Moschus moschiferus, L.

Class , Mammalia; Order , Ungulata; Family , Bovidæ; Tribe , Moschina.

Common name , Musk deer.

Preparations , Trituration of the inspissated secretion contained in the preputial follicles.

Authorities. (Nos.

1 to 35 , from Hahnemann, with annotations by Dr. Hughes); 1 , Hahnemann, R. A. M. L., 1, 316; 2 , Fr. H-n; 3 , Gross; 4 , Stapf; 5 , Th. Bartholin, Epist. Med. Cent., II, p. 87 (observation, odor); 6 , Boeclr., Adnot. ad Hermanni Cynos. Mat. Med., p. 10 (general statement, odor); 7 , Boerhaave, de Morb. Nerv., p. 744 (general statement, odor); 8 , Rob. Boyle, de insig, effl. effic., cap. 6 (observation, odor); 9 , H. J. N. Cranz, Mat. Med., I, p. 252 (general statement); 10 , Cartheuser, Ferndam, Mat. Med., p. 380 (observation); 11 , Lor. Crellius, in Baldinger's Mag., VII, p. 656 (there are only 571 pages in this volume, -Hughes); 12 , Cullen, Mat. Med., II. p. 644 (effects of large doses); 13 , Fuller, Pharm. Extemp., p. 392 (general statement, odor); 14 , J. A. Hemann, Med. Aufsütze, Berlin, 1778 (not accessible); 15 , Fr. Hoffmann, Med. Rat. Sys., III, p. 92 (general statement of effects of odor of suaveolentia); 16 , Loeseke, Mat. Med., p. 529 (general statement); 17 , Mead, Monit. Med., p. 123 (observation); 18 , F. C. Medicus, Samml. v. Beob. a. d. Arzn., II, p. 605, 618 (observation; 19 , Mercurialis de compos. Med., I, cap. 15 (effects of inhalation, p. 259); , Morgenstern (not Morgenbesser), in Nova Acta Nat. Cur., IV, 1770 (symptoms cured by M.), omitted, T. F. A.; , Pelargus, Obs., II, p. 492 (Moschus in a pessary, "Mutterzäpfchen." -Hahnemann), (not accessible, -Hughes); , Pederit, Pharm. Rat. (p. 266, general statement); , Reil, Erkenntniss u. kur. d. Fieb., IV, p. 174 (nothing about M. in this place); , Riedlin, Lin. Med., p. 856 (obs. of effects of a "medicine containing musk and ambergris"); , Rolfinck, Epit. Meth. cogn. et curand. m. Cap. de Cap. dol. (observation, odor); , Sanctorius, Comment. in Artem. Med. Gal., § 71 (observation, odor); , Lucas Schroeck, Hist. Moschi. Aug. Vindel., 1682 (statements and observations); , Sennert, Med. pr. lib., 4, p. 125 (observation, odor); , Jac. Sylvius, Meth. Med. comp. et. simpl., I, Cap. de Animal. (observation odor); , Bl. L. Tralles, de Moschi laudibus et abusu limit. in Medela, Morb. Vratisl., 1783, 8 (observations); , Vogel, Hist. Mat. Med., p. 356 (observations); , Wall, in Philos. Trans. (vol. xliii, p. 213, effect of 16 grains of powder in convulsive disorders); , G. W. Wedel, Amœn. Mat. Med., p. 198 (statement as to effect of "suaveolentia, moschata, et volatialia," generally); , Weikard, Med. Pract. Handb., Heilbronn und Rothenb., 1798, 1799 (observation); , Rob. Whytt, Schriften, p. 504 (statement), ( to , Jorg's provings, from his Materilen, provings of Kneschke, Jorg, and Martinis, with Moschus , omitted); , Guntz, took one dose of 5 grains; , Otto, took 2 grains triturated with sugar first day, 4 grains second day, 6 grains third day, 8 grains fourth day, 10 grains fifth day; , Siebenhaar, took repeated doses of 2 grains to 1/2 scruple; , Mrs. C. H., took repeated doses of 3 to 6 grains; , Miss T. H., took 3 and 6 grains, repeated; , Theo. Jörg, took 3 and 6 grains, repeated (Nos.

