Angustura

Galipea cusp aria, (CT. S. D.). Rutacece.

A bark from Angustura, South America, said to come from Galipea officinalis (Hancock), or Bonplandii trifoliata (Bonplandii and Humboldt), but according to Schomburgk the tree is not known.

Proved by Hahnemann and introduced on account of the horrible poisoning cases which filled the journals from 1804 to 1815. He published it in 1821, in Part VI. of his Mat. Med. His own symptoms, 93 in number; those of his pupils, 209.

A British wholesale druggist had sent a lot of unsaleable bark, coming from the East Indies, to Holland, and from Holland it went all over Germany, under the name of Angustura, a bark which had come into fashion for fever and diarrhoea until so many were killed by it that the sale of it was forbidden. It was then found that there were two kinds of the bark in trade, the one the vera the other a falsa.

Chemistry showed that the one called /asa contained strychnine. In our toxicologies we find eleven cases of poisoning with it. Hahnemann held the erroneous opinion, which he subsequently modified (Mat. Med. Pura, 2d edit., 1827), that the poisonings were due to the massive doses given the sick, and he did not include the symptoms of Angustura falsa, as did Boenninghausen some time later.

In the last number of his Archives, 1848, Staph published valuable observations of Dr. Schroeder on a sensitive woman, with the 30th centes., in water ; a table-spoonful daily for sixteen consecutive days. Lembke made a proving in 1872. All are contained in Allen's Encyclopedia. For symptoms of Angustura falsa, see Nucis vomicae cortex (erroneously called Brucea antidysenterica.)

Mind

││ Disheartened.

No confidence in the use of the voluntary muscles ; could not finish what he attempted.

Ill-humored, oversensitive to jokes, slight offences fill him with bitterness.

▌ The slightest offence, a mere trifle, irritates, θ Caries.

Pusillanimity.

Great gloom, θ Threatening paralysis of lower limbs.

Lively, in the afternoon.

Thinks about one project and nothing else, with great activity of mind.

A kind of waking dream in the afternoon.

Kind of absence of mind, wants now this then that thing.

Anxiety with outward pressing in abdomen, and outward cutting in chest, worse in bed, at night.

Easily frightened and starts.

Sensorium p. 286

Vertigo when crossing a running stream.

Vertigo as if he was turned backward and around ; periodical

Vertigo from the occiput forward, with pulsating in temples.

Heaviness in head with dizziness.

When pressing the head on the pillow, benumbing dizziness.

Inner Head p. 286

▌ Megrim.

▌ Pressure in both temples, as if about to faint.

Pressure in forehead with heat in face.

Headache in evening until falling asleep.

Outer Head p. 286

' l Drawing of head to the r. side, later to the left.

Could not turn the head.

Tensive pain in temporal muscles, when opening the jaws.

Pains in bones of head.

Nerves p. 286

Dimness before the eyes from obscuration of the cornea, in the morning.

▌ Shortsightedness.

Reading makes dizzy, sleepy, and causes quivering between the brows.

Dull aching over the eyes while riding (improved by Coffea).

Nerves p. 286

Hearing more acute.

Sensation as of something sticking in ear.

Pains now in the right then in left ear.

Burning in region of the tympanum.

Heat in ears and both cheeks ; in lobe of ear.

Cramp in external ear.

Behind the ears a throbbing as from the large artery.

Tearing pain in an abscess over the right mastoid process.

^ Nose. Inner nose ulcerated.

* Face. Tension in muscles of face.

Drawing in facial muscles.

Crawls over the face after stool.

Heat of forehead, during the night.

Sweat on forehead, in the morning.

││ Heat in face with headache ; heat in forehead at night.

Cold cheek while the body is warm.

Feels heat in both cheeks and ears without external warmth.

The red cheeks turn cold.

▌ Acute pains in both cheeks, occasionally darting through eyeballs and temples, <C stooping, stepping, or by mental excitement ; debility, depression of spirits, frequent chilly sensations and occasional attacks of nausea and looseness of bowels.

Lower Face p. 286

▌▌ Exostosis of lower jaw.

▌ Trismus neonatorum in cases where much mercury had been given.

Tensive pain in temporal muscles, when opening the jaws.

Pain in masseter muscles as if one had fatigued them by chewing too much.

Cramp-like pain near the articulation of the jaw, in the mast-

│ castor muscles, especially when at rest ; the pain is diminished by opening or closing the jaws.

