Colchicum Autumnale

Meadow Saffron. Liliacese. The Autumn Crocus, or Meadow Saffron, is found in most parts of temperate Europe, especially near Rome. Colchicum was well known to the ancients, who possessed extensive knowledge of its properties and uses.

Alexander of Tralles, in the fifth century, says that although it speedily relieves the pain and soreness of an attack of gout, it nevertheless favors the frequent recurrence of attacks, an opinion repeated by recent authorities.

Proved by Hahnemann, Staph, Linden and others, too numerous to mention. "Vide Encyclopedia, v. 3, p. 449.

Clinical Auth0RiTiES.^;S'i2/e, E. W. Berridge, Eaue's E., 1874, p. 71 ; Ileus, E. V. Nash, Eaue's E., 1875, p. 144; Ascites, W. McGregor, Eaue's E., 1873, p. 135 ; Obstinate acute diarrhoea, Hughes, Hughes' Manual, p. 309 ; Dysentery, Brown, Organon, v. 3, p. 375 ; Muller, Eiick. Kl. Erf., v. 5, p. 443 ; H. C. Allen, Organon, V. 3, p. 375 ; Hartmann, Hence, Eiick. Kl. Erf., v. 1, p. 866 ; Hemorrhage from bowels, E. V. Nash, Eaue's E., 1875, p. 137 ; Inflammation of kidneys, Goullon, AUg. Horn. Ztg., v. 50, p. 20 ; Renal derangement, A. E. Small, Eaue's E., 1872, p. 160; Nausea of pregnancy, J. B. Bell, Organon, v. 3, p. 372; Chronic night cough, Elb, Eiick. Kl. Erf., v. 4, p. 342 ; Hydrothorax, Hartmann, Eiick. Kl. Erf, v. 4, p. 341 ; Elb, Eiick. Kl. Erf, v. 4, p. 342 ; Pleurisy, Seidel, Euck. Kl. Erf, v. 4, p. 341 ; Pericarditis, Kind, Eiick. Kl. Erf, v. 5, p. 895 ; Rheumatism (3 cases), Williams, Eiick. Kl. Erf, v. 3, p. 511 ; (3 cases), Godart, Frank's Mag., v. 3, p. 144; Acute articular rheumatism, Eiick. Kl. Erf., v. 3, p. 895 ; Gout, Chrichow, Frank's Mag., V. 1, p. 454 ; Vicat prostration, Haden, Analytical Therapeutics, v. 1, p. 134; Paralysis, Hartmann, Eiick. Kl. Erf, v. 4, p. 470; Asiatic cholera, Engelhard, Eiick. Kl. Erf, v. 5, p, 471 ; Post scarlatinal dropsy, CI. Muller, Eiick. Kl. Erf, v. 4, p. 47 ; Dropsy, Ign. Pollak, Eaue's E., 1870, p. 226.

Mind

Perception entirely lost; unconscious. θ Typhus. θ Myelitis acute.

▌▌ Memory weakened, ideas not so clear as usual; forgetfulness ; absence of mind.

Disorders in comprehension and association of ideas; he lacks words to express his ideas; when writing, he forgets syllables and entire words; he confounds objects.

▌ Confusion of head; intellect clouded, though he answers correctly.

││ Says nothing unless questioned, his condition does not seem to him dangerous. θ Typhus.

▌ Can read, but cannot understand even a short sentence; cannot understand the words; vision is heightened, but intellectual facilities dulled.

▌ Delirium with headache,

▌ Great desire for rest, and disinclination to mental exertion, or exertion of any kind.

▌ Mind depressed. θ Dropsy. θ Gout.

▌ Surly, ill-humored, not satisfied with anything.

▌ His sufferings seem intolerable to him; external impressions, light, noise, strong smells, contact, etc., disturb his temper.

▌ Pains so excessive they almost drive one mad, in the evening.

Aggravation very often, after mental exertion.

Pains < by mental exertion or by motion.

Ailments from grief or misbehavior of others.

Sensorium p. 325

Confusion and drowsiness of the head.

Vertigo : while sitting, after walking ; on rising.

Delirium, with headache.

Coma, or unconsciousness.

Inner Head p. 325

▌ Pressive heaviness deep in cerebellum, especially on moving or stooping.

││ Pressing pain above, in small spots, or very severely in substance of cerebellum, and occurring on the slightest intellectual exertion.

▌ Pressure in head; especially in occiput, also deep in cerebellum, excited by mental exertion, or night watching.

Boring, pressing headache, brought on by mental labor, and by entering room from open air.

▌ Sensation of constriction in ciliary region, with great desire for rest, and disinclination to mental exertion. θ Iritis.

Spasmodic pains in head, especially over eyes.

Boring headache, especially over eyes, extending into dorsum of nose.

▌ Headache over 1. eye, < in open air.

││ Painful rending, tearing, drawing pains in 1. side of head, from eyeball to occiput.

Very painful drawing-tearing in half the head, beginning at the ball of eye, extending to occiput.

Hemicrania, either of r. or 1. side, changing about.

Pressing pain in r. and afterwards in 1. frontal region.

Tearing, wandering pains, in one half of head, in occiput, in temples, or pericranium.

▌ Creeping sensation in forehead.

Pressing-tearing in occiput.

Oppressive weight in occiput, during movement and when bending the body backward.

▌ Pressing headache. θ Dropsy.

Pulsations in head.

Very violent headache, coming in evening, and lasting until morning.

Headache > after supper, from warmth and lying quiet in bed.

Outer Head p. 326

Heaviness of head.

Head bent forward upon breast, arms hang restless.

▌ When raised the head falls back, mouth wide open.

││ Extreme weakness, cannot move her head from pillow without help. θ Hemorrhage from bowels.

▌ Difficulty in moving head.

▌ Hot forehead. θ Dropsy.

▌ Forehead covered with cold sweat. θ Typhus.

▌ Tearing in scalp, on small spots, particularly on occiput.

Lacerating pain in scalp.

Great falling off of the hair.

▌ Porrigo favosa, oozing, acrid ichor.

Sight and Eyes p. 326

'Eyes half open; sunken, staring; hollow, congested, protruding.

Loss of sight for a minute or two on getting out of bed.

▌ Drawing, digging pain, deep in orbit, like in sclerotitis.

Drawing tension deep in eye.

A slight nebulous dimness appears in posterior chamber, probably proceeding from vitreous body.

▌ Soft cataract, glaucoma.

││ Complete capsule-lenticular cataract, with increased size of lens.

Lens pressed forward against the iris, then closing up the pupil.

Iris first of a beautiful brown color, afterwards dim and as if blotted out.

▌ Iritis, rheumatic cases, with great soreness of eyeballs.

▌ Pupils much dilated, only slightly sensitive to light, or immovable and slightly dilated; 1. pupil contracted, while r. is dilated. θ Typhoid.

▌▌ Pupil naturally large, is excessively sensitive to light, contracting not much but very rapidly.

││ Deposit of a purulent fluid in lower part of anterior chamber.

▌ Dimness, opacity of cornea; maculae.

▌ Inflammation of eyes, dimsightedness, watering of eyes, white spot on cornea.

