Cactus Grandiflorus

Nighthlooming Cereus. Cactaeeoe.

We are indebted for this very valuable medicine to the wife of Dr. Rubini in Naples. Admiring the great beauty and sweet odor of the flower, and knowing its short life, opening at evening, closing and dying before dawn of day, she induced her husband to make a preparation from the young flower, from which is their masterly proving, which will be a boon to suffering humanity to the end of timo. In 1864 Rocco Rubini published his monograph, and in 1865 Dr. A. Lippe published the first correct and complete translation of it into English. All other translations into English and German are full of errors and omissions. Later provings have been made by Hence, Lembke, especially by Barnes Horn. Observer, Val. 3, p. 78, 1860. Same year some symptoms were observed by C.Hg. and G. Bute.

Mind

General stupidity.

Difficulty in finding right expression when writing the symptoms down.

▌ Thinks she will not recover. θ Rheumatism with heart disease.

▌ Feels she is dying and thinks she will not live till morning, but has no fear of death. θ Rheumatism of heart.

││ Love of solitude.

││ Irresistible inclination to cry (an intelligent woman).

││ Cries, knows not why ; consolation aggravates.

▌ Screaming with pains, with complete consciousness. θ Rheumatism with pain in heart.

Taciturn, unwilling to speak a word or to answer.

▌ Cheerful and vivacious. θ Heart disease.

▌ Sadness, taciturnity, and irresistible inclination to weep.

Invincible sadness.

││ Hypochondriacal.

▌ Fear of death ; he believes his disease incurable.

Indescribable fear that something terrible is going to happen to him.

▌ During and after attack, great anxiety, fearing some organic lesion of heart which will cause sudden death. θ Angina pectoris.

Anxiety returning in the evening.

▌ Despondent. θ Rheumatism with heart disease.

▌ Easily frightened, often awakes in a fright. θ Enlargement of heart.

Felt much alarmed on waking, but could not tell the cause of

. alarm.

^Sensorium. I Vertigo from congestion; face red, bloated ; pulsation in brain ; madness, anxiety.

▌ Vertigo; < from physical exertion, turning in bed, stooping, rising from a recumbent position, and deep inspiration.

Inner Head p. 59

Heaviness of head.

A numb pain with a stupefied feeling, extending from above eyes across base of brain.

Pain in forehead and eyes, with ringing in ears.

Stinging pain in forehead over eyes.

▌ Pulsation in temples as if the skull would burst; intolerable at night.

▌ Pain in r. temple by spells, brought on by a glass of wine, by attending opera, or after getting dinner at too late an hour.

Congestion to brain, blood-shot eyes, coma, suffocation, flushes in face ; fever, from exposure to sun's rays.

▌▌ Heavy pain like a weight on vertex; > by pressure, but < from sounds, hearing talking, or strong light.

▌▌ Right sided headaches and neuralgias which are periodic, pulsating and throbbing, and of extreme type.

▌ Pulsating pain, with sensation of weight in r. side of head, continuing day and night, so severe as to make him cry out.

▌ Heavy pulsating pain in head.

Troublesome pressure in r. parietal bone ; later pain in 1. parietal bone, early on rising.

▌ Pain and pressure on vertex, with palpitation and sensation as if heart was grasped. θ Coryza.

▌ Tensive pain on vertex.

▌ Feeling as if head were compressed in a vice and that it would burst open from severity of pain.

▌ Something seems to be whirling up from chest to brain and all arteries seem to throb; feels as if dying. θ Rheumatism of heart.

││ Headache from noise and light.

▌ Headache commences in morning and grows, as day advances, to an unendurable height, with vomiting.

Excessive pain in head, so anxious he cannot remain in bed ; prostrated, weak.

Headache m different parts of head; < from motion and deep inspiration.

▌ Headache from sanguineous congestion or rheumatism.

▌▌ Cerebral congestion.

▌▌ Sanguineous apoplexy.

Outer Head p. 59

▌ Pain in r. temple coming in spells; begins in morning, increasing during day, with vomiting ; nose constantly dry; must lie perfectly quiet; < from keeping up, noise, light or exertion.

Pressive pain in 1. parietal bone, rather external.

Painful drawing in aponeurotic covering of occiput ; > bending head backwards.

▌ Cold, clammy sweat on forehead, upper and lower limbs. θ Cardiac rheumatism.

Sight and Eyes p. 60

▌ Sensitive to light. θ Headache.

Dimness of sight from circles of red light before eyes.

At a short distance he cannot recognize a friend

Dark spots before eyes, with pain in forehead and eyes.

▌ Dimness of sight; cannot see at a distance; objects appear to be obscured.

Weakness of sight returning periodically.

Sight blurred.

▌ Eyes blood-shot; cerebral congestion even to coma, when perspiration fails. θ Intermittent.

▌ Acute rheumatic ophthalmia.

Hyperaemia of eye, especially of fundus.

│▌ Exophthalmic goitre. θ Heart disease.

Hearing and Ears p. 60

Worse from sounds, even talking ; heavy pain like a weight in vertex.

││ Singing or ringing in ears.

Hardness of hearing from congestion ; pulsations in ears; noise like running water or buzzing.

Hearing diminished by buzzing in ears.

▌ Pulsations and buzzing in ears. θ Otitis.

▌ Rheumatic otitis.

▌ Otitis from checked perspiration.

Smell and Nose p. 60

Fluent, acrid coryza ; nostrils sore.

▌ Dry or fluent coryza.

Dry and unpleasant coryza; must lie at night with mouth open.

▌ Constant dry nose. θ Headache.

▌ Profuse nosebleed, soon ceasing.

^Tipper Face. ▌Prosopalgia, right-sided, chronic; < from slightest exertion, tolerable only when lying still in bed ; brought on by wine, music, strong light, or missing dinner at usual hour.

▌ Flushes of heat in face, with suffocation. θ Intermittent.

▌ Face bloated and red, with pulsation in head.

▌ Paleness of face and emaciation.

▌ Pale, death-like countenance. θ Cardiac rheumatism.

▌ Anxious look, pale face, purplish lips. θ Cardiac rheumatism.

▌ Blue face, with chill. θ Intermittent.

▌ Face and head swollen and discolored. θ Heart disease.

Taste and Tongue p. 60

Taste acrid.

▌ Loss of taste for food, with nausea.

