinking

CINCHONA. milk. (a. 1^ h.) (s. 94, 99.) Acidity in the mouth, [s. 91, 93, also (185).] ' Sweetish-saltish taste in the mouth, (a. 3 h.)

185. First a sweetish, afterwards a sourish taste in the mouth, copious saliva. Sweetish taste in the mouth. Tobacco tastes sweetish when smoking. Bad taste in the mouth, as after cheese. (Comp. with 118 to 121.) Tobacco has no taste when smoking.

190. Tobacco has no taste when smoking, (s. 105.) Supper has little taste, (s. 110.) Want of appetite. Little appetite. Want of appetite as if owing to remote nausea, (s. 117.)

195. Little appetite at noon, from a feeling of repletion, (s. 106, 107.) Slight thirst, (s. 116.) No thirst when eating. Hunger, and nevertheless no appetite ; the food which he put in his mouth, although having a natural taste, was nevertheless disagreeable to the mouth. Hunger at an unusual period, in the afternoon.

200. In the morning, violent hunger and appetite, without knowing for what. (s. 112, 113, 114.) Great desire for sour cherries. Sensation of emptiness in the pharynx and oesophagus (a 11 d.) First a burning, afterwards an agreeably .. arming sensation from the upper part of the chest to the stomach.

Gastric symptoms p. 52

Eructation. [Comp. (204) (205) with 124.]

205. Tasteless eructations after a meal. Eructation, as if caused by nausea, with colic (a. | h.) Eructation, as if from inclination to vomit. Nausea in the region of the pit of the throat, after a meal. Nausea

210. Nausea with a good appetite. Sensation as if some of the food reached as high up as the throat, (a. 3 h.) [Comp. (211) with 133.] Inclination to vomit. Nausea without vomiting. Vomiting.

215. Continual vomiting. Half an hour after dinner, a pressing head-ache, lasting until he goes to bed. When sitting down atte a walk, succeeding a moderate meal, he feels an anguish, with nausea, at the stomach, as if the stomach had been overloaded and spoiled in consequence, nevertheless he is hungry, [s. 148, 149, 150, (151) and 231.] Weariness and laziness after a meal. [Comp. (218,) (219,) with 136, 137.] Faintness and drowsiness after supper, (a. 12 h.)

220. After a meal, a hard aching pain in both sides of the abdomen below the umbilicus, (s. 144.)

Stomach p. 52

Pressure at the stomach. [Comp. (221) to (224) with 142.] In the morning, when lying on one side, pressure at the stomach, (as if it had become constricted,) going off when lying on the back. Pressure in the stomach as if from repletion. Violent pressure in the stomach, going oif during a meal. [Alternate effect of, (225).] Hard., long, lasting pressure in the stomach a after eating, whatsoever it be. (s.l41 143.) Heaviness and pressure in the stomach. Heavy pressure in the stomach. Oppression of the stomach. Feeling of repletion in the stomach.

230. Feehng of weight in the stomach. Weakness of digestion. Colic in the region of the stomach, resembling a pressure, abating when rising from the seat, returning when sitting down again, and continuing two hours, (a. f h.) Pressure, with tearing, under the last true rib, on the left side of the xiphoid cartilage. Sore feeling with pressure [or pain as when one presses upon a wound), in the prcBCordial region (several mornings).

235. Violent pressure under the prsecordial region, as if all the parts there were sore, the same in any position, or when touching the part ; shortly after violent diarrhoea, which did not relieve the pain in the praecordial region, (a. 7h.) Oppression in the prsBCordial region, arresting the breathing. Clawing sensation in the praecordial region, arresting the breathing, (a. I h.) Pains under the short ribs. Pains, hypochondria.

240. Anxiety in the prsB- cordial region, especially after a meal. Anxiety in the prsecordial region. Colic, pinching, (stitching,) aching under the praecordial region, as if diarrhoea would come on, without any evacuation taking place, in the evening, (a. 36 h.) [Comp. (242) (243), especially (246) to (248) with 167, 168.J Darting stitches in the stomach, (a. 3 h.) Tearing drawing under the last rib, when standing.

245. Contractive pain, and as if bruised, under the last rib, only when walking, (a. 24 h.) [See 161, 163, also (294) to (301).] Sharp stitches in the pit of the stomach, (s. 252.) Sharp stitches in frotit, under the last ribs, uninjlue7iced either by inspiration or expiration. [See 168 (252) (253) (256) (257) and (308) to (313).] Stitching pain in the pit of the stomach, extending to the sternum.

Abdomen p. 53

Pressure, with sensation as of stitching, in several parts of the epigastrium, in the morning when in bed (four days in succession.)

250. Severe cutting in the umbilical region, with cold sweat on the forehead, for a quarter of an hour ; (in a few minutes.) Pressure, with cutting in the region of the spleen, as if the spleen were indurated. Sharp stitches in the left side of the epigastrium, close under the ribs, from within outwards, more violent during an inspiration, (a. 7 h.) Splenetic stitches, even when walking slowly. Pinching stitches in the left hypochondriac region, (a. 1^ h.)

255. Obstruction of the spleen. Continuous stitches under the right ribs in the region of the liver, neither lessened nor made worse by either inspirations or expirations, (a. 4 h.) Violent stitches from within, outwards in the region of the liver, only during expiration, (a. 5 h.) Attacks of pressure in the region of the liver, when standing, coming and going, passing off when bending the body forwards ; when touching the parts they are painful as from subcutaneous ulceration, (a. 5 h.) Swelling of the liver. — 2G0. • Obstructions of the liver. Indurations in the abdomen. Indurations of the intestines. Sensation as if the epigastrium had been pressed into a narrower space. Fullness of the abdomen. [Comp. (264) to (267) with 158, 159.]

