Delphinium Staphisagria

The ancients employed the Staphisagria in a very crude manner, for the purpose of exciting vomiting or ptyalism, as we learn from Dioscorides, who likewise recommends it against tooth ache, borrowing this recommendation from domestic practice.

Job. Hein. Schulze (Theses de Mat. Med. Hal. 1746, p. 435), who suffered with toothache, took some of the seeds into his mouth ; but he experienced such a violent exacerbation that he thought he would become crazy.

The Staphisagria being used by the Greeks for the extirpation of lice, they called it qj&siQOHoxmv ; it is still now an ingredient of an ointment used for that same purpose (unguentum pediculorum).

Every drug being so much more capable of curing violent diseases as it is capable of powerfully affecting the healthy organism, a good deal may be expected of Staphisagria as a curative agent.

Camphor antidotes Staphisagria.

Head p. 166

vertigo in the room, as if stupefied, not in the open air. Vertigo when stooping and turning the head suddenly ; every thing turned with him in a half circle. Vertigo : he stumbled against a door when walking. Vertigo when lying down, in the evening, as if every thing turned with him.

5. Obtuseness of the head, only in front, in the middle of the forehead, at a small spot of the size of the tip of a finger ; a sort of stupid feeling : when in the street he knew not whether he was going right or left ; he had to be very careful lest he should fall. Alternation of stupefying and boring headache. Violent headache, early in the morning after waking, as if the brain were torn, going off afterward amid violent, spasmodic yawning. Headache during motion, as if the brain would fall out ; also in rest he felt as if the brain were compressed, were standing off from the skull, and were lying in it loose. When shaking the head, he had a sensation, at a small spot in the middle of the forehead, as of something heavy, such as a leaden bullet, lying in the brain, which would not become detached.

10. Paroxysmal obtuseness of the head ; sometimes his head felt clear. When he attempts to conceive an idea, it escapes from his mind. Dullness of intellect, preventing him from any kind of work. Tearing in the forehead, in the evening when sitting ; when stooping he felt a sticking in the forehead ; when walking he felt relieved. Sticking headache, the whole day. (a. 17 d.)

15. Sticking in the left temple. Single, long, dull stitches from the scalp into the brain, not far from the vertex ; the place is painful to the touch. Tearing in the outer parts of the head and in the teeth. Itching of the hairy-scalp. Itching, crusty eruption of the hairyscalp, as well as directly over and behind the ear.

20. The hairy-scalp itches ; it is humid and covered with crusts. Great falhng off of the hairy-scalp. Large but painless blotch in the hollow behind the lobule of the ear, with a white pimple on the top. Itching pimples in the na]pe of the neck.

[Vertigo, especially when sitting ; diminished by walking about. (aT 1 h.) Vertigo, (a. 8^ h.) Obtuseness of the head when standing or talking, as if he would become giddy, for a long time. (a. 14 h.) Vertigo in the forehead, and a stupid feeling in the fore part of the head. (a. 5 h.)

5. The head feels obtuse, dull and heavy, (a. i h.) The head feels obtuse all the time, and the mind feels depressed. Confused feeling in the head, as in catarrh. Vanishing of thought : he forgets his first idea when interrupted in his conversation, or when his attention is directed to some other object. Vanishing of thought ; when thinking of any thing, so many ideas crowd upon his mind in confusion, that he is unable to disentangle them, and forgets his first idea altogether.

10. Weakness of memory. A few minutes after reading he has only an indistinct recollection of the thing read; or when thinking of any thing he forgot shortly after what he had been thinking of, and recollected it again only after long thinking. A sort of painful buzzing in the head. (a. 5 h.) Humming and sticking in the whole head, worse when stooping and walking, in the evening, for many hours, (a. 36 h.) Confused feeling in the head, early in the morning, with contractive pressure in the vertex, (a. 4 d.) Headache in the vertex, a sort of contraction and compression from all sides,

15. Oppressive, stupefying headache, especially in the forehead, 'more violent when moving the head and when standing. Heavy loads in the head, over the cribriform dilate, like a lump shaped into a ball. Pain in the head when stooping, as if the parts would issue through the forehead, (a. 5 h.) Headache as if the brain were com,- pressed [mostly in the forehead) with paroxysmal roaring in the ear, which terminates much sooner than the headache. Sensation as if the occiput were compressed internally and externally.

20. Pressing of the brain, especially in the occiput, against the skull, and pressure in the brain, as if too much blood had accumulated in it, in the evening before going to bed, continuing after lying down. (a. 30 h.) Pressing headache in the left half of the forehead, from within outward, (a „ h.) Oppressive painful heaviness in the occiput, with pressure from within outward, when walking in the open air. (a. ^ h.) Heavy pressure over the orbit of the right eye, in the open air. (a. y h.) Heaviness in the head. (a. 72 h.)

25. Heaviness of the head, relieved by leaning the head upon the hand. (a. 1 h.) Hard pressure in the head in the region of the right temporal bone, and of the vertex. Hard pressure on the right side of the forehead. Pressure over the right eye, and drawing from below upward. Pressure above the right eye, behind the eyebrow, as of something hard.

30. Aching pain in the left temple, externally and internally, as if one pressed upon the part somewhat hardly with the finger, (a. 1-^ h.) Drawing pressure in the forehead, from time to time. Violent tearing with pressure through the left hemisphere of the brain, especially violent in the forehead, gradually increasing and decreasing, (a. 54 h.) Dull, painful, sometimes sticking pressure from within outward, first in the whole forehead, afterwards only in the left frontal eminence, going off in rest, but returning with so much more violence during motion, (a. 4 h.) Sharp pressure on the top of the head, occasionally.

35. Stitch-like and drawing pain, with pressure, in the left side of the forehead, (a. 2 h.) Dull pinching headache in the forehead, with stitches in the region of the temples, abating by walking, but returning when sitting or standing, (a. 4 h.) Sudden stitches in the upper part of the frontal bone, causing him to start. Boring stitch in the vertex from within outward, (a. 56 h.) Boring stitch, with pressure from within outward, in the whole of the left half of the forehead, awaking him early in the morning twice, with violence, for one minute, (a. 22^ h.)

40. Sharp burning prickings in the left temple. Fleet burning stitches in the occiput, from right to left during the first day, afterwards from below upward. Dull sticking in the right temple, externally and internally, as if the bone would be pressed out ; more violent when touching the part. Drawing-cutting tearing in the side of the forehead. Burning-sticking pains in the region of the left parietal bone.

45. Burning stitches in the outer parts of the frontal bone. Corrosive itching of the whole of the occiput, rather made worse by scratching, (a. 14 h.) Corrosive itching of the upper part of the occiput, with sore pain, returning at the same time in the evening and at the same place. Itching gnawing of the hairy scalp, increased by rubbing, for several days. Pricking itching of the hairy scalp, and small pimples on the forehead.

50. Fine burning pricking of the outer parts of the scalp. A number of hairs can be easily pulled out of the scalp without any pain. (a. 4h.) Burning pain, with pressure, in the region of the left temporal bone, interiorly, close above the ear. (a. 2^ h.) Rheumatic drawing with pressure, when bending the head forward, in the outer parts of the occiput, commencing at the articulation. Painful drawing in several outer parts of the head, more violent when touched.

53. Drawing-tearing sticking in the left temple, apparently in the bone, continuing as the pulse (a. 40 h.) ; next day it was felt from time to time, now in the left, now in the right temple, sometimes also in the left frontal protuberance, less violent, continuing a few days. Painful drawing in the region of and behind the occipital protuberance, at every motion of the head. (a. 10 minutes.) Sore feeling in the outer parts of the right parietal bone, only when touching them, preventing him from lying on that side. (a. SO h.) Rigid pain in the left side of the nape of the neck and occiput, only at night, frequently waking him from sleep, and making it impossible for him to lie on either side.]

