Cuprum

Preparation , Triturations of the metal.

Authorities. [Note: Symptoms from Hahnemann's provers are here included (as in the chronic diseases), with instructions to prepare the pure metal. Hahnemann, in his Fragmenta, 1805, gives symptoms under the heading of "Cuprum vitriolatum," included here under C. sulf., and in 1824 contributed to Franz's collection in the Archiv. f. Hom., where "Cuprum aceticum" is directed to be used. Franz's collection also includes symptoms by Franz, Fr. H-n, Herrmann, and Rückert, as well as various poisoning cases contributed by Hahnemann. Whether or not there is any essential difference in action between

Cuprum metallicum and its ordinary salts, the collections here furnished will assist in determining.] [Correction of note: Hahnemann advised triturations of the pure metal, but included in his pathogenesis, provings with the acetate as well as the metal. It is, therefore, impossible to determine which of this symptoms belong to the metal and which to the acetate. All his provings therefore are given under the metal. Other provers, using, in part certainly, the acetate, are mentioned in the remainer of the note.]

1 , Hahnemann, Chr. Kr., 3, p. 212; 2 , Franz, ibid.; 3 , Fr. H-n, ibid.; 4 , Herrmann, ibid.; 5 , Rückert, ibid.; 6 , Casmier, Recueil period., 1775, III, 202 ("nothing about Cupr. here". -Hughes); 7 , Falconer, on Bath-waters, observed in workers with copper; 8 , Foudi, Inst. de Chim., Nap., 1778, not obtainable; 9 , Horstius in Schenk, VII, 223, not found; 10 , Lazorme, De Morb. Cup., p. 253, not obtainable; 11 , Pelargus, no reference; 12 , Ramazzini De Morb. Artif., c. b. as Falconer; 13 , Sicelius, Dec. Obs., IV, case 8, not obtainable; 14 , Voigtel, Arzneimittellehre, general statement from authors; 15 , Weigel, in Pyl's Mag., I, 1, not obtainable; 16 , Weinholt, Heilk. d. Thur. Magnet. Th., II, 484, not obtainable; 17 , Willich, in Pyl's Mag., I, 4, 667, not obtainable; 18 , Berridge, proving by Miss --- with Cm. (Fincke), Am. Observer, 12, 307; 19 , B. Fincke, proving by Therese S., aged 9, with 1m, 10m, and 44m, Hahn. Month., 2, 13; 20 , same, proving by M. S. with 50m; 21 , William Budd; boy, æt. 3, swallowed a cent, Phil, Med. Museum, 1806; , Jas. Jackson; a boy, swallowed a half-cent, N. E. Med. Journ., 3, 156 (1812); , effects on a man, aged 45, of working in copper for six months, Lancet, 1830, 233; , R. Cobbett; girl, aged 7, swallowed a copper coin, Lancet, 1831, p. 294; , Percy Dickens, boy, aged 10, swallowed a copper coin, Lond. Med. Gaz., 1844; p. 885; , Blondet, general effects on workers, Lond. Med. Gaz., 36, 745 (Gaz. Med., 1845); , T. W. Foster, poisoning of a child, aged 14 months, by percussion caps, Med. Times, 1847, p. 512 (B. J. of Hom., 33, 106); , Tardieu, chronic effect on a copper founder, aged 45, Bull. d. l. Soc. Méd. Hom. de France, 2, 35, from Ann. d'Hyg., 1854; ( to , Corrigan's cases of poisoning of workmen, Dublin Hosp. Gaz., 1854, from Dr. Berridge's collection of cases of Cup.)