265. Obstinate distention of the abdomen, causing anxiety. Bloatedness. Bloatedness the abdomen, from flatulence. Flatulence, with frequent emission, (s. 172.) Tympanitis. [Comp. (269) to (273) with 158, 159.]- 270. Distention of the abdomen, as if from too much drinking or bloating aliments. Distention of the abdomen, colic and diarrhoea. Attacks of hardness, distention and pains of the abdomen, — Troublesome, tensive distention of the abdomen. Swelling of the abdomen.

275. Ascites. Rumbling in the abdomen, (a. 1 h.) Rumbling in the epigastrium, (a. 2 h.) Cracking in the left side of the abdomen, backwards and downwards, apparently in the descending colon. Grunting in the abdomen.

280. Horrid colic. Colic. Colic with nausea. Colic with violent thirst, (a. 1 h.) Scorbutic colic.

285. Ineffable colic. Ulcers in the abdomen. Inflammation in the abdomen. Heat in the umbilical region. Pressure in the umbilical region.

290. Chilliness, with pressure in the abdomen. Hard pressure in the left side of the hypogastrium. (a. 3 minutes.) Aching pain in the region of the coecum (when sitting). Violent pain in the abdomen with pressure, in the evening, as if diarrhoea would set in, while sitting. It goes ofl" by walking or when standing. Contractive pain in the abdomen, in the evening when sitting, disappearing already when rising from the chair and still more when standing or walking. [Comp. (294) to (301) with 161, 163, and (245.)]

295. On the right side of, and below the umbilicus, a contractive pressure as if there were an induration, when sitting. Contraction of the abdomen and the sides, when moving the scapulae up or down. Pain in the abdomen, a sort of pinching together, and of drawing, mostly when sitting. Sensation as of the intestinal canal being contracted, with grunting in the abdomen. Cramppain in the groin, occurring by starts, when standing.

300. Pinching and colicky constriction of the bowels above the umbilicus, when raising himself after stooping. A pinching together under the right side of the umbilicus, in the outer parts, as it were, when sitting, in the evening, (a. 13 h.) Violent pinching in the epigastrium, (he had to bend double to obtain relief,) (a. 1 h.) alternating with inclination to vomit and tenesmus accompanied with shaking chills all over ; pressure in the epigastrium after the pinching. Pinching aching pain in the abdomen, when walking, towards evening. Violent pinching in the abdomen, going off when rising from a seat.

305. Pinching in the abdomen, moving to and fro, above the mons veneris, as if diarrhoea would come on, with emission of short flatus, when sitting, (a. 27 h.) Throbbing in the right side of the abdomen. Excessive stitching, xoitli pressure, on the left side of and below the umbilicus, when walking" fast, and afterwards, (a, 2 h.) Dull-stitching pain in the region of the right kidney, more violent when bending the body. (a. 24 h.) [Comp. (308) to (313) with 1 68 and (247). ] Dull stitch- . es in the abdomen, round the left side of the umbilicus and likewise under the right nipple from without inwards, (a. I h.)

310. Dull stitches in the lumbar region. Stitches darting into the abdomen from above downwards, during an inspiration. Colic, frequent attacks, in the umbilical region. (s. 171. 196.)

315. Drawing pain in the right side of the abdomen, when walking. Emission of a quantity of flatulence, accompanied with drawing in the abdomen during hard stool, which goes off with difficulty. (a. 48 h.) [See 176, 177, also (322) and (339.)] Between 6 and 10 oclock in the evening, violent grunting and movement of flatulence in the abdomen, with a sensation of pressure, after which the flatulence passes off" with a fetid smell. Tearing in the umbilicus. Excessive tearing on the right side of the umbilicus, towards the groin, in the whole of the lumbar region, diminished when bending the body backwards.

320. Tearing and grunting in the abdomen, below the umbilicus. Tearing pain with pressure, on the left side of the mons veneris. Increase of the peristaltic motion in the abdomen, accompanied with pressure.

Stool p. 55

Desire for stool. Soft stool in day-time.

325. Stool thinner than usual, (a. 24 h.) [Comp. (325), (326) with 178-180 and (330) to (332).] Diarrhoea. Knotty, yellow, soft stool, early in the morning. Bilious stool. Emission of a quantity of fetid flatulence.

330. Frequent, black diarrhoea. Violent diarrhoea. Diarrhoea ; the faeces look as if they were mixed with undigested food ; they come off in single fragments (a. 12h.); when he has done, the desire for stool continues yet, but nothing is expelled, (s. 178 ) He has to use his utmost strength to expel the faeces, although they are papescent; this is followed by painful, unsuccessful tenesmus. [Comp. (333), (335), (337) with 186, 187.] Cessation of the evacuations.

335. Constipation during the day, and hard stool in the evening, [Comp. (335), (337) with note to 186, 187.] Constipation. Constipation ; hard fasces accumulate in the rectum for a long time. Haemorrhage from the haemorrhoidal vein. Sharp stitches in the lower part of the rectum, especially in the sphincter ani muscle ; also during and after stool, stitching drawing, for three days. (See 185, 188, 195.)

340. Fine stitches in the bend of the groin, close to the mons veneris, almost only when walking. Drawing, with pressure, when sitting, in the groin, especially in the tendon of the psoas-muscle.