▌ Tongue purple, with thick brown sordes on teeth. θ Low fever.

Prickling in point of tongue.

Inner Mouth p. 61

Fetid breath in morning.

▌ Breath very offensive. θ Low fever.

Throat p. 61

Throat feels sore.

Feeling of warmth about throat and chest.

Constriction of oesophagus, which prevents swallowing.

Constriction of throat, exciting a constant desire to swallow.

Constriction of oesophagus ; must drink large quantities to force fluid into stomach.

▌▌ Suffocative constriction at throat, with full throbbing carotids. θ Angina pectoris.

Scraping sensation at soft palate, lasting about an hour.

Appetite, Thirst. Desires, Aversions p. 61

Appetite good, but digestion weak.

Loss of appetite and of taste for food ; nausea.

▌ Loss of appetite. θ Cardiac rheumatism.

▌ Complete loss of appetite ; he cannot take least morsel of food.

▌ No desire for meat, of which he had been very fond. θ Heart disease.

▌ No appetite; stomach rejecting anything she tried to take. θ Low fever.

Eating and Drinking p. 61

After eating : weight and distress in stomach.

After dinner: pulsation (in coeliac axis) behind stomach.

Hiccough, Belching, Nausea and Vomiting p. 61

Nausea in morning, continues all day.

Acrid, sour fluid, rising into throat and mouth, making food taste acid.

Vomiting of blood.

▌ Violent vomiting when perspiration fails. θ Intermittent.

▌ Frequent vomiting. θ Low fever.

▌▌ Hæmatemesis.

Scrobiculum and Stomach p. 61

Indigestion; sensation as if stomach was closed, with constipation ; palpitation and sensation of constriction of heart ; < ascending and walking.

Sensation of emptiness in stomach, with appetite undisturbed and stool as usual.

Acrid acid in stomach, which rises in throat and mouth.

▌ Uncomfortable sensation at pit of stomach, as if falling. θ Angina pectoris.

Constrictive feeling at scrobiculus cordis, extending to hypochondria, impeding breathing.

▌ Sharp neuralgic pains in cardia, causing patient to weep and cry loudly.

Burning in pit of stomach.

▌ Strong pulsation in scrobiculus.

▌ Rumbling in stomach precedes palpitation.

││ Sensation of weight with oppression in stomach.

Burning pulsation or heaviness in stomach.

▌ Continuous and annoying pulsation and burning in stomach. θ Climaxis.

▌ A constant fluttering sensation in stomach, over location of coeliac axis, in a spot, size of about a dollar ; a burning line extends down from it to lower ribs on either side; a hot flash shoots downwards frequently. θ Low fever.

Hypochondria p. 62

Jerking pain on r. side below short ribs, extending backwards.

│ Engorgement of liver ; acute or chronic. θ Heart disease.

Pain in epigastrium, somewhat to left, later lower down on r. side.

▌ Sharp pains shooting through diaphragm and up into chest; jerking breathing. θ Rheumatism of diaphragm.

▌▌ Feeling as of a cord tightly tied around lower part of chest; marking out attachment of diaphragm. θ Rheumatism of diaphragm.

Abdomen p. 62

;dull pains in abdomen, then flushes of heat and tingling. θ Rheumatism, with palpitation.

Pain in middle of lower abdomen, somewhat to right, soon after going to bed.

Violent pains in bowels almost causing him to faint.

Wandering pains in umbilical region, which cease and recur periodically.

Crampy pain about navel, with soreness as of a foreign body; ▌< on motion.

Colic, with loose stool. θ Rheumatism and palpitation.

▌ Beating in abdomen. θ Palpitation of heart.

Insupportable heat in abdomen, as though something burned him internally.

▌ Pain in lower portion of abdomen and a bearing down sensation, at times quite severe. θ Low fever.

▌ Peritonitis.

▌ Enteritis.

▌▌ Severe gastro-enteritis.

▌ Gastric fever.

Stool and Rectum p. 62

Morning diarrhoea of very loose feces, preceded by great pain. θ Heart affection.

Diarrhoea, watery mucus, bilious (in forenoon).

▌ Stools scanty, resembling dirty water, averaging as often as every hour. θ Low fever.

▌ Diarrhoea; <C in forenoon.

▌ Diarrhoea, with heart affections.

▌ Irregular stools. θ Palpitation of heart.

Constipation ; stool hard and black.

▌ Constipation from hemorrhoidal congestion.

▌ Sensation of weight in anus, and a strong desire to evacuate a great quantity ; however, nothing passes. θ Heart affection.

Peculiar sensation at anus, as though rectum were swollen, causing scraping and prickling sensation during stool.

Swollen, painful varices at anus.

Copious hemorrhage from anus.

▌▌ Fluent hemorrhoids.

Pricking in anus, as from pins, ceasing on slight friction.

Itching in anus.

▌ Fistula in ano, with violent palpitation and oppression of heart.

Urinary Organs p. 63

Paralysis of bladder.

Constriction of neck of bladder.

Frequent but ineffectual desire to urinate.

││ Desire to urinate ; after attempting to do so for a long time, water passes abundantly.

▌ Insupportable irritation in urethra, as if he should pass water constantly.

▌ Frequent desire to urinate, with an abundant flow of urine, each time, during night.

Urine passes by drops, with much burning.

Urine seems diminished in quantity.

▌ Strangury.

▌ Suppression of urine and pains in bladder during febrile access, when perspiration fails. θ Intermittent.

▌ Urine scanty, not very frequent, but burning and scalding. θ Low fever.

Profuse urine, of a straw color.

Urine, on cooling, deposits a red sand.

▌ Urine reddish, turbid, very abundant.

▌▌ Hfematuria; urination prevented by clots,

Male Sexual Organs p. 63

Prostatic affections: weight in anus; constriction of bladder ; desire to pass water, unable to pass it for a time, but finally succeeded ; irritation as if he should pass water constantly.

Female Sexual Organs p. 63

▌ Painful constriction around pelvis, extending gradually towards stomach, causing a sensation as of a great blow in region of kidneys, making her cry out.

▌ Pulsating pain in ovarian regions; pains extend down thighs, returning periodically at same time each day.

▌ Ovaritis.

▌ Pulsating pain in uterus and ovaries.

Sensation of constriction in uterine region.