Soreness and pressive pain in eyes.

▌ Violent, short, sharp, tearing pain, in and around eyeball.

▌ Ulceration of meibomian glands of 1. lower lid, which is much swollen, with great nervousness.

▌ Burning and redness of edges of eyelids.

││ Smarting in the eye, especially in outer canthus, with lachrymation ; feeling as if canthus were glued up.

▌ Pressure and biting in canthi, with moderate lachrymation.

▌ Stye on 1. lower lid, near inner canthus.

▌ Excoriating lachrymation, < in open air. θ Iritis.

Worse when looking upwards.

Around the edge of the pupil, from behind the iris, a yellowish flocculent membrane appears in the pupil, and protrudes into the anterior chamber.

Hearing and Ears p. 327

Hearing generally acute.

Arthritic vertigo of auditory nerve.

▌ Roaring in ears; they feel stopped up.

▌ Tingling of ears, as after being frosted.

▌ Earache, with stitches in ears.

Dryness of ears.

▌ Discharge from ears, with tearing pain. θ Otorrhoea after measles.

Smell and Nose p. 327

Smell morbidly acute; the odor of meat broth causes nausea, and that of fresh eggs nearly fainting; excessive sensitiveness of smell to cooking.

▌▌ Strong odors make him quite beside himself.

▌ Tingling and itching in nose. θ Coryza.

▌ Sneezing, with crawling sensation in nose. .

▌ Nostrils dry and black.

▌ Sore pain in septum.

▌ Nosebleed, particularly in evening.

Long lasting coryza; discharge thin, tenacious, never watery.

Upper Face p. 327

││ Extreme anxiety of countenance. dFeiicarditis.

Anxious countenance; sharp features; cheeks, lips and eyelids purple.

Face: doleful, sad expression; suffering, like that of a chronic patient ; hippocratic, sunken, cadaverous look ; risus sardonicus; pale;. pale and blue; yellow spotted; cheeks red and hot; covered with sweat; cachectic (dysentery).

▌ For three or four hours each day circumscribed redness of cheeks, with marked paleness about nose and mouth.

▌ Face, and especially nose, color of bleached coal ashes. θ Chronic asthma.

▌ Tingling in skin of face as after being frosted.

▌ Tearing and tensive pains in facial muscles, moving from one location to another.

▌ Drawing in bones of face or nose; sensation as if they were being rent asunder.

▌ Oedematous swelling of face.

│ idema of lids and face; great sensitiveness to contact, motion, and changes to damp weather; gouty diathesis. θ Iritis.

││ Pain and swelling from a decayed tooth; tongue furred.

Lower Face p. 328

▌ Lips chapped, livid, or blue.

▌ Thick, brownish coating, on lips, teeth and tongue.

▌ A paralytic sensation, a cramp-like pain in maxillary joint. θ Arthritic toothache.

Teeth and Gums p. 328

. ▌ Grinding of teeth ; teeth feel too long.

▌ Teeth very sensitive when pressed together, as in biting.

▌ Toothache, < from cold and immediately after warm things

▌ Arthritic toothache, < at night.

▌ Tearing in jaws and gums.

Taste and Tongue p. 328

▌ Flat, bitterish taste, or tastelessness of food. θ Dysentery.

▌ Inability to talk, or talks with effort. θ Cholera. θ Typhus,

Loss of sensibility in tongue.

Tearing, burning and sticking in tongue.

• tongue: bright red; heavy, stiff and numb; cold; moved and projected with difficulty.

▌ Tongue coated: with whitish fur; with a thick yellow fur ; with brown slime. θ Intestinal disturbances. θ Pericarditis. θ Dysentery.

Inner Mouth p. 328

││ Mouth open to the widest extent. θ Typhus.

▌ Sensation of warmth and dryness in mouth.

▌ Heat in mouth, with thirst.

▌ Inflammation of mucous membrane of mouth and throat.

││ Salivation. θ Cholera sporadic.

▌ Profuse flow of saliva, with dryness of throat.

▌ Affection of salivary glands. θ Bright's disease.

The saliva causes nausea and inclination to vomit when swallowing it.

Throat p. 328

▌ Tickling in throat, as if coryza were setting in, inducing cough and clearing throat.

▌ Smarting and sensation of dryness of tongue and throat.

▌ Biting-tingling in throat and fauces.

▌ The throat is dry, and yet there is a flow of watery saliva, accompanied by nausea and discomfort in abdomen.

▌ Inflammation and redness of palate and fauces.

▌ Tonsils inflamed and swollen; here and there spots covered with pus, swallowing difficult.

▌ Heat in pharynx and whole length of oesophagus.

Itching in pharynx.

▌ Constriction of oesophagus.

Accumulation of mucus in throat.

▌ Much greenish, thin mucus in throat, sometimes comes involuntarily into mouth, or is hawked up.

Appetite, Thirst. Desires, Aversions p. 328

▌ Enormous appetite.

▌ He has appetite for different things, but as soon as he sees them, or still more smells them, he shudders from nausea, and is unable to eat anything.

▌ Appetite entirely gone. θ Dysentery.

▌ No apj)petite, but intense thirst. θ Pericarditis. θ Rheumatism. θ Dropsy.

▌▌ Aversion to food; loathing the sight, and still more the smell of it. Aliens. θ Hemorrhage from bowels.

▌ The smell of fish, eggs, fat meats or broth, causes nausea even unto faintness. θ Dysentery.

▌ Great thirst. θ Hemorrhage from bowels. θ Dysentery. θ Cholera sporadic.

▌▌ No thirst.

Hiccough, Belching, Nausea and Vomiting p. 329

Frequent, copious eructations of tasteless gas.

▌ Eructations, with burning in stomach.

▌ Gulping up of water, followed by nausea. θ Dropsy.

▌ Nausea and inclination to vomit, caused by swallowing saliva.

▌ Deathly nausea and prostration. θ Acute diarrhoea.

▌ Nausea, with great restlessness ; on assuming upright posture, a qualmishness in stomach and inclination to vomit.

▌▌ Smell of cooking nauseates to faintness. θ Dropsy. θ Hemorrhage from bowels. θ Typhlitis. θ Intermittent fever.

▌▌ Nausea, eructations and copious vomiting of mucus and bile.

Disposition to vomit, > by lying perfectly still; renewed, however, by every motion.

Violent and excessive retching without vomiting.

▌▌ Violent retching, followed by copious and forcible vomiting of food and then of bile.

▌ Vomiting first food, then fluid, finally considerable quantities of stercoraceous matter. θ Ileus.

Vomiting: of food; of bilious, glairy matter, of greenish mucus; the water he drank; of acrid, sour slime; of rice water ; of fluid like coffee grounds ; renewed after every motion ; occurring with great ease.

▌ Vomiting followed by weakness and sometimes ravenous hunger. θ Dropsy.

▌ He was obliged to bend himself up and lie quite still the whole day, without the slightest movement, else he was seized with the most violent vomiting.

▌ Ravenous hunger and weakness after vomiting. θ Dropsy.

▌ Vomiting, with watery diarrhoea.

