Cannabis sativa

(The fresh expressed juice of the tops of the flowering male or female hemp-plant, mixed with equal parts of alcohol, and after standing some time the clear supernatant fluid decanted off.)

From vol. i, 3rd edit., 1830.

Hitherto only the seeds, generally (rubbed up with water) as emulsion, or as decoction, have been used with advantage in the inflammatory stage of gonorrhea, and in ancient times (by DODONAEUS, SYLVIUS, HERLIZ) in some kinds of jaundice. In the former case the homeopathic reason for its utility is evident from the peculiar similar morbid states observed in the urinary organs after the administration of hemp to healthy persons, although no physician ever recognized this. The plant itself has only been used as a domestic remedy, but it was much employed in Persian country inns in order to relieve the fatigue of pedestrian travelers (CHARDIN, Voyage en Perse), for which it is truly homeopathic as the following cannabis symptoms (269 to 275) demonstrate.

But we may employ the juice of hemp for curative purposes of much more importance in various diseases of the genital organs, of the chest, of the organs of the senses, c., for which the following observations present the homeopathic indications.

For a long time I employed the undiluted alcoholic tincture of cannabis, in the dose of the smallest portion of a drop; but the higher and the very highest yet made dilution and potency (X) of it develops the medicinal powers of this plant in a much greater degree.

HAHNEMANN'S fellow-provers of cannabis were:-FRANZ, GROSS, FR. HAHNEMANN, HEMPEL, HUGO, STAPF, TRINKS, HARTLAUB, and WAHLE.

A few symptoms were taken from the following old school sources:

HALLER, in Vicat, Mat. Med.

MORGAGNI, De Sed. et Causis Morb.

NEUHOLD, in Act. Nat. Cur., iii.

OLEARIUS, Oriental. Reisebeschreib.

RAMAZZINI, Diatribe de Morb. Artif.

The 1st Edit. has only 69 symptoms, the 2nd Edit. has 308, this 3rd Edit.330.]

Cannabis

1. Vertigo when standing and dizziness. [Gss.]
   

2. Vertigo when walking, as if he would fall sideways (aft. 1 h.). [Ho.]
   

3. Whirling and stupid in the head (immediately). [Gss.]
   

4. Giddy and dull in the head. [Ws.]
   

5. Attacks of vertigo. [Neuhold, in Act. Nat. Cur., iii, p.150, et seq.]
   

6. Confusion and dulness of the head. [Stf. ]
   

7. Hesitation and unsteadiness of the mind overpowering vividness of the thoughts that arise. [Hl.]
   

8. Wanting in reflective power, deficient in imagination, spiritless. [Stf. ]
   

9. The thoughts seem to stand still; he stares before him; he feels as if his mind were occupied by elevated contemplations, but he does not know what they are; with a slight feeling of aching pain on the parietal bone. [Fz.]
   

10. He can, no doubt, think of one thing and another, but the ideas remain stationary, as if they stood still, and he looks long at the object on which he was going to work. [Fz.]

11. He often makes mistakes in writing. [Stf. ]

12. Agreeable warmth in the brain. [Fz.]

13. Quivering as if in the blood of the head, chest, and stomach.

14. Great rush of blood to the head.

15. Rush of blood to the head, which causes an agreeable warmth in it, but with aching pain in the temples. [Fz.]

16. Throbbing pain that extends forwards into the right temple; at the same time a warmth about the head; the cheeks are red and hot; in the warmth the nausea increases. [Ts. Hb.]

17. Violent pains in the head. [Neuhold, l.c.]

18. Very penetrating headache. [Neuhold, l.c.]

19. Uninterrupted headache all day. [Fz.]

20. Constant pain on the top of the head, as if a stone lay on it. [Fz.]

21. Confusion of the head; it is heavy and she feels a painful pressure on the forehead and eyelids, so that they are like to close. [Gss.]

22. Pressure under the frontal protuberance to deep through the brain into the occiput. [Gss.]

23. When leaning the head against the wall an aching on the opposite side internally in the head. [Gss.]

24. Pressure in the temples. [Ho.]

25. Aching pain in the right occipital bone. [We.]

26. Tension first in the occiput then in the sinciput, lastly in the temples (aft. 1/2 h.). [Ho.]

27. On moving the head a painful sensation in the head and nape. [Stf. ]

28. Drawing pain in the occiput towards the ears. [Stf. ]

29. Painful constriction of the sinciput. [Gss.]

30. The sinciput is compressed from the borders of the orbits to the temples; not relieved by stooping. [Gss.]

31. Below the left frontal protuberance a beating outwards, immediately followed by stupefying pressure on that part. [Gss.]