Face and eyes p. 169

Small (itching?) pimples in the face at a distance one from the other,

25. Beating pain, with pressure, in the whole face, from the teeth to the eyes, for sixteen days. Dilatation of the pupils. When looking at a thing it appeared covered with a white gauze, which made the object invisible. When reading, he saw small black flashes between the letters, and then whole lines had disappeared. When looking into the open air he sometimes saw black flashes before his eyes, a kind of vibration of the light.

30. In the dark of the night, while in bed, she sees a fiery column before her eyes. The eyes are dim, and so hot that the eyeglass becomes cloudy from the heat. Dim-sightedness as if the eyes were full of water, with itching and stinging in the inner canthus; he has to rub the place. When writing, the eyes soon ache ; especially in the afternoon he experiences a smarting and burning in them, after which a few smarting tears run out ; he has to avoid the light, because light brings on the pain the sooner. Smarting pain in the inner canthi}

35. A rather biting than itching pain in the inner canthus of the left eye. Biting water runs from the eyes early in the morning. Violent itching in the inner canthus, early in the morning, worst in the open air ; he is obliged to rub the eyes. He sees a shine around the candle, in the evening. Dry gum in the eyelashes and in the outer canthus, at night ; the gum becomes likewise dry in the open air, and this occasions a tension.

40. Dry gum in the inner canthus, constantly ; he is frequently obliged to rub it off" in day-time. Early in the morning the eyes are closed with gum in the inner canthus. Sensation in the eyes as if they were full of sleep. Dryness of the eyes in the evening, with press-e in the same. Pressure in the eye ; she has to wink frequently.

45. Early in the morning, when waking, the eyes are dry, and a pressure is experienced in them ; she is unable to open them without having previously moistened them. Contractive sensation in the upper eyelid, causing a flow of tears. Pressure in the upper eyelid, the whole day, more violent when closing the eye. Itching of the margins of the eyelids, (a. 2 h.) Inflammation of the white of the eye, within.

50. Pimples around the inflamed eye.

[The face is bloated as from a cold.

60. His eyes look hollow and large, his face looks weary and pointed, as after a nightly revelry, or as after disagreeable emotions. Small pimples on the forehead and near the corners of the mouth, occasioning a

' In a man who had never suffered with pain in the eyes. violent itching and a pain as of subcutaneous ulceration when touching the parts, (a. 9 h.) Pimples in the face, on the forehead, the cheeks, and around the mouth and the wrist, occasioning a drawing, itching disappearing for a short while scratching, but afterwards returning in theform of a stinging. The pimples in the face sometimes occasion a tensive soreness ; when touching them they feel painful, as of subcutaneous ulceration. Fine prickings in the face and in the rest of the body.

65. Burning tearing, with pressure, in the right temple, close to the eye. (a. 7 h.) Burning sensation, with pressure, around the left eye. (a. 4 h.) Contraction of the pupils, after half an hour, after which they dilate considerably. Dilatation of the pupils, the first days. Dilatation of the pupils for inany hours.

70. Contraction of the pupils, (a. J, 1 h.) Severe pain ; cutting as with a pain below the left upper eyelid, (a. 75 h.) Pain under the left upper eyelid, as if a hard body were lying under it. (a. 13 h.) Pain, with pressure from within outward, in the upper wall of the right orbit, directly behind the eye, continuing a long while and returning frequently, (a. 10 d.)^

75. Aching pain in the upper part of the right eyeball, (a. 3-J^ h.) Hard pressure in the inner canthus of the right eye. (a. 3|- h.) Dryness of the eyes, continuing the whole day. (a. 13 h.) Burning, which is not disagreeable, in the outer canthus of the right eye, extending a good ways back of the eye towards the ear, and returning in paroxysms, (a. 1-^- h.)

80. Itching of the margin of the upper eyelid, in the open air (a. f h.) ; two hours later the itching was likewise felt in the other eye ; it went off by rubbing. Blunt stitches in the eyes, when exerting them. Sticking shocks in the eyeball, as if it would burst, (a. \\ h.) Deep, hollow eyes, with blue elevated margins, like one who has indulged in excesses, for four days. The right eye is open more widely than usually, (a. 78 h.)

85. Dim-sightedness at a distance, and at a proximity, (a. 10 h.) Illusion of sight ; when rising from a seat, he thinks he is much larger than usual, and every thing before him appears to be much lower than it is. (a. 26 h.) Tearing pressure in the outer canthus, in the region of the lachrymal sac. (a. 72 h.) His eyes close sometimes, although he is not drowsy.]

Ears and nose p. 170

Dull, but deep stitches in the interior, first of the left, then of the right ear. Inclination of the right articulation of the jaw to become dislocated while gaping. Pain in the articulation of the jaw, while yawning. (Drawing pain in the region of the ear).

55. Pinching in the left ear. Itching of the cheeks. Smarting pain of one nostril, as if it were ulcerated. Sore nose, interiorly, with scurf.

[Cramp-like burning pain, with pressure in the outer parts of the left posterior concha, (a. 8 h.)

90. Stitch in the left ear. (a 31 h.) Dull, painful stitch, deep in the right ear, in the evening, (a. 48 h.) Tensive stitch in the left ear. (a. 8|, 36 h.) Feeling of coldness rushing into the right ear like a cool breath, for a few hours. Ringing in the left ear. (a. 4| h.)

95. Ringing in one or the other ear, when moving the head, disappearing again in rest. (a. 2f h.) Slight reports in both ears, occasionally, as if the wind were suddenly rushing in, without any diminution of hearing. Drawing in both malar bones. Tearing, with pressure, in the left malar bone, the teeth being affected with a similar pain. (a. 1 h.) Tearing and jmlling from the head through the cheeks as far as the teeth, (a 36 h.)]

Jaws and teeth p. 171

Scurfy ulcer in the middle of the upper lip.

60. Pimple on the vermilion border of the upper lip, covered with scurf Burning swelling of the gums, with heat in the cheek. The gums are painful to the touch. The gins bleed for many days when pressing upon the gins or brushing the teeth. The gums become pale and white.

65. The teeth blacken rapidly ; she is obliged to brush them twice a day ; nevertheless they exhibit black transverse streaks in the middle. The inner side of the gums is painful and swollen, also when swallowing. Blister on the inner side of the gums, passing into an ulcer, and occasioning a stinging pain. Blotch on the gums, which is not painful per se, but when pressed upon with any thing hard. (a. 17 d.) The gums become corroded.

70. The toothache is excited by drawing air into the mouth. Gnawing pain in the four lower fore-teeth, especially at night. Painful traction in the teeth from time to time, followed by beating in the gums. Drawing toothache, with pressure in the anterior teeth, as if occasioned by mercury, worst at night, towards morning. Piercing drawing in the hollow tooth, and in the corresponding tooth of the other side, early in the morning.

75. Violent drawing toothache, with swelling of the cheeks ; aching pain in the same side of the head, and heat in the face. Swelling of the cheek near the lower jaw. Pimples on the neck. Pain of the submaxillary glands both when touched or left alone. The sid)7naxillary glands are painful as if swollen?t and contused.

80. Swelling of the tonsils and submaxillary glands.

[100. Cutting drawing in the left malar bone. (a. 22 h.) Burning stitch in the right malar bone. (a. J h.) Dull stitch in the left malar bone. (a. 22 h.) Burning sharp sticking in the left cheek, obliging hit?i to scratch. Itching (corrosive) pricking of both cheeks, obliging him to scratch.

