Veratrum Album

(The alcoholic tincture from the root of Veratrum album.)

The following symptoms can only be considered a part of those which the Veratrum is capable of producing.

I might have added the symptoms which have been noted by the ancient Greek authors, to confirm my own ; but I have omitted doing so, lest I should make myself liable to the charge of attempting to shine by quotations.

It is certain, however, that the ancients could not have acquired the reputation of performing wonderful cures with Veratrum at Antipyr and at other places, if there had not been some foundation for it.

Our physicians do not often resort to Veratrum album, for this reason, that they cannot prescribe it in just dose, in drachms and ounces.

Hence, all the diseases which can only he cured hy that root have to remain uncured.

In such diseases seventy grains of tartar emetic have frequently been given without any effect, but the mind was generally affected so much more ; 'in many cases the mania or melancholia became incurable.

Veratrum is likewise useful in fever and agues which consist merely of external coldness, or are characterized by internal heat and dark urine, especially when the body or at least the forehead is covered with cold sweat.

It is very useful in several hypochondriac affections, and HI certain kinds of inguinal hernia, at least as an intercurrent remedy.

Sudden bad effects from Veratrum are most safely removed by some cups of strong coffee. Camphor removes aching ni the head, with coldness of body and sopor, with want of consciousness.

Aconite is to be employed when the patient is anxious and beside himself, with coldness of body or a burning sensation in the brain. The other chronic ailments brought on by the abuse of Veratrum, for instance, the fever before midnight are most easily removed by Cinchona. '

Some among the subsequent symptoms seem to be secondary symptoms, which can only be determined with accuracy by closer observations.

Head p. 236

Vertigo; every thing turns in a ring with him. (a. di h.) Want of ideas. He loses his mind. Dizzy • he feels as if nothing were firm in his head.

5. Very dizzy early in the morning. He is only conscious of himself as in a dream. Bland delirium; coldness of the body, with his eyes open, and a cheerful and sometimes a smiling countenance ; he talks of religious things, and of vows which he had promised to fulfil ; he prays, and he imagines he is any where else than home. (a. 1 h.) Uninterrupted dizziness for three days. His memory leaves him.

10. Intermittent beating headache, (a. 6 h.) Beating headache over the left eye for a quarter of an hour. (a. 1 h.) Beating headache. Dull pressure in the vertex, early in the morning after waking. Aching pain in one side of the head, accompanied with pain in the stomach, (a. 4 h.)

15. Headache as if the brain were broken. Paroxysms of pain in various parts of the brain, partly as if bruised, partly pressure. Constrictive headache, with constrictive pain in the fauces. When stooping, the blood rushes to the head. (a. 8 h.) (Sensation along the temple as of a drop of water running down alongside of it, without producing a cool sensation.)

20. Feeling of warmth and coldness on the head at the same time, his hairs being sensitive. He feels chilly on the top of the head, and at the same time about the feet. (a. 1 h.) Itching of the forehead. Cold sioeat on the forehead.

[Vertigo, excessive. When thinking, his ideas soon fail him.

5. Reeling and intoxication, (a. 24 h.) When walking the headache increases unto reeling, but it abates again when sitting, (a. 2 h.) He almost forgets the word which he is about to utter. Almost entire vanishing of the senses. Stupid feeling in the head, with nausea, for two days.

10. Headache, with some stiffness. Headache, with vomiting of green mucus. Headache and pain in the back with colic, and desire to vomit. Painful obtuseness of the head, with tensive pressure now in the temples, now in the vertex, most violent when sitting straight and standing, diminished when stooping and when lying on the back, with contraction of the pupils.

15. Dull headache, extending from the temples to the forehead, increased by stooping, going off by bending backward, and by pressing upon the head, but returning again when raising the head. (a. 3 h.) Pressing pain in the vertex, as if the head were being pressed flat, changed to a beating pain by motion. Internal cutting in the vertex, (a. 4 h.) Single stitches in the forehead, even when sitting, (a. 4 h.) His head feels heavy, and every thing seems to turn in the hend

20. Buzzing and humming in the forepart of the forehead, with dull internal headache, (a. 4 h.) Drawing pain in the head and small of the back. Violent headache, with diuresis. Excessive headache, disappearing at the appearance of the menses. Concussion in the head and jerking in the left arm, with paleness of the fingers.

25. Corrosive itching, continuous stitch in the hairy scalp, obliging him to scratch, (a. 10-L h.) Sensation in the hairs of the right side of the head as if a cluster of hairs were being electrified ; a sort of creeping in the hairs and a tendency to stand on end, with a slight shuddering of the skin mider the hairs, (a. 5 h., and afterwards.) Painful stiffness in the nape of the neck during the headache.]

Eyes p. 238

The pupils inchne to become contracted.

25. Contraction of the pupils (a. ly h.), with continued compressive pain in the eyes. Dilatation of tue pupils. Weak feeling in the eyes. The eyes look faint, surrounded with blue rings.

30. The eyes are distorted and protrude. Diplopia. A sort of paralysis of the eyelids ; they felt as if too heavy ; he was scarcely able to raise them. Feeling of dryness about the eyelids. The eyelids are dry, especially after he has been sleeping ; they are painful as if they were excoriated ; they are rigid and glued together.

35. Excessive dryness of the eyelids. Profuse lachrymation and cutting pains, accompanied with a feeling of dryness and heat. (a. ^ h.) Long continuing, strong feeling of heat in the eyes. The eyelids glue together during sleep, (a. 2 h.) Heat in the eyes and face, with redness of the cheeks, as if caused by a hot vapor blowing upon them.

40. Painful ophthalmia with excessive headache, preventing the nightly sleep .(a. 6 d.) Ophthalmia with tearing pain. Inflammation of the whites of the eyes, with tearing pain.

[Contraction of the pupils (immediately and a. 6 h.).

30. Dilatation of the pupils, (a. 4 h.) Excessive dilatation of the pupils, with perceptible weakness of sight ; he does not even recognize persons standing close by, or recognizes them only very slowly (at 7 oclock in the evening), (a. 8 h.) Pain in the eyes. Complains of pain in both eyes, and raises the hands above the head. Painful pressure in the eye, with want of appetite.'

35. Pressure in the eyelids, as if too dry, after a short siesta ; followed by lachrymation. (a. 6-^ h.) Painful feeling of dryness in the upper eyelid, as if salt were between it and the eyeball, without any considerable redness in the eye, after dinner. Painful slicking, with pressure in the upper eyelid, near the outer canthus. (a. 10 h.) Fine, sharp stitches in the canthi. Stinging itching in the internal sides of the eyelids, (a. 2 h.)