42 to 46 , from Hromoda, Journ. f. Hom. Arznm., 1, p. 99); 42 , effects of making 1st trit., in a man aged fifty-two; 43 , same, in a woman, aged forty-five; 44 , same, in another man; 45 , general effects, observed while making the triturations; 46 , symptoms observed from the 6th dil.; 47 , Sundelin, Horn's Archiv., 1824 (Wibmer), effects of 20 grains, swallowed in the morning; 48 , Robinson, proving in a young "female" (woman?), from 200th dil., every second morning, effect after three doses, Br. J. of Hom., 25, 323; 49 , Berridge, effects of 4 drops of M. (preparation not stated, T. F. A.), every night, afterward reduced to 3, 2, and 1, and also of injection per vaginam of same, N. Y. J. of Hom., 2, 308; 50 , same, effects of 30 drops of 6th dil., in Miss ---, Am. Obs., 1875, p. 307; 50 a , same, effects of 3d trit., in same person; 51 , same, Miss ---, took 1st trit.; 51 a , same, effects of 6th dil., in same person; 52 , same, Mrs. ---, took 2d dil.; 53 , same, Miss ---, took 3 drops of 2d dil. in water; 54 , same, Dr. B., himself, took 30 drops of 6th dil.

MIND

Emotional.
Excitement similar to that which is caused by wine; with increased frequency, fulness, and softness of the pulse, continuing two hours (after a few minutes), 47.
Sudden loss of his senses; in this condition he thought that his fingers and toes were cut off; against which he remonstrated with such rapid and confused speech that nothing could be gathered from it, 46.
He began to rave, spoke very low, as though afraid of disturbing some one; saying pst, pst, pst, then began to sigh deeply, and to play with the buttons of his waistcoat, as though taking them off and putting them on; this lasted ten or eleven minutes, and then consciousness returned (after half an hour), 44.
It made her feel quiet and self-possessed; no fear of anything, is usually nervous and timid, 52.
Very good-humored, although annoyed he was unable to say anything, yet it seemed to him as though he should be angry (after two hours), 43.
Low spirits, 51a.
Anxiety, as if something were about to happen, 51.
Great anxiety, 10 . [Omit Hoffman. -Hughes.]
Mood very anxious, 42. [10.]
Very anxious; she always started up in fright if any one opened the door, and her body trembled visibly (after three hours), 46.
He was extremely anxious about death; after triturating three minutes, he began to say, "This is my death," became deathly pale, and in ten minutes fell down in a faint (speedily restored by Camphor), 45.
She spoke of nothing but that she must die (from triturating ten minutes), 45.
Fretful mood (first hour), 4.
She is very fretful, yet would weep every moment, 46.
Very peevish; he sprang up, wild with anger, and did not know what to do with himself from rage, until he struck a vessel that stood near him, when he became better (after five hours and a half), 46.
Very violent anger; she would not be quieted by anything, but continued to rave until the mouth was quite dry, lips blue, eyes staring, and face deathly pale, when she fell to the ground (after ten minutes), 45.
While sitting unemployed, and then again restless and running about, he scolded at every one he saw, and seemed to be afraid of only me (after five hours), 46.

HEAD

Confusion and Vertigo.
Head confused, and almost dizzy, 39.
Confusion of the head, as in intoxication, 30.
Confusion of the head; the upper part seems tense, though without pain, 3.
Vertigo, 10.
Sensation of vertigo in the head, 3 . [From 2 grains of the powder. -Hahnemann.]
Vertigo amounting even to loss of consciousness (after ten minutes), 45. [40.]
Slight dulness in the head, amounting to vertigo, 39.
Vertigo on stooping, that disappears on rising (after five hours), 46.
Vertigo, with a sensation as though whirling violently so that he even felt the air on his face, 45.
Vertigo, with nausea, so that she was obliged to lie down; with desire for black coffee (after thirty hours), 2.
Vertigo, nausea, and vomiting, at the same moment, 45.
Vertigo with a kind of nausea; associated with a pressive, somewhat throbbing, headache, over the whole posterior portion of the head, with some drawings, as with a thread (extending into the spine, as far down as the first lumbar vertebra), 44.
Vertigo, with sudden faintness, 45.
Vertigo, with great rush of blood to the head, lasting two hours; better in the open air (during the first five minutes), 45.
A kind of vertigo on moving the lids relieved in the open air (after two hours), 46.
Vertigo, as though she were, standing very high, and would fall, 45. [50.]
Vertigo, so that she thought that she fell from a height, 45.
Vertigo, as if intoxicated; he was unable to walk alone, 42.
Vertigo, so that he could not walk alone; he reeled from side to side in the room (after three hours), 46.
Vertigo, as if all objects were moving (after ten minutes), 45.
Vertigo, as if intoxicated; everything that she looked at seemed to move (after ten minutes), 43.
Vertigo, as if everything were turning in a circle, at first very slowly, then faster and faster; at last it seemed as though she were floating in the air, then she became stupefied, and in this stupefaction it seemed as though she fell from a great height, and she lost her consciousness (after ten minutes), .

