Menispermum Cocculus

(Pulverize the seed and extract the tincture at a moderate temperature, by adding twenty parts of alcohol.)

This plant, which had been heretofore used merely for the purpose of destroying a few hurtful animals and stupefying fishes, in order to facilitate their being caught with the hands, had never been employed as a remedial agent previous to the provings which I instituted with that drug upon the healthy body. This drug is indispensable in many forms of lentescent nervous fevers, in certain abdominal spasms and spasmodic pains of other parts, disposing the mind to sadness, especially in females, in many cases of paralysis and certain moral affections.

Camphor is its chief antidote. In chronic diseases, this drug acts many days.

Cocculus is useful in affections from onanism, from the movement of carriages or ships, anger, the abuse of coffee or chamomile. — Spasms of hysteric females, or spasms from menstrual irregularities ; convulsions from wounds ; tetanus ; epilepsy ; St. Vitus' dance of one side. — Paralysis, total or partial. — Cerebral congestions and apoplexy. — Fainting fits of hysteric persons. — Arthritic conditions. — Articular rheumatism. — Lichen simplex. — Prurigo formica. — Gastric and bilious fevers ; bilious fever from chagrin. — Nervous fevers. — Typhus abdominalis. — Melancholy, imbecility. — Vertigo. — Megrim and hysteric headache. — Amblyopia amaurotic. — Pressure at the stomach, with coated tongue. — Spasms of the stomach, when Nux v, had done no good. — Inflammation of the bowels of lying-in women. — Bilious colic. — Spasmodic acid flatulent colic. — Stitching pain in the side from flatulence. — Menstrual colic. — Painful, scanty menstruation, (giving Verat. during the flow of the menses, and Cocc. in conjunction with Sulph., Graph., and Lye, between the menses.) — Metrorrhagia of pregnant females. — Leucorrhoea with distention of the abdomen, flatulent colic, pain of the urnbihcal or hypogastric region, when touching the parts, as if there existed subcutaneous ulceration. — Frequent desire to urinate of pregnant females. — Hydruria with nervous spasms (also Bismuth). — Inguinal hernia, forming gradually by a spasmodic dilatation of the abdominal rings. — Incarcerated hernia?. — Spasms of the chest and palpitation of the heart of hysteric females — Tabes dorsalis ; affections of the spinal marrow.

Head p. 96

Vertigo as from intoxication, and stupid feeling in the forehead, as if he had a plank before it. Vertigo as from intoxication (when sitting), (a. 1^- h.) Disposition to vertigo. (8 d.) Vertigo for six hours.

5. When raising himself in the bed, he is attacked with vertigo, as if every thing turned round, and inclination to vomit, obliging him • to lie down again. Headache with inclination to vomit, as if he had been taking an emetic. Stupid feeling in the head. Stupid feeling in the head, with cold sweat on the forehead and hands, and repugnance to food or drinks. He forgets easily what he had been thinking of a moment ago.

10. Stupid and obtuse feeling of the head, increased by reading, obliging him to read a sentence several times before he understood it. Heaviness in the head. Sensation as if something heavy were lying upon his head, but without any pain. Thinking fatigues his head very much. In the morning the head feels affected, as if one had been intoxicated the evening before.

15. Cloudiness of the head, mostly increased by eating or drinking. The head is painful, as if tied all round. Headache', as if the brain were constricted. Headache in the temples, as if the head were between two screws.

20. (Painful concussion in the brain when walking, when moving the head or when talking.) Headache, constrictive, burning, tearing, digging-up and boring. Violent pressure through the whole head, mostly in the forehead (forenoon), increasing into loss of sense by reading or meditating, (a. 60 h.) Aching pain in the forehead. Aching pain in the vertex, (a. 10 h.)

25. Dull compression in the right half of the forehead. Aching, as if the brain were being compressed, (a. 5 h.) Sensation in the right temple, as if a blunt body were slowly pressed into the brain. Pressing into the left temple. Violent pressing in the whole head, especially the forehead, from above downwards, increased when walking, (a. 6i h.)

30. Dull, wavelike pressing together in the left half of the forehead, tearing, throbbing headache in the forehead in the evening (from seven till nine oclock), (a. 38 h.) Frequent attacks of headache in a small place of the left frontal eminence, the pain lasting but a few minutes and being first a fierce, throbbing-lancinating pain, after which a tingling is experienced in the right frontal eminence, and then the whole symptom disappears. Fine stinging in the temples. Severe stitch in the head above the right eye. (a. 12 h.)

35. Several stitches in the right side of the brain, (a. 24 h.) Intermittent, boring prickings in the right side of the forehead. Fine prickings in the left temple. (a. 6 h.) Headache as if the eyes were being torn out. Cramplike pain in the left temporal muscle, (a. li h.)

40. Headache, as if the eyes were being forcibly closed. Convulsive trembling of the head. Sensation of shuddering on the left side of the occiput, as if the hairs would stand on end.

Eyes p. 97

Dull pressure upon the margin of the orbits (imme-. diately). Pressure in both eyes, as if dust had got in. (a. 7 h.)

45. Aching pain in the eyes, with inability to open the eyelids, in the night, (a. 5 h.) Stitches in the eyes from within outwards, (a. 24 h.) (In the morning, swelling of one eye and of one half of the nose, after having suffered with a violent headache during the night.) Dryness of the eyelids.