105. Ulcerative pain of the left cheek when yawning. Sore pain in the left nostril, in the cartilage of the septum, when touching the part, as if it would ulcerate. Itching of the left wing of the nose, going off by contact, (a. 78 h.) Sensation in the lip as of fine cuts, as if it had become cracked. Burning of the middle of the upper lip, near the outer border, for minutes.

110. Vesicle on the margin of the vermilion border of the lower lip, stinging and burning when touched. Sharp stitches with pressure in the upper lip from within outwards. Shining-red ulcer on the margin of the vermilion border of the lower lip, occasioning a dull sticking-drawing pain which is sometimes accompanied with an agreeable itching, inducing scratching, which causes stinging, (a. 6 h.) Ulcer on the lips, with a gnawing-drawing pain in the ulcer, (a. 37 h.) Ulcer on the lips, emitting at first pus (a. 3 d.), afterwards greenish water.

115. Tensive sensation below the chin, in front, under the border of the lower jaw, as if a blotch would form. Sensation below the chi?i, near the symphysis of the lower jaws, as if a gland were swollen ; there is something hard, like cartilage, of the size of a hazlenut ; he feels a hard aching pain in that part, during deglutition, when touching the part, or when rubbing the part with the cravat, (a. 26 h.) When bending the head forward, when sitting, it falls forward almost involuntarily, (a. 10 h.) Heaviness of the head and weakness of the cervical muscles ; he had to lean the head either backward, or on either side. (a. 12 h.) Sensation in the nape of the neck, as if it were pressed down.

120. Paralytic drawing in the region of the spinous process of the first dorsal vertebra. Paroxysmal stitches in the side of the neck, almost behind the ear, in the evening. Tensive stitch in the left cervical muscles. Drawing with pressure on the right side of the neck, independent of motion or contact, (a. 32 h.) Tensive pressure in the side of the neck.

125. Drawing aching, rheumatic pain in the side of the neck, when bending the neck forward. Fine tearing in the muscles of the neck. (a. 5 minutes.) When bending the neck forward, a rheumatic pain is experienced in the region where the neck rests upon the shoulders and back, a sort of drawing-pressing stiffness. Compressive-drawing toothache in the right row, which can be excited by cold water. Drawing pain in the hollow tooth, early in the morning, (a. 72 h.)

130. Violent tearing in the roots of the teeth, causing the facial muscles to become distorted, now to one, now to another side. A tooth which had been but shghtly affected for a long time, became suddenly hollow within eight days. Exfoliation of the posterior surface of an incisor tooth, (a. 28 h.) Painful drawing in the gums of the posterior molar teeth and in their roots. Painful drawing in the gums of the incisores and the cuspidatus, and in their roots, right side, extending into the muscles of the lower jaw. (a. 26 h.)

135. Painful spasmodic shrinking of the gums of the upper and lower teeth of the right side, making it impossible for her to separate the jaws without pain. When eating he feels a tearing in the gum,s and in the roots of the lower molar teeth, (a. 72 h.) Tearing in the whole row, with a feehng of dullness in the teeth, when biting upon them. (a. 40 h.) Toothache when eating ; the teeth are loose ; he is not able to chew his food properly ; when chewwg he feels as if the teeth were pressed, more deeply into the gums ; he has the same sensation when the teeth of the tipper and lower jaws simply touch one another; the gums are white, (a. 56 h.) The hollow teeth are sensitive to the least touch ; and if the least food remains in the hollow tooth, a violent pain is felt extending into the root, and the gums around the teeth are sore.

140. Tearing toothache, immediately after eating and chewing, and after taking a cold drink, going off within half an hour, but returning after another chewing ; it was not brought on by warm drinks or liquids ; nor was it excited by motion, but made worse when already existing, especially by exercise in the open air. When drinking any thing cold, her teeth became painfully affected, like hollow teeth. Toothache in a hollow tooth after eating; a corrosive drawing (except in the incisores, where a pressure was experienced), which became much worse in the open air, even when the mouth was closed, but gradually eased in the room for several days. (a. 5 d.) The teeth begin to grumble, even when chewing. Tearing, first in the root of the hollow tooth, afterwards extending as far as the crowns of the teeth, only directly after eating and chewing, aggravated in the open air ; accompanied with a pressure upon the crowns of the affected teeth, towards their roots ; when touching the tooth with the finger, the other teeth become painful, (a. 9 d.)

145. Titillating sticking in the molar teeth of the right lower jaw. (a. \ h.)]

Mouth p. 173

Sticking in the tip of the tongue without its being touched by any thing. Sticking pain in the border of the tongue when pressing it against the palate, as if a sting were sticking in the tongue, going off when eating. Sore pain of the forepart of the tongue. Vesicle in the mouth.

[Whitish coated tongue, (a. 46 h.)]

Pharynx and (Esophagus:

85. Rough throat, us if sore, when talking and swallowing. Stitches in the ])alate, extending into the brain. Dryness in the throat, especially in the evening, before going to sleep ; stinging in the throat during deglutition.

[Painful drawing from the os hyoides as far as the lower jaw ; more violent when touching the side of the neck. (a. 48 h.) Swelling of the sublingual gland, which prevents deglutition, for four hours, (a. 3 h.)

150. Burning scraping in the palate, between and during deglutition. The palate is rough and scraping, but very moist. Smarting with pressure in the posterior part of the palate, only between the acts of deglutition, (a. 4, 5 h.) Scraping sensation in the fauces, behind the nares, as if snuff had got through. Dry tongue and tenacious mucus in the posterior nares, closing them.

155. He talks very faintly, on account of a weakness in his organs of speech, although he is otherwise lively. Dry feeling on the tongue, confluence of a sourish water in the mouth, and tenacious mucus, obstructing the posterior nares.]

Taste and appetite and gastric symptoms p. 174

Confluence of saliva in the mouth. Ptyalism.

90. Flat, qualmish taste in the mouth ; nevertheless, food has a good taste. Watery taste in the mouth ; food, however, has a good taste. Food has no taste to him, still he has an appetite. Bread tastes sour to him. Great desire for milk.

95. (Beer excites a scraping, repulsive taste in the throat.) Tobacco has a biting taste. Heartburn while smoking the accustomed tobacco. Scraping eructations, affecting the larynx. Pressure and sticking as high up as the chest, when she attempts to eructate.

100. Hiccough after every meal. Hiccough half an hour after supper. For three days he feels qualmish. Nausea, with desire to vomit, every morning. Desire to vomit.

105. Sensation as if the stomach were hanging down relaxed ; still he has no appetite. Extreme canine hunger, even when the stomach was full of food ; when eating again he relished his food. Digging-up pain in the stomach. Fullness in the pit of the stomach, with pressure and sticking.

[Sanguineous saliva, immediately. Stinging in the palate, when dry, in the evening, (a. 12 h.) Bread has a sourish taste. 160. Ugly, bitter taste in the mouth, when empty, (a. 46 h.) Constant accumulation of mucus in the mouth, without any bad taste. The mouth is always full of a watery humor, as when one is very hungry. Sensation as if one would vomit, in the morning, (a. 1 h.)

165. Nausea in the mouth and pharynx, when eating, asaf he would vomit, (a.9h.) Confluence of water in the mouth, after a meal ; a kind of water-brash. Confluence of water in the mouth, immediately, with single, short eructations, as after having taken an emetic which has no effect. A sort of eructation ; a quantity of mucus gets into his mouth from the upper part of the throat, (a. J h.) Tasteless eructations ; but neither air nor any thing else comes up.

170. Rising of a tasteless humor after a meal. Eructations tasting of the ingesta. Frequent, empty eructations. Frequent hiccough when smoking.

175. Frequent hiccough accompanied with nausea and stupefaction of the head. (a. f h.) Absence of thirst ; he drinks less than usual. A few hours after a copious and substantial meal, he has a violent sensation of hunger, with confluence of water in the mouth.]

