Lac Caninum

Dogs' Milk.

The use of dogs' milk in medicine is of ancient date. "Dioscorides, Rhasis, Pliny and Sextus recommend if for the removal of the dead fœtus. Sammonicus and Sextus praise it in photophobia and otitis. Pliny claims that it cures ulceration of the internal os. It was considered an antidote to deadly poisons".

The remedy was revived by Reisig, of New York, who used it successfully in the treatment of diphtheria. After Reisig the remedy was used by Bayard and by Swan, to whose indefatigable exertions we owe the present status of this valuable medicine. Swan's potencies were prepared from Reisig's 17th.

Provings (with potencies from the 30th upwards) by Laura Morgan, Hazlitt, Miss W., Mr. J. L. H., H. K., Mrs. Wheelwright, White, Grant, Swan, Taylor and family, and numerous others. See Swan's Materia Medica of Nosodes and Morbific Products, 1888, arranged by Berridge.

CLINICAL AUTHORITIES.

• Sensation of film before eyes , Swan, Raue's Rec., 1875, p. 61 ; Sore throat , Fowler, Org., vol. 3, p. 102 ; Biegler, Hom. Phys., vol. 6, p. 410 ; Hills, Hah. Mon., vol. 10, p. 279 ; Gale, Hom. Phys., vol. 2, p. 69 ; Diphtheritic sore throat , Carr, Org., vol. 2, p. 204 ; Baillie, Raue's Rec., 1874, p. 112 ; Diphtheria (4 cases), Hiller, Org., vol. 3, p. 339 ; Swan, Times Retros., vol. 3, p. 29 ; Hills, Payne, Cin. Med. Adv., vol. 5, pp. 83, 84 ; Lippe, Org., vol. 1, p. 364 ; Finch, Wildes, Wesselhœft, Nichols, Cin. Med. Adv., vol. 5, pp. 178-182 ; Croupal diphtheria , Wesselhœft, Org., vol. 3, p. 362 ; Affection of stomach , Hiller, Org., vol. 2, p. 238 ; Syphilitic ulceration of penis , Lippe, Org., vol. 2, p. 342 ; Injurious effects of weaning , Gramm, T. H. M. S. Pa, 1884, p. 47 ; Parenchymatous metritis , Biegler, MSS. ; Sciatica and sore throat , Swan, Hom. Phys., vol. 6, p. 411 ; Rickets (4 cases), Bernard, Times Retros., vol. 3, p. 29 ; Sciatica and rheumatism , Hiller, Org., vol. 3, p. 338 ; Acute rheumatism , Lippe, Org., vol. 2, p. 484 ; Rheumatism , Butler, Hom. Phys. ; Nervous affection , Berridge, Hom. Phys., vol. 3, p. 217 ; Acute neuralgia , Hiller, Org., vol. 3, p. 338.

MIND [1]

Very forgetful ; in writing, uses too many words or not the right ones ; very nervous.

Omits final letter or letters of a word, when writing ; in speaking substitutes name of object seen, instead of object thought of.

Very absentminded ; makes purchases and walks off without them ; goes to post a letter, brings it home in her hand.

Cannot collect her thoughts ; confused feeling.

Very restless ; cannot concentrate her thoughts or mind to read ; wants to leave everything as soon as it is commenced.

Is impressed with idea that all she says is a lie.

Every time a symptom appears she feels very confident that it is not attributable to medicine, but that it is some settled disease.

Sensation as if she was going deranged, when sitting still and thinking ; sometimes she has most horrible sights presented to her mental vision (not always snakes), feels horribly afraid that they will take objective form and show themselves to her natural eye.

Thinks she is looked down upon by everyone, that she is of no importance in life.

Imagines he wears some one else's nose. θ Diphtheria.

Imagines to be dirty.

Imagines she sees spiders. θ Diphtheria.

Woke at daylight feeling that she is a loathsome, horrible mass of disease (while the breasts were affected) ; could not bear to look at any portion of her body, not even hands, as it intensified feeling of disgust and horror ; could not bear to have any one part of her body touch another, had to keep even fingers apart ; felt that if she could not in some way get out of her body, she should soon become crazy.

After inhaling gas for extraction of teeth, very strange sensation in head (such as he felt when going off under gas) ; sometimes imagines heart or breathing are going to stop, or otherwise frightens himself, and this makes heart beat violently ; occasionally very depressed, and fancies he is going out of his mind.

Sensation or delusion as if surrounded by myriads of snakes, some running like lightning up and down inside of skin ; some that are inside feel long and thin ; fears to put her feet on floor, lest she should tread on them and make them squirm and wind around her legs ; is afraid to look behind her, for fear that she will see snakes there, does not dream of them and is seldom troubled with them after dark ; on going to bed she was afraid to shut her eyes for fear that a large snake, the size of her arm, would hit her in the face.

Worries herself lest pimples which appear during menses will prove to be little snakes, and twine and twist around each other.

On lying down either by day or night begins to think how horrible it would be if a very sharp pain, like a knife, should go through her, and thought of it causes great mental distress.

Attacks of rage, cursing and swearing at slightest provocation.

Cannot bear to be left alone for an instant. θ Diphtheria.

No desire to live.

Sits and looks under chairs, table, sofa and everything in room, expecting yet dreading to see some terrible monster creep forth and feeling all the time, that, if it does, it will drive her raving mad ; she is not afraid in dark, it is only in light where she can imagine that she can see them.

Fits of weeping two or three times a day. θ Parenchymatous metritis.

Child cries and screams all the time, especially at night, and will not be pacified in any way.

When paroxysms of intense nervousness come on, feels like tearing off her clothes ; takes off her rings ; cannot bear anything to touch her, especially over left ovarian region, from which she frequently lifts bed clothes.

Had to keep her fingers apart from each other.

Depression of spirits, doubts her ability and success, thinks she will have heart disease and die of it.

Chronic "blue" condition ; everything seems so dark that it can grow no darker.

Gloomy feelings, < as headache gets worse. θ Parenchymatous metritis.

Fears she will become unable to perform her duties.

Fear of death, with anxious expression of countenance.

Very nervous ; constant dread ; a feeling as if she was going to become unconscious. θ Diphtheria.

Wakes distressed, and obliged to rise and occupy herself in some manner ; fears she will be crazy. θ Parenchymatous metritis.

Has great fear of falling down stairs at times.

Very cross and irritable only while headache lasts.

When awake, very irritable and cries constantly.

Feels insulted because she thinks she is looked down upon by everyone.

Intense ugliness and hatefullness ; writes to her best friends all sorts of mean and contemptible things.

Easily excited. θ Parenchymatous metritis.

Too excited to allow examination of throat.

Feels weak, and nerves so thoroughly out of order, that she cannot bear one finger to touch another. θ Nervous throat affection.

Exceedingly nervous and irritable. θ Parenchymatous metritis.

Very easily startled. θ Parenchymatous metritis.

SENSORIUM [2]

Dizzy sensation with slight nausea.

After inhaling diphtheritic breath, light headed, with tingling on vertex and slight sore throat.

Constant noise in head, very confusing ; < at night and at menses. θ Parenchymatous metritis.

Wakes at night with sensation as if bed was in motion ; noise in head bad beyond description ; first thought on waking that headboard was swaying, and so occasioning distress, but found it arose from internal causes. θ Parenchymatous metritis.

INNER HEAD [3]

Frontal headache.

On going into cold wind, terrible pain in forehead as if it would split open, > on going into warm room.

After midnight, very severe frontal headache, and a piercing pain on vertex. θ Typhoid pneumonia.

Headache both frontal and occipital, < by turning eyeballs upwards.

Headache over eyes, < when sewing. θ Pharyngitis.

Headache : in afternoon, principally over left eye ; over left eye on first awaking.

Pains and throbbing in temples. θ Dyspepsia.

Headaches, mostly through temples, darting, stabbing ; sometimes begin on right side, and sometimes on left ; always going from one side to other.

Pains in head during day, first on one side, then on other ; seem perfectly unbearable ; > on first going into air.

Headache from below eyes over whole head and top of shoulder. θ Parenchymatous metritis.

Severe pressure on brain. θ Parenchymatous metritis.

Arose in morning with heavy, dull, frontal headache, and at 9 A. M., severe sharp pain on top of head, coming from nape of neck, then stretching across head forward ; pain so severe that he presses top of head with hands ; neck stiffened ; bending head forward, or lying down, causes congestion, increasing pain ; again, pains subside for short time, and begin anew, either in front part of head, or in nape of neck, or all over head at once ; when pain is frontal it causes lachrymation. θ Acute neuralgia.

Frequently wakes with sick headache, which seems to commence at nape. θ Nervous throat affection.

Sick headaches, beginning in nape ; pain settling gradually in right or left forehead.

Darting pains from occiput to forehead ; beating. θ Parenchymatous metritis.

Headaches seem unbearable, and are attended by pain in lumbar region ; all pains cease as soon as throat gets worse. θ Diphtheria.

Headache < by noise or talking, > by keeping quiet ; confused feeling in head.

OUTER HEAD [4]

Head very sore and itches almost all the time.

Sore pimples on scalp which discharge and form a scab ; extremely painful when touched or on combing hair.

SIGHT AND EYES [5]

Eyes sensitive to light. θ Rheumatism.

Must have light, yet is intolerant of sunlight. θ Diphtheria.

Tendency in retina to retain impression of objects, especially of colors ; or somewhat of object last looked at is projected into next.

