Spongia Marina Tosta

The sponge which is burnt to a black coal appears to be much less powerful ; whereas the brown-roasted sponge communicates to the alcohol all its great remedial virtues. Water turns milky from the tincture, of which it holds a good deal in solution. The sponge contains some Iodine.

The goitre, although originating in various causes combined, yet is the same malformation generally, and ought to be cured by the same specific.

Medicine being unacquainted with specific remedies for specific diseases, nothing was left to the common man than to experiment with drugs until he should have discovered the proper agent. This was indeed the longest road, but it is the only one which has led to the discovery of the only known safe remedies for diseases which are permanently the same and spring from the same cause.

Thousands of years must have elapsed before the Spongia tosta was known as a specific for goitre. Arnold von Villanova has been the first to recommend it for that disease, in the thirteenth century.

Medicine appropriated to itself the discovery of the Spongia ; but thinking it beneath their dignity to use a simple drug, physicians combined it with many other drugs ; the mixtures helped either little or nothing, until the remaining good effects at last were attributed to the accessory ingredients. The Spongia was at last entirely omitted from the pelvis ad strumas, and rejected altogether by several modern pathologists.

Camphor is the most powerful antidote of Spongia.

Spongia is a specific against a certain form of angina membranacea (s. 145), the local inflammation being previously appeased by Aconite.* Hepar snip, will be seldom found necessary with Spongia tosta.

Head p. 144

Weakness of the head, and a dulhicss which unfits him for any kind of mental labor, accompanied with a feeling of weariness through the whole body. The head feels dull and stupid. The head feels heavy the whole day. Heaviness of the head after resting it on the table.

5. Drawing pain in the vertex (immediately), violent pressure in the forehead and occiput, as if they were pressed together, at noon. (a. 5 h.) Beating in the left temple. Buzzing like a double pulsation in the region of the ear, when lying upon it, on either side. Sensation the forehead as if the blood had become accumulated in it.

10. Increased rush of blood to the head. Sensation in the head as if every thing would issue through the forehead.

[Vertigo when sitting as if the head would fall to one side, with a feeling of heat in the head. (a. -J- h.) Giddiness as if one would fall backward. Vertigo in the head, as if tipsy, (a. ^ h.) Violent rush of blood to the brain, with heat on the forehead ; perceptible throbbing of the carotids, (a. 1 h.)

5. Dullness of the head ; he staggers as if tipsy, for one hour, (a. ^ h.) Painful heaviness in the occiput, as if it were full of lead, while walking ; it recurs at intervals, (a. li h.) Heaviness and fullness of the head, increased by stooping. Painful pressure in the vertex, (a. 5 min.)

10. Dull painful press-e in the right frontal eminence, from within outward, (a. 30 h.) Dull headache in the right hemisphere of the brain, when coming from the open air into the warm room, (a 1^, 35 h.) Painful pressure in the right parietal bone, from within outward, when lying down. Dull painful pressure, from before backward, in the forehead, above the eyes, as far as the occiput and nape of the neck, for ten hours, imtil he falls asleep, (a. 3 h.) Violent tearing pain in the left temple, close to the orbit, occasioning a sensation of pressure in the left half of his eye. (a. 2 h.)

15. Aching in the forehead. Sensation of pressure from within outward in the right temple, (a. IJ h.) Violent pressing pain in the left occiput, as if it would burst, (a. 9^ h.) Jerks through both sides of the head, especially in the temples as far as the occiput, whenever he gives a jerk with his arms, or sets his foot down firmly, (a. 1 h.) Occasional pain in the side where the (small) goitre is ; beating in the head, descending down to the cheeks and extending pellet of 30th potency. The more acute the disease and the smaller the dose, the more rapid is the cure. into the neck in the shape of a tearing.

20. Dartings in the forehead, increased when walking, (a. 5 h.) Painful pressure on the right side of the head and neck, descending, (a. 4 h.) Stinging, with pressure, now in the forehead, now in the occiput, felt only during motion, accompanied with a sensation of burning heat from the region behind the ear, across the occiput down to the nape of the neck. Transverse prickings on the left side of the forehead, (a. 4 h.) Boring prickings in the left side of the forehead when walking in the open air, as if from within outwards, (a. 34 h.)