Stomach and abdomen p. 175

Pressure in the stomach early in the morning after waking, as of a load, remaining the same in any position of the body. (a. 6 h.)

110. Tension across the epigastrium, in the hypochondria (as hypochondriacs complain of), causing an anxiety and oppressing the breathing, early in the morning, in bed. Pressure, with heaviness and tension in the abdomen. The abdomen feels compressed, which oppresses the breathing. Tensive, painful pressure in the abdomen, as if he had eaten too much and then pressed upon his abdomen, with nausea and confluence of saliva in the mouth. Drawing pain transversely through the abdomen.

115. Drawing in the sides of the abdomen from above downward, as if the menses would appear, (a. 4 d.) Drawing pain in the abdomen, as of flatulence. Incarceration of flatulence in the abdomen (the first eight hours). Emission of a quantity of fetid flatulence, for 36 hours. Rumbling in the abdomen.

120. Rumbling and cutting in the abdomen, for many days. Continued sticking pain in the abdomen, under the right ribs, only at the commencement of a walk in the open air. Three paroxysms of cutting in the umbilical region, as if externally, in the evening when in bed. Cutting in the bowels, especially after a meal, with nausea, causing the water to flow together in the mouth, and great lassitude ; after the cutting she experiences a great heat in the face, and the blood rushes to the head ; the veins of the hands become distended. Spasmodic cutting in the abdomen, with trembling of the knees, in daytime, when performing the least exercise, especially violent after micturition ; in the evening the cutting is felt without performing any exercise, relieved by bending double.

125. Cutting in the abdomen, before stool.

Tensive pain in the region of the stomach, (a* 13 h.) Pinching-oppressive pain in the pit of the stomach, disappearing again when silting and bending the body forward, (a. 1 h.)

180. Clawing pressure below the sternum, on the left side of the xiphoid cartilage. Fleet painful pressure under the last ribs, as of incarcerated flatulence. Contraction in the hypochondriac region, oppressing the chest and breathing (a. 2 d.), continuing for three days. Clawing pressure below the short ribs of the right side. (a. 1| h.) Great rumbling in the abdomen, without pain and without emission of flatulence, (a. 1-J- h.)

185. Rumbling in the left side of the epigastrium, (a. 1 h.') Rumbling in the abdomen after a meal, which sounds as if bubbles were bursting. Rumbling in the abdomen, and drawing in the intestinal canal. Hard, painful pressure heloiu the umbilicus, on the rigJit side. Stitches, with a clawing sensation, above the umbilicus, on the left side ; they are sharp, and recur regularly as beats in music.

190. Pinching stitch in the bowels, left side. (a. 35 h.) Continuous, dull stitch in the region around the navel, worse during expiration and when, pressing upon the part. (a. 8 h.) Tensive stitch in the left abdominal muscles, (a. 32 h.) Bruising pain above the hips, in the loins, extending below the umbilicus, most perceptible when bending forward but felt likewise when touched, (a. 18 h.) Bruising pain in the abdomen, (a. 48 h.)

195. Itching prickings in the umbilical region. Dull stitch in the left groin, more violent when pressing upon the part, but disappearing during an expiration and inspiration, (a. 84 h.) Copious emission of flatulence. Hot flatus, (a. 36 h.) Excessively fetid flatus.

200. Pinching in the bowels with emission of flatulence, (a. 13 h.) Violent screwing-pinching pain in the whole of the abdomen, now here, now there, (a. 2^ h.) Pinching in the abdomen, transversely, and drawing in the sides, as if diarrhoea would set in. Pinching in the epigastrium, early in the morning, as if diarrhoea would set in ; nevertheless he was unable to go to stool.

205. Tremulous sensation in the abdomen, and indication for diarrhoea. Tardy stool early in the morning, owing to an absence of the peristaltic motion in the large intestines.]

Stool p. 176

Cutting colic and nausea, early in the morning, followed by diarrhoea ; the last portion is mere mucus.' Colic, diarrhoea, the last portion of which is mere mucus, (a. 42, 48 h.) Loose stool, which goes ofi" without his being aware of it,

' The following four symptoms seem to have been occasioned by an excessive dose ; almost every drug becomes a cathartic when taken in an excessive dose ; the true primary effect of Staphisagria seems to be : colic, with desire for stool, constipation, or scanty, hard, or even loose faeces, but the latter rarely, as may be seen from symptoms (203) and (208).

177 while he imagined that wind would pass. (a. 2 h.) Diarrhoea and flatulence, (a. 3 h.)

130. Several ordinary stools a day, four days in succession. Hard stool with flatulence between. Frequent desire for stool, without colic ; he passed very little each time, which was very hard, with a pain in the anus, as if it would burst. Ineffectual desire after stool, without any thing in the rectum. Contusive pain in the rectum, after a hard stool, for three-quarters of an hour.

135. Smarting sore pain in the rectum, a long time after stool. Costiveness for several days (the first days). Violent itching of the anus, with blotches around the anus. Painless swelling of the inguinal glands, most perceptible when walking or standing, and continuing for many days. (a. 36 h.)

[The stool is twelve hours later than usual, and comes ofl" in small and hard pieces, (a. 14, 15 h.) Hard stool on the first day, no stool on the second, hard stool again on the third day, ordinary stool on the fourth day. Cutting and digging-up in the epigastrium and hypogastrium, after which a small quantity of loose fa3ces is passed ; after the expulsion of the feeces, the cutting is felt again with a renewed desire for stool, but no evacuation in spite of any exertion ; a sort of tenesmus, which does not disappear (nor does the colic) until he leaves the seat.

210. Cutting in the abdomen, with violent desire for stool, after which a small quantity of liquid faeces is passed, with internal chilliness in the head ; a kind of tenesmus immediately after the passage of the fseces. Hard, scanty stool, with a burning-cutting pain in the anus. (a. 10 h.) Scanty, hard stools of a small size, coming off" with a painful pressure in the anus. (a. 26 h.) Continuous aching pain in the rectum, when sitting. Difficult stool ; at first he passed hard fa3ces ; these were immediately followed a loose stool, which excited pain and pressing as if the rectum had been constricted ; they wanted to come off", but in vain ; renewed tenesmus.

215. A loose, yellowish, copious evacuation, immediately after a hard stool, early in the morning. Loose, but difficult stool, owing to a constriction of the anus, as in hemorrhoids. Loose stool, (a. 49 h.) Itching of the anus when sitting, between the stools (a. 7 h.)]

Urinary organs p. 177

140. Copious and frequent micturition, for several days. (a. 24, 40 h.) Scanty secretion of urine the first day.' Copious, red urine. Cutting during micturition, which becomes still worse after micturition. Smart-

' The symptoms of the urinary organs are similar to those of the alvine evacuations, as may be seen from the observations of others. ing and burning tingling at the orifice of the urethra, between the acts of micturition. Burning, deep in the urethra, when sitting, only between the acts of micturition.

145. Burning in the v)hole of the urethra, at every micturition, for many days. Pressure upon the bladder, when waking from sleep ; she had to emit a large quantity of urine; renewed desire, with pressure, in an hour. Involuntary spirting out of urine when coughing.

[Frequent emission of a watery urine at first; in a few days the urine became dark-yellow.

220. Emission of a small quantity of urine every fifteen minutes, for the first four days ; on the days following the usual quantity of urine is passed, but of a dark color, and every hour. He urinates very often, on the second day less frequently, but more copiously. He urinates a httle more frequently than usual, and a little less copiously at a time. (a. 7 d.) Frequent desire to urinate, passing a small quantity of dark-colored, urine, for three days. Frequent desire to urinate, with copious secretion of urine, (a. 6 h.)