50. Dimsightedness. Sensation as if flies and black spots were hovering before the eyes, as if amaurosis would come on. She sees a black figure before her eyes, walking in front of her to and fro ; when she turned, the figure turned likewise ; nevertheless she saw every thing in a full light. Contraction of the pupils, (a. 5 h.) Blue margins around the eyes.

55. Sensation of pressure in the left zygoma, more stupefying than painful. Cramp in the region of the zygoma, in the masseter muscles, (a. 2 h.) Cramplike pain in the masseter muscles, increased by opening the jaws. (a. 3 h.)

Ears p. 97

(Heat in the outer and inner right ear, early in the morning when in bed.) His ears feel alternately closed and deaf.

60. Noise in the ears, as when one applies a shell to the ears. Noise as that of the rushing water, with hard hearing, (a. 1 h.) The right ear feels closed up, as if he Averse rather deaf.

Nose p. 97

Swelling of the right half of the nose.

Face and teeth p. 97

Stitches in the external parts of the cheek, and in the muscles thereof

65. Flushes of heat of the cheeks, without thirst, (a. 27 h.) Redness of the cheeks and heat in the face, without thirst, in a room entirely cold. Pustule beneath the right, outer corner of the mouth, with a red areola, experiencing a tensive pain when touched, (a. 24 h.) Swelhng of the parotid gland. Fine stitches in the outer parts of the neck. (a. 1 h.)

70. Swelling and hardness of the submaxillary glands, and nodosities in the forearm, painful when moving the hand along them. Painless swelling of the submaxillary glands, (a. 8 h.) Paralytic drawing in the side of the neck and other places, sometimes resembling an intermittent paralytic pressure. Painful stiffness of the cervical muscles, when moving the neck or when yawning. Fine stitch, externally, in the side of the neck.

75. Pulsative stitches in the outer parts of the left side of the neck. Weakness of the muscles of the neck, with heaviness in the head, for several days ; the cervical muscles appear too weak to support the head ; he had to lean his head now against this, now against that, otherwise the cervical muscles felt painful ; he was most relieved by leaning with his back against something. Tearing-digging pain in the lower jaw. Biting sensation in the upper and lower molar teeth, as when a person eats a quantity of sea-salt ; this becomes an agreeable sensation when biting the teeth together. The anterior teeth feel as if raised out of their sockets, and so heavy as if they would fall out.

80. The carious tooth seems to have become elongated ; it vacillates ; the gums are swollen, (a. 12 h.) The hollow tooth is painful only when eating soft food, as if it were quite loose ; it is not painful when biting the teeth together, between the meals. (The gums are more sensitive and feel sore.)

Mouth p. 98

(When talking, she experiences a contractive sensation in the mouth, and has to talk more slowly.) Roughness of the tongue, in the morning.

85. Dryness of the mouth, in the night, without thirst. Dryness of the tongue, with a yellowish-white coating, without thirst, (a. | h.) Feeling of dryness in the mouth, with foam-like saliva and violent thirst. Collection of water in his mouth, without inclination to vomit. (a. H h.) Sensation as if water were accumulating in his mouth for a long time, without inclination to vomit.

90. When stretching the tongue far out of his mouth, the back part feels bruised.

Pharynx and (Esophagus : Dryness and roughness in the pharynx and oesophagus, especially perceptible during deglutition, without thirst, (a. 2 h.) Scraping sensation in the throat, going off during deglutition. Great sensitiveness in the throat ; the food which she swallows, appears acrid to her, as if too much peppered and spiced. Dryness in the back and upper part of the throat, and as if these parts, together with the tongue, were rough,

95. Dryness of the oesophagus. Dryness of the throat, with a feeling of heat in the oesophagus and

MENISPERMUM COCCULUS. 99 Stomach, (a. 2 h.) Burning in the veniim pendulum palate. Burning in the oesophagus, extending up to the vehim pendulum palate in the evening, accompanied by shuddering about the head. Pain in the upper part of the oesophagus, with a sensation of swelling about therootof the tongue, painful during deglutition.

100. Aching pain in the tonsils, worse when swallowing saliva than when swallowing food. A sort of choking constriction in the upper part of the oesophagus, oppressing the breathing and inducing cough at the same time. (a. 1 h.) A sort of paralysis of the oesophagus, preventing deglutition.

Taste and appetite p. 99

Taste in the mouth as if he had been fasting a long time. Metallic taste on the root of the tongue.

105. Copper taste in the mouth. Metallic taste in the mouth, with loss of appetite. Sourish taste in the mouth, after a meal. When coughing she has a sour taste in the mouth. Tobacco tastes bitter while smoking.

110. Slimy taste in the mouth ; but the food has a natural taste. Food tastes as if it were unprepared, or without salt. Sensation in the mouth, as if smelling from the mouth, (a. 6 h.) Bitter taste on the root of the tongue.

Gastric symptoms p. 99

Frequent empty eructations. (a. 3i h.)

115. Bitter eructations, (a. ^ h.) Bitter eructations (immediately). Acrid, scraping eructations, especially in the evening. Empty eructations, leaving a bitter taste in the mouth and throat, (a. 24 h.) Eructations tasting of the ingesta. (a. 18 h.)

