Lachesis muta

Volume III — Main text

LACHESIS. Venom of (probably) Lackent muim, curucucu (see Brii, Horn, PMrnnmn, aub ywoA. I. Proving!,— , a. Her INC. Effects of 1st and and trita. aai

symptoms felt during trituration : — A kind of ecstasy, as after ___

impressions or excessive joy, throughout d., he constantly wishes^ talk and do much, and even more seems to be at his command (aid d.)^^ next d. great exhaustion of mind and body ; it seems to hun ' ' d. that he had dreamed everything that happens, only st different ; great sensibility, soothing poetry moved him to imi weeping, was obliged to cry for joy (for a great many d,), — after crying, pain above eyes ; in e., with physical laxity, sleepincaa «i inability to sleep, without sitting up he talks a great deal, withes tell stories, constantly goes from one thing to another, during tl however, he recollects himself and soon knows when he has mixed : distorted anything, he then corrects himself, but repeats same mistake thus he is tormented half the e. (ist d.) ; great inclination to he o

municative, extraordinarily vivid imagination, therewith extremely impatient at tedious and dry things ; the more cause for fretfulness, the greater inclination for humour, jest, satire, and humorous fancies ; so great apprehension while riding m open air that it seemed to him some evil was impending, it torments him for more than an h. (after 3 to 4 h.) ; mistrustful and thinking evil ; towards e. very unusual almost crazy jealousy, as foolish as it was irresistible (after 6 h.) ; violent scornful mood, without being vexed ("ist d.) ; very remarkable and persistent indifference and forgetfulness ; increased power of originality in all mental work, increased activity of fancy, scenes and occurrences throng to him in an unusual amount ; no sooner does one idea occur to him than a number of others follow in quick succession while he is writing it down, so that he is unable to finish the record. Vertigo while sitting after walking (znd d.) j rush of blood to head and vertigo after a satisfactory pasty stool (3rd d.) ; much rush of blood to head (3rd to 7th d.). Beating roaring, m. after waking, in r. car, in very frequent attacks, it disappears on shaking finger in car, but soon returns, especially in e. (5th d,}. Sudden fluent catarrh in e., with much crawling in tip of nose, lachrymation, and pressure in inner canthi, of short duration (ist d.). Itching in nose when eating (3rd and following d.]. Very peculiar scraping- burning feeling posteriorly on palate, immediately on breathing the dust while triturating ; salivation while thinking about the sensation in throat ; the mouth is watery, sometimes more, sometimes less, as if it came from stomach (ist and 2nd d.). Pinching pain deep in throat, in small spot on r. side of pharynx, not aggravated by swallowing, worse on pressure (after I h.), returning from time to time (ist d.), but worse in e., when it also affects larynx ; constant pain on empty swallowing, not on swallowing food, for a month ; throat is very sensitive to external pressure (immediately and later, even for a month) ; throat and neck are so sensitive to the slightest external pressure that everything about throat is distressing, no position is comfortable. Little appetite (1st d.), lasting a week; all appetite in m. has disappeared (7th and following dj ; the usual hunger in m. fails, otherwise very well (4th d.) ; remarkably little desire for smoking immediately, and 1st d. *, all inclination to smoke disappeared in a great smoker, though without aversion to it, for a week ; thirst for oeer, with complete loss of appetite, in e. (1st d.) ; increased desire for wine (but the wine produced less effect than usual, in one accustomed to it) (ist week) \ heartburn in c. after smoking ; nausea with eructations ; sudden nausea, hiccough, gulping, and eructations, at last so severe as even to amount to vomiting of air, this increased to an excessive degree, and lasted for J h., then relieved (after drinking tea in afternoon of 4th d.) ; pain in pit of stomach when pressing upon it, for over a week, with diminished appetite. In m., large quantities of loud flatus, through d. frequent small quantities (4th and following d.) ; a fasting sensation, as if hollow, in abdomen at meal time, without appetite (xst d.). Anus feels closed ; spasmodic pains in anus internally, a short time before and after stool (6th d.) ; long-continuing smarting and burning, after usual stool (13th d.), Diarrhcea every e. for a week, preceded by transient