29 , a brass founder; 30 , engine-driver had to clean and file copper and brass; 31 , engineer's hands constantly immersed in a compound of oil and filings; 32 , Shoemaker using brass pegs, which he constantly files and puts in his mouth; 33 , a brazier, constantly handling old and the new copper; 34 , a man who bought copper, iron, and tin, and used to rub the dust off with his hands; 35 , Corregan, effects of chronic poisoning on the gums of workers in copper, from same; 36 , Stanislas Martin, effect of working in copper for five months, Journ. Méd. et de Chir., 1856 (from Dr. Berridge's collection); 37 , Oppolzer, chronic poisoning of workmen, Deut. Kl., 1859 (from Berridge); 38 , Amyot, poisoning of a lady by water from a copper kettle (copper found in water), Med. Times and Gaz., 1859 (from Berridge); 39 , Perron, effects on watchmakers, Med. Times and Gaz., 1861; 40 , same, effects on a woman ("finisher"), aged 26, from L'Hahnemannisme, 3, 447; 41 , poisoning of a man by a solution (from Berridge); 42 , Harley, case of colic in a copper-plate printer, third attack, Lancet, 1863; 43 , effects on two boys working in copper, Bull de Thér., 65, 80 (from Berridge); 44 , C. Maisonneuve, effects on sixty-eight workmen in naval arsenals, Archiv. de Méd. Navale, 1865 (Ranking's Abstract, 41, 31); 45 , Clapton, chronic effects on sixteen coppersmiths, from inhaling particles or fumes, Med Times and Gaz., 1868; , Nicholls, poisoning of child, æt. 5, by swallowing a half-penny, St. George's Hosp. Rep., 1869 (from Berridge); , John Morgan, poisoning of child, aged 4, by swallowing a penny, Br. Med. J., 1873 (from Berridge); , poisoning of a boy, aged 6, by swallowing a copper coin weighing about 3 scruples, Hom. Kl., 1, 10; , Bing, a boy swallowed a copper coin, Eichorn. Med. Corr. Bl., 1844, from Frank's Mag., 4, 122; , Mayrhofer, from triturating the one-fiftieth, from Hering's monograph on Cup. (Mat. Med., I); , Schnitzler, case of chronic poisoning, from Hering; , Falconer, London, 1774, case of a man working at cleaning brass wire, compare No.

7; 53 , Berridge, N. Am. J. of Hom., M. S., 3, 504, proving with Cm. (Fincke), one symptom; 54 , Cooper, effects on an engraver from wiping off copper-filings on his lips from the style, Month. Hom. Rev., 15, 392; 55 , Preston, effects of working in copper, N. A. J., 5, 262.

MIND

• Emotional.
• Immoderate laughter in the evening, 1.
• Spasmodic laughter, 1.
• Very cheerful; at night especially full of fun and laughter (curative action), 19.
• Crying like the croaking of frogs, 6.
• Melancholy; she shuns the sight of people, seeks and loves to be alone, and becomes anxious about her death, which she supposes imminent and inevitable, 1.
• Great depression of spirits, 55.
• Slight attacks of deathly anxiety, without heat, 1.*
• Fearful; want of courage, 51.
• A kind of fearfulness; it seems as though he must tread lightly, in order to avoid injuring himself or disturbing his companions in the room, 1. [10.]
• Feeling of general irritability, 18.
• Fretful; he does not know what he wishes; he desires to be alone; after some time this changes to cheerfulness, but the fretfulness soon returns, 4.
• Aversion to everything, 3.
• Irresolute; satisfied with nothing; this only lasts as long as he is fretful, 4.
• Apathetic and inert, 40.
• Intellectual.
• Disinclination to work, yet idling is burdensome to him, 4.
• Loss of ideas, weakness of memory (after two hours), 4.
• Confusion of mind; is fearful, and endeavors to escape, 6.
• Senselessness; it seems as though he were in a half-waking dream, 5.

HEAD

• Vertigo.
• Vertigo, 9, 11, 17. [20.]
• Vertigo immediately, accompanying all the symptoms, as though it were turning around in the head, and as though he would sink forward, 4.
• Vertigo, with weakness, the head, sinks forward; worse while moving, less while lying, 4.
• Vertigo on reading; he was obliged to remove the eyes from the book for some time, 3.
• Vertigo on looking up, with vanishing of vision, as though a veil were before the eyes, 1.*
• Attacks of vertigo, 1.
• Giddiness, 54.
• All complained of giddiness and lassitude, and a disinclination, when not at work, to take exercise, or "to go about," as other workmen, 45.
• General Head.
• Inflammation of the brain (phrenitis), 9.
• Dulness of head; a sweetish metallic taste, and saliva running together in mouth; the throat gets dry, with a sensation as if constricted when swallowing (while triturating the precipitated dust with sugar of milk, 2 grains to 98), 50.
• Sensation of heaviness in the head, 17. [30.]
• Heavy sensation in the head, with a fine stitching in the left shoulder, on moving it from side to side, 5.
• Most of them complain of pain in head, 39.
• Headache, with inclination to vomit, 26.
• Slight headache, 24.
• Most violent headache, 9.
• Drawing pain in many places in the head, with a whirling vertigo, only relieved by lying down, with general sick feeling; he does not himself know how he does feel, 4.
• A stitch through whole head, from the forehead near the hair backwards (second day), 19.
• Bruised pain in the brain, and also in the orbits, on turning the eye, 1.*
• Forehead.
• Weight in right forehead, .