25. Sharp stitches in the left temple, externally, as far as the forehead. (a. 6, 14 h.) Pressure on the left side of the forehead, (a. 8|- h.) Sharp pressure in both temples, externally, (a. | h.) Pressing pain, from within outward, on the left side of the forehead, when sitting, going off' after rising, (a. 6^ h.) Gnawing pain on the top of the head, externally, (a. 1 h.)

30. Disagreeable sensitiveness of the scalp, especially when moving it. (a. \ h.) Burning in the right side of the scalp, (a. 15 h.) Sensation as if the hairs on the top of the head stood on end, or as if some one were moving them ; most violent when performing any movement of the body. (a. 1 h.)]

Face and eyes p. 145

Strong heat of one side of the face, excited even by thinking of it. Aching over the right eye, rather externally, (a. ^ h.) Pressure below the eyelids, all round.

15. Tension in the region of the left eye, near the temple, (a. J h.) Early in the morning, when in bed, the left lids close ; she can open them only with difficulty. When staring at one point, she has headache and her eyes run. She has great trouble in distinguishing distant objects. Itching of the eyelids.

20. Burning in the left eye, around the eyeball. Pricking in the region of the eye. Suppuration of the eyes. The eyes are deep sunk. Pale face.

[Tensive contractive sensation over the root of the nose. (a. 11^ h.) Creeping stitches in the left nasal bone. (a. ^ h.)

35. Yellow crustlike eruption in the region of the left eyebrow, painful only when touched. The eyes look faint and the eyelids are swollen, as after an intoxication, or as if he had been revelling all night ; he is debilitated and drowsy, (a. 3| h.) Sudden stitching drawing in the region of the outer angle of the left orbit, extending around the upper and lower border of the eye, towards the inner canthus. (a. 1^ h.) Tensive sticking pain in the left outer canthus, most violent when moving the eyes ; going off" by contact, (a. 4i h.) Stinging itching below the left eye, somewhat abating by rubbing, (a. 5 h.)

40. Heaviness of the eyelids. Oppressive heaviness in the eyelids. as if they would close, (a i h.) Sticking, and lastly aching pain in both eyes, in the evening, (a. 9 h.) Pressure in the right eye and sticking. Burning pain in the outer surface of the left lower eyelid.

45. Redness of the whites in the eye. Considerable lachrymation. Flushed cheeks, although the face has only the usual temperature.

Ears p. 146

Red swelling of the anterior border of the concha of the right ear, with a pimple in that swelling, which emitted a humor like an ulcer, for nine days ; the ear was painful when pressing upon it. (a. 24 h.) Pressure and pushing in the ears. Otalgia, a contractive pain. (a. 3 h.) Hardness of hearing. Itching of the left cheek, (a. -i- h.)

30. Stinging itching in the left cheek, (a. ^ h.) Sticking in the outer parts of the cheek. Swelling of the cheek. Crampy hard fain extending from the articulation of the left jaw, along the cheek, in the evening, when eating (for five days).

Dull ringing in the ears. (a. ^ h.) Ringing in the right ear. (a. 10 h.)

50. Inflamed pimple close to the meatus auditorius, which became finally covered with a scurf, and remained for several days painful to the touch. Tumors on the left ear, painful to the touch, (a. 1 h.) Burning in the orifice of the right ear. Sore pain in the cartilage of the ear, not altered by contact, (a. -J- h.) Tensive pain in the swelling close to the orifice of the meatus auditorius, and creeping in that swelling as if it would form an abscess and break open ; occasional stitches are felt in it. (a. 15^ h.)

55. Fine stitches in the right ear, from within outward, as if through the tympanum (immediately). Cramp-pain in the left ear, when walking in the open air. (a. 24| h.) Drawing pain in the internal right ear. (a. 9^ h.) Tearing sensation, with pressure, in the right malar bone. (a. i h.) Fine darting stitch from the upper jaw into the interior of the right ear, in the evening when in bed.]

Nose p. 146

Tearing in the nose.