pain in rectum, followed by beating as with a little hammer in anui ; sudden diarrhcta, with great urging, about midnight, thin, put]r» excessively offensive, ammoniacal (ist d.) ; pasty diarrhoea in na. (and d,} i scanty, smooth, clay-like stool ; blood it diicharged while pretsiag after a very copious evacuation (nth and i2th d.) } stool delayed from m. till e., after pressing there was only a scanty, luiaatis&ictory evacitt* tion (ist d.) ; the stool conntantly close to anus, but only flatut puies (3rd d.] ; no stool (ist d.), — delayed, occurring only after smoking scanty and pasty (2nd d.). Frequent and increased urging and nktvrition, urine daric and frothy (3rd d.), afterwards ume, only lighter coloured ; dribbling micturition, a few m. after he was again ODli|^ to pass small quantity, with much pressure (for a week). Very Strong erections in forenoon (2nd d.) i very much increased sexual dcfir^ without amorousness, — when controlled, it caused great inclination for mental labour (2nd week) ; amorousness in m. on waking, with pain in loins and much bruised feeling (6th d.) i amorousness after.middn nap (4th d.) i emission at n. (very unusual), with extraordinary voluptuousness. Secretion of mucus in larynx is diminished, while in nose and ^fauces it is increased (2nd and following days) ^ larynx painful to touch (ist d.) ; after midday nap trachea seems narrowed, no mucus can be loosened as usual (xst d.) ; increased hoarseness wliile apesjdngi voice will not come because something in larynx preventa it, wl^S cannot be hawked loose, though mucus is brought up, — lastii^.a loos time, from 5th d. ; constantly obliged to take deep breath from time to time for several d., especially while sitting (3rd and folloiring davs) ; acts somewhat upon larynx, so that it is not only very sensitive, but it seems as though it would suffocate him, it also increased the pain in back of throat, in e. (ist d.). For several d. much impediment to deep breathing from time to time, especially while sitting (3rd —J following d.). Pains in loins after midday nap. Acute tearing in bones of wrist, at intervals, on side of r. little finger (2nd d.} j.die hands, which were benr by contraction of the tendons, began to piin if she attempted to sew ; constant stitches, deep internally, as if pn '^^ bones and cartilages of wrist and metacarpus, also feeling as if ■oiiico" thing were crawling in them, renewed by paroxysms (3rd and fblkHKUg days). Thighs and knees feel bruised in e, ; swelling of licet IblloiriM redness of them, with fever. Great exhaustion and weariness in c* sleepiness, with inability to fall asleep (ist d.) ; restlessness drivf*B him into open air^ he desires to accomplish much, and begins many things & very great inclination to lie down, sitting is almost intolerable (6tho!!)i feeling of weariness drives him to sleep early; feeling ot /aintncnj feels bruised in m. after waking, also after midday nap} feeb vciy much bruised, with pains in his loins, between shoulders, and in spine, after sleep (6th d.) ; feels beaten whole d. (ist d.}. Small red pS^ here and there on fingers, which itch very much (4th d.) i a'srartr elevation on back of 1. middle finger, after some d., following itcUiw vesicles, it afterwards disappeared, leaving a scarj a small group oTflat warts appeared on outer side of 1. thumb (9th d.), remaining jj^ ^ year; many itching vesicles on outer margin of r. hand, with v^Jmtuous burning after scratching (during 2nd weeic) ; itching in sev^ial

places between fingers, where, after scratching, hard, shiny elevations appear, followed by small vesicles, with burning and tension, often lasting a week j small itch-vesicles here and there on fingers (4th and following days) ; small ulcers on elbow j itching, especially on thighs (3rd d,) ; pain as if a pimple would form between outer canthus and temple, on 5th d., disappearing 6th d. ; itching in face about eyes and on cheeks, relieved after scratching, from m. till e. ; violent itching, as though an insect had pierced the flesh, in a very small point on instep. While obliged to wait for dinner he was attacked by spasmodic yawning, became pale and faint, had to sit down quietly and eat something, when he felt better ; sleepiness without being able to sleep ; very sleepy in forenoon, after walking in open air, sleeps for some h., during which he dreams constantly, it seemed as though the dreams had consisted solely of very important things, though everything was forgotten on waking, — he woke refreshed (2nd d.} j one e. does not think of sleep, the next e. overpowering sleepiness ; very wide awake before midnight (ist d.) ; after going to bed sleepy he is unable to fall asleep, becomes wide awake (ist d.) ; goes to bed early on account of weariness, legs and knees seem bruised, yet is quite unable to fall asleep because he cannot get into right position, everything seems to cause pressure in neck and throat (ist d.) ; wakes very early in m. after falling asleep late the previous e. [ist d.) ; constant dreaming at n., frequent waking, and again dozing and dreaming, but he feels well in m. (3rd and other days) ; many dreams, though he woke very early (5th d.) ; verj' unusually joyous, humorous dreams, or poetic dreams full of inventions, during midday nap j dreams every n. with reflection,! only somewhat diminished after two weeks (7th d.) ; during d. he for^ the first time remembers his dreams, it Seems to him as though he had dreamed of everything that happened to him, and more also which for the time was forgotten (7th and following davs) i amorous dreams j lascivious, disgusting dreams whole n. (6 d.). She was obliged to lie down whole d. on account of feverish coldness without thirst, heat, or sweat, in e. some smalt pustules on elbow which had previously existed had matured (2nd d., repeated 3rd d.); shivering over back (ist d,^ ^ an agreeable feeling of warmth in e., neither internal heat nor only in the skin, but a feeling as after a cold bath, or as after coition (ist d.) i palms of hands, soles of feet and abdomen are very hot whole e,, with sleepiness without being able to sleep, fanciful imaginings, sensitiveness of throat, cannot endure bed-covers or night-shirt (jst d,),

h. On another occasion, — excited mood whole m. (2nd d.) ; in e. very wide awake and talkative, only somewhat checked by a very trouble* some and persistent prcssive-shooting pain near point of r. scapula, towards spine, deep in back, as if something were sticking in it, worse by paroxysms, obliging bending backward and also taking deep breath, not affected by breathing (this continued for a week, recurring specially after long sitting) ; pain in small spot in throat at side of larynx, but somewhat posteriorly ; increased appetite, but after eating he was obliged to lie down j sneezing and fluent catarrh late iii e. (2nd d.)j stool pasty^ every d. somewhat later, so that, occurring at first in m., it after a while occurred in e.,and then again in m., and so