32. On a small spot of the parietal bone (afterwards on other parts of the head also) a cold feeling as if a drop of cold water fell on it. [Gss.]

* Effects of effluvia of hemp, before being dried.

1. A creeping in the skin of the hairy scalp.

2. A kind of tickling spasm in the temples (aft. 3/4 h.). [Ho.]

3. Feeling as if the eyebrow were pressed down. [Gss.]

4. Tearing pressure on the upper eyelid. [Gss.]

5. Alternate dilatation and contraction of the pupils in one and the same light (aft. 1 h.). [Ho.]

6. Weak feeling in the eyes, and weakness of vision; distant and near objects are indistinct (aft. 1 1/2 h.). [Ho.]

7. The cornea of the eye becomes opaque; pannus.

8. A circle of white flaming zigzags on the right side of the field of vision; so that he can see objects only partially and indistinctly. [Gss.]

9. Cataract. [Neuhold, l.c.]

10. Pressure outwards at the back of the eyes. (aft. 3/4 h.). [Ho.]

11. Sensation of spasmodic drawing in the eyes. (aft. 3/4 h.). [Ho.]

12. Slight palpitation on many parts of the face, especially in the muscles of the left cheek. [Gss.]

13. Paleness of the face [Morgagni, De Sed. et Causis Morb., Epist. x, art. 13.]

14. Drawing pressure on the left zygoma. [Gss.]

15. Itching here and there in the face.

16. Formication, itching, and smarting as from salt, in the face.

17. Large lumps on the nose surrounded by red swelling, like acne.

18. Itching swelling on the ala nasi (aft. some h.).

19. Dryness in the nose.

20. Stupefying pressure as with a blunt point on the root of the nose. [Gss.]

21. Warm sensation in the nose as if it would bleed. [Fz.]

22. Epistaxis to syncope.[Neuhold, l.c.]

23. Epistaxis.

24. Roaring before the ears.

25. Sensation as of a skin drawn before the ears. [We.]

26. Instantaneous pain as if the auricle were drawn out of the head. [Gss.]

27. Acute twitching pain in the right membrana tympani extending to the shoulder. [We.]

28. Sore pain in the external aural cartilage, which he might have somewhat pressed as he lay at night in bed. [Gss.]

29. Tinnitus aurium. [Neuhold, l.c.]

30. A throbbing in the ear. [Stf. ]

31. The original is "suffusiones oculorum," and occurs in a list of the observed effects of hemp. Though technically this phrase may mean cataract, as in Celsus, seventh book, vii, 13 and 14, yet it seems unlikely that the author means to hazard in this manner so startling an assertion as that hemp can cause it.

32. Cases of disease occurring in adult male hemp-dressers, but not adduced as results of their occupation. This is merely a statement that the man was pale, but otherwise in good health.

33. From the odour alone.

34. In the ear a throbbing forcing pain that extends almost into the cheek, goes off immediately on stooping and recurs on rising up again (aft. 3 h.). [Stf. ]

35. Stitches in the external meatus when chewing. [Gss.]

36. Fine stitches from within outwards in the left ear. [We.]

37. Pain behind the right ear as if a blunt point were violently thrust in. [Gss.]

38. Large sharp stitches on the mastoid process. [Gss.]

39. Stupefying compressive pain on the left side of the chin, in which the teeth of that side participate. [Gss.]

40. Cramplike pain in the teeth on the left side of the lower jaw [Fz.]

41. Fine pecking in the left ramus of the lower jaw, on the cessation of which a drawing always ensues. [Gss.]

42. A darting and fine pecking in several teeth at the same time. [We.]

43. Eruption on the red part of the lips and on the corner of the mouth.

44. Pinching aching in the cervical muscles over the throat. [Gss.]

45. Speech is difficult.[Morgagni, l.c., Epist. xv, art.6.]

46. Altered speech, more a clangour than a human voice.[Morgagni, l.c., Epist. vii, art.13.]

47. He could not speak properly; at one time words failed him, at another the voice itself (for 4 hours); towards evening the attacks recurred, at one time there was a stream of eloquence, as if forced from him, at another a stoppage in his discourse, so that he sometimes repeated the same word ten times in succession in one breath, sometimes anxiously recalling his whole thought he was annoyed that he could not repeat it in the same words. [Fz.]

