(The alcoholic tincture of the thin tubular as well as the royal bark, Cinchona officinalis.)

From vol. iii, 2nd edit., 1825.

Excepting opium I know no medicine that has been more and oftener misused in diseases, and employed to the injury of mankind, than cinchona bark. It was regarded not only as perfectly innocuous, but as a wholesome and universally beneficial medicine in almost all morbid states, particularly where debility was observed, and was often prescribed in large doses several times a day for many weeks, and even months, together.

In so acting the ordinary physicians were guided by an utterly false principle, and they confirmed the reproach I have already frequently made against them to the more sensible portion of the public, that they have hitherto sought in traditional opinions, in guesses prompted by false lights, in theoretical maxims and chance ideas what they could and should find only by impartial observation, clear experience, and pure experiment, in a pure science of experience such as medicine from its very nature must only be.

Setting aside all guesswork and all traditional unproved opinions, I adopted the latter method, and I found, as with the other medicines, so especially with cinchona bark, by testing its dynamical powers on the healthy human being, that as certainly as it is extremely curative in some cases of disease, so surely can it also develop the most morbid symptoms of a special kind in the healthy human body; symptoms often of great intensity and long duration, as shown by the following true observations and experiments.

Thereby, first of all, the prevailing delusion as to the harmlessness, the child-like mildness and the all-wholesome character of cinchona bark is refuted. (*1)

But equally evident is it, from the symptoms of disease produced by cinchona bark in healthy observers recorded below, that the numerous unhappy results of the treatment by this bark occurring in the practice of ordinary physicians, and the frequently incurable aggravations of disease developed where bark in long-continued and large doses was the main remedy in their prescriptions were owing solely to the noxious character of this drug when employed in unsuitable cases, and in too frequent and too large doses. This noxious character is demonstrated by the medicinal symptoms recorded below, which physicians till now were not aware of, and which they made no effort to ascertain. On the contrary, they innocently ascribed these aggravations to the natural course of the disease itself.

But I refrain from blaming these physicians, whose judgment is biased by the prejudices of their schools, on this account (their conscience will doubtless reproach them for it) I will content myself with expressing my own convictions in a few remarks.

1 - Cinchona bark is one of the most powerful vegetable medicines. When it is accurately indicated as a remedy, and when the patient is seriously and intensely affected by a disease that china is capable of removing, I find that one drop of a diluted tincture of cinchona bark, which contains a quadrillionth (1/1000000, 000000, 000000, 000000th) of a grain of china-power, is a strong (often a too strong) dose, [¯] which can accomplish and cure all alone all that china is capable of doing in the case before us; generally without it being necessary to repeat this dose in order to effect a cure; a second dose being rarely, very rarely, required. In the case neither of this nor of any other medicine did a preconceived opinion or an eccentric fancy lead me to this minuteness of dose. No, multiplied experience and faithful observation led me to reduce the dose to such an extent. Led by experience and observations I clearly saw that larger doses, even where they did good, acted much more powerfully than was needed for the cure. Hence the smaller doses; and, as I repeatedly observed from these the same effects though in a less degree, I gave still smaller, and the very smallest doses. These proved sufficient to effect a complete cure, and they did not display the violence of larger doses, which tends to delay the cure.

- A very small dose of china acts for but a short time, hardly a couple of days, but a large dose, such as is employed in the practice of every day, often acts for several weeks if it be not got rid of by vomiting or diarrhea, and thus ejected from the organism. From this we may judge how excellent the ordinary practice is of giving every day several and moreover large doses of bark!
- If the homeopathic law be right-as it incontestably is right without any exception, and is derived from a pure observation of nature -that medicines can easily, rapidly, and permanently cure cases of disease only when the latter are made up of symptoms similar to the medicinal symptoms observed from the administration of the former to healthy persons; then we find, on a consideration of the symptoms of china, that this medicine is adapted for but few diseases, but that where it is accurately indicated, owing to the immense power of its action, one single very small dose will often effect a marvellous cure.

I say cure, and by this I mean a "recovery undisturbed by after sufferings. " Or have practitioners of the ordinary stamp another, to me unknown, idea of what constitutes a cure? Will they, for instance, call cures the suppression by this drug of agues for which bark is unsuited? I know full well that almost all periodic diseases, and almost all agues, even such as are not suited for china, must be suppressed and lose their periodic character by this powerful drug, administered as it usually is in enormous and oft-repeated doses; but are the poor sufferers thereby really cured? Has not their previous disease only undergone a transformation into another and worse disease, though it may no longer manifest itself in intermittent attacks recurring periodically; but has become a continued and, we may say, a more insidious disease by this very powerful and, in this case, unsuitable medicine? True, they can no longer complain that the paroxysm of their original disease reappears on certain days and at certain hours; but note the earthy complexion of their puffy faces, the dullness of their eyes! See how oppressed is their breathing, how hard and distended is their epigastrium, how tensely swollen their loins, how miserable their appetite, how perverted their taste, how oppressed and painful their stomachs by all food, how undigested and abnormal their fecal evacuations, how anxious, dreamful, and unrefreshing their sleep! Look how weary, how joyless, how dejected, how irritably sensitive or stupid they are as they drag themselves about, tormented by a much greater number of ailments than afflicted them in their ague! And how long does not such a china-cachexy often last, in comparison with which death itself were often preferable!

Is this health? It is no ague, that I readily admit; but confess- and no one can deny it-it is certainly no health. It is rather another, but a worse, disease than ague. It is the china- disease, which must be more severe than the ague otherwise it could not overcome and suppress (suspend) the latter.

Should the organism, as it sometimes will, recover from this china- disease after many weeks, then the ague, which has till now remained suspended by the superior force of the dissimilar china-disease, returns in an aggravated form, because the organism has been so much deteriorated by the improper treatment.

If the attack be now renewed in a still more energetic manner with cinchona bark, and continued for a longer time in order, as it is said, to ward off the fits, there then occurs a chronic china-cachexy, a faint picture of which will be found in the symptoms recorded below.

Such are most of the bark treatments of our physicians, because they know not what are the cases for which bark is suited. They are suppressions of the original affection by the production of a stronger china-disease, which is mistaken for a manifestation of the obstinacy of the original disease, the development of new symptoms being attributed to its peculiar malignity; because it is not known that these ailments are due to china, because it is not recognized what they are, namely, artificially induced china-disease.

The following symptoms caused solely by bark acting on the healthy body, will open the eyes of physicians on this subject, those of them at least who have not yet acquired the faculty of silencing their consciences, and in whose bosoms a warm heart for the welfare of their fellow creatures still beats.

Most intolerable and unjustifiable, however, is the monstrous abuse made by the dominant school of medicine, which plumes itself on being the only rational school, of this powerful drug in all kinds of debility.

There is no disease which is attended by weakness (as almost every one is naturally), or which physicians by their unsuitable allopathic medicinal mixtures have reduced to exhaustion of the vital powers-where they did not consider it necessary to give this bark in large doses in order to strengthen as they call it; no patient prostrated, ruined and enfeebled by improper drugs to a condition of complicated cachexy whom they have not endeavoured to set up and restore to a healthy condition by tonic potions of infusion, decoction, extract, electuary of china, or by the same drug in powder. He is stuffed and tortured with it for weeks and months under the pretense that it will do him good. Of the consequence of such treatment I would prefer to say nothing. If the death-rolls could speak, they would most eloquently speak the praises of this abuse of bark; and so also would the crowds of the living victims of asthmatic, dropsical, and icteric diseases, and those other unfortunates who remain affected with neuralgic or spasmodic maladies, or with malignant growths, abdominal sufferings or lingering fever, if they but knew what mischief had been done to them.

I would appeal to the common sense of these practitioners and ask them how, without being guilty of the most unpardonable slipshod practice, they can venture to administer bark in all those infinitely various diseases, which of themselves, as also especially in consequence of the traditional medical treatment, must necessarily be attended by weakness? How can they ever imagine that they can strengthen a sick person whilst he is still suffering from his disease, the source of his weakness? Have they ever seen a patient rapidly cured of his disease by appropriate remedies who failed to recover his strength in the very process of the removal of his disease? If, however, as is natural, it is only by the cure of the disease that the weakness of the patient can cease and give place to strength and activity, and if, on the other hand, there can be no question of a removal of the weakness as long as its source is not dried up, that is to say, as long as the disease on which it depends is not cured, what a perverse treatment must not that be, which seeks to make strong and active by the administration of china (and wine) a patient at whose vitals the disease is still gnawing! These practitioners cannot cure diseases, but they attempt to strengthen these uncured patients with cinchona bark. How can such a stupid idea ever enter their heads? If bark is to make all sick persons strong, active and cheerful, it must needs be the universal panacea which shall at once deliver all patients from all their maladies, from all morbid sensations and abnormal functions, that is to say, make them in all their ailments in every respect well and free from disease! For so long as the plague of disease deranges the whole man, consumes his forces and robs him of every feeling of well-being, it is a childish, foolish, self- contradictory undertaking to attempt to give such an uncured person strength and activity.

That cinchona bark is no panacea for all diseases, we are taught by the sad experience of the ordinary practice; but its symptoms show that it can be an appropriate, real remedy for only a few cases of disease.

It is no doubt true that by the first doses of bark the strength of the patient, be he ever so ill, is increased for a few hours; he is able to raise himself up in bed all alone, as if by a miracle; he wants to get out of bed and put on his clothes; all at once he speaks in a stronger more resolute manner, venturing to walk alone, and grows animated, eagerly desires to eat this or that, -but a careful accurate observer easily sees that this excitation is only an unnatural tension(see below the note to 895). A few hours pass and the patient sinks back, sinks deeper down into his disease, and the fatal result is often accelerated.

Do not these gentlemen perceive that no one can become well (truly strong and active) as long as his disease lasts?

No! the always suspicious semblance of strength communicated to the patient for a few hours by bark is invariably attended by the saddest results, and this will ever be so, except in those rare cases where cinchona bark is at the same time the right remedy for the disease on which the weakness depends. In such cases the patient's weakness ceases immediately with the disease. But, as I have said, such cases are rare, for cinchona bark is the true remedy (which relieves rapidly, permanently, and without after-ailments) for but few diseases. In all the many other cases bark, as a medicine and so-called tonic, must do harm, and the more so the stronger its medicinal power (injuring when given improperly) is. For all medicines, without exception, can do no good when unsuitable for the case of disease, and must inflict so much the more injury the greater their medicinal strength (and the larger the doses in which they are given).

Hence, physicians should first learn the peculiar power of action of cinchona bark, and exactly what particular alterations in the health of human beings it is capable of causing, before they presume to undertake the cure of diseases, and consequently the morbid weakness, with this powerful medicinal agent. They should first know the symptoms of china before attempting to determine for what collection of morbid symptoms, that is, for what case of disease it may be curative; it can be curative for none but those whose symptoms are to be found in similarity among the symptoms of china. He who fails to do this will always commit mistakes, and do infinitely more harm than good to his patient.

When china has been selected according to conscientious homeopathic conviction (but not as hitherto, according to theoretical views, deceptive names of diseases, or the misleading authority of equally blind predecessors), and is consequently the truly appropriate remedy of the case of disease to be treated, in such a case, and for that very reason, it is also the true strengthening remedy. It strengthens inasmuch as it removes the disease, for it is only the organism free from disease that restores the defective strength; strength cannot be materially poured into it by a decoction of china (or by wine).

There are no doubt cases where the disease itself consists of weakness, and in such cases bark is at once the most appropriate curative and strengthening remedy. Such a case is that where the sufferings of the patient are solely or chiefly owing to weakness from loss of humors, from great loss of blood (also from repeated venesections), great loss of milk in nursing women, loss of saliva, frequent seminal losses, profuse suppurations (profuse sweats), and weakening by frequent purgatives, where almost all the other ailments of the patient are wont to correspond in similarity with the china symptoms (see notes to 837 and 860). If, then, there is here no other disease in the background to produce dynamically or to keep up the loss of humors, then for the cure of this peculiar weakness (from loss of humors), which has here become the disease, one or two doses as small as those above mentioned (*2), together with appropriate treatment in other respects, by nourishing diet, open air, cheerful surroundings, c., are as efficacious to effect recovery as larger and repeated doses are to cause secondary and injurious effects, as is the case with every nimium, every excess even of the best thing in the world.

This suitableness of cinchona bark in diseases of debility from loss of humors led physicians of the ordinary sort, as it were instinctively, to a mode of treatment of many diseases which has been, and still continues to be, the most prevalent of all modes of treatment- the weakening treatment by means of squandering the humors (under pretense of loosening the morbid matter and expelling it from the body) by means of frequently repeated so-called solvents (that is, drugs of various kinds that purge the bowels), by means of exciting an increased flow of urine and copious perspirations (by many tepid and warm drinks and quantities of tepid and warm baths), by means of blood-letting by venesection and leeches, by means of salivation, by means of drawing off imaginary impure humors by open blisters, issues, setons, c. If such a treatment, especially that by mild purgatives the use of which is so general, be long enough continued, then, by means of irritation of the intestinal canal, not only is the greater disease of the abdomen that keeps in suspense the acute disease, so long kept up until the natural termination of the acute disease is reached, but also a disease of debility from loss of humors is induced, for which, then, after months of treatment, when the strength and humors are much exhausted, cinchona bark will assuredly restore the health in the only remaining malady (the artificially produced disease of debility from loss of humors). But none perceived by what a circuitous round-about way such a cure was effected. Thus, inter alia, the spring tertian fevers, and most other diseases of an acute character, having of themselves a duration of only a few weeks, are spun out into (rational ? ) treatments of many months' duration; and the ignorant patient is happy in having escaped with his life, whereas a real cure of the original disease ought only to have occupied a few days. Hence the everlastingly repeated warnings in so-called practical works, not to administer cinchona bark in agues, until all the (imaginary) impurities and morbid matters have been energetically and repeatedly evacuated upwards and downwards, or, according to the euphemistic expressions of the moderns (though the same thing is meant), until the solvent treatment (i.e. laxatives and purgatives to produce many liquid stools) has been employed to a sufficient extent and long enough; in reality, until the artificially produced abdominal disease has lasted longer than the normal duration of the ague, and so the disease of debility from loss of humors which alone remains can be transformed into health by cinchona bark, as of course it will be.

This is what was and is still called methodical and rational treatment, in many, many cases of disease.

With equal justice might we rob widows and orphans in order to establish an asylum for the poor.

As cinchona bark in its primary action is a powerful laxative (see the symptoms, 497 et seq.) it will be found to be very efficacious as a remedy in some cases of diarrhea when the other symptoms of china are not inappropriate to the rest of the morbid symptoms.

So also in those cases where we have to do with so-called moist gangrene in the external parts, we shall generally notice in the remainder of the patient's ailments, morbid symptoms similar to the symptoms peculiar to cinchona bark; hence it is so useful in such cases.

The too easy and too frequent morbid excitation to seminal discharges of the genitals, caused sometimes by slight irritation in the hypogastrium, is very permanently removed by the smallest dose of bark (in conformity with its peculiar symptoms of this character).

Those attacks of pain which can be excited by merely touching (or slightly moving) the part and which then gradually increase to the most frightful degree are, to judge by the patient's expressions, very similar to those caused by china. I have sometimes permanently removed them by a single small dose of the diluted tincture, even when the attacks had been frequently repeated. The malady was homeopathically, as it were, charmed away, and health substituted for it. No other known remedy in the world could have done this, as none other is capable of causing a similar symptom in its primary action.

Bark will hardly ever be found curative when there are not present disturbances of the night’s rest similar to those the medicine causes in the healthy (which will be found recorded below).

There are some, though but few, suppurations of the lungs (especially accompanied by stitches in the chest, almost always only aggravated or excited by external pressure), that may be cured by bark. But in these cases the other symptoms and ailments of the patient must be found in similarity among the symptoms of china. In such cases only a few, sometimes but a couple of doses of the above minuteness, at long intervals, suffice for the cure.

So also there are a few icteric diseases, of such a character that they resemble the symptoms of china; when this is the case the disease is removed as if by magic by one, or at most two, small doses, and perfect health takes its place.

An intermittent fever must be very similar to that which china can cause in the healthy, if that medicine is to be the suitable, true remedy for it, and then a single dose of the above indicated minuteness relieves -but this it does best when given immediately after the termination of the paroxysm, before the operations of nature are accumulated in the body for the next fit. The usual method of suppressing an ague not curable by cinchona bark, by means of large doses of this powerful substance, is to give it shortly before the paroxysm; it is then most certain to produce this act of violence, but its consequences are very injurious.

Cinchona bark can only permanently cure a patient affected with intermittent fever in marshy districts of his disease resembling the symptoms of china, when the patient is able to be removed from the atmosphere that causes the fever during his treatment, and until his forces are completely restored. For if he remain in such an atmosphere he is constantly liable to the reproduction of his disease from the same source; and the remedy, even though frequently repeated, is unable to do any further good; just as the morbid state induced by over-indulgence in coffee is rapidly relieved by its appropriate remedy, but while the hurtful beverage is continued to be taken, it will recur from time to time.

But how could physicians act so stupidly as to think of substituting other things for cinchona bark, which in its dynamic action on the human healthy, and in its power to derange that health in a peculiar manner, differs so immensely from every other medicinal substance in the world? How could they dream of finding a surrogate for china, that is to say, a medicinal substance of identical and precisely the same medicinal power among other extremely different substances? Is not every kind of animal, every species of plant, and every mineral something peculiar, an entity never to be confounded, not even in external appearance, with any other? Could any one be so short-sighted as from their external appearance to mistake a cinchona tree for a willow tree, and ash or a horse-chestnut? And if we find these plants differ so much in their external characters, though nature cannot offer so much difference to a single sense-that of vision-as she can, and actually does, to all the senses of the practiced observer in the dynamic action of these various plants on the health of the living healthy human organism, shall no attention be paid to these latter, the multiform peculiar symptoms which each single one of these plants elicits in a manner so different from those of the second and third, and whereon alone depends the specific medicinal power of each medicinal plant with which only were are concerned in curing disease? Shall we fail to perceive their high significance, shall we fail to recognize them as the highest criterion of the differences of drugs among one another? Or shall we consider all things that have a bitter and astringent taste as identical in medicinal effects, as a kind of cinchona bark, and thus constitute the coarse sense of taste in man (which can scarcely judge of similarity of taste, but never of identity of medicinal power) the supreme and sole judge for determining the medicinal significance of the various plants? I should think it were impossible to act in a more short-sighted and foolish manner in matters of such extreme importance for the welfare of humanity!

