Rhus Radicans, or Toxicodendron

(Express the juice from the recent plant, and mix it with equal parts of alcohol. The following symptoms have been obtained from the Rhus tox. The Rhus radicans of this country is believed by some to have a somewhat different action from the Rhus toxicodendron. Hempel.)

The symptoms of this remarkable and valuable drug have a great many interesting peculiarities.

One of them is that the symptoms which this drug is capable of exciting m the healthy organism are most violent when the part affected is in a perfect state of rest, or is kept as immoveable as possible. The alternate symptom, the exacerbation of the symptoms in a state of motion, is much rarer. As regards the other peculiarities, every one may easily discover them for himself in the following list of symptoms, which is perfectly truthful and accurate.

On comparing the symptoms of Bryonia and Rhus, some of them will be found to be strikingly similar, others strikingly opposed to one another. The very same symptoms which, when excited by Rhus, are aggravated in a state of rest, are relieved by rest when occasioned by Bryonia. The symptoms

RHUS RADICANS. of these two drugs belonging to one family will account for the fact that Bryonia and Rhus were the specifics for the epidemic typhus which desolated many districts of Europe in the late war of 1813. While thousands of patients whose treatment was derived from speculative notions about the essence of the disease, died almost without an exception, all those who were treated with Rhus and Bryonia recovered, as may be seen in the sixth number of the Allgemeine Anzeiger der Deutschen, where I describe the nature and homceopathic treatment of the epidemic. What a triumph for the homoeopathic healing art !

Head p. 72

After rising she feels intoxicated, and imagines she will fall. Her head is affected ; she is unable to stand firmly. Violent vertigo when lying down, with fear that he will die. (a. 10 h.) Vertigo; every thing turned with her, especially when standing or walking, also (but less) when sitting, not at all when lying down.'

5. Reeling and tottering sensation in the body, without feeling giddy in the head. Sensation, when walking in the open air, as if something were turning in the head, still he does not feel giddy. Stupid feeling in the head, when sitting down, as if intoxicated ; when rising he feels giddy, as if he would fall forward or backward.*^ Giddy when walking, as if she would fall forward.^ Dizzy when rising from bed ; he is scarcely able to keep himself on his legs.

10. The head feels gloomy and dull. Stupefied, weak feeling in the head. Weakness of memory. He seems to be engaged in thinking, but he has no ideas. When walking, he feels so dizzy that he scarcely sees the men which are standing before him. — 1.5. She feels a vertigo after walking or stooping, not otherwise. Loss of thought, as if owing to a swimming of the eyes ; frequently she is unable to see things. Loss of thought ;

' Compare 180. ^ Compare 180. ' Compare 180. for instance, in writing 12 he would put down 1, but was unable to recollect the other number; when holding pa])er in his hands, he had to think what it was. Stupefied headache, and buzzing in the head. Obtuse feeling in the head (immediately).

20. The head feels obtuse and as if intoxicated, early in the morning, (a. 12 h.) Reeling, with headache affecting the whole head ; when writing he lost his thoughts and memory, and he was unable to collect himself Obtuse feeling of the head, pressure in the right temple, and a pressure directly over and behind the right orbit, as of a weight. Pressure in the temples. Headache as if the eyes were pressed out of their sockets, with yawning and chilliness, without thirst.

25. When stooping he feels as if he could not raise himself again ; the nape of the neck feels embarrassed ; when stooping he feels as if a quantity of blood were rushing to his brain. Constant heaviness in the head ; when stooping he feels a sort of weight settling down the forehead, and drawing down the head, the face becoming hot at the same time. Headache behind the left eye, with pressure from behind forward. The head feels so heavy that she has to hold it straight in order to diminish the load which is pressing down in the forehead. The head feels heavy and gloomy when turning the eyes ; the eyeball itself hurts him.

30. Painful heaviness in the temples, pressing from above downward. Headache as if the brain were compressed from temple to temple. Heat in the head, with dry lips and thirst, followed by a violent headache, as if the forehead should be pressed asunder, with great heaviness in the forehead, especially when coming into the room out of the open air, or when waking from the siesta ; the headache disappears as soon as she lies down in the evening. Burning pressure in the region of the right temporal bone. Pressure in the right temple, irradiating from below upward, in the evening when in bed, worst in rest ; in order to be relieved he had now to sit down, now to leave his bed.

35. Tearing in the head to and fro, worse when stooping ; from five oclock in the afternoon until bedtime. Headache, drawing in the occiput and temples, with pressure in the eyes ; it is so violent early in the morning that he has to leave his bed. (Headache, as if he had spoiled his stomach.) Tearing headache. On waking and opening his eyes he is attacked with a violent headache, first in the forehead behind the eyes, as if the brain would be torn to pieces, as after an intoxication by brandy, and made worse by moving the eyes; afterwards in the occiput, as if ihe cerebellum were bruised ; a pressing from within outward is felt in the temples.

40. (Headache in the left side and occiput, as if the parts were sore, extending as far as the teeth.) When making steps, she feels every step reverberate in the head. Occasional sensation in the brain, as of the flagging of sails. Wavering sensation in the brain, when walking. Stitches in the head from within outwards.

45. Fine beating in the right side of the head. Burning in the head and a fine beating or pecking headache. Burning pain, sometimes in the occiput, sometimes in the forehead. Burning-creeping sensation in the forehead. He feels the pulse in the occiput.

50. A few fine, violent stitches in the right temple from without inward. Her head feels too full and heavy (with ringing in the ears), occasionally accompanied with stitches in the left temple from within outward. Heaviness in the upper part of the head, after walking. Single stitch in the head, above the eye, from within outward, while eating, and continuing for four minutes; followed by nausea and fulness; a warm sensation ascending into the head. Single jerks in the occiput, in the afternoon.

55. Tearing in the upper part of the head, shortly after a meal ; at the same place the head feels sore to the touch ; sometimes the whole head is affected by the drawing pain. Painful creeping in the head, a sort of digging as with a needle, a fine prickling digging. A sort of creeping headache after a walk in the open air. Creeping in one part of the occiput, in the afternoon, as if an abscess would form. Creeping in the scalp, (a. 72 h.)

60. Headache rather externally, contracting the scalp as if she were pulled by the hair ; nevertheless, the head is not painful to the touch. The hairy scalp is very painful to the touch, and when moving the hairs backwards. The head is painful to the touch, like a boil. Corrosive itching of the hairy scalp of the forehead, face, and around the mouth ; rash-shaped pimples make their appearance. Pain in the posterior cervical muscles, towards evening, as if the parts had gone to sleep, and as if the head had been kept erect too long.

[Vertigo. Violent vertigo. Vertigo as if he were held up into the air while sitting. Vanishing of thought during a walk after dinner.

5. Staggering walking, without vertigo. While walking he staggers constantly to the right side. His head feels confused, without any definite pain. Vertigo and stupid feeling in the head. Dizziness.

10. When turning the head, she lost her senses ; when stooping she felt as if she could not raise the head again. The head feels dull, immediately. Obtuse feeling in the head and want of inclination for literary occupations. His head feels weary, he cannot think well ; he is averse to talking, or finds it troublesome.

15. His mind felt exhausted for several days ; he was unable to retain a single idea, and was almost quite stupid.' Slow development of ideas. Forgetfulness : he is unable to recollect the latest events. Dullness of memory : he has great trouble in recollecting the most familiar things and names ; sometimes his recollections are quite distinct, when he is free from the febrile chills. The head feels full and heavy, with sensation when stooping, as if the brain were falling forward.

20. Sensation, when shaking the head, as if the brain were loose and were knocking against the skull. Headache transversely through the forehead. Headache in the occiput, which goes off when bending the head backward. Headache in the forehead when moving the arms violently, as if pressure were made with a dull point, (a. 25 h.) Pressure and drawing in the left side of the hairy scalp from below upward.

25. Tearing pain in the right temple, (a. ^ h.) Simple tearing transversely across the hairy scalp, externally. Drawing with pressure on the left side of the hairy scalp. Creeping and crawling over the forehead and nose when sitting straight, going off when stooping.]

Face and eyes p. 75

65. Redness and sweat of the face, without thirst, (a. 1 h.) Sensation as if she had a gauze before her eyes ; she is unable to see distinctly. The eyeball feels sore when turning the eye or when pressing upon it ; he is scarcely able to turn the eye. Pressure in the eye as if it contained dust. Painful pressure in the eyes.

70. Pressure in the eye, when exerting the sight. Pressure in the left eye, as if it were inflamed ; the internal canthus is red, and filled with gum in the evening. Aching and contractive pain in the eyes, evening. Burning pressure in the eye, from evening until morning ; going off in the morning after rising. In the morning the sclerotica is red, with a burning pressure in the eye ; the eyes felt as if protruding from their sockets.

75. In the morning the eyes are red and agglutinated. Ophthalmia. Bleareyeduess. Lachrymation in the evening, with burning pain.

80. Biting in the eyes; agglutination of the eyes in the morning. Biting in the inner surface of the lower eyelids, (a. 2 h.) In the cold air the eyelids are made sore by saltish, acrid tears. The eyelids feel dry, especially in the inner canthus. In the evening the eyelids feel heavy, stiff and rigid, as if paralyzed, and as if he found it difficult to move the lids.