While looking at an object, appears to see just beyond or out of axis of vision, an object passing across field of sight ; but on adjusting eye to see it, is gone ; it always appears as a small object, like a rat or bird, sometimes on floor, at others in air .

Sees faces before her eyes, < in dark ; the face that haunts her most is one that she has really seen.

Sees big eyes and creeping things. θ Diphtheria.

Difficulty in distinguishing objects ; in reading, letters run together. θ After diphtheria.

When reading, page does not look clear, but seems covered with various pale spots of red, yellow, green and other colors.

When looking in a mirror by gaslight, after exerting eyes, sees a green spot or a green band before her left eye, the band slanting downward from left eye to right cheek. θ Glaucoma.

Square or round green spots or brown spots before left eye, when sun is bright ; sometimes bright spots before l. eye. θ Cataract.

Frequent sensation of a film before eyes, with vertigo, and while thus suffering would see a small dark object, like a mouse or bird, coming up to her left.

Film over eyes from reading or looking closely.

Eyes blurred. θ Parenchymatous metritis.

Heavy pain in eyeballs, with outward pressure.

Burning in left eye. θ Rheumatism.

Eyes watery and discharging. θ Diphtheria.

Eyes dull and lustreless. θ Diphtheria.

Dark brown areola under eyes. θ Retarded menses.

Non-œdematous swelling of upper and lower lids ; pink color of lower lids, most noticeable on right θ Diphtheria.

Heaviness of left upper eyelid, with pain above left eye.

Upper eyelids very heavy, could scarcely keep eyes open.

Agglutination of left eyelids. θ Rheumatism.

HEARING AND EARS [6]

Sounds seem very far off.

Pain in both ears ; noises ; as if ears were full.

Deafness from hereditary syphilis.

Green odorless discharge.

SMELL AND NOSE [7]

Nose cold. θ Diphtheria.

Fluids escape through nose while drinking. θ Diphtheria.

Epistaxis : when speaking or swallowing ; at 4 P. M., returning at intervals. θ Diphtheria.

Considerable sneezing.

Head so stuffed she can hardly breathe.

Stuffed feeling in head, as of a severe cold in head.

One side of nose stuffed up, the other free and discharging thin mucus at times and thin blood ; these conditions alternate, first one nostril stopped up and the other fluent, and vice versa. θ Diphtheria.

Nasal discharge, excoriating nostrils and upper lip.

Coryza, with discharge of thick white mucus.

Fluent catarrh from both nostrils, with sensation of fulness of upper part of nose.

Coryza ; constant watery discharge from nose, excoriating nostrils and upper lips.

Profuse nocturnal nasal discharge, like gonorrhœa, staining pillow greenish yellow.

Nose became so bad that there was fear of destruction of bones ; bloody pus discharged several times daily ; nasal bones sore on pressure.

Sore on right side of septum of nose ; next day nose sore, constant inclination to pick at it and get scab off.

Two very angry gatherings, one under left side of nose, and one on upper left nostril ; both came to a head, and discharged matter and blood, and afterwards scabbed over ; before discharge shooting pain. θ Sick headache.

UPPER FACE [8]

Face indicates great anxiety. θ Diphtheria.

Countenance pale and careworn. θ Diphtheria.

Face very red, and then suddenly pale.

Face flushed ; cheeks red. θ Diphtheria.

Face flushed, swollen and hot ; burns, feels dry.

Dark brown areola under eyes. θ Retarded menses.

In morning, left superior maxillary feels sore ; most of time there is dull pain, < by exertion ; sometimes throbbing pain, burning, throbbing, aching heat, sensation of fulness ; cannot wear her false teeth from soreness and swelling of maxillary ; an exacerbation of pain leaves face very sore ; pains > by warm applications, but only cold applications > soreness.

LOWER FACE [9]

Red circular spot below right malar bone, burning to touch. θ Dyspepsia.

Flushes on left cheek. θ Dyspepsia.

Lips dry and peeling off ; dry and parched, but mouth constantly full of frothy saliva.

Seems to affect lower lip most, and blisters and fever sores on lips are amenable to its influence.

Jaw cracks while eating. θ Dyspepsia.

Submaxillary glands swollen ; θ Diphtheria.

Swelling of left parotid, with sore throat and loss of appetite.

Parotid gland first attacked, and disease extends to other glands of neck ; throat and sides of neck not tender to external touch. θ Diphtheria.

Swelling of parotid passes from right to left, but more often from left to right

TEETH AND GUMS [10]

Paroxysmal gnawing pain in left upper canine, temporarily yields to any cold application. θ Sick headache.

Gums swollen, ulcerated, retracted, bleeding, teeth loose ; caused by defective nutrition and exposure.

TASTE, SPEECH, TONGUE [11]

Nothing tastes natural, except salt food. θ Epulis.

Putrid taste in mouth. θ Diphtheria.

Tongue generally red and moist. θ Diphtheria.

Tongue coated whitish, except edges, which are red.

Tongue coated, dirty looking, centre to root.

Tongue furred whitish at edges, centre and root darker.

Tongue : heavily coated, and dry to the tip ; dirty coated, yellowish white and slimy ; dry ; thickly coated, greyish white. θ Diphtheria.

Tongue coated whitish grey, having and underlying bluish look.

Slight yellow coating on tongue. θ Diphtheria.

Tongue coated brown.

Difficulty in articulating, owing to a semi-paretic state of tongue, causing stuttering if she talks fast ; has to speak very slowly.

INNER MOUTH [12]

Peculiar rattle in mouth, right along tongue ; on attempting to hawk her mouth clear, mucous rattled along tongue quickly and continually ; utterance was so indistinct as to be unintelligible, and every word she tried to speak was accompanied by this quick and continuous rattle along tongue. θ Diphtheria.

Breath offensive, putrid. θ Diphtheria.

Mouth dry and parched ; drinks little and often.

Mouth very dry without thirst.

Mucus in mouth, < after eating, and in open air.

Mouth full of frothy mucus ; inclination to swallow.

Increase in quantity of saliva which is slightly viscid.

Mouth constantly full of frothy saliva, lips dry, parched.

Constant spitting and drooling, very profuse, making chin and breast sore. θ Diphtheria.

During sleep, saliva runs from mouth, so as to wet pillow.

Stomatitis ; stomacace ; cancrum oris ; nursing sore mouth.

PALATE AND THROAT [13]

Throat very sensitive to touch externally.

Sensation as if throat was closing and she would choke, sensation is between throat and nose ; feels as if something in throat was either enlarged or relaxed ; desires to keep mouth open lest she should choke ; sometimes cannot swallow, because there seems to be a kind of muscular contraction in throat.

Paralytic symptoms strongly marked ; as soon as he went to sleep, would stop breathing, and was only kept alive by keeping him awake ; apparently respiration was kept up by voluntary effort. θ Diphtheria.

Talking is very difficult, and there is a disposition to talk through nose ; θ Nervous throat affection.

Swallowing very difficult, painful, almost impossible.

Uvula elongated and very much swollen, diphtheritic coating on it ; tonsils swollen and coated ; back of throat patched, extending up to hard palate ; odor offensive and diphtheritic.

Constant inclination to swallow, causes pain extending to both ears.

Pricking sensation in throat, as if full of sticks.

Pricking and cutting pains through tonsils on swallowing, shooting up to ears. θ Diphtheria.

Pain in throat pushes toward left ear.

On swallowing, acute pain at one time on right side of throat, and again on left side. θ Diphtheria.

Throat > after drinking cold or warm ; < by empty swallowing. θ Diphtheria.

Throat feels stiff as a board. θ Diphtheria.

Throat sensitive. θ Parenchymatous metritis.

Tickling and sense of constriction in upper part of throat, causing constant dry, hacking cough.

Feeling of lump in throat, which goes down when swallowing, but returns ; throat < on right side.

Sensation of ball or round body in left side of throat, and feeling that it could be removed with a knife.

Marked sensation of lump in throat on left side, when swallowing ; pain extends to ear. θ Diphtheria.

Sensation of lump in right side of throat, with a feeling that she could take hold of it with her fingers and pull it out ; accompanied by a very annoying pricking, stitching feeling ; constant inclination to swallow saliva, which causes soreness of throat.

Lump on left side of pharynx below tonsil, causing an enlargement that filled each arch of palate, nearly to right side.

Most pain when swallowing solids, no aversion to cold drink ; when swallowing solid food, it seems to pass over a lump, with sore and aching pains extending to and into left ear. θ Diphtheria.

Soreness of throat commences with a tickling.

Throat feels raw.

Sensation of rawness, commencing usually on left side of throat. θ Diphtheria.

Throat feels dry, husky, as if scalded by hot fluid.

Throat has a burnt and drawn feeling as from caustic.

Pain in right side of throat in region of tonsil. θ Acute rheumatism.

Wakes with throat and mouth painfully dry. θ Parenchymatous metritis.

Throat very dry and sore, much inflamed, < right side ; palate red, uvula elongated ; very painful deglutition.

Throat sore, œdematous, puffed, tonsils badly swollen.

Especially shining, glazed and red appearance of throat. θ Syphilis.

Sore throat, pains in whole body and limbs, severe head ache. θ Diphtheria.

Throat very sore on left side ; painful to external pressure both sides.

Sore throat on right side, low down, and extending up to ear ; pain when swallowing ; sensitive to external pressure ; slight coryza.

Throat sore, swollen, red and glistening. θ Diphtheria.

Sore spot in left side of throat, only at night, removed by 1 A. M. ; next night same on right side of throat ; after 1 A. M. returned no more.