48. The speech is given out with extraordinary anxiety and agony on account of pain in the back. [Fz.]

49. In the morning burning dryness in the palate.

50. A burning in the throat.[Morgagni, l.c., Epist. xv, art.6]

51. Dryness in the mouth; the saliva is viscid, at the same time want of thirst especially in the evening, and hot hands. [Stf. ]

52. On partaking of food that he relishes highly, there occurs, when he is nearly satiated, a transient sickness up in his throat. [Gss.]

53. Belching of a bitter-sour acrid fluid. [Gss.]

54. Without nausea or retching, a tasteless water rises up in his throat and windpipe so that he always chokes in swallowing. [Gss.]

55. Eructation of a bitter-sour fluid into the mouth. [Gss.]

56. Eructation of nothing but air. [Gss.]

57. A choking sensation always rises up in the throat, as from acidity of the stomach. [Gss.]

58. A choking in the scrobiculus cordis rises thence up into the throat. [Gss.]

59. Nausea; she heaves as though she would vomit. [Ts. Hb.]

60. Vomiting of a slimy bitter-tasting water; at the same time a scraping in the throat, followed by stupid feeling and confusion of the head in the occiput. [Ts. Hb.]

61. Green bilious vomiting.[Morgagni, l.c., Epist. vii, art.13.]

62. Local effect.

63. She became anxious and apprehensive in the scrobiculus cordis, with oppression of the breathing and palpitation; warmth rises up to the throat and stops the breath, as if something stuck in the windpipe, with flying heat. [Gss.]

64. Fulness in the abdomen, compelling him to breathe deeply.

65. Cardialgia. [Neuhold, l.c.]

66. Pinching in the scrobiculus cordis. [Gss.]

67. Cutting in the scrobiculus cordis. [Gss.]

68. After stooping a cutting above and across the stomach. [Fz.]

69. Uninterrupted obtuse shooting in front, just below the ribs near the scrobiculus cordis, which only varies in degree; by moving the body forwards or backwards it is alleviated for an instant, but soon returns. [Gss.]

70. On the left side near the xiphoid cartilage, burning shooting pain. [We.]

71. In the left side, just under the ribs, an obtuse shooting when breathing and when not breathing. [Gss.]

72. At various times several attacks of the most violent stomach pains, with paleness of the face and perspiration on the face, pulse almost extinct, and rattling respiration like that of a dying person.[Morgagni, l.c., Epist. xxiv, art.13.]

73. The stomach is extremely painful to the touch, as if ulcerated; but it goes away on eating. [Fz.]

74. He feels as if he had caught cold in the stomach; in the forenoon especially he has working round in the bowels and pinching, but without diarrhea.

75. Several mornings, from 8 to 10 a.m., sensation under the navel as if he had caught cold; a working round in his abdomen, but without diarrhea.

76. Just above the navel pinching (after a meal). [Gss.]

77. Pinching in the hypogastrium and cutting in the loins. [Gss.]

78. Pinching throughout all the abdomen. [Gss.]

79. In the epigastrium anxious beating, like strong pulse beats. [Gss.]

80. On the right near the navel pain like a beating there from within outwards. [Gss.]

81. In the left side under the last ribs, towards the back, there is a beating outwards as with a small hammer. [Gss.]

82. On the left near the navel, and at the same time behind near the spine, pain as if the parts were seized by pincers and compressed. [Gss.]