EYE

Objective.
Eyes staring, very glistening, quite prominent; with loss of senses, so that he could not answer questions, although he heard everything, 45.
Stiffness of the eyes (after four minutes), 43.
Eyes stiff, protruding from their orbits, 44.
Subjective.
Pressure in both eyes, as from sand, 44.
An irritation in both external canthi, relieved by rubbing (after sixteen hours), 46.
Biting in the eyes, as from smoke, with lachrymation (immediately, from the odor), 4.
Itching in the eyes, so that she was obliged to rub them (after half an hour), 4.
Brow and Orbit.
Stupefying pressure on the left eyebrow, 3.
A sensation above the margin of the orbits, as if a dull instrument were pressed into the brain, 3.
Lids. [130.]
The upper lids seem swollen, with a pressive sensation in them (after thirteen hours), 45.
Lachrymal Apparatus.
Lachrymation of the left eye, as if she were weeping, 43.
Profuse lachrymation of the left eye, with pressure, 46.
Ball.
Distortion of both eyes, outward, 42.
Vision.
Eyes dim, with a pressive pain in the inner canthus (after twenty-two hours), 46.
Eyes dim; pupils dilated (after ten minutes), 43.
Dimness before the eyes, 4.
Sudden dimness before the eyes, so that she thought she would become blind, 45.
A dizzy unsteadiness before the eyes on the least motion of the head, as if something moved rapidly up and down (immediately, even from the odor), 4 . [From triturating 2 grains with sugar and water, and while taken in three doses in two days. -Hahnemann.]
Black points a few times before the eyes, . [140.]

EAR

External.
Discharge of much wax from the left ear (second day), 45.
As many as three drops of wax flowed from the right ear, only at night (fourth day), 45.
Pressive pain in the left concha, as if the ear had been pressed against the head, during the first twenty-four hours, 45.
Middle.
Fluttering in the left ear, as if a flea were in it (after five hours), 46.
Sudden, very transient rushing into the ear, as from the fluttering of a large bird, now in the right, now in the left side (after sixty hours), 3.
Rushing in both ears, as in faintness (after three hours), 46.
Sensation as though a gentle wind were blowing, in the left ear (after two hours), 46.
Violent rushing in both ears, as from a violent wind, 42.
Hearing.
Difficult hearing; one was obliged to speak loud to make him understand, 45. [150.]
Constant cracking in both ears, for two days (after four hours), 46.
Crackling in the right ear, with a disagreeable sensation, for which she has no expression (after twenty-three hours), 46.
Rustling in the left ear and a sensation as though a flea were in it, 43.
A frightful sound in the right ear, like the firing of a cannon; some drops of blood came from the ear, 45.

NOSE

Objective.
Severe fits of sneezing, 48.
Sneezing always on trituration Moschus, together with a pressive pain in the middle of the nasal bones, during the first five minutes, 45.
Sneezing several times every day, with tickling in the nose, followed by burning (after eight hours), 46.
Violent sneezing; the nose previously stopped by dry catarrh became suddenly free after a copious clearing out, 3.
Frequent very violent sneezing, always with discharge of a few drops of blood (after twenty-four hours), 45.
Very profuse fluent coryza, with a peculiar burning, alternately in the right and left nostril, 43. [160.]
Bleeding from the nose, 6, 27.
Momentary nosebleed (from the odor), 19.
Subjective.
Sensation as of the crawling of an insect in the tip of the nose, which he frequently tried to wipe away without effect, until it disappeared of itself (after twenty-eight hours), 3.
Violent tickling in the nose, which changed to burning, 44.

FACE

Objective.
Redness of the face, without perspiration (after two days), 45.
Paleness of the face (after four minutes), 43 ; with perspiration, 43.
Face earthy pale (after two hours), 46.
The facial muscles became very much drawn, so that he could not be recognized, 44.
Subjective.
Tension in the facial muscles, as though too short, 46.
Redness of the right cheek, without heat, and paleness of the left cheek, with a sensation of heat in it (after thirty hours), 45.
Cheeks. [170.]
Transient cooling burning on the right zygoma (after twenty-eight hours), 3.
Transient pressure on the left zygoma, frequently recurring, 3.
Lips.
Upper lip swollen, 44.
Chin.
Moving the lower jaw, as though chewing, 42.

MOUTH

Bad odor from the mouth from whatever he ate, only milk had a tolerable taste (after second day), 45.
Dryness of the mouth and throat, 39.
Mouth dry, with little thirst, 44.
The mouth became very dry, 44.
Great dryness of the mouth, 43.
Saliva.
Mouth half open, from which white mucus ran profusely, 44.
Taste. [180.]
Flat taste in mouth, lasting some time (after five minutes), 34.
Bitter taste, in the morning on waking (after four days, 46.
Nasty bitter taste, 48.
Food has very little taste (after three hours), 46.
Complete loss of taste, milk had no taste, 4.