85. Stitches under the eye. Bruised pain in the inner side of the orbital bone, towards the nose. Pressure in the region of the malar bone, with fine stitches.

[Pale face. The face looks sick and sunken, with blue

' From moistening the fingers with a strong tincture of Rhus tox. margins around the eyes. (a. 18 h.) Pointed nose for three days. The face looks disfigured and distorted ; the left side looks contracted and shorter, and the right elongated, (a. 22 h.) Redness and sweat of the face, without thirst, (a. 1 h.) The skin of the face peels ofi'.

35. Violent swelling of the face ; the head becomes twice as large as before ; a sort of phlegmonous erysipelas, obliging him to keep in his bed for four weeks.* Erysipelatous swelling of the face and neck.'* Great swelling of the head, face and eyelids, making it impossible for him to open them for twenty-four hours. Violent swelling of the face. Swelling of the face, especially of the eyelids and lobules of the ears.

40. Swelling of the head in some persons. Violent burning of the swelling of the face, eyelids and lobules. Intolerable itching of that swelling. Swelling of the head, neck and chest down to the umbilicus. Swelling of the lip and nose, followed by pale swelling of the face; on the third day the swelling of the face increased, with burning pain, the eyelids being closed by swelling, the eyes running ; on the fourth and fifth day the face was covered with vesicles filled with yellow water ; they burst and emitted but a small quantity of water; the swelling of the face lasted eight days, longer mider the chin; it scaled off. ^

45. Drawing and tearing in the region of the eyebrows and in the malar bones. Inflammation of the eyelids. Biting itching of the right upper eyelid (going off after some friction). Twitching sensation in the left upper eyelid, (a. 48 h.) Sensation in the ri^ht lower eyelid, consisting of twitching and contracting.

50. The right upper eyelid feels swollen and occasions a pressure ; this goes off in the open air. (a. 26 h.) The eyelids are dry and are constantly closed as if he were drowsy, in the evening. Twitching and feeling of dryness of the eyelids, during a febrile chill. Inflammation of the eyelids. Itching of the right outer canthus, (a. 27 h.)

55. Red, hard swelling, like a stye, on the lower lid of the left eye, towards the inner canthus, with an itching pain, for six days. (a. 48 h.) Sensation as if the right inner canthus were swollen. Biting sensation in the right eye, as of an acid. The objects look pale.* Pressure on the frontal bone, increasing gradually until it ceases of a sudden.

60. Dull drawing in the left side of the forehead through the left cheek, down the jaw, through the muscles and teeth, as if a toothache were approaching.]

' From exhalations of the plant and from gathering it.

^ From the exhalations of the plant.

^ From the juice spirting upon the hand.

* From moistening the fingers with a strong tincture of Rhus tox.

Ears and nose p. 77

Painful beating in the internal ear at night. Otalgia. (Whizzing in the ear.) Piping in tie ears, as of young mice. (Titillating creeping in the ears, as of something living ; she had to insert her finger.) Frequent bleeding at the nose even when merely stooping.

95. Bleeding at the nose in the night, (a. 4 h.) Bleeding at the nose in the morning, (a. 40 h.) Bleeding at the nose when clearing the throat.' Sore feeling about the nostrils. Herpetic eruption around the mouth and nose ; sometimes causing a darting and burning-itching pain. (a. 24 h.)

[Pine, painful tearing behind the left ear. Tingling in the right ear, when walking, (a. H h.) Two violent reports in the left ear in short succession, as if the tympanum were bursting, when on the point of going to sleep in taking the siesta, in the recumbent posture ; he started in affright at every report, but soon went to sleep again, (a. 4 h.) Bleeding at the nose.

65. Feeling of hardness and swelling under the nose, going off when feeling the part. Tension below the right nostril. The tip of the nose is red and painful to the touch, as if it would ulcerate, (a. 8 d.) Crusty eruption near the left wing of the nose and below the nose. (a. 48 h.) Burning sensation below the left nostril, making the air which comes out feel hot ; this symptom goes off in the open air,]

Mouth, teeth and jaws p. 77

100. (Pustule in the fold of the cheek, which is painless per se, but when touched a fine pricking is experienced in it. (Burning vesicles around the mouth, and near the nostril.) Pimple on the lower lip, below the vermilion border, in the white skin. Clusters of pimples, which are filled with a watery fluid when first foiming ; they are near the corners, on the border of the lower lip, and feel sore when touched, and when not touched a smarting sensation, as if occasioned by salt, is experienced in them. (a. 10 h.) Fine, burning cramp in the right cheek, in the afternoon, as if the parts were ulcerated ; the skin of the cheek becomes hot and rough, as if an eruption were coming out; he had to rise from bed, and felt very thirsty.

105. Pimples on the side of the chin, the tips whereof become filled with pus ; when touching thorn, a pain is experienced in them as if a sharp edge were pressed into them, accompanied with a burning which is continuous. Pain in the region of the articulation of the jaw, close to the ear, which feels like a cramp in rest and when moving the parts ; the pain is diminished by a strong pressure upon the articulation), and by eating warm things. Pain in the articulation of the jaw, as if bruised, or as if it would break, 78 RHUS RADICANS. when moving it. (a. 1 h.) Pain in the articulation of the jaws, as if they would become dislocated, during a spasmodic yawning in the evening, (a. 1 h.) Cracking in the joint, when moving the jaw to and fro (in the morning), (a. 12 h.)

110. Cracking in the ear (in the articulation of the jaw) during every movement of the jaw. Aching and digging-up pain in the submaxillary gland, even when not moving it. Swelling of the submaxillary glands ; deglutition caused a pricking in the glands. Single darlings, in the evening, from the temple to both jaws and rows of teeth, debilitating him entirely, and accompanied with a bruised pain in the left temple ; he yawned, but he was unable to go to sleep immediately, lest the pain should return. Slowly stitching and at the same time darting pain in the cuspidatus, in the evening.

115. Darting toothache in the night, at ten oclock ; the darlings entered into the head, and were relieved by pressing upon the parts with a cold hand. Dartings in the nerves of the roots of the hollow teeth. Darting in the nerve of the tooth, from below upward, palliated by imposing a cold hand upon the part. Cutting toothache, as when a wound is inflicted. Intolerable burning sore pain in the gums, as far as the roots of the molar teeth, at half past two oclock in the night ; the pain obliges him to sit up in bed, with a feeling of heat in the body and especially about the head, with sweat on the forehead.

120. Cutting beating pain in that portion of the palate where the teeth terminate, as if there were ulceration going on ; contact occasions a pricking as in an ulcer. Pressure in the inner gums of the foreteeth, and in the periosteum of the teeth, shifting here and there. The teeth feel loose, with painful tingling in the teeth from time to time, as when a part goes to sleep. Painful tingling in the tooth, resembling a digging as with a needle ; a fine prickling digging. The teeth are painful when chewing, as if they were elongated and loose ; still they are not painful when touched, and do not vacillate.

125. Toothache (in the evening), first in the hollow tooth, which became looser and raised, afterwards also in the other teeth, in which partly a prickling, partly a creeping was experienced. The foreteeth vacillate and feel painful, both when touched by a warm and cold drink. Pain of the foreteeth, Avhen touched by the tongue. Visible vacillation of the first two molar teeth, the two cuspidati, and the four lower incisores, with a creeping pain in the gums, also between the acts of mastication. Looseness of the lower incisores, she is unable to use them in masticating.

130. Great vacillation of the lower four incisores ; the gums stand off from those teeth ; they can be separated from the teeth, and touched without feeling any pain, except when the teeth themselves feel painful. [70. Early in the morning, when rising, he feels a pricking point in the right side of the lower lip, with sensation as if it were bleeding, (a. 48 h.) Dry, arid lips, covered with a reddish crust. Sudden prickings in the right cheek. Cutting contraction in the right cheek. Cutting pain in one point of the cheek ; afterwards he experiences an itching and pricking in that point, which goes off after scratching, (a. 10, 11 h.)

75. Burning contraction in the right cheek, with aching pain in the crowns of the three upper molar teeth. Coldness in the closed mouth, as if a cold wind were moving in, with roaring in the left ear. Pressure in the outer side of the gums of the lower molares, and at the same time on the shoulder, and in the region of the left clavicle. Dull pressure in the lower molares and near the shoulder in the region of the left clavicle. Toothache in the right upper teeth, as if they were pulled into their cavities by the roots.

80. Toothache in the lower molares ; sharp pressure and a dull pain, with a musty smell in the mouth. Sensation between the right teeth, as if a tenacious body were between them. Sensation in the lower jaw, as if the gums were squeezed from both sides, with a musty sensation of decaying flesh in the mouth. Cramplike pain in the articulation of the jaw. The parotid and submaxillary glands are swollen and hard.]