83. All the bowels pain as if bruised. [Fz.]

84. Local effect. See symptom 226.

85. Subject of symptoms 218, 219, 224, 307. Heart found much enlarged post mortem.

86. In the abdomen shaking of the bowels on moving the arms violently, as if the bowels were quite loose. [Fz.]

87. An almost sore itching for several hours at the navel, where, after rubbing, there is acute sore pain.

88. Tickling sensation on the integuments of the hypogastrium (aft. 1/2 h.). [Ho.]

89. Shudder in the abdomen, as from the movement of cold water therein (aft. 8 m.). [Ho.]

90. In the side of the abdomen an out-stretching. [Fz.]

91. In the right hypochondrium a painful hard swelling.[Morgagni, l.c., Epist. xxiv, art.13.]

92. Encysted abdominal tumour, without swelling of legs or feet.[Morgagni, l.c., Epist. x, art.13.]

93. Abdomen and chest are externally painful.[Morgagni, l.c., Epist. xv, art.6.]

94. Drawing pain from the renal region to the inguinal glands, with anxious sick feeling in the scrobiculus cordis.

95. In the renal region pain as if ulcerated per se, and on touching. [Fz.]

96. In the side of the abdomen, just under the ribs, sharp blows. [Gss.]

97. Flying, pinching stitches in the abdomen. [Gss.]

98. A working round in the abdomen, and then in the left side obtuse stitches up into the ear. [Gss.]

99. Flatulence sticks in the epigastrium and hypogastrium until the evening with colicky pains. [We.]

100. Painful jerks dart round about in the abdomen from one place to another, as if something alive was in it; at the same time a drawing from the left hip bone over to the right and thence into the knee; but the pain remains all the time in the hip, and assumes the character of tearing blows. [Gss.]

101. In the evening in bed she has obtuse stitches in both sides of the abdomen, they then spread up the back, and there are similar stitches between the scapulae, they then return into the sides of the abdomen. [Gss.]

102. Painful blows above the bend of the left groin. [Gss.]

103. Needle prick on the right side of the mons veneris. [We.]

104. In the bend of the groin at first some twitching blows, he then feels the region of the inguinal ring as if stretched, and the inguinal ring itself as if pressed out. [Fz.]

105. In the inguinal ring an out-pressing and pain, as if all were ulcerated there. [Fz.]

106. Every morning discharge of much almost inodorous flatus. [Gss.]

107. Colicky pains in the epigastrium, followed by a diarrheic stool and a sore pain in the anus. [We.]

108. Liver found diseased post mortem.

109. The subject of symptom 217 was found post mortem to have spinal incurvation. This symptom occurred eight days before death. Morgagni says only "abdomen universum tumere." After death much turbid fluid was found in the peritoneum.

110. See note to symptom 74.

111. The first five days normal stool, the following two days quite constipated. [Gss.]

112. In the rectum and sacrum a pressing as if all the bowels descended and would be pressed out, when sitting. [Fz.]

113. At the anus a sensation as if something cold dropped out on the skin. [Fz.]

114. Contractive pain at the anus; at the same time she feels as if the thighs were drawn together, so that she must close them. [Gss.]

115. Itching in the perineum.

116. Urging to urinate, with aching pain.

117. Turbid white urine.

118. Urine reddish and turbid.

119. Difficulty in urinating; paralysis of the bladder.[¯]. [Morgagni, l.c. Epist. x, art.13.]

The urine could at first only be passed by means of the catheter, but afterwards not even by this instrument, because it gets stopped up by mucus and pus.

1. In the subject of symptom 118, eight days before death, after paraplegia had lasted some time.

2. Urine full of flocci, as if pus were mingled with it. [Fr.H-n.]

3. Diuresis; he must urinate frequently at short intervals, when a large quantity of urine resembling water is discharged (immediately). [Gss.]

4. A tearing as if in the fibres of the urethra, as it were in the form of a zigzag. [Hl.]

5. Itching, tickling stitches in the anterior part of the urethra. [We.]

6. Burning shooting in the posterior part of the urethra during the passage of the urine (aft. 10 h.). [Ho.]

7. Whilst urinating pain from the mouth of the urethra going backwards, burning smarting, posteriorly more shooting.

8. Simple, but violent burning in the anterior part of the urethra during the flow of urine.

9. Burning in the mouth of the urethra while urinating.

10. Burning while urinating, but especially immediately afterwards.

11. Burning during, but especially after urinating, worst in the evening.

12. Whilst urinating, from the glans penis to the back part, a pain at first burning, and after urinating smarting pain.

13. Even when not urinating some burning pain in the anterior part of the urethra, which obliges him to be almost continually trying to pass water, even when there is no more urine in the bladder.

14. Shooting smarting pain when passing water, when not urinating a smarting pain.

15. When not urinating pressure as if to make water, especially in the anterior part of the urethra.

16. Stitches along the urethra when not urinating.

17. When standing twitching stitches in the posterior part of the urethra.

18. Burning throughout the urethra, but only at the beginning and the end of micturition. [Fr.H-n.]

19. Anteriorly in the orifice of the urethra, very fine shooting pecking when not urinating. [Fz.]

20. Cutting pain in the anterior part of the urethra when urinating. [Fz.]

21. Watery mucous discharge from the urethra. [Fr.H-n.]

22. Painless discharge of a clear transparent mucus from the urethra (prostatic fluid?) without erection. [Fz.]

23. The orifice of the urethra is stuck together by a fluid which becomes visible when pressed. [Hl.]

24. The whole penis is somewhat swollen, without actual erection. [Fr.H-n.]

25. The urethra is as if inflamed, and painful in its whole length when touched; during erection there occurs tensive pain.