Vomiting and purging of rice water stools, with thirst.

Scrobiculum and Stomach p. 329

▌ Uneasiness at epigastrium ; extremely sensitive to touch or pressure. θ Dysentery.

▌▌ Violent burning in epigastrium.

Pain in epigastrium as if pierced with a knife.

▌ Stomach deranged after eating too many eggs.

▌ The stomach seems constantly icy cold.

▌ Pressure in stomach.

Burning in stomach, or icy coldness, with great pain and debility.

▌ Burning in pit of stomach. θ Dropsy.

Burning in pit of stomach, followed by nausea and finally vomiting, with subsequent weakness, and sometimes ravenous hunger.

▌ Severe pain and tenderness over region of stomach, at times extending over the bowels.

▌ Fulness of stomach; swelling as if he had eaten too much, even when he had taken nothing, < after eating even light food.

Sensation of gnawing hunger in stomach.

Stitches in pit of stomach.

▌ Violent burning pain in stomach.

▌ Cramps in stomach.

▌ Colic: aggravated by eating; after flatulent food; with great distension of belly; better when bending double.

▌ Gastric affections, with a coated tongue, clammy taste, anorexia, pressure in stomach, empty eructation.

▌ Gastric affections before and during an attack of rheumatism.

Hypochondria p. 330

▌ Anxious feeling in prsecordia.

▌ Distension of gas under short ribs, as after eating too much.

▌ Pain in r. hypochondrium, like from incarcerated flatus.

^'Abdomen. ▌Tympanitis. θ Colic. θ Dysentery.

▌ Tympanitis with pain in back. θ Typhoid.

▌ Great distension of abdomen with gas, as if he had eaten too much.

▌ Flatulent distension of abdomen, with less frequent and less copious stools.

▌ Belching and great meteoristic distension of stomach and upper abdomen. θ Ileus.

Great swelling of lower part of abdomen.

▌ Abdomen much swollen, with a fold or crease below umbilicus, extending across. θ Ascites.

Distended abdomen, contracts spasmodically when touched.

▌ No bellyache, but rumbling noise and sensation as if diarrhoea would begin every moment. θ Dysentery.

Surface of abdomen hotter than rest of body and extremely sensitive to touch.

▌ Intense intermitting pain in upper portion of small intestines, with constipation, fever, thirst and yellow tongue.

▌ Pain extends from stomach over abdomen, followed by large watery evacuations; each discharge with severe griping pain.

▌ Burning, or icy coldness in stomach and abdomen. θ Colic. θ Cholera sporadic.

Pulsation in abdomen.

▌ Pressing, tearing, cutting or stitching pains in abdomen.

▌ Spasmodic pains in lower abdomen, loss of appetite and general lassitude. θ Dysentery.

▌ Great pain, tenderness and swelling in r. ilio-coecal and ilio-inguinal regions. θ Ileus.

▌ Tearing pain in belly, especially about sigmoid flexure of colon, < from pressure, and at night. θ Rheumatic diarrhoea.

▌ Griping in abdomen and colicky pains. θ Dysentery.

▌ Colic: < by eating; after flatulent food; until diarrhoea sets in ; > from bending double.

▌ Painless cholera morbus, with much weakness and prostration.

▌ In inflammatory irritation of abdominal viscera, by metastasis from gout.

▌ Pain in bowels increases, towards evening, and continues until daybreak. θ Hemorrhage from bowels.

▌ Pain in belly, < on pressure and at night. θ Rheumatic diarrhoea.

Stool and Rectum p. 331

▌ Very offensive flatus in evening.

▌ Urging to stool: unsatisfactory; > by frequent passages of flatus.

Ineffectual pressing to stool, feels feces in the rectum but cannot expel them.

▌▌ Very painful urging to stool; at first only a little feces passed, afterwards followed transparent, gelatinous and very membranous mucus, with some relief of pain in abdomen.

Stools scanty, discharged only by hard straining, even if soft, with pain in small of back.

▌▌ Extremely painful stools.

Stools: changeable; mucous, jelly-like; greenish; reddish; yellowish; light yellow; orange yellow; slimy; fecal; excoriating; slightly sour-smelling; white, shreddy particles; with borborygmus; frequent, abundant, watery, with flocculi; like rice water; yellowish and bloody; scanty, with tenesmus, salivation, and copious secretion of urine; copious, frequent, watery, or bilious, often without pain, sometimes with cutting colic; watery, with bright yellow flakes; scanty, difficult, of bloody mucus and shreds, with pain in anus, and violent tenesmus; green, watery, very offensive mucus; pass insensibly, involuntarily; only mucous discharges, and during night.

▌ Very offensive evacuations. θ Dysentery. θ Dropsy.

▌ Feces mixed with small, white membranes, or light bluish matter. θ Dysentery.

▌▌ Discharge from bowels like gelatine. θ Dysentery.

▌ Evacuated mere mucus without blood, with a good deal of tenesmus. θ Dysentery.

▌▌ Watery, jelly-like mucus passes from anus, with violent spasm in sphincter. θ Dysentery. θ Cholera sporadic.

▌ Bilious diarrhoea, the stools afterwards mixed with white membranous pieces.

▌ Constant vomiting and passages of green matter, with cutting pains about umbilicus, each successive stool growing more watery. θ Asiatic cholera.

▌ Profuse, watery stools, in hot, damp weather, or in the Autumn. θ Diarrhoea.

▌ Obstinate, acute diarrhoea, with deathly nausea and prostration.

▌ Diarrhoea, with violent colicky pains.

▌ After a few discharges from bowels of a slimy, watery substance, without relief, obstinate constipation. θ Ileus.

▌ Stools slimy, streaked with blood, and lumpy, attended with tenesmus and nocturnal fever. θ Rheumatism.

▌▌ Bloody stools, with scrapings from intestines and protrusion of anus. θ Dysentery.

▌▌ Fall dysentery, with discharges of white mucus and violent tenesmus; bloody stools, mingled with a slimy substance.

▌▌ Bloody discharge from bowels with deathly nausea from smelling cooking.

▌ Putrid, dark colored blood and mucus pass from bowels.

▌ Pain al3out the sigmoid flexure of the colon. θ Rheumatic diarrhoea.

▌▌ Tenesmus in rectum.

▌ Long-lasting, agonizing pain in rectum and anus, after stool, causing screams and crying.

▌ Forcing, pressing pains in rectum, with frequent scanty discharge. θ Dysentery.

▌ Tingling, itching, burning and tearing in anus.

▌ Protrusion of rectum, θ Dysentery.

▌ Hemorrhage from anus in autumnal, cold, damp weather.

▌ Oozing of copious mucus from anus.

▌ Spasm of sphincter during or independent of discharge, with a shuddering over back.

▌ Child falls asleep on the vessel as soon as the tenesmus ceases. θ Dysentery.

Before stool : flatulency ; pinching in abdomen.

During stool : stinking flatus ; rending pain in anus, backache; vomiting, vertigo, faintness, cardial stitches.

After stool : remission of intestinal pains and of sensorial complaints; increase of pelvic pains; stinking flatus, feeling of diarrhoea in rectum, and sore biting in anus ; renewed desire to go to stool; exhaustion.