EYE

• Objective.
• Weary-looking eyes encircled with blue (after few days), 48.
• Dim eyes (inclined to close from weakness), 4.
• Blue margin around eyes, 49.
• Protruding, glistening eyes, 6.
• Eyes sunken, 42. [60.]
• Eyes hollow and glazed, 27.
• Eyes wandering about, 14.
• Subjective.
• A sore burning pain, now in one, now in the other eye, 1.
• Pressive pain in both eyes, as from watching over night, 5.
• Pressive pain in both eyes, 1.
• Violent itching in the eyes towards evening, 1.
• Orbit.
• Headache restricted to the orbits, 23.
• Pain in the orbits as if bruised, on turning the eyes, 1.*
• Lids.
• Pressure in the lids, on closing the eyes as well as on opening them worse on touch, 5.
• Conjunctiva.
• Conjunctiva injected, 23.
• Ball. [70.]
• Itching in the eyeballs, 1.
• Pupil.
• Dilated pupils, 1.
• Preternatural dilatation of the pupils, not perceptibly lessened by exposure to a strong light, 55.
• The pupils are insensible; they contract very little in the light and dilate very little in the dark, 5.

EAR

• External.
• Fine tearing in the cartilage of the left ear (after two hours), 4.
• Pressure in the right concha, as from something hard, 4.
• Internal.
• Boring pain in and behind the ear, 1.
• Sticking pain in the right ear, 1.
• Pain in the ears; a pressive tearing within the right ear (after seven hours), 4.
• Frequent itching in the ear, 1.
• Hearing. [80.]
• Distant drumming in the ear upon which he is lying, in the morning, in bed, always disappearing on rising, 1.*
• Fluttering in the left ear (after a quarter of an hour), 4.

NOSE

• Objective.
• Very frequent sneezing, 1.
• Coryza and stopped coryza, with sleepy yawning, 1.
• Profuse fluent coryza, 3.
• Sensation as of great rush of blood to the nose, 1.
• Internal itching in the nose, 1.
• Smell.
• *Loss of smell, 28.

FACE

• Objective.
• Expression of suffering in face, 49.
• Expression anxious, 38, 42. [90.]
• Complexion haggard; look miserable, 39.
• Countenance rather wild, 23.
• Appearance unhealthy; complexion dark and sallow, 33.
• Aspect rather unhealthy and pale, 32.
• Most unhealthy-looking countenance; complexion of a leaden hue, 32.
• Appearance remarkably cachectic, 34.
• Peculiar cachectic appearance during convalescence from fever, 29.
• Paleness of the face, 11, 14.
• The color of the face becomes pale, 1.
• Pale cachectic color of the face, 14 . [The effect of continued small doses. -Hughes.] [100.]
• Pale, dirty, shining color of face (after a few days), 48.
• Looked pallid (after three months), 24.
• Face rather pallid and thin, 54.
• Peculiar sallow, almost clay-colored complexion, 42.
• Complexion leaden (third day), 41.
• Pale-yellow coppery color of face, 49.
• Greenish-yellow tinge of countenance, 37.
• Icteric coloring of the face and surface generally, 48.
• Became jaundiced (sixth days), 41.
• Pale, puffy face, 28. [110.]
• Greenish-yellow color of face, 51.
• Bluish face, with blue lips, 1.*
• Redness of face with heat, and sometimes cold, running over body (second day), 20.
• Face swollen and discolored, 47.
• Face swelled and pasty, 38.
• Face sunken, emaciated, greenish-yellow color, 51.
• Subjective.

MOUTH

• Teeth.
• Teeth slate color, particularly on edges, 51.
• Teeth colored more or less green, and almost bronzed, 39.
• All of them had a green stain on their teeth, of different shades of color, varying from a light bright-green to a dark greenish-brown, 45. [130.]
• A dark greenish-blue line on the teeth, 54.
• Teeth coated with a crust of sulphuret of copper, 26.
• One tooth after another fell out in a row, particularly in the upper jaw, without salivation, 51.
• Gums.
• The tongue is tolerably clean, but round the gums there is the characteristic purple line of copper poisoning, 42.
• An edging of rich purple on the margin of the gums of the incisor, canine, and bicuspid teeth of both jaws. This purple color corresponds in situation precisely with the coloring produced by lead, but the tint of color is so different as to decide at once whether it has proceeded from copper or from lead, for while the color produced by lead is of a pure blue, that from copper is a well-marked purples, and even sometimes a reddish-purple. The tint of color produced on the gums remains a very long time, 35.
• Gums lax and spongy for about three-sixteenths of an inch from the teeth through nearly their whole extend, 55.
• Gums soft, with patches of purplish-red at their juncture with the cheeks, 54.
• The black line on gums distinct in each case, and in one the gums were also swollen and ulcerated at their edges, 43.
• Retraction of the gums, 35.
• Edges of gums withdrawn from the teeth through nearly their whole extent, 54.
• Tongue. [140.]
• Tongue furred, 30.
• Foul tongue (after three months), 24.
• Foul, dry tongue (third day), 41.
• Pale tongue, with a thin, whitish coating (after a few days), 48.
• Tongue with in middle, red at edges, 23.
• Tongue coated with a light-brown or cream-colored fur, except the edges and tip, which were clean and of a pale-color, the whole tongue being moist, .