on (5th and ftUlowing dtjrs for & week) | mat sexual dcsfre amorouuiett (lit d.) ; dreuu oonitaac and mj^ing, with f^mji waking all through n.,yet be awakes early, jnd nsci refreshed (fu d.l. c. From 30th. — DeprcMon of spirits, with chilliness \ deprcsfcd and anxious, with shortness of breath { bKomci easily peevish and mi^ trustful, believes himself intentioiuilly injured bf afl about him, and attaches the most hateful significance to the most innc»cent occurrence* ; he sits up late at o. at mental work| wiih grcae activicy ; he b impdlcd to productive work in e., altboush he h^d been much fjtigucd duiini d. he sits up all n., wiithout sU^tcst slctpiocs& or cxbausciou, writei with greatest freedom and increased vigour about everything that he knows, new things conitantlj throng on his mind. — al&o next d,^ after very little sleep, he is just aa exated, it only graduafly dimimihei without subsequent reaction of mind (recurring in repeated proving) ^ constantly obliged to ray attention lo hri spelling, in a language in

which he is usually fluent; fbrgetfiil and indiJ^rcnc. Contusion of 1

head i vertigo after rising; vertigo as suon at he goes into street i ■ vertigo so tmit he must mAd on to somt^thing, especially after stooping; ^ tensive pain in head^u if a string wen- drawn from nape of neck above ear internally to eyes, on coughing ; rush uf blood co head, with flicker^ ing before eyes ; rush of blood to head, wtth bcatmg'ro4r«ng in carj headache extending into root of nose ; he,id^chc« with vertigo in e. i deep internal headache; headache in K (rontil eminence^ deep internally, as if connected with ear, it is also painful externally on pressure, as if bruised, in m. ; traiuient drawing from 1, temple to forch^ul » stitches in 1. temple and side of head; very painful dmwing frotn one spot above r. ear to vertex, recurring 5 times with iriCcrvaJa of aome seconds, an h. after eating; sticking in vertex and temples, as with knives and forks, extending through whole head, with caurrh and stiffness of nape; headache on vertex u if beaten internally* worse on external pressure ; 1. scalp painful to touch. Blue ringt under eyes, in m. ) pain in both inner canthi. Pain in small spot, when couched, in petrous bone behind ear; during toothache ear is cold, and whole head feels so to htm, though it is warm, — external heat 19 pleasant ; contractive pain deep within 1. ear, on inserting ear-spoon it i» painful as if swollen ; tearing extending ftom sygoma into car ; itching in ears ; can bear no wind in ear. Sneezing, together with mucus in throat i thin water from nose, in m. ^ nasal catarrh comes on in afternoon and is fully developed by e., with much sneezing \ many symptoms end wttb coryza ; coryza with soreness of edges and tip of nostrils, which tatter continues some time ; short-lasting, fluent catarrh (in one who had not had one for years), at first for only few m, in m,, then in c, lasting longer, whereby all the headache, lachrymation, and stoppage of bsis disappeared, and he felt free ftom trouble ; inability to hai^^^^^k catarrh (yet has a constant or very frequent incomplete catanA of nose fin man of 45, for first time in his life) ; some drof from nose ; a few drops of blood ftom 1. nostril, after borii linger j blowing of blood from nose, and bloody streaks in ; m. nose is very much stopped (disa(^>earing after blowing '« Sranous pieces, but afterwards returning violently), in e. ttO|