40. Bruising pain of the right eyeball near the outer canthus, repeated paroxysms ; when pressing upon it, it ceases to ache. (a. 3 h.) Frequent lachrymation, with redness of the eyes, as in catarrh, (a. 6 h.) Heat in the eyes with headache. Redness of the whites in the right eye. Inflammation of the right eye.

45. Inflammation of the right eye with febrile heat. Considerable ophthalmia. The

' The blood had the buffy coat. eyes look watery, as if covered with albumen. Blueness of the left eye, with frequent eructations. The eyes are turned backward so that the whites only can be seen, for an hour.

50. Scintillations before the eyes. When rising he sees black spots and sparks before his eyes ; he was on that account unable to rise for eight hours, and had either to sit still or lie down. (a. 3 h.) Vanishing of sight ; he is unable to see.]

Face p. 239

Cold, disfigured face, as of a dead person. Bluish face.

45. (Jerking-pinching sensation in the muscular parts of the face.) (a. 3 h.) Drawing and tensive pain over the whole right side of the face and over the right ear. (Sweat in the face and in the axillae, when walking.)

[Pale face ; dark-red, hot face.

55. Redness of face with great thirst and diuresis. Extreme redness and heat of the face. Burning in the face and about the head. Itching here and there in the face, and behind the ears, as if pimples would break out (without any visible redness), with a feeling of soreness behind the ears. (a. 28 h.) Titillating itching in different parts of the face, rather biting than stinging ; afterwards small red pimples break out, with red, hard, elevated borders, and brown, afterwards yellow tips containing pus ; these are painless at first, but when matured they are sore to the touch.

60. Close rash on the cheek, with pain in the face. Copper-red eruption in the face, around the mouth and the chin. Swelling in the face for several days. Jerking in the cheek at noon. ; scintillations before the left eye ; paleness of face and fainting, followed by vomiting a quantity of white foam ; the paroxysm returns for three days. Stitches in the right cheek and the right chest, with ptyalism.]

Ears and nose p. 239

Pressing in the right ear, early in the morning, (a. 2 d.) Tingling in the ear.

50. Roaring in the ears as of wind. Sensation as of a pellicle being stretched across the ear. One or the other ear is stopped up. Aching pain in the meatus auditorius. (Tearing in the lobule.)

55. Sharp stitches behind the left ear and the jaw. Smell before the nose as of manure, (a. 16 h.) Sensation as if the nose were too dry inside, as is generally the case when the dust of the road gets into it. (a. 3 h.) (Bleeding at the nose, while sleeping, at night.) Sensation as if the nose were ulcerated inside.

60. Sensation as if the nasal bone were compressed and pressed in.

[65. Single stitches deep in the left ear. Sensation as of a cold breath in the right ear, followed by a feeling of great heat in the ear, then again a feeling of coldness; this alternates several times, (a. 26 h.) When rising from a seat he is attacked at once with a humming and roaring in the ears, and he fancies he sees nothing but fire before his eyes, for eight hours, (a. 4 h.) He complains of deafness, and pain in the chest. Biting titillation and itching below the right lobule.

70. Red spots upon the nose. Vesicles on the nose, standing close to one another. Hemorrhage from the right nostril.]

Jaws and teeth p. 240

The skin of the lips becomes chapped. Burning in the vermilion border of the upper lip, and a little above. Pimple near the corner of the mouth, in the margin of the vermilion border, painful per se, but more so when touched. Foam at the mouth.

65. He is unable to speak. Lock-jaw. Dull pressure in the muscles of the left jaw, resembling a strong pressure with a dull pointed piece of wood. Pain in the submaxillary glands, as if pinched, (a. 3 h.) Vacillation of the teeth.

[Vesicles near the left corner of the mouth. Red eruption around the mouth and on the chin.

75. Dry lips and dry mouth, ill the evening, not without thirst, (a. 13 h.) Sticking pain in the articulation of the jaw when opening the mouth, preventir.g him from drawing down the lower jaw properly, (a. 4 h.) When eating, all the muscles of the lower jaw are painful as if bruised, so that he is obliged to stop chewing. Painful blotch in the lower jaw ; when touching it, it causes at first a contractive pain, but afterwards it becomes changed to a pustule with an inflamed border. Smarting pain in the front part of the lower jaw, per se. (a. 9 h.)

80. Swelling of the left submaxillary glands, accompanied with sore throat, especially on the left side, causing a sort of strangulation and constriction of the fauces when swallowing, continuing a short while after swallowing, (a. 1 h.) Drawing and pressure in the left side of the throat. Grinding of the teeth. Swelling of the gums and jaws. Great toothache and headache.

85. First he had toothache, afterwards the face was red and swollen. Great weakness, with the toothache and the inflammation of the tonsils. A pain in the upper and left molar teeth, which is composed of pressure and weariness, as if filled with lead. The toothache is at first a painful pressure ; afterwards, when chewing, it changes to a drawing extending into the root of the tooth, even when taking only soft things between the teeth.]

Mouth, Pharynx, (Esophagus: Spasmodic constriction and strangulation in the oesophagus. as if one had eaten an astringent pear. Narrowing of the oesophagus, as if occasioned by a tumor. Burning in the throat. Scraping in the throat. Roughness in the throat.- -75. Numb sensation in the palate, as if a burnt place had been healed and were covered with a thick epidermis, or as if the palate were lined with the skin of a plum. Dryness in the throat, which cannot be removed by drink, (a. 6 h.)

[Stammering.

90. Speechlessness. Burning in the upper part of the tongue and in the pharynx. Burning in the mouth, as if rubbed with pepper ; however, the mouth is not dry. Burning in the throat. Inflammation of the buccal cavity.

95. Warmish sensation in the posterior part of the mouth and fauces. Pain in the mouth after the nausea ; afterwards considerable inflammation in the mouth ; lastly redness and swelling of the tongue. Dryness in the region of the palate, and desire for water. Dryness and viscidity in the mouth, without any particular thirst. Early in the morning, after waking, he has for an hour an extremely troublesome feeling of dryness in the mouth, and viscidity, without thirst, diminishing but little after rinsing the mouth, (a. 20 h.)

100. The mouth feels alternately dry and viscid, and then watery, (a. 24 h.) Confluence of tasteless water in the mouth. Ptyalism. Flow of viscid saliva. Sudden confluence of a quantity of water in the mouth, which he cannot swallow quickly enough, and which therefore chokes him somewhat, (a. 12^ h.)