Crusts on skin, with greyish yellow matter under them ; mucous follicles of throat raised and swollen, and covered with whitish, cream colored mucus ; bloody pus discharged from nose several times a day ; nasal bones sore to pressure. θ Sore throat.

Partial suppression of urine ; throat sore and of an œdematous, puffy appearance ; next morning, pulse 130 ; temperature 102 ; tonsils badly swollen ; great indisposition to take food or drink. θ Sore throat.

Soreness of throat commences with a tickling sensation, which causes constant cough ; then a sensation of a lump on one side, causing constant deglutition ; this condition entirely ceases, only to commence on the opposite side, and often alternates, again returning to its first condition ; these sore throats are very apt to begin and end with menses.

Sore throat just before menses for several years ever since diphtheria ; small yellowish white patches of exudation on tonsil of affected side, with great difficulty of swallowing, and sharp pains moving up into ear ; these patches are also present on back of throat and uvula ; some are quite yellow and some are white ; scraping them off makes them bleed.

Throat very sore, pain extending to chest, dry and sore ; deep red color on either side of throat opposite tonsils.

Shortly before going to bed, throat began to feel raw and sore, did not sleep well ; next morning, throat felt full and sore, somewhat < on right side ; this condition continued two days, when it seemed to continue downward to chest.

On waking in morning, throat felt as if there were lumps in it like two eggs, and sore all the time, especially when swallowing ; cold water seemed to > momentarily ; in evening, examination revealed, both tonsils much swollen and very red, left most, and distinct patches on left tonsil.

Right tonsil red and swollen ; pain in tonsil of gnawing character ; < at night ; dreams of snake in bed.

Tonsils inflamed and very sore, red and shining, almost closing throat ; dryness of fauces and throat ; swelling of submaxillary glands. θ Tonsillitis.

Quinsy, just ready to discharge, disappeared without discharging, in an unusually short time ; the trouble had been changing from one side to other and back again ; has not returned.

Sore throat, rapidly growing < ; fever ; difficult swallowing ; r. side < ; right tonsil intensely inflamed, bright red and greatly enlarged, and a yellowish grey spot on inner surface ; whole pharynx, uvula and velum much inflamed ; spot became larger, and others formed in pharynx ; l. tonsil became nearly as large as right ; fetid breath ; subsequently a bright scarlet eruption on face, neck, hands and chest, like scarlatina ; almost total inability to swallow, especially fluids ; aversion to liquids, particularly water.

Quinsy ; suppuration ran from left tonsil to right, then from r. to left, then back again to right, then both tonsils equally ; and again one tonsil would > and the other grow < ; whole posterior portion of throat was an œdematous swelling, rising up like an insurmountable barrier ; thick tough pieces of diphtheritic membrane were coming away, and new membranes constantly reforming ; swelling in throat so large and tense that mouth could not be closed.

Mucous follicles raised or swollen, and covered with a whitish, cream colored mucus.

Whole membrane of throat swollen, dark red,

with grey patches and small, irregular shaped ulcers ; membrane peeled off occasionally ; articulation and deglutition intensely painful ; < after sleep.

White ulcers on tonsils.

Sore throat, beginning at left tonsil, swollen and ulcerated ; throat feels swollen and raw, pricking and cutting pains shoot through tonsils when swallowing ; submaxillary glands swollen, sore and aching pain in left ear ; most pain when swallowing solids ; food seems to pass over a lump, no aversion to cold drink ; while drinking, fluid escaped through nose.

Sore throat commencing on left tonsil, which was swollen and ulcerated, and presented a depression covered by a white patch ; the disease later extended to palate and right tonsil, the parts red and shining.

Throat highly inflamed, swollen, almost closed, grey diphtheric spots on left side of throat.

Sore throat, ulcer on inner side of each tonsil, tonsils red and slightly enlarged, rest of throat dry. θ Diphtheria.

Ulcers increase in size and number, but neighboring membrane looks clearer. θ Diphtheria.

Small, round or irregular, grey white ulcers on tonsils and fauces, both sides. θ Diphtheria.

Tonsils swollen as almost to close throat. θ Quinsy.

Right tonsil covered with ash grey membrane extending along free palatine border to uvula, which it had already involved ; room loaded with diphtheritic odor ; next day membrane had passed centre, involving whole arch of palate, and reaching far down on left tonsil.

Right tonsil raw, swollen ; grey white membrane there and on fauces. θ Diphtheria.

Whole of right tonsil covered with diphtheritic patch.

Both tonsils swollen and covered with spots of exudation, like the mould on preserves.

Tongue, fauces, tonsils, all swollen and covered with a dirty coating. θ Diphtheria.

On each tonsil a very thick exudation, covering nearly entire surface ; while examining a large piece of membrane was accidentally detached from one tonsil, followed by considerable hemorrhage.

Throat very sore, tonsils enlarged, especially left, very large white patches ; tonsils and pharynx deep purple red ; putrid odor from throat ; after patches were expectorated, they left throat very sore, raw and bloody.

Throat very sore, < left side ; large greenish ulcers on both tonsils, surrounded by grey white exudation, parts not covered are a deep purple red ; swelling externally on both sides ; after exudation on tonsils disappeared, a raw, bloody surface was left. θ Diphtheria.

White patches, like eggs of flies, on both tonsils, extending thence to back of throat ; tonsils enlarged and deep red ; felt she would suffocate at night from full feeling in throat, which prevented sleep ; swallowing toast gave some pain, but seemed to clear throat ; drinking caused more pain in throat, and she had to gulp it down.

Gargling with warm water brought up a stringy mucus.

Whole membrane of throat highly inflamed, swollen, and glands enlarged on both sides. θ Diphtheria.

False membrane in throat, thick, grey, or slightly yellow, or dark and almost black, or white and glistening, almost like mother of pearl, or fish scales.

Dark red, angry streaks of capillaries in fauces, giving place to shining, glistening deposit, or tough membrane ; half arches filled with sticky, fetid saliva.

Diphtheritic membrane white like china ; mucous membrane of throat glistening as if varnished ; membranes leave one side and go to other repeatedly ; desire for warm drinks, which may return through nose ; post-diphtheritic paralysis.

Glossy, shining appearance ; disposition on part of membrane to change its position in fauces. θ Croupous diphtheria.

Ulcers on throat shine like silver gloss, symptoms went from side to side ; croupy symptoms not well marked ; after exudation was cleared off, a deep excavation was left. θ Diphtheria.

Diphtheritic deposits look as if varnished ; exudations migratory, now here, now there. θ Diphtheritic croup.

Thick membranous mass lying on soft palate, left side ; diphtheritic masses covering uvula and posterior wall of throat ; next day, membrane on soft palate thicker, dirty brown on uvula and posterior walls and pillars of throat, much more extensive and offensive ; very difficult deglutition ; a large membranous mass, which threatened suffocation, having been removed by forceps ; on following morning a second membrane had taken place of first, and walls of throat were covered with a dirty grey exudation ; uvula almost black, and coarse shreds of membrane hanging from it.

In morning throat very sore ; right tonsil covered with ulcers and patches, which extended over palate and covered left tonsil ; next day membrane extended across posterior wall of pharynx ; uvula elongated, accompanied by chilliness, high fever, pains in head, back and limbs, great restlessness and extreme prostration.

Throat sore, but little swelling, tonsils very slightly enlarged ; soreness of throat, first chiefly right, then left ; well marked diphtheritic membrane on both sides of throat situated on an inflamed red base, 3/4 inch long, 1/4 inch wide, 1/2 inch thick, and the same length and width as at the base ; anterior edge a dirty yellow ; centre more organized, pearly, glistening, white like cartilage ; membrane on right side seems more firm and dense, and disappeared later.

Severe chills, headache, pain in back and limbs, restlessness and sore throat ; three days later right tonsil covered with ashy grey membrane, extending along free palatine border to uvula, which it had already involved ; peculiar diphtheritic odor in room ; pulse small ; skin clammy ; rapid vital exhaustion ; next day membrane involved whole arch of palate and passed down to left tonsil. θ Diphtheria (after failure of Phytol. and Lycop.).

Roof of mouth and back wall of pharynx coated with a greyish yellow deposit, greater part of which soon disappeared, lasting only about an hour ; throat very much > by noon, deposit had nearly disappeared, but < again by night.

Throat covered with diphtheritic membrane ; uvula elongated, swollen and covered with black and white or grey diphtheritic deposit ; back of throat, extending to hard palate, all covered ; breath very offensive ; left side of neck swollen and almost even with jaw ; great difficulty in swallowing ; after throat began to improve, disease seemed to work through whole alimentary canal, for uvula and parts were very much swollen, and every little while there would be involuntary discharges of diphtheritic matter from uvula and rectum.

Patch of diphtheritic membrane appeared first on right tonsil, then on left, and frequently alternated sides ; swelling of neck (submaxillary and lymphatic glands) also alternated in like manner ; < during and after a cold storm from northeast ; tickling in throat when drinking ; one side of nose stuffed up, the other free and discharging thin mucus at times and thin blood ; this condition of nose also alternated ; non-œdematous swelling of eyelids, pink color of under lid, particularly of right eye ; breathing hoarse and croupy, at times entire stoppage of breath ; often snoring, and only possible through mouth ; obstinate constipation, frequent desire, with darting pains in rectum, no power to expel ; stool large in size, whitish, rough, scaly, hard ; could not bear to be left alone an instant ; saw big eyes and creeping things ; must have light, yet is intolerant to light of sun ; urine scanty, infrequent, no desire, coffee colored ; 80 per cent of albumen and much mucus ; quantity less than a gill in twenty-four hours. θ Diphtheria.