9*

less ; itching in nose on sitting down to eat. Accumulation of water in mouth ; water runs from mouth during violent cough ; most dreadful caste in mouch, quite intolerable, which makes her think of acrid poison, though she had never ulcen poison^ somewhat coppery, makes teeth dull^ causes nausea, more in forepart of tongue, which there seems thicker and worse during eructations (in hysterical woman) ; salty taste of mucus hawked up. Tenacious mucus in throat that he could scarcely raise; hawking of mucus only in e. after tea, instead of in m., and so much that it seems as though abscess had broken ; hawking of mucus, and extremely disagreeable taste, almost like saltpetre j dryness in throat without thirst, — at n. on waking sticking as with a thousand needles, that threatens to suffocate her ; dryness in throat that impedes swallowing i pain in r. side of throat, always extending to car i pain in !. side of throat, extending to root of tongue, jaw, hyoid bone, and into ear, so violent in m. after breakfast, that he was beside himself, therewith tongue was sore on I. side, with sticking here and there, gum was inflamed, all teeth painful, 1. side of face and lower jaw swollen and sensitive to touch, pricking and sticking at small spots in thighs and legs, disagreeable taste, loss of appetite^ and bad sleep } throat and larynx are painful, even on bending head backward ; burning in 1. side of throat and pit of throat ; throat seems somewhat swollen, as if two lumps as large as the fists came together, only on empty swallowing, not on eating, which latter, on account of this sensation, seemed to do good i soreness of throat, and also somewhat in pit of throat ; soreness internally on both sides of throat in m. ; sensitiveness of throat as if sore, as often after taking cold, with pain in 1. side, worse in e. j feeling of great rawness in throat after exerting it ; eating relieved pain in throat, causing an agreeable tickling ; bubbling in throat, above r. clavicle, also in r. foot, near great toe ; difficulty of swallowing saliva, not of food ; swallowing prevented by dryness of throat ; if in c., on lying down, anything touches throat or larynx, it seems as though he would suffocate, and the pain is much worse. Feeling as when obliged to wait very long for food, without real hunger \ longing for something, he knows not what, he took at last a swallow of water ; though he has very good relish for food, yet takes very little, it seems as though he did not need more ; longing for neither food, wine, nor tobacco for a week, he was accustomed to wine and tobacco daily ; at times very good appetite, at times none ; eructations and rising of food after eating ; such eructations after dinner that he almost suffocated, they occurred as often as 50 times, followed by great relief j nausea in m, J nausea by paroxysms, for 5 or 10 m., in forenoon and afternoon ', nausea after dinner -, feeling in stomach as if obliged to wait long time for food ; burning in stomach and hepatic region, stomach distended, with itching in epigastric region, abdomen distended, hard as if from eating much, while walking was obliged to stand still, feeling as though a stone were in upper abdomen and in pit of stomach, which drew downward as if it would break away, so that he was obliged to step carefully, — feet became swollen while sitting, and were cold though burning, therewith offensive odour from mouth, which he did not notice himself j pressure as of gieai luAiii ^^j^vm^^u

after eating, relieved by eructations and emifsion of flatus, but tbe pressure continues ; pain, slight, but very disagreeable, when pw^a^ag upon pit of stomach. Painfulness in 1. side, near pit of stoiniclii clothes around hypochondria are very annoying ; much maifa£uig in abdomen, colic and emission of flatus^ after eating;, in e. j itiy much flatulence , much flatus with loud noise, uerewtdi ■an seemed closed, so that she was obliged to press it out ; eviscerated! feeling in abdomen ; pain in abdomen in afternoon i burning mnd cut-ting in abdomen, with pressure to urinate ; fulness in abdomen.^ siter eating; contraction in abdomen. Protrusion of rectum after stool | protrusion of rectum, which is thick and proportionateljr twollcn, without great pains, — ^afterit is, with diflSculty, reduced, the anus is ap^smodically contracted ; determination of blood to anus, with haemorrhcsds, diarrhoea-like ftool, and increased itching in anus ; burning diachwxe from anus, 4 times a d., preceded by cutting colic and urging to ttooT; he constantly feels flatus at anus, though he presses out only smsQi short emissions from time to time ; burning in anus during « stooliaKso after stool ; spasmodic pains in anus and rectum internally^ Ibllowat hf natural stool ; urging to stool with the fever. Acids, even firuit, after Lachesis easily cause diarrhoea ; stools more frequent than uaiul (is one inclined to constipation) ; pasty stool every forenoon i no ttoM, only a somewhat thin, watery evacuation (2nd d.) ; some mucus^ so acrid that it is painfully discharged from rectum, with voluntary pressure ; intolerable odour to the stool, which, as usual, was somewhat hard, the odour was scarcely endurable, like asafbetida, but much wont (like putrefying snakes) ; the flrst dose caused constipation, the tcrtrnd an evacuation ; stool delayed every d. ; scanty, pasty stool^ in m.,,theD omitting 1 d. ; no stool for several d., with very good appetite, oa account of which abdomen became hard and distended ; no stool for 3 d. (immediately). Much and frequent micturition, urine frothy. Unusual erections during d. ; want of sexual desire and inability for coition, or very late emission of semen, erections too feeble, for several weeks -y emission during the midday nap ; difficult emission of semen ; semen possesses a penetrating odour. Diminished secretion of mucus in larynx ; it seems as though something should be hawked up, which cannot be loosened ; larynx and whole throat tender to touch ; a feeling as if something were swollen in pit of throat and >vould suffocate him, it cannot be swallowed, with soreness in throat; aooMh thing hinders speech^ is hoarse, must hawk constantly; cough while drinking, or after drinking ; cough worse after every sleep [in patient with mucous phthisis) ; pressure on larynx caused cough | short hacking cough ; dry hacking cough caused by touching throat, also occurring in m. after n. sleep, and from smoking with a stopped cararrh, with blowing of nose and sneezing without relief; a kind of mtclina seemed to be low down in larynx at n. during sleep, in only f^v \ paroxysms, followed again by ordinary breathing, in turn followed 'b9~ similar paroxysms, so loud that it awoke his wife, who aroused hntt' whenever it was repeated ; shortness of breath and great prostration i respiration constricted, after eating a little. It seems as though win * Occurring in very many cases when given in various diseatcft. ^