Urinary Organs p. 333

Constant burning in urinary organs, with diminished secretion.

▌▌ Pain in region of kidneys.

▌ Hypersemia of kidneys; urine contains albumen.

▌ Nephritis; bloody, ink-like, albuminous urine. θ Dropsy after scarlatina.

▌ Strangury with hemorrhage from bladder.

Bladder contracted and empty.

▌ Vesical irritability and tenesmus, depending upon gouty diathesis.

Evacuations of urine attended and followed by tenesmus of bladder and a burning pain in urethra, as if the urine were very warm.

Before urination : burning in urinary passages.

During urination: burning in urethra; constriction in neck of the bladder.

After urination: tickling in the fossa navicularis; tickling burning in urethra and discharge of a few drops.

▌ Constant urging, scanty urine, painful discharge from spasm in neck of bladder. θ Hydrothorax.

▌ Urging to urinate, and discharge of hot, highly colored urine; burning and tenesmus. θ Dysentery.

▌ Copious, involuntary urination, or suppression of urine. θ Typhus.

▌ Profuse secretion of urine.

Frequent micturition with diminished discharge.

Urine: copious, watery and frequent; dark and turbid, with tenesmus of bladder and burning in urethra; of sour smell and acid reaction ; dark, scanty, discharged in drops, whitish sediment; pale yellow; clear; reddish; bloody; brown; albuminous; suppressed; greenish; black; inky; contains clots of putrid, decomposed blood ; contains phosphates and some sugar.

▌ Scanty urine. θ Hydrothorax.

▌ Urethra hurts while the urine passes, as if raw.

▌ Urine turbid, leaves an orange-colored ring in vessel. θ Nephritis. θ Gout.

▌ Nephritis and dropsy after scarlatina.

▌▌ Urine like ink. θ Dropsy after scarlet fever.

Male Sexual Organs p. 333

▌ Tearing in glans and 1. spermatic cord.

Itching at prepuce and orifice of urethra.

▌ (Edema of scrotum. θ Dropsy.

▌ Chordee after gonorrhoea.

Female Sexual Organs p. 334

Hemorrhage of uterus.

Menses too early and scanty.

▌ Sudden suppression of menses, followed by dropsy of uterus.

Tiredness and heaviness of feet.

Lancinating tearing, deep in r. breast, through to back.

Pregnancy. Parturition. Lactation p. 334

• Faint aching about navel as if she must eat, but with loathing and disgust at thought, sight, or smell of food; all attempts to eat cause violent nausea and vomiting; smell of meat and eggs especially repugnant. θ Nausea of pregnancy.

▌ Feverish restlessness in last months of pregnancy.

▌ Nipples dark, brownish-red, protruding; unbearable pain on slightest touch by child ; breasts full, skin hot, pulse strong (lying-in, fourth day).

▌ Puerperal fever.

Voice and Larynx. Trachea and Bronchia p. 334

▌ Voice hoarse, or deeper than usual.

Hoarseness in morning, with roughness of throat.

Itching in larynx and trachea.

Tickling in trachea with coryza and a little cough.

Trachea inflamed at its bifurcation.

▌ Catarrh of the air passages.

Respiration p. 334

Cold breath.

▌ Respiration: difficult; rapid and short; quick, and heart's impulse strong; accelerated and audible; slow; irregular, or intermittent; asthmatic; with moist sound; hurried, with groans. θ Pericarditis.

▌ Breathing so oppressed she could hardly lie down, > on bending forward. θ Ascites.

Racking pain during respiration and oppression of chest.

▌ Lies in bed gasping for breath. θ Pericarditis.

▌ Great dyspnoea. θ Gastro-pleurodynia.

▌ Dyspnoea at night. θ Dropsy.

▌ Dyspnoea with palpitation of heart from 11 to 3 a.m._

▌ Asthma: depending upon hydrothorax or hydropericardium ; with dropsy of lower extremities, extending to knees.

Cough p. 334

▌ Slight cough, with coryza.

▌ Frequent, short, dry cough, from tickling in larynx.

▌ Short, dry cough, with great exhaustion. θ Dysentery.

▌ Night cough, with involuntary spurting out of urine.

▌ Troublesome night cough, compelling him to sit up, excited by scraping in chest, with much expectoration.

Inner Chest and Lungs p. 334

▌ Violent cutting pain in chest, interrupting breathing.

Lancinating pain, as with a knife, in r. side of chest.

▌ Dull stitches in posterior part of thorax, during expiration. θ Hydrothorax.

▌ Stinging in region of heart, with oppression.

▌ Severe pain at 1. side, below region of heart, shooting from behind forward; < on breathing, with rapid, sharp, irregular pulse, and great dyspnoea. θ Gouty pleurodynia.

▌ Spasms of chest.

▌▌ Oppression of chest, dyspncea, a tensive feeling in chest, sometimes high and sometimes low down. θ Asthma.

▌ Oppression of chest, with anxiety > by bending "forward.

▌▌ Oppression of chest and violent palpitation. θ Myelitis.

Frequent pressure in small spots in chest.

▌ Indescribable dulness and gnawing in sternum, about midw-ay and deep in, slightly > from constantly pressing and rubbing sternum with hand; cannot keep still, constantly tossing from side to side. θ Nausea of pregnancy.

▌ Spitting blood, after injuries; hemorrhage of lungs.

▌▌ Hydrothorax, with oedema of hands and feet.

▌ Serous effusion in chest, with rheumatic and gouty persons. θ Arthritic pleurisy.

Heart, Pulse and Circulation p. 335

Quick stitches in pericardial region.

Pressure and oppression in region of heart, as if an attack of apoplexy threatened ; > by walking.

Pressure and anxiety in precordial region ; fulness and oppression as from stagnation of blood in heart, at night while lying on 1. side, is obliged to turn to the r. side ; dull, irregular, seemingly suppressed beats of heart, with a peculiar sensation in chest, pulse small, slow and w^eak.

Heart's impulse strong.

▌ Violent palpitation with anxiety. θ Dropsy. θ Hydropericardium.

▌ Palpitation of heart and dyspnoea from 11 to 3 a.m.

▌ On assuming upright posture, vertigo, palpitation, stitches about heart and loss of consciousness.

▌ Heart's action muffled, indistinct, very weak. θ Pericarditis.

▌ Heart sound, murmuring, weak, indistinct; whistling. θ Pericarditis.

▌▌ Effusion into the pericardium after inflammatory affection of heart.

▌ Effusion into pericardium, with sympathetic irritation of endocardium. θ Pericarditis.

▌ Heart disease, following gout or acute rheumatism.

Pulse: accelerated and hard, or full and slow; slow and feeble; quick and thready; pulseless; 170, full, bounding, incompressible; rapid, sharp, irregular (gouty pleurodynia); large, full and hard; more full and frequent (nephritis) ; small, weak, somewhat frequent (dysentery) ; rapid, weak and fluttering (pericarditis) ; trembling; very small, contracted, almost imperceptible; 90, soft and weak (acute rheumatism); slow, small and thready; low, 45 and very full; scarcely perceptible, occasionally intermitting (dysentery); changeable in frequency, often irregular; 1 1 threadlike, imperceptible.