Inner Mouth, Taste and Appetite : Confluence of water in the mouth ; he has to spit frequently. Internal inclination to spit, as if he had much saliva in the mouth. The saliva flows out of his mouth wJiile takins the siesta iti the sitting posture. His mouth fills with water during the siesta. He has to spit out a quantity of saliva and mucus the whole day ; at the same time something sour rises from the stomach into the mouth. Frequent hawking of mucus in the morning. She hawks a good deal, only in the morning ; the more she rinses her mouth the more does the mucus in her throat increase. The mucus on the tongue has a salt taste.

140. Feeling of dryness in the throat. The tongue is not coated, but very dry, which occasions a desire to drink. Feeling of dryness on the tip of the tongue (without any dryness being visible) ; he thinks that that is the cause of his thirst. Thirst occasioned by a feeling of dryness in the mouth ; it remains in spite of drinking, in the afternoon and after midnight. Feeling of swelling in the throat, accompanied with a bruised pain, both when talking and when keeping the throat quiet ; when swallowing he feels a pain as of a swelling, with pressure, and accompanied with a stitch as if something pointed had been Stuck in. (a. 3 h.)

145. Stitch when swallowing and yawning, as if she had swallowed a pin. Severe stitches in the throat, in the region of the epiglottis, dull at the commencement and sharp at the termination ; they are only felt between the acts of deglutition, and pass off while swallowing. Stinging in the throat during deglutition when the throat is dry ; a pressure being felt when the throat is moist. Sharp, bitter-sour taste in the mouth.

150. Coppery taste in the mouth and a scraping sensation extending deep into the throat. Putrid taste in the mouth, early in the morning after waking and after a meal, without any bad smell from the mouth. Greasy taste in the mouth ; the food, however, has a natural taste. In the forenoon he has a taste in the mouth as of putrid meat, as if the stomach had become spoiled by putrid meat ; aliments, however, have a natural taste (the piUrid taste did not return after a meal). Putrid, slimy taste in the mouth, she has to spit a good deal.-

155. (His mouth feels bitter the whole day; food too has a bitter taste.) Bitterness in the mouth, which disappears after eating. (Bread has a bitter taste.) (Sour things have a bitter taste to her.) Sourish taste in the mouth after taking milk.

100. Aversion to coffee. No appetite for tobacco, but no aversion to it. Frequently he feels a sudden appetite for dainty things. From time to time one feels a shuddering as from nausea over the whole body, without any sensation of chilliness. She has no appetite, but food has a natmal taste ; she has a putrid taste in the mouth after having swallowed a mouthful.

165. Repletion in the region under the sternum, with a sensation as if the appetite had gone for ever. Complete loss of appetite for any kind of food ; he does not relish any thing solid or fluid, nor tobacco, (a. 16 h.) She ate without having any desire for food, and she relished her food. Although she relishes her food pretty well, yet she has no appetite for it, and her stomach always feels full. The breakfast will not go down, owing to a feeling of repletion.

[Rough and sore feeling in the left tonsil during deglutition, (a. 6 h.) Apparent dryness of the mouth ; feeling of dryness with violent thirst. Accumulation of saliva. Confluence of saliva in the mouth after smoking tobacco as usual.

90. Frequent spitting of tenacious saliva. A good deal of mucus in the mouth, without any strange taste. Tenacious mucus in the throat, which comes off after a little hawking, but leaves a sort of roughness. Slimy taste in the mouth ; the mouth feels lined with mucus. He relishes his food, except the bread, which has a rough, dry and scraping taste.

95. Bread has a bitter and rough taste. Does not relish beer. Flat taste in the mouth. Bread, and food generally, are repugnant to him. Aversion to meat and broth for several days.

100. Desire for cold milk, he swallows it greedily.]

Gastric symptoms p. 81

170. Repletion and eructations after moderate eating. A sort of canine hunger ; nevertheless, he has a sort of soap-taste in the mouth ; every thing he takes has a straw-taste and causes eructations ; the appetite disappears after taking the least quantity of food, and he feels replete. Creeping in the stomach and horrid eructations, which only abated in the recumbent posture, but returned whenever he raised himself Empty eructations after eating or drinking. Violent empty eructations in the evening, followed immediately after by hiccough which had no sensation of any kind. (a. 36 h.)

175. Frequent eructations, also tasting of the ingesta. Burning eructations. Giddy in the head shortly after a meal. Drawing toothache in a tooth which is not hollow, shortly after dinner. Anxiety in the abdomen with flatulence, mostly after a meal.

180. Sudden weakness in the head and vertigo, (when standing) making him feel as if he would fall forward.' Headache immediately after a meal (tension in the whole sinciput). (Cough immediately after a meal.) Weary immediately after a meal.

185. Excessive sleepiness immediately after a meal. Excessive distention of the abdomen immediately after a meal. Headache after drinking beer. Sensation of heat in the head after drinking beer. Shuddering, especially after a meal.

190. Pressure at the stomach after a meal, for several hours, as if occasioned by indigestible food. Pinching in the epigastric region, after eating or drinking. Nausea after eating or drinking. Nausea and confluence of saliva in the mouth after eating and after drinking coffee. (Her stomach felt oppressed during dinner ; this prevented her from falling asleep ; the pressure had passed off after waking.)

195. Early after rising, he feels warm and qualmish as if he would vomit ; the nausea disappears after lying down again. She frequently raises herself in the night in her sleep, and she gags as if she would vomit ; but she does not vomit. Confluence of the saliva in the mouth early in the morning, with a desire to vomit ; still she feels hungry. In the evening she felt several times a suffocative sensation ascending from the pit of the stomach to the pit of the throat, which arrested the breathing momentarily.

[He feels replete after taking a glass of wine ; he has an aversion to wine and feels at the same time a heaviness of the head. Complete want of appetite. Complete loss of appetite, for several days. Want of appetite ; he eats but little, is very soon satiated, and is nevertheless hungry.

105. At a period when he ought to have been hungry, he was without any appetite, the mouth being full of saliva which had a flat, slimy taste. Want of appetite in the palate and throaty v)ith emptiness in the stomach and canine hunger, the latter disappearing- after having been seated for a time. Peculiar heaviness iu the abdomen, wluch felt quite empty, with hunger in the sitting posture, (a. 24 h.) He was hungry in the morning, but when sitting down to breakfast he cared nothing about eating. Natural hunger early in the morning ; indifference to food at dinner, which he relished nevertheless.

110. More than his usual appetite.' (a. 4 d.) Little appetite, but hunger with sensation as if the hunger affected the chest. He felt qualmish and nauseated after rising from bed. as if in the chest. Nausea. Nausea as if iu the throat.

115. Nausea in the chest with canine hunger ; the nausea disappears after satisfying the hunger. Nausea in the stomach and qualmishness in the chest, which became worse when stooping, (a. 26 h.) Risings from the stomach, which became incarcerated in the right chest. After a meal he becomes faint and giddy. Drawing with pressure, from below upward, in the left hypochondrium, with anxiety and nausea in the chest, (a. 63 h.)

120. Nausea early in the morning after rising, with a sort of anguish, which gradually goes off in the open air. (a. 27 h.) Nausea which was somewhat relieved after eating, but which returned again, with hunger without an appetite. Fullness in the stomach after a moderate meal, as if he had overloaded the stomach, the appetite continuing strong. Canine hunger and emptiness in the stomach, with want of appetite in the palate and throat, going off after having sat a while. Hard pressing in the hypochondria from below upward, with anxiety, as if he were threatened with death, when sitting crooked, (a. 9 h.)

Stomach and abdomen p. 82

Pressure in the pit of the stomach, as if swollen, impeding respiration (in the evening).

200. Pressure in the pit of the stomach, as if he had swallowed too large a morsel. Oppression in the stomach toward evening, as if the parts in the pit of the stomach were drawn together, (a. 6 h.) A sort of clawing in the pit of the stomach, as if too full and tight. Violent throbbing below the pit of the stomach. Violent throbbing in the region of the stomach.

205. Contractive pain on the right side toward the stomach. Stitches extending

Curative effect. from the right side towards the stomach. Sticking pain with pressure in the region of the stomach (impeding a deep inspiration). Colic : sensation as if a heavy lump were lying in the abdomen. No conc when lying down, but the abdomen is painful when sitting, as if it were pressed upon.

210. Aching pain at a small spot in the abdomen, as if a wind had become incarcerated, only when moving and turning the body considerably, for instance, when going up stairs ; not when feeling the part. Spasmodic pains in the right side of the abdomen, early in the morning, when catching a little cold, accompanied with a moaning, desponding, disconsolate mood. (a. 24 h.) First a cutting in the abdomen, afterwards a sticking in the right side of the abdomen. Colic composed of cutting, tearing, and pinching, affecting the whole of the intestines, without much flatulence or distention of the abdomen, worse during motion, but gradually improving during rest. (a. 24 h.) Painful distention of the abdomen, with colic, as if occasioned by a quantity of flatulence, shortly after a meal.

215. Excessive distention of the abdomen, shortly after a meal. His abdomen was distended the whole day, with fermentation in the same. Fetid flatulence. Burning in the abdomen and thirst.