THROAT

Dryness in the throat (second day), 39.
A scraping sensation rising into the throat, like heartburn, with some nausea, as in waterbrash, 3.
Burning in the pharynx, as from a coal of fire, 44.
Dryness of the œsophagus, 41 ; without thirst, 39.

STOMACH

Appetite.
Aversion to all food; when food is set before him, he is attacked with nausea, and if it is not taken away he actually vomits, 44.
Thirst. [190.]
Much thirst for beer, which usually she seldom drank, 43.
Longing for brandy, which at other times he never drank, 44.
No thirst, either during the shivering or afterwards, 3.
Eructations.
Eructations, 38, 41.
Eructations, with hot saliva in the mouth, 45.
Frequent eructations, 36, 37.
Violent eructations, with nausea (after three-quarters of an hour), 45.
Eructations, of air, associated with uprisings of tasteless fluid into the mouth, 3.
Repeated, violent, audible eructations of air, 3.
Many eructations, all smelling of Moschus, 43. [200.]
Violent eructations, tasting of Moschus (after half an hour), 45.
Eructations, leaving a taste as of garlic, during the first five minutes, 45.
Nausea and Vomiting.
A kind of nausea (after four minutes), 43.
Paroxysms of nausea, for six days in succession, 2.
She was obliged to lie down in bed two afternoons, on account of nausea and headache, 2.
Nausea seemed to come into the pit of the stomach; wherewith the navel was drawn inward with a cramplike sensation, 2.
Nausea without vomiting; she desired to vomit, but could not, 43.
Qualmishness, all day (after half an hour), 45.
Qualmishness in the morning (after twenty-two hours), and in the evening (after nine hours), 4.
Qualmish always after eating (after three hours and three-quarters), 46. [210.]
Great but ineffectual efforts to vomit, on rising in the morning (after thirty-two hours), .

ABDOMEN

Hypochondria.
Swollen tension and jerking in both hypochondria (after a quarter of an hour), 46.
Very violent stitches in the region of the liver, aggravated by every inspiration, 46.
Itching, fine stitch in the right side of the abdomen, beneath the short ribs; the itching continued even after the sticking, and obliged rubbing, 3.
Umbilical and Sides.
Violent constrictive pain in the umbilical region, so that it formed a deep fossa (after three hours), 46.
Jerklike clawing above the umbilicus, that took away her breath, 4. [240.]
A pressive sensation in the umbilicus, and a burning on the chest (after five minutes), 46.
Some violent stitches in the umbilical region, deep internally, especially on inspiration (after half an hour), 4.
Simple aching in the right side of the abdomen, below the umbilicus, 3.
Forcing downward in the left side of the abdomen, with constipation (after six hours), 45.
General Abdomen.
Distension of the abdomen, with urgent but ineffectual desire for stool, 44.
Trembling of the whole abdomen, with excessive clammy perspiration all over, 44.
Rumbling in the abdomen, with emission of flatus, having the same odor as the eructations, 42.
Loud, incessant rumbling in the abdomen, without flatulent symptoms; it disappeared after eating, and indeed while eating, 3.
Emission of much flatus of a horrible odor, like a kind of garlic, 43.
The abdomen seemed too tight, without pain; with anxiety, so that she could not undertake any work, nor remain in any place, but was obliged to run about; she ran to several of her acquaintances, but remained only a few minutes anywhere (immediately), 2. [250.]
Griping in the abdomen, so that he cried out; somewhat relieved by crouching together (after two hours and a half), 45.
Griping pain in the abdomen, with dragging and pressure upon the bladder; relieved by pressing the fist upon it (after thirty-six hours), 46.
Violent dragging in the abdomen obliges him to go to stool, but he can accomplish nothing (after four days), .

ANUS

Violent stitches in the anus, that also extend to the bladder, 44.
Crawling in the anus, relieved by rubbing, 2.

STOOL

Diarrhœa.
Diarrhœa at night, passing while asleep (after thirty hours), 54.
Diarrhœa, mostly at night, with violent urging, and pressive pain in the anus, 45. [260.]
Diarrhœa, with most violent colic (after three days), 45.
Profuse diarrhœa, with retraction of the stomach, 43.
Diarrhœa-like stool; three or four thin stools a day, always mixed with fæces, 46.
Violent rumbling and urging to stool, which at first was hard, afterwards soft, at last followed by a natural stool (after twenty-four hours), 45.
Urging to an evacuation of stool and flatus; the stool was natural, preceded by easy emission of flatus, which, however, did not accompany the stool, 3.
The stool looks as though he had taken Sepia (after three days), 45.
Constipation.
Constipation , for several days, 2.*
Constipation throughout the whole time of triturating; relieved as soon as he drank coffee, 45.