105. Sensation of coldness in the oesophagus from below upward (a cold spot being likewise felt in the posterior part of the palate) ; this is soon followed by the gulping up of a quantity of warm, sweetish-saltish, slimy fluid ; after which the coldness in the Oesophagus and palate abates for a while, but afterwards returns, (a. 24 h.) Increased flow of saliva with an acrid, saltish taste in the mouth and upon the tongue, and great heat in the palm of the hand and in the pit of the stomach. Flow of mucus from the mouth, toward noon. Drawing pain in the throat, thirst, and colic. Distention of the oesophagus.

110. Distention of the oesophagus, with sensation as if he would suffocate.]

Taste, appetite and gastric symptoms p. 241

Aversion to warm food ; when eating of it he did not like it, on the contrary he had a desire for fruit. Desiref or fruit. Desire for lemon juice.

80. Desire for acid things. Diminished taste ; 'pappy taste in the mouth, (a. \ h.) (Constantly a sourish taste in the mouth, with confluence of a quantity of watery saliva. Tasteless saliva ; tastelessness in the mouth. Taste and coolness in the mouth, as is occasioned by peppermint.

85. Putrid, herb-like taste in the mouth, almost like tussilago petasites. (a. 3 h.) Smarting taste as of peppermint in the mouth, with sensation as of heat rising from the oesophagus into the mouth, which continues and unites with nausea and inclination to vomit. Putrid taste in the mouth, as of manure. Empty eructations (immediately). Eructations even before breakfast ; sour eructations in the afternoon.

90. Bitter eructations. Empty eructations in the evening after lying down in bed, followed by a scraping sensation in the region of the larynx, almost as after heartburn, (a. 12 h.) (Eructations tasting of the ingesta.) Constant flow of saliva from the mouth, like tcater-brash. Nausea, with hunger and pressure in the region of the stomach, while eating, disappearing after eating.

95. Disposition to vomit after breakfast, going off after dinner, (a. 12 h.) Great nausea before breakfast. Inclination to vomit with a bilious taste in the mouth. Two paroxysms of vomiting, three or four turns of vomiting each time ; the nausea continued between the paroxysms; the things vomited smelled sour.' Vomiting of bile, afterwards of tenacious mucus.

100. Every vomiting was preceded by shuddering over the whole body. He has to lie down even at the commencement of the vomiting ; after the vomiting he feels so debilitated that the femora feel as if they would escape from the acetabula. Hiccough. Hiccough in the morning when smoking, (a. 24 h.) Cardialgia.

[Hiccough, continuing a long while. Fullness in the chest that he would like to eructate all the time, without any nausea.

115. Frequent disposition to nausea. Powerful eructations, mostly empty, (a. 6f h.) Empty eructations after a meal. Frequent expectoration of mucus, after frequent eructations. Constant eructations, with disposition to vomit, and accompanied with excessive cough.

120. Voracity. Voracity without thirst. Hunger and great thirst. No desire for warm food at noon, but so much the more for fruit. Desires only cold things, herrings, sardines, fruit.

125. Continuous greediness for sour cucumbers. Has no appetite or hunger ; did not relish his food. Drinking is followed by shuddering or goose-skin. Diuresis, accompanying hunger and thirst. He feels qualmish ; he would like to eat, still he has no appetite for food.

130. He eats a good deal, still he complains of hunger and emptiness of the stomach. Qualmishness in the pit of the stomach. Nausea. Constant nausea and ptyalism, the appetite and thirst being normal. Great nausea and disposition to vomit, with great thirst.

135. Great nausea, with profuse flow of saliva. Nausea, with great thirst and diuresis, for three' days. Great nausea, with red, sweaty face. Disposition to vomit, and hoarseness ; a good deal of cough. Disposition to vomit, foam coming ont at his mouth.

140. Disposition to vomit, with lockjaw. Disposition to vomit and ptyalism, with lock-jaw. Excessive desire to vomit, even unto fainting. Vomiting. Vomiting of the ingesta.

145. Vomiting of the ingesta with green mucus. Vomiting of all the food he had taken, and long sleep. Vomiting of the ingesta, with mucus and green matter. Vomiting of green mucus. Vomiting of green mucus, afterwards of copious froth.

150. Vomiting of green mucus, followed by chilliness. Vomiting of froth, followed by vomiting of a yellow-green, sour-smelling mucus. Nightly vomiting of tenacious mucus. Vomiting of white mucus at night. Vomiting of white mucus, with good appetite.

155. Vomiting of darkgreen mucus and diarrhoea, in spite of which he has an appetite for eating and drinking. Vomiting of a good deal of mucus, with excessive weakness. Vomiting of black-green mucus. Black vomit. Vomiting of bile and mucus, then of black bile, and lastly of blood.

160. Cholera. Violent, excessive vomiting. Cold hands previous to the vomiting ; after the vomiting the hands became hot, with orgasms sanguinis. Vomiting with heat of the body.]

Stomach and abdomen p. 243

105. Clawing pain in the pit of the stomach, especially when walking. Pain in the stomach, as from canine hunger. Feeling of weakness in the stomach with internal coldness in the region of the stomach, and a slight pressure. Violent pressure in the pit of the stomachy extending as far as the sternum the infra-costal region and the ossa ihi. (a. 8 h.) Pricking in the region of the spleen, after a moderate meal, when walking in the open air.

110. Tensive pain in the hypochondria, as of flatulence. Painful pressure and drawing around the pit of the stomach. Pain in the hypochondria and in the chest, owing to a deficient emission of flatulence. Pain in the abdomen, now here, now there, as if the parts were being cut with knives (immediately). Drawing tearing pain deep in the abdomen, for minutes, most violent above the pubic bone. (a. 1 h.)

115. Cutting colic. (a. 12 h.) Cutting colic with diarrhoea, early in the morning at four oclock. Flatulent colic affecting the bowels and the whole of the abdomen, now here, now there ; the flatulence is emitted with so much more diflicnliy as it passes off more tardily, (from 6 to 12 h.) The intestines are painful, as if bruised, when the flatulence refuses to come off". Painful pressure in the region of the coecum, as if caused by a spasmodic incarceration of flatulence, (a. 1 h.)— 120 Frequent emission of flatulence (the first hours). The flatulence passes off" with great force upward and downward. Jerking in the abdominal muscles with a warmth in the chest which is not disagreeable, (a. ^ h.) Sensation before stool deep in the abdomen, as if he would faint. Writhing sensation in the abdomen and back, previous to stool, with great weakness ; he felt lighter and stronger after stool.

