Citurus vulgaris, Risso. (C. Aurantium var. amara, Linn. C. Begaradia, Duhamel.)

Natural order , Rutaceæ.

Common names , Bitter or Seville orange, ("bitter orange-peel"); (French), Bigaradier; (German), Pomeranzencschale.

Preparation , Tincture of the fresh "peel."

Authority.

Dr. Imbert Gourbeyre, effects on workers ("peelers"); Gaz. Méd. de Paris, 1853.

MIND

Wept constantly, and fancied she was disabled.

HEAD

Vertigo.
Dizziness.
Very visible trembling of the head, at times.
Complained of head and stomach (every evening on returning home).
Heaviness of the head.
Headache, with lancinations on the right side.
Headache, with nausea.
General headache, as if intoxicated.
Severe headache, especially in left temple. [10.]
Occasionally, very severe headache.
Frequent headache.
Forehead.
Frontal headache, as if the head was split open; when severe, accompanied with nausea.
Severe frontal headache, with vertigo.
Temples.
Headache in temples, especially on right side, with intoxicated feeling.
Parietals.
The hemicrania from which she had previously suffered every month, was much aggravated; she had headache every day, always in the forehead, with desire to vomit; it was sometimes so bad, that she quit work, kept her room, and could not bear the least noise.

EYE

Burning sensation, with lachrymation.
Weakness of sight.
Weakness of sight ; could scarcely work at sewing.
Weakness of sight, especially in the left eye, which ran water freely.

EAR. [20.]

The lobes of both ears were enlarged and red for eight days.
Noise in the ears, as if she heard a wheel.
Noise as of a mill, in the left ear, which does not hear so well.
Ringing in the ears.

FACE

Objective.
Face expressive of pain and fatigue.
Great aggravation of previous periodical facial erysipelas; for eight years, the face was enormously swollen, so that the eyes were closed; her nose is still very large, and both cheeks swollen, as in chronic erysipelas, which makes her very ugly.
Attacks like epileptiform facial spasms.
Slight facial spasms (twice); trembling of the lips; drawing in the face, only lasting a minute.
Epileptiform spasms of the left side of the face, such as children are liable to, lasting about two minutes, and coming on fifty times daily.
Sometimes, with the toothache, drawings in the face; "she can see her own nose twitch;" the spasms were visible to others.
Subjective. [30.]
Neuralgia of right side of face, which lasted thirty days, with terrible pains in the ear.
Very severe facial neuralgia; regularly every evening, excruciating pains in the face, obliging her to rise from bed; in the jaws, ears, and temples. When the temples are affected, they cannot bear to be touched; for a long time the neuralgia was confined to the left side, but afterwards passed to the right, at different times has had three sound teeth extracted without relief.
Cheek.
Pain in right cheek.
Jaws.
Pains in the jaws.
Pain, every few moments, from the right temple into the jaw, lasting, with intermission, seven or eight days. The pain is felt in the malar bones, and she cannot touch them.

MOUTH

Teeth.
Several teeth become decayed , and break easily.
Much toothache , the pain extends into the tongue, with lancination and roaring in the ears.
Frequent toothache , she had had almost all her teeth pulled.
Gums.
Gums red and swollen.

THROAT

Something seemed to rise in her throat and choke her.

STOMACH

Appetite. [40.]
Anorexia, with great thirst.
Is unable to eat.
Eructation.
Pyrosis.
Nausea and Vomiting.
Nausea.
Nausea and even vomiting of blood, five or six times daily; last time, threw up half a tumblerful. The nausea forced her to go to bed.
The smell of the oranges always makes her sick.
Vomiting, or great nausea (first day after resuming work).
Stomach.
Sense of weight and weakness in stomach.
Epigastric oppression, seemed unable to draw breath.
Gastralgia and dyspepsia. [50.]
Attack of great pain in stomach, with drawings; feeling of excoriation.

ABDOMEN

Heat of the abdomen.
Colic, with frequent belching.

RESPIRATORY ORGANS

Sense of suffocation, with frequent irresistible yawning.
Attacks of suffocation and sweating, as soon as she entered the workroom; had to open the windows; with nausea and itching.
Is often obliged to go out into the fresh air.

CHEST

Could not work more than two hours at a time, on account of severe pleurodynia of the left side.