Urinary organs p. 56

The urine is not more copious, but paler, and nevertheless deposits a cloudy sediment, (a. 3 h.) Increased secretion of urine, with burning in the orifice of the urethra, (a. 2 h.) [Corap. (343), (344) with 200.] Continual burning in the orifice of the urethra, with sore feeling in the border of the prepuce, both being especially painful when the clothes rub against the parts, (a. 2 h.) [Comp. with 310, (477).]

345. Promotes the secretion of urine. Scanty, yellow-greenish urine. Light-yellow urine, depositing next morning a dirty-yellow, rather loose sediment. Dark-colored urine, with brick-dust-red sediment, (a. 24 h.) (s. 210.)

Genital organs p. 56

Copious and involuntary emission of semen in the night at 3 oclock, (s. 223.)

350. Stinging itching of the scrotum, (s. 214.) Suppression of the menses, (s. 225.)

Cold, catarrh p. 56

A few violent, dry sneezings, (a. 7 h.) Watery discharge from the nostril, which is nevertheless obstructed, (a. 13 h.) Coryza, with sensitiveness of the nose, pimples on the borders of the nostrils and the septum, (a. 9 h.)

355. Coryza, his nose runs for two hours. Symptoms of dry coryza. Noisy breathing through the nose.

Respiratory organs and chest p. 56

Stitches and sensation of roughness in the larynx. [Comp. (358) to (361) with 228 to 230.] Sensation as if mucus had accumulated in the larynx.

360. Mucus in the larynx, which he hawks up all the time and which makes the voice hollow and hoarse. Hoarse, rough tone of voice. A sort of drawing in the trachea, under the larynx, after which he is attacked with a fit of cough. Asthma. [Comp. (273) to (372) with 231, 232.] Oppression of the chest.

365. Oppression of the chest. Feeling of oppression and uneasiness in the chest, in the evening • he is obliged to take a deep inspiration, and the expiration takes place with a sigh ; this relieves the oppression for a few moments, the pulse being weak, scarcely perceptible, and the mood being anxious and impatient. Gi-cat oppression of the chest in the precordial region as if something loere digging it up all over, (a, 4 h.) Asthma, with difficult, sometimes raling expiration, (mostly when walking,) and roughness of the chest, (a. 4 h.) Arrest of breathing, for half an hour.

370. Suffocative asthma. Fatal oppression of the chest (Cinchona having been given during the cold stage). An agreeable fullness in the chest, as if one had eaten enough, the saliva having a sweet and pleasant taste, (a. 1 h.) Jactitation of the muscles of the chest, here and there. Pressure on the chest. (See 237 and 244 to 246).

375. Aching pain in the chest. Pressure on the left side near the xiphoid cartilage. External pressure in the middle of the sternum, when bending the upper part of the body, also when standing, and disappearing when pressing upon the part. (a. 20 h.) Pressure from within outwards, in the region of the lowest ribs. (a. 24 h.) When stooping while sitting, he feels a pressure upon the sternum, causing anguish and not allowing to take sufficiently deep breath, going ofiby raising one's self. (a. 6 h.)

380. Hard-aching pain in the right side of the chest, in the region of the fourth and fifth ribs. (See 237 and 244-246.) Drawing pressure in the right side of the chest, when sitting, abating when standing or walking. Drawing pain behind the sternum. Drawing pain, with pressure, across the lower part of the chest while sitting, the pain causing anguish, and going off when standing or walking. Contractive pain in the right side of the chest, at a small spot in the middle ; this pain obliges him to expel the breath suddenly and almost involuntarily.

385. When stooping while sitting, one feels a cutting pressure over the clicst, increasing and decreasing at intervals, and disappearing when raising one's self, still more when standing and walking. Fine stinging on the left side of the chest, with pressure, (a. 8i h.) Pleuritic stitch. Stitches in the chest, in the morning. Stitches in the left half of the chest.

390. Stitches in the chest, when walking fast, going off when at rest. A few violent stitches hi the chest, close above the 'precordial region, wit en at rest, especially when reading, (a. y, 16, 18 h.) Pleuritic stitches when sitting and reading. Sharp stitches in the thoracic cavity from within outwards, in the region of the sixth and seventh true jibs, iminfliienced by inspiration or expiration. (a. ^ h.) Dull stitches in the thoracic cavity from within outwards, at regular intervals, when at rest or in 'motion, and uninfluenced by breathing, (a. 1 h.)

395. Stitching in the right side of the chest, in the region of the fourth rib under the arm, apparently in the pleura, almost like a continuousstitch, going off when pressing upon the parts and when stooping, (a. 6 h.) Sharp stitches between the seventh and eighth left ribs. Sharp stitches near the right nipple, from within outwards, (a. 10 h.) Sharp stitches in the sternum,., where the ribs join it., on both sides., from loithont inwards, uninfluenced by respiration, (a. 2 d.) Sharp-stitching pain on the loft side and near the xiphoid cartilage and in the pit of the stomach, only during an expiration, (a. 60 h.)

400. Stitches in the left side of the chest (during an expiration) when sitting, (a. 2 h.) Titillating stinging in the left half of the chest, towards the prgecordial region. Dull stitches in the chest, obliging one to expel the breath. Dull stitches in the region of the cartilage of the third and fourth left false ribs, uninfluenced by respiration. Pleuritic stitches with great heat, strong, hard pulse and staring eyes.

405. Fever, after a sort of spurious pleurisy. [Comp. (405), (400) with 234 to 236.] (During the cold stage of a fever and ague) troublesome cough with stitches in the side. Continual desire to haik up, in the morning after rising, as if caused by the vapor of sulphur, not getting any thing loose for several mornings. Suspicious cough. (Conjp. with 242.) Palpitation of the heart and congestion of blood to the face, which became red and hot, accompanied with coldness of the hands, (a. 1 h.)