125. Anxiety during an evacuation, with apprehension of apoplexy.

[Distention of the abdomen.

165. Distention of the abdomen, with ptyalism. Swelling of the abdomen, with colic and emission of flatulence. Loud rumbling in the abdomen. Colic, with loud rumbling. Painless grunting in the abdomen, as of wind. (a. f h.)

170. Grunting and pinching in the abdomen, as of flatulence, accompanied with rare and scanty emission of flatulence. Rumbling in the abdomen, as if he had diarrhoea, accompanied with frequent emission of wind, (a. 6 h.) Cardialgia. Burning in the pit of the stomach. Complains of pain in the stomach, still he eats, drinks, and sleeps a good deal. Pains in the stomach and intestines. Pinching in the abdomen, at times below, at times above the umbilicus, in the afternoon, shortly after a meal ; when sitting, it was felt at a different place than when walking, and vice versa. Colic, thirst, and diuresis.

180. Nightly colic, with sleeplessness. Colic in the umbilical region. Lancinating pain in the abdomen, soon after a meal. (a. 29 h.) Cutting colic in the umbilical region, with diuresis and thirst. At times he experiences a sticking colic, at times sticking pains here and there in the body, accompanied with a smarting in the throat, as of pepper.

185. Dull aching pain, as if bruised in the intestines in the pubic region, the whole morning, accompanied with a sensation in the left groin as if inguinal hernia would form, mostly when sitting. Colic around the umbilicus, as of flatulence, without any considerable tightness of the abdomen, (a. 6 h.) Pinching in the abdomen, as in diarrhoea, but without desire for stool, (a. 2 h.) Drawing-aching colic in the evening during a walk. Colic from the back towards the umbilicus.

190. Drawing-pinching colic, followed by flatulence and expulsion of tenacious faeces, which adhere to the rectum considerably. Frequent sensation in the abdomen as if diarrhoea would set in, but without urging ; a sort of laxness and rumbling in the abdomen. Sudden (pinching?) colic early in the morning, in bed, followed immediately by urging ; during the colic he expelled yellow-green papescent fasces, the last portion of which were half composed of mucus ; the urging remained after the evacuation, some mucus being passed yet in consequence ; a bruising sensation in the bowels above the pubic bones, and a qualmish sensation in the pit of the stomach remained, (a, 20 h.)]

Stool p. 245

Unperceived discharge of loose faeces together with the wind. (a. 4, 16 h.) Quick, frequent loose stools (the first hours). Flatulence after dinner, accompanied with unperceived discharge of liquid stool ; afterwards discharge of acrid foeces with tenesmus, (a. 12 h.)

130. Burning at the anus during stool, (a, 12 h.) Obstruction alvi, owing to the hardness and size of the fceces. (a. 3, 14 h.) Urging in the epigastrium ; nevertheless the expulsion of faeces is either difficult or does not take place at all, as if owing to a want of activity of the rectum, which does not seem to participate in the peristaltic movement of the rest of the intestines, (a. 4, 15 h.) Dull colic, on account of the abdomen being distended by wind, as if the bowels were bound, with uneasiness. Suppression of all the secretions.'

135. Diarrhoea with pain, the pain existing during and after stool. Paroxysmal indications of inguinal hernia. Motion as if a hernia would become incarcerated. Stitches when coughing, starting through the abdominal ring along the spermatic cord. (a. 3 h.) Pressing against the anus, with blind haemorrhoids.

140. Blind haemorrhoids, (a. 10 h.)

[Excessive alvine discharges. Frequent and painful diarrhoea.

195. Frequent and violent diarrhoea (immediately). Loose stool. Diarrhoea with profuse sweat. Chilliness and shuddering with the frequent stools.

200. Extreme weakness when going to stool. During stool he turns pale. Diarrhoea, with appetite for food or drink. Violent, bloody diarrhoea.

205. The first portion of the stool is of large size ; the latter consists of thin strings, although they have the proper consistence and color. Constipation on the first day. Costiveness with diuresis. Heat and pain in the head with the costiveness. Chronic constipation.

210. The evacuations are accompanied with a cold, profuse sweat on the forehead. Burning at the anus during stool (smarting pain at the anus).]

Urinary organs p. 245

Burning urine. The scanty urine is yellow and turbid, even while emitting it. (a. 24 h.) Acrid urine. Stitch in the orifice of the urethra, after micturition,

145. Pinching pain in the urethra, between the acts of micturition. Pain in the urethra as if constricted behind the glans, accompanied with ineffectual desire to urinate, the bladder being empty, (a. 24 h.)

' For some days, from too large a dose.

[Painful pressure in the bladder, and burning during micturition. Burning in the forepart of the urethra during micturition, (a. 3 h.)

215. Involuntary micturition. Diuresis, with loud rumbling in the abdomen. Diuresis, with profuse coryza.]

Genital organs p. 246

Soreness of the prepuce. Drawing pain in the testes. Erections.

150. Greater sensitiveness of the genital organs, (a. 12, 15 h.) Reappearance of the menses about new-moon, after having been suppressed a long time. Headache (tearing?) especially in the morning, accompanied with a disposition to vomit, during the menstrual flow, which had delayed six weeks ; the headache abates in the evening.

[Profuse menses.

220. Reappearance of the menses which had been suppressed for many years. The appearance of the menses is preceded by bleeding at the nose. The menses appear too soon, on the thirteenth and ninth days. Pimples on the right labium, before the menses. The menses are preceded by vertigo (toward noon) and sweat (at night).

225. The menses are accompanied by buzzing in the ears, pain in all the limbs and great thirst. Grinding of the teeth, and bluish face, toward the end of the menses.]

Catarrh, larynx, trachea p. 246

Catarrh, (a. 8 h.) Catarrh in the chest, without any real (involuntary) cough ; the viscid mucus has to be hawked up, (a. 8 h.)

155. Scraping in the throat, as in catarrh. Tickling in the lower parts of the bronchial tubes, inducing cough, with slight expectoration, (a. 1, 6 h.) Dry and hacking cough, excited by a titillation in the lowest region of the sternum (immediately). Tickling in the lower part of the bronchial tubes, inducing cough, without expectoration, (a. 24 h.) Oppression of the chest, when coughing.