HEART

Palpitation of the heart.

EXTREMITIES IN GENERAL

The limbs felt so lively that, once at work, she would keep at it as if unable to stop.
Great fatigue in all the limbs , especially the arms. [60.]
Drawings in the limbs, inclination to twist the arms about.
Drawings in the limbs, especially at night, or from the least contraction.

SUPERIOR EXTREMITIES

Drawing in the arms, and especially the fingers.
Painful drawings in the left arm and breast.
Pain at night in left arm, which was cramped so that she had to rub it, felt as if the nerves were being pulled.
Obliged to hold the arms out of bed at night.
Wrist.
Cramplike pains in the wrists.
Hand.
Often wrings her hands, with her arms behind her back.
Swelling of the left hand, with itching , which lasted fifteen days, and only went off when she stopped working.
Hands and arms swollen , red and exuding moisture; could not bend the fingers; with such itching of hands and fingers, that she could not sleep at night, and her children had to get up and grease the affected parts, which relieved them; scabby places were formed, especially on the fingers and inner side of forearm. She twisted the arms and hands about to relieve the itching. [70.]
Left hand became swollen and red, without pimples or itching; no pain, but moving it was troublesome.
Fingers.
Fingers became red and swollen, with eruption of vesicles like those following a burn; they discharged a clear water ; she had moreover an excessive itching , especially between the third and little fingers of the left hand, which chiefly came in contact with the orange-juice; the right hand, which held the knife, was hardly at all affected.

INFERIOR EXTREMITIES

Cramps in the legs.

GENERALITIES

Such a degree of nervous agitation that she could not work well; starts, shocks, and drawings in the limbs.
Very frequent drawings and pandiculations.
Cramps.
Nursing-women are unable to peel the fruit; their children are attacked by convulsions and dysentery, so that the mothers have to give up work until they are weaned.
Was confined (after leaving off work for six weeks). Labor difficult; child died in four days from convulsions , the face was distorted. Had previously lost five children, but none of them had convulsions.
All her nerves painfully affected.
Fainting fits. [80.]
Restlessness and nightly sleeplessness.
At times, got into a fidgety state while working, and then had to go out.
The attack commenced in the morning, with a feeling of unusual briskness. She began to wash clothes, and the more she washed the more she wanted to wash, could no stop working. Then she trembled all over, and fell down. The whole body was convulsed, especially the left side of the face and the shoulders, which latter were strongly agitated. She clawed at her feet, and overturned everything. The paroxysm lasted a quarter of an hour, and let her weak and indisposed for the rest of the day. It returned next day on putting the hands into water.
The least briskness of movement made her worse.

SKIN

Objective.
Occasional papular eruption all over the body; red pimples the size of small pin's heads, not suppurating, but bleeding when scratched.
Frequent eruption of red blotches, as large as a quarter dollar.
Red blotches on the backs of the hands, with much itching.
Subjective.
General itching.
Suffered most from general itching, which prevented sleep.
Great itching, scratched the arms a great deal; eruption of red pimples on both forearms. [90.]
Itching of the swollen arms and hands, as if she had chilblains ; some vesicles.
Some itching of hands and forearms; here and there, eruption of very small vesicles.
The itching awoke her, and after scratching she had drawings; stretched out her limbs, and twisted her arms about, as if she would break the bed down.

SLEEP

Frequent irresistible yawning.
Frequent irresistible yawning* , always before she was taken sick, as if something suffocated her.
Sleeplessness; great nocturnal restlessness.
Loss of sleep, with restlessness.
Slept little; tossed about, and woke with a start.
Unable to sleep while continuing the work, and even some days after quitting, restless all night, tossed about in bed, had bad dreams, and awoke with a start.

FEVER

Shivering on lying down; and, on becoming warm, was very restless, and uncovered herself. [100.]
Her chief trouble was from a burning heat at night, so that she could not bear a fire in winter, and had to get up and bathe arms and legs in cold water.
Almost constant fever and sweating.

CONDITIONS

Aggravation.
( Morning ), Spasmodic attack.
( Evening ), Facial neuralgia.
( Night ), Drawings in limbs; pain in arm; heat.
( Brisk movement ), The symptoms.
Amelioration.
( Open air ), Suffocative attacks; fidgety feeling.

Citrus Vulgaris