225. Desire to urinate : he emits scarcely a spoonful of reddish or dark-yellow urine in a thin stream, someti?nes drop by drop ; after urination he feels as if the bladder were not yet empty, for the dropping continues. He urinates frequently, but little at a time, about a cupful of dark urine, (a. 24 h.) He urinates less than the first day, but more frequently than in his healthy days, and a little more than on the first day. (a. 3 to 7 d.) Immediately after micturition he feels a pain as if sprained, directly above the urethra, behind the os pubis. At night the urine is passed with erection of the penis, drop by drop, with burning in the region of the neck of the bladder, accompanied with ineffectual desire for stool ; he was relieved by lying bent double.

230. A sort of burning in the middle of the urethra, between the acts of micturition, (a. 6 h.)]

Genital organs p. 178

Discharge of prostatic juice during hard stool. Involuntary emission during the siesta, in an old man who had not had such a thing for thirty years, (a. 12 h.)

150. Nocturnal emission for three nights in succession. Nocturnal emission five nights in succession, accompanied with lascivious dreams. After a nocturnal emission he feels a weakness and heaviness in both arms, as if he had lead in them. The primary effect of Staphisagria is to excite the sexual desire ; five or six days after, a constant absence of that desire sets in, both in the genital organs, and in the fancy. Itching of the interior of the scrotum, which can only be alleviated by pressing the scrotum between the fingers.

155. Voluptuous itching of the outer parts of the scrotum,' increasing by rubbing, becoming a sore pain externally, while the itching continues internally, and finally occasions an involuntary emission of semen, (a. 5, 6, 8 d.) Painless bubbling in the scrotum. Dampness about the corona glands, below the prepuce. White humid excrescences in the hollow behind the corona glands, and a similar excrescence on the corona itself, both of them itching when touched by the shirt. Painful sensitiveness of the pudendum ; when sitting she feels a pain in that part.

160. Spasmodic pains in the pudendum and the vagina. Stinging itching of the pudendum. Smarting of the pudendum, also between the acts of micturition. A vesicle on the internal surface of the great labium of the right side, posteriorly, occasioning a biting per se, but a sore pain when touched, (a. 9 d.) Appearance of the menses, which had ceased to flow for a year, with cutting and rumbling in the bowels, at new-moon.^

[Excessive erection the whole night, whhout emission, (a. 16 h.) Erection the whole night without any amorous fancies, and without emission. Amorous dreams at night, with two emissions. Nocturnal emission, without dreams.

235. Violent drawing-burning stitches from the right abdominal ring, apparently in the spermatic cord, as far as the right testicle, (which is, however, painless to the touch,) when sitting, standing or walking, but most violent when stooping, (a. 33 h.) Drawing (tearing) with pressure in the right testicle, as if it were violently compressed. Aching pani in the outer parts of the left testicle when walking, also after every friction ; the pain is more violent when touching the part. (a. 8 h.) Sticking pain in the right side of the glans, when standing or walking.

Catarrh, larynx and trachea p. 179

165. (Obstruction of the nose in the evening ; she cannot breathe through the nose, and talking is difficult.) Sneezing, with coryza. Suddenly appearing fluent coryza, with catarrhal sound of the voice, for a quarter of an hour (at two oclock in the afternoon). Profuse coryza without cough. Cough with expectoration of mucus.

170. Coryza and cough for several weeks. Tenacious mucus in the chest, the first six and eight hours after taking the medicine, and then several mornings in succession ; afterwards, and in the daytime, loose expectoration from the

' Cured by smelling of Ambra.

' This being a primary effect, the menses did not return in the months following. chest. Weak feeling in the chest ; something tenacious in the trachea obhges her to hawk. Cough, with the titillation exciting the cough, only in the daytime. Violent cough after lying down, in the evening and at noon, with expectoration of tenacious mucus.

175. Cough with expectoration, mixed with five to eight drops of blood, preceded by a scraping sensation in the chest. Cough, with yellow expectoration like pus, most violent in the forenoon from 9 to 12 oclock, not very copious in the morning, (a. 5 d.) Ulcerative pain behind the sternum, when coughing. [Frequent sneezing without coryza. (a. 2 and 10 h.)

240. Coryza; at first he blows omit nothing but thick mucus, afterwards thin. (a. 4 d.) Violent fluent coryza ; one nostril is obstructed, not the other, with frequent sneezing, lachrymation and chapped lips. (a. 3, 4 d.) Violent coryza : tickling in the nose with discharge of a quantity of mild watery fluid or of thick mucus, afterwards nothing but thick mucus comes out. Constant desire to hawk, excited by tenacious mucus in the larynx, which he finds it unable to throw off. He throws off a quantity of mucus easily.

245. Sharp cough threatening to tear open the larynx, as if occasioned by a constant narrowing of the trachea, without any previous particular irritation, (a. 4 d.) Sharp irritation in the larynx, with desire to cough, immediately after a meal, the cough, however, being very little, (a. 4 d.) Sharp cough shortly after a meal, with confluence of water in the mouth ; sensation as if this water were driven through the oesophagus with force, and cut it. (a. 26 h.) Itching, fine, sharp stitches in the region of the upper end of the sternum, directly below the pit of the throat, obliging him to scratch the part.]

Chest p. 180

Pressure and heaviness in the chest, when sitting, which abated when walking. Pressure in the left chest, uninfluenced by breathing.

180. Oppression in the chest and feeling of uneasiness, driving him from one place to another, in the afternoon. Asthma towards the end of the embrace. Uneasiness in the chest. Palpitation of the heart when walking and when listening to music. Tremulous palpitation of the heart during slight exercise.

185. Violent palpitation of the heart when waking from the siesta. Constant pain in the middle of the sternum, as if something were ulcerating in that region, worst when raising and stretching the body ; the pain likewise increases when touching the part ; it becomes a tension and a sort of pressure, arresting, sometimes, the breathing. Bruising pain in the muscles of the chest, early in the morning, when moving in the bed, and in the daytime when crossing the arms ; she does not feel any thing when touching the parts, nor when taking breath. Pain of the outer parts of the chest to the touch. Dull sticking-aching pain in the region of the cartilages of the last ribs, when stooping; they feel sore when touched.

190. Rash upon the chest ; the chest becomes red and itches when he becomes warm. Herpetic eruption in the region of the lower ribs, composed of small, close, red pimples, occasioning a burning-itching stinging, like nettles; the place becomes painful after rubbing it ; accompanied with a thrill of chilliness across that part, and across the epigastrium. Stiffness in the nape of the neck. Itching in the nape of the neck.

[Painful stitches in the chest, making the expirations difficult.

250. Dull stitch in the left chest, returning in a few minutes. Violent stitch in the right chest, when sitting and bending the upper part of the body obliquely to one side and forward, (a. 2| h.) Tensive stitches in the left chest, when lying down and during motion, more violent during an expiration than inspiration ; most violent when going up stairs, when a continuous stitch is felt finally, which almost arrests the breathing, (a. 17 h.) Continuous, boring, dull stitch in the left chest, (a. 37 h.) Dull stitches in the intercostal muscles of either side, when sitting, worse when leaning backward, and continuing during inspirations and expirations, (a. i h.)

255. Soreness behind the sternum. Contractive oppression of the chest, causing slow and difficult inspirations ; the expirations relieve the symptom ; accompanied with anxiety and restlessness, especially when sitting, relieved by walking for five hours, (a. 6 h.) Pressure above the pit of the stomach, like soreness, with nausea in that region. Sticking-cutting in the region of the left costal cartilage ; sensation as if an incision were being made there, accompanied with stitches. Sharp stitches commencing in the posterior region of the right ribs, and winding round as far as the cartilages.