220. Digging-up and writhing colic, as if a worm were moving in the abdomen. Drawing pain in the left side of the abdomen during an inspiration. Contractive pain in the left groin. Pain and contraction in the abdomen, obliging her to walk crooked. Cutting in the middle of the abdomen, before noon, at the same time she was frequently obliged to go to stool, the discharge looking natural ; the pain abated by bending the body double • it increased by motion, (a. 16 h.)

[Pressing in the abdomen, as if the intestines were raised towards the heart, when sitting, (a. 25 h.) Sensation, when raising himself after stooping, as if the abdomen were bloated with a warm feeling in the chest. A pressing in the left side below the ribs. Pressure in the pit of the stomach, during motion. Sticking pain in the pit of the stomach, (a. l^- h.) 130. Simple sticking in the pit of the stomach, near the right hypochondrium. (a. 10 h.) Pain in the stomach. Sensation as if a lump were lying in his stomach, after a meal, especially when standing. Painful pinching below the diaphragm, above the stomach ; afterwards the pinching is felt in the stomach itself. Pinching in the pit of the stomach, extending thence rapidly into the hypogastrium, where it is felt at a small place, (a. 3 h.)

135. Pinching in the umbilical region on the right side, with a chilly creeping over the upper arms. Pinching in the abdomen while sitting down, with oppression ascending from below upward, (a. 25 h.) Pinching in the right side under the ribs, soon extending to the umbilical region, as if he had worms in the body, when sitting, (a. 2j h.) Pinching in the abdomen, in the forenoon, when walking in the open air, accompanied with incarcerated flatulence, which is not passed in sufficient quantity, (a. 25 h.) An almost jerking pinching in different parts of the abdomen.

140. Excessive pinching in the abdomen, during a natural evacuation, (a. 25 h.) Distention of the abdomen in the umbilical region, with violent pinching. Digging-up pain in the right side of the abdomen. Sticking, from the umbilicus toward the region of the heart, as if an arrow were flying through the part, repeated at every beat of the pulse, (a. 2^ h.) Sticking above the umbilicus.

145. Drawing from the umbilical to the pubic region, (a, 27 h.) Contusive pain below the umbilicus. Visible contraction in the middle of the abdomen, across the umbilicus, the abdomen feeling hard, distended and rigid along that line. (a. 3 h.) Cramplike drawing in the umbilical region. Cutting in the left side of the umbilicus, during an inspiration while sitting.

150. Cracking and rumbling in the abdomen, with shocks in the direction of the mons veneris, (a. 36 h.) Fullness and fermentation in the abdomen, with hunger, the whole of these symptoms passing off after a meal. (a. 26 h.) The flatulence occasions a jerking in the abdomen. Easy emission of a quantity of wind, which seems to form in the rectum, (a. 1 h.) Frequent flatulence in the abdomen, which he does not pass in the evening.

155. Rumbling flatulence and pinching in the abdomen, without any flatulence being emitted. Darting and pinching pain in the abdomen. When walking, the interior of the abdomen feels lax, and he feels a shaking in it at every step. Early in the morning, after rising, the abdomen was affected with an ulcerative pain when extending the body, and the abdominal integuments felt as if too short, (a. 24 h.) Drawing sensation, with pressure in the right side of the abdomen, and a feeling in the abdominal integument, when sitting, as if it were covered with cobweb, (a. ^ h.)

160. Pressing on the mons veneris. Sensation in the mons veneris, as if distended, when walking in the open air. Drawing, transversely, across the region of the abdominal ring, when sitting. Tension, with stitching in the left groin. Sensation in the left groin, as if one portion of the contents (hernia) had protruded

165. Pressure in the right groin as if hernia would come on. Heaviness in the left groin, when walking, as if a tumor were hanging down. Pressure in the right groin, from within outward, accompanied with canine hunger and rumbling in the abdomen, (a. 11 h.)]

Stool p. 85

225. Constant tenesmus, with nausea and tearing in the intestines ; the urging sometimes was ineffectual, sometimes resumed merely in a watery discharge. Burning in the rectum before every stool. The child cries previous to stool; it is quiet after the evacuation is over. Four natural stools at short intervals (after a few hours). Seven diarrhoeic stools, like jelly, streaked, white and yellow, without colic, (a. 20 h.)

230. Three or four watery stools, with a quantity of flatulence, (a. 24 h.) Diarrhoea. (Several loose stools a day, followed by tenesmus.) Diarrhoea ; every evacuation being preceded by pinching, (a. 40 h.) Hacked diarrhoeic stool.

235. (White stool, neither too loose nor too hard.) (Constipation.) (a. 3 d.) (Stool somewhat bloody.) Frequent urging, but scanty discharge, (a. 68 h.) Sore, blind haemorrhoids, protruding after every stool, (a. 24 h.)

240. Soreness of the anus between the stools. Laborlike drawing toward the uterus, when standing. Drawing in the back from above downward, with tension and pressing in the rectum, as if every thing would come out there. Creeping in the rectum as of ascarides (after a few hours). Itching, deep in the rectum.

245. Itching pain of the anus, as if occasioned by haemorrhoids.

[Severe pinching and digging-up in the abdomen, accompanied with sudden expulsion of frequent stools, mingled with flatulence, excessively fetid, first thick, afterwards watery, (a. If h.) The colic abates after the evacuation, but soon returns again with a renewed desire for stool.

170. Diarrhoea. Diarrhoea, several times an hour, for 60 hours, (a 30 h.) Stools, mixed with blood. Red and yellow stool, mixed with mucus jellylike and flowing. Sudden, loose, yellow, frothy stools, without almost any smell, and without being preceded by colic ; the first drops are passed involuntarily, as if the sphincter were paralyzed, (a. 24 h.)

175. Coherent, but loose, whiteyellowish stools, (a. 45 h.)]

Urinary organs p. 85

Burning pain in the region of the root of the urethra, during micturition. Stitches in the bladder, on both sides, when a desire to urinate is coming on. He has to urinate every minute in daytime. Profuse emission of urine, (a. 14 h.)

250. He urinates three times in the night. He eructates whenever he emits urine. Hot urine. Dark urine. The urine is turbid while being emitted.

255. Dark urine, which soon becomes turbid. White-turbid urine, which became more so as the emission continued, so that the last drops looked like flocks, (a. 24 h.) The urine looks like water, with a snowwhite sediment. (The stream of the urine was double.)

[Horrid eruption upon the genital organs,' closing of the urethra by swelling.^ Humid eruption on the scrotum,^ and swelUngof the prepuce and glans. Considerable bilhig in the forepart of the urethra, both during and after micturition, continuous more in rest than when walking, (a. 5 h.) Swelling of the glans, early in the morning when rising, with simple pain when touching it, accompanied with biting in the urethra, during and after micturition, (a. 12 h.)

180. Stinging itching of the iimer surface of the prepuce, (a. 9 h.)]

Genital organs p. 86

Pain in the inguinal glands, at night when in bed, when she moves, turns to the other side or raises herself. - 260. Simple pain in the abdominal ring, as if hernia would protrude. Red spots on the inner side of the prepuce, near the fraenulum. Swelling of the prepuce, close to where it unites with the glans. Irresistible desire for emission, after three oclock in the morning, (a. 20h.) Profuse nocturnal emissions, (a. 6 h.)

265. Violent labor pains, as if the menses would suddenly make their appearance, in the hypogastrium (immediately, for four hours). Stitching in the vagina, not increased by contact. Pain in the vagina, as if sore, in the evening, shortly after touching it. Sore pain in the vagina in the evening, without touching it, two evenings in succession. Discharge of blood from the womb (menses), (a. 7 h.)

270. Some discharge of blood from the womb, without pain, in a pregnant female, about new moon. (a. 72 h.) In a female somewhat advanced in years the menses stopped suddenly on the third day, without another drop of blood.'*

[Violent erection toward morning, with frequent desire to urinate. Frequent erection at night, with frequent emissions of urine. Cutting drawing in the left testicle. The menses, which had ceased for a long time, reappear profusely, (a. 7 h.)

185. The menstrual discharge causes a violent biting pain in the pudendum.]

Catarrh, larynx and trachea p. 86

Frequent violent, almost spasmodic sneezing. Hoarseness deep in the trachea.

275. Scraping rough feeling in the larynx, causing hoarseness. Roughness in the throat and trachea, as if the chest were raw and sore. Involuntary jloio of a quantity of m,mucus from, the nose, as in a very bad kind of catarrh, without any

' From moistening the hand with the juice, and from the genital organs having probably been moistened by the juice likewise.

'^ And death.

^ From moistening the hand with the juice.

* She was fifty years old. and continued to have her menses for too long a time, causing many ailments after the third day. The suppression was a curative effect. catarrh being 'present, early in the morning after rising. (The those is sometimes obstructed as in dry coryza, worse in the room, better in the open air.) Ascension of a hot vapor from the throat (the lungs).

[Roughness of the throat, inducing a short and hacking cough, (a. 3 h.) Cough and coryza, with expectoration. Sensation of coldness in the throat during an expiration, as if a cold breath were rushing out.]

Chest p. 87

Palpitation of the heart, so violent when sitting still that the body became moved by every beat of the pulse. Tremor of the heart. Itching of the breasts. Itching of the left nipple, in the evening after lying down in bed. Vanishing of the milk in the breasts, (a. 12 h.)