THROAT

• Throat day, 39. [170.]
• Dryness of throat (while triturating the precipitated dust with sugar of milk, 2 grains to 98), 50.
• Sensation of a foreign body at the anterior surface of the throat, by which the pharynx was being compressed, 48.
• Some have a feeling of constriction and an acute pain in throat, 39.*
• Fine sticking pain in the throat (after twenty-two hours), 1.
• Sore throat (second day), 21.
• Slight sore throat, 38.
• Fauces, Pharynx, and Œsophagus.
• Slight constriction of fauces, attended by a slight sense of nausea, 55.
• Audible gurgling of drink down the throat, while drinking, 1.*
• Constriction of pharynx (after a few days), 48.
• External Throat.
• Swelling of the glands of the right side of the neck, painful to touch, 1. [180.]
• Pain in the thyroid cartilage, 14.

STOMACH

• Appetite.
• He eats very hastily, 1.
• Desire for cold rather than warm food, 4.
• Appetite bad, 30.
• Very little appetite, 49.
• Diminution of usual appetite, which at length entirely failed, 54.
• Loss of appetite, 24, 34, 47 , etc.
• Total loss of appetite, 38.
• Total anorexia (after a few days), 48.
• His appetite left him; then his strength became reduced, the whole body emaciated; then he became fearful, showing a want of courage; bowels alternately costive or loose; and finally violent colic about fifth or sixth week, 51. [190.]
• No appetite in the evening, eight hours after dinner, 1.
• Thirst.
• Great thirst, 38.
• Great thirst; no appetite, 49.
• Excessive thirst (third day), 41.
• Burning thirst (many cases), 39.
• Eructation and Hiccough.
• Eructations the whole afternoon and evening, 1.
• Eructation and rising up of mucus mixed with green lumps, 48.
• Constant eructations, 14 . [Not found. -Hughes.]
• Hiccough, 14.
• Heartburn.
• Usually in the afternoon heartburn, followed by bitter mucus in the throat, 1.
• Nausea and Vomiting. [200.]
• Nausea, 24 ; (immediately), 3 , etc.
• In all cases there is nausea, 44.
• Feels very sick (nauseated), 42.
• For several weeks he experienced nausea whenever he attempted to swallow animal food, although he chewed it abundantly, 22.

ABDOMEN

• Hypochondria.
• Swelling of the liver, 48.
• The hypochondria are painful, 14.
• Drawing pain, extending from the left hypochondrium to the hip, 1.
• Griping pain, extending from the left hypochondrium to the hip, 1.
• Stitches in hepatic region in axillary line, obliquely through to pit of stomach (second day), 20.
• Darting from hepatic region to pit of stomach (third day), 19.
• Umbilical.
• Often complained of pain in the abdomen, which seemed to be in the umbilical region, 22.
• Pressive pain near the left side of the umbilicus, 1. [260.]
• Cutting pains around navel, as if she would get diarrhœa, which, however, did not come (third day), 19.
• Cutting pains below navel , with three stools like water, the abdomen being painful on touch; recurring several times through the day (shortly after, and second day), 19.
• Tearing around navel about 10 A.M. (fourth day), 19.
• General Abdomen.
• Abdomen large, 34.
• Distended abdomen, 13, 28.
• Distended abdomen, painful to touch, 48.
• Tense abdomen, 24.
• *Abdomen tense, hot, and tender to touch, 23.
• Abdomen stretched like a board, 49.
• Abdomen drawn in, and sore to touch, 51.* [270.]
• Slight infiltration of the abdominal walls, 28.
• *Spasmodic motions of the abdominal muscles, 1.
• Inclination to waterbrash in the abdomen, 1.
• Constant rumbling in the abdomen during sleep, 1.

RECTUM AND ANUS

• Tickling in the rectum, as from pin-worms, 1.
• Sharp sticking just above the anus, 1.
• Tenesmus, 23.
• Suffered greatly with tenesmus, with scanty, dark, pulpy motions, 38.