260. Stingingitching between the costal cartilages. Sharp stitches in the region of the fourth costal cartilage of the right and left side, at intervals of several seconds, a7id lasting longer than usual ; they press slowly from within outwards, independent of breathing, (a. 14 h.)]

Back p. 181

Pressure and tension in the muscles of the nape of the neck and of the shoulder, (a ^ h.)

195. Early in the morning, rheumatic pain in the nape of the neck and between the scapulae, like a drawing ; when rising from bed the pain was so great that she was unable to move her arms or to turn her neck the whole forenoon, several mornings in succession, with faintness of the whole body until noon. (Pain in the back, at night, from evening until 5 oclock in the morning, shocks and Knocks, arresting his breathing, during a sinner.) Severe stitches along the back, from below upward, (a. 7 d.) Stitches and pain as if sprained, in the small of the back, at rest, disappearing when walking. Early in the morning he feels a pain in the small of the back, as if every part of it were broken ; when rising from her bed she was unable to raise any thing from the floor, until 8, 9 oclock ; after this she felt hungry, and then had colic with diarrhoea, the latter portion of which was slimy.

200. Drawing-down pain in the small of the back, more when stooping than when standing straight, least when sitting. Pressing in the small of the back the whole night, as if bruised ; the pain was worst at 4 oclock in the morning ; it went off when rising.

[Pain in the small of the back, not much impeding walking, most violent when rising from a seat, when turning to the other side in the bed, and whenever performing a lateral movement, for several days. (a. 10 h.) Violent burning in the lower and outer parts of the os sacrum, (a. ^ h.) Drawing-sticking, sometimes darting in the os sacrum, when sitting.

265. Hard pressure on the leftside of the vertebral column, in the dorsal muscles, (a. 4 d.) Drawing pressure in the first dorsal vertebra?, accompanied with a smarting sensation, (a. If h.) Burning-aching pain below the right scapula, close to the spinal column, accompanied with a painful feeling of heaviness in the right chest, (a, 2 h.) Stabbing pain between the first dorsal and the prominent vertebrae.]

Upper limbs p. 182

Pain in the region of the bones of the arm, not in rest nor when touched, only during motion. Intolerable pressure in the periosteum of the humerus, in rest and motion ; the place is still more painful to the touch, (a. 36 h.) Drawing, with pressure, in the right upper arm, in the evening when in bed.

205. Itching pimples on the elbow and towards the hands. Drawing-tearing pain in the forearm, especially when moving the arm and hand. Red elevation on the forearm, with a pustule in the middle, with burning pain when left alone, and occasioning an ulcerative pain when touched. Herpes on the hands, itching in the evening, and burning when scratched.

[Stitches in the left axilla.

270. Itching prickings in the right axilla, (a. 3 minutes.) Itching prickings in both axilla. (a. 5 minutes.) Dull, aching pain in the right axilla. Drawing-sticking in the left shoulder-joint, especially when moving the arm towards the chest. Stitch, with pressure in the right shoulder, from below upwards, (a. t h.)

275. Slight pressure on the shoulder, painful to the touch, as if the flesh were loose, when walking. Pressure upon the shoulder, as^if it were being pressed down by a load, when sitting. Pahi in the right shoulder-joint, as if sprained only during motion. Dull sticking pains in the region of the shoulderjoint, more violent when touching or m,moving the joint. Drawing, with pressure, in the shoulder-joints, early in the morning when in bed and directly after rising ; more violent during motion, (a. 5 d.)

280. Fine tearing about the head of the left femur, more violent during motion. Paralytic drawing in the shoulder-joint, sometimes in the whole arm when laying it mider the head while lying in bed. (a. 90 h.) Tearing pain in the left upper arm, in the deltoid muscle, when sitting, going off by motion. Tearing pain in the muscles of the left upper arm, close to the elbow. Stitch-like tearing in the muscles of the right upper arm, near the elbow-joint.

285. Violent aching pain in the left shoulder joint, not disappearing by motion, (a. 36 h.) Paralytic aching pain in the left upper arm, more violent during motion, (a. 72 h.) Hard pressure in the right upper arm from without inwards, more violent during motion, (a. 2 h.) Paralytic aching pain in the Older parts of the upper arm, m,ore violent during motion and contact, (a. 36 h.) Drawing, with pressure, here and there, in the upper limbs, more violent when touched, (a. 7 h.)

290. Paralytic pressure in both upper and lower arms ; Tnore violent during motion and contact, (a. 5 d.) Drawing, with pressure, in the deltoid muscle. Slow, dull stitches, hke pressure, in the middle of the forearm. Paralytic weakness around the elbow-joint, (a. 2 h.) Sensation, near the bend of the elbow, more toward the forearm, as if an eruption had broken out, or as if one had ripped the skin with a pin, a kind of burning thrill ; however nothing is seen in that spot which is especially painful when touched.

295. Drawing, with pressure, a sort of clawing, below the left elbow, near the outer side of the ulna. Lancination in the left forearm, (a. 1 h.) Drawing, with pressure, in the muscles of the forearm and on the dorsum of the hand. Jerking in the left forearm, in rest. (a. 75 h.) Cramp-pain around the right wrist-joint, going off when stretching the fingers, but returning when bending them, which is accompanied with a lancination through the whole arm as far as the shoulder, (a. 24-^ h.)

300. Transverse drawing pressure in the wrist, especially during motion. Lancination in the left wrist-joint, (a. 1 h.) Drawing pain through the metacarpal hones in the dorsum of the hand, especially during motion. Titillation in the palm of the left hand, inducing one to scratch. Painful drawing in the metacarpal joint of the right index-finger.

305. Paralytic drawing-pain in the phalangeal joints, more violent during motion. Hard pressure in the region of the metacarpal bone of the left index-finger, more violent when touching or moving the finger, (a. 4 min.) Intermittent aching pain in the region of the metacarpal bones of the left thumb, more violent when touched. Painful drawing in the joints of the fingers of the right hand. (a. 5 h.) Fine, jerking-tearing in the muscles of the thumb, especially violent in the tip. (a. 45 h.)

310. Tearing pain in the muscles of the ball of the left thumb, going off when moving the thumb. Fine, jerkingtearing in the muscles of several fingers, especially in their tips. When stretching the fingers without supporting them upon any thing, they are convulsively moved up and down. Creeping in the fingers, as if they would go to sleep, (a. 4^ h.) Aching, cramp-like pain in the ball of the right little finger, when moving the hand.

315. Continuous aching pain, commencing in the metacarpal joint of the right middlefinger, and extending towards the tip of the finger, continuing also during motion, (a. 77 h.) Deep, itching -burnings sharp prickings in the left thumb, inducing scratching. Tensive stitches in the tip of the left thumb, (a. 52 h.) Pricking pain in the metacarpal and phalangeal joint of the right index-finger, continuing during motion, (a. 54 h.) Cramp in the fingers and in several parts of the limbs.

320. Sensation as if the tips of the fingers of the left hand were covered with a hard skin ; he has little sensation in them, and does not well distinguish what he touches. The right hand feels hotter to him than it was hot ; it was redder than the other hand, with a fine tearing in the metacarpal joints of four fingers. Titillating, sharp stitches in the palm of the hand. (a. 1 h.)]

Lower limbs p. 184

His nates feel sore after he has been sitting a while.

210. Feeling of numbness in the left hip when standing, extending down to the abdomen. Aching pain around the hip joint when walking and sitting. Sore pain in the upper and internal surface of the thigh. All the muscles of the thighs feel bruised when walking fast, for two days. Herpes on the thighs and legs.