285. Contractive sensation in the sternum, with sticking jerks in the sternum. (Early in the morning when in bed.) Pain in the chest as if the sternum wee pressed in. going off after rising. Contractive sensation in the chest. Tension across the chest in the evening, short breathing and weakness in all the limbs. Oppression of the chest in the night, with sticking pains, especially during an inspiration, (a. 5 h.)

290. Shortness of breath, especially when going to stool. She is not able to sit down ; has to take deep breath, as if she would suffocate, especially after a meal. Nausea, with desire to vomit, under the short ribs, oppressing the breathing. Oppressed and anxious, as if she had no breath. Sensation in the pit of the throat, as if the trachea were stopped and constricted ; this sensation went off for a short time by eating and drinking, but returned speedily.

295. The breathing becomes heavy after he had walked awhile. Scraping and burning sensation in the chest, even between the inspirations. Short, anxious, painful cough, frequently waking him before midnight, with very short breathing. Frequent titillation in the air-passages, as if he would cough, making the breath short ; it goes off by moderate exercise. Titillating cough especially in the evening, causing dryness in the throat.

300. Cough, with a disagreeable tension across the chest. Frequent vomiturition in the evening after lying down, with bitter taste in the throat, until he falls asleep ; the same vomiturition and taste in the throat early in the morning, until he rises from bed. Sweat all over when coughing. (Cough in the open air.) Panting cough, with concussion in the head.

305. The cough rucks the whole chest, as if every part in the chest were loose. Pain in the stomach when coughing. (Vomiting of the ingesta when coughing, in the evening.) When coughing she feels a taste of blood in her mouth, without however coughing up any blood. The cough torments him a good deal in the night.

310. Dry cough before midnight, which occasioned a sticking in one of the loins. Cough at three oclock in the morning, worst after waking. Cough especially violent after waking. (Cough, especially in the morning, with black, viscid expectoration.) Stitches when coughing in the left side of the chest.

315. Disagreeable feeling of heat in the chest, when walking in the open air. Slow drawing down the left chest, not during the inspirations, but when the chest is quiet. Pimples in the right side of the chest, extending as far as half the back ; they feel sore and as if excoriated, with fine stitches piercing from within outwards. Deep stitches on either side of the sternum, when stooping while sitting. Violent sticking in the left side in the evening, under the ribs, until midnight.

320. Boring stitches in one of the lowest ribs, when standing. Lancination from the right breast to the left side of the abdomen, in the evening. Stitches in the left side when talking and taking a deep inspiration. Frequent stitches in the side. Frequent stitches in the right side.

325. Stitches in the side when walking in the open air.

[

190. Weakness in the chest after a walk in the open air, making it difficult for him to talk. Fullness in the chest, accompanied with hunger without appetite. Pressing in the left chest not far from the pit of the stomach, when stooping while sitting, (a. 25 h.) The chest and the upper molares feel pithy and numb. The left side of the trunk, from the axilla to below the ribs, is swollen and painful.

195. Oppression of the thoracic cavity, (a. 2 h.) Oppression of the chest, as after violent weeping. Constrictive sensation in the chest ; he feels qualmish and nauseated. Stinging, oppressive pain in the sternum, impeding respiration, with a continual short cough, without expectoration, (a. ^ h.)

200. Fatiguing cough, with expectoration of white mucus, day and night. Some severe, pulsative stitches over the region of the heart, obliging him to exclaim, when sitting, in the evening, (a. ^ h.) Boring pain in the left side, in the evening when in bed. (a. 5 h.) ]

Neck p. 88

His neck aches during motion, as if stiff and tensive. Pain in the nape of the neck, as of a heavy burthen, preventing him from lying down. (a. 4 d.) Tearing between the shoulders, drawing them near one another from both sides. Violent rheumatic pain between the scapulae, neither alleviated nor increased by motion or rest, relieved by warmth, but aggravated by cold. (a. 48 h.)

[Itching pricking, like flea-bites, in the nape of the neck. Pressure in the posterior cervical muscles when bending the head forward,

205. Pressure in the upper part of the nape of the neck ; the place feels numb. (a. 10 h.) Drawing across one side of the nape of the neck, when stooping. Rheumatic stiffness in the nape of the neck. Stiffness of the nape of the neck. (a. 4 h.) Stiffness of the whole neck, obliging her to complain of pain in the nape of the neck whenever she attempts to move her head. (a. 4 h.)

210. Itching of the neck and the forearms. The left shoulder feels paralyzed. Tensive cutting across the scapulae. Rumbling jerking and contractive sensation in some parts of the left scapula and over the right knee. Pain on the left scapula as if a strong pressure were made upon it with the finger, (a. -}- h.)

215. Contraction of the skin on the left scapula, (a, 54 h.) Tensive cutting across the scapulas. Jerking in the side near the left scapula, when sitting. Pressure under the left scapula in the side of the back, seeming to come from below. Drawing and pressure under the left scapula, oppressing the breathing.

220. Pressure on the right scapula.]

Back •

330. Stitching in the back when stooping (evening). Stitches in the back, with pressure, more when walking than when sitting ; also when stooping, but more when raising himself again. Drawing pain in the back in the evening ; he had to sit straight. Drawing pain in the back when sitting, disappearing when walking. Constrictive pain in the muscles of the back when sitting, diminished by leaning backward, increased by stooping forward.

335. When sitting, the small of the back feels painful, as after strong stooping and bending of the back. Pain in the small of the back, as if bruised when lying upon it quietly, or when sitting still ; he does not feel any thing when moving about. Stitching jerks in the small of the back (when walking). Stiffness of the small of the back, painful dnritig motion. Pain in the small of the back, when touching the parts, as if the flesh had been beaten loose.

340. (When walking or standing he feels a sort of tearing from the hip to the knee.) When lying on one side, his hip aches, and when lying on the back, the small of the back aches.

[Bruised sensation in the right side of the lumbar vertebrae and in the small of the back. Stiffness in the small of the back. When standing or bending backwards, he feels a pressure in the small of the back as with a sharp edge.^

225. Burning point in the small of the back, towards the right side. Heaviness and pressure in the small of the back, as if a blow had been received upon it, when sitting, (a. 6 days.) Drawingdarting sticking, as with a nail, in the os coccygis.]

Upper extremities p. 90

Stitching in the shoulder when lying down, ceasing during motion. Swelling of the axillary glands, which is painful both when touched and when in a state of rest. Sensation from the shoulder to the hand, as if something were rolling down ; the sensation is neither warm nor cold.

345. Tremor of the arm when exerting it moderately. Drawing stitches in the arms, commencing in the shoulders. Boring stitches in the upper arm, when standing. Tearing in both upper arms ; worse when working ; she then has to let her arms hang down ; they are more painful under tue bed-cover, and the bone aches when feeling it. Painless beating in the left elbow.

350. Drawing and tearing from the elbow joint to the wrist joint. Tension in the elbow-joint, when stretching the arm ; she had difficulty in lifting the arm. lancination in the left carpus. Drawing pain in the palm of the right hand. Cold sensation in the carpus which has the natural warmth to the feel, as if a cold wind were flowing upon it.

355. The dorsum of the hand is covered with rhagades, and hot ; the skin is hard, rough and stiff. In the evening the hands and face are swollen and hot. (Bubbling for several hours in the right hand between the thumb and the index-finger.) Hard pimples on the hand, with stinging corrosive itching. Inflamed blotch over the middle-joint of the ring-finger, with itching-burning pain, sometimes passing over into a slow stitch ; cannot be removed by friction and scratching.

360. Pimples on the inner side of the carpus and on the cheeks, which resemble itch, affected with burning itching, and smarting when scratched. (Pinching on the dorsum of the fingers, on the outer parts of the arms and on the occiput.) (Spasmodic contraction of the fingers.) In the morning the index and middle finger of one hand feel as if gone to sleep.

[Sensation on the left shoulder, near the clavicle, as if some one were pressing there. Tearing in the shoulder-joint and in the upper part of the scapulae.

230. Burning prickings in the arm, below the axilla. Drawing in the left arm, when raising it, from below the axilla to the middle of the upper arm. Sensation as if hot water were running through the arms. Prickings in the left upper arm. (a. 5 days.) Violent stitch in the right upper arm, as if coming from, without.

235. Tension in the left upper arm in the open air. (a 30 h.) Jerking sensation in the left arm. Cramplike drawing in the left elbowjoint, when moving it. (a. 76 h.) Burning-itching pain in the left elbow, obliging him to scratch, and going off after scratching, (a. -J- h.) Digging-up pain in the bone of the left forearm when moving it, and jerking in the right carpus ; the whole forearm feels stiff.

240. Debility and stiffness of the forearm and fingers when moving them, (a, 25 h.) Coldness of the forearms. Corrosive burning in the right forearm, (a. 4 d.) Jerking tearing in the elbow-joint and the wrist-joint, also in rest, relieved by motion, (a. 5, 6 h.) Violent tearing pain in the arm, most violent when lying still.