See the peculiar symptoms it causes, recorded below.

I grant that all the medicinal substances that have been proposed as substitutes for cinchona bark, from the lofty ash down to camomile and the lichen on the wall, as also from arsenic down to James's powder and sal-ammoniac, I grant, I say, that every one of those medicinal substances I have named, and others I have not named, has of itself cured particular cases of ague (their reputation proves they have done this now and then). But from the very circumstance that observers state of one or other that it was efficacious even when cinchona bark did no good or was hurtful, they prove clearly that the ague which the one medicine cured was of a different kind from that the other cured! For had it been an ague suited for china, this medicine must have removed it, and none other could have been of use.

Or else there must be foolishly attributed to the china in this case a peculiar malignity and spitefullness, making it refuse to be helpful, or to the other vaunted medicine, which was efficacious, a peculiar amiability and obligingness, causing it to do as the doctor wished! It would almost appear as if some such foolish notion was entertained!

No! the truth of the matter, which has not been perceived, is as follows: It is not in the bitterness, the astringent taste, and the so-called aroma of the cinchona bark, but in its whole intimate nature, that resides the invisible dynamical working spirit, that can never be exhibited in a material separated condition (just as little as can that of other medicinal substances), whereby it differentiates itself from all other medicines in the derangements of the human health it causes. See the observations recorded below.

Every one of the medicinal substances recommended in agues has its own peculiar action on the human health, differing from the medicinal power of every other drug, in conformity with eternal immutable laws of nature. Every particular medicinal substance, by the will of the Creator, differs from every other one in its externals (appearance, taste, and smell), and even much more so in its internal dynamic properties, in order that we may be enabled by means of these differences to fulfill all possible curative intentions in the innumerable and various cases of disease. Is it to be supposed that the all-good and omnipotent Creator of the infinite varieties of nature could, would, or should have done less?

As W. Cullen amongst others dose (see Abh. Materia Medica, ii, p.110, Leipz., 1790.]

Now, if every one of the vaunted ague remedies, whilst leaving other agues uncured, has really cured some cases-which I will not deny as far as regards those cases where the observers have given the remedy by itself-and if every single one of these remedies has effected its cure, not as a matter of especial favour towards the doctor who prescribed it, but, as it is more rational to suppose, owing to a peculiar power bestowed on it in conformity with eternal laws of nature, then it must necessarily be that the case in which this remedy, and not another, did good, was a peculiar form of ague, adapted for this medicine only, and different from that other ague which could only be cured by some other remedy. And so all agues, each of which requires a different medicine for its cure, must be agues absolutely dissimilar to one another.

As W. Cullen, among others, does (see Abhandlung über die Materia Medica, ii, p. 110, Leipzig, 1790).

Again, when two agues betray their difference, not only by symptoms palpably different from one another, but also, as I have said, by this, that the one can only be cured by one remedy and the other by another remedy, it plainly follows from this, that these two remedies must differ from one another in their nature and action (*3), and cannot be identical, consequently cannot be considered as the same thing, and therefore cannot reasonably be substituted for one another; in other words, the one ought not to be represented as a surrogate for the other.

Or have those gentlemen, who do not see this, some mode of thinking peculiar to themselves and unknown to me, some logic of their own that stands in direct contradiction to that of the rest of mankind?

Infinite nature is much more multiform in her dynamic endowment of medicinal substances than the compilers of medicinal virtues, called teachers of Materia Medica, have any idea of, and immeasurably more multiform in the production of innumerable deviations in human health (diseases) than the bungling pathologist enamored of his natty classification is aware of, who, by his couple of dozen, not even correctly designated, forms of disease, seems only to give expression to the wish that dear nature might be so good as to limit the host of diseases to a small number, so that his brother therapeutist and practitioner-his head stuffed full of traditional prescriptions-may the more easily deal with the little collection.

That the ordinary physicians, by mingling iron in the same prescription with bark, often dish up for the patient a repulsive-looking and unsavory ink, may be overlooked, but they must be told that a compound results from this mixture that possesses neither the virtues of cinchona bark nor those of iron.

The truth of this assertion is manifest from the fact that when cinchona bark has done harm iron is often its antidote and the remedy for its injurious action, as cinchona bark is for that of iron, when indicated by the symptoms caused by the unsuitable medicine.

Still iron can only remove some of the untoward symptoms, those, namely, which it can produce in similarity in healthy persons.

After long-continued treatments with large doses of china many symptoms often remain for which other medicines are required; for we frequently meet with china-cachexias of such a severe character that it is only with great difficulty that the patient can be freed from them and rescued from death. In these cases, Ipecacuanha in small doses, more frequently Arnica, and in some few Belladonna, is of use, the indication for the antidote being determined by the symptoms of the china-disease. Veratrum is useful when coldness of the body and cold sweats have been caused by bark, if the other symptoms of this drug correspond homeopathically.

Notes:

( *1 = As long ago as the year 1790 (see W. Cullen's Materia Medica, Leipzig, being Schwickert, ii, p.109, note) I made the first pure trial with cinchona bark upon myself, in reference to its power of exciting intermittent fever. With this first trial broke upon me the dawn that has since brightened into the most brilliant day of the medical art; that it is only in virtue of their power to make the healthy human being ill that medicines can cure morbid states, and, indeed, only such morbid states as are composed of symptoms which the drug to be selected for them can itself produce in similarity on the healthy. This is a truth so incontrovertible, so absolutely without exception, that all the venom poured out on it by the members of the medical guild, blinded by their thousand-years-old prejudices, is powerless to extinguish it; as powerless as were the vituperations launched against Harvey's immortal discovery of the greater circulation in the human body by Riolan and his crew to destroy the truth revealed by Harvey. These opponents of an inextinguishable truth fought with the same despicable weapons as do to-day the adversaries of the homeopathic medical doctrine. Like their modern congeners they also refrained from repeating his experiments in a true, careful manner (for fear lest they might be confuted by facts), and confined themselves to abuse, appealing to the great antiquity of their error (for Galen's predecessors and Galen himself has arbitrarily decided that the arteries contained only spiritual air, and that the source of the blood was not in the heart but in the liver), and they cried out : Malo cum Galeno errare, quam cum Harveyo esse circulator! This blindness, this obstinate appeal to the extreme antiquity of their delusion (it was only after thirty years and more that Harvey had the satisfaction of seeing his true doctrine universally adopted), was in those days not more stupid than the blindness of to-day, and the present aimless rancour against homeopathy which exposes the pernicious rubbish talked about ancient and modern arbitrary maxims and unjustifiable practices, and teaches that it is only by the responses given by nature when questioned that we can with sure prescience change diseases into health rapidly, gently, and permanently.)

Compare this with the large doses of this drug given in ordinary practice!

(*2 = Here as elsewhere I insist on the sufficiency and efficacy of such small doses. And yet the vulgar herd can never understand me, for they know nothing of the pure treatment with one single simple medicinal substance to the exclusion of all other sorts of medicinal irritants, and their thoughts are enchained in the mazes of their old routine. Even when the ordinary physicians now and then constrain themselves to give in some (acute) disease one single medicine, they never have the heart to refrain from using at the same time several other things possessing medicinal power, which, however, they regard as of no consequence, and to which they apply the trivial name of domestic remedies. They must always use simultaneously either a poultice of so-called aromatic or solvent herbs applied to the most painful part (just as though these could have no effect on the patient through his olfactory nerves, nor act as a heterogeneous medicine through the skin!), or they must rub in some medicinal ointment, or give a medicated vapour bath, or a medicinal gargle, or apply a blister or a sinapism, or prescribe several half, whole or foot- baths, or order clysters of valerian, camomile, c. (just as though all these were a mere nothing and did not act on the human system as heterogeneous powerful medicine through the skin, the mouth, the rectum, the colon, c.!), or they must administer simultaneously a tea of mint, camomile, elder- flower, so-called pectoral herbs, c. (just as though a handful of such herbs or flowers infused in boiling water counted for nothing!). In such an onslaught with heterogeneous drugs, which, although ignorance looks upon them as innocuous domestic remedies, are to all intents and purposes medicines, and some of them very powerful medicines; in this accessory quackery, I say, even a large dose of medicine of another kind can, of a truth, never display its peculiar action, and such an uncommonly small dose as homeopathy requires is completely powerless; it will be instantaneously overpowered and annihilated. No! in the language of rational men that alone can be called giving a single medicine in a disease, when, excepting this one, all other medicinal influences are excluded from the patient and carefully kept away from him. But he who will do this must know what things brought in contact with the human body act medicinally on it. So long as he does not know this it must be ascribed to his ignorance that he considers as nothing, as not at all medicinal, such things as herb-teas and clysters, poultices and baths of herbs and salts, and the other things just mentioned, and continues to use them thoughtlessly under the name of domestic remedies during the employment of medicine internally. Still more heedlessly in this respect is the treatment of chronic maladies conducted; for, in addition to what the patient takes from medicine chests and bottles, and the external applications and so-called domestic remedies that are usually administered to the patient, lots of superfluous hurtful things are allowed, and even prescribed, which are also regarded as indifferent matters in spite of the disturbing effects they may exercise on the patient's health, and of the confusion they may cause in the treatment. Besides the internal and external use of medicines the patient is allowed, for example, to take for breakfast mulled beer, vanilla chocolate, also even several times a day strong coffee or black and green tea, not unfrequently—to strengthen the stomach (?)—claret-cup, liqueurs containing strong spices, seasonings of all sorts in the food, and especially in sauces (made of soy, cayenne, pepper, mustard, c.)-these things are supposed merely to increase the appetite and promote digestion, but to possess no hurtful medicinal quality!-moreover, quantities of uncooked herbs cut small and sprinkled over the soup-which are regarded as supremely wholesome, but are really medicinal-also various sorts of wine-one of the main reliances of ordinary practice-must not be forgotten. Besides all these there are tooth- powders, tooth-tinctures, and tooth-washes-also composed of medicinal ingredients, and yet considered innocuous because forsooth they are not swallowed; just as though medicines only taken into the mouth or their exhalations drawn into the nose did not as surely act on the whole organism through its living sensitive fibres as when they are swallowed! And then the various kinds of perfumes and washes (musk, ambergris, peppermint drops, oil of bergamot and cedar, neroli, eau de Cologne, eau de luce, lavender water, c.), besides perfumed sachets, smelling bottles, scented soaps, powders and pomades, pot-pourri, and any other noxious articles de luxe the patient may desire. In such an ocean of medicinal influences the otherwise adequate homeopathic dose of medicine would be drowned and extinguished. But is such a medley of medicinal luxury necessary and useful for the life and well-being or compatible with the recovery of the patient? It is injurious, yes, extremely injurious; and yet, perhaps, it has been invented by physicians themselves for the upper classes in order to please, to stimulate and to keep them ill. But even though physicians may not directly recommend it, it is sufficiently sad that they do not know the medicinal noxiousness of all this luxury, and that they do not prohibit it to their chronic patients. This hotchpotch of noxious influences, due partly to the luxurious habits of the patient himself, partly to the simultaneous use of domestic remedies ordered or permitted by the doctor, is so much the rule, so universally prevalent, that the ordinary practitioner cannot think of treatment without such a simultaneous medicinal confusion, and hence, under these circumstances, he is unable to promise any decided effect from the internal administration of a single medicinal substance in a disease, even when it is given in a large dose, far less from a very small dose of medicine homeopathically employed! Conradi was acquainted with no other treatment than such as is constructed amid such a confused medley of medicinal influences, as is evident when he says (Grunariss der Pathologie und Therapie, Marburg, 1801, p.335.) that the action ascribed by me to such small doses is beyond all belief. Here, not to dwell upon the trifling circumstance that the determination of the action of medicinal doses is hardly a matter of belief, but rather of experience, he seems no more than other ordinary practitioners to have either the slightest conception or the slightest experience of the action of a small dose of appropriate medicine in a patient completely excluded from the simultaneous irritation of all other kinds of medicinal substances, otherwise he would have spoken in a different manner. A pure treatment with a single homeopathic medicine, all counter-acting medicinal contaminations being removed (for it is only of such I speak and only such I teach), never is seen or dreamt of in routine practice. But the difference is enormous and incredible. So the glutton just risen from his luxurious meal of highly-spiced food is incapable of perceiving the taste of a grain of sugar placed upon his over- stimulated tongue; whereas a person contented with simple fare will, when fasting in the morning, experience an intense sweet taste from a much smaller quantity of the same sugar. Similarly amid the multifarious noises in the most crowded part of a large town we can often not comprehend the loudly spoken words of a friend at the distance of five or six paces, whereas in the dead of night, when all the sounds of day are hushed and perfect stillness prevails, the undisturbed ear distinctly perceives the softest tone of a distant flute, because this gentle sound is now the only one present, and therefore it exercises its full action on the undisturbed organ of hearing. So certain is it, that when all accessory medicinal influences are withheld from the patient (as should be done in all rational treatment), even the very minute doses of a simple medicinal substance, especially of one chosen according to similarity of symptoms, can and must exercise its adequate and complete action, as a thousandfold experience will teach any one whom prejudice does not deter from repeating the experiment accurately. Quite small doses of medicine are all the less likely to fail to exercise their peculiar action, inasmuch as their very smallness cannot excite the organism to revolutionary evacuations (what is morbid in the organism is altered by the small dose), whereas a large dose, by the antagonism it excites in the system, will often be rapidly expelled and bodily ejected and washed away by vomiting, purging, diuresis, perspiration, c. Will the ordinary physicians at last understand that the small and smallest doses of homeopathically selected medicines can only effect great results in a pure genuine treatment, but are quite unsuitable in routine treatment?)

(*3 = Otherwise the one medicine must have been able to cure as well that ague which yielded to the other medicine, if the action of both was the same.

(*4 = What physician, except HIPPOCRATES, has ever described the pure course of any disease where no medicine has been given from the beginning to the end? Consequently, do not the recorded histories of diseases contain the symptoms of the diseases mixed up with those of the domestic remedies and drugs given during their course?)

HAHNEMANN was assisted in this proving by: ANTON, BAEHR, BECHER, CLAUSS, FRANZ, GROSS, HARNISCH, HARTMANN, HARTUNG, HERRMANN, HORNBURG, CH. LEHMANN, J.G. LEHMANN, MICHLER, MEYER, STAPF, TEUTHORN, WAGNER, WALTHER, WISLICENUS.

The following old-school authorities are quoted:

ALPINI, Hist. Febr. epid.

BAGLIVI, Praxis, Lib. ii.

BAKER, in Medical Transactions, vol. iii. Lond., 1785.

BAUER, J.FR., in Acta Nat. Cur., iii.

BERGER, JOH.GOTTFR, Diss. de Chinchina ab iniquis judiciis vindicata. Viteb., 1711.

Breslauer Samml., 1728.

CARTHEUSER, J.F., Diss. de Febre intermitt. epid. Francof ad V., 1749.

CLEGHORN, Diseases of Minorca.

CRUGER, DAN., in Misc. Nat. Cur., Dec. iii, ann.3.

ETTMULLER, B.M., Diss. de usu et abusu praecepit.

FISCHER, C.E., in Hufel. Journal f. pr. A., iv.

FORMEY, Med. Ephem., i, 2.

FOTHERGILL, Essays, tom. ii.

FRIBORG, Diss. de usu cort. Peruv., 1773.

GESNER, J.A.PH., Sammlung. v. Beob., i. Nordlingen, 1789.

GREDING, in Ludw. Advers., tom. i.

HILDENBRAND, J. v. von, in Hufel. Journ., xiii.

JUNCKER et FRITZE, Diss. de usu cort. peruv. discreto. Halae, 1756.

KOKER, JOH. DE (work not given).

KREYSIG, Diss. Obs. de Febr. 2uart. Viteb., 1797.

LIMPRECHT, J.A., in Acta Nat. Cur., ii.

MAY, W., in Lond. Med. Journ., 1788.

MORTON, Opera, ii.

MURRAY, Apparat. Medicam., 2nd edit., i.

PELARGUS, Obs., ii.

PERCIVAL, Essays, vol. i.

QUARIN, Method. Med. Febr.

RAULIN, J., Observat. de M‚d. Paris, 1754.

RICHARD, Recueil d'Observ. de M‚d., ii.

ROMBERG, J.W., Misc. Nat. Cur., Dec. iii, Ann.9, 10.

ROSCHIN, in Annalen der Heilkunde, 811, Feb.

SCHLEGEL, in Hufel. Journ., vii.

STAHL, J.E., Diss. Problem. de Febribus, -Obs. clin.

SYDENHAM, Opusc. Lips., 1695.

THOMPSON, AL., in Med. Inqu. and Observ., iv, No.24.

THOMSON, THOM., Med. Rathpfleg. Leipzig, 1779.

In the Frag. de Vir. China has 221 symptoms, in the 1st Edit.1082, and in this 2nd Edit.1143.]

China

Vertigo. [J.F.Cartheuser, Diss. de Febre intermitt. epid. Francof. ad V., 1749.]
First vertigo and giddy nausea, then general feeling of heat.
Vertigo in the occiput, when sitting. [Fz.]
Vertigo; the head tends to sink backwards, worse when moving and walking, diminished by lying down (aft. a few m.). [Hrr.]
Constant vertigo, the head tends to sink backwards, in every position, but worst when walking and moving the head (aft. 6 h.). [Hrr.]
Stupidity. [Cartheuser, l.c.]
He is long in collecting his thoughts, is much disinclined for movement, and more disposed to sit and to lie.
Confusion of the head. [C.E. Fischer, in Hufel. Journal., iv, pp.652, 653, 657.]
Confusion of the head, like vertigo from dancing and as in catarrh.
Confusion and emptiness in the head and laziness of the body as from watching at night and sleeplessness (aft. 1 h.).
Confusion of the head, like a catarrh (aft. 9 d.). [Ws.]
Confusion of the head in the forehead. [Hbg.]
Confusion of the head, as after a debauch, with aching in the temples. [Hbg.]
A cloudiness spread all over the head, for half an hour (aft. 3/4 h.). [Htg.]
Stupefaction of the head, with aching in the forehead (aft. 1/4 h.).
A dull feeling in the lower part of the head behind, as from awaking from sleep. [Bch.]
Heaviness of the head (at noon vertigo rises up into the head, without pain).
Heaviness of the head. [J.E. Stahl, in various works, particularly in his Diss. Problem. de Febribus.]
Heaviness in the head, which tends to sink backwards, when sitting. [Hrr.]
Headache, like heaviness and heat in it, worst when turning the eyes, at the same time with twitching pains in the temples.
In the morning, on awaking from sleep, dull, stupefying headache.
In the morning, on awaking from sleep, heaviness of the head and weariness in all the limbs. [Lhm.]
In the morning quite dazed in the head, as after a debauch, with dryness in the mouth. [Fz.]