120. Putrid eructations in the forenoon. Rising of musky, spoiled air. (a. 8 h.) Motion in the stomach as if eructations would come on, causing pain in the stomach, (a. -} h.) Pain in the pit of the stomach, at every eructation, as if one had received a blow in that part. A short, stitching pain in the pit of the stomach, during an eructation.

125. Pressure against the inner wall of the chest during an eructation. Motions as if eructations would set in, followed by imperfect, unsuccessful eructations, terminating in hiccough, which lasted an hour. (a. 3 h.) Hiccough (after 10 minutes). Hiccough (immediately). Disposition to hiccough.

130. Hiccough, (a. J- h.) No appetite for breakfast ; she feels a fulness high up. Excessive repugnance to food, excited even by the smell of food, accompanied by hunger. Feeling of hunger in the pit of the stomach, little diminished by eating, almost the whole day. Great thirst -at every hour of the clay, but especially during a meal.

135. Aversion to food and drink. Want of appetite, food has no taste. Aversion to sour, bread tastes sour. (a. 3 h.) Sensation in the stomach as of a worm moving about in that organ.

140. Nausea, as when eating too much. Nausea, (when smoking tobacco, to which he was used,) very nearly exciting vomiting, (a. 4 h.) Nausea (immediately). Inclination to vomit. She feels an inclination to vomit when eating.

145. Nausea after drinking, in the afternoon ; it appears chiefly to be in the mouth. Frequent inclination to vomit, (a. several hours.) Excessive nausea and inclination to vomit, when riding in a carriage. Early in the morning, when in bed, she is scarcely able to raise herself, owing to sick feeling and inclination to vomit, (a. 48 h.) When becoming cold, or when catching cold, an inclination to vomit comes on, exciting a copious accumulation of saliva.

150. Inclination to vom,it, accompanied by and related to headache, and a paifi in the intestines, as if bruised, (a. i h.) (Vomiting towards midnight with suffocative fits, he vomits food and mucus, with bitter and sour taste in the throat.)

Stomach p. 100

Sensation in the stomach as if one had been for a long time without food, until the hunger was gone. Pain beneath the stomach, immediately after dinner. Gurgling sensation (below) in the praecordial region.

155. Pecking and gnawing sensation below the praecordial region. Pressure in the stomach after a meal. Aching pain in the stomach, praecordial region and hypochondria, a few hours after a meal or in the night when in bed. Pressure in the pit of the stomach, arresting the breathing, (a. 1 h.)

160. Clawing and tension in the pit of the stomach when walking. Violent spasm, of the stomach, griping sensation in the stomach. Clawing sensation in the stomach. Constrictive pain in the stomach, hindering sleep.

Abdomen p. 100

Compressive pinching in the epigastrium j arresting the breathing.

165. Clawing, constrictive pain in the epigastrium after a meal, extending towards the left side of the abdomen and chest, (a. 100 h.) Pressure in the epigastrium. Excessive aching pain under the last true rib of the left side, increasing when bending the body forwards, by cough or an inspiration, but not by external contact. (Pain in the hypochondria, as if bruised.) (a. 12 h.) Continuous, fine stitch in the skin, in the left region of the stomach, going off when rubbing the parts.

170. Intermittent, dull stitches on the left side of and near the umbilicus. Fine pinching on the right side of and above the umbilicus. Pinching pain in the left abdominal muscles. Empty and hollow sensation in the abdomen, as if she had no intestines. Clawing sensation in the abdomen, (a. f h.)

175. Audible rumbling in the abdomen. Drawing pain in the intestines. Drawing pain in the abdomen from the right to the left side. (a. 4 d.J Violent colic after dinner, when walking, with sensation ot chilliness and vertigo. (8 d.) Cutting in the hypogastrium in the direction of the epigastrium, diminished by standing.

180. Continuous stitch in the right side of the abdomen. Several prickings in the left side of the abdomen. Stitches in several parts of the abdomen, only when stooping, (a. 15 h.) Tearing in the intestines. Burning in the abdomen.

185. Considerable distention of the abdomen. Troublesome flatulence shortly after supper ; the flatus distend now this, now that part of the intestines, and are emitted with diflicuUy. (a. 5 h.) Flatulent colic about midnight ; incessant formation of flatulence distending the abdomen, causing an aching pain now here now there, and going ofi" one by one without producing much relief, and being continually reproduced for several hours ; he has to turn from side to side in order to obtain relief, (a. 20 h.) Early in the morning, when in bed, she experiences a sharp and hard pressure in the lumbar region and the region of the kidneys, going off" after rising. The flatulence becomes incarcerated and presses from below upwards.

190. Constrictive pain in the hypogastrium, with pressing towards the genital organs, and qualmishness in the pit of the stomach with inclination to waterbrash. Nausea (without inclination to vomit) coming from the right side of the abdomen and moving towards the umbilicus (immediately).

Stool p. 101

Constipation, lasting several days. Hard stool every other day, which can only be expelled with great difficulty. After stool, violent tenesmus of the rectum, even unto fainting.

195. Precursory symptoms of inguinal hernia, (a. 8 h.) Dilatation of the left abdominal ring, and disposition to inguinal hernia, with sore pain. (a. 14 h.) Continuous stitch in the right groin. Painful disposition to inguinal hernia, especially after rising from a seat. Paralytic pain in the right abdominal ring, as if something would press through ; pain as from hernia, only when sitting, and going off" when rising.