26. Stream of urine spread out.

27. Frequent erections of the penis; afterwards stitches in the urethra.

28. Frequent erections by day, only when sitting, not when walking.

29. When coughing erections of the penis, then pain in the urethra.

30. Painless discharge of mucus from the urethra (a kind of gonorrhea?).

31. Swelling of the glans and penis; a kind of erection without sensation. [Fz.]

32. Coldness of the genitals with warmth on the rest of the body (the same day, and lasting three days). [Hl.]

33. Disinclination for coitus. [Fr.H-n.]

34. Swelling of the right and lower side of the prepuce. [Fr.H-n.]

35. Swelling of the frenum and of the prepuce, especially where the frenum ends. [Hl.]

36. Pleasant itching on the border of the prepuce and at the orifice of the urethra. [We.]

37. Disagreeable itching on the right side of the prepuce at its anterior border, more internally, but pleasant during and after scratching. [Fr.H-n.]

38. An itching under the prepuce and at the frenum, with some redness and moisture behind the corona glandis. [Hl.]

39. Eroding burning and shooting in the external parts of the prepuce, and in the urethra at the corona glandis. [Fz.]

40. The whole of the prepuce is dark red, hot, and inflamed. [Fr.H-n.]

41. Soreness on the border on the inside of the prepuce. [Fr.H-n.]

42. Constant burning on the whole of the prepuce and glans, for four days; on applying cold water there occurred soreness. [Fr.H-n.]

43. The border of the prepuce is excoriated. [Fr.H-n.]

44. The glans itself is dark red, as dark red as the prepuce itself. [Fr.H-n.]

45. The skin of the glans is covered with lentil sized, bright red spots, brighter than the glans itself. [Fr.H-n.]

46. The whole penis pains when walking as if excoriated and as if scalded (he must tie it up in an upright position). [Fr.H-n.]

47. Round about the back of the corona glandis an exudation and moisture like gonorrhea preputialis. [Fr.H-n.]

48. On the right near the penis pain like penetrating blows, when at rest and when moving. [Gss.]

49. When standing, a tensive pain in the spermatic cord, and contraction of the scrotum, with a contractive feeling in it.

50. When standing a pressive feeling in the testicles, a tugging in them.

51. Swelling of the prostate gland.

52. The sexual desire is much excited, but sterility is caused. [Olearius, Oriental. Reisebeschreib., p.529.]

53. Excites the sexual desire in human beings and in animals. [Haller, in Vicat., Mat. Med.]

54. Profuse menstrual flux (from external application). [Neuhold, l.c.]

55. Premature labour (in the eighth month) accompanied by frightful convulsions.[Neuhold, l.c.]

56. Dryness and dry feeling in the nose (aft. 5 d.).

57. Dry feeling and heat in the nose.

58. Sneezing and feeling of stuffed coryza, and yet he can breathe through the nose. [We.]

59. In the morning, viscid mucus sticks in the lower part of the windpipe; coughing and hacking cannot reach it, and he strains much to detach a little, which, however, does not come into the mouth, and which he must swallow; after the coughing and hacking there remains a scraping feeling down along the windpipe, as if it was raw and excoriated there; at length the mucus detaches itself spontaneously and he must repeatedly hawk it up. [Gss.]

60. In the morning she has scraping in the chest as from salt; she must hack and swallow what she hawks up because it will not come into the mouth. [Gss.]

61. About the seventh day the previously viscid phlegm detaches itself easily in the morning, and the previous difficulty of breathing (as if a weight lay on the chest) was immediately relieved. [Gss.]

62. Oppression of the breathing from a tensive aching pain in the middle of the sternum, which is also painful to the touch; at the same time sleepiness.

63. Inspiration is difficult ??? is as if a weight lay on her chest. [Gss.]

64. She is oppressed on the chest and has a feeling of anxiety in the throat; she must breathe deeply. [Gss.]

65. Violent pinching together under the sternum, in the lower part of the chest, whereby the breathing is not impeded; on bending back it goes off, and is worst when stooping forwards and then worse when inspiring. [Gss.]