Fever ; bathed in warm perspiration, especially about face, neck and hands ; anxious expression ; eyes watery and discharging ; wants to sit up in mother's arms ; cries and desists at every attempt to nurse ; reaches for water, yet refuses to take it ; respiration, hoarse ; crying whispered and broken, often no sound at all ; pulse 170 ; tongue, fauces

and tonsils swollen and covered with dirty coating ; drooling from mouth ; throat tender to touch externally ; thick, dirty grey diphtheritic membrane, covering free border of epiglottis, and extending off to each side ; child refuses to swallow and sputters out the medicine, some returning through nose. θ Diphtheria.

Soreness of throat, accompanied by intense heat ; pulse scarcely to be counted ; prostration so complete that patient refused even to make an effort to take medicine ; temperature 102.6°F ; great sensitiveness of throat externally ; symptoms < after sleep ; very thick exudate, covering nearly entire surface of each tonsil, which, if forcibly removed, is followed by considerable hemorrhage. θ Diphtheria (after failure of Laches).

Throat highly inflamed, swollen, almost closed ; grey, diphtheritic patches on left side of throat ; difficult breathing, at times suffocative spells ; pulse 140 ; face flushed, swollen and hot ; tongue dry and thickly coated, greyish white. θ Diphtheria.

On third day right tonsil swollen and on it a small diphtheritic patch, rest of throat inflamed ; on fourth day both tonsils swollen and covered with diphtheritic patches, with difficult deglutition ; high fever, restlessness, cried out and talked in sleep ; complained of pains in head, back and limbs ; bright scarlet redness on chest and around neck, which, on fifth day, extended all over body and legs ; disease now at highest point ; skin, in large patches, assumed a dark red color bordering on purple ; whole body swollen ; membrane, swelling and soreness < on right side ; deglutition impossible ; refusing to drink while complaining of intense thirst ; characteristic fetor in room ; soreness on right side decreased and commenced on left ; left tonsil and posterior wall of pharynx covered with membrane ; posterior nares invaded ; marked sensation of lump in throat on left side, when swallowing, with pain extending to left ear ; tongue coated dirty, yellow white and slimy ; absence of prostration ; improvement commenced on seventh day and remedy was discontinued. θ Diphtheria.

Pains in limbs, small of back and head disappear, and throat becomes more painful, but looks better ; often ulcers increase in size and number, but neighboring membrane looks clearer ; < by empty deglutition ; throat feels stiff ; > after drinking, warm or cold, no thirst, but dry mouth ; pain pushes toward left ear ; right tonsil raw, swollen, grey white membrane there and on fauces ; epistaxis when speaking or swallowing, in one case ; sweat all over ; great exhaustion with poisoned feeling ; frequent micturition, urine dark ; restless, legs and whole body ; face burns dry ; constant spitting, drooling ; ulcers small, round or irregular, grey white ; voice hoarse, interrupted by weakness and hoarseness. θ Diphtheria.

Throat filled with substance that looked like "smear kase ;" throat, tongue, roof of mouth, gums and cheeks completely lined with this substance ; mouth and throat filled with loose particles ; horrible odor. θ Post-scarlatinal diphtheria.

Heaviness, and stomach bloated and tender ; enlargement of tonsils, left tonsil < ; feels weak ; cannot eat or drink anything without pain in pit of stomach ; shortness of breath and general languor. θ After diphtheria.

Membrane would leave throat, and a very severe interstitial hemorrhage of bright red blood would ensue ; hemorrhage would slowly improve, and membrane appear again in throat ; these had continued to alternate for several days. θ Diphtheria.

False membrane, thick grey, yellow or dark, surrounding mucous membrane dark or bright, may be < on either side, or inflammation shift from side to side, generally < on left

False membrane, thick, yellowish grey, often greenish.

Pharyngeal inflammation, with wholesale destruction of epithelium, viscidity of saliva, heat of palms ; absolute necessity for constant change of position.

Thick, dirty grey diphtheritic membrane covering free border of epiglottis, and extending off to each side.

Uvula pretty free from membrane, but intensely sore and bleeds. θ Diphtheria.

Uvula coated (in seven cases).

After membrane exfoliates, mucous membrane appears raw and bloody, with increased deglutition.

In most cases of diphtheria, the throat symptoms begin on right side.

Inflammation, ulcers and swelling shift from side to side, generally < on left θ Diphtheria.

Diphtheria and diphtheritic croup ; membranous croup.

APPETITE, THIRST. DESIRES, AVERSIONS [14]

No appetite. θ Dyspepsia. θ Acute rheumatism. θ Diphtheria.

Appetite and strength failing ; dislike to food, especially fat or greasy. θ Parenchymatous metritis.

No appetite or thirst. θ Diphtheria.

Thirst for little at a time, but often, as throat is so dry and hot. θ Diphtheria.

Thirst. θ Acute rheumatism.

Great thirst for large quantities, often.

Desire for highly seasoned dishes, which is very unusual ; has used pepper, mustard and salt freely.

Desire for warmish water with a pinch of salt in.

Craves milk and drinks much of it. θ Diphtheria.

Aversion to liquids, especially water. θ Diphtheria.

HICCOUGH, BELCHING, NAUSEA AND VOMITING [16]

Great faintness of stomach and nausea. θ Metritis.

Nausea, with headache, on waking ; all morning.

Nausea at beginning of diphtheria.

The almost constant diphtheritic discharges from mouth and nose nearly ceased, and she almost immediately had spells of sickness of stomach, and would occasionally vomit pieces of membrane. θ Diphtheria.

Frequent attacks of severe vomiting, and when not so, always feeling of nausea, and fear to eat. θ Sick headache.

SCROBICULUM AND STOMACH [17]

Weak, sinking feeling in stomach pit, on waking in morning.

Gnawing, hungry feeling, not > by eating ; everything she eats, except fish, makes her worse ; the thought of milk makes her sick. θ Sick headache.

Dyspeptic pain, as from a stone, or undigested food, in stomach pit at 9.45 P. M. ; followed by a stabbing pain in right lung, just below nipple.

Burning in epigastric region ; feeling of weight and pressure of stone in stomach ; very thirsty ; abdomen swollen and burning, with bearing down pains therein ; mucous, yellow, liquid stools ; pulse 100 ; pains and throbbing in temples ; flushes on left cheek ; red, circular spot below right malar bone, burning to touch ; no appetite, cannot bear food ; jaw cracks while eating. θ Affection of stomach.

Stomach tender and bloated ; cannot eat or drink anything without pain in stomach pit. θ After diphtheria.

Beating in stomach and bowels.

Severe throbbing in region of solar plexus ; when it becomes very severe, which it did daily for hours at a time, it would seem to extend or continue upwards to head, when dizziness and lightness of head would supervene, requiring her to lie down at once, otherwise she would fall violently to the floor.

Gastralgia or cardialgia, < at menses, so she would drop to the floor, comes and goes suddenly.

HYPOCHONDRIA [18]

Severe burning pain in right hypochondriac and iliac region and corresponding part of back, extending across back to left side of abdomen ; < when on feet or when fatigued, > when lying down.

ABDOMEN AND LOINS [19]

Abdomen very hard and swollen, in evening.

Abdomen swollen and burning, with bearing down pains therein.

Extreme heat in abdomen.

Severe shooting pain in abdomen, passing in all directions.

Pressure from within outwards, as if contents of abdomen would be forced outwards, just above pelvis.

Intense sharp pain in left side of abdomen, with nausea while leaning forward.

Pain and burning in left side of abdomen and pelvis, with weight and dragging on that side ; clothes feel heavy.

Pain in pelvis, principally in right ovarian region.

Headache over left eye on first waking, and great pain in pelvis, most marked at right ovary.

Pains in abdomen intermittent.

Pain in abdomen, < leaning forward ; > leaning back.

Smarting in right groin ; pains seem to be in pelvic bones, uterus and limbs. θ Parenchymatous metritis.

Very acute pain in left groin, extending up left side to crest of ilium, > by stool ; sometimes pain is in track of colon.

Feeling of tension in left groin, do not want to walk or stand as it increases sensation, > by flexing leg on abdomen.

STOOLS AND RECTUM [20]

Mucous yellow liquid stools.

Constipation. θ Acute rheumatism.

Obstinate constipation ; frequent desire with darting pains in rectum, no power to expel ; stool large, whitish, rough, scaly, hard. θ Diphtheria.

URINARY ORGANS [21]

Constant desire to urinate, urine scanty.

Constant desire to urinate, passing large quantities frequently ; at night she dreams of urinating, and wakes to find an immediate necessity ;

Constant desire to urinate, with intense pain. θ Urethral chancre.

Constant inclination to urinate, which was restrained as urination caused intense pain when coming in contact with vulva.

Urine unusually frequent and dark.

Urine frequent : especially at night ; scanty, high colored ; red sediment.

Urine very scanty and dark. θ Acute rheumatism.

Urine dark, heavily loaded with thick reddish sediment that adhered in different colored circles to bottom and sides of vessel.

Great difficulty in urinating. θ Diphtheria.

Urinating only once in twenty-four hours, and then copiously, but with some difficulty and slight irritation. θ Diphtheria.

Urine scanty, infrequent, coffee colored, no desire to urinate, quantity less than a gill in twenty-four hours-eighty per cent, albumen, with much mucus.