││ Spasmodic constriction in uterus and vagina, often from least touch, gradually extending upwards.

Hysteralgia: sadness; crying, but without reason; consolation aggravates ; love of solitude ; fear of death ; constriction of uterus ; whole body feels as if caged in wires. See 43.

Pains in uterus and its ligaments, returning periodically each evening.

▌ Metritis.

▌ Menses too soon ; black, pitch-like.

▌ Very painful menstruation.

││ Menstruation with most horrible pains, causing her to cry aloud and weep.

││ Sensation of contraction of uterus during profuse menses.

▌ Menstruation with constrictive spasm of uterus ; pains agonizing, < evening ; flow scanty, ceases when lying down.

││ Menses ceasing at night.

▌▌ Constriction of vagina preventing coition. θ Vaginismus.

Pregnancy. Parturition. Lactation p. 64

Labor suppressed.

││ Hard tumor in r. mamma, which was growing until milk began to be secreted, since then subsiding.

Inflammation of mammae; sensation of fullness in chest; oversensitive to cold air.

Cyanosis in infants. Compare Laches.

Voice and Larynx. Trachea and Bronchia p. 64

Voice low, hoarse, constriction of chest.

▌ Bronchial symptoms arising from overaction of heart.

▌ Acute bronchitis.

▌ Bronchitis, with expectoration of mucus, day and night.

▌ Chronic bronchitis, with rattling of mucus; becoming acute in consequence of a cold, causes great anxiety and suffocation.

▌ Chronic bronchitis, of many year's standing, with rattling of mucus, continuous day and night ; oppression of breathing on going up stairs, and inability to lie horizontally in bed.

▌ Voice moderately full at times ; then decreasing, with a peculiar whistling sound, almost to a Avhisper. θ Low fever.

^^Respiration. ▌ Inspiring fresh air is very reviving.

▌ Jerking breathing. θ Rheumatism of diaphragm.

▌ Breathing became more and more labored, so that she could not lie down. θ Cardiac dropsy.

▌ Sometimes breath stopped for half a minute without losing consciousness ; skin gets colder.

▌ Short breathing; oppression; anxiety and feeling of constriction as though a band encircled the chest. θ Palpitation of heart.

▌▌ Difficulty of breathing; continued oppression and uneasiness, as if chest were constricted with an iron band, and could not dilate itself for normal respiration.

Shortness of breath while walking, especially on ascending stairs.

Slight dyspnoea during day while walking.

▌ Oppression of breathing on going up stairs. θ Bronchitis.

▌▌ Oppression of chest, as from a great weight, difficult breathing; uneasiness, as if an iron band prevented normal motion of chest.

▌ Chronic oppression of breathing.

▌ Feeling of oppression during respiration. θ Palpitation of heart.

▌ Oppression on chest like a great weight, or as if chest were compressed, with fainting, cold sweat, loss of pulse.

▌ Compression of chest. θ Fatty hypertrophy of heart.

▌ Congestive asthma.

▌ Suffocative attacks, with turbulent action of heart; worse at

▌▌ P.M. θ Enlarged heart in a young woman.

▌ Frequent attacks of asthma, with stricture around chest, like a band of iron.

▌▌ Periodical attacks of suffocation, with fainting, cold perspiration on face, and loss of pulse.

▌ Sense of constriction of chest, with suffocation. θ Rheumatism and pain in heart.

▌ Suffocative dyspnoea, with chill, in child, aet. 6 months. θ Intermittent.

Frequently, every year, a sensation of a hoop around throat, another around heart, and another around diaphragm. θ Asthma.

▌▌ Could only breathe with shoulders elevated and lying on back. θ Cardiac rheumatism.

▌ When breath stops, there is violent gasping and palpitation. θ Cardiac rheumatism.

▌ Sometimes breath stops altogether for half a minute, but without unconsciousness, afterwards gasping. θ Cardiac rheumatism.

Cough p. 65

Dry cough from tickling in throat and from itching in larynx.

▌ Spasmodic cough, with copious, mucous expectoration.

▌ Cough, with thick yellow sputa, like boiled starch.

▌ Catarrhal cough, with much viscid expectoration.

▌ Catarrhal fevers.

Obstinate, stertorous cough ; < at night.

▌ Excessive secretion of mucus, with oppression, when attempting to lie down ; face and limbs cold ; heart felt as if clutched. θ Chronic bronchitis.

▌ Sputa copious, yellow and jelly-like. θ Low fever.

Inner Chest and Lungs p. 65

▌ Great fullness in chest, extending up to throat. θ Palpitation of heart.

▌ Congestion of lungs. θ Cardiac dropsy.

▌▌ Congestion to chest, which prevents lying down; palpitation ; constriction of chest.

Feeling of constriction in chest, as if bound ; hindering respiration.

Sensation of great constriction in middle of sternum, as if parts were compressed by iron pincers, which compression produces oppression of respiration.

▌ Griping pain behind sternum.

▌ Feeling of constriction in chest, impeding speech.

▌▌ Painful sensation of constriction in lower part of chest, as if a cord was tightly bound around false ribs, with obstruction of breathing.

Dull pain in lungs.

▌ Dull percussion sound in front to fourth r. rib. θ Pleuritis.

▌ Pain from lower part of chest to shoulder-blades. θ Pleuritis.

▌ Pricking pains in chest, oppressed respiration, intense cough; bloody sputa; hard, quick, vibrating pulse; sharp, wandering pains in chest and scapular region. θ Pneumonia.

▌ Abnormal respiratory murmur and bronchial respiration. θ Pleuritis.

▌ Continual rattling of mucus ; oppressed breathing; cannot lie in a horizontal position ; attacks of anxiety and suffocation.

Pressive pain in upper part of left chest, between second and third ribs, at 8 a.m., while quietly sitting; dyspnoea inducing deep breathing and lasting several minutes.

Pressive pain in upper part of right chest ; difficult breathing.

Pressive pain in chest causing dyspnoea and inducing deep breathing ; worse while walking.

▌ Hepatization of lungs.

▌ Pulmonary tuberculosis in first stage.

││ Bronchitis, with palpitation of heart and bronchial catarrh, from overaction of heart.

▌▌ Haemoptysis, with marked arterial excitement (but less fever and restlessness than Acon.) ; convulsive cough.