160. Short breath (a sort of oppression of the chest) when performing the least exercise, even at home ; the cough does not cease until he sits quite still. Spasmodic constriction of the larynx, with contraction of the pupil. Paroxysms of constriction of the larynx, suffocative fits, with protruded eyes. (a. ^ h.) Arrest of breathing. The breathing is almost entirely extinct.

[The exterior of the nose feels dry and hot, as in dry coryza, (a, 6 h,) Strong and frequent sneezing.]

Chest p. 246

165. Spasmodic contraction of the intercostal muscles of the left side, arresting the breathing, (a. 3 h.) Painful constriction of the chest. Cramp-like contractive pain in the left chest, returning periodically (immediately). Many paroxysms of oppression of the chest, and a pain in the side when taking an inspiration, especially in the morning when rising, (a. 5 d.) Clawing pain in the region of the sternum, more after drinking than after eating.

170. Aclmig pain in the region of the sternum after eating or drinking. Pressure in the region of the sternum, (a. 2 h.) Pressure under the last rib, which ends in a stitch, worst during an inspiration, (a. 24 h.) Cutting pain in the chest, (a. 15 h.) Pain under the ribs, especially during an expiration.

175. Several paroxysms of sticking pain in the right chest a day, arresting the breathing. Stinging-beating pain in the left chest, at a small spot. (a. 5 h.) Excessive anguish arresting the breathing. Violent beating of the heart, raising the ribs ; the heart causes the hand to start back without pain. Heaviness of the head in the nape of the neck ; the cervical muscles refuse to support the head.

180. The muscles of the nape of the neck feel paralyzed. Rheumatic stiffness of the nape of the neck, occasioning vertigo, especially during motion. Stinging around the neck and in the outer parts of the chest, as of nettles, abating when gently rubbing the parts with the hand (with redness and rash-like pimples which could only be felt). Pain in the outer parts of the neck, as if the skin were sore. Pain between the scapulae, which becomes dragging when turning.

[Palpitation of the heart, ivith anxiety and hurried,' audible breathing.

230. Oppression of the chest, after a burning in the throat and a gnawing pain in the stomach. Asthma and difficult breathing even when sitting, accompanied with headache. Asthma : he cannot take sufficient breath, on account of the windpipe being closed up with tenacious mucus, (a, 4^ h.) Painful and difficult breathing. Soft pressure on the chest, when standing, and oppression of the chest, (a. 11^ h.)

235. Oppression of the chest, when walking, and pressing in the same, as if too full, arresting the breathing. Suffocative oppression of breathing. Constriction of the throat. Suffocative constriction of the throat.

240. Pulsative pressure in the left chest, in the region of the fourth rib, as with a dull point : when touching the part, it felt sore and as if there were subcutaneous ulceration. Paroxysms of anguish about the heart, which beats very strongly, with a sensation as if it were very warm. (a. 4 h.) Stitches in the right side. Pain in the side, with pains in the region of the stomach. Pain in the region of all the ribs.

245. Pain in the side, in the mammae and thighs. Sharp, slow stitches, near the nipple, itching at last. Pain in the left chest, afterwards in the back. Frequent pain in the chest. Painful pressure in the upper part of the sternum, occurring regularly as beats in music.

250. Griping pain in the right chest. Pain in the chest with dry cough. Pain in the side, and headache, with almost dry cough. Pain in the left side when coughing, with weakness and difficulty of breathing. Three or four turns of a deep, hollow cough in the evening, which seems to proceed from the abdomen.

255. Long turns of hollow cough, with cutting pain in the abdomen, (a. 6 h.) Titillation in the chest, as if cough could set in, in the middle of the sternum, (a. \ and 1 h.) Severe cough in the evening, for three hours, with ptyalism. Hoarse, dry cough at night. Severe, dry cough in the night and morning.

260. Frequent expectoration after a dry cough. Cough with profuse expectoration, blue face and involuntary emission of urine. Burning in the region of the scapulae.]

[Back :

185. During exercise he feels a rheumatic pain between the scapulcc from the nape of the neck to the small of the back ; it is especially violent when going to stool. Violent pressure in the region of the scapulae, as if crushed and bruised. Paralytic and bruising pain in the sacro-lumbar articulation and the knee-joint. Pain in the small of the back when walking on a level, not when sitting (in the morning). Stitch in the small of the back when stooping, continuing a long while.

190. Aching pain in the small of the back when standing.]

[Pain from the scapulae along the whole of the back, with diuresis, thirst and costiveness. Colic in the umbilical region, after pain in the small of the back.

265. When stooping and then rising again, he feels an aching in the back, and as if the back were broken. A painful drawing pressure and a bruising pain is experienced in the spine when walking ; the pain goes off by pressure, (a. 11 h.) Pain in the loins. Pain in the loins and arthritic tearing pains in the lower limbs. Bruising pain in the left side of the small of the back, when stooping or when rising again.

270. Intermittent stitches in the region of the os coccygis, when standing, more itching than stinging.

Upper limbs p. 248

Cutting pain in the top of the shoulder, one cut. Arthritic pain in the deltoid muscles of the upper arms, and in the knee. Paralytic and bruising pain in the arms ; he cannot raise them and keep them raised without pain or effort. Paralytic and bruising pain of the left upper arm, when stretching it.

195. The arms feel cold when raising them. Feeling in the arm as if it were too full and swollen. Pain in the middle of the left forearm, as if the bone were pressed upon. Trembling in the arm when grasping any thing with the hand. Jerking in the right wrist, and further on toward the elbow.

200. (Dry herpes between the thumb and index-finger, on the hand.) Corrosive itching of the inner side of the wrist, (a. 24 h.) Tinging in the hands and fingers. Thing in the hand as if it had gone to sleep. Tingling in the fingers, causing anxiety.

205. The fingers feel dead, and as if gone to sleep, (a. ] h.) The metacarpal bones are painful to the touch, (a. 20 h.) Red, painless blotches on the dorsa of the fingers between the second and third joints, (a. 20 h.) Tensive pain in the middlefinger when moving it. (a. 20 h.) Pain in the joint of the thumb as if sprained.

210. Burning-itching pain in the first joint of the little finger, as if it had been frozen. Painful paralytic weakness in the upper and lower limbs, as from excessive fatigue ; be is scarcely able to drag them.

[Single stitches in the left shoulder-joint, even in rest, (a. 4 h.) Concealed, indescribable pain in the right axilla. Convulsions in either arm. Heavy pain in the middle of the left humerus, moving from above downward, (a. \ h.)

275. Drawing pain in the bend of the elbows, when drawing them up ; sensation as if there were a swelling in the bends, and as if this prevented him from drawing them up; accompanied with a paralytic feeling in the arm, (a. 15 h.)]