STOOL

• Diarrhœa.
• Diarrhœa, 23, 28.
• Many suffer from diarrhœa, 39.
• In a very few cases, diarrhœa, 44.
• A kind of diarrhœa, though the fæces were not very thin, 4.
• Violent diarrhœa, 9. [320.]
• Diarrhœa or constipation, 26.
• Diarrhœa alternating with constipation, 37.
• Bloody diarrhœa, 14.
• Eight or nine discharges from the bowels in an hour, 27.
• The first alvine evacuations are often of a green color, 26.
• (Castor oil produced several stools, some of them green), (second day), 21.
• The bowels not having been relieved, Castor oil was given, which produced free evacuations containing traces of green matter, 41.
• Painful green stools, with violent cutting and tenesmus (after a few days), 48.*
• Three very offensive and copious stools, which were uncommonly green. He derived some relief from these evacuations (fifty day), 22.
• Quantities of bright blood passed from the bowels, 46.
• Constipation. [330.]
• Constipation, 31.
• Constipation, which ultimately became very obstinate, 54.
• Obstinate costiveness, lasting from twenty-four to thirty-six hours (many cases), 39.
• Slow bowels, 24.
• Bowels difficult to move, 30.
• Stoppage of the bowels or excessive evacuations, 14.
• Bowels alternately costive and loose, 51.
• No stool for forty-eight hours (fifth day), 21.

URINARY ORGANS

• Urethra.
• Burning-sticking pain in the meatus urinarius, when urinating and when not, 4.
• Urging to urinate, with scanty discharge and burning stitches or cuttings, especially in the meatus urinarius, 4. [340.]
• Micturition more seldom and more scanty than usual, 4.
• Difficulty in passing urine, consisting in a painful inability, requiring considerable time and effort to relieve the bladder, 55.
• Urine scanty, 38.

SEXUAL ORGANS

• The glans penis is inflamed, the penis swollen, 4.

RESPIRATORY ORGANS

• Voice.
• Voice trembling, stammering, 51.
• Hoarseness, immediately on breathing the dry air, 1.
• Constant hoarseness, so that he cannot speak a word , with inclination to lie down, 1.
• Cough and Expectoration.
• Cough, 31, 33.
• *Cough, with interrupted, almost suppressed, respiration, 14.
• Occasional cough, 40. [350.]
• Occasional paroxysms of coughing, without any physical signs of lung disease, 55.
• Frequent cough, 28.
• Very violent cough at night, followed by great hoarseness and chilliness, from morning till evening, 1.
• Very fatiguing cough, with blowing of blood from the nose, 1.*
• Short cough, 24.
• [Dry cough], 12 . [From inhaling the pulverized metal. -Hughes.]
• Dry cough, without interruption, on account of which he is unable to speak (immediately), 11.
• Short, dry, straining cough, 48.
• Hard, dry cough, and night-sweats, 30.
• Cough, with expectoration of an offensive taste, in the morning, 3 . [Authority corrected by Hering.] [360.]
• Slight cough and mucous expectoration, 23.
• Frequent cough, with scanty expectoration, afterwards becoming obstinate and incessant, with purulent sputa, 40.
• Cough, accompanied by viscid expectoration, occasionally tinged with blood, 32.
• Cough, with bloody expectoration, 1, 14.
• Expectoration slightly purulent, 32.
• Dark-colored, purulent expectoration, 28.
• Attacks of hæmoptysis, 32.
• Respiration.
• Vesicular murmur weak, absent, or replaced by a subcrepitant râle, .

CHEST. [380.]

• Rattling in the chest while awaked, 1.
• Rattling in the chest, with discharge of bloody mucus from the nose and mouth (ceasing during the epileptic attack), 1.
• Constriction of the chest, 14.
• Feeling as excessive accumulation of blood in the chest, without palpitation, 1.
• Sharp drawing pain, not affected by touch, in the cartilage of the sixth rib (after eleven hours), 4.
• Pressure as from something hard on the cartilage of the third rib, worse when touched, 4.
• Sides.
• Diminished elasticity on both sides of the chest, posteriorly, 28.
• Pinching pain in the left side of the chest extending to the hip, 1.
• Pressive pain on the right side of the chest, 1.
• Stitches in the side, preceded and followed by screaming, which interrupted sleep, 1. [390.]
• Sharp stitches immediately beneath the heart, on the left side of the chest, 1.