35. Arrest of mucous secretion in the nose. Eruption on the tip of the nose, and on the lips.

Mouth, jaws and teeth p. 146

The lower jaw is painful to the touch. Sensation in the thyroid gland, and in the cervical gland, during an inspiration, as if air were rushing up and down in those parts. Sensation as if the cervical glands were swollen, (a. 14 h.)

40. Pain as if the cervical glands near the larynx and trachea were swelling. Sensation of pressure in the goitre, several times a day. Continual prickings above the pit of the throat, externally, in the lower part of the goitre. Several large pimples under the chin on the neck, painful when pressing upon them. (a. 12 h.) Vesicles on the border of the tongue, with sore pain.

45. Stinging and burning vesicles on the inner side of the cheek, and on the border of the tongue, preventing her from eating any thing solid. Itching in tue upper and lower teeth. Pain in the posterior molares of the right lower jaw, as if the gums and teeth were swollen, and as if the teeth were hfted out, for two days. Painfulness of the gums during mastication ; they are swollen. Pain as if something had got between his teeth.

50. Ptyalism. (a. | h.)

[60. Cramp-pain in the left upper jaw. (a. ^ h.) Transverse prickings in the left upper jaw. (a. 2|, 3|^ h.) Violent and long-continued bleeding of the nose, during dinner, after blowing the nose but little, (a. 3 d.) Fine stitches below the lower lip. (a. 7 h.) Continued violent burning below the right corner of the mouth, in the chin, as if an eruption would form ; the burning increases by putting the skin upon the stretch, (a. 6 h.)

65. When touching the left side of the chin as far as the corner of the mouth, it is painful as if ulcerated, (a. 4 d.) Several glandular swellings below the right lower jaw, impeding the motion of the neck ; a tensive pain is experienced in them when touching them. (a. 73 h.) Sticking pain in the goitre when swallowing ; slight aching between the acts of deglutition. Stitches in the goitre ; also between the acts of deglutition.

70. Stiffness of the neck, when turning it and when stooping. Intermittent, slow pressure on the right side of the neck, as if the skin were pressed together between the fingers ; that same region was painful to the touch along the carotid artery. Painful pressure above the thyroid cartilage, increased by touching it (immediately). Aching pain in the region of the larynx while singing, (a. 6^ h.) Tension of the right cervical muscles, when bending the head backward, (a. 3 d.)

75. Sensation in the goitre as if every thing in it were vacillating and moving about in it as if alive, especially when swallowing. Sensation in the goitre as if there were a movement in it, a bloating and pressing as if every thing would come out. Painful tension on the left side of the neck near the pomum Adam, when turning the head to the right side. (a. \\ h.) The region of the thyroid body feels indurated, (a. 4 d.) Twitching of the muscles of the right side of the neck when lying down. (a. 24 h.)

80. Fine darting stitches in the outer region of the larynx at different periods. Shooting stitch on the left side of the neck. (a. 1|- h.) Long slow stitches in the right cervical muscles, immediately upon waking from sleep, disappearing during deglutition, and afterwards re-appearing again immediately, (a. 23 h.) Fleet creeping in the outer region of the neck. (a. 1^ h.) Painful cramp in the cervical muscles after opening the mouth widely, and afterwards biting the teeth together firmly ; the lower jaw was drawn down violently, with a heaviness in the articulation of the jaw as if it would be dislocated.-

85. Drawing prickings through the left side of the neck. (a. 60 h.) Pain fid feeling of stiffness in the left side of the nape of the neck when turning the head to the right side. (a. ^ h.) Frequently returning, cracking pain with pressure on the left side of the nape of the neck, close to the scapula, not influenced by motion, (a. 7| h.) Cracking in the nape of the neck when stooping, (a. 16 h.) Pricking in the upper incisores.

90. Sensation, when chewing, as if the molares were dull and loose, (a. 6^ h.) Burning pain in the left upper molares. (a. 12 h.) ]

Appetite and gastric symptoms p. 148

Burning in the throat, fauces and ears. Sticking sensation in the throat, especially after a meal, and sensation in the outer parts of the neck as if something were pressing out, morning and evening. Sweetish taste in the mouth. Bitter taste in the throat, not in the mouth.

55. Empty eructations, (a. \ h.) Continued nausea. Increased appetite. Violent himger.

[Eructations, (a. 2 h.) Sour regurgitations, (a. 5 h.) Hiccough, (a. 8|^, 33, 37, 57 h.)