Lips dry and warm.

Teeth p. 287

Drawing in upper teeth palliated by a cold finger.

Tongue p. 287

Stitches in tip of tongue, very painful even without moving the tongue.

Burning like from pepper near the left edge of the tongue.

Ton2;ue white, feels rough.

Bitter taste after dinner, from smoking.

Foul or flat taste in mouth.

Dry tongue, at night.

Inner Mouth p. 287

Dry, without thirst.

Tough, foul mucus in mouth during evening sleep ; could not drink enough.

Saliva runs out of mouth.

Spits an acidulated saltish fluid,

Palate and Throat p. 287

Roughness and dryness on palate and in fauces without thirst, worse when swallowing. '

Appetite p. 287

Aversion to solid food, desires nothing but warm drink.

││ Thirst without desire to drink.

▌ Irresistible desire to drink coffee. θ Caries.

││ Aversion to meat, especially pork.

Thirst for cold water, could not drink enough during the evening. See 12 and 40.

Wants now one thing, now another, which are refused when offered.

He cannot get satisfied, without having much appetite.

Relations p. 287

Crawls and uncomfortable feeling before a meal.

On commencing to eat, a cutting pain in stomach like a sore, disappears while eating.

▌ Cutting and stitches in belly after taking warm milk.

Nausea while eating.

After dinner : bitter taste and belching ; cutting tearing in pit of stomach; increases when moving the trunk.

Heat in face after supper.

After drinking warm milk. See 19.

Hiccough, Belching, Nausea and Vomiting p. 287

Empty or bitter belching.

Hiccough after cough.

Nausea in morning with gulping up of a watery fluid.

Nausea while walking out-doors, with faintness and great weakness ; the nausea seemed to rise up into the head, and he got hungry.

Incomplete eructation with a full feeling in the chest.

Stomach p. 287

Painful tension in pit of stomach and abdomen.

A contraction from region of stomach up to r. shoulder.

After siesta, hollow and empty feeling in stomach, with rising of tasteless water.

Cutting pains. See 15.

Spasmodic pinching below scrobiculum in evening while sitting.

Dyspepsia. See 29.

▌ Gastric derangements, indicated by acidity, coated tongue, pappy, unpleasant taste and loss of appetite.

Hypochondria p. 288

Sensation as if something was too short in r. hypochondrium, contracting pressure.

Cutting under short ribs in r. side when moving the trunk.

Fleeting dull stitches in left side, shaking him to and fro.

Sensation as if " asleep " in left hypochondrium.

Abdomen p. 288

Very loud rumbling ; in abdominal complaints.

▌ Distension of belly. θ Arthritis.

▌ Cutting in abdomen, with diarrhoea.

▌ Indescribable pain extending in a line from the navel up to the scrobiculum and into the sternum. 6* After inflammation of bowels.

Dull stitches near the navel.

Stitches»followed by drawing.

Pressure and cutting from within outward.

││ Feeling as if diarrhoea would set in.

Throbbing over left groin.

Right side of abdomen and lower limbs as if beaten, and in walking breaking down from rheumatic pains.

Cutting across the os pubis, with a pressure toward the rectum ; cutting and rumbling after drinking warm milk.

Spasmodic pressure while sitting as if something was boring outwards ; periodic throbbing and contracting. See 23.

A drawing crampy sensation in the pelvis when walking.

Cramp-like pain on crest of ilium, towards the spine.

Dull stitches at short intervals on the left os innominatum, behind the hip-joint, increased with every motion.

Stool p. 288

Diarrhoea, day and night.

▌ Whitish discharges; very copious thin stools.

Shivering passing over the face, with goose-flesh, after every stool.

▌ Cured whole families of diarrhoea preceded by cutting in abdomen and nausea in the morning, θ Summer complaint,

││ Diarrhoea consisting of nothing but stools of slime.

││ Insufficient stool.

Offensive flatus.

▌ Chronic diarrhoea, with debility and loss of flesh.

▌ Costiveness.

Urging in rectum, with crawls over the face.

Pressing, I I contracting, tickling in rectum and anus.

With hard knotty stool, hemorrhoidal tumors come out with increased contracting pain, lessened by applications of wet cloths.

Urine p. 289

Frequent scanty urination.

Urine frequent, copious and clear ; after it urging.

Urine becomes black.

While urinating the pimples on vagina burn.

Male Sexual Organs p. 289

Seminal emissions two nights in succession.