245. Sensation of debility in the upper part of the right forearm during motion, and pain in the carpus, as if sprained, when seizing any thing, (a. 27 h.) The left forearm is painful as if bruised, (a. 48. h.) Erysipelas, swelling, pustules and burning itching of the arms and hands. Sensation in the skin of the left forearm as if rubbed with a woollen cloth, or as if it had been scraped with a knife, accompanied with a cold sensation in the arm. Sprained sensation in the upper surface of the left carpus, when bending it.

250. Burning in the flesh between the thumb and left index-finger, (a. 11 h.) Involuntary painless jerking inward of both thumbs, only when laying the hand on something, for instance, on the table, (a. 24 h.) Creeping and gnawing in the lower knuckles of the second and third fingers of the left hand. Stitching in the dorsum of the index-finger in a tendon. Stinging pain in the fingers.

255. Sensation in the tips of the fingers (in the warm room) as if they were too much filled with blood, the dorsa of the hands being cold. (a. 10 h.) Creeping in the tips of the fingers as if they had gone to sleep. Sensation in the left index-finger, as one feels after it had gone to sleep. Tearing in the joints of all the fingers.^

Lower extremities p. 91

Aching pain in both hip-joints at every step, and a paralytic feeling in the anterior muscles of the thighs.

365. Red, hot spot on the right hip, affected with a burning pain. Jerking in the thigh, with tremor of the knees. Stitches in the thigh from within outwards. Boring stitches in the thigh when standing. Occasional drawing pain in the thigh, obliging her to bend double, when rising from a seat and when standing, but not when sitting, (a. 96 h.)

370. Jerking tearing in the right thigh, a little above the knee. (a. 96 h.) When sitting down after a walk, he feels a buzzing sensation in the knees and the bends of the knees. Stiffness, especially in the knees and feet. Drawing and tearing from the knee to the tarsal joint. Drawing pain in the knee.

375. Stitching in the side of the knee when walking. Violent itching in the region of the tendons of the hamstrings, in the evening when pulling off the stockings ; scratching caused pain. Drawing in the whole foot, as if paralytic, when sitting. Great inclination to stretch the leg and foot, early in the morning in bed. The bends of the knees and the calves feel heavy as a hundred-weight ; he can scarcely drag his feet.

380. Her lower limbs feel heavy and weary, as if she had walked a good deal. The legs feel very weak in the afternoon when walking in the open air ; he was scarcely able to drag them, they felt so heavy and bruised ; after having sat an hoin-, all weariness had disappeared. Tension in the calves when walking, and as if the hamstrings were too short. Jerking in the calves. Heaviness and tension in the feet, when sitting ; Avhen walking, he merely feels weary.

385. Painful weariness in the legs when sitting, going off by walking, (a. 36 h.) Tension in the knee as if it were too short. Heaviness in the legs extending from above the knee to the lower tarsal joint, making it difficult for her to stand; this heaviness diminishes when walking and is not perceptible when sitting. His feet feel weak only when sitting, as if the blood were descending into the feet. Weariness in the feet so that she is not well able to ascend a height, as if she had been running too fast.

390. Her lower limbs feel paralyzed, (a. 12 d.) Cramp in the calf after midnight, when lying in the bed, and when sitting down after a walk ; the cramp disappears by bending the knee. Cramp in the calf when sitting, going off immediately after rising or commencing to move (immediately). Stitch in the tendons of the hamstrings directly above the calf, during fatiguing motion, when rising from a seat, and when touching the parts. (Clucking sensation in the outer side of the calf lasting several hours.)

395. Lancination in the parts over the tibiae, anteriorly ; accompanied with debility and weariness. When rising from a seat she feels a stitch across ther knee. Sudden pain for half an hour in the affected leg, toward evening : a general slight beating and creeping, accompanied with a cramplike pain (somewhat as is felt in a panaritium, in rest, but increased by motion ; worst when touching the part ; it disappeared suddenly). Pain in the tibiae ; a sort of groaning in them in the night when laying her feet across one another ; she had to move her legs frequently to and fro, which prevented her from sleeping. Beating in the dorsum of the foot.

400. Tingling in the feet early in the morning when lying in bed (and after rising). Deadness of the right foot ; it fell as if made of wood. Itching in the region of the outer malleolus of the left foot and above the dorsum of the foot. Swelling of the feet, which is painless when touched, in the evening, (a. 48 h.) Sticking as with knives in the lower part of the tendo Achillis, worse when touched and after lying down.

405. Stitch in the inner malleolus of the right foot, when rising from a seat. Cramplike stitching in the tarsal joint, in the region of the malleolus. Early in the morning, when rising, the foot feels sprained. (Sweaty feet.) Pain in the sole of the right foot, near the ball, as if an increasingly strong pressure were constantly made upon the painful spot.

410. Tension and pressing in the sole of the foot. When treading, the heels ache and feel pithy. Stitches in the heel when treading. Short, burning pricking between the small and the great toe, in the evening when walking and also at night when in bed. (a. 12 h.) Stitching in the affected ball of the big toe, in paroxysms, as is felt in an abscess which opens ; a beating is felt in the evening.

415. Stitch from the big toe to the middle of the left breast, when standing. Stitch in the right big toe. The chilblains break out again, four months and a half too early, a burning itching in the chilblains in the afternoon and evening ; when not scratching, he feels a pricking in the chilblains, obliging him to scratch ; tumors come on after scratching.' The corn has a burning sore pain, from the pressure of the shoe. (a. 3 h.) Pain in both heels when first treading, as if he walked on needles.

420. Pricking in the bottom of the foot, as if he were walking upon needles. (Small, red, round blotches on the ball of the foot.)

[Drawing pain in the right buttock, directly below the small of the back, going off by pressing upon the part.

260. Cramplike contraction in the right buttock. Cramplike pain in the left buttock when standing, (a. 29 h.) Cramp in the left buttock and thigh. Tension in the groin near the left hip, when sitting, as if there were not skin enough.

265. Tension in the left hip-joint when sitting. Tension in the left thigh, coming out of the joint. Drawing and tearing in the right groin, extending along the thigh, (a. 9 h.) Tearing pain in the outer part of the middle of the thigh when sitting, going off during motion. Sensation in the upper part of the right thigh, internally, towards the groin, as is felt in the fingers when stretching them apart, with the wrist-joint being either strained or sprained, (a. 58 h.)

270. Tension in the posterior side of the thigh when crossing the limbs, (a. 6 d.) Bruised and drawing pain in the right thigh, (a. 56 h.) Cramplike pressure when sitting, in one part of the right thigh below the groin. Burning point in the inner side of the right thigh, near the scrotum, (a. 2^ h.) Red, burning spots and streaks on the inner side of both knees, with small vesicles which soon dried up,

275. Crawling on the inner side of the right knee, with tension of the tendons, (a. 2^ h.) Tension with stretching of

' Compare 414. the tendons on the inner side of the right knee, causing an uneasiness in the foot. (a. 2^ h.) Tension in the left knee-joint, when rising from a seat. A drawing in the bend of ihe right knee, when bending it. (a. 27 h.) Tearing in the knee and the tarsal joint, more in rest.

280. Stitching below the right knee. Stitching during a walk, first in the interior of the left, then of the right knee. Cramplike pressure in the left tibia when bending the knee ; afterward burning. Coldness in the region of the left tibia. Pressure in the outer region of the right tibia, which is followed by a burning.

285. He can scarcely get along in the street, owing to the stiffness of tbe legs ; he constantly staggers to the right side (forenoon). Fine pricking in the outer parts of the leg. (a. 11 h.) Stinging itching in the left calf. Drawing in the right calf, internally, which makes the foot uneasy. Sensation as if the skin of the calf were too tight, with stinging in the skin when sitting, disappearing during motion.

290. Cramplike drawing in the left calf extending as far as the bend of the knee. Sticking as with a knife in the left tarsal joint, from without inward. Drawing in the right tarsal joint, Burning stitches and sensation of warmth on the dorsum of the right foot. (a. 4 d.) Drawing in the heel of the left foot, from below upward, accompanied with burning.

295. Feeling of heat in the left foot. Stitching in the left heel, when sitting, after a walk in the open air. Spasmodic contraction in the iimer side of the bottom of the foot, abating when stretching the foot or bending it upward, (a. 64 h.) Stinging itching in the ball of the big toe of the left foot. Drawing-aching pain in the big toe of the right foot, with a sensation of warmth.

300. Fine stinging in the left big toe. Fine stinging in the fourth toe of the left foot.]

General symptoms p. 94

Pricking in a small spot in the limbs, becoming worse when lying down. Pricking in the joints, in rest (and when bending, not when stretching the limb), not when touching them, nor during the night when in the recumbent posture. (Creeping pain in the face, the dorsal spine and the sternum.)

425. Creeping in the ulcer. Pains in the affected part, with anxiety, which cause him to moan, when sitting still, (Biting pain in the ulcer, as of salt, only in the night ; she is frequently waked by the pain ; the pain disappeared in the daytime, and only returned when walking in the open air.) Pricking in the region of the scurf, early in the morning when waking. (Pain in the ulcer as if bruised.)