95. Repeated hiccough, (a. \ h.) Bitter taste in the throat, (a. \ h.) Bitter eructations, (a. 1 h.) Desire for cold water in the evening, (a. 38 h.) Diminished appetite.

100. Confluence of water in the mouth, with nausea, (a. 24 h.) Nausea when smoking as usually, (a. 30 h.) Disposition to vomit, without any vomiting. Tobacco has a scraping bitter taste in the mouth and fauces, (a. ^ h.) Violent thirst after smoking.]

Stomach and abdomen p. 148

Pressure in the pit of the stomach, in the afternoon.

60. Aching pain in the region of the stomach, continuing the whole forenoon, (a. \ h.) She cannot bear any tight clothes around the trunk, especially not around the region of the stomach. Fullness in the abdomen, after a meal, as if the prover did not digest. Distended abdomen, (a. 24 h.) Grunting in the abdomen and empty risings, (a. \ h.)

65. Spasms in the abdomen, (a. 6 d.) Pain in the abdominal ring, as in inguinal hernia. A number of ascarides are passed every day ; creeping in the anus.

[Disagreeable sensation of laxness in the oesophagus and stomach, as if he had drank a quantity of tepid water, for several hours, (a. 23 h.) Sensation of internal coldness in the pit of the stomach, with fullness in that region, (a. | h.) Heat in the abdomen when smoking, which rises into the chest, the rest of the body feeling chilly, (a. 3 h.) Painful contraction below the stomach, on the left side, especially when lying on the right side. (a. 17 h.) Stitches in the right side of the abdomen, in the region of the liver, (a. 1 h.)

110. Pricking in the abdomen, with loud rumbling, (a. 5 h.) Frequent pinching in the abdomen, abating after emission of flatulence, (a. 14 h.) Cutting in the epigastrium, after a meal in the morning, (a. 26 h.) Cutting in the abdomen after supper, in the direction of the left chest, (a. 4 d.) Violent colic after breakfast, obliging him to bend the abdomen double ; accompanied with great desire for stool, the faeces being natural but scanty, (a. 5 d.)

115. Colic, pinching in the whole abdomen. Pinching deep in the abdomen, when sitting ; it obliges him to get up, he imagines he has a desire for stool ; the pain abates immediately after rising, and disappears entirely when stooping while standing, (a. 10 h.) Fine stitch in the outer region of the navel, (a. 2 h.) Tensive pain in the epigastrium when walking, worse when stooping, (a. 1 h.) Tensive pain in the epigastrium, when sitting.

120. Digging-up sticking in the abdomen, on the left side, perceptible only during an expiration, and worst when stooping, (a. 10^ h.) Sensation as of something alive burrowing under the abdominal wall, above the left hip, in the left side, upon which he is resting in bed, in the morning, (a. 22 h.) Strangulating sensation in the left side of the abdomen, becoming more painful by pressing upon the part with the hand. (a. ^ h.) Strangulating sensation deep in the abdomen, relieved by the emission of flatulence, but increasing again soon. (a. 7 h.) Dull stitch in the psoas-muscles of the right side. (a. 6 h.)

125. Cramppain in the left groin, while sitting, (a. 1^ h.) Glandular swelling in the right groin, affected with a tensive pain when walking. Tearing pain, with pressure, in the abdominal ring, only when sitting, on both sides, at different times. Qualmish feeling in the abdomen, accompanied with frequent liquid stools.]

Stool p. 149

(The first portion of the faeces is hard, the latter soft.) White diarrhoea, (a. 48 h.)

70. Tenesmus at every stool. Bruising pain in the region of the anus, almost like soreness. Every evacuation is preceded by stitches in the anus and grunting in the abdomen.

[Emission of flatulence, and a loose evacuation, (a. 6 h.)

130. Hard stool, delaying 7 hours, (a. 9 h.) Pressure in the lumbar region, occasioned by flatulence, during stool, (a. 36 h.) Tensive pain from the middle of the abdomen to the anus, (a. 11^ h.) Sore pain at stool, for some days. (a. 2 d.) Tenesmus in the anus, during stool, as if diarrhoea would set in. (a. 4 d.)]