Compare with symptoms 1, 3, 4, 5. Compare with symptoms 11 and 49. Symptoms 10, 15, 21; compare with symptoms 6, 8, 11, 12, 13, 14, 16, 23.

See symptoms 9 and 49.

Symptoms 17 and 20; compare with symptoms 18, 19, 22. Symptoms 18, 19, 22; see symptoms 17 and 20.

Results of suppression of intermittents by china.
Effects of china in agues.
Headache in the frontal region. [Fz. Css.]
Aching shooting pain in the forehead and temple of one side (aft. 4 h.).
Headache in the temples. [Hbg.]
Headache, exhaustion, then some coldness. [Fz.]
Aching pain in the occiput (aft. 3 h.). [Myr.]
Pressure on the left temple. [Hrr.]
Compression in the temples (aft. 5 h.). [Fz.]
In the evening, aching pain in the temple. [Fz.]
Headache from afternoon till evening, an aching in the middle of the forehead.
Aching pain in the right side of the forehead. [Gss.]
Aching pain in the forehead; on bending backwards it came with increased intensity in both temples; when sitting it remained confined to the forehead. [Bch.]
Aching pain when walking, first over the forehead, then in the temples (aft. 6 h.).
Headache, first an aching in the forehead, which then spreads all over the head. [Bch.]
Headache as if the brain was compressed from both sides and pressed out at the forehead, very much increased by walking in the open air.
Violent aching pains deep in the brain, and like constriction, especially in the right side of the forehead and in the occiput, very much increased by walking. [An.]
Aching pain, especially in the occiput. [An.]
Aching, pressing headache, which is aggravated by open air (aft. 9 h.). [Htn.]
Hard pressure in the occiput, as if the cerebellum were pressed out (aft. 5 1/2 h.). [Myr.]
Painful aching and pressing in the head, towards the forehead, as if all were too heavy and would be pressed out, relieved by pressing strongly on it with the hand (aft. 8 h.). [Htn.]
Aching pressing headache in the side towards which he leans. [Htn.]
A kind of aching, as if oppressed in the head, with frontal sweat (aft. 1/2 h.). [Wr.]
An aching, like fulness, in the head just over the eyes (aft. 2 h.). [Wr.]
The brain feels as if pressed by excess of blood.
Headache over the orbits, which comes on in the forenoon hours, is increased by walking, but is removed by the midday meal (aft. 18 h.).
Headache as if the brain were kneaded together, with too great excitement of the mind, restlessness, inordinate and too rapid attentiveness and over-strainedness of the imagination. [Fz.]
Headache in the temples like stuffed coryza.
Pressive tearing in the temporal region as if it would press out the bone. [Hrr.]
Tearing pain in the left temple. [Lr.]
Headache now in one part then in another part of the brain.
Tearing on several spots in the head, aggravated by walking and by moving the head. [Hrr.]
Tearing headache from the right occipital bone to the right frontal protuberance. [Hrr.]
Drawing headache from the occiput to the forehead, as if the whole forehead were contracted, which ended in the temples like a beating; it was alleviated by walking, increased by sitting and standing, and ceased by pressing on it with the hand. [Trn.]

Symptoms 28, 29, 30, 31, 33, 34, 36; see symptoms 35 and 39. Compare with symptoms 28, 29, 30, 31, 33, 34, 36, 39. See symptoms 37, 40-46, 48, 50, 51, 53-63, 65-67, 69, 70.

Symptoms 37 and 46; compare with symptoms 38, 40-45, 48, 70.

Drawing headache in the occiput, when sitting. [Fz.]
Drawing pain in the head behind the ears to the mastoid process. [Htg.]
Drawing pain in the left side of the occiput, that goes off on bending back the head. [Fz.]
Drawing pain in the forehead. [Hbg.]
When he places his hand on his forehead there occurs there a to-and-fro drawing pain. [Fz.]
Violent twitching tearing on several spots in the head, which is increased by movement and by walking, diminished when lying (aft. 1 h.). [Hrr.]
Twitching tearing on the frontal protuberances. [Gss.]
Twitching tearing in the right temporal region, for three days. [Hrr.]
Twitching headache in the temple to the upper jaw.
Twitching from both parietal bones of the head along the neck. [Hbg.]
Headache, like a twitching towards the forehead, increasing in severity till evening, when it went off. [Ln.]
Digging headache in the left side of the forehead, when he sits doing nothing, or occupies himself with something for which he has no inclination. [Gss.]
Headache, first spasmodic in the vertex, then on the side of the head as if bruised, increased by the slightest movement.
Headache, a digging in the left side of the head, when sitting (aft. 9 1/4 h.). [Htn.]
Headache so painful, as if the skull would burst asunder; the brain beats in an undulating manner against the skull. [Trn.]

* Compare symptoms 9 and 11.
† Tearing (drawing) pressure, and pressive tearing (drawing), seems to be a chief character of pain with china; see also symptoms 686, 687, 739, 746, 779, 780.
‡ Compare symptoms 65, 66, also partly with 61, 62, 63.
§ Symptoms 63, 65; see 64.

Violent hammering in the head towards the temples. [Ln.]
Headache in the left parietal bone, like beating. [Hbg.]
An uninterrupted, dull, cutting pain from both temples and occiput up into the orbits, more acute and severe when moving and when stooping. [Lhm.]
Shooting headache, especially in the left frontal region (aft. 1 1/2 h.). [Htg.]
Shooting betwixt forehead and temple on the left side; on touching the temple he felt a strong throbbing of the artery, and the shooting went off by this touching.
Betwixt forehead and vertex burning, severe stitches. [Htg.]
Continued shooting sensation in the right temple. [Wth.]
Shooting headache in the forehead (when sitting). [Lr.]
Fine shooting in the left temple. [Fz.]
Shooting headache between the right temple and forehead, with strong pulsation of the temporal artery (aft. 1/2 h.). [An.]
Single stitches, which darted from the internal ear upwards through the brain. [Trn.]
Shooting tearing on several parts in the head, increased by moving the head. [Hrr.]
Headache when walking in the wind, compounded of bruised and sore pain.
Headache, as if the brain were sore, which is increased by the slightest touching of the head or any part of it, but especially by strained attention and profound reflection, indeed, even by speaking.
The integuments of the whole head are so sensitive to touch that all thereon is painful, and the roots of the hair in especial seem to suffer (aft. 36 h.). [Gss.]
Painful drawing on the right side of the occiput. [Fz.]
Drawing pain in the occipital joint when touched, so that he must bend the head backwards. [Fz.]
Painful drawing in the occipital bone. [Fz.]
Contractive pain on the left side of the occiput in the skin. [Gss.]
Contractive, external pain on the left side of the occiput; it feels as if the skin were drawn together on one point; not increased by touching. [Hrr.]
Pain as if the skin on the upper part of the head was grasped by a whole hand. [Gss.]
A pain drawing together in a circle on the middle of the head superiorly (aft. 1/2 h.). [Hrr.]
Sweat among the hair of the head.
Profuse sweat among the hair of the head when walking in the open air.
Sharp stitches on the left side of the hairy scalp. [Fz.]
Shooting itching in the hairy scalp (aft. 1 h.). [Fz.]
(A crawling in the skin of the forehead.)
Shooting aching externally on the left frontal protuberance, accompanied by vertigo and some nausea in the throat. [Hrr.]
Shooting aching on the right frontal protuberance, more violent when touched (aft. 10 m.). [Hrr.]
Frequent alteration of the colour of the face.
Paleness of the face.
Bad, earthy complexion.
Pinched, pale face.
Hippocratic face (pointed nose, hollow eyes with blue rings), indifference, insensibility; he wants to know nothing about those around him, nothing about things that he most liked (aft. 1 h.).
Pinched, sharpened features, pale, unhealthy-looking complexion, as after debauches. [Stf. ]
Redness of the cheeks and of the ear-lobes.
Puffy, red face. [Fischer, l.c.]
Heat of the face. [J. Raulin, Observat. de M‚d., Paris, 1754, pp.243, 248.]
On coming from the open air into the not warm room, there occurred burning heat in the face. [Stf. ]
Alternate heat and redness in the face. [Stahl, l.c.]
Momentary contraction of the skin of the forehead, as if the skin in the middle of the forehead were drawn together on one point (aft. 1/2 h.). [Ws.]

Compare especially with symptom 80, also with symptoms 74, 76, 77, 78. See symptom 75.

Burning pain on the forehead and hot frontal perspiration. [Lhm.]
Aching over the face, especially near the nose and cheeks, together with a contraction of the eyelids, as if the upper and lower lids were drawn towards one another (aft. 3 h.). [Ws.]
Shooting pressure on the forehead, above the nose and on the cheeks (aft. 32 h.). [Fz.]
A pecking pain in the zygomatic process and in a right molar tooth. [Htg.]
Fine stitches in the right malar bone, which go off by pressure. [Htn.]
A boil on the cheek.
Soft pressure going upwards over the root of the nose and on the eyebrow, which goes off on touching, with tension of the skin of the left ala nasi. [Fz.]
Aching in both eyebrows, more externally, aggravated by moving the frontal muscles (aft. 3 h.). [Myr.]

Symptoms 101-104; compare with symptom 105. See symptoms 101-104.

Not accessible.
Pain above the left orbit. [Hbg.]
Tearing on the outer canthus of the left eye. [Lr.]
Fine itching pain above the orbits. [Hbg.]
Itching on the left eyelid. [Fz.]
A tickling sensation on the eyelids (aft. 5 h.). [Htg.]
Violent pain in the eyelids. [Css.]
Dry feeling betwixt the eyelids and eyeball, causing rubbing pain on moving the eyelids, without alteration in the appearance of the eye. [Htg.]
Eye gum in the outer canthus (after sleep).
Aching pain in the outer canthi. [Fz.]
Smarting first in one, then in the other eye, accompanied by watering of them.
Aching smarting pain in the eyes as from salt, she must always rub them. (aft. 1/2 h.).
Painless pressure in the eyes, such as is apt to occur from fatigue and want of sleep (aft. 10 1/2, 12 h.). [Htn.]
On awaking, at night, the right eye felt as if it were swimming in water (aft. 19 h.). [Stf. ]
In the eyes a sensation, as in general weakness, as if they were much sunk, which they are not (aft. 1/4 h.). [Fz.]
A quivering, winking, trembling in both eyes (aft. 2 1/4 h). [Ln.]
Twitching to and fro of the left lower eyelid (aft. 6 h.). [Ws.]
Lachrymation of the eyes, with creeping pains in them on the inner surface of the eyelids. [Bch.]
The eyes are somewhat red, with aching burning pain in them, and much heat (in the afternoon) (aft. 6 h.). [Stf. ]
Contracted pupils.
Contracted pupils (immediately and aft. 3 1/2 h.). [Bch.]
Contracted pupils (aft. 3/4 h.). [Htn.]
Very contracted pupils (aft. 1 h.). [Stf. ]
Pupils mobile, but more disposed to contraction than dilatation (aft. 20 h.).
Dilated pupils (aft. 1 1/2 h.). [Htn.]
Very dilated pupils (aft. 1/4 h.). [Htn.]
Extreme dilatation and almost immobility of pupils, with weakness of vision, so that he cannot see distant things distinctly (myopia), with high complexion and liveliness (aft. 6 h.). [Fz.]
Black points fly before the sight (aft. 4 h.).
Darkness before the eyes. [Lhm.]
Dimness of vision. [Cartheuser, l.c.]
Amaurosis. [Breslauer Samml., 1728, p.1066.]
A ticking noise in the ear, as from a distant watch.
First a beating sensation in the ear, then a loud ringing.
Ringing in the ears.
Frequent ringing in the right ear, and at the same time a tickling crawling in it, as if an insect had crept in. [Bch.]
Ringing in the ears with headache in the temples. [Fz.]
Ringing in the ears with headache in the temples. [Lr.]

From the exhalation; compare with symptom 137. Compare with symptoms 147-149. Symptoms 147-149; see symptom 146.

Symptoms 151 and 152; compare with symptoms 153-155.

Symptoms 153-155; compare with symptoms 151 and 152. Compare with symptom 157.

Results of suppression of intermittents by China.
Roaring in the ears.
Roaring in the ears. [Css.]
Something seems to come before the hearing internally (as from deafness) (aft. 1 h.).
Hardness of hearing. [Morton, Opera, ii, pp.76, 81.]
Tearing in the lobes of the ears.
Heat of the external ear.
A tickling in the ear. [Hbg.]
Vesicles behind the ears.
Eruption in the concha.
Tearing on the cartilage of the ear and in the external meatus auditorius. [Hrr.]
(Aching pain in the internal ear, like earache) (aft. 3 h.).
Pain in the left ear only when touched (aft. 6 d.). [Ws.]
Aching pain in the root of the nose (after the heat of the cheek has gone) that spreads on to the side of the nose (aft. 5 h.).
Tearing pain on the back of the nose.
Smarting deep in the left nostril, every inspiration causing a sudden stitch-like pain; on compressing the nose the smarting becomes worse, and then it also itches externally on the back of the nose, in the evening (aft. 1/2 h.). [Fz.]
Fine needle-pricks on the cartilage of the septum narium. [Hrr.]
Redness and heat only on the nose (aft. 12 h.).
(He fancies he smells a corpse-like odour.)
Epistaxis, in the morning between 6 and 7 o'clock, after rising from bed, for several successive days. [Htg.]
Frequent profuse epistaxis. [Raulin, l.c.]
Epistaxis after blowing the nose strongly. [Ws.]
On the upper lip, on the right side near the commissure of the mouth, sore feeling as after much wiping in coryza. [Fz.]
On the lower lip, near the left commissure of the mouth, pain as if an eroding ulcer were there. [Fz.]
The inner surface of the lower lip pains as if sore and excoriated.
Eruption on the lips and tongue; small ulcers which itch and burn much. [Schlegel, in Hufel. Journ. vii, iv, p.161.]
(Puckered, wrinkled epidermis of the lips) (aft. 5 h.).
The lower lip cracks in the middle (on sneezing).
(Chapped lips.)
Dry lips, without thirst (aft. 7 h.). [Fz.]
Blackish lips. [Dan. Cruger, in Misc. Nat. Cur., Dec. iii, Ann.3.]

Compare with symptom 156. See symptom 160. Compare with symptom 159. Symptoms 177 and 178; see symptom 179. See symptom 158. Compare with symptoms 177 and 178.

Compare with symptom 165.

Observed effects of overdosing.
Speechlessness. [Richard, Recueil d'Observ. de M‚d., ii, p.517.]
Slight rigor, followed by speechlessness. [A. Thompson, in Med. Inq. and Observ. iv, No.24.]
At night (before 12 o'clock) tearing pressure in the right upper and lower jaw.
On the upper jaw a cutting, burning pain (when standing) (aft. 7 h.). [Fz.]
Twitching, obtuse stitches in the right lower jaw. [Wth.]
Tearing on the left lower jaw. [Hrr.]
Swelling of the gums and lips. [Formey, Med. Ephem., i, 2.]
Drawing toothache readily occurs in the open air and when exposed to a draught of air.
Toothache; stuffed coryza and watering eyes.
Toothache, a shooting outwards in the front teeth.
Toothache with looseness of the teeth (aft. 3 h.).
Loose teeth, only painful when chewing.
On biting the teeth together aching pain in the crowns of the right molars. [Fz.]
Toothache, like an aching drawing in the left lower jaw. [Fz.]
Twitching tearing in the upper back molars of the left side (aft. 5 h.). [Htn.]
Digging in the upper molars, diminished momentarily by biting the teeth together and pressing on them (aft. 40 h.). [Htn.]
(During the accustomed tobacco-smoking) tearing toothache extending upwards and backwards in the upper jaw followed by a sort of fainting fit. [Fz.]
Aching, drawing pain in the left upper row of molars, with sensation as if the gums or the inside of the cheek were swollen (aft. 1 h.). [Fz.]
In the morning, drawing, aching toothache in one upper molar, with sensation of numbness in it (aft. 24 h.). [Fz.]
The lower incisors are painful, as if they had been knocked.
In the morning, drawing pain in the incisor teeth. [Fz.]
Small, fine stitches, with tearing in the right upper molars, neither diminished nor increased by touching or drawing in cold air (aft. 2 1/2 h.). [Htn.]
Throbbing toothache.
Pecking pain in one of the upper molars. [Htg.]
Sore throat. [Stahl, l.c.]
In the pit of the throat, sensation as if it would be painful on swallowing, like a sore throat (and yet it does not hurt when he swallows).

* Compare symptoms 199, 203, 204, partly also with 191, 198, 200, 202, 206.
† See symptoms 195, 207.
‡ Compare symptoms 190 and 207.
§ See symptoms 188, 203, 204. ‖ For symptoms 204 and 206 Rhus toxicodendron seems to be an antidote.
¶ See symptoms 190, 195.
** Compare symptom 209.
†† See symptom 208.