66. In the left side of the chest, without oppression of the breathing, a pushing with intermittent obtuse stitches-a kind of pressing inwards. [Gss.]

67. General statement of effects; but Cannabis indica is probably intended.

68. General statement of effects.
    * From lying all day on fresh hemp. Preceded by symptom 18.

69. In both sides of the chest blows or knocks, which recur frequently and at the same time impede respiration, but are most painful in the region of the heart.

70. On corporeal exertion and stooping, a couple of violent blows at the heart, as if it would fall out; at the same time a warmth about the heart (aft. 48 h.).

71. A beating in her left side on the ribs. [Gss.]

72. An out-hammering under a costal cartilage near the sternum. [Gss.]

73. Digging under the top of the sternum, without oppression of the breathing. [Gss.]

74. Drawing pain at the left last rib. [Fz.]

75. Shooting in the external thoracic integuments. [Fz.]

76. Cutting over the external thoracic integuments. [Fz.]

77. Tensive oppression of the left half of the chest, with slight jerking, palpitation of the heart and anxiety. [Gss.]

78. At the xyphoid cartilage an elevation and a node, which grew for two years painlessly and then caused difficulty of breathing.[Morgagni, Epist. x, art.13.]

79. Beating of the heart at a low place.[Morgagni, Epist. xxiv, art.13.]

80. Pain in the cardiac region.[Morgagni, l.c.]

81. Tightness of chest. [Ramazzini, Diatribe de morb. artif., Cap.26.]

82. Difficult breathing, without expectoration.[Morgagni, l.c., Epist. vii, art.18]

83. Very much impeded respiration. [Morgagni, l.c., Epist. xv, art.6.]

84. Orthopnea; he could only breathe with his neck stretched upwards, with whistling in the windpipe, and great distension of the abdomen.[Morgagni, l.c.]

85. On lying down, difficult respiration.[Morgagni, l.c., Epist. x, art.13.]

86. Six or seven times inflammation of the chest and lungs.[Morgagni, Epist. vii, art.13.]

87. Inflammation of the lungs with vomiting of a green bilious matter.[Morgagni, l.c.]

88. Inflammation of the lungs with incoherent talking.[Morgagni, l.c.]

89. See note to symptom 118.

90. Rather: "The pulsations of the heart are felt below the natural limits." See note to symptom 100.

91. See note to symptom 100.

92. Affections of workers in hemp and linseed; therefore mere local and mechanical irritations.

93. The subject of symptom 225, being tired with carrying a burden, had symptoms 309 and 228 and came into hospital with this dyspnoea. He died of phrenitis. See Hahnemann's note to symptom 330.

94. A man convalescing from acute fever, "after irregularities in food and drink and continual handling of hemp," had this symptom with symptoms 222, 74, 79, 119, and 229.

95. See note to symptom 100.

96. Local effect.

97. Pain like needle-pricks on the left nipple.[Morgagni, l.c.]

98. Expiration caused him to cough.[Morgagni, Epist. xv, art.6.]

99. Sometimes tussiculation proceeding from the pit of the throat, when a cool, salt fluid is felt deep back in the throat. [Stf. ]

100. Constant cough. [Ramazzini, l.c.]

101. Dry, very violent cough. [Neuhold, l.c.]

102. On the coccyx, pressure as with a blunt point. [Gss.]

103. On the left near the coccyx in the bone, a pain as if this part was forcibly pressed against a hard body. [Gss.]

104. On the lower dorsal vertebrae of the thorax a heavy pressive and fine shooting pain (for 50 days), which sometimes extended to the loins or to the scapulae.[Morgagni, Epist. x, art.13.]

105. Slowly intermitting obtuse stitches on the left side of the back, under the last rib. [Gss.]

106. Pain in the middle of the back as if pinched with forceps, which extended forwards towards the abdomen. [Fz.]

107. The pain in the back often takes away his breath. [Fz.]

108. On the right near the scapula, itching fine stitches, that go off after scratching. [Gss.]

109. Burning under the right scapula. [Fz.]

110. On the lowest part of the nape, stabbing as with a knife. [Fz.]

111. Drawing upwards in the nape on the cervical vertebrae. [Fz.]

112. Drawing from the nape to the ear, rather cramplike and external. [Gss.]

113. Tearing pressure on the top of the shoulder in fits. [Gss.]

114. On pressing between the head of the clavicle and the head of the humerus a severe pain, that radiated down into the fingers. [Gss.]