410. Violent palpitation of the heart, with low pulse and cold skin. Violent palpitation of the heart, accompanied with a feeling of anxiety. Tearing in the region of the left scapula, during an inspiration. Drawing-tearing pain in the left scapula, (a. 9 h.) Contractive pain between the scapula3, when standing, (a. 3 h.)

415. Prickings over the right scapula and in the left side of the chest, (a. f h.)

Back p. 58

Small stitches in the middle of the spinal marrow, (a 5 h.) [Comp. (416) (417) with 263.] Stitches in the left side of the spine, when sitting. Darting tearing in the left side of the small of the back. Violent, stitching drawing pains in the middle of the os sacrum, towards the lumbar vertebrae.

420. Jerkings above the os sacrum, (a. \ h.) Painful jerks in the os sacrum, (s. 259.) (Stretching) pain in the small of the back, as if from a heavy load or from long stooping, (a. 23 h.) Slowly drawing stitches in the anterior cervical muscles, when at rest. Drawing pain in the lower and right side of the neck, at the commencement of the nape of the neck, when standing, going off when stooping. [(424) (425) to compare with 69 and (74).]

425. Drawing pains in the nape of the neck.

Upper extremities p. 58

Paralytic jerking tearing on the top of the shoulder, sensitively painful when touched, and when the pain has passed off, it can be excited agaiti by contact ; it is excited even by the pressure of the coat upon the shoulder. [Cinchona is not only characterized by this, that the pain which it occasions, is increased by motion and especially by touching the affected parts : see 254, 255, 290, (310) (429) (434) (435) (438) (441) (448) (483) (522), but it is likewise characterized by this, that the pain ahhoiigh it may have disappeared for the moment, may be excited again by simply touching the parts, as is seen from (425) and also from 289 (472), when it frequently becomes horrid and intolerable.] Tearing, with pressure, in the left axilla and in the anterior and internal border of the scapula. Drawing pain, with pressure, at intervals, in the anterior border of the right axilla, (a. 3 d.) Paralytic darting tearing commencing at the head of the humerus and extending along the muscles and hones as far as the phalanges where it is less 'painful ; at the same time the whole arm is weaker ; the -pain increases by contact, (a. 3 h.)

430. Stitching pains in the upper arm, disappearing as soon as the arm is moved, (a. f h.) Darting tearing in the humerus, upwards and inwards, (a. 2 h.) Tearing, first in the left,- afterwards in the right upper arm. (a. \ h.) Paralytic pain in the right upper arm., co?ume7ici7ig at the head of the h2im,ers, and terminating in the hand, in the shape of afitie and weak tearing ; the rest of the body, especially the forehead, being warm. (a. 8 h.) Paralytic, jerking tearings in the long bones of the upper limbs, more violent during contact (a. 1 h.)

435. Paralytic tearing in the upper limbs, extending into all the parts thereof, increased by contact m,ore than by motion. Stretching of the arms, xoith curbed fingers. Sensation in the elbow-joint, as if it were ecchymosed. Painful drawing in the coronoid process of the left ulna, (in the bend of the elbow,) more violent when touching the parts. Tearing pain in the left elbow-joint, more violent during motion (a. 2 h.)

440. Stitching in the left elbow-joint. Tearing in both ulnae, more violent when touching the parts. [Comp. (441) (442) (443) with 269.] Tearing, to and fro, now in the outer parts of the right, now of the left fore-arm (going off by friction), (a. 4 h.) Drawing pain along the bones of the fore-arms, as if the periosteum Averse being scraped with a dull knife. Sharp drawing stitching obliquely across the left wrist (evening), (a. 13, 14 h.)

445. Drawing pain in the palm of the hand, obliquely across the roots of the fingers. The hand is painful when seizing something, a sort of cramplike drawing. Tremor of the hands when writing, (a. 1 h.) Jerking tearing in the 7metacarpal bones and fingers, aggravated by contact. [Comp. (443) (449) with 276.] Jerking tearing in the metacarpus and wrist.

450. Tearing along the line of contact of the metacarpal and carpal bones, (a. 5 h.) Dull stitching in the metacarpal bone of the right index finger. Tearing in the last j)phalangeal bones of the right handy especially violent in the joints, uninfluenced by motion, (a. i h.) Stinging tearing in the anterior joint of the right thumb. [Stitching, lancinating, tearing and stitching drawing, which is sometimes increased to jerking tearing, appear to be characteristic pains of Cinchona ; see (444) (465) (507) to (509).] Jerking tearing in the metacarpal bone of the right httle finger. [Comp. (454) with 276.]

455. Jerking tearing in the joints of the fingers, (a. 24 h.) Blue nails.

Lower extremities p. 60

When sitting, pressure in the fleshy part over the os coccygis, which increases, feeling like a pulse, and going off" when rising. Tearing drawing in the left glutei muscles, when sitting. [Comp. (458) (459) with 280.] Drawing in the glutei muscles and knees at the same time, when standing, going off when sitting.

460. Pain, a sort of stinging and binning, simultaneously in different places of the lower limbs. Weakness and weariness as after a distant journey on foot, in the thighs and legs. Weakness and want of firmness in the hip and knee-joints, two mornings in succession, as if he had made a distant journey on foot the day previous ; by continued exercise this feeling disappears from the joints, and is succeeded by a feeling as if bruised, which is felt in the thighs the next and in the legs the second day. Weakness in the lower limbs, when walking, the whole day. (a. 2 h.) Painful drawing along the outer parts of the long bodies of the lower limbs, (a. 2 d.) (s. 280.)