200. Pressing pain in the groins, as if the menses would make their appearance. Fulness within the groins, as if crammed ; only in the sides, not in the middle, except when making a step forwards, then the thick parts felt as if they were being pushed along, and there was a feeling as of the whole going to pieces (in a few hours). Soft stools, diarrhoea, (a. i h.) Frequent small evacuations (in a few hours). (Several, lightcolored, pale stools every day.)

205. (Slimy stools.) Emission of hot flatulence previous to the diarrhoea. Desire for stool, followed by fetid diarrhoea. Soft, thin stool, (a. 1 h.) Desire for stool and flatulence at the same time, the emission of flatulence being accompanied with a sudden expulsion of diarrhoeic Stools, ill small portions and at short intervals.

210. Unsuccessful desire for stool, with constipation, for three days ; hard stool on the fourth day, expelled with great difficulty. Incipient desire for stool in the rectum ; but the peristaltic motion in the upper intestines is wanting, on account of which stool is delayed thirty-six hours, (a. i h.) Tingling and itching in the rectum, as if from ascarides. Contractive pain in the anus, hindering sitting, in the afternoon, (a. 20 h.) Burning itching of the anus.

Urinary organs p. 102

(Retention of urine for ten minutes.) Watery urine, (a. 2\ h.) (He emits a quantity of watery urine at very short intervals, and the pressure upon the bladder is constantly renewed owing to fulness. Frequent desire to urinate, every quarter of an hour, with scanty emission, for thirty hours, (a. 4 h.) Pain in the urethra, with desire to urinate.

220. Stinging itching in the forepart of the urethra. (a. 13 h.) Tensive, aching pain in the orifice of the urethra, between the acts of micturition, (a. 1 h.) Stinging pain in the urethra, (a. 12 h.)

Genital organs p. 102

Stinging pain in the margin of the prepuce. Itching of the scrotum. Itching burning of the scrotum. Violent pains in both testicles, as if bruised, especially, when touched. (8 d.) Stinging pain in one of the two testicles. Drawing pains in the testicles.

230. The menses appear too early by seven days, with distention of the abdomen, and contractive pain, with cutting sensation, at every motion and inspiration ; accompanied by a contractive feeling in the rectum, (a. 48 h.) The menses appear eight days too soon, with distention of the abdomen and pain in the epigastrium, which is felt not only at every motion — every step she makes causing pain — but also when sitting ; as if the inner parts suffered a sharp pressure from a stone ; when touching the parts they experience a pain as if there were ulcers internally. (Metrorrhagia.) Leucorrhoea. The menses which had been suppressed a whole year, reappear immediately in two cases.

235. Excitation of the genital organs and desire for an embrace. Increased excitability of the genital parts. Nightly emission of semen, (a. 6 h.) The genital organs become relaxed during the night, and the prepuce retreats behind the glans. (a. 12 h.)

Cold, catarrh p. 102

Sneezing.

240. He is unable to sneeze when walking in the open air. (She blows bloody mucus out of her nose.) The anterior corner of the nostril near the tip of the nose is painful to the touch. Violent coryza the whole day.

245. Ulcerative pain in the left nostril, without touching the parts. Violent coryza for four days.

Respiratory organs and chest p. 103

Tenacious mucus in the larynx, obliging him to hawk it up. Irritation in the upper part of the larynx, inducing cough. Cough, fatiguing, owing to an oppression of the chest which was brought on by the cough (in 48 h.).

250. Irritation in the larynx, posteriorly, in the evening when in bed, inducing cough, two single expulsions at a time. Every fourth night he is roused from sleep by cough, at midnight or at two oclock, with dryness of the mouth ; when coughing the throat did not seem Avide enough. Contractive sensation in the trachea, as if irritated by smoke, inducing almost constant cough. Sensation in the pit of the throat, as if something were lodged in that part, which arrested the breathing ; the throat feels constricted. Audible rumbling apparently in the left side of the chest, as if owing to an emptiness, especially felt when walking, (a. 3 h.)

255. She has no breath, her breathing is very short. Asthma and difficult breathing. Tensive constriction of the right side of the chesty oppressing the breathing, (a. i h.) Oppression of the chest especially in the region of the upper part of the sternum, arresting the breathing, (a. 4 h.) Sibilant, snoring breathing, with oppression unto suffocation, especially during an inspiration ; the breathing is very slow and sometimes entirely arrested, and the face is distended as in apoplexy.

260. (Rawness and sore feeling in the chest.) Aching pain in the middle of the sternum, with anxiety, afterwards the pain in the sternum, becomes stitching, (a. 3 h.) Pain in the middle of the sternum as if a dull instrument were being pressed upon it. Sudden pressure in the sternum, as if a fist were knocking against it. Dull, drawing pain in the right side of the chest, when mclmmg the body to the right side, sitting or standing, the pain continues as long as the inclination of the body lasts.

265. His chest became so tired from loud reading, that he was not able to continue the reading without making a great effort. Stitches in the interior of the chest synchronous with the pulse, when sitting, continuing without interruption for at least a quarter of an hour. When walking he feels a violent stitch through the chest extending to the back. Intermittent, dull stitches in the forepart of the false ribs of the right side. Stinging pain in the left half of the chest, during an inspiration, in paroxysms.

