Euphorbia amygdaloides, Linn.

Natural order , Euphorbiaceæ.

Common name , Spurge.

Preparation , Tincture of the plant.

Authorities.

1 , E. W. Berridge, proving with the tincture: Mr. Croker took 1 drop first day, 20 drops fourth day, 30 drops seventh day, 40 drops ninth day, 50 drops tenth day, 1 drachm eleventh day, 70 drops twelfth day; Monthly Hom. Review, 14, 294; 2 , Same prover took 1 drop of the 3d cent. dilution, ibid.; 3 , A lady took 1 drop of the 3d dilution, ibid.; 4 , E. W. Berridge's proving with the tincture; 3 drops and 8 drops first day, 12 drops second day, 16 drops and 25 drops third day, 30 drops seventh day, 40 drops eighth day, 60 drops ninth day, 60 drops, then 80 drops, twelfth day, 100 drops thirteenth day, 130 drops fourteenth day, 2 drachms fifteenth, sixteenth, and seventeenth days, ibid.

MIND

Out of humor with everything from 6 to 10 P.M.; after eating a few mouthfuls of supper (in which were onions), it suddenly passed off (twenty-sixth day), 1.

HEAD

Hard headache, seeming to affect both sides of the head independently; not felt at the vertex, at 6 P.M.; gradually decreasing towards morning, at the same time seething sensation, backward and forward in the head, and extending down the back, lasting some time, and going off during sleep (twenty-fifth day); on rising the next morning a dull, stupid headache, chiefly in the forehead and sides of the head, as if from drinking spirits, going off soon after breakfast, 1.

NOSE

A strong odor of mice, 2.
On one occasion a strong odor of nice; not noticed by others (therefore subjective), 1.
She awoke in the night, perceiving a strong odor of nice, the smell not being noticed by others, 3.

FACE

Boring pain in the left antrum, extending up to the floor of the orbit, passing outward with the orbit as far round as the supraorbital canal, slightly felt in the eye, and extending straight up into the head, for a quarter of an hour, at 5 P.M. (seventeenth day), 1.

MOUTH

Increased saliva (part of S. 23), 1.

THROAT

Slight burning in the back of the throat (after ten minutes, first day); relieved by cold water (after ten minutes, seventh day), for some minutes (after three minutes, eighth day); lasting some time, in a few minutes, relieved by breakfast (ninth day); for a few minutes (twelfth day), followed by a sensation of heat in the chest, soon (thirteenth day); in a few minutes followed by feeling of heat all over the chest, and an oppression of the chest therefrom, afterwards the heat was chiefly on the right side of the chest (fourteenth day); burning in the back of the throat soon after the dose (fifteenth day), followed by a feeling of oppression in the right chest, causing an inclination to take a deep breath frequently, which relieved the oppression (sixteenth day); burning in the throat in a few minutes (seventeenth day), 1.
Stinging at the back of the pharynx, as before, very soon after the dose, followed by a very slight warmth of the chest (twelfth day), 1. [10.]
Slight peppery, stinging pains were felt at the back of the pharynx in a few minutes (first and seventh days); less (eleventh day), 1.
Warm, peppery feeling in the pharynx and anterior mediastinum, followed by warmth of the stomach radiating through the chest (after ten minutes); it passed off in about half an hour, ending with a feeling as if the liver were excited, which proceeded to a sensation as if the bowels were about to act, like that which is often felt after breakfast, a meal which he had not taken (ninth day), 1.

STOMACH

Poor appetite for breakfast (eighth day), 4.
Qualmishness, in the evening, removed by supper (twenty-third day), 4.
Qualmishness, when moving about indoors, relieved by sitting still; afterwards, when writing, it recurred now and then, at 11 A.M., again at 8.15 P.M.; relieved by eating a plum (fourteenth day), 4.
Feeling of qualmishness when walking, lasting some time, about noon (seventh day), 1.
Sick feeling at 3 P.M. (dinner being delayed), (ninth day), 1.

ABDOMEN

Hypochondria.
Severe stitches in the liver, for five minutes, at 9.30 A.M. (thirteenth day), 1.
Violent stitch in the liver when walking uphill in the evening (tenth and seventeenth days); when walking in the room (twelfth day), 1.
Tightness of the region of the spleen, about 9.15 A.M., for half an hour (twenty-third day), 1. [20.]
Slight stitch in the region of the spleen when rising from sitting, followed by some feeling of uneasiness, then; at 10 A.M. (ninth day), 1.
General Abdomen.
On one occasion he had a sensation as if a long worm were writhing in the region of the transverse colon or transverse duodenum (he felt this before, when proving Caladium seguinum), 1.
Iliac Region.
Throbbing in the left groin for two or three minutes, about 2 or 3 P.M. (fifth day); in the right for half a minute, at 6.30 P.M. (ninth day); in both , chiefly in the right, at various times, mostly in the afternoon and evening (ninth and tenth days), 1.