465. Cramp-like (stitchlike) drawing in the thigh and leg. (a. -^ h.) Drawing, with pressure, in the hip and knee-joint, disappearing when walking or standing. Pain in the hip-joint, in the knees and foot, as if they were sprained or cut to pieces. Drawing pain in the outer parts of the femora, as if the periosteum were being scraped with a dull knife. Slow, painful drawing in the inner side of the left thigh, which does not seem to affect the parts behind the skin.

470. Cramp-like drawing in the right thigh, commencing at the bend of the knee, (with sensation of pressure) as if the leg should be drawn up, in the evening when sitting, going off by standing and walking. Jerking in the middle of the left thigh, (a. 5 h.) Jerking tearing in the outer parts of the right and left thigh, towards the anterior and external parts, excited only by contact, not by m,otiori. Jerking tearing in the anterior part of the left thigh, (a. 2 h.) Tearing in the femora, from above downwards, when at rest and in motion, in paroxysms, for several days. (a. 72 h.)

475. Tearing, extending- from the knee-joint into the thigh, accompanied with weakness which m,akes walking and standing difficult. Painful drawing in the femur, from above downwards, with pressure, mostly when sitting, in the afternoon. Painful sensitiveness of the skin of the thighs, when rubbing the clothes against it, as if the skin were rough and covered with pimples, (a. 8 d.) Sensation in the left thigh, when standing, as if a hard nodosity were in the flesh, affected with a drawing pain. (a. 2 h.) (s. 288.) Stitch in the posterior part of the right thigh from below upwards, when standing.

480. When rising from a seat, burning and tingling in the thigh upon which he was sitting, as if it had gone to sleep, especially in the bend of the knee, and particularly felt when standing. Cramp-like, paralytic pain in the right thigh and the knee-joint, when rising from a seat after having been sitting for some time,, and when walking, (a. 5^ h.) Jerking tearing, within the patella. Paralytic tearing in the right knee-joint, extending now towards the thigh, now towards the leg, with faintness of the part, and increased more hy contact than by motion. Sharp drawing pain in the right knee, when rising from a seat and when walking, going off again when sitting (in the afternoon).- -485. Stitches in the left knee-joint. Slight trembling of the knees when rising from a seat, disappearing while walking. Sudden bending of the knees, especially when going upstairs. Sudden bending of the knees when walking. Jerking drawing in the tendons of the hamstrings, synchronous with the pulse, (s. 285.)

490. An uneasiness in the legs obliged him to curb them, and to draw them up. (s. 299- 302.) Drawing pain in the right tibia, near the heel, and afterwards in the whole foot, when sitting. Drawing pain, with pressure in the upper and inner side of the tibia below the patella, when extending the leg while sitting ; the pain goes otf when bending the leg. Drawing, with pressure upon the tibia, in the evening, when sitting, disappearing when standing and walking. Stitches in the tibia avhen walking, and going off" when at rest. (a. 5 and more h.)

495. Single, sharp, quickly recurring stitches in the upper part of the calf, when walking in the open air. Tearing in the calf Hard, dark-red swelling on the calf, terminating in suppuration. [See 283, (502) (503).] Burning tension above the tendo Achillis. Paralysis of the feet.

500. Violent, stinging burning of the dorsum of the foot, close to the tibia (when sitting). Stitching in the left' foot. Swelling of the foot. Painful swelling of the foot. Contractive, pinching pain in the outer side of the right foot, close to the sole of the foot. (a. 6 h.)

505. Violent itching in the dorsum of the right foot, when walking or sitting, relieved for some time by scratching. Stitching tingling, extending from the big toe to the dorsum of the foot, as if the part had been frozen, in the evening when sitting, disappearing when walking or standing. [Although the Cinchona-pains are, next to contact, (426) most frequently increased by moving the part, yet there is an alternate effect of this symptom, which is not entirely rare, and which is its opposite ; here the Cinchona-pains are diminished or appeased, as is the case in (506), and also in (424) (457) (466) (47U) (49U) (492) (493) ; sometimes the pains are mostlyfelt in a state of rest. (See 278, 299, 300, 301, (458) (476).] Stitching drawing in the heel. (a. 48 h.) Stitching tearing in the sole, in the region of the heel, when sitting or walking. Violently tearing stitching in the soles, when sitting or walking.

510. Drawing pain in the metatarsal bones of the right foot. Drawing, with sore pain, in the dorsum of the foot, when standing, going off when sitting. Cramp-like drawing in the internal surface of the left foot, when sitting. Jerking tearing in the tarsal and metatarsal bones. Jerking tearing in the metatarsal bones and toes.

515. Jerking tearing, increased by contact, not by motion, in the m,metatarsal bones, and the phalanges of the toes, especially the joints, (a. 31 h.) Jerking tearing, where the metatarsal and tarsal bones join one another, (a. 25 h.)

General symptoms p. 62

Stitching, now in the tibia?, now in the back, now in the chest, when sitting, (a. 14 h.) Stinging in different parts of the skin. Stitching in a cicatrix of the left foot. (s. 313, 314.)

520. Pulling in the skin, on some parts of the abdomen, as if a hair were pulled at. Spasmodic twitching of certain parts of muscles. Jerking tearing in different parts of the limbs, especially of the hands and feet, aggravated by contact. Drawing sensation in the outer parts of the bones. Stretching, drawing pain iii almost all the bones, now in one, now in the other, causing an intense sensitiveness to pain ; when lying down, it abated for a few moments, but returned afterwards with so much more violence. (a. 14 h.)