HEART AND PULSE

• Præcordium.
• Considerable dulness on percussion of the præcordial region, 28.
• Anxiety about the heart, 17.
• Boring pain in the præcordial region, 1.
• Heart's Action.
• Interval between the first and second sounds of the heart shortened by one-half; "bruit de rappel," 28.
• Very rapid action of the heart, lasting a quarter of a hour; soon after a light supper, 1.
• Palpitation of the heart, 14, 28.
• Contractions of heart weaker, 51.
• Pulse.
• Pulse frequent, 39.
• Pulse frequent and weak, 23. [400.]
• Pulse small, frequent, and intermittent, 28.
• Pulse quick and thready, 38.
• Pulse 90, 30.
• Pulse ranged from 58 to 62, rather slow, moderately full and regular, but weak, 55.
• Weak and small pulse, 14.

NECK AND BACK

• Neck.
• Considerable enlargement, with induration of right cervical glands, 38.
• Tensive pain in the nape of the neck, 1.
• A pain arises in the muscles at the point where the neck and back unite, on moving the head backward, 5.
• Intermitting sticking-tearing in the cervical muscles, 4.
• Back.
• Sharp cutting drawings in the left side of the back, 1.
• Dorsal. [410.]
• A violent pressive pain in the back beneath the right scapula, which on respiration changes to a sticking pain, 1.
• Broad knife-like stitches beneath the scapula, on the left side near the spine, not affecting respiration, 4.
• Lumbar.
• A stitch transversely across the small of the back, 1.
• Most of them complain of pain in region of kidneys, 39.

EXTREMITIES IN GENERAL

• Objective.
• Weakness of the limbs, 11, 14.
• Difficulty of moving the limbs, 48.
• Subjective.
• Numbness in different parts of both the superior and inferior extremities, which, under certain circumstances, was attended by intense pricking pains in various part of the body, 55.
• Feels sick in all the limbs, as though a coryza would come on, 1.
• Great painfulness of the limbs, 3.

SUPERIOR EXTREMITIES

• Objective.
• Paralysis of upper limbs not distinguishable from that of lead (some cases), 37.
• Subjective. [420.]
• Pains in joints of upper extremities, 30.
• Pain in the arms, especially the right, while at rest, 3.
• Stitch through left arm, especially from elbow-joint to finger' ends (fourth day), 19.
• Shoulder.
• Pains in shoulders, 32.
• Drawing pain in the shoulders, 1.
• Pains, as if swollen and sore in right axillary joint; afternoon (second day), 19.
• After rising in morning, pain as if beaten in right axillary joint, as if she had fallen upon it. Later, same sensation from right elbow-joint into fingers, lasting all day (fourth day), 19.
• Arm.
• Pressive pain in the upper arm, 1.
• Pain in the upper arm, as if broken or bruised, 1.
• A thrust or jerk in the left upper arm, 1. [430.]
• A sensation in the upper arm as if bubbles of air were issuing forth, 1.
• Forearm.
• Jerking in the arms and hands, 1.*
• Drawing pain, first in the right, then in the left forearm, extending to the thumb, 4.
• Pain, as if something were broken in the left forearm, 1.
• Tearing in the ulna, especially in the wrist, aggravated by touch, 4.
• Jerking tearing in the ulna, 4.
• Hand.
• The internal or flexor muscles of the hand remained in a contracted state, 52.
• Complete lameness of right hand; right forearm in constant pronation, hand bent at right angle to arm, thumbs drawn into palm, fingers flexed; motion of elbow remains good, but in the hand, and especially the joints of fingers, extension is impossible, flexion only partial; upper extremities much emaciated, right more than the left; right hand nothing but skin and bone, .

INFERIOR EXTREMITIES

• Objective.
• Œdema of legs, 28.
• At noon, stitch along the whole left leg from hip down, but mostly in joints of knee and foot (second day), 19.
• Thigh. [450.]
• Drawing pain in the right thigh, 1.
• Pressive drawing pain in the nates, 1.
• Pain, as if broken or bruised, in the thigh just about above the knee, 1.
• Knee.
• Weakness of the knees, with painful drawing when walking and standing, which is very difficult; the knees will give way, 4.*
• The knee-joint pains as if broken, 1.
• Leg.
• The lower legs fall asleep, and are very heavy as far as the knee, 1.
• The calves are painful, especially when keeping them quiet, 3.
• Burrowing pain in and below the calf, 1.
• Cramp in the leg from the ankle up into the calf, 5.*
• Cramps in the calves, 1. [460.]
• Tensive-drawing cramplike pain in the calf, 1.
• Drawing pain in the lower portion of the calf, 1.
• Tearing pressure in the leg just below the knee, 4.
• Pain, as from a jerk or thrust, in the lower portion of the calf, 1.
• Ankle.
• Painful heaviness in the ankle, 1.*
• Foot.
• Drawing pains in feet, 48.
• Drawing pain in the left sole, worse when walking, 4.
• Severe pressive pain on the inner margin of the left sole, 1.
• Jerking tearings in the sole and on the back of the foot, 4.
• Pain in the left sole, as if sprained, 1.
• [470.]