URINARY ORGANS

Much burning in the urethra, especially with erections (after eleven hours), 46.
Urine clear as water, and very copious, 43.* [270.]
Urine scanty, and thick as yeast, 44.
The urine smelled strongly of musk, even the next day, 47.

SEXUAL ORGANS

Male.
A small and retracted penis, in an octogenarian, suddenly attains its former size, 34 . (Original revised by Hughes.)
A robust man, forty-six years old, who had been unable to have coition for four years (resulting from a cold), and for which everything that he had tried had been unavailing, became perfectly healthy when triturating Moschus, and has remained so for now two years, 45.
It seems to excite sexual desire, 3.
Excited sexual desire, 22, 31.
Sexual desire, while triturating; great relaxation for an hour afterwards (every day), 45.
Sexual desire, with two involuntary emissions (third day), 45.
Greatly excited sexual desire in both sexes, with intolerable tickling (after seventeen hours), 45.
Desire for coition, with tensive pain in the penis (after fifteen hours), 46. [280.]
Great desire for coition, and after satisfaction, nausea and vomiting (after three hours), 45.
Painful emissions, without erections (fifth day), 46.
Female.
Drawing and dragging towards the genitals; feeling as if the menses would appear (after nine and twenty-two hours), 4.
Menstruation very irregular for three months, 46.
It brings in the menses (even the odor), 5, 31.
It promotes menstruation, 27.
Menstruation, which had occurred two weeks previous, reappeared next day, 43.
Menses, that had occurred eleven days previously, returned (after eighteen hours), 46.
Menstruation six days too early, and very profuse (after five days), 4.
Menstruation six days too early, with drawing pain low down in the abdomen, never before experienced (after five hours), 45. [290.]
The menses, that had disappeared for a year, returned always on triturating, and lasted a few hours, when they disappeared; in a woman, aged forty-eight (after fifteen minutes), 45.
Sexual desire excited in the woman, sixty years old, who, in her whole life before, had never had such a sensation (after three hours), .

RESPIRATORY ORGANS

Larynx, Trachea, and Bronchi.
Very tenacious mucus in the chest, without cough, which seemed to take away her breath, because she could not clear it away; somewhat relieved by drinking, 43.
A feeling as of sulphur vapor in the larynx, with constriction of the trachea (immediately), 4.
A sudden sensation in the upper part of the larynx, as if it closed upon the breath ; almost as if he had inspired sulphur vapor, 3.*
On inspiration, which was quite free, he had a sensation almost as if he had previously inspired sulphur vapor, 3.
Cough.
Severe dry cough , worse in the morning , and pain under left breast on coughing, 48.
Respiration.
Breath smelled strongly of musk, even the next day, 47.
Short respiration, with stitches in the right side, better during rest though not entirely ceasing (after four days), 46.
Oppression of breathing, 51. [300.]
Oppressed respiration; she was obliged to take a deep breath, 4.
Difficult respiration, with violent sticking in the chest, so that he could take only very short breaths (after three minutes), 45.

CHEST

The chest is very much affected; it is painful generally, with violent dry cough (after one hour and three-quarters), 48.
Fulness of the chest, 30.
Tightness of the chest, so that he was obliged to take a deeper breath than usual, 41.
Compression of the chest, 30 . [Connected with fulness, S. 303. -Hughes.]
Suffocative constriction in the chest, 15.
A kind of cramp in the lung, beginning with and inclination to cough, gradually increasing and making him perfectly desperate ; during the first twenty-four hours, passing off in the five minutes, 46 . [Once, in the last death agony of a boy six years old, I noticed this symptom similar to Moschus; I gave this remedy, and, though it seemed to have a good effect yet I could promise myself no results from it, and so left the patient after a quarter of an hour; the father afterwards told me that half an hour after my departure the boy seemed better, and the improvement lasted two hours, when the attack returned, but in a less violent degree, and the boy died; (might not a second dose have saved the patient?; -(HROMADA.)]*
Pressure in the chest, very frequently stopping his breath, for five days in succession (after four hours and a half), 45.
Pressure upon the chest, so that he was unable to lie down; he thought that he would suffocate, and gasped for air (after twelve hours), 45. [310.]
Pressive pain on the chest, now on the left, now on the right side, now extending through the chest into the spine, without entirely leaving the chest (after thirty-two hours), 46.
Stitches in the chest, with a red, puffy face, dilated pupils, dry, bright-red tongue, and excessive thirst (after three days), 45.
Dull intermitting stitches in the left half of the chest (after twenty-eight hours), 3.
Gnawing pain in the chest, with a sense of suffocation, 48.
Sides.
Pinching in the left side, beneath the short ribs, on deep inspiration, 3.
Sticking in the right side, extending down into the hepatic region, 46.
Intermitting, dull stitches in the left side, on the short ribs, 3.
Violent, sharp, transient stitches, almost like fine pinchings, in the right side, beneath the short ribs, that oblige rubbing, .