Voluptuous itching of tip of glans, which forces one to rub, when walking in open air.

Violent itching on male organs.

Drawing and jerking in left testicle and cord, with a crawl in the scrotum and thigh.

Itching on scrotum.

Stitches on the foreskin.

Female Sexual Organs p. 289

Pressure in r. ovary.

Occasional sensation as if the uterus was swelling.

Sensation as if the uterus was falling over.

Dull motions as if the uterus was beating against the r. ovary, and in the r. hip.

A kind of emission in the morning sleep; afterwards vexatious.

Burning in all the sexual parts.

Periodic throbbing and contraction above the mons veneris, with a transient irritation in the parts and a contraction seemingly in the ligaments.

Uterus came down the vagina in the morning after rising, with quickly following stitches, relieved by cold washing.

A milk-like fluid passes from the vagina.

Yellow discharge a day before the catamenia.

Delayed catamenia.

Several nights before catamenia, very restless ; one leg on which the other was resting fell asleep, and the little finger was as if dead, waking her after midnight.

On the morning of her catamenia all her former symptoms appeared ; sacrum as if lame, could hardly move or stoop.

Unpleasant tickling in the genitals, has to scratch; after some blood appears it passes over.

Instead of catamenia, itching pustules appear on the left outer labium, burning when urinating ; on the inner labium some larger pustules, itching when touched.

Voice and Larynx. Trachea and Bronchia p. 289

Voice louder and stronger.

Hoarseness from mucus in trachea.

A slight stitch in the epiglottis.

Tickling irritation first in upper part of larynx, makes him cough, later lower down.

Respiration p. 289

Chest feels very light, as if expiring with more ease.

Difficulty in breathing, with headache.

Intermitting spasmodic breathing.

Leaving, breathing, groaning and closing eyes.

││ With every inhalation, a sharp cutting pressure.

││ Oppression when walking fast, followed by backache and uterine symptoms.

Hiccoughing, pressing, cutting or shooting in chest, worse with inhalation.

Cough p. 290

Dry cough, with scraping and rattling of mucus in chest.

▌ Every afternoon, 3 oclock, loose cough; in a very old woman.

▌ Whooping-cough.

▌ Cough with belching.

││ A dry, hacking cough from a scratching in throat or from an irritation in windpipe or behind sternum ; later a copious yellow expectoration.

^^ luuer Chest and Lungs. Cramp in chest as if one had suddenly taken a violent cold.

Cutting pressure in both sides of chest, first only during inspiration ; afterward changed to cutting thrusts, which continue even on holding the breath.

▌ Pressure in upper part of chest, like after violent running.

▌ Constriction of the lungs.

Contracting pressure on chest, on the ribs above hypochondria.

Pressure on chest when lying on belly.

Constriction of chest increased by the slightest motion, on going up stairs, to a spasmodic asthma, with anxious palpitation.

Chest complaints with headache.

Irritation from behind sternum felt through to back, as if the whole right side of chest and belly were pressed together front and back, with a sharp cutting all along the sternum, in the spine, worse from inhalation and moving the body.

Heart, Pulse and Circulation p. 290

Violent beating of the heart with oppression after going up stairs.

Violent palpitation in the evening when lying on the left side, in bed, better when sitting up.

Violent palpitation when sitting bent over, with a painful sensation as if the heart were constricted.

▌ Sudden attack as if the heart was swollen, with great fear of dying, better lying on left side, θ Dyspepsia.

A pushing pain like a concussion in region of heart.

Pulse accelerated, spasmodic, irregular at times, intermitting.

Outer Chest p. 290

Painful spasm in pectoral muscles.

Painful sensitiveness of the chest, even to the slightest touch.

A spasmodic sensation like that where the chest is attacked after sudden exposure to extreme cold.

Burning pressure on the sternum.

Cutting in sternum, stitches.

Pectoral muscles ache when she moves in bed, and when crossing arms.

Sharp stinging itching on last rib, r. side.

Pain in r. side of chest when lifting the arm.

Neck and Back p. 291

││ Drawing in the neck.

▌ Sensation of tremulousness and uneasiness in muscles of neck.

Painful stiffness in neck, and between shoulder-blades.

Twitching and jerking along the back, like electric shocks.

Burning in the neck.

Quivering in the muscles of the neck, left side.

A tension in front of throat, right side, with sharp stitches.

Dull stitches between left acromion and between the shoulderblades, near the spine.