▌ Pneumorrhagia, renewed every four, six, seven, or eight hours, accompanied each time with convulsive cough, and expectoration of two or three pounds of blood; is at once relieved, and ceases entirely in four days.

Heart, Pulse and Circulation p. 66

Pain deep in heart, somewhat to the right and posteriorly, like a jerking body; often repeated during 4 or 5 hours; later, often but less violent, and a little higher up.

Whizzing to and fro sound; bruit de souffle.

▌ Something seemed to be whirling up from chest to brain, and all arteries seemed throbbing.

▌ Sensation of an annoying movement from before backward in cardiac region as of a reptile ; < by day than by night.

▌ Sensation as if heart turned over.

▌ Sensation in chest as if heart whirled round, first in one direction and then in another. θ Heart affection.

▌ At times felt as if some one was grasping heart firmly, with sensation as if it whirled around.

▌ Contractive pain in region of heart; going down to 1. abdomen, it catches breath ; cold feeling in chest at seat of pain ; low spirited ; weeping. θ Chorea.

▌▌ Sensation of constriction in heart, as if an iron hand prevented its normal movements.

▌ DuU, heavy pain, worse from pressure; suffocating respiration; face blue ; oedema, especially of left hand and of legs to knees ; feet icy cold ; pulse intermittent. θ Chronic carditis.

▌ Great pressure at heart, going around under 1. axilla to back, "like a belt of pain ;" at midnight became very bad, like a hand grasping heart, with soreness and aching, and soreness to touch in all affected region; also, sore aching in 1. arm down to elbow. θ Cardiac rheumatism.

▌ Pain in cardiac region. θ Palpitation of heart.

▌ Acute pains and stitches in heart.

▌ Pricking pains impeding breathing and movements of body ; oppression ; cannot lie on left side ; blue face ; pulse quick, throbbing, tense and hard. θ Carditis. θ Cardiac rheumatism.

▌ Very acute pain, and such painful stitches in heart as to cause him to weep and to cry out loudly, with distressing palpitation, faintness, dyspnoea.

▌ Lancinating pain in heart when perspiration fails. θ Intermittent.

▌ Paroxysms of violent, stitching pain in heart, with icy coldness of limbs. θ Sequel to rheumatism.

▌▌ Constant pain in region of heart, with sensation as if heart were "bound down," or "had not room enough to beat," or "as if bolts were holding it." θ Sequel to rheumatism.

▌▌ Feeling as if heart were compressed or squeezed by a hand.

Cardiac rheumatism. Compare Spigel.

▌▌ Heart seemed to be held by an iron hand for many hours. θ Angina pectoris. θ Cardiac rheumatism. θ Fatty degeneration. θ Hypertrophy.

Pains in apex of heart shooting down left arm to ends of fingers ; feeble pulse ; dyspnoea.

▌ Pain in heart worse on speaking or lying on left side. θ Cardiac rheumatism.

▌ Pain at heart paroxysmal. θ Cardiac rheumatism.

▌ Acute carditis, with blueness of face ; oppression of breathing ; dry cough ; pricking pain in heart ; cannot lie on left side ; pulse quick, throbbing, tense and hard.

▌ Acute inflammatory affection of heart; idiopathic or from rheumatism.

▌ Rheumatic inflammation of heart, with severe pain in apex, and pain shooting down left arm to end of fingers; dyspnoea; . pulse feeble, 120.

▌ Chronic carditis, Aith oedematous and cyanotic face; suffocating respiration; continued dull pain in heart; dropsical effusion throughout body ; cannot drink or speak ; hands and feet cold ; pulse intermittent.

▌ Functional disorder of heart, from mental emotions; ▌< at menstrual period.

▌ Fluttering sensation in heart like a bird's wing. θ Chronic palpitation.

▌ Increased pulsation of heart, and while walking pulsation in chest with anxiety, lasting all morning, accompanied by pressure in left parietal bone.

Palpitation of heart on ascending stairs.

▌ Palpitation causing great restlessness and uneasiness.

▌ Occasional attacks of palpitation after unusual physical or mental exertion. θ Angina pectoris.

▌ Palpitation of long standing, caused by an unfortunate love affair.

Palpitation ▌^with vertigo, loss of consciousness, dyspnoea; worse walking, at night ; lying on left side ; at approach of menses ; from any exertion.

▌▌ Palpitation of heart, continued day and night; << when walking, and at night, when lying on 1. side.

▌ Violent palpitation with suffocative spells when lying down. θ Fatty hypertrophy of heart.

▌ Palpitation with sensation of heaviness; stitching pains in heart ; pulse small, weak and rapid. θ Heart disease.

▌ Irregular palpitation of heart at night; ▌when lying on left side or turning in bed ; > from an upright posture and

▌ deep inspiration.

▌ Palpitation < at night, most before midnight, and lying on 1. side.

▌ Violent palpitation with very distressing dyspnoea. , θ Cardiac dropsy.

▌ Slow, cutting pain, from above downward through centre of heart, making motion or breathing impossible.

▌ Apex beat one inch without a line drawn vertically through nipple. θ Enlargement of heart.

▌ Palpitation of heart consists of small irregular beats, with necessity for deep inspiration ; slight excitement or deep thought is sufficient to produce this condition.

▌ Irresru^ar and intermittent action of heart. θ After delivery by forceps.

▌ Rapid, short, irregular beats of heart, on rapid motion.

▌ Several violent, irregular beats of heart, with sensation of pressure and heaviness in cardiac region.

▌ Violent, turbulent action of heart, it beats violently for a short time then ceases entirely. θ Cardiac rheumatism.

▌ Organic and nervous palpitation of heart.

▌ Great irregularity of heart's action, intermittent at times and of varying character ; great frequency of action alternating with slowness. θ Enlargement of left ventricle with great irritation of cardiac nerves.

▌ Dullness in pr^cordia extensive; blowing with first sound of heart heard most distinctly at apex. I Rheumatic affection of heart.

▌ Endocardial murmurs; excessive impulse; increased prsecordial dullness. θ Enlarged right ventricle.

▌ Mitral regurgitation. θ Cardiac dropsy.

▌ Stenocardia.

▌▌ Heart disease, with oedema of left hand only.

▌ Valvular diseases, second sound of heart being replaced by a harsh murmur.

▌ Second sound of heart lost. θ Cardiac rheumatism.

▌ Valvular derangement and dilatation of r. ventricle.