rose up into chest, and became fixed there, relieved by eructations ; burning in chest at n., with pains in sternum ; pressure upon chest, as if it were full of wind ; heavy dull pressure in whole of chest ; oppression of chest during sleep ; whole chest seems sore, as in violent catarrh, extending to between shoulders, especially after eating; pains in 1. side beneath breast. Palpitation. Tensive sensation as if tendons in 1. arm were too short on stretching it out straight, extending through whole arm to middle linger, in which it is most perceptible ; stitches externally benrath r. axilla i jerking in 1. hand and leg in afternoon while sitting ; visible pulsation in large portion of ball of 1. thumb, very disagree.ible, afterwards with slight jerking in whole thumb, frequently recurring and lasting a long time, and continuing to recur for a long time ; violent cramp in the calves at n. towards m., so that it wolce him j sensitiveness of balls of feet on stepping upon them j painful surging back and forth in toes ^ crawling and heat in toes of one side. Sudden jerking together of whole body, starting from below, while sitting; always after sleep, so stiff that he could scarcely stir or move, rubbing and stroking by another person did him good, and soon entirely removed feeling; indolence and heaviness after eating; weary, sick, dejected, with fulness after eating; great weariness on going out in e., the accustomed walk seems endless ; at meal. time, while walking in street, so weary that he could scarcely proceed, yet he ate but little ; weakness after supper ; suddenly, towards e., deathly weak, with insatiable thirst, dry mouth, became pale and distressed as if about to be attacked by a violent fever; physical, not mental exhaustion; physical exhaustion and weariness, with mental excitement ; great physical and mental exhaustion, especially in m. ; transient faintness, with nausea, vertigo even to falling down, and vanishing of sight for 2 or 3 m. during breakfast, during d. frequent attaclcs as if it would return ; great inclination to lie down, especially after eating ; became very sick after drinking wine, also after strong beer ; faint-like sensation of trembling ; feels bruised ail d. ; always after sleep, m. or n., bruised or stiiF; weary, bruised feeling, with catarrh, cough, sore-throat, m. nausea, rumbling in upper abdomen, &c., as often in warm spring weather ; great longing to go into open air. Sore spots became fungoid, dark red to brownish, with whitish spots, burning on wiping; red burning spot on thumb, followed by a large hard vesicle; itchmg on lower legs, obliging him to scratch, red wheals appear; after incessant itching there appears a round, red, very hard lump on back of middle linger, lasting long time without vesicles and without suppuration, there slowly forms a small deep point of pus, of which very little exudes, only on allowing hand to hang down there is a sticking pain — 6 weeks later, after a blow on the lump (which had almost entirely disappeared), it bled unusually profusely; a large number of small flat warts suddenly appear on hands (of one who already had several large ones), which do not disappear ; small pimples on face ; small pimple on outer portion of r. thigh, around which for some distance it is extremely painful ; eruption like nettle-rash over whole face (26th d.), it disappeared and returned ; itching hives on legs ; erysipelatoid eruption beneath I. eye, which Hrst itched at n., when she was wakened with fright about

trifles, in m. the sfa'n beg^ to redden and swell, and beciinc wqfk after mid-day nap, next m. very thick and red, with inccs»ant itchii^ scarcely to bie eniduredy whole lower lid was swollcji, red, and itching preceded and followed by beating headache on srooping (rhu» relieved} ^ itchine-buming and vendct on hands and Angers ; amall clear vcsvdei on r. fourth finger; violent itching on r. heel, afterwards on both heck, then on r. hanifand fingers, on top of foot, and toes, always wone aM burning after scratching, followed hy small, h;ird, white, occply acaiei vesicles ; small itching vesicles on liaclcs of both feet j groupsof deep hard itch vesicles on r. hand i a large boil on heel, with violent shakiiig chill on formation of nutter^ caused by very slight rubbing of ahoc, ta one whohadneverbefbrehadanythingfike tcfaficr K weeks) ; ulccrarion of a nail after a bruise i a sliahtly browntsh-rcd areola about an oker became blackish blue; old ufcer scars reopened^ after a blow the epidermis easily loosened and would not ag;iin heat, suppurated, ihca vesicles formed and epidermis loosened all about, the open «po(s were dark red^ looking like a flat sponge, here and there whittah, bumius after wiping ; bleedine of ulcen which then became cleaner ; pain in and about a scar remaining from a Bstula on the thigh healed the year previous } burning in ulcere at n., so that he was obliged to rise aod wash them with cold water ^ itching in face and hands. Spas^rrvodk yawning in m. ; aleepy in e<^ inmicdiatcly after supper, with much weariness ; so sleepy after dinner thdt he could scarcely keep up m spite of pressing business, contrary to his habit he slept for i b*, afncr^ wards the troubles in abdomen wrr« worse ; she could alcep while walking and standing; she Itrs constantly slumbering, as if stupefied, after pains have passed olF^ diflicult frilling asleep for a week ; partial sleep full of dreams ; wakes very early in m. feeling well ; dreams with reflection and thought, and of the many occurrences of the d. ^ tn htt dreams he possesses an intrieMing character (which while avrake was in no wise the case); troubles increased after each sleep. ChiQy, indolent, and prostrated, was obliged to lie down Hat on the ground near fireplace, which made him feel better ; shivering during rhe hcati single paroxysms of shivering ; it seems too hot at n.^ itleep very restless i first much thirst, then zftsr ^nmc shivering, lingering heat without thirst, during which he desires to be covered, several such attacks in oi. and during d., especially in c., at times transient perspiration (afrcr several weeks china relieved) \ every c, feverish, hot palms and Isoccer nape, during which the rubbing of other people is extremely beo^ ficial ; feeling of glowing warmth in skin of chest ; swcJts too easily; sweat too easy and too profuse. {JPlrkungtn da Sehtttngmgijus^ '^37-)