STOOL

Difficult stool, arising from painful spasm of the anus, which was continued during and after the evacuation; fæces small, lumpy, slimy at 7 P.M. (seventh day); (thinks he noticed the same three days before). Small, lumpy stool, with prolapsus, for ten minutes, though there had been no straining, at 11 P.M. (ninth day). Slight prolapsus after the stool in the morning; offensive diarrhœa, preceded by considerable griping, first in the upper, then in the lower abdomen, followed by slight prolapsus, rendering sitting uneasy, and going off gradually in a short time, between 9 and 10 P.M. (sixteenth day). Feeling of action of the liver, followed in a short time by griping and a considerable amount of offensive flatus, then offensive diarrhœa, after which the feeling of the liver passes off, followed by slight prolapsus, rendering sitting uneasy, and going off gradually in a short time, between 11 and 12 P.M. (seventeenth day). Offensive diarrhœic stool, followed by prolapsus as yesterday, at 10 A.M. (eighteenth day). Offensive diarrhœic stool about 11 P.M., preceded by uneasiness of the abdomen, followed by slight prolapsus as before; in half an hour the uneasiness returned, but was not followed by stool, as he expected it would be (twenty-second day). Offensive diarrhœic stool, preceded by slight griping, and followed by prolapsus as before, at 10 and 11 A.M. (twenty-third day). Very offensive diarrhœic stool, of dark liver color, preceded by some uneasiness in the abdomen, but no prolapsus, at 6 and 8.30 P.M. (twenty-fifth day). Feeling as if diarrhœa would come on, followed by a very small diarrhœic stool, at 9 and 11 A.M. (twenty-sixth day). Very scanty, diarrhœic stool, with slight prolapsus, at 8 A.M.; moderate diarrhœic stool, no prolapsus, at 2.15 P.M.; scanty, diarrhœic stool, followed by slight prolapsus, at 5 P.M.; occasional feeling as if diarrhœa would come on all the evening (twenty-seventh day). Feeling for some minutes as if diarrhœa would come on, but no stool occurred all day (twenty-eighth day). Slight diarrhœic stool, no prolapsus, at 8 P.M. (twenty-ninth day). Ordinary stool, followed by prolapsus, for an hour in the evening (fortieth day). Daily diarrhœa, with prolapsus, weakening him very much (after two months). Diarrhœa returns at lengthened intervals (for five months). At uncertain periods he had an inclination to diarrhœa, as though it was coming on rather suddenly, with a sympathetic sick feeling and increased saliva; at times, also, a peculiar seething sensation in the region of the spine, sometimes from the occiput, to the loins, sometimes to a less extent; sometimes this goes off without diarrhœa, but rarely; usually it is followed by dark-brown, watery, mucous discharges, sometimes mixed with solid fæces, sometimes offensive, sometimes with blood, mostly in the afternoon from 4 to 10 P.M., sometimes more or less griping before stool. If it lasts two or three days there is prolapsus, which goes back very gradually, returning with the next diarrhœa; if replaced within half an hour, the bowel generally prolapses again. If diarrhœa lasts three or four days, and sometimes even less, external piles appear, not returning with the prolapsus for the last two or three months (after ten months), .

URINARY ORGANS

Urine hot during micturition (ninth and tenth days); slight heat of the urine in the evening (sixteenth day); heat of urine more in the forenoon (seventeenth day), 1.
Considerable increase of urine from noon till midnight (seventeenth day), 1.

RESPIRATORY ORGANS

Hoarse voice (thirteenth day); (also noticed early in the proving), 1.
Hoarse voice soon after the dose (thirteenth day), 4.

CHEST

Feeling of warmth, which seemed to radiate from the stomach through the chest, gradually subsiding in ten or fifteen minutes (seventh day), 1. [30.]
Sensation of heat in the chest when riding in an open carriage in the evening (first day); also (part of S. 8), 4.
Feeling in the chest as if the lungs remained partly inflated, causing a sensation of fulness; worse in the evening (ninth and tenth days), (this occurred before, early in the proving); same fulness all day (twelfth and thirteenth days), 1.
Feeling of constriction in the left side, about the upper part of the heart or arch of the aorta, as if the part were constricted into a smaller bulk; worse on walking, about 3 or 4 A.M., and gradually going off in the course of the morning; this symptom has been present for about six days (twenty-third day); worse at 3 or 4 A.M. (twenty-sixth and twenty-seventh days), 1.
Slight constriction in the left chest on waking at 7 A.M. (twenty-ninth day). Same at 7 A.M. (thirtieth day). Extending across to the corresponding part of the right side; latterly, a feeling of tenderness on pressure has been added to the constriction, becoming more and more painful each day (thirtieth day). It appeared again in the left chest; worse in the early morning before daylight; after rising, it went off in the course of the morning, reappearing now and then in the evening (thirty-ninth day). Worse in the early morning, going off after rising; the part felt tender to pressure; in the evening it returned, but without the tenderness; soon after lying down in bed it increased, almost amounting to a pain (fortieth day). It went off in the course of the morning (forty-first day), 1.
While writing, a pressing pain occurred at irregular intervals in the right chest, just above the nipple; worse on stooping or bending forward, lasting about an hour, at 3.15 P.M.; in the evening a similar, very slight sensation in the left chest (N.B. Right-left), (twelfth day), 4.
Oppression of the chest (part of S. 2), 4.