270. A few stitches in the right side of the chest, (a. 2 h.) Stinging pain in the sternum when walking. (a. 48 h.) Stitches in the right side. (a. 1 h.) Stitches in the left side, (a. 3 h.) Stinging in both nipples, (a. i h.)

275. Shivering over the mammae, (a. ^ h. A few stitches in the left side of the chest, near the praecordial region, in the evening, (a. 24 h.) Piercing pain in the articulations of the chest and all the dorsal vertebrae, as if they were sprained or were being spasmodically drawn together, especially during motion, (a. 20 h.)

Back p. 104

Paralytic pain in the small of the back. Paralytic pain in the small of the back, with spasmodic drawing across the hips, hindering walking, with anxious, apprehensive mood.

280. Paralytic, aching pain in the lumbar region. The bones in the small of the back feel bruised, this pain is not increased by contact. Several stitches through the abdomen and the lower part of the back, from before backwards, early in the morning when in bed. Tremor in the back. Itching in the back, in the evening after undressing, with eruption of red pimples.

285. Drawing pain in the side, towards the back, when talking, walking or stooping ; when lying down the drawing increases for a few minutes, and ceases afterwards entirely. Aching pain in the back, especially the left side of it (when sitting), (a. 5 h.) Drawing pain in the back. Tearing pain in the back. Boring pain in the back.

290. Pain in the back when standing, as if one had made too great an effort, Qr as if one had strained the parts, (a. 12 h.) Pain in the spine as if it would break. Tearing pain between the shoulder and the spine, in the evening previous to lying down. (a. 36 h.) Drawing pains under the left scapula, when standing or lying down, worse in the morning, (a. 6 h.) Intermittent, aching, paralytic pain, when at rest, under the left scapula. — ^295. When moving the shoulders, the parts behind feel stiff and painful. Stitching pain in the nape of the neck, when bending the head either forwards or backwards. Stitches in the scapulae from the right to the left. Pressure in the scapulae and the nape of the neck. Painful cracking of the cervical vertebrae, when moving the head.

Upper extremities p. 104

300. When lifting the arm, after a meal, he feels an excessive, drawing bone-pain in the shoulder-joint and the long bones of the arm ; when touching the parts they feel bruised and contused. Single stitches in the shoulder-joint and the musdes of the upper-arm, when at rest. (a. 1 h.) Itching stitch in the left axilla, like a flea-bite. Pimple below the shoulder, itching under the feather-bed. A sort of creeping as of something living, and a throbbing andburning, under the right shoulder, extending as far as the fingers, (a. 1 h.)

305. A breaking, tearing or stitching pain in the shoulder and elbow-joint, and in the humerus, the pain being intolerable when at rest, with a sensation of pain ; he is afraid of moving his arm, although the pain decreases by motion, (a. 5 h.) Burning pain in the left arm, in paroxysms. Convulsions of the arms, with clenching of the thumb. Pain in the arm as if gone to sleep and paralytic, during and after a meal. (a. 3 h.) The arm goes to sleep, with tingling sensation.

310. A sort of paralysis of the arm while writing ; he was scarcely able to hold his pen. (a. 4 h.) Intense, paralytic pain, as if the bones were broken in two, during a violent motion of the arm. When lifting the upper arms, they feel a pain as if broken. The humerus, immediately above the elbow, feels bruised and a paralytic pain during motion. The arm, upon which he rests, feels painful as if bruised.

315. Digging pain, with sensation as of wave-like drawing, and as if bruised. Drawing in the upper part of the humerus, wath pain as if bruised. Jerking in the muscles of the left upper arm. Pulselike, visible jerking in the muscles of the left upper arm, and immediately after, over the elbow of the right upper arm. Stitches in the right upper arm.

320. Intermittent, dull shocks on the outer side of the left upper arm, below the head of the humerus. When eating, the right arm pains him a good deal ; it feels heavy and weary when she attempts to raise it high up. Sudden paralytic pain in the bend of the right elbow. Continuous stinging in the left elbow. (4 d.) Stinging pain in the outer side of the left fore-arm, extending down to the little finger.

325. Aching pain in the upper surface of the right fore-arm. Intermittent, intense, almost tearing, paralytic pressure in the anterior muscles of the lower arm, especially when at rest. Pain in the glenoid cavity of the fore-arm, as if dislocated, during motion and contact. The fore-arm goes to sleep, with sensation in the hand as if swollen, and a constrictive pain in the muscles ; the fingers are cool, the interior feeling icy-cold. (a. 3 h.) Cold sweat, now of one, now of the other hand.

330. Sweaty hands (immediately). Both hands, now the one, now the other, are insensible, and as if they had gone to sleep. Both hands, now the one, now the other, are alternately hot or cold. (a. \ h.) A blister on the border of the hand, where the little finger terminates ; it forms in the night and runs out next day. (a. 5 d.) Her hands tremble when eating, the trembling increasing in proportion as she lifts the hand higher up.

335. Spasmodic pain in the outer surface of the right hand and four fingers, the hand feeling somewhat hot. Cramp-like contraction of the finger. Cramp-like pain of the right little finger when writing. Spasmodic, stitching pain from behind forwards, in the right index-finger. Painful, paralytic drawing through the fingers. (6 d.)