430. Burning-biting pain in the ulcer, with crying and moaning. (Quickly-passing burning in the affected part.) The hmbs upon which he is lying, especially the arm, go to sleep. Drawing in all the limbs when lying down.

435. Continual tearing-drawing pain about eight oclock in the evening, when sitting; disappearing during a walk (is not felt again when lying down). The pains in the joints are worse in the open air. He feels stiff when going down hill ; the stiffness is not felt when walking on level ground. She feels stiff when rising from a seat. Feeling of stiffness when commencing to walk after having sat still.

440. Weariness which is worst when sitting, diminishes when walking ; he feels very stiff when rising from his seat. Great debility, as if his bones ached ; she sits or lies down all the time. Unsteadiness of the limbs, with chilliness ; was on that account unable to stand. Paralytic sensation of the whole body, in every joint ; it is worst after sitting when attempting to rise again, and towards evening. After having walked an hour in the open air, he felt a pain in his feet, and became immovable ; this went ofl' again when sitting.

445. His lower limbs feel weary. Sudden faintishness at nine oclock in the evening, with full consciousness : his heart did not beat ; he was more cold than warm ; his mind felt easy, but he was scarcely able to walk, (a. 48 h.) The limbs tremble after exerting them for a time. He trembles and grasps at things hastily. She staggers when rising in the morning, and is unable to stand erect, (a. 20 h.)

450. Early in the morning, when lying in the l)ed, those limbs and joints upon which he does not lie, feel bruised.

[Extreme mobility and animation of the body, one afternoon (third day). Tremulous sensation in the limbs, even when in rest. Jerking in different parts of the body, between the joints.

305. Jerking in the limbs. Jerking of single muscles. Burning itching here and there. Stinging pain in the limbs. Creeping in the paralyzed parts.

310. Swelling of the hands and feet. Black pustules, inflamed and itching, covering the whole body in a short while. Scurfy eruption over the whole body. Burning eruption of small vesicles filled with water, and redness of the skin of the whole body, except the hairy scalp, the palm of the hand and the bottom of the feet. Itching of the whole body, especially the hairy parts, the hairy scalp and the genital organs.

315. Red spots of the size of large lentils, with small vesicles in the middle filled with water. Black stain on the spot which had been touched by the juice, (a. 3 d.) That portion of the skin which had been touched by the juice became tough and hard like leather. The skin touched by the juice becomes as hard as aimed leather; the hardened parts scale off in a few days. Great debility of the whole body.

320. Great debility. Some fainted.' He feels debilitated, bruised, as if he had not slept a whole night. Extreme weakness of the lower limbs, especially in rest. The left arm and leg are somewhat contracted and stiff.

325. Paralysis of the lower limbs for three days; he walked with the greatest difficulty, dragging his feet along.'^ During and after a walk, all his limbs feel stiff and paralyzed; accompanied with a sensation in the nape of the neck as if it were oppressed by a hundred-weight. Inclines to lie down. Cannot remain up.]

Sleep p. 96

Inclines to sleep, when sitting down after a walk. A good deal of yawning in the morning, as if sleepy ; also in the evening. Wants to lie down all the time; drowsiness in daytime, anxiety, restlessness, sadness, dry lips. Drowsiness in daytime ; she feels very sleepy in the morning when rising.

455. Restlessness during the siesta ; he moves his hands to and fro when sleeping, and plays with his fingers and hands. He feels nauseated when sitting up. Inclines to lie down, feels weary and debilitated ; does not feel rested enough when sitting. Does not want to get up in the morning. Feels drowsy in the evening at six oclock, suddenly, and to such an extent, that she is not able to undress herself; paralyzed in all her limbs.

460. Violent and spasmodic yawning,^ occasioning a pain in the articulation of the jaw, which is near being dislocated, in the morning, and at any other period. Sleeplessness before midnight, with or without sweat. Sleeplessness until midnight, without heat ; he was simply sleepless. He has no sleep in the night, he sweats as soon as he lies down, without thirst, but leaving him no rest. Painful cramp, first in one, then in the other leg, in the forenoon, when in bed,>which can neither be removed by bending or stretching the liitib, nor by leaning the foot against the foot-end of the bed, for half an hour. (a. 12 h.)

465. Feels so wakeful and hot in the evening, that he is unable to sleep ; no thirst, felt chilly when uncovering himself, his blood was agitated, his arteries throbbed, sensation in his eyes as if thick clouds were passing before his eyes ; after midnight he became quiet and slept well. She feels nauseated in the evening, when lying down ; she had no rest in bed, and had to turn from side to side all the time.

^ From the smoke of the wood, five or six persons.

^ From moistening the fingers with a strong tincture of Rhus tox.

^ The muscles of mastication, in this cramp, seem to obtain a spasmodic preponderating action, which is sometimes so violent that the lower jaw has to be held with the hand, lest it should be drawn down too low. This same symptom is produced by Ignatia and the northpole of the magnet. Sleepless for four nights ; she could not remain up. Jerking in that part of the head upon which he is resting in the night. She is frequently waked in the night by an ugly bitter taste, with a dry feeling in the mouth.

470. Thirst in the night without any desire for drink, the mouth feeling slimy. Violent pressure at the stomach as she was about to fall asleep, this prevented sleep for a long while. As soon as he was near falling asleep, he had anxious dreams about his affairs. In the evening when sleeping be talks half loud about his daily afl:airs. (a. 12 h.) Soporlike slumber, full of continual anxious dreams.

475. Restless slumber after midnight, full of vexatious, disagreeable ideas and thoughts. Frightful dreams, for instance that the world is perishing by fire, with palpitation of the heart when waking. Dreams about fire. Cannot sleep after three oclock in the morning; if he sleeps again, he has vivid dreams, and feels, after waking, as if he had not slept at all. She sleeps with an open mouth.

480. Short breath in the night. He cannot lie in any other position, in the night, except on his back. Sensation in the night, as if something pressed him out of his bed. Great anxiety in the night ; he cannot remain in his bed. Disagreeable feeling of heat over the whole body, through the night, without thirst.

485. No sound sleep after midnight ; she has a burning sensation over the whole of her body, obliging her to toss from side to side, without thirst, accompanied with dreams full of anxious agitation. He talks loud in his morning sleep. In his night sleep he talks about business, wants to throw away every thing, asks for this or that. Starting, when on the point of falling asleep, as if he dropped something of importance. He started every quarter of an hour in his forenoon sleep.

490. Loud and sniffing expirations during sleep; the inspirations are inaudible. Dizzy in the morning when waking, soon disappearing when rising. Shuddering sensation when rising from bed in the morning.

[Frequent yawning in the morning when rising. 330. Some began to yawn. Has no rest in the night. Restless, disturbed sleep, turns a good deal from side to side. A good deal of sleeplessness at night. Restless sleep ; he tosses about, and raises his bed cover.

335. Falls asleep late, and tosses about in his bed. Weeps loud in his sleep. Violent colic in the night, (a. 5 d.) Is waked about midnight, by a violent pinching, digging-up pain in the abdomen, with a sensation ot weariness and emptiness in the pit of the stomach, and quicklypassing desire to vomit. Anxiety at night ; he would like to leave his bed and call for help, on account of an indescribably disagreeable feeling.

340. "Wakes from his sleep with convulsive, irregular movements of the limbs. Complains of an excessive headache, which seems to come from a sensation in the limbs, as if they were violently distended. Nausea in the chest and stomach in the evening, when in bed, going off after going to sleep. Dreams about things which had been done or spoken of in the evening, (a. 72 h.) Light dreams about things which had been thought or said the day before. He dreams in the night that the plans which had been conceived the day before had been realized, in connection with the things which had suggested the plans.

345. "Wakes early out of humor. Out of hiunor, in the open air ; is near sleeping when walking.]

Fever p. 98

Feeling of coldness in the limbs, for instance, as when a finger becomes dead, or when a limb is about to go to sleep, or as is felt in the interior of a limb when a paroxysm of fever and ague sets in ; no coldness is perceptible to the hand. He is very sensitive to the cold open air : it affects the skin 'painfully : however, he is not averse to the open air.

495. Icy-cold feet, in the evening when in bed ; they cannot be got warm ; the rest of the body being wami. (a. 3 h.) She is attacked with shuddering as soon as she leaves the stove. He cannot get warm when walking in the cold air, although he may be covered ever so much : he shakes with chilliness in the open air, with violent thirst, and the lips being glued together by mucus. Chilliness in the room towards evening ; she had a cold thrill all over. Chilliness (immediately).

500. Shuddering in the back Cinimediately). Chilliness about five oclock in the evening, with shaking in the room, with beating toothache and confluence of saliva in the mouth, without thirst ; the shaking and chilliness are still worse in the open air ; afterwards the shaking and chilliness continue in the warm room, even near the hot stove, whh violent thirst, the ptyalism ceasing ; the chilliness ceased only in the bed, the thirst remaining : this was followed by a stupid sleep, as if the head had been dull and obtuse ; the thirst existed yet in the morning, and the dullness of the head likewise, but this passed off after rising. (a. 6 d.) Chilliness toward evening ; he had to he down and to cover himself; after this he became wanner. At seven oclock in the evening, he felt chilly and cold to himself externally, without shuddering, but did not feel cold to others, nor did' he feel cold internally ; he is able to drink cold without being troubled from it ; immediately after lying down he feels hot externally, which does not permit him to be uncovered ; no thirst : vrith. watery mouth and dry lips ; afterwards, about midnight, while he is in a state of half shimmer, a general exhalation sets in, increasing to a sweat after midnight, first in the face, then on the hairy scalp and throat down to the chest. Chillness in the open air, without thirst.