HEART

Slight throbbings in the region of the heart for five minutes (after ten minutes, seventh day), 1.

BACK

Peculiar seething sensation in the region of the spine, sometimes from the occiput to the loins, sometimes to a less extent, 1.
Prickings in the back during the act of stooping, and when rising from stooping (fifth day), 4.
When kneeling, a sudden pain in the lumbar region, which seemed to stop the breath for a moment, at 8.20 A.M. (twenty-first day), 4. [40.]
Sharp pain in the right lumbar region, when stooping or taking a deep inspiration, at 10.35 P.M. (twenty-ninth day), 4.

SUPERIOR EXTREMITIES

On becoming warm and perspiring, rheumatic pains came on in the right arm, just above the olecranon, in the tendons of the triceps, felt on bending the elbow (thirteenth day), 1.
Rheumatic pains in the right elbow-joint, just above the insertion of the triceps, worse on motion (eighth day); in both elbows, just above the insertion of the triceps, worse on motion (ninth day), 1.
Rheumatic pains in the lower third of the right radius, worse towards evening (ninth and tenth days), similar pain in the lower two-thirds of the right radius at 11 P.M. (twelfth day), 1.
Pain in the radius, heat of the urine, throbbing of the groins, and seething of the lymphatics gone (is this the effect of onions eaten the previous evening, or of the repetition of the dose?) (eleventh day), 1.

INFERIOR EXTREMITIES

Seething sensation in the lymphatics of the right leg, at times, from the foot to the groin, as if the circulation were felt; afterwards, to a less extent in the left leg, also; chiefly left from the foot to the knee, only when sitting down, and worse in the evening (ninth and tenth days), 1.
Sudden sharp pain about the middle of the right tibia, which was afterwards tender to touch, at 5.15 P.M. (twenty-seventh day), 1.

GENERAL EXTREMITIES

Felt tired when walking, though I could usually bear a great deal of exercise; at noon (fifteenth day). Unusually tired after walking in the afternoon (eighteenth day). Tired when walking, slightly so in the morning, more so in the afternoon; it disappeared after a meal (nineteenth day). Tired when walking in the morning and first part of afternoon; after sitting for a few minutes this feeling went off, but returned soon after I began to walk again; towards the end of the walk, the fatigue was felt chiefly in the thighs (twentieth day). After dinner (2 P.M.) felt tired, and at first somewhat sleepy (twenty-first day), 4.
Great sense of fatigue, after walking a mile and a half, at 1 P.M. (seventeenth day); slightly tired when walking in the afternoon (nineteenth day), 1.
Great restlessness all night, tossing about half awake and half asleep (twenty-fifth night), 1. [50.]
General feeling of malaise all day (seventeenth day), 1.

SKIN

Two hard, white, itching, vesicular pimples, with a clear spot at the centre, as if from fluid, one on the internal malleolus of the right foot, and the other between the former and the metatarsal joint of the great toe; the itching was worse in the evening (ninth day). They are red; one has a red areola (twelfth day). Dying away (thirteenth day). Dying slowly, only itching when rubbed (fifteenth day). Often hurt by the boot when walking (sixteenth day). Gone (twenty-third day), 1.
A pimple just under the lobe of the right ear (thirteenth day); much smaller (twenty-third day), 1.

FEVER

Chilly and sensitive to cold at 10 P.M.; this feeling went off after going to bed, having lasted three-quarters of an hour (twenty-third day). General feeling of chilliness at 11 P.M.; when undressing (half an hour later), it was increased to a general violent ague shivering, with chattering of the teeth; it lasted more or less till the next morning, and was not followed by heat or sweat (twenty-fifth day), 1.
When walking, perspired much more than usual, in the evening (seventh day); in the morning (thirteenth day), 1.
On two occasions I did not perspire as much as usual when walking in the hot sun, 4.

CONDITIONS

Aggravation.
( Morning ), Early, constriction of chest.
( Forenoon ), Heat of urine.
( Afternoon ), Towards evening, pains in radius.
( Evening ), Fulness in chest; after lying down in bed, constriction in chest, sensation in lymphatics of leg.
( Bending forward ), Pain in right chest; pricking in back; pain in lumbar region.
( Deep inspiration ), Pain in lumbar region.
( Motion ), Pain in elbow-joint.
( Rising from sitting ), Stitch in region of spleen.
( Walking ), Qualmishness; stitch in liver; feeling in chest.
Amelioration.
( Breakfast ), Burning in back of throat.
( Cold water ), Burning in back of throat.
( Eating a plum ), Qualmishness.
( Sitting still ), Qualmishness.
( Supper ), Qualmishness.

Euphorbia Amygdaloides