Lower limbs p. 249

Difficult walking ; first the right, then the left hip-joint feels paralytic. The thighs and hips feel as if they would break down ; a paralytic pain is experienced in them. Weakness in the thighs and knees.

215. Vacillating gait. Cracking in the region of the knee. Cutting pain in the knee, one cut. (Sticking in the knee and ankle.) (a. 5 d.) Occasional drawing in the knees, when standing, walking and sitting.

220. Tension in the bends of the knees when standing and walking, as if they were too short. Bruising pain in the knees when going down stairs, (a. 4 h.) Painful jerking in the right knee. Visible raising of the knee when silting, once every quarter or half hour, without pain ; she started every time ; it ceased in the evening after lying down. Electric starts, followed by a bruising pain in the knee and elbow.

225. Pains in the feet, especially the knees, as if too weary, as if large stones were tied fast to the parts ; he has to lay them hither and thither to find relief (a. 48 h.) When treading he experiences a pain below the knee, in the hone, as if it had been broken and were not yet firmly united. Painful heaviness of the legs, as if too weary. Pain in the calves and tibiae, as if they would break down. Creeping in the legs as far as the knees ; a painful tingling.

230. Painful heaviness of the legs, as if threatened with paralysis, in the morning. Tearing pain in the tibiae, from above downward. Cramp in the calves. The feet swell rapidly and become thin again in a few hours. Jerkings in the weak foot, when standing, in quick succession, not when walking, (a. 3 d.)

235. Coldness in the feet, as if cold water were flowing about in them, with trembling. Tensive pain in the extensor muscles of the toes, when walking. Burning in the ankle. Sticking pains in the big toe. (a. 5 h.) Return of gout.

240. Burning itching in the left heel, deep-seated, (a. 2 h.)

[Cramp-like drawing in the glutei muscles, when standing. Visible pulsative jerking of the vastus extcrnus, when sitting or standing ; the muscle rose and descended again, regularly as the pulse ; painless, and returning immediately after walking, (a. 9 h.) Rheumatic drawing pain in the muscles of the thigh, when standing, (a. 3 h.) Cramp-like painful pressure in the thigh or calf when bearing on that foot, less while standing, (a. 3| h.)

280. Pain in the thighs, when sitting, as if broken, (a. 8 h.) Cramp-like drawing pain in the right thigh, when standing, commencing in the bend of the knee. (a. 12 h.) Cold smarting sensation in the outer parts of the kneejoint. Burning of the tibiae, in the evening, as if they had been exposed to a severely cold temperature, (a. 14 h.) Bitingitching and creeping sensation in the calf, when standing, (a. 4 h.)

285. Painful drawing transversely through the tarsal joints, when sitting, (a. 1^ h.) Pain of the tarsal joints, when walking, as if sprained, after previously stretching the feet backward while sitting, so as to rest them on the dorsa of the toes. (a. 15 h.) Short-lasting, sticking pains in the toes of the right foot, when standing, for two hours, (a. 14 h.) Violent stitch in the corn of the left foot, when sitting, (a. 14 h.) Sore pain in the corn, when standing on tip-toe. (a. 15 h.)]

General symptoms p. 250

Corrosive itching in the skin. (a. 12 h.) Cutaneous eruptions, resembling itch. Clusters of painful pimples, here and there. Rash ; itching also in daytime when one is warm (only in the joints?); the places burn after scratching them, and blotches made their appearance, as if occasioned by nettles.

245. Itching in the bones. Pain in the muscular parts of the body, composed of pressure and a bruised feeling. Sensation in the bones as if bruised, (a. 2 h.) Shootings in the body, here and there. Drawing pain in the limbs.

250. Drawing pain in the limbs during a rapid walk, disappearing when continuing to walk. Tearing pain 4\\ the extensor muscles when sitting. (Pain in the limbs upon which one rests, as if the couch were hard as stone.) Pressure in the region of the ankle, as if it were touched and pressed immediately, momentarily, (a. 8 d.) Stiffness of the limbs, especially in the forenoon and afternoon.

255. The limbs go to sleep. Pain in all the limbs as if exhausted by too great fatigue.

[290. When walking, his feet and knees feel heavy and awkward. His arms and feet always feel as if gone to sleep, also when lying down. (a. 8 h.) Heat and tingling in the whole body as far as the tips of the fingers and toes. Itching of the arms and feet as if an eruption would break out, but without redness, (a 2 h.) Scaling off of the epidermis.

295. Burning sensation. Stretching of the limbs. Cramp-like drawing above the joints, in the limbs, from above upward, during motion, (a. 10, 12 h.) Convulsions in the limbs and profuse sweat ; afterwards headache, vertigo, and a good deal of drinking.]

Weakness, fits p. 251

Chronic weakness. The open air affects him like one who is just recovering from a severe illness. Sweats easily during motion.

260. Feels weak, as if the air had been too hot. Fainting fit. Slow motion of the body. Relaxation of the muscles. Excessive weakness.^

265. He falls down from weakness. Paralytic failing of strength. Sudden failing of strength, inducing sleep, in the forenoon. Debility in all the limbs. Inclines to lie down.

270. Sleepy weakness in the morning, preventing him from rising.

[Spasms, convulsions.^

300. Epileptic convulsions. Trembling in all the limbs, horrid anguish about the heart, and disposition to faint. Weakness all over, as after a long walk. (a. 2 h.) Debility of the whole body, especially of the arms and hands ; he was not able to lift up even a book. He is liable to rise for eight hours ; has either to sit or to lie down ; when rising he is tormented by a horrid anguish, the forehead being covered with a cold sweat, and a nausea unto vomiting befalling him. (a. 3 h.)

305. The debility continued when lying down, but all the other symptoms ceased ; they came on again when rising ; they ceased likewise when sitting, but the headache ren)ained. Excessive weakness. He apprehends a swoon. Fainting. Apoplexy.

310. The pulse collapses, almost. Imperceptible pulse. There is the usual number of pulsations, but the pulse is weak and almost imperceptible, (a. 8h.)]

Sleep p. 252

Coma vigil. Coma vigil : one eye is open, the other is closed half or entirely, and he frequently starts as in affright, (a. ^ h.) Anxiety after going to bed, until midnight ; coma vigil, with drawing movements in the abdomen, causing a humming in the head.) Drowsiness, with starting as in affright, preventing sleep ; afterwards febrile paroxysms.