Outer Chest p. 336

▌ Supramammary region dull on percussion up to about lower edge of third costal cartilage; sharp rending pains along sternum and into 1. shoulder. θ Pericarditis.

▌ Darting pains through r. side. (^Nephritis.

▌▌ Stinging and tearing in muscles of chest.

▌ Pleurodynia from catching cold or from living in damp dwellings.

▌ Rheumatism of pectoral muscles.

Neck and Back p. 336

A pressing pain or tension in cervical muscles, felt even when swallowing.

▌ Torticollis.

▌ Rheumatic pains in neck and back.

Pains in shoulder and hip-joints.

▌ Stitching and tension between scapulae.

▌ Drawing, tension and stitches occurring in back, much < on motion.

Soreness in small of back when touched.

▌ Frequent shudderings down the back. θ Dysentery.

▌ Tension and pain in region of kidneys. θ Nephritis.

▌ Violent pain in region of r. kidney, could only lie on his back, < from pressure and motion. θ Nephritis.

▌ Pain in loins like toothache, with a feeling of weight when she stands, which makes her feel sick and good for nothing.

Pain in loins as if all power was going, and the back was turning to pulp.

▌ Rheumatic pains in loins and hips, extending to 1. shoulder and chest; pains most severe from 4 p.m. until 6, and lasting until 8 or 9, in evening, or returning at

▌ in morning. θ Rheumatism.

▌ Sudden tearing and shooting in loins. θ Myelitis acute.

▌ Violent writhing in region of loins and urinary passages,

▌ Spot on sacrum feels sore, as if ulcerated; very sensitive to touch.

Upper Limbs p. 336

▌ Rheumatic pains: in clavicle, shoulders, arms, back and neck, preventing moving head; in elbow-joint, forearm, wrist, and ligaments of fingerjoints.

Stitches in r. shoulder.

Painful swelling, and sensitiveness to pressure of humerocubital articulation, with burning.

Lacerating in elbows, in direction of upper arm.

Tearing in arms, hands and fingers.

▌▌ Paralytic pain in arms, so violent that he cannot hold the lightest thing firmly.

Bubbling sensation in 1. upper arm.

Heat of palms of hands.

Trembling of r. hand, preventing writing.

Tearing in back of r. hand.

▌ Qidematous swelling of hands.

▌ Cannot hold anything with the hand. θ Rheumatism.

▌ Cramps in fingers. θ Cholera.

Lacerations of finger-joints.

▌ Enlarged and distorted finger-joints. θ Gout.

▌ Fingers spasmodically flexed but in constant motion.

Fingers cold ; tingling in tips.

▌ Lividity of nails.

Lower Limbs p. 337

Rheumatic pains in loins and legs, extending to toes.

▌ Flying pains in hips.

▌ Tearing: in thighs; knee-joints, with swelling; in patella; in tibiae, calves, ankles, toes, tendo achilles.

A feeling of muscular weakness, or paralytic feeling, which interferes with locomotion ; on attempting to walk thinks he shall lose the use of his limbs,

▌ With the pains, weariness, heaviness, and inability to move. θ Rheumatism.

▌ Lower limbs oedematous and cold. θ Dysentery. θ Dropsy.

││ Constant pain in r. thigh, which has become much emaciated.

▌ Oedematous swelling of lower limbs with asthma. θ Hydrothorax.

▌ Cramps in calves. θ Dysentery. θ Cholera.

▌ Knees strike together, can hardly walk.

▌▌ Lameness after suddenly checked sweat, particularly on feet, by getting wet all over.

▌ It is difficult to lift the feet or go up stairs; stumbles over threshold; uncertain walk. θ Rheumatism.

Feet feel heavy.

▌ Very painful cramps in both feet, particularly in soles.

▌ Heels contracted, so that he fears never to be able to walk. θ Chronic rheumatism.

▌ Tearing pains in feet, particularly in heel, 1. tarsus, dorsa of feet, and 1. sole.

▌ Tingling in r. big toe, as if it would go to sleep.

▌ Pain in 1. big toe, as if nail would grow into flesh.

▌ Drawing with pressure in toes.

▌ Tingling in toes, like after being frosted.

▌ Pain in ball of 1. big toe as if inflamed. θ Chronic rheumatism.

▌ Burning-itching over nail of r. big toe.

Limbs in General p. 338

All muscles of voluntary motion, especially those of arms and legs, paralyzed.

Sensation of lameness through limbs, with great weakness.

Neuralgic pains in extremities and other parts.

▌ Violent pains in arms and legs, cannot use the limbs.

▌ Drawing, tearing pains in limbs, changing place.

▌ Stiffness in joints, and swelling of hands and feet. θ Gout.

▌ Shooting, tearing pains in suffering parts, increasing with the fever.

▌ Rheumatic tearing pains in limbs during warm weather; stitches during cold.

▌ Attacks of rheumatism breaking forth suddenly and disappearing suddenly; pains shifting; acute attacks merging into the chronic form, or during chronic form acute attacks set in.

▌ Arthritic pains in limbs, with stiffness in joints and swelling of hands and feet. θ Gout.

▌ Arthritic pains in joints, especially when knocking the joints; makes patient scream with pain, or when stubbing the toes hurts exceedingly.

▌ Articular rheumatism, particularly in young persons, when first attack makes its appearance.

▌▌ At the beginning of acute rheumatism, before fully developed.

▌▌ Pains in shoulder and hip-joints; and in all bones, with difficulty of moving head and tongue.

▌ Joints most affected, without swelling or redness.

▌ Now the one then the other joint affected, sore to touch and swollen, without redness. θ Rheumatism.

▌ Painful flexure of joints.

▌ Tearing and stitching pains in muscles and joints.

▌ Muscular rheumatism with sensation of lameness and real paralysis of muscles.

▌ Disease of the periosteum, with rending, tearing pain.

▌ Numbness of hands and feet, with prickling as if asleep.

▌ (Edematous swelling of hands and feet.

▌ Bloating of hands and feet. θ Dysentery,

▌ Limbs cold; hands and feet cold.

^▌▌^ Rest. Position. Motion. Rest: great desire for.

Lying perfectly still: > headache; > disposition to vomit.

While sitting: after walking, vertigo.

While lying on 1. side: fulness and oppression as from stagnation of blood in heart at night, must turn to r. side.

Sleepless because he cannot lie on 1. side, on which he is accustomed to go to sleep.

Violent pain in region of kidney, can only lie on back.

Lies prostrate on back.

Was obliged to bend himself up and lie quite still the whole day, without slightest movement, else he was seized with most violent vomiting.

Head bent forward upon breast, arms hang listless.

Troublesome night cough compelling him to sit up.

Standing: feeling of weight in loins which makes her feel sick and good for nothing.

Motion: pains < by; pressive heaviness deep in cerebellum on; oppressive weight in occiput during; oedematous lids and face very sensitive to ; disposition to vomit; vomiting renewed after every; drawing, tension and stitches in back <; pain in region of kidney <.