505. Shuddering and heat at the same time over the whole body, after a walk in the open air, without thirst, also some warm sweat over the whole skin : the palms of the hands sweat most. She feels too hot internally, the whole day, and chilly externally ; nevertheless her skin feels naturally warm to the hand, and she has no very great thirst ; coffee increases the internal heat. Pinching chilliness in the feet and between the shoulders ; and a quarter of an hour after, a good deal of external heat and burning pain on the left arm and in the left side of the upper part of the body, with redness of the cheeks. Chilliness and heat in the evening; her face feels to her very hot ; nevertheless the cheeks felt pale and cold, but the breath which came out of the mouth was very hot ; two evenings in succession. Her face looks red, and she experiences a burning heat in the skin ; to others her skin has a moderate temperature.

510. Evening-fever with diarrhoea; chilliness at eight oclock in the evening, followed by dry heat and thirst, and cuttings in the abdomen and diarrhoea, for several hours, in bed ; afterwards sleep ; diarrhoea again in the morning, (a. 24 h.) Eveningfever with diarrhoea (second paroxysm); chilliness through all the limbs, for one hour, after six oclock in the evening, without thirst; followed by dry heat, after which came heat with profuse sweat and thirst, three hours in all ; mucous diarrhoea with violent cuttings in the abdomen, followed by tenesmus, and by a pressing from both temples towards the centre of the head, with congestion of blood and heat in the head. (a. 48 h.) Fever: drowsiness, weariness and yawning (in the forenoon) ; when walking, he feU inclined to sleep, with anxiety ; afterwards an evacuation Aith cutting, followed by excessive heat in the whole body (at ten oclock in the forenoon), without thirst ; sensation as if warm water were poured over him, during which he felt an occasional shuddering ; or sensation as if his blood were coursing hot through the vessels and too violently through the head; and if the head were pressed down, obliging him to stoop, with beating headache ; chilliness at seven oclock in the evening, as if cold water were poured over him, or as if the blood coursed too rapid)'- through the vessels ; after lying down and covering himself he was attacked with heat immediately ; in the night he felt a kind of drawing in the dorsal spine, between the shoulders and in the limbs, as if he ought to stretch himself constantly ; sweat in the morning. Fever : towards noon he is attacked with a febrile coldness in all his limbs, with violent headache and vertigo (somewhat relieved by a walk) ; again chilliness toward evening ; he has to lie down ; he is unable to succin the night ; he is in a constant state of giddiness and sweat, (a. 48 h.) Fever: (at five oclock) in the afternoon he feels a stretching in all his limbs, a shuddering over the whole body, with much thirst, cold hands, and redness and heat in the face ; he feels a shuddering in the evening, in bed ; in the morning his whole body had been covered with a moisture, accompanied with a pressing in the temples.

515. Chilliness in the feet and between the scapula ; soon after heat on the left side and in the left arm (immediately). Fever : (at six o'- clock) in the afternoon the body feels warm, with internal and external heat of the head, and shuddering over the body, without thirst ; accompanied with stretching, drawing and debility in the limbs, and headache as if the head felt dull and the sides of the occiput were pressed together ; accompanied with violent cough, short breath, and pain in the throat, as if the tonsils were swollen ; towards morning the whole body was covered with a slight moisture. The left side of the body felt hot and the right side cold, without chilliness. Chilliness about the head and back, the fore part of the body felt hot. Occasional cold shuddering during the sweat, at night, in bed, the shuddering being accompanied with cramps in the abdomen.

520. Inclines to vomit, with heat of the head and hands, and chilliness of the rest of the body ; afterwards chilliness all over during the inclination to vomit. She feels hot to herself and others, the veins being distended, and accompanied with a weakness, obliging her to lean backward, with violent thirst, also frequently in the night ; next day shuddering over the upper part of the body, especially the arms. Heat in the forehead, in the evening, and in the. whole head ; the heat is not felt so much on the outside. Extreme heat in the hands, with dull headache, in the evening. (He is attacked with heat, when sitting down.)

525. When returning home from a walk in the open air, he is attacked with heat and sweat over the whole body. Violent burning in the skin, with twitching tremulousness of the skin, and a general sweat at night ; a violent paroxysm of cough sets in as soon as he stretches the hand from under the cover. He is attacked with warmth when walking in the cold, open air, and he is covered with sweat all over. Sweat over the whole body, except the face, which is however hot (after noon). Slight sweat over the whole body early in the morning when in bed, except the

101 head.

530. Slight, vaporous exhalation from the skin in daytime ; he wants to be covered. The skin is moist and the hair of the head is wet. Night-sweat, especially around the neck. Sweat before midnight. Profuse morning-sweat.

535. Daily morning-sweat. Sour-smelling morning-sweat, with cold, sweaty cheeks. Slight sweat the whole night. Sweat on both legs in the morning. Vaporous exhalation in the night, of an acrid smell, without the skin becoming wet.

540. Thirst, even in the morning. Violent thirst, (a. 1 h.) A good deal of thirst in the night (from two to five oclock); afterwards a vaporous exhalation. Absence of thirst, (a. 2 h.)

[Sensitiveness to the cold open air', (a. 4 h.) Chilliness, with dry lips, and less thirst than hunger. Constant chilliness.

350. Shaking and chilliness when entering a warm room from the open air, without thirst. Extreme coldness of the hands and feet, the whole day. Great desire for water and beer. Slow, sometimes irregular pulse, (a. 4 h.) quick pulse.

355. Warmth in the face and fingers, with chills in the scapulae, without thirst. Heat and great thirst. Slight chills, which were followed by slight warmth after lying down in the evening, without thirst. Double-tertian fever, with jaundice. Sweat all over, also in the face. (a. ^ h.)

360. Sweat over the whole body, inodorous and not debilitating, while sleeping, at three and four oclock in the morning.]

Moral symptoms p. 101

Impatient and vexed about every trifle ; she does not like to be spoken to often.

545. Out of humor. Averse to every kind of work, even ever so little. When on the point of falling asleep, he starts in affright about a trifle, as if it would cause him the greatest misfortune. Her ailments are excited or increased by the slightest chagrin, for instance, discharge of lumps of blood after the menses had ceased, etc. Sad ; weeps without knowing why.

550. Involuntary weeping without feeling in a weeping mood, with rumbling in the abdomen. Company was indifferent to him. Desponding; he would like to weep. Sadness, inducing a love of solitude, (a. 10 h.) Melancholy and anxious, as if she apprehended a misfortune, or as if she were alone, in dead solitude and silence, or as if she had taken leave of a friend, worst in the room, but relieved by walking in the open air.

555. Dryness in the throat, with fits of frightful anxiety and mental uneasiness. Anxious and tremulous (from 10th to 27th day). Debility, with anxiety as if he would die, more after than before midnight. Desires to die, without feeling sad. Anxiety : she had to hold on to something when sitting, because she thought she could not sit unsupported, on account of the pain (bruised and drawing sensation in the hmbs).

560. Anguish of heart, more in the afternoon than forenoon ; she felt so anxious half the night that she did not sleep, and sweated all the time. (a. 12 d.) Internal uneasiness, which prevented her from sitting still ; she had to move to and fro on her chair, all her limbs being in that state of perpetual motion. Restless mood, anxiety and apprehensiveness, accompanied with constant paroxysms of sudden and painful uneasiness about the heart (in the pit of the stomach), and heavy breathing. He did not sleep half the night, was desponding, apprehensive and full of anguish about the heart. Ill-humored, desponding.

565. Full of sad thoughts, anxious and fearful, which induce debility, and oblige her to lie down for hours, to gather strength. He imagines • that an enemy means to poison him. She had an inexpressible anguish, with pressure at the heart and tearing in the small of the back. She was unable to sleep from three oclock in the morning ; she rose anxious, restless, and debilitated, and trembles constantly, especially in the knees (with sweat in the back).

570. During her anxiety she feels a confused movement under her chest, oppressing her so much that she breathes heavily and deeply, which gives her relief; the pulse is alternately slow and fast. Anxiety and apprehensiveness at twilight, towards evening, as if he ought to kill himself, for one hour. He was assailed with sad thoughts, which gave her fear and made her tremble. She could not chase away her disagreeable thoughts. He has a perfect control over his ideas, and is able to pursue any train of ideas at his pleasure, without being disturbed with intercurrent thoughts.'

575. He has a perfect control over his ideas, and is able to pursue any train of ideas at his pleasure, with calm, slow breathing.^

[Mental derangement ; he imagines he will die.]

Notes p. 81

» Comp. 4, 7, 8. VOL. IV. 7 VOL. IV. 8