275. Sweat all over, in the evening, when he wants to go to sleep. Sweat in the morning, especially in the face ; also in the daytime his face inclines to sweat. Heat and sweat, in the evening when in bed, but more heat. While sleeping he stretches his arms above his head (the first hours). Moaning during sleep. — 2S0. Vivid and anxious dreams about robbers; he woke as in affright, and imagined still that the dream was true. He dreams that he is chased violently.

[Yawning and stretching after the siesta. Yawning, which was frequently so violent that it occasioned a roaring in the ears.

315. Repeated yawning and stretching, with weakness and a bruised feeling in all the limbs, as if he had not slept enough (in the morning). General debility, as if he had not slept enough ; his mind was otherwise bright (in the morning). His mind was so lively for two evenings in succession that he was unable to go to sleep before midnight ; accompanied with an intolerable feeling of heat, in the bed (he tried to uncover himself), with restless tossing about. Long, uninterrupted sleep.

320. Sleeps for three days, even during his epileptic fits.' Quiet sleep, with thirst and diuresis. He fell asleep on his chair, with half consciousness. His sleep is disturbed with anguish and emotion ; he complains that the blood in all his veins, especially about the head, is burning, that a spasm arises from the chest towards the throat, with great heat of the head and hands ; heat and anguish disappeared in the open air, and were followed by frequent yawning. Indistinct dreams ; he wakes unusually early in the morning.

325. Frightful dreams, followed by vomiting of tenacious, green mucus. Frightful, anxious dreams at night, for instance, that he was bit by a dog and was not able to escape. Quarrelsome dreams.]

Fever p. 252

Yawning. (He wakes in the night with a good deal of chilly trembling in the right arm.)

285. Febrile motions. The pulse is very slow and almost collapsed, (a. 4 and several hours.) Shuddering, cold thrills in the skin, for instance, of the face. (a. 2 h.) Cold sweat. Coldness of the whole body.

290. Fever returning for several days, some-

' In the case of an epileptic patient. times for a long time.' quotidian fever, before midnight. Heat, and redness in the face in the evening (and shuddering over the whole body) ; also in the morning, when in bed, the face feels hot. Heat in the sinciput and forehead, going over first into a warm, afterwards a continuous cold sweat on the forehead. Redness and heat of the face, with slight chills.

295. Heat and redness in the face and heat in the hands, with an unsolicitous mood, which makes him heed only the nearest things, and a tendency to start, (a. 1 h.)

[The whole body feels cold to him and others, (a. 11 minutes.)

330. Coldness over the whole body, soon after taking the medicine. Internal cold thrill from the head to the toes of either foot with thirst (immediately after taking the medicine). Chilliness over the whole body. Chilliness and shuddering early in the morning. Constant chills in the back and over the arms.

335. Chilliness and shuddering the whole day, with drawing pain in the outer parts of the neck and in the back. Chilliness in the limbs, acid a drawing pain in the same. Chill early in the morning after rising, while dressing. Occasional alternation of chilliness and heat, accompanied with vertigo, constant anxiety and disposition to vomit. Sudden alternation of complete paleness of the face, and heat and redness.

340. Chill in the morning, and coldness with thirst, for half an hour, without any subsequent heat, with weakness in the limbs, especially the thighs, (a. 24 h.) A dood deal of desire for cold drinks (immediately). Much thirst, in the afternoon and evening. Heat and glow, and redness of the cheeks, with contracted pupils and cold feet. (a. 10 h.) Internal heat ; nevertheless he does not want to drink.

345. Heat and sweat all over, without thirst, pale face. (a. 2 h.) Heat in the back, as if sweat would break out, in the evening, during a slow walk in the open air. Sweat of the hands. Profuse sweat all over, toward morning. Sweat having a bitter smell toward morning.

350. Cold sweat. As soon as he rises from his seat, a cold sweat breaks out on his forehead. Cold sweat all over. Cold sweat all over the head and trunk. Sour sweat.

355. Sweat with burning in the skin. Longlasting night-sweat. Profuse, continuous sweat, during a long sleep. Profuse sweat, with thirst and good appetite.

360. Sweat with excessive thirst.]

Moral symptoms p. 253

Silence. He does not talk, except when irritated, and then he scolds. He gets vexed when pro-

' I have observed it sometimes in the evening, sometimes in the morning. voked. (a. 4 h.) He hunts up other people's weak sides, and reproaches those persons with those weak sides.

300. Desire to work. Anxious uneasiness to be busy. Activity and mobility of the hmbs, the pains and emotions diminishing. Excessive sensitiveness ; increase of the mental powers. He is extremely lively, eccentric, wild.

305. Tremor of the whole body. Fear. Despair. Melancholia, and chilliness as if cold water were poured over him, accompanied with frequent desire to vomit. Sadness, despondency, grief, with involuntary weeping and disposition to lay down his head.

310. She is disconsolate about her imaginary misfortune ; she runs about the room howling and screaming, her looks turned to the floor, or she sits in a corner absorbed in reverie, moaning, weeping and lamenting ; worst in the evening ; sleeps only until two oclock. He moans and is beside himself, he cannot restrain himself (a. 2, 3 h.) Anxiety, as if he had committed an evil deed. Anxiety, as if he apprehended some misfortune. Sensation in his whole frame as if he were going to his end ; however he is composed.

315. Soft grief, until he sheds tears, (a. 21 h.)

[Anxiety. Anxiety and vertigo. Excessive anguish in the evening and after dinner. Great anguish, the whole night.

365. Great anguish, early in the morning. Slight delirium. He is very noisy, wants to escape, and can scarcely be held back. He curses and swears the whole night, and complains of a stupid feeling in the head, with headache and ptyalism. Stamps with his feet (with want of appetite).

370. Continuous rage, with great heat of the body. Rage : he tears his clothes and does not talk. He bites his shoes to pieces, and eats them. He eats his own faeces. He does not know his relatives.

375. Insanity : he says he is a hunter. He pretends to be a prince, and demeans himself with pride. He pretends he is deaf, and blind, and has cancer. She pretends to be in labor. She boasts of being pregnant.

380. She says she will soon be confined. She kisses any body, previous to the appearance of the menses. Bright redness and heat of the face, with constant laughing. Alternation of laughing and moaning. He sings and whistles joyfully, in the night.

385. She clacks with her hands over her head and sings ; accompanied with cough and tenacious mucus in the chest. Frequent paroxyms ; she runs about in the room until she falls down. She screams and runs about, with a dark-blue face. Uneasiness of mind, oppression and anxiety. Anxiety, screaming and running about.