Right side of spine, a stitch going deep in the chest.

Contracting pain under the shoulder-joint.

Cutting in the spine, in vertebrae, as if beaten violently all along the back.

Stiff pain like drawing between scapulae and nape of neck, early in morning when in bed ; when rising she was unable to move her arms on account of the pain, nor was she able to turn her neck the whole forenoon ; several mornings in succession, lasting till noon, with weakness of the whole body.

▌ Pain in cervical vertebrae as if dislocated, when lifting the arm.

▌ Much pain in spine, at nape of neck and sacrum especially, worse on pressure.

Pressure in sacrum all night, wakens her. See 38.

Small of back feels lame, cannot stoop.

Stitches between and near the sacrum while sitting.

Dull guggling in the sacral bone.

As if beaten in small of back, laterally, while sitting.

Upper Limbs p. 291

Pressing cutting in axilla.

Cramp-like drawing down the arm to the fingers.

▌ After great exertion in posing for an artist, in a difficult position with uplifted and stretched arms, a weakness in the arms, disabling him for any work ; complained of a stiffness in elbow-joints and lamy heaviness of the arms.

Cannot lift up the arm on account of a tension in the muscles, near the axilla.

Sensation in bones of upper arm as if beaten ; rending in the bone.

││ Heaviness in arm ; left arm in walking presses on bend of

. elbow as if drawing down the arm ; when stretching the arm, lameness, as after holding a heavy load.

Painless, quick throbbing and pricking or quivering in upper part of shoulder.

││ Stinging in the right shoulder-joint, with swelling of r. side of throat, cannot turn the head, followed by transient warmth through the r. arm.

Stiffness in elbow-joint, with weakness of the lower arm ; pain in elbow on moving the arm ; pain in the elbow-joint, as after a concussion, increased when moving the arms and when resting on it.

Cramp-like drawing in forearm and hand.

Stitches from hand up to elbow.

Heaviness of hands.

Hands swollen, cannot close them.

Sore pain in first knuckles.

In the right wrist, sprained feeling and deep stitches.

In back of hand, rheumatic pressing and dull stitches.

Joint of thumb as if sprained, when bending it.

Pressing in the ball of left thumb.

Drawing tearing or numbness in fingers.

Fingers of r. hand cold.

Lower Limbs p. 292

Sudden heaviness and weakness in lower limbs, cannot walk quickly, the limbs feel stiff.

Pressing, tearing, stinging in lower limbs.

Tearing in thigh on bending the knee.

Heaviness in feet.

Cramps in feet, ▌< in rest.

Pain on the inner side of the ankle, when walking, causing limping.

Pressing pain in heels.

▌ Threatening paralysis of legs with trembling of the feet. θ Arthritis.

▌▌ Pains in the knees.

▌ Nodes on the legs and feet.

▌ Spavin with horses.

Hip-joint as if unarticulated, can hardly walk.

Frequently in the hip a cramp-like pain when moving, as if stiff or dislocated.

Constriction in r. hip.

In both hip-joints, deep in the tendons, a pressing drawing pain when rising from seat.

Boring laming pain along the ischiatic nerve on the posterior part of the thigh.

││ Exceedingly painful stitches in thigh and crest of ilium, only when sitting.

Muscles of the thigh as if lame ; when moving, a painful tension.

Tearing as if in the bones, < in rest.

When stretching, a pressing tension in the anterior muscles of the thigh.

Limbs in General p. 293

Drawing in limbs, with soreness.

Gets stiff after sitting a while.

Cracking in all the joints.

Rest. Position. Motion p. 293

Nausea when walking, as if she would faint ; she has to sit down.

▌ Great difficulty in walking, with threatening paralysis of legs.

▌ Very much disposed to stretch his limbs.

In rest : cramp in muscles of jaw, tearing in arms, pinching in loins, tearing in thighs, cramp in front part of the foot.

After lying down : cutting stitches in ribs.

Lying on the side : painful ; left side falls asleep ; prickling in calves.

Lying in bed : anxiety. See 37.

Lying on belly : contractive pressure in chest.

Lying on left side : palpitation worse ; swollen sensation of heart better.

Sitting bent over : violent palpitation.

Sitting : vertigo from occiput to forehead heaviness in head ; cramp below pit of stomach ; cutting across the pubes ; palpitation of heart better ; stitches on breast bone, below and near the sacrum, startling stitches in thighs and hip-bone ; pressing on shin ; dull drawing in r. foot-joint ; burning heat on r. ankle ; cramps in sole of foot ; tearing in sole ; stiffness ; falling asleep.