No urine for forty-seven and three-quarter hours, bladder pretty full, parts fearfully swollen, and irritation on urination very great. θ Diphtheria.

Urine partially suppressed. θ Tonsillitis.

MALE SEXUAL ORGANS [22]

Large chancre on dorsum of penis, with a fungoid bacteric mass covering whole of corona glandis, which was first of a glossy, shining, white appearance, and later covered with a fungus, looking like fully developed ; aphthæ ; edges of swollen prepuce covered with nodosities and itching.

Penis enormously swollen, and a chancre on glans like a cauliflower excrescence, over half an inch in diameter ; it was red, smooth and glistening ; no pain ; in a week there appeared two more small chancres, deep, sharp edges, clean, and with same shining appearance. θ Syphilis.

Small sore at entrance of urethra ; kept getting < ; prepuce involved for about half inch, and parts of glans around urethra an open ulcer, exhaling most fetid smell, and with most excruciating pain ; hemorrhage at 10 P. M. every evening, and during day when removing dressings ; constant desire to urinate, with intense pain ; no sleep for a fortnight, red, glistening appearance.

Prepuce involved for about an eighth of an inch, and parts of glans penis around urethra an open ulcer exhaling most fetid smell ; pain excruciating ; hemorrhages at ten every evening and during day when removing dressing ; desire to urinate constant, and accompanied by intense pain ; had not slept for a fortnight ; red, glistening appearance of ulcer. θ Syphilitic ulceration of penis.

Chancre on prepuce left side of frenum, granulating rapidly from centre to circumference.

Buboes and chancres.

When gonorrhœa is >, catarrh sets in.

Gonorrhœal pains, intermittent, in front, middle or posterior part of urethra.

FEMALE SEXUAL ORGANS [23]

Heat in ovarian and uterine region (with menses) ; inflammatory and congestive condition of ovaries before menses, especially of right ovary, with extreme soreness and sensitiveness, with makes every motion and position, even breath, painful.

Pain in abdomen principally in right ovarian region.

Sharp pain in right ovary.

In afternoon, sharp pains in right ovarian region, not constant but intermittent.

Severe pain in right ovarian region, > by flow of bright red blood.

Pain in left ovarian region ; across lower part of abdomen.

Constant burning pain in left ovarian region, extending from left leg even to foot. θ Ovaralgia.

Sharp pains beginning in left ovary, and darting like lightning either towards right ovarian region, or else up left side and down arm, or sometimes down both thighs ; but most generally down left leg to foot, which is numb ; pains act something like labor pains, and are accompanied by great restlessness of legs and arms, and great aching in lumbar region ; on fifth day after premature labor.

Inflammatory and congested condition of uterus, with extreme soreness and tenderness, that made every motion, position, and even breath, painful.

Parenchymatous metritis (two cases), in one, uterus three times as large as natural, round as a ball, and body very hard, cervix obliterated by altered form of body ; uterus sensitive.

Much pain before and after menses, severe headache and entire prostration for first day or so. θ Metritis.

Sharp, lancinating pains like knives cutting upwards from os uteri, and as these were being relieved, sensation as of needles darting upwards in uterus.

Pain in uterine region, passing down inside of thighs, half way to knees, and right leg feels numb.

Pains in uterine region, all day, no particular direction except down inner side of thigh half way to knees.

Severe pain in entire uterine region, with profuse discharge of yellow, brown and bloody leucorrhœa, two weeks after menses ; intense pain and enlargement of l. ovary, which could be seem protruding.

Blood bright red and stringy, hot as fire, coming in gushes and clotting easily ; constant bearing down pain, as if everything would come out of vulva. θ Uterine hemorrhage.

Uterine hemorrhage for six weeks ; ovarian pains alternated sides, as did the chronic headache.

Retroverted uterus.

Menses : fourteen days too soon, profuse ; seven days too soon ; flow came in gushes, scanty, intermittent, bright red and stringy, preceded by much flatulence from bowels ; very stringy and sticky, cannot get rid of them.

Great engorgement of breasts, with sensitiveness to touch, precede menses.

Menses nearly ceased ; at menses much pain in right thigh and uterus, constant desire for stool, very low spirited. θ Parenchymatous metritis.

Dysmenorrhœa, abdomen sensitive even to weight of clothing ; flatus from vagina.

Membranous dysmenorrhœa.

Sore throats are very apt to begin and end with menstruation.

Leucorrhœa, very profuse during day, none at night ; discharge whitish and watery ; pain in small of back ; very irritable ; < standing or walking.

Bearing down as though everything would fall out through vagina, with very frequent desire to urinate, and smarting in urethra.

Escape of flatus from vagina.

Great swelling of left labia and terrible pain while urinating ; from gonorrhœa.

Itching in left side of labia, with rough eruptive condition on left side of vagina, with acrid leucorrhœa ; excoriating.

Raw and bad smelling sores between labia and thighs, in folds of skin ; < when walking, would rather keep still all the time ; sores are covered with disgusting white exudation.

Foul smell from genitals. θ Herpes.

Pressure on labia causes a slight flow of blood ; menstruation commenced entirely normal.

Intense painful soreness of vulva, extending to anus, coming on very suddenly about noon, and lasting for about two hours ; came again during evening ; could not walk, stand or sit ; > by lying on back and separating knees as far as possible.

Great irritation about vulva and rectum. θ Diphtheria.

Urination causes intense pain in vulva, when even least drop of urine comes in contact with it.

Itching of vulva.

Breasts very sore and painful, with sharp, darting pain in right ovarian region extending downwards to knee, very painful and must keep leg flexed. θ After miscarriage at sixth month.

Breasts very sore, sensitive to least pressure ; dull, constant, aching pain in them all evening.

Breasts very painful, but no lumps ; pains are caused by least jar ; has to hold breasts firmly when going up or down stairs ; breasts < towards evening, pressure of her arm, in natural position, caused considerable pain.

Breasts very painful and sore ; feel as if full of hard lumps, very painful when going up or down stairs.

Soreness and enlargement of breasts.

Breasts seem very full.

Constant pain in nipples.

PREGNANCY. PARTURITION. LACTATION [24]

Afterpains very severe, and shooting down into thighs.

Knots and cakes in breast, after miscarriage.

Galactorrhœa.

Loss of milk while nursing, without known cause.

Serviceable in almost all cases where it is required to dry up milk.

Given for an ulcerated throat to a nursing woman, it cured throat and nearly dried up milk.

VOICE AND LARYNX. TRACHEA AND BRONCHIA [25]

Loss of voice. θ Pharyngitis.

Throat troubles her much if she reads aloud or talks more than usual ; it seems almost as though it was stopping up, and she feels very hoarse, but has no soreness ; there is a feeling of fulness and choking.

Unable to speak loud ; distressed feeling while speaking.

Respiration hoarse, crying was whispered and broken, often no sound at all. θ Diphtheria.

Slight hoarseness, with now and then a change of voice, after walking, but soon passing away.

Excessive hoarseness, and tickling, choking sensation, > moving about.

Voice hoarse and husky ; interrupted by weakness and hoarseness.

Larynx sensitive to pressure. θ Diphtheria.

Constriction in lower part of larynx, like a finger across throat ; feeling as of a bar across back of throat.

RESPIRATION [26]

Difficult breathing ; during evening had several suffocating spells. θ Diphtheria.

Terrible dyspnœa immediately after sleep, first on left side of chest ; dyspnœa compelled her to be lifted upright with violent exertion to get breath ; sharp pain in region of heart with each attack. θ Acute rheumatism.

Breathing hoarse and croupy, and at times an entire stoppage of breath, when it would resume with a violent effort. θ Diphtheria.

Breathing often snoring and only possible through mouth. θ Diphtheria.

Short breath. θ After diphtheria.

Great difficulty in breathing, could not lie down flat.

Breathing very labored.

Loud snoring during sleep.

Sensation as if breath would leave her when lying down and trying to sleep ; has to jump up and stir around for an hour or so every night.

COUGH [27]

Tickling sensation in throat causing cough ; in afternoon quite hoarse.

Cough from tickling in upper anterior part of larynx, < talking and lying down.

Cough caused by irritation in upper part of throat, < lying down at night, also after eating and drinking and after talking ; with soreness of left side of throat and constant desire to urinate.

Cough on taking a long breath, not when swallowing.

Hard, metallic cough.

Croupy cough, a dry, hoarse bark, penetrating through closed doors all over house. θ Diphtheria.

Cough and dyspnœa.

Constant cough, accompanying soreness. θ Diphtheria.

Expectoration of profuse, sticky, tough, white mucus in masses, with coryza.

INNER CHEST AND LUNGS [28]

Sharp, incisive pain between scapulæ, passing through to sternum, with a sense of pressure or constriction of chest in afternoon.

Trembling, jerking and fluttering through lungs, with numb, prickling sensation all over body, legs and arms.

HEART, PULSE AND CIRCULATION [29]

Pulse so rapid it could scarcely be counted. θ Diphtheria.

Pulse 130. θ Tonsillitis.

Pulse quick, full and strong, with pain in chest and throat.

Pulse of little volume. θ Diphtheria.

Pulse 130, wiry, weak.

Pulse : quick and feeble ; 100 ; 120 ; 140 ; 170 ; 130-140 ; almost gone.

Pulse 117. θ Diphtheria.

Pulse rapid, quick. θ Acute rheumatism.

Heart beats rapidly from slight causes. θ Parenchymatous metritis.