340. Tearing, boring, drawing pain in the fingers. Titillating itching of the ball of the thumb, going deep into the part, not diminished by scratching and friction, (a. 16 h.)

Lower extremities p. 106

Pinching in the right ghitei muscles, when sitting ; afterwards the pinching is converted to dull shocks. Stitching pain in the left hip-joint, when walking. (5 d.) Cracking and painful sensation in the left hip-joint, when turning the thigh, especially perceptible Avhen walking, (a. 24 h.)

345. Repeated stitches in the outer parts of the left hip-joint. Twitchings in the muscles around the right hipjoint. Paralytic pain, aching at intervals, in the left os innominatum. Pain as if bruised, at times aching, in the middle of the left thigh. Stitching pain in the whole of the right femur, only when walking.

350. When sitting, violent, pulsative stitches in the outer side of the left thigh, occasioning involuntary motions. A paralytic, rigid feeling goes through the left limb at intervals, from the middle of the thigh down to the foot. Rigid feeling from the thigh downwards over the knees. Paralytic drawing in the thighs, with weakness in the knees, as if they would bend suddenly. Paralytic sensation in the left thigh, worst when at rest.

355. The thighs feel paralyzed and bruised. When walking in a circle from left to right, the internal side of the left thigh feels painful as if bruised. When raising the thighs, they feel a pain as if broken. When commencing to walk, after sitting, the thighs feel painful as if bruised. When raising the limbs while sitting, the thighs are intensely painful as if bruised.

360. Constrictive, painless sensation along the thigh, occasionally with a sensation as if the thigh would become rigid ; afterwards the constrictive sensation descends into the muscles of the leg below the bend of the knee. Drawing pains in the feet. Tearing pains in the feet. Boring pains in the feet. Paralytic immobility of the lower limbs, (a. 24 h.)

365. A boil on the inner side of the thigh, (a. 12 h.) Tremor in the thighs, when kneeling. Cracking of the knee during motion (immediately). Intolerable drawing pain in the knee, after sitting, when rising. Stitches in the knee.

370. Drawing, tearing pain in the patella. Severe stitch in the left knee-joint, (a. 27 h.) Continuous stitch when walking, in the outer part of the left kneejoint. (6 d.) Cramp in the calves, in the night, when bending the knees. Tensive pain in the calves during motion.

375. Violent stitches in the skin of the left knee when sitting, every stitch causing him to move the limb involuntarily. Itching in the left knee-joint, the calf and tarsal joint when walking ; the itching disappeared when standing, and returned when walking. Great weariness in the knees, as after a violent journey, frequently returning (immediately). Sensation below the left knee as if he had tied his feet too fast with a garter. Constrictive sensation in the outer side of the left leg, more stupefying than painful.

380. Dull, undulating, paralytic pain in the external side of the left leg from above downwards. When walking, after sitting, the left foot goes to sleep, and experiences prickings. Both feet go to sleep when sitting. Swelling of the foot in the evening. Cold sweat of the feet.

385. Heat and swelling of the feet, with continual, corrosive itching. Itching of the tarsal joint, violent pain in the tarsal joint, as if sprained, during motion. Pain, as if bruised, in the dorsum of the feet, when bending the foot from below upwards, and when touching the foot. (a. 3 h.) Tearing jerks and tearings in the otherwise painless corn, in the evening when at rest.

390. Pain in the posterior joint of the big toe. as if a chilblain or a boil would form ; painful to the touch. Tearing pain in the big toe, even when at rest. Drawing pain in the right toes. (a. 4 h.) Corrosive pain in the toes. (a. 3 h.) Pain of the interior of one heel, apparently in the os calcis, as if bruised, (a. ^ h.)

General symptoms p. 107

The muscles of the limbs are painful to the touch, (a. 24 h.) Burning, dull stitches in different parts. Burning-itching stitches, like flea-bites, in various parts of the skin. When touching the affected part (which had been swollen and inflamed) with his fingers, it experiences a fine stinging, as if he pressed the point of a needle upon it. Itching of the skin of the body, especially in the evening, when taking off" the clothes.

400. Violent smarting itching of the skin of the whole body, as after copious sweat, when undressing, (a. 16 h.) Itching of the skin under the bed-clothes ; the itching increases after scratching. Itching and burning of the skin, especially the inner side of the thighs, as of nettles ; that part is also covered with pimples, becoming affected with a stinging pain when touched. Itching of various parts in the night ; the parts are painful after the scratching. Itching during the night, partly of the chest, from the praecordial region up to the throat, partly of the parts covering the tibia, and in the axillae ; after scratching bloody lymph oozes through the pores, (a. 4 h.)

405. Single pimples, becoming filled with pus, and afterwards drying up and disappearing, over the nose, on the temples, chest, and between the scapulae. Red, miliary pimples in the face on the back and chest, itching in the warmth, but not when undressing. A sort of hard blotches, containing no fluid, surrounded with a red border, burning and itching the whole day, on the limbs, the wrist, and the back of the fingers. Red, irregularly shaped spots upon the skin, upon the whole of the chest, and on the sides of the neck behind the ears, as if colored with red wine, without heat or sensation. Cocculus excites tearing pains in hard glandular swellings.