▌ Insufficiency of aortic valve.

▌ Mitral insufficiency, with eccentric hypertrophy of 1. ventricle.

▌▌ Aneurism of heart and large arteries.

▌▌ Hypertrophy, with dilatation; patient pulseless, extremely exhausted, panting and sad, cannot lie down or speak ; has scarcely slept for fifteen days; forgetful; feet oedematous.

In fifteen minutes, pulse 82 ; in thirty minutes, 88 ; after a strong dose, in fifteen minutes, 80; in thirty minutes, 72; two hours, 64.

▌ Pulse 105. θ Rheumatism of heart.

Pulse 82 ; fell to 78 ; weak ; in thirty minutes, 74.

▌ Feeble pulse. θ Dyspnoea.

Later, pulse softer and more feeble, with a sense of weakness throughout whole body, most in back part of neck; it is troublesome to hold up head.

▌ Pulse feeble, intermittent, or entirely gone. θ Rheumatism and pain in heart.

▌ Death-like feeling at heart and around to left back. θ Cardiac rheumatism.

Powerful pulse beat and pulsation in upper part of chest, at night in bed.

Pulse at wrist beats hard and quick against finger without be-

ing frequent.

The heart-beat and pulsation in chest stronger to hearing and

feeling while lying on back than on side, with anxiety and rest-

lessness.

Pulse very irregular and soft, running from 60 to 68 for several

hours.

▌ Pulse small, quick and irregular, intermitting at intervals,

especially when excited. θ Palpitation of heart.

▌ Irregular rhythm, and intermitting pulse. (? Hypertrophy of

heart.

\ Aneurism : by anastomosis ; of the aorta.

Outer Chest p. 70

Sharp, wandering pains in chest.

Painful drawing in muscles of left side of chest, extending to shoulder-joint, impeding breathing and use of left arm.

▌ Sensation of constriction in middle of sternum, as if compressed by iron pincers, with difficult breathing ; < from motion.

▌ Rheumatism of muscles of chest. See 18.

Pain in left chest, which is increased by touch ; relieved by gently raising it.

Neck and Back p. 70

Rheumatic pain in region of heart and small of back.

▌ Pain under 1. shoulder-blade. θ Palpitation of heart.

▌ Coldness in back and icy-cold hands.

▌ Lumbar muscles tender on pressure and stut, especially on first moving after repose. θ Rheumatic affection of heart.

▌ Exophthalmic goitre, with characteristic heart symptoms.

Intolerable pain, commencing early, before rising, in lower part of muscles of back, on right side, extending to gluteals, and lasting all day.

Pain in muscles of throat, at times during day.

▌ Sharp pains shooting through body towards back, and upwards into chest, with sensation of rush of blood to chest. θ Rheumatism of diaphragm.

Upper Limbs p. 70

▌ Troublesome rheumatism of shoulder.

Sensation of great constriction in shoulder, so that he cannot move.

▌ Pain in shoulders and arms.

Fleeting, tearing pains in joints, shifting from shoulder to elbow and fingers, mostly on right side.

▌ Sore aching in 1. arm down to elbow. θ Rheumatism of heart.

Pain in muscles of right upper arm, at times during day.

▌ Pain in left arm down to fingers. θ Diseases of heart.

Aching in arms and hands, similar to pains in so-called "aching in bones."

Tearing, in left elbow-joint.

▌ Numbness of 1. arm. θ Enlargement of heart.

Numbness of left arm, with troublesome pricking in little finger, lasting a short time.

││ Formication and weight in arras.

Painful lassitude and heaviness in arms.

Drawing-tearing pain in r. arm, early on waking and lasting during morning, which after rising extends to r. wristjoint.

▌ (Edema of hands, mostly of left. θ Heart disease.

Dry, scaly herpes on inside of right elbow, no itching ; later, same on outside of left elbow.

Lower Limbs p. 70

Restlessness of legs, cannot keep them still.

Numbness in legs and feet.

Severe rheumatic pain in 1. ankle, with some swelling.

iCEdema of legs, skin shining; dents remain a long time. θ Heart disease.

iCEdema of lower limbs. θ Rheumatism and pain in heart.

Dry, scaly herpes on left internal malleolus ; later, same on right internal malleolus.

Great lassitude and heaviness in lower limbs and unusual drowsiness early on rising, after quiet sleep, and lasting two hours.

Pain in muscles of calves and soles of feet, at times during day.

Clinching pain in sole of right foot, occurring several times during day, very annoying, but lasting only a short time.

Limbs in General p. 71

Rheumatic pains, in shoulders, upper and lower arms, in hips down to feet; worse in rest and in motion, and in all positions.

Rest. Position. Motion p. 71

Constriction much increased by muscular exertion, especially by reading aloud or by loud talking. θ Rheumatic affection of heart.

▌ Symptoms aggravated by exercise, stooping or" fright, and at night. θ Palpitation of heart.

▌ After a misstep in crossing the street, a jar of the cars on crossing tracks at right angles, sitting down low in an unguarded manner, stretching arms above head, lifting books, etc. θ Angina pectoris,

▌ Better from continued but gentle motion. θ Rheumatism,, with pain in heart.

▌ Cannot lie horizontally in bed.

▌ Lying on left side at night excites attacks. θ Rheumatism and pain in heart.

▌ A desire to lie perfectly quiet on back. θ Angina pectoris.

▌ Must lie perfectly quiet, with headache; any attempt to sit up, any noise, light or exertion, increases suffering terribly.

Lying : menstrual flow ceases ; horizontal position, oppressed breathing < ; on back, with shoulders elevated, difficult breathing > ; congestion of chest < ; pain in heart lying on 1. side ; on 1. side, palpitation < ; palpitation, with suffocative spells ; on back, heart-beat and pulse in chest stronger.

Sitting : pressure between second and third ribs ; palpitation > ; supported by pillows, rest >.

Rising : vertigo worse.

Turning: in bed, vertigo < ; in bed, weak, must have assistance.

Bending: of head back, drawing in coverings of occiput >.

Stooping: vertigo <.

Walking : palpitation and constriction of heart < ; - shortness of breath; pressure in chest <; pulsation and anxiety in chest; palpitation <.

Ascending : palpitation and constriction of heart < ; shortness of breath ; oppression of breathing ; palpitation of heart.