NECK AND BACK [31]

Neck stiff. θ Rheumatism. θ Neuralgic headache. θ Diphtheria.

Pain in back of neck. θ Diphtheria.

Wandering pains in nape with stiffness. θ Rheumatism.

Neck aches, making her want to bend head forwards ; entire spine sensitive. θ Parenchymatous metritis.

Spine aches from base of brain to coccyx. θ Pharyngitis.

Heat, pain and beating in small of back. θ Metritis.

Pain in back. θ Diphtheria.

Wakes with severe pain in lower part of back, it is often five minutes before she can straighten ; pain leaves her when she has been about work a short time, not returning till morning. θ Nervous throat affection.

Intense, unbearable pain across supersacral region, extending to right natis and down right sciatic nerve ; pain so severe as to prevent sleep or rest ; at same time diphtheritic sore throat on right side, with sensation of a lump, could not swallow solid food.

UPPER LIMBS [32]

Fetid perspiration in axillæ, staining linen brown.

After exposure to draft in evening sudden violent pains in right shoulder so severe that she was unable to raise the arm, as if disabled by dislocation. θ Acute rheumatism.

Pain in left shoulder extending across to right ; could scarcely move arm. θ Pharyngitis.

Neuralgic pains in shoulders, left then right ; then vice versa.

Pain in one or other shoulder. θ Rheumatism.

Shoulders and arms ache. θ Parenchymatous metritis.

Partial paralysis of left arm, unable to raise hand to head ; on attempting to do so was seized with sharp pains in arm below shoulder.

Left hand bloats and is numb, with trembling, jerking and fluttering through lungs ; numb, pricking sensation all over body, arms and legs.

Sharp pain in left hand, left arm as if asleep.

Trembling of left hand, as in paralysis agitans.

Fingers extremely cold but not rest of hands.

Two warts on little finger.

LOWER LIMBS [33]

Almost constant pain in right hip. θ Metritis.

Pain in right hip and leg while walking, with a trembling of leg, and slight feeling of uncertainty, particularly on going down stairs. θ Parenchymatous metritis.

Articular rheumatism in right hip and knee joints, especially former ; she was seated in an arm chair, unable to move, complaining of bruised, smarting, lancinating pains in both joints and in lumbar region, with swelling of affected joints ; pains < by slightest motion at night, by touch and by pressure of bed clothes ; next day pains and swelling had gone to left hip and knee joints, leaving right almost free ; the ensuing day they had almost entirely disappeared from left hip and knee joints and had again attacked right hip and knee ; complaining, moaning and sighing on account of her sufferings and probable termination of her illness.

Rheumatic pains in left hip and along sciatic nerve ; wandering pains in nape of neck, with stiffness ; pains in one or other shoulder ; pain above left eye and heaviness of eyelid ; burning in eye ; agglutination of eyelids ; sensitiveness to light. θ Sciatica and rheumatism.

Intense, unbearable pain across supersacral region, extending to right natis and down right sciatic nerve ; pain so severe as to prevent sleep or rest. θ Sciatica.

Partial paralysis of right leg from miscarriage ; has to use a cane ; right ovary sore by spells and pain darts down leg, sometimes to foot ; leg feels numb and stiff, but cannot keep it still any length of time ; feels better by flexing it on abdomen.

Can only walk with assistance of a cane. θ Hip disease.

Cannot walk any distance ; trembling through right thigh, and feeling as though entire lower portion of body was giving way ; felt as though something was strained across lower part of bowels. θ Parenchymatous metritis.

Sciatica.

Limbs cold to knees. θ Diphtheria.

Bruised pain in soles of feet, stiffness of ankle, knee and hip joints, and occasionally intense pains which move upwards ; pain in ankle joints as of a dull plug pushing ; joints stiff and sore, tender to touch, < from heat and least motion ; later knees and then hips became involved ; at first the left ankle was attacked, and then, after some hours suffering, the right, with relief to left, and so on with knees and hips ; chest affected, terrible dyspnœa coming on immediately after sleep, first on left side ; compelled her to be lifted upright with violent exertion to get breath, sharp pain in cardiac region ; urine scanty and dark ; pain in right side of throat ; generally < at 5 P. M. θ Acute rheumatism.

After exposure to cold night air when drunk, sharp, darting pains, < by any motion, with swelling in right knee and right ankle ; next day joints of left knee, left ankle, left hand, extremely painful, moderately swollen, slightly red ; ensuing day, left ankle and knee better, but right shoulder and elbow similarly affected.

Numb pains chiefly in ankles, < while quiet, with swelling ; veins of ankles distended ; > while extreme heat is applied. θ Rheumatism.

Ecthyma : a sore breaks out on right leg, excessive itching, inflammation, then swelling, blisters form and suppuration sets in ; afterwards clear lymph, then discharge of matter ; then scabs and scales, turning eventually into a bran-like desquamation ; scars have left discolored skin.

Restlessness in legs.

Cramps in feet.

LIMBS IN GENERAL [34]

Aching pains in limbs and back.

Pains in limbs as if beaten. θ Pharyngitis.

Bruised pains in soles making it difficult to walk ; in twelve days pains suddenly left soles, and appeared in r. knee joint, being smarting, lancinating, with light swelling of joint ; could not move affected limb, as least motion < pains, as did touch and pressure of bedclothes ; on following day left knee joint affected in same way, right > ; on ensuing day right again affected, with relief to left ; afterwards hip joints attacked alternately with same symptoms, alternating like these in pains and swelling, left joints one day with > of right, and vice versa ; also lancinating pains in left side of chest ; after four days wrist joints affected, first right, with same symptoms as those of lower extremities, symptoms of one side of body alternating with those of other ; not able to move himself in bed, lancinating pains made him cry out ; constipation, sleeplessness, no fever ; pains and swelling < every evening, night, by movement, touch and pressure of bedclothes ; numb pains chiefly in ankles <.

Burning of hands and feet at night. θ Ovaralgia.

REST. POSITION. MOTION [35]

Rest : headache >.

Lying on back : with hands over face, falls asleep ; separating knees as far as possible > soreness of vulva.

Lying down : thinks how horrible it would be if a very sharp pain, like a knife, should go through her ; causes congestion ; cough < ; does not seem to touch bed.

Could not lie flat : great difficulty in breathing.

Sitting : as if she was going deranged.

Bending head forward : causes congestion.

Leaning forward : nausea ; pain in abdomen <.

Standing : leucorrhœa <.

Cannot find comfortable position in bed, there is no way she can put her hands that they do not bother her.

Motion : painful on account of soreness of ovarian region ; > hoarseness ; pains in hip and knee joints < ; soreness of joints < ; sharp, darting pains in knee and ankle < ; pain in knee <.

Flexing leg on abdomen : tension in groin >.

Cannot straighten herself : pain in back.

Could not raise arm : pain in shoulder.

Exertion : dull pain in left superior maxillary.

Must jump up and stir about to > feeling as if breath would leave her.

Walking : leucorrhœa < ; sores between labia and thighs < ; pain in right leg ; felt as if walking on air.

Does not want to walk or stand : sensation in groin <.

Going down stairs : trembling of leg.

NERVES [36]

Restlessness. θ Diphtheria.

No inclination for least exertion, would like to do nothing but sleep ; much lassitude.

Heaviness, weakness, general languor. θ After diphtheria.

Profound depression of vitality. θ Diphtheria.

General weakness and prostration very marked.

Great exhaustion, with "poisoned" feeling. θ Diphtheria.

Profound prostration, to extend of refusing to make effort to take a dose of medicine. θ Diphtheria.

In morning so much prostrated that she could not turn in bed ; so tired. θ Diphtheria.

Very weak. θ Diphtheria.

Sinking spells every morning, attended with great nervousness. θ Parenchymatous metritis.

Often feels as if she would lose use of limbs. θ Nervous throat affection.

Child partially paralyzed after diphtheria ; could not walk ; pain all over, cough, aphonia, loss of appetite, emaciation.

When walking seems to be walking on air ; when lying does not seem to touch bed.

Suffering from very unpleasant nervous symptoms ; not in low spirits, but weak, and nerves so thoroughly out of order that she cannot bear one finger to touch the other, and often feels as though she should lose use of her limbs ; sensation as if throat was closing, sensation is between throat and nose ; feels as if something in throat was either enlarged or relaxed, and has a desire to keep mouth open ; talking difficult ; disposition to talk through nose ; sometimes cannot swallow, because there seems to be a kind of muscular contraction in throat ; sleep restless, frequently wakes with sick headache, which seems to commence at nape ; wakes with severe pain at lower part of back ; pain leaves when about work a short time, does not return until next morning ; nerves very much overwrought, afraid of being unable to perform duties. θ Nervous affection.

SLEEP [37]

Great desire to sleep. θ Diphtheria.

Cried out and talked in sleep. θ Diphtheria.

Sleeplessness from emotional strain, with entire nervous debility.

Cannot find any comfortable position in bed ; there is no way she can put her hands that they do not bother her ; falls asleep at last on her face.

Very restless at night ; very difficult to get into a comfortable position ; generally goes to sleep lying on back with hands over head.

Sleep disturbed, very wakeful ; limbs cold all night.

Sleep prevented by being very cold for one hour after retiring, with great nervousness.

Very restless all night ; could not keep clothes over her.

Sleepless and crying continually.

Restless sleep at night, bad dreams. θ Metritis.

Dreamed a large snake was in bed. θ Tonsillitis.