115. On extending the arm, sensation in the shoulder, as if it was bruised. [Fz.]

116. Cramplike, intermitting contraction of the right hand. [Gss.]

117. (Wrist-joint as if dead; he could not move it.)

118. Cramplike contraction of the metacarpal bones. [Gss.]

119. Obtuse stitch inferiorly in the palm over the bones of the wrist. [Gss.]

120. Coldness and cold feeling of the hands. [Ho.]

121. Cramp in the joint of the thumb when writing. [Fz.]

122. Formication as if asleep in the tips of the fingers, and as if they were numb (immediately after taking the drug). [Hl.]

123. A sudden paresis of the hand; when eating he could not hold the fork with the fingers; the whole hand trembled on taking hold of anything; there was a kind of helplessness and painful powerlessness in it. [Stf. ]

124. Eruption of pimples on the buttock and thigh; small white vesicles with large, red, smooth areola, which burn like fire, especially when lying on them or touching them; they leave brownish-red spots after two days, which are very painful when touched. [Fz.]

125. See note to symptom 221.

126. See note to symptom 223.

127. See note to symptom 118.

128. On the right hip a cramplike, twitching, strangling pain, almost making him cry out.

129. In the flesh of the upper part of the thigh, near the groin, acute sharp needle-pricks. [Gss.]

130. A shudder passes over the thighs (immediately). [Gss.]

131. Shudder on the right thigh, like goose-skin. [Fz.]

132. Painless cramp-sensation at the back of the right thigh, as if a muscle were beginning to twitch. [Fz.]

133. Constant aching anteriorly in the middle of the thigh, when sitting. [Gss.]

134. A shudder often runs over the legs from below upwards. [Gss.]

135. Prickling burning on the left knee in fits. [Gss.]

136. Cramp in the calf when walking.

137. When walking a drawing like cramp in the popliteal space, which spreads up along the inner muscles of the thigh. [Fz.]

138. Snapping of the patella on going upstairs. [Fz.]

139. The right leg is first difficult to move, then paralyzed, so that the power of movement more than the sensibility is awanting.[Morgagni, l.c., Epist. x, art.13.]

140. See note to symptom 118.

141. Burning in the right tibia when standing. [Fz.]

142. Painful live blood on the back of the foot. [Gss.]

143. Painful stretching tension on the arch of the foot. [Gss.]

144. Drawing hither and thither in the left foot from the toes to the ankle. [Gss.]

145. Drawing and aching in the heel, when sitting. [Fz.]

146. Drawing in the ball of the right big toe. [Fz.]

147. Shooting itching in the ball of the left big toe. [Fz.]

148. On moving, rheumatic drawing in the periosteum of the shafts of the bones of all the limbs, as if they were bruised. [Fz.]

149. Here and there in the flesh a superficial pinching, as if the part were grasped by the fingers. [Gss.]

150. Tearing contractive pressure on the left knee, in the forehead, and on several other parts of the body. [Gss.]

151. A very tiresome fine pricking, as with a thousand needle points, all over the body, so that he cannot bear it, at night in bed, when he gets into a perspiration from warm covering; it first commences in a few places, and when he then scratches and it leaves off for a short time, it then spreads over many other parts; at the same time he has great cardiac anxiety, and the sensation as if he were repeatedly sprinkled with hot water; it goes off when he removes the bedclothes. [Gss.]

152. Tearing blows, and tearing, deeply-penetrating pricks on several parts, especially on the limbs. [Gss.]

153. Hysterical fits.[Neuhold, l.c.]

154. 'In those predisposed to them,' Neuhold says.

155. Tetanic spasms of the upper extremities and of the trunk from time to time, which lasted a quarter of an hour, and during which vomiting of yellow fluid or some confusion of the mind ensued. [Morgagni, l.c., Epist. x, art.13.]

* Then ensued paralysis and death. Post-mortem examination showed pus in the kidneys, thickened lining membrane of the bladder, distension of the blood-vessels of the diaphragm , water in the convolutions of the brain, none in the cavities.

1. See note to symptom 118.

2. After a meal he is weary and lazy; everything, even speaking and writing, affects him. [Gss.]

3. After a meal her feet are very heavy. [Gss.]

4. Immediately after a meal he is weary in every limb, and feels in the left side under the short ribs a tearing pressing; pressing upon it causes pain in the part. [Gss.]