HEART AND PULSE. [320.]

Palpitation , as from anxious expectoration (after four hours), 4.*
Pulse more rapid than usual, 39.
The pulse is less full and much more rapid, 72 to 88 (after six hours), 3.
Pulse 6 to 8 beats more rapid than usual, 39.
Increased frequency, fulness, and softness of the pulse, with excitement similar to that which is caused by wine, continuing two hours (after a few minutes), 47.
Pulse fuller, 4 to 5 beats slower than usual, 11.

NECK AND BACK

Neck.
Violent pains in the nape of the neck, so that he was unable to turn the head (after three hours), 45.
Drawing pain from the second cervical vertebra as far as the right shoulder (after thirty-four hours), 45.
Pressure in the nape of the neck (after four minutes), 43.
Drawing pressure in one cervical muscle, 3. [330.]
Sticking pain, now in the neck, now in both shoulders (after fifteen hours), 46.
Pain in the muscles of the neck, as if they were torn form their upper and lower attachments (second day), 46.
Back.
Drawing pains in the spine, which extend into the hip-joint, and there become so violent that he cries out (after four hours and a half), 45.
Violent drawing pain in the back, which feels drawn tense, as before menstruation, 4.
Intermitting dull stitches in the left side of the pine, in the middle of the trunk, 3.
Partly jerking, partly drawing pains in the spine, that become firmly seated, mostly in the upper part of both thighs, and so impede walking (first day), 45.
Acute pressure in the left side of the sacrum, above the coccyx, as if caused by a dull instrument, 3.

EXTREMITIES IN GENERAL

Involuntary throwing about of the hands and feet, in which he feels violent pains (after five hours), 45.
Stiffness of the limbs, with desire to urinate, 42.
A kind of stiffness of the hands and feet, 43. [340.]
Aching pains in upper and lower limbs, 48.

SUPERIOR EXTREMITIES

Jerking in the right arm, with a cramplike pain and falling asleep of the fingers (after thirty-one hours), 46.
Jerking pain from the right shoulder-joint to the thumb, 45.
Shoulder.
Tearing-sticking pain in the left shoulder, that causes heaviness in the whole upper portion of the arm, so that its motion is impeded (after twenty-eight hours), 45.
Arm.
Pressive pain in the muscles of the upper arms, extending from the shoulder-joints to the elbows, 46.
Forearm.
Drawing and sticking in the left forearm, extending from the wrist into the elbow-joint, in the evening in bed after lying down, preventing falling asleep; she was obliged to put it out of bed and move it up and down to relieve the pain, lasting half an hour (after six hours), 4.
Paralytic drawing in the right forearm, just above the wrist, 3.
Pinching pressure on the inferior surface of the left forearm, near the elbow, 3.
Cutting pains in the right forearm, followed by burning (after eight hours), 45.
Hand.
Swelling of the hands, with a stinging pain (after thirty minutes), 45. [350.]
Her right hand, in which she held the pestle of the mortar, became stiff, the fingers of the same hand were quite rigidly outstretched, 43.
Cramplike drawing in the hands and fingers, as if a cramp (rigid spasm) would occur, 3.
Rather dull stitches in the left hand, 3.
Fingers.
Involuntary motion of the fingers, as if he were picking something, or counting with the fingers (after one hour), 46.
Paralytic jerking in the left thumb, 3.
Stiffness in the fingers of the right hand, lasting two days (after seventeen hours), 46.
Complete stiffness of the fingers of the right hand, 42.
An internal simple pain in the last phalanx of the left index finger; it makes the finger tremble (immediately), 3.
A kind of cooling burning in the last joint of the right index finger, .