410. Excites stitching pains and heat in cold glandular swellings, at least when touched. All the symptoms and pains, especially in the head, become aggravated by drinking, eating, sleeping, or talking. The symptoms are extremely aggravated by smoking. The symptoms are increased by coffee. Flushes of heat in the face after drinking.

415. The symptoms, especially the headache, are extremely aggravated by cold air. Hemorrhages. He avoids the open air. The open air is too cold for him. Intolerance of both the cold and warm air.

420. He cannot bear the open air, with heat and redness of the cheeks, (a. 4 h.) The limbs are painful when moved, as if they were broken or crushed by bending. Subsultus of muscular parts, especially in the lower limbs, as after a long journey on foot. Intensely painful paralytic drawing, continuing for a tim,e, and beginning with a jerk, in various parts of the limbs, apparently in the bone. Digging-up bonepain, in the interior of the limbs.

425. Pain in the interior of the limbs, increasing by contact and external pressure, (a. 24 h.) Drawing pain in the limbs of the left side. Drawing pain in the limbs and abdominal muscles, as after a cold. Cracking in the joints. Cracking in the joints when walking.

430. Painful stiffness of all the joints, at times in the hands and fingers, at times in the knees and tarsal joints, for two days, (a. 24 h.) Painful stiffness of the joints, (a. 8 h.) Alternate going to sleep of the feet and hands, in transitory paroxysms. Fits, Weakness : Disposition to tremble, (a. 1 and 6 h.) Trembling of all the limbs.

435. Want of vital energy. The limbs feel paralyzed. Paralytic immobility of the limbs, with drawing pains, apparently in the bones. Attacks of paralytic weakness with pain in the small of the back. Apoplexy of the left side.

440. A sort of epilepsy : He enters the room with a cheerful countenance and sits down, feeling intoxicated as it were ; afterwards he becomes quite still and stares for a long while at one spot, without answering any questions ; he then falls down without consciousness, writhing and muttering unintelligible things ; involuntary emission of urine ; spasmodic, paroxysmal concussions of the limbs and the whole body, convulsive clenching of the fingers, the hands being stretched out ; paroxysmal choking in the throat, the mouth being half open as if he would vomit, with foam at the mouth, in the shape of bubbles; the hands are cold, tie face is covered with cold sweat and spasmodically distorted, the eyes look glassy and protruded ; after this j&t he rises, without however answering any questions, clenches his teeth, looking at those who interrogate him, with his teeth clenched, does not suffer himself to be touched, tries to push away those who surround him, to wrestle with them ; his face has an expression of wild rage ; finally he groans and moans ; after fifteen minutes he gradually recovers from his fit, and recovers his senses, feeling, however, an aversion to every kind of food or drink, even those that he was generally very fond of (a. ^ h.) He feels weak after the least motion ; every trifle affects him. He feels very weak from a little walk. She is so weak that she had to sit down in performing a light work which she was in the habit of doing standing. He came near falling over from weariness in the knees, he staggers when walking, and threatens to fall to one side.

445. Painful paralytic weakness in arms and legs ; she is scarcely able to rise ; with want of appetite. Faintness of the body, especially when sitting. Excessive weakness of the body when walking. Great weakness of the body, he found it difficult to stand firmly. At nine oclock in the morning, her limbs felt so heavy and her whole body so weary, that she was unable to keep herself from sleeping, for several days, at the same time.

450. Fainting fit. Fainting fit, with spasmodic distortion of the facial muscles, when moving the body. Excessive weakness.

Sleep p. 109

Indolent, and taciturn. If he sleeps ever so little less than usually, he feels weak.

455. Disposition to lie down. Continual yawning and stretching of the limbs after lying down in the bed. Short yawnings, one is not able to take sufficiently deep breath when yawning. A good deal of yawning towards evening. Violent yawning.

460. Violent yawning, with cracking in the left ear. Sopor. Coma viol. When sleeping he lays himself upon his face. When sleeping he lays one arm under the head. (a. 4 h.)

465. Frequent waking from sleep. Frequent waking, with a start. He frequently wakes in the night, with a sensation as if he were too warm. Sleepless night, restlessness of the whole body ; stinging and biting in various parts. Ideas about his daily business crowded upon his mind and hindered sleep for an hour, he woke at one oclock, without being able to fall to sleep again.

470. He wakes in the night with a sort of fear, as if he had to dread ghosts. Vivid dreams, exciting fear. (a. 2 h.) Dreams about life and death. He dreams he had committed an evil deed. Vivid dreams which he is unable to recollect.

475. He dreams his knees were swollen and painful. She screams when asleep calls to her mother and sisters with hurried, anxious breathing ; she moves her hands over the cover of her bed, grasping at things and pushing things away from her ; at the same time she

MENISPERMUM COCCULUS, opens her eyes, distorts them without waking, and continually moves her head, especially towards the left side. Sleep is interrupted by frequent startings. Frightful anguish which seems like a dream, hindering sleep. He is drowsy during the day.

480. He wakes up late in the morning : he finally woke, but he was unable to open his eyes. Laziness and want of disposition to speak, in the morning after waking. He has not slept enough, when waking in the morning, and yawns unceasingly.