5. Lazy and indolent throughout the body. [Fr.H-n.]

6. He is lazy and weary, yawns much and stretches himself as if he would go to sleep. [Gss.]

7. Great exhaustion after slight movement; after going upstairs he lay for a long time quite exhausted on the sofa before he could again move freely and speak. [Stf. ]

8. She feels ill all over the body, cannot remain up, must lie down from weariness and heaviness of the limbs. [Ts. Hb.]

9. He fears he will fall to the ground so suddenly does weakness arise, particularly in the lower extremities; he staggers on the slightest movement of the body, but he seems to possess more firmness when walking (aft. 3 h.). [Fz.]

10. Exhaustion, giving way of the knees, and sensation like dull pain in them (aft. 1 h.). [Ho.]

11. Powerlessness of the body.[Morgagni, l.c., Epist. x, art.13.]

12. Incessant yawning for a quarter of an hour (aft. 1 1/2 h.). [Ho.]

13. Drowsiness by day. [Stf. ]

14. Irresistible drowsiness, in the forenoon.

15. Drowsiness all day. [Fz.]

16. Sleeplessness.[Morgagni, Epist. xv, art.6.]

17. In subject of symptom 223. Much serum found in brain post mortem.

18. Sleeplessness after midnight.

19. Restless sleep.

20. He wakes at night out of slumber with horrible dreams, and cannot remember where he is.

21. (Extraordinarily fear of bed, in which, however, he lies down after all.) [Fz.]

22. At night, restless sleep, frequent waking, confused, sometimes anxious dreams, pollutions and after them sleep of exhaustion. [Fz.]

23. Dreams of misfortunes happening to others.

24. Dreams of disagreeable and frightful character, in which he is unsuccessful in everything, which causes him great anxiety. [Gss.]

25. He has every night confused dreams, which are, however, remembered after awaking. [Gss.]

26. Very vivid dreams of a horrible character, whereby, however, he does not feel anxious, but always retains a sort of presence of mind. [Gss.]

27. In the morning after waking from an almost unbroken sleep, he is more weary than when he lay down the night before. [Gss.]

28. Very small pulse.[Morgagni, l.c., Epist. xxiv, art.13.]

29. See note to symptom 100.

30. Slow, scarcely perceptible pulse. [Ho.]

31. Rigor.[Morgagni, l.c., Epist. vii, art.13.]

32. See note to symptom 221.

33. Fever, rigor with the most extreme thirst, and after drinking shivering, at the same time cold hands, knees and feet; therewith hurried disposition, trembling, contortion of the face; sometimes lachrymose, sometimes joyful, sometimes furious disposition; everything annoyed him, so that he got in a furious passion over it; during the rigor, some warmth in the back and feet, which perspired, but did not feel warm to the touch. [Fz.]

34. Chill with thirst, not followed by heat, and without perspiration, in the afternoon (aft. 52 h.).

35. The whole body is cold, but the face grows always warmer and warmer. [Ho.]

36. Warmth and feeling of warmth of the face. [Ho.]

37. Perspiration on the forehead and neck, at night.

38. Shudder passing over the trunk with a sensation of a certain discomfort, in short attacks. [Gss.]

39. Shudder runs over all the body, comes also on the head and draws as it were the hairs together. [Gss.]

40. Chilly for several hours (immediately). [We.]

41. He is cold to the feeling in the limbs and has rigor. [Gss.]

42. Ebullition of blood. [Neuhold, l.c.]

43. Nothing gives him pleasure; he is indifferent to everything. [Fz.]

44. Disposition in the forenoon dejected, in the afternoon cheerful.

45. Sadness.

46. Cheerfulness as from intoxication (aft. 1 h.). [Ho.]

47. Wavering and uncertain humour. [Hl.]

48. Mind anxious.

49. Apt to start at a slight noise (aft. 1 1/4 h.). [Ho.]

50. Peevish, especially in the afternoon. [Fr.H-n.]

51. Sometimes gay, sometimes grave mania.[Morgagni, l.c., Epist. vii, art.13.]

52. In subject of symptom 221.

53. Very vexed and angry about trifles. [Stf. ]

54. Sometimes furious mania, so that he spat in the faces of those around him. [Morgagni, l.c.]

* After a poultice on the head, convulsions, subsultus tendinum, death. Post-mortem examination showed purulent deposits and pus in the lungs, pleuritis, and diaphragmitis, firm clots in the cavities of the heart.