INFERIOR EXTREMITIES

Uneasiness in the left leg, so that he was obliged at one time to draw it up, at another to stretch it out; a paralytic (rigid) sensation that obliged him to move the leg at intervals, to get a moment's relief, 3.
He was obliged to move the lower extremities constantly while sitting, otherwise they seemed very weak and he experienced and uneasiness in them, as after a long journey on foot, 3.
When he draws the feet backward while sitting, he experiences a buzzing sensation in the legs, and in part also in the thighs, as if they had been fatigued by a long journey, or would fall asleep, 3.
A paralytic pain (painful faintness), extending down through the left leg, as if it would become rigid, while sitting, 3.
Painful sensation in the thighs and legs (for which she had not expression), only somewhat relieved by motion, but not at all by walking (after five hours), 46.
If he keeps the lower extremities still while sitting, they threaten to fall asleep; a tingling sensation, 3.
A numb pain in the joints of the lower extremities, with unusual distraction of mind (after twenty-five minutes), 45.
Painful stitches, here and there, in the thighs and legs, as if he had been beaten (after eight hours), 46.
Hip.
Pain in the hips, as if the muscles were pinched (as with pincers), (after twenty-one hours), 46. [370.]
Pressive pain in the hips, so that he was obliged to lie down, 46.
Thigh.
Pain as if both thighs were dislocated, so that she was unable to get out of bed (after seven hours), 45.
Paralytic jerking in the inner side of the left thigh, 3.
Dull pain, associated with drawing in the gluteal muscles, that extended forward into the groins, 45.
Simple pressure, with a feeling of weakness in the outer side of the left thigh, not far from the knee, 3.
Sudden pressure on the inner side of the left thigh, 3.
Pinching dull pressure in the flesh of the right thigh, on its posterior surface, more towards the outer portion, 3.
Pain in the right thigh, as if the flesh were beaten to a jelly (after ten hours), 43.

GENERAL SYMPTOMS

Objective.
Slight acceleration of the circulation, 38.
[It greatly increases the movement of the blood], 22 . [In disease, "morbi materias, presertim exanthemata, versus corporis peripheriam ducit." -Hughes.]
Hæmorrhages, 22 . [Original is "sanguinis profluria pellit." -Hughes.]
She lost her equilibrium (after nine minutes), 43.
Very nervous, 51a.*
Tremulousness of the whole body (second day), 39.* [400.]
Trembling and beating over the whole body, with acceleration of the pulse, 39.
[Convulsions], 15 . [Corrected by Hughes.]
Most violent convulsions in women and hypochondriacal men, 7 . [Revised by Hughes.]
[Stiffness of body], 18 . [In a case of mania. -Hughes. Symptoms revised by Hughes.]
Weariness, so great that he was not in a condition to move, 46.
She became exceedingly busy, but had scarcely begun to put things in order, when they fell from her hands from weakness (after eighteen hours), 46.
General prostration, with pressive pain over the whole body, especially in the joints (after two hours and a quarter), 46.
Great prostration of the whole body, with lachrymation, 46.
Faintness, 10, 13, 17, 21 . [Omit Hoffmann. -Hughes.]*
Faintness, followed by headache, 27.
Subjective. [410.]
As he went into the open, not cold, air, it seemed cold, and he sought the stove (after one hour and a half), 3.
She thought that she became faint, then suddenly called out, "I am falling," but remained sitting quietly, during the first five minutes, 45.
It seems at times as though the senses would vanish, with general stupefying pressure in the brain, like a compression, 3.
Did not know what was the matter, though at times he was attacked by a certain discomfort, a slight faintness, that immediately disappeared, .

SKIN

Objective.
Scaling of the lips (after half an hour), 46.
Eruption of pimples, with burning heat in face, 48.
Three or four pimples, with great irritation in various parts of the body (after two hours), 46.
Blue spots over the whole abdomen, and on the thighs, 43.
Two small red spots, like fleabites, in the forehead, above both eyebrows, 43. [430.]
Eruption within the cartilage of the right ear, very annoying, so that it provoked scratching, with irritation; burning after scratching (after half an hour), 45.
Small pimples, with burning in the face, 45.
Small pimples on the back of the right foot, that are very irritable and burn violently after scratching (after nine hours), 46.
Some red pimples tipped with pus on the upper lids (after six hours), 45.
Subjective.
Pricking in body; and "fidgets," preventing sleep, 51.
Tingling all over body, 51a.
Itching, twinging, and fine needle-like stitches, in various parts of the body, obliging rubbing, 3.
(A violent, intolerable burning in a venereal tetter, which usually heals without trouble), 2.
Itching fine sticking on the anterior surface of the thigh, obliging rubbing, 3.
An irritation between the toes of both feet, so that she was obliged to scratch till the blood came (after three hours and three-quarters), 46. [440.]
An irritation on the left upper arm, so that she was obliged to scratch till the blood came, before which it did not cease, but as soon as the blood came the irritation ceased, and burning set in; small pimples, here and there, with irritation; they disappear after scratching (after four hours), 46.
A frightful irritation between the shoulders, so that he had to rub against the wall (after twenty-three minutes), 45.
A kind of itching on the posterior portion of both ears that provokes scratching (after two hours and a half), 46.
Sharp itching on the outer side of the left tibia, towards the calf, disappearing on rubbing, .