Results of suppression of intermittents by china. This symptom, with symptoms 448, 574, 602, 676, 698, occurred in a hysterical subject instead of a paroxysm of ague.
Not accessible.
In original 'angina faucium.'
Painful deglutition, swollen submaxillary glands, which are painful, especially when he swallows.
A shooting on the right side in the throat only when he swallows.
Throat internally as if swollen; shooting pain on the left side of the tongue only when swallowing; there is only aching pain at this spot when speaking and breathing.
Shooting in the throat from a slight draught of air, when not swallowing.
In the evening, after lying down, shooting in the throat, not when swallowing, but when breathing.
Contractive sensation in the throat. [Hbg.]
(A choking and contraction in the gullet without impediment to breathing.)
Deglutition difficult, as if caused by narrowing of the throat. [An.]
On bending back the head, tension in the gullet, which, however, does not prevent deglutition. [Fz.]
Scratching on the palate, also when not swallowing (aft. 8 d.). [Ws.]
Tobacco smoke seems to him unusually acrid and stinging at the back of the palate (aft. 24 h.). [Fz.]
Tiresome rough feeling in the throat. [Stf. ]
Painless swelling of the velum palati and uvula (aft. 3 h.).
Painful swelling on the side of the tongue posteriorly.
It smarts on the middle of the tongue as if the part was excoriated or burnt.
A vesicle under the tongue, which is painful when the tongue is moved.
Fine stitches in the tip of the tongue.
Sensation on the tongue as if it were dry and covered with mucus (aft. 1 h.).
Smarting on the tip of the tongue as from pepper, then accumulation of saliva at this part. [Fz.]
Burning stitches on the tongue. [Hrr.]
Here and there in the parotid gland flying shooting pains.
Simply painful submaxillary glands (under the angle of the lower jaw), especially on touching and on moving the neck.
A choking or squeezing aching in one of the right submaxillary glands per se, but more when moving the neck or touching it.
Contractive sensation in the salivary glands; ptyalism. [Fz.]
Much saliva in the mouth with nausea (aft. 2 h.). [Ln.]

Symptoms 217 and 219; see symptoms 224 and 225. Symptoms 224 and 225; compare with symptoms 217 and 219. Compare with symptom 231.

Compare symptoms 239-241. See symptom 228.

Collection of saliva, combined with nausea. [Hbg.]
After an agreeable surprise much bright blood came, rapidly into the mouth (aft. 24 h.). [Stf. ]
Dryness in the mouth. [Stahl, Obs. Clin., pp.144, 171.]
Dryness in the mouth with thirst. [Hbg.]
Great feeling of dryness in the throat, with cool breath (aft. 1 h.). [Ln.]
(Yellowish tongue, not covered with dirty fur.)
Thickly furred tongue, especially in the afternoon (aft. 7 h.). [Htg.]
In the morning very white furred tongue. [Wth.]
Tongue covered with a thick, dirty white crust (aft. 1/4 h.). [Gss.]
Yellow furred tongue. [Fischer, l.c.-Bch.]
Yellowish furred tongue. [Bch.]
Clean tongue, with bitter taste. [Schlegel, l.c.]
The mouth is slimy, and the taste watery and insipid.
Slimy taste in the mouth, which makes butter nauseous.
After drinking, flat, qualmish taste in the mouth.
Bitter taste of food, especially of flour cakes (aft. 6 h.).
Though he has no bitter taste per se in the mouth, yet all he eats tastes bitter; after swallowing the food there was no longer bitterness in the mouth.
Constant bitter taste in the mouth.
In the morning, bitter taste in the mouth.
Bitter taste. [Fischer, l.c.]
Bitterness of the mouth. [Quarin, Method. Med. Feb., p.23.]
Bitter taste in the mouth; tobacco tastes bitter when smoking. [Fz.]
Bitter taste in the throat, causing him to swallow his saliva constantly (immediately). [Htn.]
A nasty, sometimes bitter, taste in the mouth, especially in the morning; the food did not taste nice, but not bitter. [Hrr.]
Bitter taste in the mouth on drinking coffee. [Css.]
Beer tastes bitter and goes to his head.
Bread when chewed tastes well, but is bitter when swallowed. [Fz.]
Bitter salt taste of roll and butter, with dryness in the palate and thirst; when not eating there is no abnormal taste in the mouth, only dryness and thirst. [Bch.]

Symptoms 239-241; see symptom 229. Symptoms 252, 253, 262; compare with symptom 261, partly also with symptoms 258, 263, 266. Symptoms 254 and 255; compare with symptoms 256-260.

Symptoms 256-260; see symptoms 254 and 255. Compare with symptom 660, partly also with symptoms 264 and 271. See symptoms 268, 272, 275.

Physical effects of powder.
Salt taste in the mouth.
All food tasted uncommonly salt, afterwards bitter. [Myr.]
Sourness in the mouth. [Fz.]
Frequently a sour taste in the mouth as if his stomach was deranged by fruit.
Black bread tastes sour (aft. 3 h.).
Coffee tastes sourish.
A sweetish salt taste in the mouth (aft. 3 h.). [Stf. ]
First sweetish then sour taste in the mouth, much saliva. [Fz.]
Sweetish taste in the mouth. [Wth.]
Tobacco when smoked tastes sweetish. [Wth.]
A sensation in the mouth causing collection of saliva, as if he had smelt strong vinegar.
Nasty taste in the mouth as after cheese. [Hsch.]
Sensation as of a putrid exhalation out of the mouth.
Towards morning a nauseous, putrid smell out of the mouth, which goes off as soon as she eats something.
Mucus in the mouth in the morning after walking and after some prolonged exertion, which he thinks must smell ill to those about him; he thinks he smells badly out of the throat.
He has no taste in consequence of smoking tobacco. [Hbg.]
Tobacco has no taste when he smokes. [An.]
He cannot bear his (accustomed) tobacco smoking, it affects his nerves.
He feels always as if he had eaten, drunk, and smoked to satiety, and yet he has a proper, good taste of all those things (aft. some hours.)
Aversion from coffee, though food tastes right.
Aversion from beer.
Aversion from water and inclination for beer.
Great longing for wine.
Supper has little taste. [Hbg.]
Supper is relished, but he is immediately satiated, and hence can eat but little.
No desire for food, but the taste is all right.
Anorexia. [J.B. Romberg, Mis. Nat. Cur., Dec. iii, Ann.9, 10, Obs. 109.]
Little appetite. [Hrr.]
Indifference to food and drink; it is only when he begins to eat that some appetite and relish for food comes (aft. 6 h.).

Symptoms 269 and 270; compare with symptom 316, partly also with symptom 315. Symptoms 268 and 275; compare with symptoms 267 and 272. See symptom 282. Symptoms 283 and 290; compare with symptom 297.

Compare with symptom 281, partly also with symptoms 274 and 280. See symptom 296. Compare partly with symptoms 299 and 300. See symptom 298.

Compare with symptom 288, partly also with symptom 280.

Effects of china in agues.
No desire for food or drink.
Want of appetite as from slight nausea. [Htg.]
The midday meal is not at all relished.
Little appetite at noon from feeling of satiety. [Bch.]
Extreme aversion from and loathing of not disagreeable food, even when it is not present and he only hears it mentioned, with dread of work, constant day-drowsiness, and yellowness of the eyeballs. (aft. 8 h.).
Little thirst. [An.]
No thirst when eating. [Bch.]
Canine hunger, with insipid taste in the mouth.
She is hungry, but does not relish her food.
Hunger and yet want of appetite; the food which tasted right was disagreeable to him in his mouth. [An.]
Hunger at an unusual time in the afternoon. [Htn.]
Longing appetite; he has longings, but he knows not for what.
He has appetite for many things, but knows not rightly for what.
Longing often for unknown things.
In the morning (8 o'clock) great hunger and appetite; he knows not for what. [Lhm.]
Great desire for sour cherries. [Bch.]
A kind of ravenous hunger, with nausea and inclination to vomit (aft. 2 h.).
Feeling of emptiness in the fauces and esophagus (aft. 11 d.). [Ws.]
First a burning, then an agreeable warming sensation from the upper part of the chest to the stomach. [Htg.]
Scraping sensation in the fauces, especially on the border of the larynx, as after rancid eructation of heartburn.
Eructation (immediately). [Htn.]
After bread and butter bitter, sourish eructation. [Lhm.]
After partaking of milk incomplete, sourish eructation (aft. 1 1/2 h.). [Fz.]
Tasteless eructation after eating. [Stf. ]
A nasty slime often rises up.
After a meal bitter eructation (aft. 2 h.).
Eructation with the taste of the food he had eaten.
Empty eructation of nothing but air (aft. 2 h.).
A sighing kind of movement with eructation, intermediate between sighing and eructation (aft. 3/4 h.).
Eructation, as if caused by loathing, and pain in abdomen (aft. 3/4 h.). [Wr.]
An eructation, as from inclination to vomit (aft. 1 h.). [Wr.]
Whilst eating and drinking shooting in the side and back, and constant inclination to vomit (aft. 5 h.).
Whilst eating drawing twitching pain in the side of the abdomen (aft. 2 h.).

* See symptoms 283, 290.
† Compare symptom 295.
‡ See symptom 294.
§ Symptoms 305, 306, 307; compare with 308. ‖ See symptoms 305, 306, 307.
¶ Symptoms 314, 317; see 321.
** See symptom 319.
†† See symptoms 269, 270.
‡‡ Compare symptom 315.
§§ Compare symptoms 314, 317.

After a meal, nausea in the region of the pit of the throat. [Hrr.]
Want of appetite and nausea, he has always an inclination to vomit without being able to do so (forenoon and afternoon).
After eating fulness, and yet good appetite before the meal.
After eating, distension of the abdomen, like fulness.
After eating a motion of the bowels.
After eating drowsiness.
After the midday meal great desire to lie down and sleep.
After eating exhaustion, so that he would like to lie down and sleep.
After eating the loathing, the flying heat and ebullition of blood go off.
Nausea. [Baker, Med. Transact. iii, p.162.-Quarin, l.c.]
Nausea with good appetite. [Schlegel, l.c., p.161.]
He feels as if some food remained up in his throat (aft. 3 h.). [Stf. ]
After a meal he remains for a long time as full as when he had just eaten; the food seems to stick high up.
Inclination to vomit. [Mch.]
Nausea without vomiting. [Lhm.]
Inclination to vomit and vomiting.
Vomiting. [Morton, l.c. -Baker, l.c. -Friborg, Diss. de usu cort. Peruv., 1773.]
Continued vomiting. [J. Fr. Bauer, Acta Nat. Cur. iii, obs.70.]
Half an hour after the midday meal pressing aching headache that lasted till bed-time. [Wr.]
After a moderate meal followed by a walk, while sitting sick anxiety in the stomach, as from over-loading and derangement of the stomach, and yet at the same time hunger. [Fz.]
Weariness and laziness after dinner. [Htn.]
Exhaustion and drowsiness after supper (aft. 12 h.). [Htn.]
After a meal a hard pressing pain in both sides below the navel. [Bch.]
After a moderate supper, eaten with appetite, immediately colic, that is : distended abdomen and here and there sharp aching pains mixed with pinching in all the bowels.
Stomachache, spasm of stomach.

329, 330, 339, compare with 338.

332, 333, 334, compare with 347, 348.

See 364, 366, 367, 368, 369.

347, 348, see 332, 333.

See 350.

Compare with 349.

Compare with 352–355 and 359, 360, 362, 363, 365.

Effects of Cinchona rubra. This symptom in both from the powder.

Physical effects of the powder.

Results of suppression of intermittents by china.

Pressure in the stomach. [Roschin, Annalen der Heilkunde 1811, Febr.]
In the morning in bed, when lying on the side a pressure in the stomach (as if it were constricted), which went off on lying on the back. [Stf. ]
In the stomach a pressure as from fulness. [Hbg.]
In the stomach violent aching, which went off while eating. [Stf. ]
After eating any food, however little, immediately a hard long-continued pressure in the stomach. [Hrr.]
After every meal hard pressure in the stomach.
With a good appetite, after eating (vegetables), at first stomachache, then accumulation of flatulence, then vomiting.
Weight and pressure in the stomach. [Percival, Essays, vol. i.]
Heavy pressure in the stomach. [Kreysig, Diss. Obs. de Febr. 2uart., Viteb., 1797, p.17.]
After aching in the stomach, a burning rises half way up in the chest.
Oppresses the stomach. [Baker, l.c.]
Feeling of fulness in the stomach. [An.]
The food partaken of at supper remains undigested in the stomach.
Feeling of heaviness in the stomach. [Quarin, l.c.]
Milk readily deranges the stomach.
By taking rather too much food, even of the most innocent kind, the stomach is immediately deranged, and an insipid taste in the mouth, a fulness in the abdomen, crossness and headache come on.
Indigestion. [Friborg, l.c.]
Feeling of emptiness and qualmishness in the stomach.
Feeling of coldness in the stomach.
After every mouthful of drink feeling of internal coldness in the epigastrium, which is renewed at every breath (aft. 4 h.).
Pain in the region of the stomach, like aching, which is alleviated every time he rises from his seat, recurs on sitting down and lasts two hours (aft. 3/4 h.). [Wr.]
Tearing aching under the last true ribs, at the left side of the ensiform cartilage. [Gss.]
Sore sensation with pressure (or pain as if a wound were pressed on) in the region of the scrobiculus cordis (several mornings). [Gss.]
A violent aching under the scrobiculus cordis, as if all were excoriated there, the same in all positions, also when touched; soon after this a violent diarrhea, whereby the pain in the scrobiculus cordis was not relieved (aft. 7 h.). [Myr.]
Stomachache, which takes away the breath. [Stahl, l.c.]
A squeezing together in the scrobiculus cordis, which impedes inspiration (aft. 1/2 h.). [Htn.]
Sufferings under the short ribs. [Stahl, l.c.]
Hypochondrial sufferings. [Stahl, l.c.]
Anxiety in the region of the scrobiculus cordis, especially after a meal. [Stahl, l.c.]
Anxiety in the region of the scrobiculus cordis. [Cartheuser, l.c.]
Pain in the abdomen, aching, pinching (shooting), under the scrobiculus cordis, as if diarrhea would ensue, but no stool comes, in the evening (aft. 36 h.). [Fz.]
Twitching shooting in the stomach (aft. 3 h.). [Wth.]
Under the last rib tearing drawing, when standing. [Fz.]
Under the last rib contractive pain and as if bruised, only when walking (aft. 24 h.). [Fz.]
Flying stitches here and there in the stomach and abdomen.
After every drink a stitch in the precordial region.
After every mouthful of drink shivering or chilliness with goose-skin (aft. 6 h.).
After drinking griping as from a purgative.
Sharp stitches in the scrobiculus cordis. [Hrr.]
Sharp stitches in front under the last ribs, without relation to expiration or inspiration. [Gss.]
Shooting pain in the scrobiculus cordis to the sternum. [Lhm.]
Shooting aching in several spots of the epigastrium, in the morning in bed (for four successive days). [Hrr.]

Symptoms 352-355; see symptom 351. Alternating action with symptom 356. See symptoms 357 and 358.

Symptoms 357 and 358; compare with symptom 356 and, on the other hand, the alternating action 355. Symptoms 359, 360, 362, 363, 365; see symptom 351. Symptoms 364, 366, 367, partly also 369; compare with symptoms 346 and 368.

Not accessible.
Physical effects of powder.
Not accessible.
After moderate eating, at noon and in the evening, a pinching aching somewhat above the navel in the epigastrium, which becomes intolerable on walking, and is only allayed by perfect rest.
In the umbilical region severe cutting, with cold sweat on the forehead for a quarter of an hour (aft. a few minutes). [Wr.]
Pains in the abdomen in the umbilical region, combined with shivering.
In the region of the spleen cutting aching, as if the spleen were indurated. [Fz.]
Sharp stitches in the left side of the epigastrium, just beneath the ribs, from within outwards, increased by inspiring (aft. 7 h.). [Hrr.]
When walking, even slowly, shooting in the spleen. [Fz.]
Pinching stitches in the left epigastric region (aft. 1 1/2 h.). [Htn.]

382, 383, but especially 390 to 392, compare with 386, 459.

See 433, 455, also 446 to 453.

Compare with 391, 398, 399, 402, 403, and 464 to 469.

Compare with 638.

See 649.

See 386, 398, 399, 402, 403, and 464 to 469.

Obstruction of the spleen. [Murray, Apparat. Medicam., edit. see., i, pp.856, 857.]
Continued stitches under the right ribs in the hepatic region, neither diminished nor increased by inspiration or expiration (aft. 4 h.). [Htn.]
Violent stitches from within outwards in the hepatic region, only during expiration (aft. 5 h.). [Htn.]
Several attacks of intermittent aching in the hepatic region when standing, which goes off on bending the body forwards; on touching the region is painful as if gathering (aft. 5 h.). [Fz.]
Swelling of the liver. [Kreysig, l.c., p.27.]
Obstruction of the liver. [Murray, l.c.]
Indurations in the abdomen. [Stahl, l.c.]
Indurations of the intestines. [Joh. Gottfr. Berger, Diss. de Chinchina ab iniquis judiciis vindicata, Viteb., 1711.]
The epigastrium feels tightened. [Hrr.]
Fulness of the abdomen. [Kreysig, l.c.]
Obstinate and anguishing tension of the abdomen. [Stahl, l.c.]
Flatulent distension. [Fischer, l.c.]
Flatulent distension of the abdomen. [Stahl, l.c.]
Painful distension of the abdomen, and especially of the hypogastrium.
In the morning distension of the abdomen, without flatulence.
At noon before eating and soon after eating, cutting in the abdomen, as in incarceration of flatulence.
Fermentation in the abdomen from eating fruit (cherries).
Flatulence and frequent discharge of flatus. [Hbg.]
Tympanites. [Stahl, l.c.-Thom. Thomson, Med. Rathpflege, Leipzig, 1779, p.117.]
Distension of the abdomen as from drinking much, and partaking of flatulent food. [Hbg.]
Distension of the abdomen, pain in the abdomen and diarrhea. [Kreysig, l.c., p.25.]
Attacks of hardness, distension, and pains of the abdomen. [Al. Thompson, in Med. Inq. and Obser., iv, No.24.]
Tiresome, tight distension of the abdomen. [Stf. ]
Swelling of the abdomen. [Cartheuser, l.c.]
Ascites, encysted dropsy. [Stahl, l.c.]
Rumbling in the abdomen (aft. 1 h.). [Stf. ]
Rumbling in the epigastrium (aft. 2 h.). [Wth.]