GENERAL SYMPTOMS

• Objective.
• Emaciation, 14.
• Emancipation; his flesh wastes away, 33.
• Whole body emaciated, 51.
• Slightly emaciated, 31.
• Much emaciated (third day), 41.
• Remarkable emaciation, 48.
• Rapid emaciation, 54. [480.]
• Some of them were exceedingly thin and pallid, 45.
• Nutrition is mostly impaired; the muscles badly developed, 39.
• Very slow recovery; physical development retarded; remained small, weak, and poorly nourished, 48.
• Slow convalescence from a simple fever, 29.
• Consumption, 12 . [Not found. -Hughes.]
• Apoplexy, 14.
• Relaxation of the whole body, 4.
• Constant dorsal decubitus, 40.
• Trembling, 15.*
• General convulsions, 8. [490.]
• Convulsive paroxysms during sleep, twitching of the fingers, arms, and hands backward and inward towards the body, drawing back of the feet, at one time she opened the eyes and distorted them, at another closed them and distorted the mouth, 1.
• The child was lying upon its stomach, with spasmodic jerking of the pelvis upward, 1.
• Epileptiform convulsions; he trembled, staggered, and fell down unconscious, without crying, 1.*
• Epileptic attacks, returning at short intervals, 10.
• Epileptiform attacks, with frothing from the mouth ; the trunk was bent outward, the limbs, were forcibly thrust outward, with open mouth, 1.
• Tiredness all day (second day), 19.
• Great weariness after walking, so that all the limbs seem to tremble, 1.
• Lassitude, 26.
• General languor and prostration, 54.
• Strength reduced, . [500.]

SKIN

• Objective.
• Yellow tinge of skin, 24.
• Eruptions, Dry.
• Eruption similar to leprosy, 14 . [Effect of continued small doses. -Hughes.]
• Red spots on the arms, not sharply defined, with burning itching, especially at night, 1.
• Right hand and arm covered with an eruption from the back of the hand to the elbow, beyond which it never extends, while that on the left hand is limited by the wrist. The irritation is very great, being worse at night in bed and near a fire. There is an occasional but insignificant oozing, which he does not complain of until asked about it, 54.
• A tetter on the bend of the elbow, causing a yellow desquamation, itching violently, especially in the evening, 1.
• Eruptions, Moist.
• Vesicles on the tips of the fingers, which exude water, 1.
• Subjective.
• Violent itching on the soles, 1.

SLEEP AND DREAMS

• Sleepiness. [530.]
• Much yawning in the evening, 4.
• Frequent yawning, without sleep, 4.
• Sleepiness and much weakness, 4.
• Deep after the cessation of the colic, 13.
• Deep sleep after weakness, lasting two to three hours, 16.
• Deep sleep for many hours, with twitching of the limbs, 1.
• Sleeplessness.
• Sleeplessness, 14.
• Difficult falling asleep, followed by sleep full of dreams, with frequent waking, 1.
• Sleeps little, 49.
• Dreams.
• Merry dreams at night (curative action, the prover being somewhat inclined to melancholy), (first and third days), 19.

FEVER

• Chilliness. [540.]
• Chilliness (after four hours), 5.
• Chilliness, especially of the hands and feet, 1.
• Constant feeling of chilliness over him, 30.
• Complained of feeling cold in all seasons, although her skin was hot to touch, and at night fairly burning, 40.
• Shivering over the whole body, immediately, 1.
• Coldness of the extremities, 27.
• Cold hands, 1.
• Fever.
• Skin hot, 39.
• Skin hot and dry, 23.
• Febrile heat for several days, 13. [550.]
• Febrile symptoms, 15, 38.
• Fever, 26 ; (many cases), 39.
• Occasionally some fever, 44.
• Continuous fever, almost typhous, 40.
• Hectic fever, 14.
• Face hot, without sensation of heat (after two hours), 4.
• Sweat.
• Perspiration green, 26.
• Their perspiration had a bluish-green tinge, I examined the flannel waistcoats of several, and found them deeply stained, especially under the arms. One of the men stated that, even after a hot bath on Saturday night, his white shirt next day, if in hot weather, would be quickly discolored. I noticed too that the wooden handles of all the hammers were stained green from the perspiration of the hands, 45.
• Night-sweats, 31.
• Profuse sweat at night, 1, 55. [560.]
• Skin clammy, pale, and doughy-looking, 38.
• Skin in summer dry, lifeless, 49.