390. Screaming and running about, with paleness of countenance and timorousness. Timorousness terminating in frequent eructations. Tendency to start and timorousness. Loquacity. Taciturnity : he dreads to talk ; talking is very hard for him ; he speaks with a low and feeble voice.

395. Cannot bear being spoken to. Every little thing irritates him. (a. 1 h.) Vexed at the least trifle, accompanied with palpitation of the heart, and hurried, audible breathing. Cheerfulness, sagacity. His head feels bright, when he is busy : but when he has nothing to do, he feels stupid and is taciturn, (a. 2, 15 h.)

400. Eager to work, with restlessness ; he attempts a great many things, but he gets tired of a thing as soon as begun ; he does not accomplish any thing. A sort of indifference the whole day ; he frequently rubbed his forehead, in order to clear up his mind.

Inasmuch as not all the numbers of the work of Drs. Noack and Trinks are out, we subjoin the following clinical remarks on Opium and Pulsatilla in the shape of an appendix.

According to Noack and Trinks, Opium is useful for morbid conditions from the excessive use of spirituous drinks. Consequences of fright and chagrin. Morbid conditions, occasioned by catching cold while the body was heated. Hydrargyrosis. Lead-intoxication. Diminished sensibility, and irritability. Want of reaction against given drugs. Excessive sensitiveness to external impressions. Neuralgia of the brain and nerves. Starting of the body after great surgical operations. Convulsions with sopor, after concussion of the spinal marrow. Convulsions with spasmodic or rattling breathing, coldness of the face and body. Tetanus. Epilepsy. Coma. Sopor, with bright-red, bloated countenance, eyes half-open, lower jaw hanging down. Sleeplessness from excessive liveliness. Intermittent fevers with coma. The febris Werlhoffii, becoming fatal in the second or third attack. Nervous fever. Typhus cerebralis. Ecstasy. Frightful visions. Delirium tremens potatorum. Sanguineous cerebral apoplexy. Nervous cerebral apoplexy. Paralysis. Acute hydrocephalus with sopor. Nervous headache with violent congestion of blood to the head. Cerebral affections from coup de soleil. Obscuration of the crystalline lens. Mercurial ptyalism. Cataract. Feculent vomiting in miserere. Colic plumbae. Neuralgia cocliaca. Tympanitis: Miserere. Vomiting faeces and urine. Incarcerated hernia with vomiting of fgeces and urine. Paralysis of the intestinal canal. Constipation. Dysuria. Excessive sexual desire. Suppression of the menses. Metrorrhagia during pregnancy. Weak, false, spasmodic labor-pains. Eclampsia parturientium. Fatiguing cough, followed by yawning. Dry cough, excited by a constant titillation in the trachea. Suffocative catarrh, with rattling, unequal, suffocative breathing. Suffocative condition in a case of pneumonia. Paralysis of the lungs. Spasmodic asthma. Neurocarditis with great mental irritation, tremor of the heart and double-beat of the heart, anxiety, and oppression. Stenocardia. Valuable palliative in organic affections of the heart.

Pulsatilla is especially adapted to the cure of subacute affections, especially with the catarrhal-rheumatic and gastric character and remitting type; morbid conditions of the mucous, serous and fibrous tissues, with profuse secretions of the venous system, with irritable weakness of the cerebral and splanchnic nerves, morbid conditions during the period of evolution and involution in the life of females, during pregnancy and confinement. It is moreover suitable as a curative agent to persons with a phlegmatic-melancholy temperament, lymphatic constitution, pale face, blue eyes, blond hair, timid, weeping disposition, inclining to internal grief and chagrin, mild, yielding, sometimes ght and goodnaturedly malicious ; in females it is especially indicated, when the catamenia delay beyond the regular period. Pulsatilla is particularly indicated in affections characterized by chilliness and absence of thirst, with evening-exacerbation (which takes place in most of the catarrhal-rheumatic affections), and when the patient falls asleep very late. Pulsatilla will be found an adequate remedy in the following affections : Acute and chronic rheumatisms, acute and chronic gout, St. Vitus' dance, the lower degrees of chlorosis. Affections of the venous system, of the veins, and the venous capillaries. Affections of the mucous and serous membranes, with increased secretion. Dropsical accumulations in the thoracic cavity and in the abdominal cavity, under the skin. Varicella. Measles, rubeola. Erysipelas phlegmonous. Old ulcers. Internal suppuration. Chilblains. Somnolence. Sleeplessness. Intermittent fever, with quotidian, tertian, quartan type, with violent chilliness, slight heat, and absence of thirst. Mental affections, characterized by depression, especially when accompanied with sexual disturbances. Vertigo. Nervous, gastric, catarrhal and rheumatic headache. Catarrhal and rheumatic scrofulous inflammation of the eyelids and eye. Hordeolum. Obscuration of the cornea. Cataract. Amaurosis. Hemeralopia. Diplopia. Inflammation of the meatus auditorius externus. Otalgia. OtorrhcEa. Catarrhal and nervous deafness. Rheumatic face and toothache. Epistaxis. Angina catarrhalis. Gastric, bilious, and pituitous conditions, with and without fever. Indigestions. Saburral derangements. Spasms of the stomach and abdomen. Affections of the liver and spleen. Plethora abdominalis venosa. Mucous diarrhoea. Dysentery. Mucous haemorrhoids. Affections of the kidneys. Catarrh of the bladder. Ischury and dysury. Incontinentia urinae in children and pregnant females and lying-in females. Prostatitis acute and chronica. Gonorrhoea. Inflammation of the testes. Hydrocele. Varicocele? Amenorrhoea. Dysmenorrhoea. Menstrual colic. Delaying and too scanty menses. Metrorrhagia, with venous character. Ailments during pregnancy and confinement. Absence of labor-pains. Long-continuing and painful after-pains. Suppression of the lochia. Metritis. Febris puerperalis. Suppression and deficiency of the secretion of milk. Leucorrhcea. Fluent catarrh. Laryngeal and bronchial catarrh, with and without profuse secretion of mucus. Haemoptysis. Phthisis pituitora and purulent. Whoopingcough. Affections of the right ventricle. Ischias. Perniones.

Notes p. 241

VOL. IV. 17

* The vomiting was appeased by drinking cold milk, but the patient was attacked with excessive chilliness in bed. ' Which seemed to yield to iron. ^ The general spasms of Veratrum seem to set in shortly before death, and seem to be a secondary symptom, indicating an inability on the part of the organism to react.

18