Symptoms 410-413; see symptoms 414 and 415.

Symptoms 414 and 415; compare with symptoms 410-413 and 419-424.

See symptom 492.

Symptoms 419-423; see symptoms 414 and 415.

Supposed ill effects of china, mentioned only to reject them.
In the original: "Angustia et firmitas." All other effects of china referred to this writer are mentioned by him only to reject them.
Results of suppression of intermittents by china.
This, with symptoms 740 and 882, occurred instead of the ague paroxysm, five days after beginning china.
Rattling in the left side of the abdomen, backwards and downwards, as if in the descending colon. [Fz.]
Grumbling in the hypogastrium. [Lr.]
Cruel, intolerable colicky pains. [J. Fr. Bauer, l.c.]
Colics. [Stahl, l.c.]
Flatulent colic (aft. 2 h.).
Flatulent colic deep in the hypogastrium; the lowest bowels are as if constricted, and the flatulence vainly attempts to force its way out with aching and tensive pains, and even under the short ribs it causes tension and anxiety.
Pain in the abdomen with nausea. [W. May, in Lond. Med. Journ., 1788.]
Pain in the abdomen, and at the same time great thirst (aft. 1 h.). [Bch.]
Scorbutic colic. [Cruger, l.c.]
Indescribable pains in the abdomen. [J.A. Limprecht, Acta Nat. Cur., ii, Obs.129.]
Ulcers in the abdomen. [Stahl, l.c.]
Inflammation in the abdomen. [Stahl, l.c.]
Heat in the umbilical region. [Hbg.]
Aching in the umbilical region. [Hbg.]
During the aching in the abdomen some chilliness. [Wr.]
Hard pressure in the left side of the hypogastrium (aft. 3 m.). [Gss.]
Aching pain in the region of the cecum (when sitting). [An.]
In the evening severe aching pain in the abdomen, as if diarrhea would come on, when sitting, which was dissipated by walking and standing. [Fz.]
Contractive pain in the abdomen, in the evening when sitting, which goes off on raising himself up, but still more on standing and walking. [Fz.]
On the right side, below the navel, a contractive aching, as if an induration were there, when sitting. [Fz.]
Contraction of the abdomen and of the sides with heavings and fallings of the scapulae. [Al. Thompson, l.c.]
Pain in the abdomen, like pinching and drawing, mostly when sitting. [Fz.]
Sensation of contraction of the intestinal canal, and grumbling in the hypogastrium. [Hrr.]
Cramp pain in the groin coming in jerks, when standing. [Fz.]
Pinching and colic-like constriction of the bowels above the navel, when he rises up after stooping. [Fz.]
Pinching together, as if it were externally, under the right side of the navel, when sitting, in the evening (aft. 13 h.). [Fz.]
Violent pinching in the epigastrium (he must crouch together to relieve himself) (aft. 1 h.), alternating with inclination to vomit and urging to stool, with rigor over; after the pinching aching in the epigastrium. [Wth.]
Spasmodic pain in the abdomen, compounded of aching and constriction (aft. 24 h.).
Aching and heaviness in the abdomen.
Pinching, aching pain in the abdomen when walking, towards evening. [Fz.]
Pinching in the abdomen with increased hunger and exhaustion (aft. 3 h.).
Pinching, shooting pains in the abdomen (aft. 1 1/2 h.).
Violent pinching in the abdomen, which went off on rising up from his seat. [Wr.]
In the abdomen above the pubes pinching going here and there, as if a diarrhea would occur, with small discharges of flatus, while sitting (aft. 27 h.). [Fz.]
Beating in the right side of the abdomen. [Hbg.]
Extremely violent aching shooting on the left side below the navel, on walking quickly and afterwards (aft. 2 h.). [Gss.]
Obtuse shooting pain in the region of the right kidney, worse on bending the body (aft. 24 h.). [Hrr.]
Obtuse shooting on the left side of the abdomen, round about the navel, and at the same under the right nipple towards the interior (aft. 1 h.). [Hrr.]
Obtuse shooting above the navel on the right, worse when touched. [Hrr.]
Obtuse shooting in the left hypogastrium, in the region of the kidney. [Hrr.]
Obtuse stitches in the lumbar regions. [Hrr.]
When sitting, during inspiration, stitches darting downwards in the abdomen. [Fz.]
Cutting in the abdomen, in frequent fits, in the umbilical region. [An.]
When walking, drawing pain in the right side of the abdomen. [Fz.]

Symptoms 446-453; see symptoms 385, 433, 455.

Physical effects of powder.
Effects of china in agues.
See note to symptom 187.
Great discharge of flatus, together with a drawing in the abdomen during a hard stool, which is evacuated with difficulty (aft. 48 h.). [Ws.]
When flatus is about to be discharged, the abdomen is pinched together with violent pains.

Compare with symptoms 382 and 400. Symptoms 464-469; see symptoms 386 and 391.

See symptoms 494 and 549.

See symptoms 495, 496, also 481 and 516. See symptoms 461, 490, 491.

In the evening, between 6 and 10 o'clock, great grumbling and rolling about of much flatulence in the abdomen, with aching sensation, whereupon very fetid flatus is discharged. [Bhr.]
Tearing in the navel. [Gss.]
Extremely violent tearing on the right side near the navel, towards the groin, in the whole inguinal region, diminished by bending back. [Gss.]
In the abdomen, under the navel, tearing and rumbling. [Hbg.]
Pain in the abdominal muscles, as if bruised (aft. 1 h.).
In the inguinal ring excoriation-pain, and sensation as if a hernia would come out through the sore ring (aft. 4 h.).
Aching tearing pain on the left, near the pubes. [Hrr.]
Increased peristaltic movement in the hypogastrium, associated with aching. [Hbg.]
Aching in both sides of the abdomen, as if a stool ought to come but cannot.
(With urging and straining to stool, nothing but flatus comes away.)
Call to stool. [Hrr.]
During the day a soft stool. [Bhr.]
Stool thinner than usual (aft. 24 h.). [Bch.]
Looseness of the bowels. [Morton, l.c.]
Lumpy, yellow, soft stool, in the morning. [Fz.]
Bilious stools. [Alpini, Hist. Febr. Epid., p.93.]
Pain in the bowels before a discharge of flatus.
Before a discharge of flatus, cutting pains dart in all directions through the abdomen (aft. 1 h.).
Accumulation of and then great discharge of flatus (aft. 1/2 h.).
Discharge of extremely fetid flatus (aft. 10 h.).
Much horribly fetid flatus is discharged. [Stf. ]
Bellyache before the stool.
Stool with bellyache.
Three times soft stool with smarting burning pain in the anus, and with bellyache before and after each stool.
Looseness of the bowels, like diarrhea.
Frequent, diarrheic, blackish stools. [Quarin, l.c.]
Severe purging. [Sydenham, Opuscula, Lips.1695, p.382.]
Diarrhea of undigested feces, like a kind of lientery.
Diarrhea: it is as if the excrement contained undigested food, it comes away in separate pieces (aft. 12 h.), and when it is passed, there still remains desire to go to stool, but no more passes. [Hrr.]
He must press out the motion with the greatest effort, although it is not hard, but pappy, and is followed by ineffectual urging to stool, with pain. [Fz.]

* Symptoms 486 and 487, see symptoms 497–502.
† Compare with symptoms 470 and 549.
‡ Compare with symptom 418.
§ Symptoms 495–497, compare with symptoms 472 and 481.
|| Symptoms 497, 498, and 501, compare with symptoms 486, 487, 499, 500, and 502.
¶ See symptom 501.
** Symptoms 503, 507, and 509, see symptoms 504 and 505.

General statement from observation.
From the extract; the stools looking (says the author) like the extract itself.
Observed effects of China. This symptom not found.
Costiveness and accumulation of the feces in the bowels, with heat of head and dizziness.
The stool comes after long urging only, with great pressing, and then it causes much pain.
Stoppage of the evacuations. [Murray, l.c.]
All day long constipation, and in the evening costive stool. [Trn.]
Constipation. [Quarin, -Bauer, -Fischer, l.c.]
Constipation : long-continued accumulation of hard feces in the rectum. [Fothergill, Essays, tom. ii, p.92.]
Hemorrhoidal bleeding. [Alpini, l.c.]
Sensation in the anus during the stool, as from an acrid matter.
A burning and burning itching at the orifice of the anus (immediately).
Diarrhea with burning pain in the anus.
Stitches in the anus during an evacuation mixed with blood (aft. 5 h.).
Penetrating stitches in the anus and rectum, not during evacuation (aft. 5 d.).
Sharp stitches in the lower part of the rectum, especially in the sphincter ani; also during and after the stool, shooting drawing for three days. [Hrr.]
After the stool a crawling in the rectum, as from thread-worms.
Crawling in the rectum, as from thread-worms, and evacuation of many of them.
A crawling in the anus.
A constant burning pain in the rectum after the midday sleep (aft. 4 d.).
An aching in the rectum (aft. 2, 6 h.).
Tearings and tearing jerks in the rectum while lying in bed (aft. 10 h.).
Contractive pain in the rectum, especially when sitting (aft. 72 h.).
Fine stitches in the inguinal flexure, on the pubes, almost only when walking. [Fz.]
In the inguinal flexure, especially on the tendon (of the psoas muscle), an aching drawing, when sitting. [Fz.]
Shooting pain in the perineum, especially acute when sitting down.
The urine is not passed more frequently, but is paler, and yet deposits a cloud (aft. 3 h.). [Fz.]
In the evening, when passing urine, a burning smarting in the anterior part of the urethra.
A throbbing in the region of the bulb of the urethra (aft. 6 h.).

* Symptoms 504 and 505, compare with symptoms 503 and 507–509. The costiveness of China is secondary action or reaction of the organism to the great tendency of this medicine to excite diarrhoea in its primary action.
† Symptoms 507 and 509, see note to symptoms 504 and 505.
‡ Symptoms 514, 515, and 526, compare with symptom 516.
§ See symptoms 514, 515, and 526.
|| Compare with symptoms 539 and 540.

No such symptom to be found.
While urinating a shooting in the urethra.
Painful sensitiveness in the urethra, especially when the penis is erect, also observable while sitting and standing up.
After frequent and almost ineffectual urging to urinate, a pressing in the bladder.
The first twelve hours scanty secretion of urine, but thereafter more copious.
The urine flows in a weak stream and slowly, and there is very frequent call to urinate.
Very frequent urination (aft. 24 h.).
Frequent and such urgent call to urinate that the urine is involuntarily pressed out.
Burning pain in the orifice of the urethra during and after urination (aft. 3 h.).
A continual burning in the orifice of the urethra.
Increased discharge of urine, with burning at the orifice of the urethra (aft. 2 h.). [Ws.]
Continual burning at the orifice of the urethra, with a feeling of excoriation at the seam of the prepuce, both especially painful from the friction of the clothes (aft. 2 h.). [Ws.]
A twitching pain betwixt glans and prepuce when walking.
Pressing pain in the glans before urinating.
Itching on the glans penis, which makes him rub it, in the evening in bed.
A pain as of fine needle-pricks on the frenum of the glans; on touching it the pain became more severe, namely, shooting and tensive; nothing was to be seen externally.
Excites urination. [Alpini, l.c.]
Whitish cloudy urine with white sediment.
Scanty, yellowish-green urine. [Fischer, l.c.]
Pale yellow urine, which, the following morning, deposits a dirty yellow, rather loose sediment. [Bhr.]
Pressing and cutting in the bowels during and after the discharge of a white cloudy urine.
White stool and dark urine (aft. 48 h.).
Dark coloured urine with brick-red sediment (aft. 24 h.). [Trn.]
Scanty urine with brick-red sediment, and red-spotted, hard prominent swelling of the foot.
Spasmodic contractive pain from the rectum through the urethra to the glans penis, and through the testicles, in the evening.
A crawling running and itching in the anus and urethra, with a burning in the glans penis.
Increased sexual desire.
Frequent erections of the penis (aft. 6 h.).
Nocturnal seminal emissions.
Great seminal discharge, about 3 a.m. [Bch.]
Swelling of the spermatic cord and testicle, especially of the epididymis, painful to the touch.
Drawing pain in the testicles.
A kind of tearing pain in the left testicle and the left side of the prepuce, in the evening in bed.
An itching crawling in the scrotum, in the evening in bed, compelling him to rub it.

Symptoms 539 and 540; see symptom 528. Compare with symptoms 856 and 857. Compare with symptoms 754 and 819. See symptom 552.

Compare with symptom 527. Compare with symptom 551.

See symptoms 470 and 491. Compare with symptom 558.

Shooting itching in the scrotum. [Fz.]
Hanging down of the scrotum (aft. 1 h.).
Increase of the menses that are present, to the extent of metrorrhagia; the discharge passes in black clots (aft. 1 h.).
Suppression of the menses [Raulin, l.c.]
Sneezing (aft. 1/4, 2, 3 h.).
Sneezing with coryza (aft. 1, 2 h.).
Several times violent, dry sneezing (aft. 7 h.). [Stf. ]
Watery discharge from the nostril, which, nevertheless, is stopped up (aft. 13 h.). [Fz.]
Coryza, with sensitiveness of the nose and some papules on the border of the nostrils and the septum nasi painful to the touch (aft. 9 d.). [Ws.]
Coryza, so that there is running from the nose for two hours. [Fz.]
Symptoms of a stuffed coryza. [An.]
Noisy breathing through the nose. [Al. Thompson, l.c.]
Something is adherent in the throat (the larynx), so that the tones of the voice and of singing become deeper and deficient in clearness (aft. 2 h.).
A whistling and wheezing in the windpipe when breathing (aft. 2 h.).
Tightness on the chest (at night); whistling, rattling, snoring, and wheezing in the windpipe, and yet the viscid mucus does not excite coughing (aft. 5 h.).
In the larynx stitches and feeling of roughness. [An.]
Sensation of accumulation of mucus in the larynx. [An.]
Mucus adheres in the larynx, which he continually hawks up, and which makes the voice hollow and hoarse. [Stf. ]
Hoarse rough voice. [An.]
A kind of suffocative attack, as if the larynx were full of mucus, especially towards evening, and (at night) on awaking from sleep (aft. 8 h.).

* See symptom 557.
† Compare symptom 563.
‡ Symptom 565 seems to be the primary action of china, and 566 the secondary action or reaction of the organism; for excitement of the circulation and haemorrhages from the nose, 174–176, from the mouth, 238, and from the lung, 586, are its not infrequent primary effects.
§ See symptom 565. ‖ Symptoms 575, 576, 577; compare 578–581.
¶ Symptoms 578–581; see 575–577.

See note to symptom 187. 'Gerausch' in original is 'sibilus.'
Violent cough immediately after eating (aft. 4 h.).
In the evening tickling causing cough, which he could suppress.
Cough excited by laughing.
(Coughing up of bloody mucus)
At night about 2 and 4 a.m. suffocative cough lasting half a quarter of an hour (a kind of whooping-cough); she screams out from it, but not before she has coughed several times.
He wakes up after midnight with a cough; at each cough-impulse he feels a sharp shooting in both sides of the chest, and yet he could cough in the lying position.
Pain in the trachea and sternum when coughing.
From the cough, pressive pain in the chest and excoriation feeling in the larynx.
(During the chill of an ague) troublesome cough with stitches in the side. [Fischer, l.c.]
Continual irritation to hacking cough, in the morning after rising, as from sulphur fumes, whereby nothing is expectorated, for several mornings. [Gss.]
Suspicious cough [Juncker et Fritze, Diss. de usu cort. peruv. discreto, Halae, 1756, p.26.]
In the windpipe under the larynx, a kind of drawing, followed by cough with one impulse. [Fz.]
Tightness of the chest. [Baglivi, Praxis, lib. ii, § 2, 3.-Al. Thompson, l.c.]
Tightness of the chest. [Cartheuser, l.c.]
Oppression on the chest. [Fz.]
Inclination to breathe deeply before the midday meal.
In the evening a feeling of oppression and uneasiness in the chest; he feels compelled to breathe deeply and then must expire in a sighing manner, whereby the oppression is diminished for the moment, with weak, scarcely perceptible pulse and anxious impatient humour. [Bhr.]
Great oppression of the chest in the region of the scrobiculus cordis, as if something was digging around therein (aft. 4 h.). [Gss.]
Tightness of the chest with difficult, sometimes rattling, expiration (chiefly when walking) and roughness of the chest (aft. 4 h.). [Htn.]
Impeded respiration, for half an hour. [Al. Thompson, l.c.]
Heavy, difficult, painful inspiration, and rapid expiration.

Symptoms 582 and 603; compare with symptoms 595-597, 599-602, and 604-606.

Compare with symptom 593.

Symptoms 587, 588, and 589; compare with symptoms 591 and 653.

Symptoms 590, 610, 613, and 621; compare with symptoms 611, 612, 614, 615, 617, 620, and 622.

Compare with symptom 586.

Symptoms 595-597, 599-602, and 604-606; compare with symptoms 582 and 603.

From china given for gangrene of the foot, with alkermes and syrup of canella.
Results of suppression of intermittents by china.
See note to symptom 187.
Suffocative asthma. [Al. Thompson, l.c.]
Fatal oppression of the chest. [Joh. De Koker, l.c.]
An agreeable fulness in the chest, as from satiety, with (sweet) pleasant taste of the saliva (aft. 1 h.). [Fz.]
Tensive pain, especially in the external pectoral muscles (in the morning).
Some twitching and subsultus here and there in the pectoral muscles. [An.]
(A creeping in one side of the chest as if something were running about in it.)
A sharp aching combined with creeping in one side of the chest.)
Pressure on the chest. [Fz.]
Aching pain in the chest. [Css.]
Pressure on the whole anterior part of the chest, at night when he lay on the back.
Pressure on the left side near the ensiform cartilage. [Hrr.]
External pressure on the middle of the sternum when the upper part of the body is bent forward, also when standing, which is removed by pressing upon it (aft. 26 h.). [Fz.]
Pressure outwards in the region of the lowest ribs (aft. 24 h.). [Ws.]
Great pressure in the sternum after a meal; worst when he sat in a stooping position and had his arms elevated.
On inspiring severe stitches under the last ribs, that take away his breath.
Under the right last rib a small spot, which causes a shooting pain both by the slightest pressure and when walking.
When sitting in a stooping attitude, pressure externally on the sternum, which causes anxiety and does not allow the breath to be drawn in enough, going off when raising himself up (aft. 6 h.). [Fz.]
In the side of the chest a pressive pain that impedes respiration.
Hard pressive pain in the right side of the chest, in the region of the fourth and fifth ribs. [Fz.]
On the right side of the chest drawing aching when sitting, which is relieved when standing and walking. [Fz.]
Pain in the side, as if bruised or as if from a blow.
Drawing pain behind the sternum. [Hrr.]
In the whole chest a burning inward-pressure.
Inferiorly over the chest aching drawing pain when sitting, which causes anxiety; it goes off when standing and walking. [Fz.]
On the right side of the chest, in the middle, on a not large spot, a contractive pain so that he must almost involuntarily suddenly jerk out and expel the breath. [Fz.]