Motion : vertigo < ; headache < ; pain in temple < ; prosopalgia < ; crampj pain at navel < ; pricking pain < ; palpitation from exertion ; cutting pain through heart < ; heartbeats short and irregular ; pain in chest better raising it ; after repose, lumbar muscles tender and stiff; restlessness of legs ; rheumatic pains in shoulders, arms and hips to feet < ; pain in r. knee worse.

All positions : rheumatic pains in shoulders, arms and hips to feet <•

Nerves p. 72

^trembling all over, commencing in abdomen, with stiffness and numbness. θ Rheumatism and palpitation.

Excitement increases headache; pains so severe they provoke screaming.

General weakness, prostration, great depression, sleepless.

General discomfort, drowsiness, as after severe sickness.

││ General weakness, with sadness and bad humor.

▌ Feels very weary, so much so that she needs assistance to turn over in bed. θ Low fever.

││ General weakness and prostration of strength.

││ Great prostration of strength, so that he must remain in bed, not feeling able to use his legs.

▌ Fainting. θ Rheumatism and pain in heart.

▌ Child, get. 6 months, must be lifted up and held up; it seemed as if it would die. θ Intermittent.

▌ Was thought dying. θ Cardiac rheumatism.

Sleep p. 72

A stupid, drowsy feeling.

Restless sleep at night. ▌

Sleeplessness in forepart of night from intrusion of various thoughts ; later, restless sleep.

▌▌ Sleeplessness.

▌ Slept none for* four days and nights. θ Low fever.

││ Sleepless without pain; or from pulsations in pit of stomach or in ears.

││ Sleepless from arterial palpitations in scrobiculum and r. ear.

Delirium at night ; on awaking it ceases, but returns in sleep.

││ Delirium at night on waking up.

▌ Sleep greatly disturbed; very difficult to find a position, in which she could obtain any rest, and only easy when bolstered up by several pillows. θ Palpitation of heart.

Awakened at night by violent pain in right knee, extending from patella to outer side of lower thigh ; increased by slightest movement of limb.

Wakeful at night, with a tired feeling ; rheumatic pain in whole r. leg, severe enough to prevent sleep.

▌ Restless sleep. θ Rheumatism and pain in heart.

Frightful dreams for three nights, making him cry out.

▌ Worst sleep towards day. θ Palpitation of heart.

Sleep disturbed by lascivious dreams and painful erections.

Dreams he cannot remember.

Time p. 73

Night : bursting-pulsating in temples ; menses cease ; obstinate cough < ; palpitation < ; irregular palpitation ; in bed, powerful pulsation in upper chest ; delirium ; pain in r. knee; 1 p.m., slight chill, burning heat, pain in uterus; scorching heat, with headache.

Towards morning: disturbed sleep <.

Morning : alarm on awaking ; on rising, pressure in parietal bones ; headache, which grows constantly worse ; pain in temple begins; breath fetid; diarrhoea <; 8 a.m., pressure between second and third ribs; pulsation in chest, with anxiety ; before rising, intolerable pain in lower back continues all day ; on waking, drawing-tearing in arm and wrist ; on rising, lassitude in lower limbs, with drowsiness ; chilliness, 10 A.M.; quotidian, 11 A.M.; rheumatism of all joints < on rising.

During day : reptile-like movement in cardiac region < ; pain in lower back; pain in muscles of throat ; pain in muscles of arm; pain in calves and soles of feet; clinching pain in sole of foot; itching of skin.

Evening : anxiety ; soon after retiring, pain in lower abdomen ; palpitation; pain during menstruation < ; infant, 6 months, has chill 11 P.M.; rheumatism of all joints <C ; itching as of flea-bite on chest and abdomen ; itching on abdomen and calves.

Midnight : great pressure at heart <^ ; pain in head, coma, insensibility till midnight, then thirst and sweat ; sharp chill, followed by headache, fever and thirst.

Temperature and Weather p. 73

Heat : congestion to head and fever from sun's rays ; of sun, vomiting.

Cold air: mammae sensitive.

▌ After water in the cellar. 6'Rheumatism.

Fever p. 73

Coldness in back and cold hands.

Skin gets colder. θ Rheumatism of heart.

││ Slight chilliness towards 10 A.M.

││ Chilliness, with chattering of teeth.

▌ General chilliness, so severe as to make the teeth chatter, which lasts three hours and does not go off, although he lies down and covers himself over with many blankets.

▌ Chill at 11 P.M. — an infant, get. 6 months. θ Intermittent.

▌ Fever, intermittent, with congestion to head; flushes in face; suppressed urine; pains in bladder; lancinating in heart; violent vomiting; sweat does not appear after exposure to the sun.

Chill not relieved by covering ; (returns same hour each day ; regular paroxysms at 11 A.M. and 11 p.m.

▌ Fever brought on by exposure to sun's rays. θ Intermittent.

▌▌ At 1 P.M. slight chill, then burning heat, dyspnoea, pulsating pain in uterine region, ending in slight sweat.

▌ Inflammatory fevers.

▌ Simple rheumatic fevers.

││ Burning heat, with short breath.

││ Scorching heat at night, with headache, following a chill, and terminating in sweat.

0 Quotidian intermittent fever, at the same hour for many successive days.

▌▌ Quotidian, 11 A.M.; great coldness for two hours, then burning heat, with great dyspnoea, violent pain in head, coma, stupefaction, insensibility till midnight, then unquenchable thirst and sweat.

▌ Sharp chill every midnight, followed by some headache, fever and thirst and considerable sweat. θ Intermittent of a lying woman.

▌▌ Intermittent fever, with derangement of stomach.

▌ Heat after chill, with dyspnoea, headache and thirst; with insensibility till midnight, then shortness of breath and ina-

' ability to remain lying ; followed by profuse sweat, with great thirst.

│ Skin moist.

Sweat over whole body.

▌▌ Where perspiration fails to show itself. θ Intermittent.

Attacks, Periodicity p. 74

Periodicity : pains down thighs return at same hour each day ; pains in uterus return each evening ; chill returns same hour each day; paroxysm at 11 a.m. and

▌▌ P.M.; intermittent fever, recurring at same hour every day.

▌ Attacks brought on by any emotion, excitement, or upon attempting to exercise. θ Rheumatism, with pain in heart.