Got to sleep late ; profuse sweat during sleep ; felt feverish all night ; in morning > in every way.

At night lies with left leg flexed on thigh, and thigh on pelvis ; restless ; < after sleep. θ Ovaralgia.

Dreams frequently that she is urinating, and wakes to find herself on point of doing so, requiring immediate relief.

Dreams of going on a journey, and was separated from party, and had to walk a long distance, and arrived at station just in time to see train start off.

Aggravation of symptoms after sleep. θ Diphtheria.

TIME [38]

Morning : dull, frontal headache ; left superior maxillary feels sore ; nausea, weak, sinking feeling in stomach pit ; much prostration.

At 4 A. M. : copious epistaxis.

At 9 A. M. : sharp pain on top of head.

Noon : throat > ; soreness of vulva comes suddenly.

Day : pains in head.

Afternoon : headache ; hoarseness ; constriction of chest.

Evening : abdomen hard and swollen ; intense soreness of vulva ; aching in breasts.

At 9.45 P. M. : dyspeptic pain in stomach pit.

Night : constant noise in head < ; sensation as if bed was in motion ; sore spot in left side of throat removed by 1 A. M. ; next night same on right side ; pain in tonsil ; gnawing < ; felt she would suffocate ; throat < ; dreams of urinating ; urine frequent ; rheumatic pains < ; burning of hands and feet ; very restless ; limbs cold.

After midnight : very severe frontal headache.

TEMPERATURE AND WEATHER [39]

Heat : soreness of joints < ; pains in ankles > while heat is applied.

Warm room : pain in forehead >.

Warm applications : pains in superior maxillary >.

Open air : headache > ; mucus in mouth <.

Exposure to draft : severe pain in right shoulder.

Cold night air : sharp, darting pains in knee and ankle.

During and after a cold northeast storm : throat <.

Cold winds : terrible pain in forehead.

Washing : causes pain in herpetic eruption.

Cold applications : soreness of superior maxillary > ; pain in upper canines >.

Cold water : sore throat momentarily >.

FEVER [40]

Severe chills. θ Diphtheria.

Fever and chills for a few days, and up and down every few hours.

Feels feverish.

Intense fever on waking in morning, with perspiration.

Fever, and bathed in warm perspiration, especially about face, neck and hands. θ Diphtheria.

Intense heat. θ Diphtheria.

Moderate fever. θ Diphtheria.

Fever. θ Diphtheria. θ Acute rheumatism.

High fever. θ Diphtheria.

Dry, hot skin. θ Diphtheria.

Fever returning every afternoon. θ Diphtheria.

Temperature 102. θ Tonsillitis.

Temperature 102 3/4. θ Diphtheria.

Temperature 103 1/4. θ Diphtheria.

Temperature 103. θ Acute rheumatism.

Sweat all over. θ Diphtheria.

Skin clammy. θ Diphtheria.

Exhausting sweats ; after sleep.

Wakes in night in cold perspiration, with fearful foreboding. θ Parenchymatous metritis.

Perspired considerably through night, sweat having a rank smell. θ Acute rheumatism.

ATTACKS, PERIODICITY [41]

Aggravation morning of ne day, evening of next. θ Diphtheria.

Paroxysmal pain : in left upper canine.

Intermittent pains : in right ovarian region.

At times : fear of falling down stairs ; stoppage of breath.

At intervals : copious epistaxis.

Several times daily : bloody pus from nose.

Lasting two hours : soreness of vulva.

Two or three times a day : fits of weeping.

Once in twenty-four hours : urinating.

Daily for hours : severe throbbing in region of solar plexus.

Every morning : sinking spells.

Every evening, 10 P. M. : hemorrhage from urethra.

Every night : sensation as if breath would leave her pains in wrists and knees <.

Forty-seven and three-quarter hours : no urine.

For two days : sore throat.

For several days : alternately membrane appears in throat, then a severe interstitial hemorrhage.

Third day : tonsil swollen and on it a small patch.

Fourth day : both tonsils swollen.

Fifth day : rash extended all over arms and legs.

For six weeks : uterine hemorrhage.

For several years, ever since diphtheria : sore throat just before menses.

LOCALITY AND DIRECTION [42]

Right : pain in head beginning on side ; pink color of lower lid ; sore on side of septum ; red circular spot below malar bone ; acute pain on side of throat ; throat < on side ; sensation of lump in side of throat ; pain in region of tonsil ; throat much inflamed on side ; throat sore ; sore spot on side of throat ; tonsil red and swollen ; side of throat < ; tonsil intensely inflamed ; tonsil covered with ash grey membrane ; tonsil raw, swollen ; diphtheritic symptoms begin on side ; stabbing pain in lung ; burning pain in hypochondriac and iliac region ; pain in ovarian region ; smarting in groin ; sharp pain in ovary ; numbness of leg ; much pain in thigh ; pain down sciatic nerve ; pains in shoulder ; pain in hip ; pain in leg ; rheumatism in hip ; partial paralysis of leg ; trembling through thigh ; swelling in knee and ankle ; sore on leg ; swelling of knee joint.

Left : pain over eye ; sees green band before eye, slanting downward to right cheek ; spots before eye ; burning in eye ; heaviness of upper lids ; pain over eye ; agglutination of lids ; gathering under side of nose ; superior maxillary feels sore ; flushes on cheek ; swelling of parotid ; pain in upper canine ; pain on side of throat ; sensation of ball or round body in side of throat ; feeling of lump in side of throat ; lump in side of pharynx ; pain from throat to ear ; rawness on side of throat ; throat very sore ; sore spot in side of throat ; patches on tonsil ; diphtheritic spots in throat ; large patches on tonsil ; thick, membranous mass lying on side of abdomen ; burning in side of abdomen ; intense pain in side of abdomen ; burning in side of abdomen ; acute pain in groin extending up to side of crest of ilium ; tension in groin ; chancre on prepuce side of frenum ; pain in ovarian region ; sharp pain down leg from ovary, enlargement of ovary ; swelling on side of vagina ; terrible dyspnœa ; pain in shoulder ; partial paralysis of arm ; hand bloats and is numb ; sharp pain in hand ; arm as if asleep ; trembling of hand, pain in ankle, knee and hand.

From left to right : neuralgic pains in shoulders.

From right to left : swelling of parotid.

From within outwards : pressure in abdomen.

Alternating sides : throat symptoms ; articular rheumatism in lower limbs ; bruised pain in ankles ; pains in ankles, knees and elbows ; swelling and ulcers.

Erratic disposition of symptoms ; pains constantly flying from one part to another.

SENSATIONS [43]

As if she was going deranged ; as if surrounded by myriads of snakes ; as if bed was in motion ; as if forehead would split open ; as if ears were full ; as if throat was closing ; as if something in throat was either enlarged or relaxed ; throat as if full of sticks ; as if a lump was in throat ; as of a ball or round body in left side of throat ; as of a lump in right side of throat, with a feeling that she could take hold of it with her fingers and pull it out ; throat as if scalded by hot fluid ; throat as if burnt by caustic ; throat felt as if there were lumps in it like two eggs ; diphtheritic deposit looks as if varnished ; pain as from a stone in stomach pit ; as if contents of abdomen would be forced outwards ; as of needles darting upwards in uterus ; as if everything would come out at vulva ; breasts as if full of hard lumps ; as if throat was stopped up ; as if a finger was across throat ; as of a bar across back of throat ; as if breath would leave her when lying down ; left arm as if asleep ; as of a dull plug pushing in ankle joint ; pain in limbs as if they had been beaten ; feels as if she would lose use of limbs ; when walking, as if walking on air ; when lying in bed, as if she did not touch it ; as if throat was closing ; as if an insect was crawling on shoulders, neck and hands.

Pain : over eyes ; in temples ; above left eye ; in both ears ; in right side of throat ; in whole body and limbs ; in chest ; in tonsils ; in head, back and limbs ; in pit of stomach ; in left side of abdomen and pelvis ; in ovaries ; in abdomen ; in track of colon ; in uterine region and down thighs ; in right thigh and uterus ; in small of back ; in nipples ; in chest and throat ; in back of neck ; from left shoulder to right ; in right hip and leg ; in labia.

Excruciating pain : in prepuce.

Unbearable pain : in head ; across supraorbital region.

Violent pain : in shoulder.

Terrible pain : in vertex ; in left labia while urinating.

Very severe pain : in forehead ; in head ; in right ovarian region ; in entire uterine region ; in lower part of back.

Intense pain : in urethra ; in left ovary ; in vulva.

Intense sharp pain : in left side of abdomen.

Acute pain : on right side of throat then in left ; in left groin, extending to left side to crest of ilium.

Sharp, incisive pain : between scapulæ, passing through to sternum.

Sharp pain : on top of head coming from nape of neck ; in arm below shoulder ; in left hand ; in cardiac region ; in r. ovarian region ; beginning in left ovary and darting like lightning either towards right ovarian region, or else up left side and down arm, or sometimes down both thighs, generally down left leg to foot ; in region of heart.

Sharp pains like knives : cutting upwards from os uteri.

Lancinating : in chest.

Cutting : through tonsils.

Stabbing : in right lung.

Darting stabbing : from one side of head to other.

Darting : from occiput to forehead ; in rectum ; in right ovarian region ; in knees and ankles.

Shooting : to ears ; in abdomen ; down into thighs.

Piercing : on vertex.

Beating : from occiput to forehead ; in stomach and bowels ; in small of back.

Throbbing : in temples ; in region of solar plexus.