Pains in face, temple and eyeballs ▌<.

Stooping : pain in face, temple and ankle ▌< ; soreness in forehead ; palpitation ; pressing in left brain.

Moving the trunk : tearing in pit of stomach ; cutting under short ribs ; pressure over the whole side, chest and abdomen.

After rising : prolapsus uteri in morning.

Stepping : makes pain in face, temple and eyeballs worse ; pain in sacrum and lower foot.

Walking fast : contraction in head and chest ; backache ; cramp ; legs feel stiff.

While walking : head is drawn to the right ; pains in bladder and pelvis ; left arm heavy ; the whole side rheumatic, thighs, knee, shin, foot ; itching of glans penis.

Walking over running water : vertigo.

When moving: stitch in back; hips as if out of joint; tension in front of r. thigh.

Motion : changes constriction in chest to spasmodic asthma ; in bed, aching of pectoral muscles.

Ascending stairs : spasmodic asthma following constriction in chest ; palpitation.

Lifting arm : pain in right side of chest ; pain in cervical vertebrae.

Nerves p. 294

▌ Cured tetanus in a horse ; given because the animal showed a spasmodic twitching.

▌ Rheumatic and paralytic complaints. θ Paralysis.

▌ Great irritability and morbid liveliness.

Great loss of power, as if the marrow in the bones were stiff.

HVery much fatigued, most in thighs.

Weariness with stiffness between shoulders.

Sleep p. 294

││ Attacks of gaping with cramps in the jaws, and apprehensive about it.

A backward drawing of head, better after gaping.

Sudden attacks of anxiety at night.

Heat, mostly in the face at 3 A.M., disturbing sleep, followed by chilliness.

Falls asleep Avhen reading.

While lying in bed, anxiety as if she never would get awake again.

Restless sleep, wakens often ; many dreams.

Time p. 294

At night: tongue dry ; pain between shoulder-blades; sacrum as if beaten ; heat, sweat and thirst.

All night : pressing in sacrum as if broken, awakens her ;

││ worse at 4 a.m.; getting up lessens it.

After midnight: numbness of leg and finger awakens her. See 23.

Cannot sleep after 3 oclock, heat prevents it.

In the morning : in bed, heat on head ; stiff between shoulders ; crawling in feet ; pressing in foot ; I I chill.

After rising : uncomfortable ; thirsty ; bellyache; stiff neck.

When getting up : uterus sinking down in the vagina.

In the morning : misty before the eyes, tension in them ; lids agglutinated, I I looseness after bellyache.

Morning : nausea, gulping up watery fluid ; cutting in abdomen.

Forenoon : stiff neck ; backache ; chill over the back.

Afternoon : excitement ; burning in eyes ; milky leucorrhoea ; cough ; at 3 oclock, crawls followed by warmth.

Evening: vertigo; I I headache; heat in head ; pain in eyes; toothache; pain in chest ; very sleepy ; I I hot.

Evening : mouth foul, etc., with thirst ; pinching below scrobiculum.

Evening in bed : itching.

││ Palpitation in the evening in bed.

Day and night: diarrhoea.

Temperature and Weather p. 294

Cold finger lessens toothache.

Cold applications lessen pain in hemorrhoids.

Cold washing relieves stitches in uterus.

Covering neck, it is too warm ; uncovering, too cool.

Heat in the evening after entering a room.

In open air : vertigo, headache and heat.

Better in open air : forehead as if beaten inwardly ; muscles of neck as if beaten ; crawls and goose-flesh.

In open air : great serenity ; nausea and fainting ; pain in side of abdomen ; voluptuous itching on point of glans; rattling in chest; pain in elbow-joint; stitches in the patella, in the ligaments of the knee ; pressing pain in foot ; great gaping and tiredness.

In bed : anxiety <.

Must uncover arms when skin is irritable.

Fever p. 295

Repeated chilliness over the affected part.

Early in the morning in bed, chilliness without subsequent heat.

Chill in the morning and forenoon, preceded by thirst.

Violent chill every afternoon at 3 oclock.

Chills over the back when walking up and down the room.

▌ Coldness, followed by heat the same day ; recurring now in the evening, then at noon, then in the morning, with thirst in the beginning of the fever and vomiting of bile ; after travelling through swamps in a hot climate, θ Intermittent.