On looking upwards: eyes <.

On assuming upright posture: qualmishness in stomach and inclination to vomit; vertigo, palpitation, stitches about heart and loss of consciousness.

On rising: vertigo.

││ Difficulty to rise after sitting. θ Rheumatism.

Cannot rise from bed in morning but with difficulty.

Bending forward : > oppression of breath ; > oppression of chest.

On stooping: pressive heaviness deep in cerebellum.

Bending double: > colic.

On bending body backward : oppressive w^eight in occiput.

On attempting to walk: sensation as if he would lose use of limbs.

Walking: > pressure and oppression in region of heart, as if an attack of apoplexy threatened; a feeling of muscular weakness or paralytic feeling interferes with; knees strike together.

Difficult to lift feet or go up stairs ; stumbles over threshold ; uncertain walk.

Writing: trembling of hand prevents.

Inability to move.

Nerves. great irritability with the pains; very sensitive to slightest touch ; the least vibration renders the pain unbearable.

▌ Distressing restlessness and sleeplessness. θ Pericarditis.

▌▌ Great weakness and exhaustion, as after exertion ; cannot move head from pillow without help. θ Dysentery.

▌ Sudden sinking of strength ; prostration with restlessness ; deep fainting.

▌ Lassitude, nausea and great prostration, with anxious expression of face. 6'Acute rheumatism. θ Cholera.

▌ Paralytic feeling with the pains.

Frequent starting and trembling is felt through the body.

Tingling in many parts of body, as if frost-bitten, when the weather changes.

▌ Sudden loss of all power. θ Cholera.

Tearing twitches, like electric shocks, through one side of body, with sensation of lameness.

▌ Paralysis after sudden suppression of sweat, particularly foot-sweat, by getting wet.

▌ Loss of muscular power; all muscles of voluntary motions, especially those of arms and legs, are paralyzed.

▌ Convulsions, cramps, neuralgia, paralytic conditions, and debility, in persons of gouty constitution.

││ Carphologia ; subsultus tendinum. θ Typhoid.

Sleep p. 340

▌ Great sleepiness during day; falls asleep while reading.

▌ Irresistible sleepiness, drowsiness, when not in 'too much pain; pains < towards evening, and do not diminish before daybreak. θ Hemorrhage from bowels.

▌ Comatose state.

▌ Lying on the back.

▌ Starting and jerking in sleep.

▌ Sleep disturbed or driven away by pains, or restlessness of limbs. θ Rheumatism.

▌ Sleeplessness because he cannot lie on 1. side, on which he is accustomed to go to sleep.

▌ Sleep disturbed at night by dyspnoea, from 11 to 3 oclock. θ Dropsy.

▌ Sleep disturbed by frightful dreams. θ Dysentery.

▌ Cannot rise in the morning from bed, but with difficulty. θ Rheumatism.

Time p. 340

In morning: hoarseness, with roughness of throat; cannot rise from bed but with difficulty.

In afternoon : exacerbation of fever.

Rheumatic pains in loins and hips, extending to 1. shoulder and chest, most severe from 4 p.m. until 6, and lasting until 8 or 9 in evening, or returning at 1 in morning.

During day: great sleepiness, falls asleep while reading.

In evening: pains so excessive they almost drive one mad ; very offensive flatus; very violent headache, lasting until morning; nosebleed; j)ain in bowels' <; exacerbation of fever and of pain.

At night: arthritic toothache <; pain in abdomen, especially about sigmoid flexure of colon < ; mucous stools ; dyspnoea ; palpitation ; cough with spirting out of urine ; fulness and oppression as from stagnation of blood in heart, while lying on 1. side, must turn to r. side; sleep disturbed by dyspnoea; exacerbation of pain and fever with copious sweating.

Temperature and Weather p. 341

Warmth: headache > by.

Warm weather: rheumatic tearing in limbs during.

In warm weather rheumatic pains are felt principally at surface of body, as the air grows cooler they seem to penetrate the deeper tissues and the bones.

In hot, damp weather: profuse watery stools.

Warm food: toothache < immediately after.

Warm stove: constant chilly feeling even when sitting near.

Warm room : chill and shivering.

On entering room from the open air: boring, pressing headache.

In open air: headache over 1. eye < ; excoriating lachrymation <.

Cold: toothache < from.

Cold weather: stitches in limbs during.

▌▌ Rheumatic pains excited or < by damp or cold weather.

From catching cold: pleurodynia.

▌ After getting cold by lying down on ice when overheated : ileus.

After heating body in dancing : acute rheumatism.

From getting wet all over, or after suddenly checked sweat: lameness; paralysis.

After being drenched when sweating.

Complaints from cold bathing

From living in damp dwelling: pleurodynia.

"Changes to damp weather: oedematous lids and face very sensitive to.

On change of weather: tingling in many parts of body as if frost-bitten.

In Autumn : diarrhoea.

In autumnal, cold, damp weather: hemorrhage from anus.

▌▌ Fall dysentery.

▌ In Spring: rheumatism.

Fever p. 341

Chill and shivering: running through all the limbs ; even in warm room ; frequent shiverings, running down back; general coldness.

▌ Frequent chilliness. θ Acute rheumatism,

▌ Cold sensation of head and limbs. θ Acute rheumatism.

▌ Body hot and limbs cold. θ Typhus.

▌▌ Constant chilly feeling, even when sitting near the stove ; with flushes of heat.

▌ Constantly increasing dry heat of whole body, with palpitation and thirst.

▌ Hands and feet cold; trunk hot and extremities cold; skin dry; sweating; suppressed sweat; forehead covered with cold sweat. θ Typhoid.

▌ External, dry heat the whole night, with violent, unquenchable thirst.

▌ Exacerbation of the fever in the afternoon.

▌ Almost constant shivering, skin dry, not any thirst, urine clear and reddish. ^'Rheumatism.

▌ Sweat wanting, intermittent, θ Nephritis. θ Bright's disease.

▌ After sudden suppression of general perspiration, or of sweat of feet by getting wet. θ Dysentery.

▌ Copious sour sweat, without relief. θ Gout. θ Rheumatism.

▌ Clammy sweat on whole surface, with low temperature of skin. ▌ θ Acute rheumatism.

▌ Acid reaction of sweat and urine.

▌ Intermittent fever with sensitiveness to odor of food.

Attacks, Periodicity p. 342

Frequent : eructations ; stools ; scanty discharge from rectum; micturition with diminished discharge ; short, dry cough ; pressure in small spots in chest; shudderings down back; darting and trembling through body; shiverings, down back; chilliness.

Sudden : loss of all power.

Break forth suddenly and disappear suddenly: attacks of rheumatism.

Spasmodic: pains in head, especially over eyes, extending into dorsum of nose.

For a minute or two: loss of sight on getting out of bed.

Intermitting: intense pains in upper portion of small intestines.

Constant: vomiting and passages of green matter; burning in urinary organs; urging to urinate; motion of fingers; chilly feeling; increasing dry heat of body, with palpitation and thirst; shivering.

Long lasting: coryza; agonizing pain in rectum and anus after stool.