▌ Attacks occur several times daily. θ Rheumatism, with pain in heart

▌ A dangerous paroxysm about 11 p.m.

▌ Attacks may come in sleep, connected with fright or anxiety in dreams. θ Angina pectoris.

▌ Worse in spells. θ Diaphragmitis.

Locality p. 74

and Direction. Right : spells of pain in temple ; headache and neuralgia ; pulsating and sensation of weight in head; pain in parietal bone, later in 1. side; prosopalgia; jerking pain below short ribs ; pain in epigastrium ; pain in lower abdomen ; percussion dullness to fourth rib; pressive pain in chest; pain in heart; valvular derangement and dilatation of ventricle ; pain in lower back to gluteals ; pain in muscles of arm ; drawing and tearing in arm to wrist ; dry herpes on elbow ; clinching pain in sole of foot ; sleepless from palpitation in ear and scrobiculum ; pain in r. knee at night; dry herpes on outer elbow and malleolus.

Left: pain in parietal bone ; pressure in parietal bone ; pain in epigastrium shifting to r. side ; great pressure at heart to back ; sore aching in arm ; cannot lie on side ; pains from heart down arm to fingers ; pain in heart ▌< lying on side ; lying on side, palpitation < ; oedema of hand in heart disease; eccentric hypertrophy of ventricle ; death-like feeling at heart to back ; pain in chest; pain under shoulder-blade; pain in arm; tearing in elbow-joint; numbness of arm; pricking in little finger; rheumatic pain and swelling in ankle; dry herpes on internal malleolus ; dry herpes on outer elbow.

Above downward: pain down thighs; sore aching in arm; pains from heart shooting down 1. arm to fingers ; cutting pain through heart ; pain in lower back to gluteals ; tearing in joints shifting from shoulder to elbow and fingers ; pain in 1. arm to fingers.

Below upward : whirling from chest to brain ; sharp pains into chest ; constriction in uterus and vagina ; pain to shoulderblades ; sharp, pains to chest and back ; pain from patella to lower thigh, outer side, at night.

Before backward : numbness and stupid feeling from eyes to base of brain ; jerking pain below short ribs, r. side ; annoying movement in cardiac region, like reptile ; great pressure at heart to left back.

Sensations p. 75

▌ Soreness, aching and soreness to touch in all the affected region (heart and under axilla to back). /9Rheumatism of heart.

Constriction of chest, heart, bladder, rectum, uterus, vagina, etc., is frequently brought on by slightest contact (showing that irritation of sensory roots is immediately followed by contraction of muscles supplied with motor nerves).

▌ Whole body feels as if caged, each wire being twisted tighter and tighter.

▌ Pains everywhere: head, arms, legs, back, chest, heart; darting, springing like chain lightning, terminating with a sharp, vice-like grip, only to commence again a moment afterward, with restlessness and groaning.

Sensitiveness: of eyes to light ; of lumbar muscles.

Sensation in heart like bird's wing.

Sensation of movement from before backwards, in cardiac region.

Sensation as if stomach were closed.

Death-like sensation at heart and around to 1. back.

Lancinating: in heart.

Cutting : through centre of heart. •

Stitching: in heart; very painful, at heart; violent, at heart, in paroxysms.

Tearing: in joints, mostly r. trona shoulder to elbow and fingers; in 1. elbow-joint.

Shooting: through diaphragm into chest; down 1. arm to fingers.

Pricking : in point of tongue ; in arms ; in chest ; in heart, impeding breathing and movement: in little finger.

Jerking : on r. side. below ribs.

Burning : in pit of stomach ; in a line from cardiac axis to margin of lower ribs, hot flash shoots downward ; Awhile passing urine.

Aching : one-sided, in head ; at heart ; in 1. arm to elbow ; in arms.

Drawing; in coverings of occiput; in muscles of 1. chest to shoulder ; tearing in r. arm.

Pressure : in r. parietal bone ; on vertex ; in 1. parietal bone ; in upper part of 1. chest ; excessive at heart and under axilla to back.

Soreness : and aching at heart ; and aching in 1. arm to elbow ; of throat.

Scraping : at soft palate.

Pain : in head ; in forehead and eyes ; spells of pain in r. temple ; in 1. parietal bone; in head from slight noise; terrible in head, with vomiting; in different parts of head; in face, r. side ; neuralgic in cardia ; in epigastrium ; sharp, through diaphragm to chest ; dull, in abdomen ; in lower abdomen to right ; violent, in bowels ; wandering, in umbilical region ; cramp-like, about navel; in bladder during febrile access; during menses; from lower chest to shoulder-blades; sharp, wandering, in chest and scapular region; deep, in heart; dull, heavy, in heart; acute, in heart; constant, at heart; in apex of heart; in 1. chest; rheumatic, in region of heart and small of back ; under 1. shoulder-blade ; severe, in lower back to gluteals ; in shoulder and arms ; rheumatic, in 1. ankle ; rheumatic, in hips to feet ; in knee and lower thigh at night ; rheumatic, in r. leg; rheumatic, in all joints.

Palpitation : with pressure on vertex, with fistula in ano ; with stoppage of breath ; distressing, with stitching, faintness and dyspnoea ; on ascending stairs ; after physical or mental exertion ; from unfortunate love ; with vertigo and unconsciousness ; continued day and night ; irregular, at night.

Beating: in epigastrium ; in abdomen.

Throbbing : one-sided', in head ; of carotids.

Fluttering : in stomach.

Pulsation: in temples ; in head ; one-sided; in r. side of head; in ears ; in head ; behind stomach (coeliac axis) ; after eating ; in scrobiculus ; in stomach ; in ovarian region ; in uterus and ovaries ; in chest, while walking.

Suffocation : with heat in face ; consequent to cold ; periodical attacks, with fainting.

Constriction: of throat; of oesophagus ; at scrobiculus cordis ; of neck of bladder ; around pelvis ; in uterus and vagina ; of uterus during menses ; of vagina; of chest; in middle sternum ; of chest as of cord ; in cardiac region ; in heart, as if iron hand prevented movements; in shoulder.

Cord : feeling of, around lower chest. .

Band : as if, around chest.

Hoop : sensation of, around throat, around heart and diaphragm.

Bound down : as if, at heart.

Clutching : at heart.

Griping: behind sternum.

Grasping : at heart.