215. Creeping in the thighs and legs, which had been swollen for years, the swelling being elastic, with sensation as if the interior of the limbs were hot and heavy, and were being distended. Stitching pain, with pressure, in the outer side of the knee, when treading and feeling the part. Burning-itching pimples on the leg. Itching of the leg, in the evening, in bed ; after rubbing, flat ulcers break out, with violent pain. Heaviness and tension in the calf.

220. Intolerable cramp in the calf and sole of the foot of that limb upon which he is resting ; it wakes him from the siesta, (a. 24 h.) Cramp, especially in the upper and lower part of the calf, when waking from sleep ; it cannot be diminished either stretching or by rubbing the limb ; the pain becomes more intense by thinking of it, even after it had already been diminished. Swelling of the metatarsal bone of the right little toe, painful when touched. Painless swelling of the dorsa of both feet, of long duration, (a. 13 d.) Burning, painful itching in the interior of two toes, as if they had been frozen, (a. 4 h.)

[Burning, corrosive itching of the nates, as when something made of wool is drawn over the skin, in the evening when in bed ; scratching drove it from one place to another. Boring pain in the left glutei muscles, when sitting, (a. 12 h.)

325. Stinging itching of the glutei muscles and several parts of the body. When lying down he experiences a painful weariness across the thighs, and as if they were bruised ; with sensation of excessive rigidity in the joints and a tremulousness in the same, so that he is not able to hold them still. Pain as if sprained in the middle of the left thigh, especially when walking, (a. 8 h.) Tension in the vastus externus when walking. Paralytic pain, like drawing, in the middle of the thigh, anteriorly, in rest and motion.

330. Burning pricking in the posterior surface of the left thigh. Deeply penetrating, dull stitch in the middle of the left thigh, exteriorly. Fine, painful, piercing stitches in the internal surface of the left thigh, directly over the knee. (a. 38 h.) Itching stinging in the internal sides of the thighs, (a, 3 h.) A kind of gooseskin, without chilliness, over both thighs and legs ; a number of red and white pimples on them, the tips whereof contain a whitish pus. (a. 10 d.)

335. Weakness of the thighs and legs for several days, especially in the knee-joint ; he has to drag the foot; accompanied with lancinations in the calf, and pain in the small of the back. (a. 10 h.) Dull sticking, almost scratching sensation in the right thigh, internally, above the knee-joint, (a. 8 h.) Stitch-like pain in the inner border of the knee. Jerking, above the right patella, (a. 9 h.) Drawing tearing below the left patella, not going off by motion, (a. 54 h.)

340. Pain in the thighs when walking (more in the left), she has almost to drag them. (a. 51 h.) Drawing sticking in the right knee-joint, more violent during motion. Dull studies in the region of the knee-joint, near the patella ; when touching the part, the stitches ivere changed to an aching pain. Dull stitches in the right knee-joint, early in the morning, immediately after rising, more violent during motion, (a. 5 d.) When walking, he experiences in the right knee-joints and in the bellies of the gastrocnemii muscles a paralytic drawing resembling a weakness, continuing for a long time, even after walking, when sitting.

345. Pain (as if one had missed a step ?) in the knee, for one minute, when walking, and when moving the foot. Sensation, when rising from a seat, as if the knees would bend involuntarily ; a tremulous, nervous drawing-up in the bend of the knee. As soon as he lies down he experiences a drawing-up sensation in the knee-joints, a kind of nervousness and voluptuous uneasiness in those joints, obliging hun to get up. Drawing sticking in the left knee-joint when sitting ; sometimes he feels a jerking in the joint. Burning pricking below the left knee, on the outer side, sometimes in paroxysms.

350. Boring stitch in the right tibia, in rest. (a. \, 35 h.) Itching of the right tibia above the external malcolus, not going off by nibbing, (a. 2^ h.) Paralytic pressure in the gastrocnemii muscles of the right leg, externally, more violent when touched. Tearing pain in the muscles of one or the other leg, when standing or sitting. (a. a few minutes.) Lancination in and below the right calf, and above the left heel. (a. 1, 10 h.)

355. Itching stitch in the right calf, continuing when standing and walking, and going off by scratching, (a. 78 h.) Drawing, with pressure, in the outer part of the tibia, when sitting, (a. 6 h.) Drawing pressure in the tarsus, transversely, especially during motion. Tearing, with pressure, in the left tarsal bones, close to the joint, (a. 5^ h.) Contractive sensation of heaviness in the tarsal bones of the left foot, close to the tarsal joint, (a. 3J h.)

300. Slinging itching close above the outer malleolus of the right foot ; it obliges him to scratch, but does not leave any peculiar sensation. Burning itching of the internal malleolus of the right foot. (a. 4 d.) Itching in the region of the tendo Achillis, above the heel. Stinging itching of the big toe of the right foot. Burning, with pressure, in the tip of the big toe of the right foot, in rest. (a. 4i h.)

365. Burning itching of the little toes, in the evening, as if they were frozen ; they are painful when touched, and the painful places are red, for four days. (a. 12 h.) Itching burning of the little toe of the right foot, as if it were frozen ; it felt painful when pressing upon it slightly. Tingling in the lower surface of the toes, which does not induce scratching ; they feel as if they had been to sleep. Aching pain in the inner side of the bottom of the left foot, in rest. (a. 29 h.) Pricking in the bottom of that foot which is laid across the other, when sitting, (a. 17 h.)]

General symptoms p. 187

225. Itching of the head and the whole body, especially early in the morning, a creeping itching and crawling as of a flea, going from one place to another. Blotches of the size of peas on the whole body and thighs, itching and emitting a humor when scratched open, when they occasion a burning pain. Tearing and jerking around the ulcers in the evening and early in the morning, in rest ; ceasing when walking. Lancination in the ulcer. Smarting in the ulcer, as of salt.

230. Smarting itching in the ulcer, as of salt. Darting and pecking pains of the ulcerated leg, the skin of which becomes covered with a thin crust, from which a yellowish water oozes out. In the morning, after rising from a seat, he turns pale, becomes giddy, falls to one side as in a swoon ; similar paroxysm next day about the same hour. All his limbs ache ; the muscles ache when touching them, the joints when moving them, more in the forenoon than in the afternoon. Pain in all the hones.

235. Early in the morning, when rising from bed, all the joints feel stiff, especially the shoulder and hip-joints, and the small of the back. Early in the morning, when in bed, she feels very tired, without any drowsiness ; all her limbs ache as if bruised, and as if no strength were in them, for one hour. Great weariness, early in the morning, when waking, disappearing soon.

[Drawing-tearing pain here and there in the muscles of the whole body, when sitting, (a. 8J, 34 h.) Pain in the joints of the shoulders, elbows, fingers, back, knees, of a drawing kind, when moving those joints, less in rest, especially in the evening. Tremor in the interior of the limbs, early in the morning, when keeping them for a long time in one position, (a. 24 h.) Paralytic drawing in different parts of the body, especially the joints, when leaning the limbs for a time in an unusual and inconvenient position. Itching sharp stitches in different parts of the body.

375. Prickings, resembling fleabites, in the lower limbs, hand, nape of the neck, head, etc. (a. 1^ h.) Stinging burning here and therein the skin. Burning sensation in the limbs, now here, now there, but never in the rest of the body. Deeply penetrating sharp stitches, returning at long intervals, in different parts of the limbs, (a. \ h.) Below the shoulder and hip-joints the limbs feel bruised and painful, as after a long journey on foot.

380. General bruised feeling, worst when walking, relieved when sitting and lying down ; especially in the calves she experiences an excessive painful weariness, as if beaten with clubs ; she was scarcely able to drag her feet. The whole body feels painful as if bruised, with feeling of lassitude, worse during motion ; when walking, a little after having been seated, the painful sensation came on again with renewed violence, (a. 40 h.) Great weariness in the knee-joints early in the morning after rising ; he finds it difficult to walk or to stand, (a. 24 h.) Debilitated all over, especially in the joints, when walking. Weary and weak, early in the morning, (a. A\ h.)