%. Staff, from 30th dil. Livdv without %ny chu«c; lii^rly, lorial, and unusually communicttive, eren wiih cit^grrcEibtc feeling ot' hiloeui; very eottlr frightened, with sensitivtrneis of bram i eittremdr irrit^Me ; jit titne% ran only ^hrnt of some fancied worry ; peevidhnt" (transient) ^ hrtaki tnio a rage ikmf ■ ■ ** ' *

of being very busy, witDout the slightest peneverancci gladly sht fi longing for sunuKDient without, however, experiencing ennui, with about which he himself laughs j ennui with trembling of whole hodyt work ; must force himself to attend to business (later action^ j inabilQi thought, not the least persistence ; Tery distracted, while icidmg, witfaoa trains of thought ; weakness of memory, so that it was difficuU to yKf

what was ^aid to him ; it became extremely difficult to listen to othen, though hit hearing wa^t not impaired the words ju-it spoken teemed obliterated } complete Tosh of consciousness at times, with cold feet, it returned as soon as tec! became w:irm. Drawing, jerking, tensire sensation in bnnes of skull and cheeks, also in lower jaw j ru-sh of blood to head, with painful pressure under whole skull, he wa^ conscious of every diseased tooth, though they were not painful, blowing ot bright red blood from nose, with drawing ^en^atioa in nose and frontal sinuses and under whole skull as if water had been injected into itj deep internal headache j pressive sensation beneath skull as from taking cold after going out, ai>sociated with nausea, it comes and goes, very much aggravated by stooping, the pain aJtemates with heat i heavy spot m middle of head, that goes back and forth as he moves head j nrcssivc sticking pain in r. side of head; heaviness like lead in occiput, can scarcely raise ir from pillow in m. after waking, with vertigo { numbness and crawling on I. side of head, ft* in whole of I. side, — e. and next m. ; round painful spot in centre of head. Feeling of numbness in concha with good hearing, without roaring, and on pressure it is also felt in inner parts, afterwards followed b}- habitual painful pressure and heat ; extremely sensitive to noises i roaring in ears, usually associated with cold feet, very often. Drawing senution in no^e and frontal sinuses and beneath whole skull. He has exiremclv suffering look, face sunken, and as if he had been uo nights, till fourth week. Itching drawing in some teeth of 1, side; transient stitches in front teeth ; burning on tongue from ordinar)* water as precursor o( hoarseness and rawnei^ in throat. Slight swelling of throat, soon disappearing (later) j hawking of mucus with rawness in throat after nap in daytime; pressing feeling low down in throat which causes salivation if he thinks of it ; throat raw as if sore, in trachea by sternum there seems to be inflamed painful lump, this feeling disappearing after violent hawking of mucus. Food is relished without real hunger, it is hastily swallowed; a certain aversion to food with hunger j longing for wine without feeling of exhaustion; stomach almost always digest!) well, but meat fried in butter causes acid and bitter risings ; painful pressure in stomach, immediately afterwards clawing in anus extend, ing inwarti; flatulence first 14 il., not afterwards; pain Jn abdomen coming from smalt of back ; fulness in abdomen, especially durinz first 14. d. ; lulncss in abdomen in m. on waking; painful hzmorrhoidal drasvings from anus to umbilicus; painful constriction of anus; painful transient drawings, now in one, now in other side of anus ; pres^iure in anus both painful and pamlcss. Apparent necessity for stool, without result, during first period ; stool soft, pasty, never slimy. Burning urine, with hard stool (later action) ; red sediment in iiriitc, it is never burning and never very turbid. Red spots on glans penis, margin is congested in t\vy places; red pimple with itching beneath margin of glan^ penis (4.th d.) ; profuse secretion beneath prepuce; frequent transient amorous thoughts, without slightest physical excitement ; emission at n. (4th, 5th, and 6th d.) with vivid and somewhat disagreeable dreams, but without any unnatural admixture of imagery, with complete waking, and weakness following only after some h. Hoarseness and rough throat, preceded by burning on tongue ; tickling cough, tickling is at one time in larynx, at another in chest, at another apparently in cardiac orifice of stomach, mucus is at one time round and grey, at another tenaciou:^ and yellow, at another watery, almost never at n., always associated with secretion of mucus from nose, cannot get rid of it for } weeks; every contact with open air causes violent tickling cough accompanied by expectoration of mucus, it lasts from 5 m. to i h. (later action). Oppression of chest, suddenly disappearing ; oppression of chest in e. during sleep, alternating with clawing in amis, with cola feet. After stooping he could with difficulty become erect. Stretching of all limbs; weary pain in all limbs, commencing in knees and elbows; painful drawing in knee and elbovs*, extending downw-ard; fixed pain as from sprain in I. knee and elbow which does nut disappear; pain in elbow as if bruised ; hands feel dead on rubbing them (on dorsa), from 6th d., while washing them rapidly after eating, it goes off during 3rd week, but again shows itself a few times in 5th; pain in all joints of 1. hand, as after violent exertion, on waking; extremely painful tearing like a fi..rtiblc extension of nuiH-Ies of r. hand, it refuses its service on attempting to hold anything; fingers are white, without stiffness, all d, ; numhnesK of tips of all fingers, first of r. then of 1. hand, ;ilio in 5th week, without Cessation, especially violent in m.; fLtiffness ot Joints, cannot bend them except very slowly, afterwards roovenKiits are frequently rapid and active, often uncertain and