Urinary and genital organs p. 150

(Pain in the neck of the bladder, as if he would urinate). Thin stream.

75. (Inability to retain the urine.) (The urine looks frothy.) The urine deposits a thick, grayish-white sediment. Simple pain of the scrotum, also when touching it. Squeezing, strangulating pain in the testes.

80. Long, rather dull stitches dart from the testes into the spermatic cord. Aching swelling of the testes, (a. 10, 24 h.) Swollen, painful spermatic cord. Pain in the back, afterwards palpitation of the heart, previous to the menses, the whole day. Drawing in the upper and lower limbs during the menses.

[135. Frequent emission of urine, (a. 1^ h.) The clear, saffron-colored urine deposits a yellow sediment when standing, (a. 23 h.) Voluptuous itching of the tip of the glans, for several hours, obliging him to rub. (a. 52 h.) Itching burning of the scrotum and the body of the penis, several times. Painful drawing stitches from the body of the penis through the glans. (a. 4 d.)

140. The menses appear too early and too profusely (immediately).]

Catarrh, respiratory organs p. 150

85. Hoarseness. cough and coryza, very violent. Pain in the chest and trachea when coughing, with roughness in the throat. Constant cough from a deep spot in the chest, where he feels a pain as if that part of the chest had become sore and bleeding from the cough, (a. ^ h.) Dry cough, (a. J h.)

90. Dry cough, day and night, with a burning in the chest, as if some hot substance were in the chest; the cough diminishes after eating and drinking. (Frequent night-cough for two minutes, with ill-humored expression of countenance.) (Violent asthma, a. 10 d.) Slow deep breathing, as after exhaustion, for several minutes, (a. ^ h.) She became suddenly debilitated after an exertion ; the chest was especially fatigued ; she was almost unable to speak, had heat in the face and nausea ; in a few hours heaviness in the head.

95. Hurried, panting breathing after a dance. She becomes weak after every exertion, no matter how little ; the blood rushes to the chest, the face becomes hot, the body begins to glow, the veins are distended and she loses her breath ; it takes her a long time to recover herself. After a moderate exercise in the open air she becomes suddenly weak and sinks down upon her chair ; great anguish, nausea, paleness of face, the blood rises from the heart into the chest, as if she would vomit blood ; her eyes close involuntarily, almost spasmodically ; tears press out of the eyes through the closed lids ; she is conscious of herself, but she is unable to control the action of her limbs with her will. Stinging itching in the left side of the chest, near the shoulder, (a. ^ h.) Fine stinging in the outer parts of the chest and arms, for several days.

[Sneezing- mid fluent coryza. Dry coryza. (a. 25 h.) Scraping burning and constriction of the larynx. Dryness in the region of the larynx, increased by hawking, (a. \ h.)

145. Difficult respiration, as if the throat were closed with a plug, and as if the air could not pass. (a. \ h.) Hollow cough, with some expectoration, day and night. Painful pressure below the short ribs when coughing, (a. 1 h.) Hawking of mucus, (a. 25 h.) Boring stitch in the right intercostal muscles, continuing during an inspiration and expiration, (a. 7 h.)

150. Violent prickings in the right side of the chest, from within outward, (a. 56 h.) Drawing stitches in the left chest when sitting with a curved back, especially when taking a slow, deep inspiration, (a. 5 d.) Severe, intermittent stitches in the left side of the chest, (a. If h.) Drawing stitches below the second rib of the left chest, only when walking, (a. 8 h.) Fleet, painful stitches in the right side of the chest ; if he rubs the part, he feels as if a load were descending there behind the skin, (a. 50 h.)

155. Cutting pain with pressure in the left side of the chest, when taking a deep inspiration ; not much pain otherwise, (a. 3 d.) Sticking-pinching crawling in the left side of the chest, in the region of the sixth, seventh rib, becoming more painful by external pressure, (a. 10 h.) Sudden pain in the muscles of the chest and back, left side, as if a broad, pointed body were pressing upward ; a broad pressure with many fine stitches, (a. 3 d.) Pressure in the left chest, sometimes accompanied with stitches in motion and rest. Pinching jerk in the left side of the chest, from without inward, (a. 20 min.)]