385. Great weariness and disposition to sleep, in the afternoon when sitting, (a. 3 d.)]

Sleep p. 188

Great inclination to yawn and stretch herself Falls asleep as soon as he lies down in his bed, in the evening.

240. Drowsiness in daytime ; he slept whenever he sat. Great drowsiness in the afternoon. He falls asleep late in the evening, and wakes again at 4 oclock in the morning, several nights. He dreams about his business, as soon as he falls asleep. Vivid dreams, with coherent ideas.

245. Dream about murder. The child is very restless in the night, and calls her mother all the time. He wakes every hour in the night, from 2 oclock, without any cause. Restless night ; he woke every night half and then slept again. He did not sleep the whole night, and nevertheless his eyes closed.

250. Violent burning pains in the ulcer, in the evening after lying down, for hours, so that she was unable to fall asleep. The herpes itches only at night. His upper and lower limbs started, several nights, as if some one had tickled him ; a kind of spasmodic but painless jerking ; he felt moreover hot, although he covered himself but lightly, but without thirst or sweat.

[Violent yawning, causing the tears to drop from his eyes. (a. ^ h.) Frequent yawning as if he had not slept enough, (a. 2 h.) Great weariness and drowsiness after a meal ; he feels a desire to lie down, falls asleep soon, but feels gloomy and heavy when waking, and dreads to walk ; walking was very troublesome for him, especially going up hill ; after walking a little longer, he felt very cheerful and strong. Wakefulness early in the morning, followed by drowsiness and a chilly shuddering in the back.

390. He wakes towards morning, as if he had slept enough, but falls asleep again immediately, (a. 46 h.) Drowsiness in the afternoon ; his eyes close. Wakeful before midnight ; but as soon as he went to sleep he dreamed of dispute. Immediately after going to sleep he is waked by a dream that he is fighting with a wild beast, which makes him start, (a. 30 h.) Restless and anxious dreams.

395. Tossing about during sleep. Restless for several nights, was filled with all sorts of thoughts before midnight. Yivid, disagreeable dreams, towards morning. Dreams full of wrath. — 4U0. Restless dreams ; he is busy with all sorts of things, starts as in affright, wakes, but does not become entirely conscious of himself. Amorous dreams and emission of semen. Voluptuous dreams without emission. In the evening her calves pained her so much that she was unable to go to sleep ; she had to change the position of her limbs constantly, to get some relief; she had the same sensation in the calves after having got up in the night and having laid down again, (a. 37 h.) He dreams as soon as he falls asleep ; now he fights with some one, now he has anxious images, which wakes him, and then he dreams again.

405. Dreams about murder the second night.]

Fever p. 189

Fever in the evening consisting of the cold stage merely. Shuddering the whole night, without thirst and without any subsequent heat.

255. Internal shuddering, with violent thirst, several days, at three oclock in the afternoon, without any subsequent heat. Shuddering, with goose-skin, several afternoons at three oclock, ceasing in the open air, and no thirst. Chilliness early in the morning when in bed, without any subsequent heat. Chilliness early in the morning when in bed, followed by heat ; she did not wish to rise in the morning. Slight heat after the shuddering.

260. Early in the morning, when in bed, he feels a heat about his head, with sweat on the forehead. In the open air she was attacked with some heat and some headache, (towards evening.) Feeling of great heat, as if she were burning externally, with thirst ; there was orgasms sanguinis ; no previous chilliness. Feeling of great heat at night, in the hands and feet ; he had to keep them bare. Heat in the night, especially around the forehead, so that she remained awake ever since three oclock ; chill at nine oclock in the forenoon.

265. Disposition to sweat, A good deal of sweat, several nights after midnight. Night-sweat, having a putrid smell, (a. 8 d.) Sweat smelling like putrid eggs, after midnight, (a. 4, 6 d.) Profuse night-sweats, (a. 10 d,)

[Cold feet in the evening, in bed. Violent chill in the evening before falling asleep ; he shook in his bed, and could not get warm. (a. 20 h.) Frequent chilliness in the night, ivhich wakes him, but he does not become conscious of himself. Shuddering, with drowsiness and dryness of mouth, (a. 3 h.)

410. Shuddering and chilly feeling when taking a meal, without thirst, two hours before the hot stage. Chilliness in the back, even when near the hot stove, (a. i h.) Back and arms remained cold although he was near the stove ; frequent chills over the back and arms, toward the nape of the neck, over the head and face, early in the morning after rising. Chill, shaking the whole body, whh warm forehead, hot cheeks and cold hands, without any subsequent heat and without any thirst, (a. IJ h.) Shuddering over the whole body, without thirst and without being immediately followed by heat. (a. 30 h.)

415. Fleet chilly shuddering along the back, after a meal. Feeling of heat to him, and real heat in the face, without thirst, an hour after the chilly stage. Feeling of warmth over the back, which is not disagreeable, three hours after a meal. At intervals he experiences a thrill of heat over the lower part of the back, the rest of the body being without any subsequent sweat. Feeling of warmth on the forehead, as of a constant, warm breath touching it ; sometimes also a cold breath, with redness of the cheeks and warmth of the external body. (a. 4 d.)

420. When waking in the night, he is covered with warm sweat, on the abdomen, feet, genital organs, although covered moderately, no thirst; when uncovering himself, a cold air comes upon him, the sweat ceases, he imagines he will catch cold. (a. 72 h.) Excessive sweat in the afternoon, with heat of the whole body, without thirst, although he sat very quietly.

Moral symptoms p. 190

270. He recollects anxious thoughts and things from the past, as if they were present, causing anguish and sweat : after this, there is a blackness before his eyes ; he knows not whether the images are true or illusory ; afterwards he thinks every thing is sometimes different, and he loses all desire to live. Ho knows not whether the things which he sees in his fancy are real or imaginary (from five to seven in the afternoon). (When walking fast, he feels as if some one were walking after him ; this gives him anxiety and fear, and he has to look round all the time. Hypochondriac mood ; every thing is indifferent to him ; he does not care about living. Even the most interesting thing was indifferent to him.

275. Vexed, early in the morning ; he was going to push away from him all those thingswhich he held in his hand. She does not want to hear any one spoken of; she wraps up her face and weeps aloud, without knowing why. Every word which is said to her vexes her ; she weeps when one attempts to talk to her. Peevish ; she weeps several times without any apparent cause. Weeping mood.

280. She sheds tears and grieves at her condition ; nothing gave her any pleasure, (a 50 h.) She felt sad and spiritually dead, but had no disposition to weep. Violent, internal anxiety, chasing him from place to place, but without exciting any complaint on his pain. Anxious and timorous.

[Serious, thinking of himself, taciturn. Phlegmatic, with weariness of mind and sadness of heart ; every thing is indifferent to him, but he is neither vexed nor debilitated. His mind feels weary ; he has no desire to talk or to think ; the things around him are indifferent to him.

425. Not disposed to any serious work. Out of humor and not disposed to any mental labor, (a. 2 h.) Out of humor and vexed the whole day ; he was beside himself with ill humor, and was extremely thoughtful, (a. 37 h.) Silent ill-humor; he is vexed at every thing, even at those things which do not concern him. Out of humor and restless the whole day.

430. He dreads the future. Sad ; he apprehends evil consequences from trifling things, and cannot ease himself. Sad without any cause.

485. Quarrelsome, but merry mood. At first he is cheerful," then anxious, and lastly, calm and contented. He became cheerful and communicative.^ He was cheerful and communicative, and enjoyed his existence.

Notes p. 177

VOL. IV. 13