clumsy ; creaking in 1. knee ; cramp in knees on wiking ; inrolcnblc dimwing ui 1^ lasting a long time; linwing in I. ankle from leg; nnmoncH and ciawUag inr.toa; pain in few toe«, 3n after walking all d,, with neat of them, preceded by cold ftkL Muscular lax ity, exhausted by motion and the mokC moderate cjuitumj nwHJoo ii very exhausting throughout proving ; he is obliged to do eveiything very r^adtf, bolt.« hi> tuod, and aftcrward<> ik unable to remain fitting; avereioa to mnriwi. decided sen^tion of weaknex^ in m. in bleeps on awaking gencnl aick ftcUngt Btf|Bb feeling uf lead in occiput, can M:arce]y niitc head from pillow, al) chc joum wttm spraintd, pressure in hmall of back and fulness in abdomen, after § h. cverytUu disappeared, afterwards repeated in less degree ; teeling as if ymnlywed, ruiwnr' bcM feet or cluac hands, at times only on 1. kide j slight touch is iBtolcrabIc» almoM pan him into a rage. Crawling in fingct^ and calves; crawling in r. ahouldcr, tipper araiB and beneath shoulder; crawling and pricking in 1. hand and toctp eapcciaw tmIhi in latter, at times in whole I, side from vertex to toe*. Ovcrpoweriiur uecniwM before and after eating ; frequent inclination Co sleep at midday (liter HrK wtck)| during Arst week, sleep in forenoon ; necessity of sleeping before duuicr« at tiaKi quite irresistible, this sleep did him good (duiing lint j weeks) | alecp loiiiid lad refreshing, even if he wakes with bad feelings; was several timet unable to fiitt asleep, during 3rd week; restless sleep, heavy m. sleep, gets up unwjlfariyi dreamt that a person very dear to him had died, he awoke wcepinrj, loofc^d aCoat him with conviction that he would see his ghost, without expencncmg fear. CoU calves and knees, at times only on 1. side ; coldness of feet eve^ d., at tunca paittloIlT cold, after which heat sometimes follows: crawling in 1. calf, with cold feet and Uf "• * • -' ■ ■ ■ It

cold ankles; febrile heat, fulne^k of head, drawing in some teeth and in face, eyes gli»tening, indicating exhaustion, with pain in knees at if sprained, aect d. febrile heat with same symptoms, and in addition irritability, extremely icatk uncomfortable symptoms as in a kind of grippe (influenza), during tbe attack toration consisted of tenacious grey mucus, the d. following some catarrh with orga<>m of blood, restlessness, anxiety, pressure upon cnest, vioJeata ^uancfiMi^ morose, for several d. he involuntarily speaks louder and more distinctly dian vn^ thinks clearly and expresses himself well, but has no mcmorv, doc* not hear or understand what others say to him (later action) ; disagreeable news cauaea the matt violent orgasm of blood, still he is at last master of it; heat in earsg perspintioa Oi feet i immoderate sweat of feet, toes are quite wet in m. in bed; sweat of Att f«T much diminihhed, feet are warm, but not unpleasantly so (later actitm). (11^)

1. Bute, from 30th dil. Dilatory, he cannot accomplish his busJne'ka a« u^ual: cannot perform anything in an orderly manner; unusual confusion as to iimr, dattd everythmg the 26tn, when it was only the 6th, and on Wednesday he askcii whetha it wah Saturday ; makes more mistakes than Ubual in writing. Vertigo in c ; venlm with reeling and attacks of loss oi' consciousness, as if he would be attacked or apoplexy, 2 e. in succession; pressivc headache with nausea, and wiili slerpiaess; pressive heavy sensation in forehead, with nauseous vertigo, ahcr drinltine wme* violent throbbing abo\e 1. eye. Eyes feel stifTj feeling as though dust h»d got itxtn eyes ; inability to open eyes, with heaviness in forehead. L. nostril % intcrnatS^ somewhat swollen and painful, woisc on repeating dose, at last a M:ab 00 pitu^ spot; catarrh, with unusually great stoppage of nose; bleeding of nose, tHJck, djifk* red blood. Feeling as if gums weic swollen ; salivation, with burning in throat. Unusual longing tor oysters, and they agree well, tor several e. ; eructatioiii of sii (soon) ; violent pressure in stomach after eating, with feeling of weakneu in k&ecs* Pains in hepatic region ; much flatulence. Two stools in m., after the Mools weakness, with continued desire for another btool, without result (i»t d.). Prc^urc Ja bladder and penis, with frequent need to urinate ; constant pressure in region of bladder and in urethra; constant sticking cutting in forepart of urethra; sticking m urethra ; sticking pains shoot from place to place, from small of back to IWcr Cperhap* also to kidneys), and thence downward to urethra ; sore pain in urethra, m ^repwt of penis, in 3 persons. During the heat as of orgasm oi' blood, he i& obji|re^to loosen the clothes about the neck, there is a sensation as though they faind^rrd the circulation of the blood, with kind of suffocative feeling. Cramplike pain in precordial region, causing palpitation, with anxiety; palpitation causing aniticty {moc after a dose). Sticking m upper back ; constant pressive pain between scapulje *tA in che&tj sticking between scapulae j constant simple pain in sacrum and cocdHP