Fever p. 110

Shivering in the back, in the evening, chilliness in the back, as if he were touched with ice here and there, not yielding to the warmth of the stove.

485. Shuddering of the lower parts of the body (very soon) chills over the whole body in the afternoon. Chills of half an hour (at 8 oclock) in the morning, without thirst or subsequent heat. General coldness, without shuddering, with bluish hands (the first hours). Returning, although short shuddering, especially through the lower limbs (immediately).

490. Thrills of shuddering through the whole body. In the evening he is suddenly attacked with chilliness, he trembles, without feeling cold to the touch, being at the same time desirous of strong, stimulating nourishment. When touching the face with the hands, they appear cold ; when touching one hand with the other, they appear warm. Trembling of all the limbs, always accompanied with chilliness, which does not even pass off in the warm room, especially in the evening. Cold thrill over his back, although he sits near the warm stove. (8 d.)

495. Chilliness, and feeling of coldness in the back. Chilliness, not going off by the warmth of the stove, with violent colic. (8 d.) Violent chilliness over the whole body, in the evening (7 d.) Feeling of cold on the shoulder, without any cold being perceptible externally, (a. 4 h.) Fever : frequent chills, afterwards flushes of heat about the head.

500. Fever : alternation of heat and chilliness of the body (in some hours). (Fever : chilliness increasing progressively, with little or no thirst, warm forehead, cold malar bones, cold nose and icy — cold hands, afterwards heat with great anxiety, as if he had not sufficient breath, with nausea and violent thirst, until sweat broke out ; the sweat was not copious, cool, only about the head and hands, anxiety continuing.) Fever : frequent thrills of shuddering during the day, as when one warms one's-self near the fire in the cold air ; these thrills are followed by heat, he grows faint, has to lie down, but without either thirst or sweat. Fever : in the evening hot hands, with sensation of dry heat over the whole body, with sleeplessness until 4 oclock in the morning, afterwards shuddering and cold hands the whole day. (The outside of the body feels hot, without the prover experiencing any heat himself, without thirst.) (a, 5 h.)

505. Burning heat in the cheeks, with cold feet. The pulse is not more frequent, but very small and hard. Heat in the forehead. Increased feeling of heat, quick pulse. (a. 24 h.) Redness of the left hand, with drawing in the middle finger (4 d.)

510. Glowing cheeks, with chilliness of the whole body. Quick alternation of heat and chilliness ; she is suddenly attacked by heat, extending from the feet over the whole body ; accompanied with a sensation as if the blood were rushing to the face, although she looks at the same time more pale than red ; in a few minutes she experiences a thrill of icy coldness from the head to the feet, and the heat disappears for a moment ; these paroxysms occur several times a day. Frequent and violent flush of heat over the whole body. Frequent flushes of a disagreeable, burning heat and redness of the cheeks, as is felt during a fit of chagrin or upon the reception of a disagreeable piece of news. Heat and redness in the face, with thirst.

515. Desire for cold things, especially heer. Sweat over the body (immediately) from evening till morning, with cold sweat in the face. General morning-sweat, mostly on the chest and the affected part. Exhalation and slight sweat over the whole body, during the slightest motion, (a. 1 h.)

Moral symptoms p. 111

Discouragement.

520. His thoughts are exclusively directed to one disagreeable object ; she is absorbed in her own thoughts, and sees nothing around her. He is absorbed in the saddest thoughts, and offences which were committed against him affect the very inmost of his heart. She is absorbed in reveries. Time passes too quickly for him, and several hours appear to him so short as if they were but one. He is continually absorbed in sad thoughts, as if he had suffered an insult.

525. He cares for nothing, nothing gives him pleasure. Weeping. Great dissatisfaction with himself.

530. He is very serious, afterwards he breaks out in lamentations. He is serious, and not very apprehensive about his own health, but very anxious about the indisposition of others. She is slow, fritters away her time, achieves nothing, her pupils being contracted, (a. 12 h.) Restless eagerness to do something. Anxiety.

535. In the morning he feels an anxiety about a little injury, as if it were incurable. Anxiety, as if she had committed a great crime. Great anxiety, as if he had committed an evil deed. (a. 29 h.) Anguish about the heart, anguish of death (immediately.) Palpitation of the heart.

540. Sudden, violent anguish. Des- 1 12 CYCLAMEN EUROPIUM. pairing mood. Hypochondria, especially in the afternoon. Excessive sensitiveness, (a. 24 h.) A slight noise caused all his limbs to start.

545. He starts at every unexpected little occurrence, noise, eic. He is easily offended. He cannot bear being interrupted, by talking, noise, etc. He is irritated by every little trifle.

550. Every thing untoward vexes him ; in a few hours he becomes cheerful and jesting. She cts easily angry, and is easily offended, (a. 24 h.) Excessive disposition to feel vexed and to be offended, (a. 1 h.) She feels vexed at the least trifle, unto crying, the pupils becoming contracted ; loss of appetite after weeping. He is highly offended and aggrieved by the slightest omissions and untruths of others.

555. Cheerful, contented ; he becomes witty and jesting, (a. 6 h.) (Partially a curative effect.) Cheerfulness and contentment (curative effect). Irresistible disposition to warble a song, and sing ; a sort of monomania.

Notes p. 97

VOL II. 8