Compression : of head, as if in a vice ; or squeezing, of heart, as if by hand.

Ringing and buzzing in ears.

Whizzing : to and fro in chest,

Whirling: from chest to brain ; in heart.

Turning : as of, in heart.

Tension : on vertex.

Bearing down : in lower abdomen.

Blow : as of, near kidneys.

Oppression : of chest and uneasiness ; of chest, as of weight ; on lying down ; great, of breathing.

Heaviness: on vertex ; in stomach; in arms; in lower limbs.

Weight : in r. side of head ; in stomach, after eating; in anus ; in chest.

Fullness : in chest ; in chest to throat.

Swollen : as if, in rectum.

Discomfort : at stomach.

Emptiness : in stomach.

Weakness : general, and prostration of strength.

Rumbling : in stomach before palpitation.

Irritation : great, in urethra.

Formication: and weight in anus ; inarms.

Numbness : from eyes to base of brain ; of 1. arm ; in legs and feet.

Tickling : in throat causes cough.

Itching: in anus; in larynx causes cough ; in skin, as of fleabite ; on chest and abdomen in evening ; on abdomen and calves in evening ; during day.

Warmth : about throat and chest.

Heat: flushes of, in abdomen; in abdomen; burning, with short breath ; scorching, at night, following chill.

Coldness : of skin from difficult breathing ; of feet, with suffocative respiration; of limbs; in back.

Chilliness : with chattering of teeth.

Tissues p. 77

▌ Affects the sensory nerves most.

▌▌ Congestions.

▌ Various kinds of inflammations.

▌ Rheumatism of all joints of limbs, great deal of pain, stiffness and swelling; worse in evening and again mornings on first rising. θ Pain in heart.

▌ Rheumatic inflammations, with pain and swelling of parts.

▌▌ Organic diseases of the heart.

▌ Emaciation. θ Low fever. (^Rheumatic heart disease.

Emaciated or bloated.

▌ Dropsical affections. θ Heart disease.

▌ Hemorrhages : from nose, lungs, rectum and stomach.

Touch. Passive Motion. Injuries p. 78

Twitching of muscles and sensation of constriction produced by touching the aff"acted part.

Touch : spasmodic constriction in uterus and vagina ; cardiac region sore and aching; pain in 1. chest <.

Pressure : heavy pain on vertex >> ; dull pain at heart ▌< ; lumbar muscles tender.

Slight friction relieves pricking in anus.

Renewed pain in a thumb which had been dislocated a month before.

▌ Traumatic fevers.

Skin p. 78

Troublesome itching, as of flea-bite, on chest and abdomen, every evening, inducing rubbing ; better on retiring to rest ; not present during day ; no eruption.

Itching on abdomen and calves in evening when undressing.

Itching present during day, but disappears by evening.

▌ Dry, scaly herpes without itching ; appeared first on left internal malleolus, next on outer side of right elbow ; then on right internal malleolus ; last on outer side of left elboAV.

Stages of Life, Constitution p. 78

> A man of irate temper. θ Diaphragmitis.

▌ Ciiild, aet. six months. θ Intermittent'.

▌ Woman, aet. 60, stout, robust, after exposure to water in the cellar. θ Rheumatism.

▌▌ Sanguineous congestions in persons of plethoric habit.

' woman, set. 24, severe headache from taking cold. G-elsem., Bellad. of no avail.

▌ Man, set. 28, during service in our war, articular rheumatism in back and limbs; mustered out as incurable. Cactus 1". θ Rheumatic affection of heart.

▌ Woman, set. 28, tall, dark hair and eyes. θ Rheumatic disease of heart. Cactus^^", one dose followed by rapid improvement, without return of symptoms.

▌ Woman, set. 28, tall, dark hair and eyes. θ Affection of heart after rheumatism.

▌▌ Woman, set. 30, frequent attacks of angina pectoris.

▌ Woman, set. — , suffering for weeks. θ Nervous palpitation of heart.

▌ A woman, get. 40, four doses of 30th. θ Enlargement of heart.

▌ Colored woman, get. 48, climaxis. Cadus^"'^, one dose. θ Violent palpitation.

▌ Man, aet 52. θ Heart affection.

▌ Miss, set. 60. Cactus-% three doses. θ Rheumatism of heart.

▌ Woman, set. 60. θ Cardiac dropsy.

▌ Bowels and kidneys utterly failed to respond to the most powerful drastic cathartics and diuretics; her end seemed near. 20th (after the lower) cured, restoring the healthy action of bowels. θ Cardiac dropsy.

▌ A woman, attacked fourteen months ago with a low grade of fever, to which camp diarrhoea was soon added.

▌ Thirteen months treated by an army surgeon; hopeless. θ Low fever.

Relations p. 79

Antidotes: Acon., Camphor., Cinchona.

Compatible: Digit, (tumultuous action of heart; slow, irregular pulse; scanty urine; dropsy, etc.), Eupat. perf., Laches., Nux vom.. Sulphur (pleuritis).

Useful after: Acon., Arvic, Arsen., Bellad., Bryon., Chamom., Gelsem., Ipec, Kali brom. (diaphragmitis). Laches., Nux vom., Rhus toz.

Compare: in mental symptoms, Digit., Laches.; in congestions to head, Bellad., Glonoin; in pain and pressure in head, Amic, Carh. veg.. Coral, rub., Iodum, Nux vom., Opium, Spigel; in weight on vertex. Aloes, Alum.; in heart affections. Acon., Act. rac, Amyl. nitr., Amic, Bellad., Bovist, Crotal., Digit., Eupat. perf., Justitia, Kalmia, Laches., Lilium, Naja., Pulsat., Spigel, Tarent., Zincum (as if cap over heart); in bronchitis, etc., Ant. tart., Ipec, Tabac; in constrictions (chest). Alum., Bellad., Bovist., Cainca, Cadmium sulf.. Kali chlor.. Kali nitr.. Laches., Stramon., (uterus) Murex, (vagina) Kali carb.; in menses ceasing at night. Caustic; in leucorrhoea, Amm. mur.; in intermittents, Ai^sen., Bryon., Calc ostr., Eupat. perf., Natr. mur., Rhus tox.. Sulphur; in dropsies, Digit., I^kalmia; in sleeplessness at night, Sulphur.

Relatives : Cereus bonplandii, Cereus serpentinus, Opuntia.