Back p. 151

100. Violent stitch in the small of the back. The small of the back and (he nates are very numb.

[160. Dull pain in the region of the right sacro-iliac symphysis, when standing, (a. 27 h.) Pressing sensation in the spinal marrow, going up and down, when sitting straight, (a. 6 h.) Feeling of coldness in the back, in the region of the last ribs. (a. f h.) Aching in the small of the back, only when walking, especially when setting down the left foot. (a. \ h.) Fine tearing in the region of the os sacrum, from the right side to the left, superiorly, only when sitting, (a. 5 d.)

165. Burning itching of the back, at night ; he merely slumbers, tosses about constantly, with heat of the body, no thirst ; especially towards morning. Painful, shooting stitch in the region of the right scapula, (a. 17 h.) Pain in the outer regions of the scapule, as if something pointed had been pushed in ; a constant Sticking pain, accompanied with soreness, (a. \ h.) Jactitation of the muscles around the left shoulder-jointA

Upper limbs p. 152

Stitches in the elbow-joint, when moving it. When bending the arm he feels a stitch in the tip of the elbow ; this is followed by tearing in the elbow-joint, as long as he keeps his arm bent. Aching in the tip of the left elbow, (a. f h.)

105. Pain in the left lower arm as if the bone were compressed, (a. 1 h.) Large blisters on the right lower arm. Drawing pain in the lower arms. (Burning in the arms and hands.) Several stitches in the right wrist-joint, in rest. (a. \ h.)

110. Tensive pain in the left wrist-joint, in rest and motion. (a. \ h.) Violent drawing in the left wrist-joint, (a. 3 d.) Itching in the ball of the left thumb, which cannot be removed by rubbing, (a. f h.) Swelling of the hands ; she was unable to bend her fingers. The metacarpal joint of the left middle finger became big and red, and felt rigid when bending it. — 11.5. Aching pain in the posterior finger-joint of the right hand, (a. i h.)

[Burning on the top of the left shoulder, (a. 16 h.)

170. Fine stitches in the axilla, when sitting, (a. 1 h.) Constant pricking itching in the left axilla, when sitting, (a. 5 h.) Sticking drawing through the upper arm. (a. \ h.) Cramppain below the elbow-joint, in the upper part of the fore-arm, with slow bubbling, especially when leaning the arm on any thing, (a. 3 d.) Severe boring stitches, from within outward, in the internal muscles of the right forearm, (a. \ h.)

175. Heaviness in the forearms, (a. ^ h.) Trembling of the forearms and hands (in a few minutes). Drawing-aching pain in the right wrist-joint, (a. 6 h.) Crumbling sensation in and behind the wrist-joints, (a. ^ h.) In one point of the palm of the hand he feels a pinching with sensation as if the skin were drawn towards that point, (a. a few minutes.)

180. The tips of the index-fingers become numb, without turning pale. (a. f h.) Cramp-pain in the ball of the left thumb, only when moving the hand, the whole day. (a. 6 h.) Painful drawing in the posterior joint of the left thumb, extending into the forearm, (a. 1^ h.) Cramp-pain in the hall of the right thumb, continuing the lohole day, and spreading into the thumb when the hand is moved, (a. 1, 14^, 25 h.) Continuous sore stitch in the region of the anterior articulation of the thumb, (a. 11 h.)]

Lower limbs p. 152

Pain in the internal part of the thigh, above the right knee, aching posteriorly, (a. \ h.) Violent drawing in the left knee ; afterwards profuse sweat, in the nights. His lower limbs were quite stiff. Tearing in the tibia, the whole forenoon.

120. • Tearing in the malleoli ; the feet are heavy as lead, the heaviness ascending in the tibiae. (Prickings in the heels, when sitting down after a long walk, for one hour.)

[185. Quick jerkings of a part of a muscle, in the region of the right buttock. Fine, excessively painful stitch in the skin of the internal portion of the right thigh, (a. 54 h.) Severe boring stitches from within outward, in the outer parts of the right thigh, near the hip. (a. 8 h.) Contitnious drawing stitches in the upper part of the outer portions of the thigh, directly below the left groin, especially when walking, (a. 2^ h.) Titillating itching of the outer parts of the left thigh, close to the groin, obliging him to rub the parts, (a. 2^ h.)