CONDITIONS

• Aggravation.
• ( Morning ), In bed, drumming in ear; on rising from bed, spitting of blood from mouth; mucus in mouth; sour taste in mouth; very early, cough.
• ( Forenoon ), About 10 o'clock, tearing around navel; pressing together the intestines, etc.
• ( Evening ), Laughter; itching on bend of elbow.
• ( Night ), Cough; in bed, irritation on hand, etc.; sweat.
• ( Damp weather ), Sense of suffocation.
• ( After drinking ), Constriction of the chest.
• ( After eating ), Immediately, griping in abdomen.
• ( Fatigue ), Sense of suffocation.
• ( Near a fire ), Irritation on hand, etc.
• ( On inspiration ), Pain in hypochondrium.
• ( On looking up ), Vertigo, etc.
• ( After warm milk ), Griping in abdomen.
• ( Motion ), Vertigo; pains in temple.
• ( Pressure ), Pressing together of intestines; pain in abdomen ; pain in iliac region.
• ( Reading ), Vertigo.
• ( Stooping ), Pain in forehead, etc.
• ( Touch ), Pains in temple ; pressure in lids; drawing beneath chin; pressure on jaw; stitches in jaw; pain in abdomen; pressure in lower abdomen; pressure on cartilage of rib; tearing in ulna; pressure in metacarpal bones.
• ( Walking ), Pressing together of intestines, etc.; sense of suffocation; pain in sole.
• Amelioration.
• ( Night ), Cheerful.
• ( Drinking cold water ), Vomiting.
• ( Lying ), Vertigo; griping in abdomen.
• ( ), Griping in abdomen.

SUPPLEMENT: CUPRUM. Authorities.

56 , R. A. Stafford, Lond. Med. Gaz., 1844-5 (Amer. Hom. Obs., 1876, p. 77, E. W. Berridge's Collection), Margaret P., æt. sixty-eight years, pricked her right thumb with a pin, which ran into the flesh about one-eighth inch; she often scoured out a dirty copper; 57 , same, poisoning of Hester J., æt. sixty-five years; 58 , E. W. Berridge, U. S. Med. Invest., vol. iii, 1876, p. 282, took ten doses of 3 glob. each of 100, 000th (Fincke), at intervals of one to one and a half hours.

HEAD

• Afternoon, giddy when standing indoors (ninth day), 58.

THROAT

• In morning mucus in throat, not to be detached by hawking causing hoarseness of voice (second and third days); at times hoarse voice when reading aloud, caused by mucus in the throat, relieved by hawking; in the evening after sunset, when reading aloud, much saliva in mouth (sixth day); in evening after sunset, when reading aloud, hoarseness and much saliva in mouth (ninth day); hoarse voice in the morning (fifteenth day), 56.

GENERALITIES

• The thumb immediately swelled to double its natural size. Next day the whole hand and arm became immensely swollen and inflamed. She had great pains; fever came on, with quick pulse, thirst and furred tongue; the inflammation rapidly spread in the cellular integument of the forearm, or on the humeral part; leeches, fomentations, poultices, etc., were applied, but extensive abscesses formed, both in the hand and arm; these were opened, but others appeared in different parts of the cellular integument, and under the fascia; large incisions were made in them, and a profuse discharge of pus followed. This state of things remained for at least two months, when the inflammation of the arm gradually abated, and the wound healed; but the hand, and more particularly the fingers, remained humid, and more resembled the foot of an elephant (or the disease called elephantiasis) than the natural limb. The fingers and back of the hand were œdematous, and it was necessary to make frequent punctures in them to let out the fluid, which was transparent; abscesses still formed in the palm and wrist, which were opened when necessary; at length it became necessary to make an extensive incision from the middle of forearm along the wrist, over the tendons, into the palm. From this time the swelling went down, and the wound discharged freely; after four months' treatment she got well, and ultimately will have a tolerably free use of the hand, 56.
• She was admitted January 21st, with abscesses in right hand, a diffuse cellular inflammation, extending a considerable way up forearm; both hand and arm were immensely swollen; and painful; she says the copper wires of the brush she was using, which were "cankered," ran into her palm; on the same evening her hand was extremely painful, and she could not use it; it began to swell to nearly double its natural size; and abscess formed in the palm, which was opened and poultices applied; other swellings formed, both on the back and palm of hand, containing pus; these, as fast as they occurred, were opened, but sloughing took place over the tendons of the wrist, which were exposed. This state lasted two months; at length the wounds healed, and in March she was discharged cured, 57.