525. Gout. Rheumatic pains. Pain in the limbs, especially the joints. (See 298-302.)— Tensive pains. Erratic rheumatism, now in one, now in another part, without swelling or fever, alternating with pains in the internal body (after using the drug for a long time).

530. Burning in differ-

» Jerking tearing appears to be characteristic of the pain excited by ent parts of the body, mingled with a creeping and itching in daytime. Consumption. Cachexia. Hectic fevers. Dropsy.

535. Anasarca. Swelling of the limbs. [Comp. (536) (537) with 283, 297, (497) (502) (503).] Erysipelatous swelling of the whole body. Yellowish color of the skin. Jaundice.

Weakness fits p. 63

540. Weakness. Weakness in the limbs. Chronic weakness. Failing of strength.

545. Feeling of weakness, especially when rising from the seat ; he prefers sitting down again ; he sometimes falls back upon his chair, unless he stretches the muscles. This sitting down again is followed by an agreeable feeling of rest. (a. 3, 4 h.) When walking he soon felt exhausted, as if his legs felt heavy and paralytic. Heaviness in the body. Heaviness in all the limbs, especially the thighs, as if lead were hanging on them. [Comp. with 281, and (461).] Laziness.

550. When he attempted to keep himself erect for a few moments, he felt stiff, turned pale and lost his senses. Loss of senses and exhaustion, at the same time. Slight attacks of apoplexy and loss of consciousness. Weakness and prostration of the whole body. Violent swoon (in the case of a robust man who had taken 16 grains of Cinchona at a dose ; the fainting fit was so violent that he did not recover from it till he had taken an emetic).

555. Fainting fits. Fainting fit, death. (Also Sydenham, Opera, Lips. 1695. p. 379,) mentions the death of two men, brought on by giving them Cinchona a few hours previous to the attack.) Asphyxia, apparent death. Faintness and prostration of both body and mind. (a. 1 h.) Faintness; he is scarcely able to keep his head erect, and goes to sleep.

560. Exhausted condition of all the limbs, and tremor of the hands, (s. 334.) T/ie whole body feels weak, even when sitting, but much more when walking. Now weakness, now feeling of great strength in the joints (Alternate effects in a healthy person.) In the open air he feels quite faint about the stomach and chest, and he is weak, although he is abundantly strong enough to walk. Extreme lightness of motion, as if he were a spirit, (a. 2 to 3 h.) (Alternate effect succeeding a feeling of weakness which had been previously excited by Cinchona.)

565. Cheerfulness, but with staring eyes, the whole evening. (A sort of unnatural excitement, similar to the artificial strength which physicians excite in a patient when they fail in curing the disease.) Feeling of ease, in the evening. Tremor in all the limbs, invisible, but perceptible and accompanied with a sensation of coolness. Convulsions.

Sleep p. 63

Sleeplessness until midnight, with an aching pain over the whole head. [Comp. (569) (570) (575) with 343, 344, (559) ; the aching pain in the head during the night appears to be characteristic of Cinchona ; comp. with (576,) (583) (595). The pressure in the umbilical region, in the evening when in bed (582) is related to that aching.]

570. Wide awake until two at night. Drowsiness, followed soon after by wakefulness. Drowsy lassitude. Drowsiness the whole day, with yawning and stretching of the limbs. He wakes two hours before his usual hour.

575. Sleeps only from 3 till 5 in the morning. Deep sleep, like that of a drunkard ; in the morning his head feels dreary, as if he had not slept enough, and, when shaking the head, he feels a pressure in the temples. [Comp. with (595).] Restlessness, sleeplessness. Restless sleep, with tossing about, without waking. Restless sleep.

580. Restless sleep; he was unable to fall asleep.; when asleep, he soon woke again, with sweat in the hair of the head and on the forehead, with chilliness over the back. Restless sleep, and after waking, a slight sweat all over the body. In the evening, when in bed, a pressure in the umbilical region, with sensation as of pinching the parts together. In the night, headache and dreams, causing him to start, in alternation. [Comp. (583) to (592) (591) with note to 357.] Restless sleep, in the night, from which he started up from time to time, and afterwards remained unconscious of himself for a few moments.

585. Confused visions in his dreams, in the evening ; when dropping to sleep, they wake him again, (a. 16 h.) Fearfulness, at night, when waking from terrible dreams. Frightful dreams about falling from a height ; when waking he is full of uneasiness, and is unable to collect his senses for a few moments. Frightful dreams about misfortunes, they rouse him up ; still he is unable to collect his senses. Anxious dreams "in the night ; roused from his sleep, he was in a state of half-consciousness, and remained yet for some minutes in a state of fear.

590. Sleep disturbed by confused and interrupted dreams, waking several times ; he woke, but remained unconscious. Confused, unmeaning dreams after midnight, mixed with wakings in a state of half consciousness. Confused, absurd dreams, which frequently rouse him from sleep. Lascivious dreams, with pollutions. Restless night-sleep, with vexatious dreams and tossing about, waking every time he dreams.

595. In his sleep he throws himself from side to side, uncovers himself, and is tormented by all sorts of vexatious dreams about past things ; in the morning he is unable to become wide awake, owing to the dreary condition of his head ; he feels broken down in the morning, unrefreshed by sleep.