Bruised, smarting, lancinating pains : in both joints and in lumbar region ; in left hip.

Bruised pain : in soles of feet.

Pricking stitching : in throat.

Bearing down pains : in abdomen.

Neuralgic pains : in shoulders.

Burning : in right hypochondriac region and corresponding part in back ; in left ovarian region.

Aching : in throat ; in left ear ; in lumbar region ; in breasts ; in neck ; in whole spine ; in arms and shoulders ; in limbs and back.

Rheumatic pain : in right hip ; knee joints ; left hip ; along sciatic nerve.

Wandering pains : in nape with stiffness.

Gnawing pain : in left upper canine ; in tonsil.

Heavy dull pain : in forehead.

Heavy pain : in eyeballs.

Severe pressure : on brain.

Sick headache : beginning in nape gradually settling in right or left forehead.

Intense painful soreness : of vulva extending to anus.

Smarting : in right groin ; in urethra.

Intense heat : of throat ; of palms ; of abdomen.

Burning : in left eye : in epigastric region ; in abdomen ; in hands and feet.

Soreness : of head ; of pimples on scalp ; on right side of septum of nose ; of left superior maxillary ; of throat ; of uvula ; of right ovary ; of uterus ; of breasts.

Heat : in small of back.

Rawness : in throat.

Sensitiveness : of entire spine.

Trembling, jerking, fluttering : through lungs, with numb, prickling sensation all over body, legs and arms.

Burnt and drawn feeling : in throat.

Distressed feeling in throat : when speaking.

Poisoned feeling.

Pressure : from within outwards in abdomen.

Stuffed feeling : in head.

Feeling of fulness and choking : in throat.

Weight and dragging : in left side of abdomen.

Constriction : in upper part of throat ; of chest.

Tension : in groin.

Stiff feeling : in throat.

Stiffness : of ankle, knee and hip joints.

Numbness : of leg.

Pricking : in throat ; through tonsils ; all over body, arms and legs.

Tingling : on vertex.

Tickling : in throat ; in upper anterior part of larynx.

Trembling : of left hand ; of leg ; through right thigh.

Weak, sinking feeling : at stomach pit.

Itching : of head ; of prepuce ; in left side of labia ; of sore on right leg.

TISSUES [44]

Tissues

Enlarged glands after scarlatina ; cold indurations, as found in scrofulous children.

Red, glistening appearance in ulcerations.

Neuralgia and acute pains ; rheumatism ; gout ; syphilitic sciatica ; sexual debility.

Rickets ; scrofula ; diphtheria.

Sequela of diphtheria and syphilis.

SKIN [46]

Skin

Sensation as if an insect was crawling on shoulders and neck, occasionally on hands.

Herpetic eruption in both axillæ, with light brownish scab, extremely painful when washing ; eruption most in right axilla, and in both instances appeared day previous to pain in labia, which was followed by a discharge of blood from vagina.

On face, hands, neck and chest, bright scarlet eruption, exactly like scarlatina. θ Diphtheria.

Throat full of large foul, grey yellow patches ; deglutition especially painful after sleep and from swallowing fruits (acid) ; lumpy sensation felt in middle of throat ; unrest, delirium with undefined fears ; considerable bright red, fine eruption on face and chest ; itching with dry skin. θ Scarlatina.

Bright scarlet redness on chest and around neck ; next day all over body except legs, which were, however, covered that night ; skin in large patches assumed dark red color bordering on purple, as seen in malignant cases, while whole body seemed swollen. θ Diphtheria.

Diphtheria with or following scarlatina.

Ichthyosis, with bran-like desquamation of skin.

Shining, glazed and red appearance of ulcers on shin and wrist. θ Syphilis.

Very small blotches like fleabites. θ Diphtheria.

Small blotches on chest, wrists and right knee.

Several boils on left side. θ Sick headaches.

Crusts on skin, under which greyish yellow matter formed and was squeezed out.

STAGE OF LIFE, CONSTITUTION [47]

From eight patients, seven were spare and dark, the eighth blonde.

Child, æt. 8 months, drooping and ailing since day before, grew < through night ; diphtheria.

Girl, æt. 26 months ; rickets.

Child, æt. 4 ; diphtheria.

Girl, æt. 4 ; diphtheria.

B, æt. 5 ; diphtheria.

Girl, æt. 7, slender, tall, bony, with enlarged cervical lymphatics and tonsils ; had diphtheritic croup six years ago.

Boy, æt. 9, three days before had spent several hours on ice skating, also had been exposed to some fatal cases of diphtheria ; diphtheria.

Boy, æt. 12 ; convalescent from diphtheria.

Girl, æt. 13 ; diphtheria.

Girl, æt. 15 ; diphtheria.

Girl, æt. 18 ; affection of stomach.

Man, æt. 20, chancre which was cauterized ; syphilis.

Man, æt. 22, acute neuralgia.

Young man, brother died of diphtheria ; sore throat.

Young woman ; nervous affection.

Woman, æt. 28, dark hair and eyes, full habit, has sore throat before menses, sometimes begins on one side, again on the other, has had it for several years, ever since she had diphtheria ; diphtheritic sore throat.

Miss Z. G., æt. 28, tall, slender ; parenchymatous metritis.

Woman, after exposure to draft ; acute rheumatism.

Woman, æt. 40, strong, healthy, dark, now nursing a nine months' boy.

Woman, æt. 50, suffers after each attack of quinsy ; acute rheumatism.

Man, æt. 50, had syphilis twenty-five years ago, first discovered a small sore at entrance to urethra, for two months rapidly growing < ; syphilitic ulceration of penis.

Woman, æt. 90 ; sensation of film before eyes.

RELATIONS [48]

[Obs. The names of corresponding remedies were, with a few exceptions, added by Lippe for Swan's Materia Medica. ]

"Acts best in single dose ; if repeated, should be given at exact intervals." (Nichols).

Memory weak : affects only what she has read ( Laches., Natr. mur., Staphis .) ; forgetful, in writing uses too many words or not right ones ( Bovista, Graphit., Hepar, Laches., Lycop., Natr. carb., Natr. mur., Nux vom., Sepia ) ; absentminded ( Anac., Caustic., Conium, Dulcam., Laches., Natr. mur., Sepia ) ; cannot speak correctly half the time ( Calc., China, Graphit., Hepar, Laches., Lycop., Natr. carb., Natr. mur., Nux vom., Sepia ) ; substitutes name of object seen for that which is thought ( Am. carb., Calc. carb., Sepia, Sulphur ) ; very restless, cannot concentrate her thoughts or mind to read ; wants to leave everything as soon as it is commenced ( Nux vom., Silicea, Sulphur ) ; crying, fearing she was contracting consumption ( Calc., Paullin., Sepia ) ; exalted feeling of sensorium ( Platinum ).

Weak feeling in head, feeling as if a headache was coming on ( Ambra, Iodium, Phosphor., Stramon., Thuja ).

On going into cold wind felt a terrible pain in forehead as if it would split open, > on going into warm room ( Aurum, Nux vom., Rhus tox .).

Headache < by noise or talking, > by keeping quiet ; confused feeling in head ( Calc. ostr .).

Must have light, yet is intolerant of sunlight ; diphtheria ( Acon., Am. mur., Bellad., Calc. ac., Calc. ostr., Gelsem., Ruta, Stramon. ).

Difficulty in distinguishing objects ; in reading, letters run together ; after severe diphtheria ( Natr. mur .).

Acrid coryza ( Aurum triph., Nitr. ac .).

Soreness and scabbing of nostrils ( Kali bich., Thuja ).

Lips dry and peeling off ( Natr. mur .).

Gums ulcerated, bleeding ; teeth loose ( Iodium, Kali carb, Lycop., Mercur., Natr. mur., Phosphor., Staphis., Zincum ).

Throat : sensitive to touch externally ( Laches .) ; < by empty swallowing ( Ignat .).

Breasts sensitive : to pressure ( Calc. ostr., Murex ) ; to deep pressure ( Mercur .) ; as if full of very hard lumps, very painful when going up or down stairs ( Bellad., Calc. ostr., Carbo an., Lycop., Nitr. ac., Phosphor .) ; soreness and enlargement ( Bellad., Bryon., Calc. ostr .).

Sore throat commencing on left tonsil ( Laches .).

Small round or irregular, grey white ulcers on tonsils and fauces ( Merc. jod .).

Coarse shreds of membrane in throat ; diphtheria ( Kali bich .) ; discharges of diphtheritic matter from vulva and rectum ( Apis ).

Empty, weak feeling in stomach pit ( Digit., Ignat., Petrol., Sepia ) ; pain as from a stone or undigested food in stomach pit ( Kali bich .).

Pain in right ovarian region ( Apis, Lycop., Pallad .).

Sensation as if breath would leave her when lying down ; has to jump up and stir around ( Grind. robusta ).

Cramps in feet ( Lycop., Petrol., Silicea, Sulphur ).

Sciatica ( Curare, Graphit., Gnaphal., Kali bich., Iris v., Laches., Phytol., Tellur .).

Intense fever in morning, with perspiration ( Eupat. perf .).

When walking, seems to be walking on air ; when lying, does not seem to touch bed ( Asar., China, Coffea, Natr. mur., Nux vom., Opium, Rhus tox., Spigel., Stramon., Thuja ).

Dreams of going on a journey ( Lac. deflor., Laches., Sanguin., Silica ).

Icthyosis, with bran-like desquamation of skin (after Sulphur . and Psorin . had failed).