When the cinchona bark was administered in the cold stage of ague.

See symptoms 590, 610, 613, and 621.

In the original, simply: "Asthma."
Over the chest, when sitting in a stooping attitude, an intermitting cutting aching, which goes off on raising himself up, but still more completely when standing and walking. [Fz.]
Aching, fine shooting on the left side of the chest (aft. 8 1/2 h.). [Htn.]
Stitch in the side. [Richard, l.c.]
Shooting in the chest, in the morning. [Hsch.]
Shooting in the left side of the chest. [Lhm.]
Shooting in the side, at night, but during the day only when moving or touching it (aft. 13 d.).
Shooting in the chest on walking quickly, which went off when at rest. [Lr.]
Some violent stitches in the chest, immediately above the precordial region, when he was not moving, especially when reading (aft. 3 1/2, 16, 18 h.). [Ln.]
Stitches in the side when sitting and reading. [Ln.]
Some stitches from the sternum through to the back soon after drinking (aft. 8 h.).
Sharp stitches in the thoracic cavity, from within outwards in the region of the sixth and seventh true ribs, without relation to expiration or inspiration (aft. 3/4 h.). [Hrr.]
Regularly recurring obtuse stitches, from within outwards, in the thoracic cavity, when at rest and when moving, and without relation to respiration (aft. 1 h.). [Ws.]
In the right side of the chest, in the region of the fourth rib under the arm, a shooting, as if it were in the pleura, almost like a persistent stitch, which goes off by pressing on it and by stooping down (aft. 6 h.). [Fz.]
Sharp stitches between the seventh and eighth left ribs. [Hrr.]
Pain in the bone in the joints of the ribs, as if bruised, on inspiration.
Sharp stitches near the right nipple, from within outwards (aft. 10 h.). [Hrr.]
Sharp stitches, from within outwards, on the sternum where the ribs join on to it on both sides, without reference to expiration or inspiration (aft. 2 d.). [Hrr.]
Sharp shooting pain on the left, near the ensiform cartilage and in the scrobiculus cordis, only when expiring (aft. 60 h.). [Hrr.]
Shooting in the left side of the chest (during expiration) when sitting (aft. 2 h.). [Lr.]
A tickling shooting in the left side of the chest towards the region of the heart. [Htg.]
When drawing in the breath severe stitches in the scrobiculus cordis (aft. 3 h.).
Obtuse stitches on the chest, which compel him to expire. [Fz.]
Obtuse shooting on the cartilages of the third and fourth left false ribs, without relation to inspiration or expiration. [Hrr.]
Stitches in the side with great heat, strong, hard pulse, and staring eyes. [J.A. Ph. Gesner, Sammlung v. Beob., i, p.244, Nordlingen, 1789.]
Fever like a kind of false pleurisy. [Greding, in Ludw. Advers., tom. i, p.90.]
A boil on the pectoral muscles.
(Throbbing in the sternum, in the evening and morning.)
Palpitation of the heart.
Palpitation of the heart and rush of blood to the face, which became hot and red, and at the same time coldness of the hands (aft. 1 h.). [Bch.]
Violent beating of the heart, with depressed pulse and coldness of the skin. [Wth.]
Strong beating of the heart combined with an anxious feeling. [Htg.]
Pain as from dislocation in the scapula (aft. 24 h.).
Tearing in the region of the left scapula, on inspiration. [Gss.]
Drawing tearing pain in the left scapula (aft. 9 h.). [Htn.]
Contractive pain between the scapulae, when standing (aft. 3 h.). [Fz.]
Needle pricks over the right scapula and in the left side of the chest (aft. 1/4 h.). [Ws.]

Compare with symptom 387. Compare with symptoms 390 and 392.

Pain in the back on the slightest movement, as if bruised (aft. 3 h.).
Throbbing, shooting pain in the back.
Small stitches on the middle of the spine (aft. 5 h.). [Htn.]
Shooting in the left side of the back (when sitting). [Lr.]
Intolerable pain in the sacrum, as from cramp, or as if beaten and crushed, which on the slightest movement forces out a sudden cry.
A crawling itching on the coccyx, which goes off for a short time only by rubbing (aft. 1 h.).
Twitching tearing on the left side in the sacrum. [Gss.]
Severe shooting, drawing pains in the middle of the sacrum towards the lumbar vertebrae. [Htg.]
Twitching over the sacrum (aft. 1/2 h.). [Wth.]
Painful jerks on the sacrum (aft. 21 h.). [Ws.]
(Stretching) pain in the sacrum, as from a heavy weight, or as after long stooping (aft. 23 h.). [Htn.]
The neck drawn obliquely on one side. [Al. Thompson, l.c.]
Several stitches in the nape (which leave behind a kind of stiffness therein. [Htg.]

* Symptoms 591 and 653, compare with symptoms 587–589.
† Compare with symptoms 657–659. See symptom 669.
‡ Compare with symptoms 667 and 668.
§ Symptoms 667 and 668, see symptom 666.
|| Compare with symptom 674.
¶ See symptom 669.
** See symptoms 680, 682, and 683.

Not accessible.
In an epileptic taking Hyoscyamus. After an intermediate dose of China, he had 'diarrhoea, dolores rheumatici, febrisque pleuritiden spuriam aemulans.'
In original, simply 'contractions of the neck.' See note to symptom 187.
Slow drawing stitches in the anterior cervical muscles, when at rest. [Bhr.]
(Anteriorly on the neck red miliary eruption, without itching.)
Movement of the nape is painful.
Pain in the nape towards the neck, on turning the head, as if he had swollen cervical glands (though he has none); on touching the pain is still more severe, as if bruised (after a walk).
Drawing pain on the right side of the neck inferiorly, at the commencement of the nape, when standing, which goes off when stooping. [Fz.]
Drawing pains in the nape. [An.]
On the slightest movement sweat on the nape and back.
Paralytic twitching tearing on the top of the shoulder, which is acutely painful when touched, and when the pain is gone it can be excited anew by touching; even the pressure of the coat on the shoulder excites it. [Hrr.] (*It is peculiarly characteristic of China that its pains are aggravated not only by movement, and especially by touching the part (see 466, 619, 634, 688, 695, 696, 701, 704, 713, 761, 776, 830), but also that they are renewed when not present by merely touching the part, as in this symptom and 749, 772, and then often attain a frightful intensity, hence this medicine is often the only remedy in cases of this description.)
Tearing pressure in the left axilla and on the anterior and inner border of the scapula. [Hrr.]
Intermittent pressive drawing pain on the border of the right axilla towards the front (aft. 3 d.). [Hrr.]
Paralytic twitching tearing, which proceeds from the head of the humerus, and extends (in the muscles and bones) to the phalanges of the fingers, where it becomes less painful; at the same time the whole arm is weaker; the pain is increased by touching (aft. 3 h.). [Hrr.]
A weakness in the arms, observable when he tightly closes the hands.
Shooting pains in the upper arm which however went off immediately on moving it (aft. 3/4 h.). [Wr.]
Twitching tearing in the humerus towards the upper and inner part (aft. 2 h.). [Hrr.]
Tearing, first in the left, then in the right upper arm (aft. 1/2 h.). [Lr.]
Paralytic pain on the right upper arm, which begins at the head of the humerus, and becomes lost in the hand as a fine and feeble tearing, during which the whole body, and especially the forehead, is warm (aft. 8 h.). [Hrr.]

Compare with symptoms 677, 682, 683. Symptoms 682 and 683; see symptoms 677 and 680.

Compare partly with symptoms 688, 693, 695, 696.

Tearing and drawing in the arm when she stands at the window.
Paralytic twitching tearing in the long bones of the upper extremities, more violent when touched (aft. 1 h.). [Hrr.]
Paralytic tearing in the upper extremities, which spreads into all their parts, increased more by touching than by movement. [Hrr.]
A tension in the arms and hands (aft. 2 h.).
Stretching out the arms with bent fingers. [Thompson, l.c.]
A tearing darting through the left elbow-joint, frequently recurring.
On the elbow-joint, sensation, as if blood were extravasated in the skin. [Htg.]
Painful drawing in the coronoid process of the left elbow (in the bend of the elbow), worse when touched. [Hrr.]
Tearing pain in the left elbow-joint, worse on movement (aft. 2 h.). [Hrr.]
Shooting in the left elbow-joint. [Fz.]
Tearing in the shafts of both ulnae, worse when touched. [Hrr.]
From the elbow to the fingers drawing pain in the bones, in the evening (aft. 24 h.).
Tearing extending hither and thither, at one time in the right forearm (which went off by rubbing), at another in the left (aft. 4 h.). [Myr.]
Drawing pain on the bones of the forearm, as from scraping on the periosteum with a blunt knife. [Fz.]
The forearm goes to sleep when flexed (e.g. when writing), with a fine shooting in the tips of the fingers.
Sharp drawing shooting across the left wrist (in the evening) (aft. 13, 14 h.). [Fz.]
In the hollow of the hand, across the roots of the fingers, drawing pain. [Fz.]
The hand is painful (cramplike drawing) on grasping. [Fz.]
Trembling of the hands when writing (aft. 1 h.). [Lr.]
Twitching tearing in the metacarpal bones and fingers, aggravated by touching. [Gss.]
Twitching tearing in the wrist and metacarpal bones. [Hrr.]
Tearing where the metacarpal bones join the wrist (aft. 5 h.). [Hrr.]
Obtuse shooting on the metacarpal bone of the right index. [Hrr.]
On moving the left hand a drawing pain over the back of the hand, which is swollen.
Tearing in the bones of the distal phalanges of the fingers of the right hand, especially severe in the joints, without relation to movement (aft. 1/2 h.). [Hrr.]
A drawing upwards in the left thumb, index, and middle finger.
Fine shooting tearing in the distal joint of the right thumb. [Hrr.]
Twitching tearing on the metacarpal bone of the right little finger. [Gss.]

Symptoms 704 and 707; see symptom 705. Compare with symptoms 731 and 828. Compare with symptoms 704, 706, 707. Symptoms 713 and 714; see symptom 722. Shooting tearing and shooting drawing, which sometimes passes into twitching tearing, seems also to be one of the characteristic pains of China; see also symptoms 709, 738, 798, 799, 800.

See note to symptom 187.
Twitching pain in the left little finger.
Knuckle of the middle finger swollen; he cannot move it on account of stiffness and pain.
Twitching tearing in the phalanges of the fingers (aft. 24 h.). [Gss.]
The hands are sometimes warm, sometimes cold.
One hand is icy cold, the other warm.
Blue nails. [Cruger, l.c.]
Superiorly in the flesh of the right nates, on the coccyx, aching increasing in a pulsating manner, while sitting, which goes off on standing up. [Fz.]
Tearing drawing in the left nates when sitting. [Fz.]
Drawing in the nates, and at the same time in the knees, when standing, which leaves off when seated.
The lower extremities go to sleep when seated.
Pain, like shooting and burning, in various parts of the lower extremities at the same time. [Gss.]
Exhaustion and relaxation, as from a long journey on foot, in the thighs and legs. [Hbg.]
Weakness and unsteadiness in the hip and knee-joints, for two successive mornings, as if he had made a long journey on foot the previous day; on prolonged movement the feeling goes out of the joints, and gives place to a bruised pain, the first day in the thighs, but the second day more in the legs. [Bhr.]
Exhaustion in the lower extremities when walking, all day long (aft. 2 h.). [Wr.]
Exhaustion in the thighs.
Painful drawing in the long bones of the lower extremities (aft. 2 d.). [Hrr.]
Spasmodic (stitch-like) drawing in the thighs and legs (aft. 1/2 h.). [Wth.]

Compare with symptom 733.

In the inguinal and knee-joints aching drawing when sitting, which goes off on walking and standing. [Fz.]
Pain in the hip-joint, in the knees and feet, as if they were dislocated or cut to pieces. [Al. Thompson, l.c.]
Drawing pain on the thigh bones, as if the periosteum were scraped with a blunt knife. [Fz.]

† Symptom 725; see 722.
‡ Compare symptoms 713, 714, 721, 724.
§ Symptoms 729, 730; see 748. ‖ See 828.
¶ Compare 733.
** See 748.

This symptom, though unaccompanied by the name of any authority, is not among Hahnemann's own observations.
See note to symptom 422.
Slow, painful drawing in the inside of the left thigh, which seems to be only in the skin. [Fz.]
Pain of the posterior muscles of the thigh, as if they were beaten, when sitting.
In the anterior muscles of the both thighs tension when walking.
(A burning anteriorly on the upper parts of the thighs.)
Spasmodic drawing in the right thigh from the hough upwards (with sensation of pressure), just as if it would draw up the leg, in the evening when sitting, which goes off by standing and walking. [Fz.]
In the middle of the left thigh a twitching (aft. 5 h.). [Wth.]
A tearing by jerks in the thigh.
Twitching tearing on the right and left thighs forwards and outwards, excited only by touch, not by movement. [Hrr.]
Twitching tearing on the anterior aspect of the left thigh (aft. 2 h.). [Gss.]
Tearing in the thigh bones, from above downwards, when at rest and when moving, in fits, for several days (aft. 72 h.). [Ws.]
Tearing, that extends from the knee-joint to the thigh, accompanied by a weakness which renders walking and standing difficult. [Hrr.]
In the shaft of the thigh-bone a painful, aching drawing downwards, chiefly when sitting, in the afternoon. [Fz.]
Painful sensitiveness of the skin on the thighs, from the friction of the clothes as if the skin were rough and covered with papules (aft. 8 d.). [Ws.]
In the left thigh, when standing, a sensation as if there were a hardened node in the flesh, with drawing pain in it (aft. 2 h.). [Fz.]
Hard swelling of the thighs, which sometimes goes down over the knees to the beginning of the feet, becomes thinner below, is reddish, and is painful when touched.
Stitch darting upwards in the right thigh posteriorly, when standing. [Fz.]
When he rises from a seat, burning and formication, as of having gone to sleep, in the thigh on which he was sitting, especially in the hough, particularly observable when standing. [Fz.]
Cramplike, paralytic pain in the right thigh and knee-joint on rising up from a seat, when he has sat for a considerable time, and when walking (aft. 5 1/2 h.). [Htn.]
Twitching tearing internally in the patella. [Gss.]
Paralytic tearing in the right knee-joint, which spreads now towards the thigh and now towards the leg, with weakness of the part, and aggravation more by touch than by movement. [Hrr.]
In the right knee, on rising up from a seat and when walking, a sharp drawing pain, which went off again when sitting (in the afternoon). [Stf. ]

See symptom 771. Compare with symptoms 785, 792, 793.

Shooting in the left knee-joint. [Fz.]
Slight trembling of the knees on rising up after sitting, which went off whilst walking. [Bch.]
Knuckling together of the knees, especially on going upstairs. [An.]
When walking the knees give way and knuckle together. [Fz.]
Coldness and chilliness of the knees (aft. 1/2 h.).
In the knees twitching pain.
Hot swelling of the right knee with drawing tearing pains, from which he awakes at midnight.
Pain in the knee on the slightest motion, as if bruised (aft. 3 h.).
(Pain in the knee on bending it, preventing sleep, with nodes [lumps in the skin there].)
A pain on the side of the patella when touched (aft. 2 h.).
On the tendons of the flexor muscles in the hough jerking drawing, synchronous with the pulse. [Fz.]
Sensation in the leg as if a garter were too tightly tied about it, and as if it would go to sleep and become benumbed.
An internal uneasiness in the legs compelled him to bend them and draw them up. [Fz.]
Bruised pain of the bones of the leg when treading, and still worse on touching; when she touched them the whole foot shivered and was chilly, as if she had immersed it in cold water.
Drawing pain in the right tibia inferiorly, near the heel, and then in the whole foot (when sitting). [Lr.]
Pain in the lower half of both legs, as if the periosteum were bruised and swollen, only when standing; on touching it sore pain, as if on an excoriated bruised spot.
On extending the left leg, when sitting, an aching drawing pain superiorly on the inside of the shaft of the tibia below the patella, which goes off on flexing the leg. [Fz.]

Compare with symptom 760, and partly with symptom 773.

Compare with symptom 759. Compare with symptom 755. See symptom 768. See symptoms 837-840. See symptoms 756, 792, 793.