For three or four hours each day : circumscribed redness of cheeks, with paleness about nose and mouth.

From 11 to 3 in the night: dyspnoea with palpitation of heart.

For a whole day : was obliged to bend himself up and lie quite still, else he was seized with violent vomiting

From evening until morning: very violent headache; pain in bowels.

Whole night: external dry heat, with violent, unquenchable thirst.

Chronic: asthma.

Locality and Direction p. 343

Right: pupil dilated; pain in hypochondriac region, like from incarcerated flatus; great pain, tenderness and swelling in ileo-coecal and ileo-inguinal regions; lancinating-tearing deep in breast through to back; lancinating pain, as with a knife in side of chest; at side, below region of heart, severe pain, shooting from behind forward; darting pains through side ; stitches in shoulder ; trembling of hand, preventing writing ; tearing in back of hand ; constant pain in thigh which has become much emaciated ; tingling in big toe, as if it would go to sleep ; burning-itching over nail of big toe.

Left: headache over eye; rending, tearing, drawing pains in side of head, from eyeball to occiput; pupil contracted ; ulceration of meibomian glands of lower lid, which is much swollen; stye on lower lid near inner canthus; tearing in spermatic cord; sharp rending pains along sternum and into shoulder; rheumatic pains in loins and hips extending to shoulders and back; bubbling sensation in upper arm ; tearing in tarsus, in sole ; pain in big toe, as if nail would grow into flesh ; pain in ball of big toe as if inflamed.

From r. to 1. : pressing pain in frontal region,

▌▌ Pain going from 1. to r., in gout.

Hemicrania, either of r. or 1. side, changing about.

' From behind forward : severe pain at r. side, below region of heart, shooting.

From above downwards: frequent shiverings running down back.

Pains often change their location.

Sensations p. 343

As if canthus were glued up ; as if ears were stopped up; as if bones of face or nose were being rent asunder; as if teeth were too long; as if epigastrium were pierced by a knife; as if stomach was constantly icy cold; as if he had eaten too much; as of gnawing hunger, in stomach ; as if diarrhoea would begin every moment; as if abdomen was icy cold ; as if urine were very warm ; as if urethra were raw ; as if all power was going from loins, and back was turning to pulp ; as if a spot on sacrum were ulcerated; as of bubbling in 1. upper arm ; as of muscular weakness, or paralytic feeling interfering with locomotion; as if he would lose use of limbs, on attempting to walk; as if r. big toe "would go to sleep ; as if nail on 1. big toe would grow into the flesh ; as if ball of 1. big toe was inflamed ; as if muscles were paralyzed.

Pain: over region of stomach; in r. hypochondriac region, like from incarcerated flatus; in back; in upper portion of small intestines; in small of back with stool; during stools; in region of kidneys; in shoulder and hip-joints; in loins ; in r. thigh ; in 1. big toe ; in arms and legs ; in all the bones.

Long lasting agonizing pain in rectum and anus after stool, causing screams and crying.

Cutting: in abdomen; about umbilicus; in chest.

Lancinating pain, as with a knife : in r. side of chest.

Lancinating-tearing: deep in r. breast, through to back.

Lacerating: on scalp; in elbows, in direction of upper arm; in finger-joints.

Darting pains: through r. side; through body.

Boring: headache, especially over eyes.

Stitches : in ears ; in pit of stomach ; in posterior part of thorax; in pericardial region ; in back; in r. shoulder; in skin.

Stitching: in abdomen; between scapulae; in limbs during cold weather ; in muscles and joints.

Sticking: in tongue.

Distressing pains in sticking shocks or jerks, felt deep in the soft parts, and, as it were, upon the periosteum.

Stinging: in region of heart; in muscles of chest.

Sudden shooting: in' loins.

Flying pains: in hips.

Tearing: in scalp, on small spots, particularly on occiput; short, sharp, in and around eyeball ; in ears ; in facial muscles, moving from one location to another; in jaws and gums ; in tongue ; in abdomen ; about sigmoid flexure of colon; in anus; in glans and 1. spermatic cord; in muscles of chest; in loins (sudden); in arms, hands and fingers; in back of r. hand; in thighs, kneejoints, patella, tibiae, calves, ankles, toes, tendo achilles; in feet, particularly in heel, 1. tarsus, dorsa of feet and 1. sole; in muscles and joints.

Tearing, tensive pains over small parts, at a time ; quickly changing location.

Shooting-tearing: in suffering parts, increasing with the fever.

Ren ding-tearing: in 1. side of head from eyeball to occiput; in periosteum.

Drawing-tearing : in limbs, changing place.

Tearing, wandering pains: in one-half of head, in occiput, in temples, in pericranium.

Rheumatic and arthritic tearing in extremities and other parts of body, especially when the weather is hot.

Shooting-darting j3ains in muscles, especially in cold weather.

Tearing twitches : through one side of body, like electric shocks, with sensation of lameness.

Rheumatic tearing: in limbs during warm weather.

Rending pain: in anus; along sternum -and into left shoulder.

Drawing: in 1. side of head, from eyeball to occiput; in bones of face and nose; in back; in toes.

Drawing-digging; deep in orbit, like in sclerotitis.

Racking pain : during respiration.

Forcing pains : in rectum .

Burning : of edges of eyelids ; in tongue ; in stomach ; in epigastrium ; in pit of stomach ; in stomach ; in abdomen; in anus; in urinary organs ; in urethra; in swelling of humeri-cubital articulation.

Tickling-burning: in urethra.

Burning-itching : over nail of r. big toe.

Smarting: in eye, especially in outer canthus; of tongue and throat.

Soreness: of eyeballs; in eyes; of septum of nose; in . small of back ; of spot on sacrum ; a^nd sensitiveness of whole body.

Sore biting: in anus.

Biting: in canthi.

Pressing pain : in r. afterwards in 1. frontal region ; in occiput; in eyes; in abdomen; in rectum; in cervical muscles.

Pinching: in abdomen.

Gnawing: in sternum.

Violent writhing: in region of loins and urinary^ passages.

Cramps: in stomach; in fingers; in calves; in both feet, particularly in soles.

Cramp-like pain : in maxillary joint.

Constriction : in ciliary region ; of oesophagus.

Scraping: in chest.

Griping: in abdomen.

Colicky pains: in abdomen.

Arthritic pains: in limbs; in joints.

Rheumatic pains: in neck and back; in loins and hips, extending to r. shoulder and chest; in clavicle, shoulders, arms, elbow-joint, forearm, wrist and ligaments of finger-joints; in loins and legs, extending totoes.

Paralytic pain: in arms, so violent that he cannot hold lightest string firmly.

Neuralgic pains : in extremities and other parts.

Drawing tension: deep in eye.

Tensive pains: in facial muscles, moving from one location to another.

Tension : in chest ; in cervical muscles ; between scapulae ; in back ; in region of kidneys.

Faint aching : about navel, as if she must eat.

Like toothache : pains in loins.

Fulness : of stomach.

Pressure: in head; in occiput, also deep in cerebellum, excited by mental exertion or night watching ; in canthi ; in stomach ; in small spots in chest ; in region of heart ; in precordial region ; in toes.