Cold hands and chilliness in back.

Flushes of heat, with sweat and anxiety.

Sweat only in the morning ; on the forehead.

Crawls up the back with restlessness extending to inner parts, causing trembling with dry warm lips without thirst, later some heat.

Locality and Direction p. 295

Right : abscess over mastoid process ; drawing in side of face ; contracted feeling in hypochondrium ; cutting in side ; side of abdomen and leg feel as if beaten ; pressure in ovary ; beating of uterus against ovary and hip ; side of chest feels pressed together ; sharp stinging in side of chest, in arm ; swelling of throat ; wrist feels sprained.

Left : burning on edge of tongue ; flying stitches here and there in side; as if asleep in hypochondrium ; throbbing over groin ; crampy pain in os innominatum ; drawing and jerking in spermatic cord; pustules on labium of vulva; thumb feels sprained.

From right to left : head is drawn ; earache.

To r. shoulder from stomach : contraction.

Within outward : pressing in abdomen and cutting in chest, with anxiety.

Without inward : crawlings with trembling.

Below upward : crawlings in back.

Nausea rises up in the head. See 16.

Vertigo from occiput to front.

Sensations p. 295

Weakness of the whole body, as if the marrow of the bones were stiff.

Drawing in the limbs, as if all the tendons were stretched.

A kind of motion through the whole body, now a prickling now a stinging.

Hollow and empty feeling: in stomach.

Sensation as of something sticking in ear.

A pushing pain like a concussion in region of heart.

Stitches : in tip of tongue ; in belly ; fleeting and dull in 1. side ; dull — near navel ; in abdomen ; dull — on 1. os innominatum, 19 ; in foreskin ; in prolapsed uterus ; a single stitch in epiglottis ; below and near the sacrum ; in front of throat, r. side ; dull — near spine between scapula, 1. side ; a stitch r. side of spine, penetrating chest; from hand to elbow ; in r. wrist ; dull — in back of hand ; in thigh and crest of ilium.

Cutting : in stomach ; — and stitches in belly ; — and tearing in pit of stomach ; under short ribs, r. side ; in abdomen ; in OS pubis ; in abdomen before stool ; — pressure with irritation ; pressure in both sides of chest ; along sternum ; in spine, and pressing in axilla.

Darting : through eyeballs and temples ; shooting through chest.

Stinging; in r. shoulder-joint.

Boring pain : along ischiatic nerve.

Tearing pain : in abscess over r. mastoid ; in pit of stomach ; in fingers ; in lower limbs ; in bones of lower limbs.

Spasmodic pinching : below scrobiculum.

Burning : in region of tympanum ; as from pepper on edge of tongue; in pimples on vagina, 21; in female sexual parts; — pressure on sternum ; on neck.

Drawing : in facial muscles ; in upper teeth ; in abdomen ; crampy — in pelvis ; and jerking in 1. testicle and cord ; in neck; between scapulae ; cramp-like — down arms to fingers ; in limbs, with soreness.

Tensive pain : in temporal muscles ; in pit of stomach and abdomen ; in anterior muscles of thigh.

Pressure: in temples; in forehead; contracting — in r. hypochondrium ; and cutting in abdomen from interior outward ; towards rectum ; spasmodic — in abdomen ; in rectum ; in r. ovary ; in chest ; in sternum ; in sacrum ; and cutting in axilla ; rheumatic — in back of hand ; in ball of left thumb ; in lower limbs ; in heels ; and drawing in hip joints.

Constriction : in chest ; in heart ; in r. hip.

Contraction : from region of stomach to r. shoulder ; in rectum ; above mons veneris ; of chest ; under point of shoulder.

Cramp : in external ear ; cramp-like pain in masticator muscles ; on crest of ilium towards spine, 19 ; in chest ; in hip ; in feet.

Aching : over eyes ; in pectoral muscles.

Pains: in bones of head; now in r. now in 1. ear; acute in both cheeks ; in masseter muscles ; running from abdomen to sternum ; in r. side of chest when lifting arm ; in spine, cervical portion, and sacrum ; in elbow ; sore — in knuckles ; in knees ; on inner side of ankle.

Throbbing: in temples; behind ears; over 1. groin ; periodic in abdomen ; above mons veneris ; in upper part of shoulder.

Swelling sensation : in uterus ; in heart.