Fever p. 64

Inclination to yawn. Yawning and stretching of the limbs, (a. ^ h.) In the open air he is attacked with more violent shudderings, accompanied with shaking chills and goose-flesh. He is attacked with shuddering and thrills of chilliness in the open air, which is not cold ; they cease at once in the room,

600. In the open air, which is not verycold, he is attacked with trembling of the limbs from chilliness, and with thrills of shuddering over the thighs. He does not feel cold, although the room is cold. (a. 9 h.) Cold hands, and chilliness over the whole body, externally, as if he had cold water poured over him, in the open air, where the chilliness finally increased to chattering of teeth ; the chilliness passed off in the room, but the cold hands remained. Cold hands and feet, even in the warm room. Cold hands.

605. Cold feet in the evening. Cold sensation of the left leg, from the knee to the foot. Shuddering, immediately above both elbows and above the knees. Icy-cold feet, the other parts of the body being warm. (a. 1 h.) Sensation of coldness of the lower limbs, whilst face and chest are yet warm. (a. 1 h.)

610. The right hand is warm (when writing,) the left cold. [(610) (611) are alternate symptoms of 378.] The right hand is considerably colder than the left. Cold hands and feet, early in the morning, and thrills of chilliness over the thighs, increasing when walking, (a. 28 h.) Slight chills, (a. -}- h.) Slight chills over the whole body.

615. Thrills of chilliness, over the back (immediately.) Sight chilliness in the back, (a. 3 h.) Chilliness of the whole body, with very cold feet. (a. 2 h.) Chills over the whole body, without thirst. Chilliness over the whole body, with cold hands, (a. i h.)

620. Slight chills through the whole body, without external coldness. Chilliness through the whole body, rather internally, (a. 3i h.) Chills over the body, as if a cool wind were blowing upon him, especially when walking, rarely accompanied with shuddering ; this only comes on when sitting down and extends over arms, loins, and thighs, (a. 8 h.) Shuddering over the whole body, with goose-flesh, (a. 1 h.) Shuddering, and chills ivith shakes, over the whole body.

625. Chills, internal and external, through the whole body, sometimes more in the marrow of the bones of the feet ; these are colder than the hands, (a. i h. Internal coldness, periodically accompanied with shuddering and chills over the whole body (immediately). Internal chilliness, without any coldness being perceptible when touching the body. (a. 4 h.) [(627) (629) are alternate effects of 375.] Internal feeling of coldness, mostly in the arms and hands. Chilliness, without the body being cold, without thirst, the interval between the hot and cold stage being H h., and these intervals increasing more and more on the second and third day after taking the medicine.

630. Internal chilli- ness, with external chills and shuddering, the left hand and foot being colder in the commencement, afterwards both hands and feet becoming equally cold, without thirst, (a. i to 1 h.) Shuddering over the whole body, less violent on the limbs ; no thirst ; the body is not cold ; only the hands are. (a. i h.) Shuddering over the whole body, without thirst, (a. 2^ h.) Chills over the whole body, with icy-cold hands, without thirst, (a. 1-3 h.) Chills and internal coldness, for several hours, without thirst, (a. ^, 1 h.)

635. Thirst after the cold stage, without any subsequent heat. Feverish chilliness over the whole body, from time to time, during the whole day, especially on the forehead, which was covered with cold sweat ; violent thirst a quarter of an hour after the first chills, (a. 1 h.) Feverish chilliness (a. f h.), going and coming, accompanied with weakness of the knees and tibiae when walking or standing, less when sitting. Early in the morning, violent, feverish chills, with weakness of the feet. (a. 12 h.) Aching pain in the abdomen, during the chills, (a. | h.)

640. Slight chills through the whole body, without any internal coldness, afterwards dull, cutting headache extending into the orbit. Shuddering, and chills with shakes through the whole body, with cold hands and mental oppression, (a. 1 h.) Shuddering, in the morning and forenoon, with cold hands, feehng of nausea and quick pulse. At five oclock in the evening, coldness and shuddering when walking in the open air, going ofi" in the room (a. 10 h.) ; an hour after, great heat, especially in the face, increasing during motion and when walking ; thirst sets in one hour after the heat had ceased. Two chills at different periods before the heat sets in.

645. Heat alternating with chilliness ; the heat sets in about an hour or half an hour after the chilliness ; during the hot stage he feels a little thirst for cold water. Chilliness on the back when walking in the open air, afterwards heat in the back, with subsequent sweat, which is again followed by a sensation of coldness and chilliness. Gluick and hard pulse, with flushes of heat and alternate chilliness in the back, which became covered with cold sweat the same as the forehead (in a few minutes) ; no thirst either in the hot or cold stage, for five hours. Alternate chilliness and heat the whole afternoon, accompanied by weakness of the lower limbs ; all these symptoms are much worse when walking in the open air. The whole day, feeling of heat and redness of the face, mingled occasionally with attacks of feverish chilliness and sweat, with little thirst.

650. Alternate warmth and coldness over the whole body (a. i to 1 h.), the whole forenoon. In the evening cold hands and hot cheeks. Warmth and redness in the face, whilst the remaining parts of the body were cold ; sometimes accom,pained with a disagreeable feeling of coldness (chilliness) on the warm, forehead. Great internal heat in the whole face, trunk, thighs, with cold sweat on the forehead, cold cheeks and cold feet. (a. lO^h.) Warmth in the face, and chilliness of the rest of the body ; shortly after, the forehead feels cold and the rest of the body warm.