Results of suppression of intermittents by China.
Aching drawing on the tibia, in the evening, when sitting, which goes off when standing and walking. [Fz.]
When walking shooting in the tibiae, which went off when at rest (aft. 5 and more h.). [Lr.]
Painful cramp in the left calf, at night, on extending and flexing the foot, which prevents sleep (aft. 16 h.).
When walking in the open air, single, sharp, rapidly recurring stitches in the upper part of the calf. [Fz.]
Tearing in the calf. [Lr.]
Hard, dark red swelling on the calf, which went on to suppuration. [Pelargus, Obs. ii, i, p.72.]
Over the tendo Achillis a severe burning tension. [Htg.]
Weariness of the feet, as if they were bruised (aft. 4 h.).
Paralysis of the feet. [Cruger, l.c.]
Violent shooting burning on the dorsum of the foot close to the tibia (when sitting). [Gss.]
Coldness of the feet, in the evening.
Shooting in the left foot. [Lr.]
Swelling of the feet. [Stahl, l.c.]
Painful swelling of the feet. [Fischer, l.c.]
Very soft swelling of the soles of the feet.
Contractive pinching pain on the outer side of the right foot, on the side of the sole (aft. 6 h.). [Htn.]
Violent itching on the right sole when walking and sitting, relieved for a short time by scratching. [Hrr.]
Pricking formication from the big toe up to the dorsum of the foot, as if the part had been frost-bitten, in the evening when sitting, which goes off when walking and standing. [Fz.] (*Although the china pains and sufferings are most frequently (next to touch, see 685) aggravated and increased by movement of the part, yet there is a not altogether rare alternating action, where they are diminished and allayed by movement, as here and 682, 728, 739, 746, 775, 779, 780, and also where they are especially produced when at rest, 729, 743, 753, 837, 838, 839.)
Shooting drawing in the heel (aft. 48 h.). [Gss.]
Shooting tearing in the sole of the foot in the region of the heel, while sitting and walking. [Hrr.]
Very violent tearing shooting in the soles, when sitting and walking. [Fz.]
Drawing pain in the metatarsal bones of the right foot. [Hrr.]
When standing, drawing with sore pain on the dorsum of the foot, which goes off when sitting. [Fz.]
Cramplike drawing in the inner side of the left foot when sitting. [Fz.]
Twitching tearing in the bones of the foot and metatarsus. [Hrr.]
Twitching tearing in the metatarsal bones and toes. [Gss.]
Twitching tearing, increased only when touched, not by movement, in the metatarsal bones and phalanges of the toes, especially in the joints (aft. 31 h.). [Hrr.]
Twitching tearing where the metatarsal bones unite with the bones of the tarsus (aft. 25 h.). [Hrr.]
Boring stitches in the tips of the toes.
Shooting now in the tibiae, now in the back, now in the chest, when sitting (aft. 14 h.). [Lr.]
Excessive, almost painful sensitiveness of the skin of the whole body, even of the palms of the hands (aft. 10 h.).
In the wound a digging pain.
In the ulcer boring pain.
In the wound (the ulcer) a shooting itching pain for two hours (aft. some h.).
(In the ulcer shooting throbbing pain, even when at rest.)
The ulcer becomes painfully sensitive, and there occurs a boring pain in it.
In the ulcer throbbing pain on moving the part, but not when at rest.
(In the ulcer there appears fetid-smelling ichor; there is burning and aching in it; he dares not let the foot hang down; the foot is painful when standing.)
Itching, particularly in the evening, on the arms, loins, and chest; after scratching papules appear.
Smarting itching almost confined to the parts on which he lies in bed; scratching allays it for instants only; but if he lies on the unaffected side, so that the itching parts come uppermost, the itching soon goes off (aft. 8, 9 h.).
Smarting itching almost confined to the parts whereon he does not lie (in the midday sleep), and which are turned uppermost (aft. 26 h.).
Itching of the skin; after scratching blisters appear, as from nettle-stings.
Itching of the skin; on scratching blood exudes.
In the warmth and at night in bed a burning itching in the hough and on the inner side of the arms, with an eruption of small vesicles, which contain water, but disappear in the cold air.
Fine shooting on various parts of the skin. [Fz.]
(Shooting in a cicatrized wound on the left foot.) [Fz.]
In the skin, especially of the abdomen, on some parts a tugging as if a hair were pulled. [Fz.]
Spasmodic twitching in various muscular parts. [An.]
The limbs on which he lies go to sleep.
Stiffness and numbness of the limbs.
Twitching tearing on various parts of the limbs, especially of the hands and feet, aggravated by touching. [Gss.]
Bone pains in the joins of the ribs, of the limbs, of the shoulders and scapulae, as if they were beaten, when he stirs or moves in the very least.
In the bones he feels like a drawing. [Fz.]
Stretching, extremely acute drawing pain in almost all the bones, now in one, now in another, which at first went off for a few moments on lying down, but then recurred all the more violently (aft. 14 h.). [Bch.]
Gout. [Murray, l.c.]
Rheumatic pains. [Greding, -Raulin, l.c.]
Pains in the limbs, especially in the joints. [Fischer, l.c.]
Pain of the joints when sitting and lying; the limbs will not allow him to lie quietly in one position, as after excessive fatigue from a long journey, or as after great debility caused by excessive bloodletting or too frequent seminal emissions; the limbs must be laid now here, now there, and be sometimes flexed and at another time extended.
Pain of all the joints as if beaten, in the morning slumber; the longer they are left lying still the more painful are they;-hence it is necessary to turn the limbs frequently, because the pains are diminished by movement; on awaking completely they go off.
Pain in all the joints, as from a great weight pressing on them, in the morning in bed, which goes off on setting up.
While sitting, pain in all the joints, as from a heavy weight pressing on him; the longer he sits the more weary he becomes.
On rising from (the noon) sleep all the joints feel stiff.
On rising from sleep in the morning and from the midday sleep, a paralytic stiffness of all the limbs, that causes dejection of mind.
Cracking in the joints.
Everywhere he is in pain, the joints, the bones, and the periosteum, as if he had sprained himself, and like a drawing and tearing, especially in the spinal column, in the sacrum, in the knee and thighs.
Tensive pains. [B.M. EttMueller, Diss. de usu et abusu praecipit., cap.3, 5.]
Oppression of all parts of the body, as if his clothes were too tight (after a walk in the open air).
Wandering rheumatism, sometimes in one part, sometimes in another, without swelling or fever, alternating with pains in the interior of the body. [Sydenham, Opusc., p.351.]

Symptoms 837-840; compare with symptom 775. The weakness here described, as if proceeding from a great loss of humours, is in conjunction with the phenomena indicated under symptoms 860, 862, 863, 865, 889, and 893, together with the symptoms of the disposition of china—1095, 1096, 1103, 1107-1110, 1113, 1125, 1126, and 1131—the symptoms of deranged digestive organs—229, 242, 249-255, 265, 269, 277-279, 283, 289, 290, 293, 294, 296, 298, 301, 302, 305-307, 310, 318-321, 329, 330, and 339—the suffering after food—332, 333, 350, 351, 357, 358, 364, 366, 367, 369-371, 387, 394, 414, and 416—the too-easily excited perspiration, especially in the back on movement and during sleep—684, 1058, 1060, 1061, and 1064—and the confusion of the head—6, 8, 11-16, 18, 19, and 21-23—exactly that for which china is the only suitable remedy, and which almost without exception occurs in persons who have experienced a very considerable loss of strength by haemorrhages and frequent bloodletting, by prolonged escape of milk from the breasts and unduly prolonged suckling, by excesses in venery and onanism or frequent involuntary seminal emissions, by profuse morbid sweats or taking sudorifics in excess, by diarrhoeas or frequently repeated purgatives. In morbid debility of other kinds, when the disease itself is not suitable for this remedy, the administration of china is always followed by injurious, often fatal consequences, although even in such unsuitable cases a stimulation of the strength is produced by it in the first few hours; but the unnatural, over-strained character of this is easily perceived, and but too often a premature death is the consequence of this over-stimulation, and if in such cases its use is long continued, the patient falls into a cachectic condition hard to cure, and which is the result of the physician's maleficent art.

From the long-continued employment.

Results of suppression of intermittents by china.
A burning, mingled with some formication and itching, in various parts of the body, by day. [Gss.]
Consumption. [Murray, -Baglivi, l.c.]
Cachexia. [Murray, -Berger, l.c.]
Lingering fevers. [Baglivi, l.c.-Stahl, Obs. Clin.]
Dropsy. [Murray, -Baglivi, -Berger, -Richard, -Raulin, -Romberg, -Stahl, -Thompson, l.c.]
Anasarca. [Stahl, l.c.]
Swelling of the limbs. [Cartheuser, l.c.]
Erysipelatous swelling of the whole body. [Formey, l.c.]
Yellow colour of the skin. [Fischer, l.c.]
Jaundice. [Berger, -Stahl, -Thompson, -Richard, l.c.]
He feels ill all over; he is not at all well.
The sensitiveness of the whole nervous system is, as it were, morbidly increased, strained and irritated.
Excessive sensitiveness of all the nerves, with a morbid feeling of general weakness.
Internal feeling, as of an illness about to come on.
Over-irritation, with pusillanimity and intolerance of all noises.
Languishing condition of mind and body, with over-sensitiveness.
Ailments from a slight draught of air.
Too great delicacy and over-sensitiveness of the nervous system; all impressions of sight, smell, hearing, and taste are too strong for him, they offend his inner sensibility and affect his disposition.
The former pains are as if kept back and forcibly suppressed, and at the same time a great heaviness in the whole body.
Weariness.
Trembling powerlessness of the limbs, with dilated pupils.
Inclination to lie down.
Exhaustion. [Gesner, l.c.]
Exhaustion in the limbs. [Stahl, Obs.]
Chronic weakness. [Thompson, l.c.]
Sinking of the forces. [Romberg, l.c.]
Sunken forces. [Cleghorn, Diseases of Minorca, pp.191, 213.]
Feeling of exhaustion, especially when he rises from a seat; he would like to sit down again, and unless he strains his muscles he sinks back on his chair, whereupon an agreeable feeling of rest ensues (aft. 3, 4 h.). [Bhr.]
He had a difficulty in walking, and felt soon exhausted, as from a feeling of weight and paralysis in the thighs. [Stf. ]

Symptoms 854 and 855; see symptoms 756, 785, 792, 793, and 794.

Symptom 860; compare with the symptoms mentioned in the note to 837. Here is described the peculiar weakness which china specially excites in a high degree, and it is especially this form that is permanently relieved by china when at the same time the other symptoms resemble those produced by it. This particular kind of weakness is especially characteristic of those exhausted by loss of humours.

Compare with symptom 888.

Compare with symptom 890.

Not found.
Effects of china in agues.
Heavy feeling of the body. [Raulin, l.c.]
Heaviness in all the limbs, especially in the thighs, as if lead hung upon them. [An.]
Laziness. [Wth.]
When he tried to keep himself erect for some minutes there ensued stiffness, paleness and loss of consciousness. [Gesner, l.c.]
Unconsciousness and exhaustion at the same time. [Lhm.]
Slight attacks of apoplexy and unconsciousness. [Thompson, l.c.]
Exhaustion and relaxation of the whole body. [Hrr.]
Severe fainting fit. [Baker, in Medical Transactions, vol. iii, Lond.1785.]
Syncopes. [Morton, -Murray, -Cruger, -Gesner, l.c.]
Syncope-death. [De Koker, l.c.]
Asphyxia, apparent death. [Cruger, l.c.]
Exhaustion and relaxation of body and mind (aft. 1 h.). [Hrr.]
Exhaustion: he can scarcely hold up his head, and falls asleep. [Fz.]
Flaccidity in all the limbs and trembling in the hands. [Lhm.]
Relaxation of the whole body, felt also when seated, but far more when walking. [An.]
Sometimes weakness, sometimes feeling of excessive strength in the joints. [Fz.]
He feels quite weak and faint in the open air, and as if sinking away about the stomach and chest, although he has plenty of strength for walking. [Fz.]
Extraordinary facility of all movements, as if he had no body (aft. 2 to 3 h.). [Fz.]
Liveliness, but with staring eyes, all the evening. [Hsch.] (*A kind of unnatural excitement, as in the so-called strengthening treatment of ordinary practitioners, when they are unable to remove from the patient his disease, and yet will hypocritically procure for him strength and liveliness for a few hours.)

Compare with symptoms 733 and 736.

In a powerful man, to whom a drachm of the best red cinchona bark had been given in one dose; the fainting fit was so severe that he could not be roused from it until an emetic was given to him.

Sydenham also, in Opera, Leipzig, 1695, p. 379, mentions two men having died in his time from cinchona bark taken a few hours before the attack of ague.

See symptom 868.

Alternating action in a healthy person.

Alternating action after previous feeling of weakness caused by cinchona bark.

Should be "as of." See note to symptom 422.
Comfortable feeling, in the evening. [Lhm.]
Trembling in all the limbs, felt not seen, combined with feeling of coolness. [Hbg.]
Twitchings. [Gesner, l.c.]
She cannot sleep all night; she is occupied with nothing but disagreeable thoughts, one after the other.
He cannot fall asleep on account of many ideas and reflections, each of which only engages him for a short time, but is always supplanted by another; hence almost all night long no sleep comes to his eyes; towards morning he becomes quite warm all over, yet cannot bear throwing off the bedclothes, without thirst (aft. 30 h.).
Sleeplessness after midnight; but sleepy though he is, his thoughts remain wide awake, he shuts his eyes and often changes his position in bed.
He fell asleep late; on account of many thoughts he could not go to sleep, he did not sleep soundly, and on rising he was in a very exhausted state.
Sleeplessness until midnight, with aching pain over the whole head. [Bch.]
When about to fall asleep he is awakened by horrible fancies.
He starts up when about to go to sleep.
Before midnight till 2 a.m. unusual wakefulness. [Lhm.]
Drowsiness, with palpitation of the heart.
Incessant yawning, without sleepiness.
Drowsiness by day.
The eyelids will close from weariness and sleepiness (aft. 1/2 h.).
Constant day-drowsiness; he falls asleep unexpectedly.
When sitting invincible drowsiness.
As soon as she sits down, by day, she immediately nods and slumbers; but if she lies down, she becomes wide awake from the least noise.
Sleepiness and soon thereafter again wakefulness. [Hbg.]
Drowsy lassitude. [Stahl, l.c.]
Drowsiness all day, with stretching of the limbs and yawning. [An.]
He wakes in the morning two hours earlier than usual. [Bhr.]
He starts up at night in sleep.
Sleeps only from 3 till 5 a.m. [Lhm.]
Very deep sleep, like that of an intoxicated person, without once waking; in the morning his head is quite dazed, as if he had not slept enough, and he gets aching in the temples on shaking the head. [Fz.]
Snoring and whining in sleep, in children.
Snoring inspiration and expiration in sleep.
Snoring inspiration (through the nose) in sleep (aft. 3 h.).
In sleep there occurs at one time snoring inspiration, at another blowing (puffing) expiration.
In sleep one eye is open, the other half shut, with eyeballs turned backwards like a dying person (aft. 1 h.).

Symptoms 903, 906, 919; compare with 889, 899, 900. The aching pain in the head at night seems to be characteristic of China; compare with 920, 936, 951. The pressure in the umbilical region in the evening in bed, symptom 932, is allied with it.

Symptoms 908, 955, 958 are alternating action with symptoms 909-913; compare with 915, 916. Compare with symptom 951. Compare with symptom 938.

In sleep he lies on the back, with head bent back, the arms stretched out above the head, with slow expiration and strong quick pulse.
Restlessness, sleeplessness. [Raulin, l.c.]
Restless sleep, with tossing about, without waking. [Htg.]
Restless sleep. [Cleghorn, l.c.]
Restless sleep; he could not fall asleep; when he got to sleep he soon woke up again, with perspiration on the hair of the head and on the forehead, and chilliness over the back. [Wr.]
Restless sleep, and after waking in the night, slight sweat all over. [Hbg.]
In the evening in bed a pinching pressure in the umbilical region. [Fz.]
At night a frightful dream (aft. 8 h.).
Heavy dreams in the night sleep, which make him anxious after waking.
Anxious dream : he has to go perpendicularly down into an abyss, whereupon he wakes, but retains the dangerous place so vividly in his imagination (especially when he shuts his eyes) that he remains for a long time in great fear about it and cannot calm himself.
All night long alternately headache and dreams, from which he starts up in affright. [Lhm.]
At night restless sleep, from which he started up from time to time, and then every time remained for some instants without being able to collect himself. [Myr.]
Restless sleep full of dreams and crying out.
In the evening, on going to sleep, confused dream-pictures, from which he wakes up again (aft. 16 h.). [Ws.]
At night, on awaking out of frightful dreams, anxiety. [Hrr.]
At night fearful, startling dreams of falling from a height, with waking up full of restlessness and inability to collect himself for some instants. [Wth.]
Fearful dreams of misfortunes, from which he wakes up, but without being able to come to himself. [Gss.]
Anxious dreams at night, from which he awoke in a half-conscious state, and for some time continued afraid. [Wth.]
A sleep disturbed by confused and disconnected dreams, with repeated awakings; he woke up but could not quite recollect himself. [Bch.]
Confused, nonsensical dreams after midnight, mingled with semi-conscious waking. [Hrr.]
When he wakes at night, he cannot recollect himself.
Confused, absurd dreams, by which he is often woke up from sleep. [Hrr.]
At night restless sleep, with vexatious dreams and tossing about, from which he wakes up every time. [Fz.]

Symptoms 936, 937, 939-945, 947; see note to symptom 904.

Voluptuous dreams with pollutions. [Hbg.]
As soon as she closes her eyes to go to sleep, she dreams about nasty things.
At night, in sleep, he tosses about hither and thither, throws off the clothes, and has all kinds of vexatious about things that have occurred long ago; in the morning he cannot get quite awake on account of emptiness and confusion of the head; in the morning he is as if broken on the wheel and not at all refreshed by sleep. [Fz.]
On awaking at night he feels giddy, so that he could not trust himself to sit upright.
In the morning on awaking, anxious ideas and thoughts.
Towards morning heat in the head and oppression of the chest.
Inclination to yawn. [Ws.]
Yawning.
Stretching.
Yawning and stretching of the limbs. [Htn.]
Dread of the open air.
In the open air great shuddering, with rigor and goose-skin. [Wth.]
He gets shuddering and chilliness in the open air which is not cold, this goes off immediately in the room. [Fz.]
In the open air of moderate coldness, trembling of the limbs from chilliness, and shudder passing over the thighs. [Fz.]
Though the room is cold he does not feel chilly (aft. 9 h.). [Fz.]
Cold hands and chilliness externally all over the body, as if he had cold water poured over him, in the open air, where it went on to chattering of the teeth; in the room this went off, but the hands remained cold. [Trn.]
Coldness of the hands and feet, even in the warm room. [Fz.]
Cold hands (aft. 1/4 h.).
Sensation of icy coldness in the left hand which, however, is not colder externally to the touch than the right.
Coldness of the hands, feet, and nose.
Coldness of the hands. [Lr.]
Cold feet in the evening (aft. 4 h.). [Mch.]
A cold feeling of the left leg from the knee to the foot. [Hbg.]
A shudder of the same kind over both elbows and knees. [Fz.]
Icy cold feet with warmth of the rest of the body (aft. 1 h.). [Hbg.]
Sensation of coldness on the lower extremities, whilst the face and chest are still warm (aft. 1 h.). [Hrr.]
The right hand is warm (while writing), the left cold. [Hbg.]
The right hand is perceptibly colder than the left. [Wth.]
In the morning cold hands and feet, and rigor over the thighs, which increases when walking (aft. 28 h.). [Fz.]
Shivering (aft. 1/4 h.). [An.]
A slight shiver all over the body. [Htg.]
Flying chill, especially over the back (immediately). [Wr.]
A slight shivering in the back (aft. 3 h.). [Stf. ]
Along with chilliness of the body, yawning.