Tension : in muscles of face ; as if something was too short in r. hypochondrium ; in front of throat, r. side ; in muscles, near axilla ; in thigh.

Painful spasm : in pectoral muscles.

Quivering : between brows ; in cervical muscles ; in top of shoulder.

Twitching : and jerking along back, like electric shocks.

Sprained feeling : in r. wrist ; in joint of thumb.

Pain as if dislocated : in cervical vertebrae ; in hip-joint.

As if beaten : small of back ; in vertebrae ; in bones of upper arm ; r. side of abdomen and lower limbs.

Lameness : in sacrum ; in small of back ; of arms after exertion ; in anterior muscles of thigh.

Lightness : in chest.

Heaviness : in head ; in legs ; of arms and hands ; in feet.

Stiffness : painful in neck ; and drawing between scapulas and in nape ; in elbow-joints ; from sitting awhile.'

Tremulousness : and uneasiness in cervical muscles ; of feet.

Dryness : of lips ; of tongue ; of mouth ; on palate.

Roughness : on tongue ; on palate.

"Gone to sleep" feeling: in 1. hypochondrium; in leg on which she is resting, 23 ; little finger as if dead.

Heat : in ears and cheeks ; of forehead ; in face.

Coldness : of cheek ; of fingers.

Crawls : over face ; before a meal ; over face, with urging in

rectum ; in scrotum and thigh ; up the back, 40.

Tickling: in rectum and anus; in genitals; irritation in

larynx.

Itching : tip of glans ; on male organs ; on scrotum ; pustules

on labite ; stinging — on last rib, r. side.

Tissues p. 297

Spinal marrow and extensor muscles are principally

affected.

Constricting sensation in the varices.

Cracking in all the joints.

▌▌ Caries, ulcers very painful; penetrate to the marrow.

▌▌ Caries and very painful ulcers, which affect the bones and

pierce them to the marrow\

▌▌ Caries of tubular bones, particularly if the patient has longing for coffee and has a very touchy sensitive mind.

▌ Caries, with crumbling off of pieces of bone.

▌ Rheumatic and paralytic complaints.

Touch. Passive Motion. Injuries p. 298

Great exertion of arms brought on a lameness. See 32.

▌ Traumatic tetanus: the lady ran a pin into her foot; two weeks after she was taken with tetanic pains, striking from the point injured back to the heel, then up the limb and up her back ; she had also darting spasmodic pains in her neck, and darting shooting pains from the nape of the neck to the jaws, both sides ; jaws stiff, not closed. Angust. ^°, every thirty minutes. In an hour the pains abated, and she gradually recovered.

Rubbing; lessens itching on limbs.

Touch : causes itching on inner labia ; chest sensitive.

Pressure of arms crossed causes aching in pectoral muscles.

Pressure : <; pain in spine.

Riding causes dull aching over eyes.

Scratching : relieves itching of female genitals after bleeding some.

Skin p. 298

Skin irritable, burns, has to uncover the arms.

Itching, evening in bed, after rubbing painful ulcerations.

Itching of tip of glans penis ; so intense must rub it.

Pruritus, impetigo. See 23.

Flat ulcers eating into bones ; appear after friction.

Taste and Tongue p. 298

Old woman : loose cough every afternoon at 3 oclock.

A young girl : caries of r. ankle.

Relations p. 298

Symptoms caused by Angust. : bellyache after warm milk ; relieved by Bryon.

August, was curative after Pulsat. helped inflammation of bo«gels. See 19.

Antidote: Coffea, not CampJior.

Belongs to the family of Rutacese, which are general antidotes to mercury.

Has been given where Cinchon. failed to cure the fever.

Hahnemann already noticed the similarity of effect between August, vera and /a?sa, or spurLi ; a very surprising observation, but confirmed by facts, even cures of tetanus.

Similar to Bellad. (aggravation in afternoon, 3 p.m. ; easily startled, heat in female genitals) ; Bryon. and Rhus tox. (in rheumatism) ; Bryon., Cepa, Chamom. and Coffea (in toothache relieved by cold) ; Bellad.., Cicut., Ignat. and Nux vom. (in trismus) ; Mercur., Phosphor, and Silic. (in caries of lower jaw) ; Aescul. and Aloes, (piles, backache) ; Ant. crud., Ant. tart., Lilium, Natr. mur., Pulsat. and Sepia (in eruptions) ; Hyper, and Ledum (punctured wounds) ; Ban. bulb, (in pains in pectoral muscles).