190. Tension, as if a muscle were too short, in the outer parts of the upper extremity of the thigh, whenever setting down the foot; the tension is always accompanied by a stitch, (a. ^ h.) Pulsative sharp stitches through the right thigh over the knee, early in the morning when in bed. (a. 22 h.) Sticking pain, with pressure, over the right knee (when sitting), (a. 4 h.) Heaviness in the knee-joints, perceptible when walking, (a. 1 h.) Weariness in the knees when walking, as if they would bend, even when setting down the foot firmly, (a. 4 h.)

195. Drawing pressure, in paroxysms, in the region of the bend of the left knee, felt only when bending the knee, and alternating with a similar sensation in the axilla, (a. 6 h.) Dull sticking in the left knee, in the evening when lying down (continuing during motion), for a quarter of an hour. (a. 41 h.) Continued prickling itching in the bends of the knees, when walking, obliging him to scratch, (a. 5 h.) Aching pain in the tendon of the right outer hamstring, more violent when walking than when sitting, (a. 7, 9 h.) After a short siesta the legs go to sleep, first the right, then the left ; when trying to walk, the left leg was spasmodically drawn up to the thigh ; even when sitting he was not able to keep it stretched, it was then drawn spasmodically backward, (a. 5 d.)

200. Sharp stitches in the right calf, when walking, (a. 1^ h.) Great uneasiness in both legs ; he has to change their position frequently, (a. 16;^ h.) Sensation of heaviness, with tearing, in the left tibia, close to the tarsal joint, (a. 34 h.) When walking fast, he experiences a sensation in the lower part of the left tibia as if a load were hanging from it. (a. 3 d.) Drawing tearing from the right tarsal joint to the knee. (a. 8^ h.)

205. Drawing pain from the right foot to the thigh, (a. 11^ h.) Creeping in the left foot, coming on when walking, and not going off when sitting, (a. 1 h.) Prickings in the right heel from below upward, when sitting, (a. 6 h.) Severe pricking in the right heel, from within outward, when standing, (a. ^ h.)

210. Aching pain in the right heel, increasing when walking, (a. 1^ h.) Voluptuous itching in the dorsum of the toes of the ri^ht foot, early in the morning, when waking, obliging one to scratch, (a. 24 h.)]

General symptoms p. 154

At all hours of the day he feels a creeping somewhere about the skin, were it only at a very small part ; after that the spot becomes hot and red ; then he feels a corrosive itching in that spot like the crawling of a flea (without pricking), after which miliary vesicles make their appearance ; the itching is not diminished by scratching ; on the contrary, scratching seems to make the itching more lasting, (a. 2 h.) An itching eruption makes its appearance upon the skin, together with red, itching spots. When scratching an itching spot, an itching is felt in many other parts.

125. Especially Avhen feeling cold, she experiences an itching gnawing in the outer parts of the chest, in the pit of the stomach, back, upper arms, at other times only about the feet ; rubbing increases the gnawing itching and produces redness ; vesicles make their appearance upon those parts, but they soon disappear again. The lower half of the body feels numb. Weariness in the whole body, especially the arms. She feels most comfortable in the horizontal posture. Extreme relaxation of body and mind ; she prefers not doing any thing.

130. Bruised feeling in the upper and outer parts of the body. On waking, his whole body feels bruised.

[Itching over the whole body as when sweat breaks out, obliging him to rub, and returning all the time, early in the morning when waking, (a. 48 h.) Continuous itching stitch about the whole body, now here, now there, as of a fine needle, obliging him to rub, but not disappearing by the rubbing. Painful stitches in several parts of the body, obliging him to scratch, (a. 49 h.)

215. Weariness of the lower limbs, (a. -J h.) The body felt so heavy that he felt obliged to lie down on the ground when walking in the open air, without drowsiness, (a. 9 h.) Continued lassitude and bruised feeling in all the limbs, especially in the muscles of the lower limbs, (a. 2 h.)]