SLEEP AND DREAMS

Sleepiness.
Frequent yawning and sleepiness, 40.
Sleepiness, with yawning, when not actively employed, ever since taking (sixth day), 50.
Sleepiness, with frequently recurring yawning (second day), 39.
Sleepiness, with frequent and deep yawning, 39.
Sleepiness, stupid feeling in head (after ten minutes), 50.
Sleepiness, with slight aching in forehead, in the afternoon (second day), 50. [450.]
Very sleepy, though on lying down he was unable to sleep; while walking in the open air, he could scarcely keep his eyes open on account of sleepiness (after five minutes), 45.
Sleep, 12.
Fell sound asleep while triturating (after five minutes), 45.
Very sound sleep; when awakened he spoke quite connectedly, with open eyes, yet in the morning remembered nothing of it (after sixteen minutes), 45.
Sleeplessness.
Night restless; he dreamed incessantly; dreams full of strife and effort; he was unable to lie long in one spot, for the part upon which he lay became painful, as if sprained or broken (after twenty-four hours), 3.
Sleep very uneasy; she woke every half hour, and was obliged to throw off the covering; she felt too hot, yet did not perspire (after forty-five minutes), 45.
Inability to sleep, 50a.
No sleep all night though there were moments in which she lost consciousness; on recovering from this condition, which was neither sleeping nor waking, she was very much exhausted (after fifteen hours), 45.
Feeling as though she had not slept sufficiently, 40.
Dreams.
Night full of vivid, slanderous dreams, wherein everything seemed to conspire against him, and from which he woke very much excited (after forty-eight hours), 3.

FEVER

Chilliness. [460.]
Paroxysms of slight chilliness over body (after thirty-five minutes), 54.
Sensation as though cool air were suddenly blowing upon him, especially on uncovered parts, chiefly on the hands, 3.
Coldness of the whole body (after four minutes), 43.
She complained of coldness all day, in a temperature of 62° F., 46.
Feeling of coldness; she wants to be near the fire always, 48.
Feeling of coldness, mostly in the spine, with a drawing pain, 46.
Sensation of external coldness, with a sensation of internal burning in the same spot (after six hours), 45.
Shivering over the whole body, from the slightest contact of air, so that he was obliged to get into bed, where only he was able to get warm, 46.
Slight shivering on the scalp, whence it extended over the whole body (immediately), 3.
Shivering over the whole body, and yet he could get no rest in the house on account of flushed of heat; he was obliged to go into the open air, where he felt better (third day), 45. [470.]
Alternations of shivering and heat all day, with prostration, so that he was obliged to lie down (after eight hours), 45.
A feeling of coldness in the upper and lower extremities, rather external than internal, but not perceptible to the fingers (after five minutes), 45.
Feeling of coldness from the soles of the feet to the knees, 43.
A sudden cool sensation on the left tibia, 3.
Heat.
Greatly increased warmth of the whole body, with profuse perspiration, and increased activity (immediately), 4.
Heat, 16, 27, 35.
On getting into bed, at 9 P.M., burning over the whole body (the right side seemed hotter), with a feeling of heat, dryness, and scraping in the throat, and moderate thirst; the bed was intolerable; she was obliged to lie uncovered, with sticking headache in forehead, dizziness before the eyes, bruised feeling in the whole body; sleepless, restless, she tossed about, experienced a jerklike grasping above; the umbilicus, and dragging towards the genitals, with extreme ill-humor the attack lasted an hour (after nine hour), .

CONDITIONS

Aggravation.
( Morning ), On waking, bitter taste; dry cough ; perspiration.
( Forenoon ), Vomiting.
( Evening ), Dull pain in head.
( Night ), Diarrhœa; jerking pain in body.
( After dinner ), Tightness about pit of stomach.
( After eating ), Qualmishness.
( Motion ), Headache, as from a weight; pressure in frontal region; pain in great toe.
( Violent motion ), Painfulness of head.
( Stooping ), Turning in forehead, etc.
Amelioration.
( Open air ), All symptoms from triturating, 42; vertigo ; drawing in head; cutting headache; feverish symptoms.
( Moving about in air ), Headache as from a weight.
( Coffee ), Constipation.
( Motion ), Sensation in thighs, etc.
( Rest ), Stitches in side.
( Stooping ), Pressive pain in pit of stomach.

Moschus