655. Great feeling of heat over the whole body, with red cheeks, heat of the trunk and arms, moderately warm thighs, legs and feet, the forehead being moist, and no thirst. Feeling of heat and redness of the cheeks, without any warmth being perceptible to the touch, no thirst, cold feet. (a. 9 h.) When going in the open air out of a room which was not warm, but the temperature of which had been increased a little, he feels a coldness around the tarsal joints, and the rest of the body is cold (before dinner). He eats his dinner with a good appetite ; an hour after he feels cold, no thirst, afterwards heat. Heat and feeling of heat over the body ; in the commencement of the attack the limbs are cold, they feel cold to him (a. i h,), with but little thirst for cold water.

660. Dry heat, the whole day. Unquenchable thirst during the hot and cold stages of a fever and ague. Feeling of flushes of heat, with thirst for cold drinks. Great thirst, one hour (a. 9^ h.) followed by a burning heat over the whole body, with throbbing in all the arteries, without sweat or thirst, the ears being burning hot, with burning of the forehead ; cheeks, hands and feet are moderately warm ; nevertheless, these parts feel to him too hot (a. lOi h.) Dry palate, and thirst, in the evening, one hour after the heat.

665. Thirst after the hot stage, while sweat had broken out on the back and forehead. Fever, with want of appetite. In the evening, one hour after the hot stage, thirst and hunger; afterwards, after having eaten, coldness and grunting in the abdomen. Heat of the body, and redness and heat of the face, for three hours, with violent hunger ; the lips feel burning when bringing them in contact with one another ; the skin around the lips is likewise affected with a stinging burning pain (afternoon). Heat of the whole body (from 5 to 7 oclock in the afternoon), increasing by a walk in the open air and producing sweat on the forehead, preceded by violent hunger, which continues even yet in the commencement of the heat and returns after the fever ; while walking, the abdomen feels as if hot water were running over it, (a flush of heat over the whole of the abdomen and thighs,) with red cheeks, no thirst, (a. 12 h.)

670. Warmth in the face and redness of the cheeks, with dry, viscid hps, without thirst, at 3 oclock in the afternoon. Heat of the whole body, with distended veins of the arms and hands, without sweat or thirst, (a. Ai h.) Irregular, acute fevers, with excessive sweat. Profuse sweat. Exhausting sweat at the termination of the heat.

675. General, profuse sweat. The whole body is very warm, especially the face and chest, (a. ^ h.) Heat through the whole body, internally and externally, as if from drinking wine, with redness of countenance. Heat all over, and fine prickings in the skin of the whole body, especially that of the neck, with violent thirst for cold water, (a 22 h.) Transitory sensation of heat, and heat over the whole body, and in some parts of the skin fine, slight prickings, with thirst for cold water, (a. 1 h.)

680. Violent desire for cold water, with chilliness and heat, especially early in the morning, immediately after waking. In the morning the thirst is greater than in the afternoon. Some heat towards evening, no chilliness, pulse quicker, (a. 12 h.) quick, irregular pulsations, (a. 6 h.) The pulse is much slower and weaker (the first hour) (from taking half an ounce.)

685. Slow, faint pulse, (a. 1| h.) Slow, weak pulses becoming gradually quicker and stronger, (a. ^ h.) (The fever anticipates,) (when employing the Cinchona in the treatment of intermittent fevers.) (Diminution of the chilliness, and increase of the heat.) Increased feverish heat, (when employing Cinchona in the treatment of intermittent fevers).

690. (Delirium during the hot stage.) (Delirium) from the same cause as last mentioned.

Moral symptoms p. 68

Anxiousness, fearfulness. Excessive anguish.

695. Great anguish, death, (brought on by Cinchona administered in the cold stage.) Despondency, sadness, hopelessness. [Comp. (697) (698) with 405.] Discouragement. Want of his usual cheerfulness ; he prefers being left alone.

700. Things which appeared to him pleasant and interesting, now appear to him unworthy, shallow, and without any interest. Out of humor, disposed to quarrel. [Comp. (701) (703) with 417, 418,- 420.] Internal ill humor. Dissatisfied, susceptible, quarrelsome. Not disposed to think, alternate cheerfulness and gloom, for three hours, (a. 2 h.)

705. Want of disposition to intellectual and serious occupations. Serious mood. Indifference to external impressions, taciturn, (s. 415.) Calmness of temper (seems to be a curative effect.) Silent ill humor, not disposed to talk (on the first day). [Comp. (709) (710) with 410-412.] Out of humor, taciturn. Not disposed to mental labor, drowsy. Aversion to bodily and mental labor. He forms a number of comprehensive plans for the future. [Comp. (713) to (716) with 6, 7.] He forms many projects, and thinks upon executing them ; a number of ideas crowds upon his mind at once. He builds castles in the air (in a few hours). He forms a number of plans which he would like to execute.

Notes p. 22

the liver,) and they exclaimed: Malo cum Galen errare, quam cum, Harvey esse circulator. This infatuation, this obstinate boasting of the antiquity of cheir illusions, (some thirty years elapsed before Harvey enjoyed the satisfaction of seeing his doctrine universally recognized ) was not more foolish than the existing infatuation and gratuitous rancor against homoeopathy which exposes to the world the injurious rubbish of old and new arbitrary and untenable rules of practice, and teaches the great art of curing diseases speedily, mildly and permanently, with the certainty of success, and agreeably to the answers which interrogated nature makes with precision to the questions addressed to her by her disci- piles. ' Scarcely any physician, except Hippocrates, took down the symp- toms of a disease, unmixed with the symptoms of drugs. Most other physicians, in their descriptions of cases, mix up natural and artificial symptoms. f VOL. II. 4 VOL II. 5 Cinch. VOL. II. 6