Sleep p. 154

Sleeplessness until after midnight. He was imable to sleep ; as soon as he fell asleep, he became delirious ; his forehead felt thick and sore to the touch, an aching pain over the eye, worse when stooping, as if every thing would come out of the forehead ; he felt chilly and cold in the back ; this lasted twenty-four hours, during which time he felt chilly. She spoke several times loud in her sleep, but not anxiously.

135. Sad dreams. Fatiguing dreams. Vexatious and anxious dreams, exciting a desire to weep.

[Great weariness and disposition to sleep, (a. 1 h.) Sleepiness with yawning, without being inactive, in the afternoon. (a. 8, 33 h.)

220. Sleep disturbed with dreams. Sleepless almost the whole night, with frightful dreams about murder (sixth night). He frequently wakes in the night, as in affright. Four nights in succession he slept very little, the sleep being disturbed with many dreams ; he wakes about midnight, but he feels so restless that he is unable to fall asleep again ; when closing the eyelids he saw at once the most vivid images : at one time he imagined that a battery was fired, at another that every thing around him was in flames ; at times scientific subjects crowded upon his mind ; in short, a number of objects went through his fancy, disappearing as soon as he opened his eyelids, and reappearing when closing them ; this lasted until morning. Early in the morning, when waking, he was covered with sweat all over. (a. 25 h.)]

Fever p. 155

Cold hands. Cold feeling in the lower limbs.

140. Coldness, paleness, and sweat in the face, with heat of the whole body. Stretching of the upper and lower limbs, (a, i h.) Fever: early in the morning he has pain in the head and abdomen, followed by violent chills, with cold bluish hands and some thirst ; afterwards, when lying down, he felt a dry, burning heat, with some thirst and a good deal of uneasy slumber, for 36 hours ; during the night, when waking and moving about, he felt a nausea and vertigo#with slight sweat every twelve hours, when the heat abated ; lastly tearing and sticking in the left eye and cheek, and eruption on the lips. In the afternoon he felt a headache in the occiput, a sort of heaviness and a stitch when turning the head, with heat in the face, hands and feet, chilliness of the rest of the body and disposition to coryza, accompanied with weariness of the body, and bitterness in the mouth ; in the evening, after taking off his clothes, he has shaking chills, followed in a quarter of an hour, when in bed, by heat in the whole body except the thighs, which were immb and chilly ; sweat at night.

145. Increased temperature of the whole body, with thirst. Cool sweat in the face, in the evening when sitting, accompanied with an increased feeling of warmth through the whole body. Flushes of heat in the face and blood, with excitement of the nerves. Several attacks of heat a day, with anxiety, pain in the region of the heart, weeping and disconsolateness ; she would like to die immediately.

[225. Violent chilliness in the back, not going off by the warmth of the stove, (a, 1^ h.) Shuddering and chilliness over the whole body, especially in the back, although he was standing near the warm stove, without thirst, continuing for two hours, (a. ^, 22|- h.) His limbs are disposed to stretch, (a. 30 h.) The pulse is fuller and quicker, (a. ^ h.) Sensation of burning heat on the forehead, without any heat being perceptible to others, with quick, hard pulse, for half an hour, (a. ^ h.)

230. Violent heat on the forehead, alternating with shuddering in the back, without thirst, in the afternoon, (a. 10 h.) He feels a sudden and anxious heat over the whole body, with heat and redness in the face, and sweat, (a ^ h.)]

Moral symptoms p. 156

She is very timorous, and is unrelentingly pursued by a frightful image from the past.

150. Apprehensive as if she were threatened by a misfortune. She inclines to start, and does start at every trifle ; when starting she always feels a heaviness in the feet. She is not satisfied with the quantity of work done ; she cannot do it to her satisfaction. Taciturn and dissatisfied. Insolent, contradictory.

155. Mischievously witty. Alternately cheerful, weeping, quarrelsome, and vexed mood.

[Headache, loss of appetite, drowsiness, lassitude all over, illhumor ; every thing was disagreeable to her. Taciturn and indolent, (a. 3 h.)

235. Irresistible desire to sing, with excessive mirth, for half an hour (a. ^ h.) ; afterwards absent in mind, and not disposed to work, for an hour.]

Notes

*This is most easily accomplished by making the patient smell of a VOL. IV. 11