Alternating action with symptoms 975 and 976. Symptoms 975 and 976; alternating action with symptom 967.

Chilliness of the whole body, with very cold feet (aft. 2 h.). [Fz.]
He is cold all over.
Rigor all over the body, without thirst. [Lr.]
Chilliness all over the body, with cold hands (aft. 1/2 h.). [Myr.]
Chilliness in the whole body, without external coldness. [Lhm.]
Chilliness in the whole body, more internally (aft. 3 1/2 h.). [Myr.]
Palpitation of the heart, followed immediately by chilliness (aft. 20 m.)
Chilliness on the body, as if a cold wind blew on him, especially when walking, seldom with shivering, which only comes on when he sits down, over the arms, loins, and thighs (aft. 8 h.). [Fz.]
Shuddering all over the body, with goose-skin (aft. 1 h.). [Htn.]
Shuddering and rigor all over the body. [Wth.]
(In the evening, on lying down, severe rigor.)
Rigor internally and externally in the whole body, sometimes more in the marrow of the bones of the feet, which are colder than the hands (aft. 1/2 h.). [Gss.]
Internal coldness, periodically with shuddering and rigor all over the body (immediately). [Wth.]
Internal chill, without externally perceptible coldness (aft. 4 h.). [Ws.]
Internal feeling of coldness, chiefly in the arms and hands. [Bch.]
Rigor on the chest and arms when walking in the open air.
Chill over the arms, with sickness about the stomach, then cold limbs, with shuddering and recurring nausea.
Chilliness, without coldness of the body, without thirst (in the interval betwixt heat and chill, 1 1/2 h.). [Hrr.]
In the morning rigor for half an hour, without thirst, and without subsequent heat.
(During the febrile chill, thirst.)

Alternating action with symptoms 996, 997, and 1000.

The china-fever often commences with an accessory symptom: with palpitation of the heart, symptom 989; sneezing, 1083; great anxiety, 1016 and 1093; nausea, 999 and 1017; great thirst, 1048; ravenous hunger, 1053 and 1054; aching pain in the hypogastrium, 1014; or headache, 1015.

Symptoms 996 and 1000; alternating action with symptom 984.

On the second and third day after taking the drug, in the febrile attacks the interval betwixt chill and heat became always greater—Herrmann.

This, as also symptom 1046, seems not to have been properly observed, for in every other observation I found that in the china-fever there is no thirst during the chill or rigor—985, 1000, 1001, 1003-1005, 1007, 1008, and 1040. On the contrary, the thirst only came after the chill or rigor, as we learn from observations 1009-1011, or, which comes to the same thing, immediately before the heat, as in 1048. So also the thirst during the china-fever is not met with even during the fully-developed febrile heat—see 1036, 1038, 1042, 1043, 1054, 1055, 1056, and 1093—except some burning of the lips, see 1053, or dryness of them, see 1037 and 1055; which dryness is indicated by the expression "Sensation of some thirst during the heat," 1020, for "Thirst during the flying heat," 1047, does not refer to fully-developed febrile heat. The thirst is rather only after the heat in the china-fever—1018, 1049, and 1052—or, which is the same thing, during the perspiration, 1064. But the febrile heat accompanied by stitches all over the body seems to be exceptional—1074 and 1075.

Along with internal chill, external rigor and shivering, during which at first the left hand and left foot are colder, afterwards both hands and feet are equally cold, without thirst (aft. 1/2-1 h.). [Wth.]
Shivering all over the body, but less violent on the limbs, without thirst; the body is not cold, only the hands (aft. 1/2 h.). [Hrr.]
Shivering all over the body, without thirst (aft. 2 1/2 h.). [Hrr.]
Shivering and chill when he comes from the open air into the warm room (aft. 5 h.).
Rigor all over the body, with icy cold hands, without thirst (aft. 1-3 h.). [Htn.]
Rigor and internal coldness, for several hours, without thirst (aft. 1/2, 1 h.). [Wth.]
After the shivering through the skin, thirst.
After the chill thirst, not followed by heat. [Trn.]
All day long, from time to time, febrile chill over the whole body, especially on the forehead, which is bedewed with cold sweat; a quarter of an hour after the first chill, great thirst (aft. 1 h.). [Bch.]
Febrile chill (aft. 3/4 h.), alternately coming and going off, at the same time weakness of the knees and tibiae when walking and standing, less when sitting. [Bch.]
In the morning (about 5 o'clock) severe febrile shivering, with weakness of the feet (aft. 12 h.). [Css.]
During the febrile chill, aching pain in the hypogastrium (aft. 1/4 h.). [Bch.]
Shivering throughout the body, without external coldness, then dull, cutting headache extending into the orbits. [Lhm.]
Shuddering and rigor through the whole body, with cold hands and oppression of the mind (aft. 1 h.). [Wth.]
In the morning and forenoon shivering, with cold hands, feeling of nausea, and quick pulse. [Fz.]
In the evening (about 5 o'clock) coldness and shivering when walking in the open air, going off in the room (aft. 10 h.); an hour afterwards great heat, especially in the face, which is increased by movement and when walking; an hour after the disappearance of the heat, thirst comes on. [Fz.]
Two attacks of chilliness at different times before the febrile heat. [Fischer, l.c.]
Heat alternating with chill; from half an hour to an hour after the chill the heat comes on; some thirst for cold water in the heat. [Hrr.]
While walking in the open air, shivering on the back, then heat in the back, with breaking out of perspiration, followed immediately by renewed sensation of coldness and shivering. [Wr.]
Quick and hard pulse, with flying heat alternating with chilliness in the back, which is covered with cold sweat, as is also the forehead (aft. a few m.), without thirst in the chill and heat, for five hours. [Wr.]
All the afternoon chilliness alternating with heat, at the same time weakness in the lower extremities; all much worse when walking in the open air. [Wr.]

* A rare alternating action in comparison with the much more frequent symptoms 960–964, 998, 1018.

Heat in the head, with distended blood-vessels on the hands (aft. 4 h.).(* In the china- fever the blood-vessels are generally distended, even during heat in the head alone, as here, or during considerably increased temperature of the body, 1042, or during mere feeling of heat without externally perceptible heat, 1041, and so also during actual external heat, 1056)
The blood mounts to the head, the forehead is hot and the limbs are cold.(* In the china-fever rush of blood to the head is very frequent, generally with redness and heat of face, 1030, 1055, often with chilliness of the rest of the body, 1028, 1029, 1035, also with external coldness, 1031, 1033, or only internal feeling of heat on the face, with cheeks cold to the touch, and cold sweat or the forehead, 1034.)
During the feeling of heat, intermingled with alternating redness of face, lasting all day, febrile attacks of chill and perspiration, with but little thirst. [An.]
All over the body sometimes warmth, sometimes coldness (aft. 1/2-1 h.). [Wth.]
Redness and heat in the cheek and lobe of the ear, with chill over the arms and abdomen (aft. 1 h.).
Redness and heat in the cheek and ear-lobe of one side or the other, and before this goes off, chill all over the body, at last on the lower extremities (aft. 4 h.).
Heat in the face, and after some hours shivering and chilliness, with coldness of the whole body.
In the evening, cold hands with hot cheeks. [Fz.]
During the heat he can scarcely uncover the hands without suffering.
Warmth and redness in the face, whilst the rest of the body was cold; at the same time a disagreeable cold feeling (chill) on the warm forehead. [Bch.]
Very great internal heat in the whole face, the trunk and the thighs, with cold sweat on the forehead, cold cheeks and cold feet (aft. 10 1/2 h.). [Htn.]
Warmth in the face with chilliness of the rest of the body, and shortly afterwards coldness of the forehead, with warm feeling of the rest of the body. [Hbg.]
Very great feeling of heat on the whole body, with red cheeks, heat on the trunk and arms, moderately warm thighs, legs, and feet, with damp forehead, without thirst. [Htn.]
During the heat, immediately after midnight, no thirst, only dry lips.
Feeling of heat and redness of the cheeks, without externally perceptible warmth in them, without thirst, with cold feet (aft. 9 h.). [Fz.]
After previous increased warmth in the not warm room, whilst walking in the open air, feeling of coldness about the ankles, and coldness of the rest of the body, in the forenoon before a meal. [Fz.]
He eats his dinner with relish and great appetite, and an hour afterwards there occurs chilliness, without thirst, then feeling of heat. [Fz.]
Sensation of heat throughout the body, with distended veins and cold feet; on the rest of the body also there is no perceptible external increase of temperature.
Temperature of the whole body somewhat elevated and distended blood-vessels, but without thirst, with readily dilatable pupils (aft. 8, 12 h.).
Heat all over the body without thirst (aft. 3 h.).
Heat and feeling of heat on the body; at first the limbs are at the same time still cold, and he has also a feeling of coldness in them (aft. 1/2 h.), with slight thirst for cold water. [Hrr.]
Dry heat, all day long. [An.]
Unquenchable thirst during the chill and heat of an ague. [J. v. Von Hildenbrand, in Hufel. Journal, xiii, i, p.142.]
Feeling of flying heat, with thirst for cold drinks. [Gss.]
Very great thirst, for an hour (aft. 9 1/2 h.), and thereafter a burning heat all over the body, with throbbing in all the blood-vessels, without sweat, and without thirst, with violently burning ears and burning in the forehead, but only normally warm cheeks, hands, and feet, notwithstanding which all these three parts seem to his inward feeling to be too hot (aft. 10 1/2 h.). [Htn.]
In the evening, an hour after the heat, dry palate and thirst. [Fz.]
After the febrile heat, during the sweat on the back and forehead, thirst. [Wr.]
Fever with anorexia. [Fischer, l.c.]
In the evening, an hour after the heat, thirst and hunger, then, after eating, there ensued coldness and rumbling in the abdomen. [Fz.]
Heat of the body and redness and heat of face, for three hours, with great hunger; the lips burn when he brings them together; in the skin about the lips, also there is burning shooting pain (after noon). [Fz.]
Heat of the whole body (in the afternoon from 5 to 7 o'clock), which on walking in the open air increases, and sweat breaks out on the forehead, with great hunger preceding and lasting into the commencement of the heat, returning also after the fever; when walking he feels in the abdomen as if hot water ran down it (heat running all over the abdomen and down the thighs), with red cheeks, without thirst (aft. 12 h.). [Fz.]
Warmth in the face and redness of the cheeks, with dry, sticky lips, without thirst, in the afternoon about 3 o'clock. [Fz.]
Heat on the whole body with swollen blood-vessels on the arms and hands, without perspiration and without thirst (aft. 4 1/2 h.). [Htn.]
Irregular, acute fever, with profuse sweat. [Stahl, l.c.]
He perspires incessantly at night, even under light bedclothes.
On covering himself up with the bedclothes he immediately sweats profusely all over; disagreeable as this is to him, he is at the same time so drowsy that he cannot collect himself nor get up.
Sweat during sleep.
Sweat during sleep in the morning.
Greasy sweat in the morning.
In the morning, as soon as he gets up, sweat came on his face.
After awaking (about 3 a.m.), sweat of the body with thirst, but no sweat on the feet, and on the head only where the cheek lies on the pillow.
Profuse sweat. [Morton, l.c.]
Debilitating sweat at the end of the febrile heat. [Schlegel, l.c.]
General profuse sweat. [Alpini, l.c.]
In the morning, after the night sweat, the skin is not sensitive to the open air, nor apt to be chilled; he can throw off the clothes without injury.
Profuse sweat all over the body when walking in the open air.
Cold sweat on the face with thirst.
Cold sweat all over the body (aft. 1/2 h.).
The whole body is very warm, especially the face and chest (aft. 1/2 h.). [Hrr.]
Heat through the whole body, internally and externally, as from drinking wine, with redness of the face. [Wth.]
Heat all over, and fine needle-pricks in the skin of the whole body, particularly on the neck, at the same time great thirst for cold water (aft. 22 h.). [Hrr.]
Over the whole body a transient feeling of heat and actual heat, and on some parts of the skin fine weak needle-pricks, with thirst for cold water (aft. 1 h.). [Hrr.]
Great thirst for cold water, and yet chilliness and heat, especially in the morning immediately after waking. [Hrr.]
More thirst every morning than after noon. [Hrr.]
Towards evening some heat, quite without chilliness, with quicker pulse (aft. 12 h.). [Bch.]
Quick irregular pulse beats (aft. 6 h.). [Bch.]
Pulse much slower and weaker (in the first h.). [De Koker, l.c.]
Slow weak pulse (aft. 1 1/2 h.). [Htn.]
Slow weaker pulse, which gradually becomes quicker and stronger (aft. 1/2 h.). [Htn.]
The febrile attack commences with sneezing.
(Fever returning earlier.) [Schlegel, l.c.]
(Decrease of the febrile chill, and increase of the febrile heat.) [Schlegel, l.c.]

From a half-ounce dose. From its employment in agues.

(Increased febrile heat.) [Fischer, l.c.]
(Talking nonsense during the febrile heat.) [Schlegel, l.c.]
(Talking nonsense.) [Cleghorn, l.c.]
(Delirium.) [Gesner, l.c.]
Anxiety anguish. [Cleghorn, -Quarin, -Roschin, l.c.]
Extraordinary anguish. [Stahl, l.c.]
Great anxiety-death. [De Koker, l.c.]
Intolerable anxiety (about 8 p.m. and 2 a.m.); he jumps out of bed and wants to make away with himself, and yet he fears to go near an open window or to approach a knife- with corporeal heat, without thirst.
Quite besides himself, and in despair he tosses about in bed.
Too anxious caution.
An over-anxious concern about trifles (aft. 1 1/2 h.).
Dejection. [Gesner, l.c.]
Gloominess, hopelessness. [Gss.]
Inconsolableness.
Discouragement. [An.]
Want of the (usual) cheerful humour; he prefers to be alone. [Htn.]
Piteous, subdued whining and crying out.
She falls from time to time into a lachrymose humour, without external cause, from some self-made, trivial whim, e.g. from some imaginary want, such as that she cannot eat enough, c. (aft. 20 h.).
In the midst of cheerful humour, sudden, short-lasting crying out and tossing about, without visible or appreciable cause.
What formerly appeared to him in a bright genial light, seems now to be lustreless, unworthy, and shallow. [Stf. ]
Morose, disposed to quarrel. [Trn.]
He is cross, angry, and easily moved to anger (aft. 4 h.).
Ill-humour, going on to the most violent anger, so that he could have stabbed some one.
Cross when cause is given, otherwise stupid, perplexed, embarrassed.
Extremely disposed to be vexed, and to take every occasion to get cross; afterwards quarrelsome and disposed to vex others, and to make reproaches and give annoyance to others (aft. 2 h.).
He is inwardly very cross. [An.]
Discontented and sensitive, disposed to quarrel. [Wth.]
Discontented; he thinks himself unfortunate, and fancies he is opposed and tormented by everybody (aft. 5 h.).

From cinchona bark taken during the chill of ague. Compare with symptoms 1091 and 1092.

Symptoms 1098 and 1100; see symptom 1094.

Compare with symptoms 1098 and 1100. Symptoms 1106 and 1112; see symptoms 1107, 1108, 1110. Symptoms 1107, 1108, 1110; compare with symptoms 1106 and 1112.

Disobedience.
Indisposed to think, alternately gay and gloomy for three hours (aft. 2 h.). [Wth.]
Distaste for mental and serious occupations. [Bch.]
No desire for work; he is idle.
Serious humour. [Htg.]
Humour gloomy, no wish to live.
Contempt for everything (aft. 1 h.).
Indifference to all external impressions, and disinclination to speak. [Bch.]
Tranquillity of mind. [Lr.] (*curative action, apparently)
Ill-humour, but neither sad nor quarrelsome, yet not at all disposed for rapid thinking.
Quiet ill-humour, and not disposed to speak (the first day). [Hrr.]
Complaining ill-humour.
Sighing ill-humour.
Ill-humoured, laconic, disposed to reverie. [Stf. ]
He is silent and will not answer.
Obstinate silence; he will not answer at all.
Caresses increase his ill-humour.
Ill-humoured irresolution; she can never come to the point, and is disobliging at the same time.
Dislike to mental work and drowsiness. [Hrr.]
Dislike to bodily and mental exertion. [An.]
Liking for work, reading, writing, and thinking; particularly well-disposed and industrious. (curative action)
He makes a number of grand plans for the future. [Htn.]
He makes many plans, and thinks over their accomplishment; many ideas force themselves upon him at once. [Hrr.]
He has many ideas, undertakes to carry out all sorts of things, builds castles in the air (aft. some h.). [Wth.]
He has a number of plans in his head which he greatly desires to carry into execution, in the evening. [Gss.]
A quantity of scheming ideas.
Slow flow of ideas.
Periodical cessation of thoughts. [Lhm.]
He is lost in thought (as if the flow of ideas stood still) (aft. 3 h.).
He cannot keep his ideas in order, and commits mistakes in writing and speaking, inasmuch as he puts words first that should come afterwards; the talking of others distracts him much (aft. 2 h.).

Compare with symptom 1121. See symptom 1120. Curative action, apparently.

Compare with symptoms 1115, 1116, 1132, 1140-1142. Symptoms 1126, 1128, 1129; compare with symptoms 1124 and 1127. Curative action.

Symptoms 1135-1138; see symptoms 1139 and 1143. Symptoms 1139 and 1143, together with symptoms 1135-1138, are alternating actions with symptoms 7 and 1140-1142.

China officinalis

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