Weight: oppression in occiput during movement; in loins while standing, makes her feel sick and good for nothing.

Pressive heaviness : deep in cerebellum.

Heaviness : of head ; of feet ; with the pains.

Oppression: of chest; in region of heart.

Anxiety: in prsecordia.

Confusion : of head.

Dulness: in sternum.

Pulsations: in head; in abdomen.

Creeping: in forehead.

Shuddering and creeping, in isolated parts, such as is felt on getting cold from change of weather.

Crawling: in nose.

Prickling: in hands and feet, as if asleep.

Biting-tingling : in throat and fauces.

Tingling : in ears, as after being frosted ; in nose ; in face ; in anus; in tips of fingers; in r. big toe as if it would go to sleep; in toes like after being frosted; in many parts of body, as if frost bitten; here and there in skin, like after being frosted.

Tickling: in throat; in fossa navicularis; in trachea.

Weakness: with the pains.

Tiredness: of feet.

Frequent trembling: through body.

Uneasiness : at epigastrium.

Paralytic sensation: in maxillary joint; with the pains.

Numbness: of tongue; of hands and feet; in small joints which are swollen and stiff.

Stiffness: in joints.

Lameness : through limbs, with great weakness.

Dryness: of ears; in mouth; of throat; of tongue.

Heat : in mouth ; in pharynx and whole length of oesophagus; of palms of hands.

Warm sensation : in mouth.

Cold sensation : of head and limbs.

Itching: in nose; in pharynx; in anus; at prepuce and orifice of urethra; in larynx and trachea; of skin, as in nettle-rash.

Tissues p. 346

▌ Metastasis to internal organs.

▌ Dropsy of cavities and internal organs, especially hydropericardium; hydrothorax; ascites; hydrometra.

It affects the urinary and digestive tracts, and to some extent the respiratory organs.

Useful in hemorrhages from lungs, stomach and uterus.

Muscular rheumatism and loss of muscular power.

Stands in close relation to fibrous tissues ; redness, swelling, heat, etc., not tending to suppuration; easily and quickly changing location.

Gout attacking many joints; muscular pains like torticollis; lumbago; tearing pains in joints; pains in all the bones.

Acts markedly on the periosteum; synovial membranes of joints, especially the small joints; that part of the nervous system which presides over the function of voluntary motion.

General inflammation of the joints, with excessive hypereesthesia, slightest concussion of air, floor, or bed, renders the pains unbearable; exacerbation of fever and of pain in evening, and at night with copious sweating ; secretion of urine diminished, but urine highly saturated; excessive thirst, quickened respiration, and increased strong beating of heart; large joints intensely red and hot ; smaller ones swollen and stiff, with sensation of numbness.

││ Acts more on the small joints than on the large.

When during the chronic form of gout acute paroxysms

. set in, also in metastasis to heart.

▌ Rheumatism : articular, acute or chronic; with or without fever; after getting thoroughly wet; complicated with gastric affections; occurring immediately after moist weather; in the later stages.

It hastens relapses of gout if abused.

Secretions of all mucous surfaces altered and increased.

▌ Gastric rheumatic genus epidemics.

▌ Diphtheritis of mucous membranes and submucous cellular tissue.

▌ Emaciation, oedema, anasarca, complicated with rheumatism.

▌▌ Acute dropsy, with renal affections.

▌ Dropsy after scarlatina.

Touch. Passive Motion. Injuries p. 347

Touch : lips and face oedematous with great sensitiveness to ; epigastrium sensitive to; distended abdomen contracts spasmodically from ; surface of abdomen extremely sensitive to ; unbearable pain in nipples from slightest; soreness in small of back from ; sore spot on sacrum very sensitive to ; affected joints sore to.

Pressure: epigastrium extremely sensitive to; tearing pain in abdomen, especially about sigmoid flexure of colon < from; dulness and gnawing in sternum > from constant; pain in region of kidney < from ; painful swelling of humeri cubital articulation with sensitiveness to.

Teeth very sensitive when pressed together.

Rubbing: dulness and gnawing in sternum > from constant.

When raised: head falls back, mouth wide open.

Slightest concussion of air, floor, or bed renders the pains unbearable.

Knocking joints: arthritic pains < by, making patient scream.

Stubbing the toes hurts exceedingly.

Skin p. 348

Delicate skin.

▌ Skin dry and pale; swollen; parts cool and glistening. θ Dropsy.

Dryness of skin, particularly when accompanied by dark, scanty urine. θ Dysentery,

▌ Hot, dry skin. θ Pericarditis.

▌ Skin dry, sweat suppressed, or profuse sweating.

▌ Stitches in skin.

▌ Tingling here and there, like after being frosted.

Itching: as in nettle rash; unchanged by scratching; with pinkish redness around joints.

Erysipelas, smooth.

Purple efflorescence on face, neck, and upper anterior part of thorax, inside of thighs, scrotum and groiiis in patches.

▌ (Edematous swelling and anasarca.

Stages of Life, Constitution p. 348

Venous constitutions.

▌ Melancholic temperament.

▌ Cachectic appearance. θ Dysentery. θ Gout.

▌▌ Uric acid diathesis.

▌ Emaciated, sensitive individuals, disposed to rheumatism and catarrh.

▌▌ Gout in persons of vigorous constitution.

▌ Often indicated with old people.

▌ Vesical irritability depending upon gouty diathesis.

▌ Asthmatic people.

Those suffering from effects of night watching, and from hard study.

Boy, £et. 10, subject to frequent attacks of rheumatism, has for last fourteen days been suffering from rheumatic fever; pericarditis.

Woman, set. 22, of dissipated habits, and mother of three illegitimate children; gout.

Mr. S., caught cold by lying on ice after violent exercise while skating.

Scrofulous young man, set. 27; dropsy.

M., eet. 30, male; rheumatism.

Mrs. N., set. 43, renal derangement; relieved.

Woman, set. 43, ceased menstruating half a year ago; pleurisy.

Male, set. 46, acute articular rheumatism.

Woman, set. 55; rheumatism.

M., male, set. 56, of athletic build; inflammation of kidney.

M., set. 65, coachman; rheumatism.

Mrs. M., set. 74; hemorrhage from bowels.

Lady, set. 85; ascites.

An old lady, to all appearances in good health, lying in bed, free from any inflammatory symptoms; prostration with an anxious expression.

Relations p. 349

Antidoted by Bellad., Camphor., Coccul., Nux vom., Pulsat., honey and vinegar. Spigel., when in heart affections patient feels as if dying. Copious draughts of ice w^after prevents its action on the bowels. In poisoning give Amm. canst. in sugar water.

Compatible: useful in dropsy after failure of Apis and Arsen. Carb. veg. followed well in ascites. After Lycop.

Compare: Acon., Arnic. (typhus), Arsen., Bellad., Bryon. (gout, effusions albuminous or serous, hence, while symptoms express less energy than Bryon., they are more serious); Cinchon., Coccul., Mercur., Natr. mur., Nux vom., Opium, Podoph. (painless cholera morbus) ; Pulsat. (derangement of stomach from eggs) ; Sepia.