Stretching of all limbs; painfulness of all limbs, feeling as if beaten on motion j gnawii.g pain in all limbs. Pain^ in hip and thigh, lasting into n., with pressive heaviness m forehead, so that he is unable to open eyes j pain in muscles of r. thigh, as after a blow or bruise, after drinking wine, and also renewed thereby; teeling of weakness in knees after eating, with pressure in stomach ; stitches in knees wnen walking, Wcakne&s after breakfast j feeling as though body were overwhelmed by a di»integrating tendency, with sinking of all the lorccs j he is in a sutfering, emaciated condition, very weak and prostrate, and constantly inclined to rest^ tremulous sensation over whole body as from anxiety, without real anxiety. Sleep prevented by iteming; sleepiness after breakfast; unusual sleepiness in m. after breakfast, with great prostration, stretching, and much spitting of saliva. General sensation of coldness, with actual coldness and longing tor fire. {Ibid.)

^ Bauer, from 30th dil. Dilatory, disinclined for any mental work. Confusion of head (after 1 h.), with heat and violent congestion (after 1 h.), lasting till afternoon ; venigo, with reeling towards 1. side, in m. inmiediately after rising; vertigo with pressure in eye»; rush of blood to head with confusion; rush of blood, with heat in head ; headache, first over whole forehead, afterwards becoming more concentrated towards 1. frontal sinus ; headache over eyes, extending to root of nose (after X h.), and lasting nearly all d.; headache in 1. frontal sinus, as if sore; pulsating pain in r, temple, that extend* into r. orbit ; two transient stitches in r. side of head, as if starting from a scar on that side (immediately); tensive pain in r. occiput, afterwards cxtendmg to orbits and down into nasal bones ; tension and then drawing pains in an old scar above r. car, at n., as though it were painful on sudden and sharp changes in the weather ; painfiibiess of whole I. head ; painhil sensitiveness in I. temple from vertex dipwn, and in 1. half of face, when touched, or on moving the muscles, as, for example, laughing, chewing, &c., a sensation as if skin had been burnt by great heat of the sun, which was not the case, lasting j d., gradually disappearing. Eyes seem to be thicker (swollen ?) than usual, even to other people, they look as though one had been weeping, e. ; pressure in eyes, aggravated on moving them, as ihoug;h orbits were too small ; pressure in and above eyes, also skin of forehead is painful externally to touch ; itching In and about eyes, with heat in them, in afternoon and e., was obliged to rub them a great deal ; violent itching in 1., with pressure in both eyes and dizziness, disappearing after coffee. Violent sneezing for about 1 m. (after 3rd dose), frequently (immediately after 4th dose) ; catarrh, dry in c., which next m. on waking had disappeared, with burning in upper lip, — in n. towards m. again some catarrh, which on waking disappeared ; some drops of blood from nose on blowing it in e. ; a spot just above I. ala nasi painful to touch without anything being visible ; itching in nose, in e. Hot lips. Drawing in second upper r. back tooth, which wras sound ; gum of two lower back teeth is painful ; gum '» painful from warmth in mouth ; very transient prickling feeling on tongue Immediately ; transient pain on curtain of the palate, while yawning ; accumulation of water in mouth. Slight pressure in throat at times. Diminished appetite : no relL-vh for smoking j eructations of air; feeling as though heartburn would occur (after a few m.) ; pressure in stomach at n. and in m. ; so that he was obliged to rise up and at last stand up, relieved by profuse emission of flatus, 3 n. in succession. Stitches in 1. hypochondrium ; transient stitches in hypochondria from r. to I. side. Jerkings in anas in cjulck succession. Urine of strong odour, with perspiration in axillx. Some jerkings in penis; testicles seem quite hard, with relaxed scrotum; increased irritability of sexual desire. Larynx feeU obstructetl by a foreign substance ; pressure in larynx. While riding in a carriage, pain in chest and tickling in larynx, provoking hacking cough ; bubbling sensation in chest some jerks in chest. Painfulnessnf 1. scapula, as Irom adull pieiuure. Heaviness of^ limbs. Sudden stitches in tips of fingers. Some tearing in 1. tnigh, from above downward ; jerking at times in I. thigh, after ^ h., with painful drawing in 1. lee, from above

-f.

downward ; pain as from sprain in r. knee ; gouty drawing pain in 1. knee while sitting. Drawing in lower legs from above downwards. Inclination to lie down ; feeling of weariness. Eruption on 1. upper lip ; small pustules filled with matter on r. brow and face; biting in various parts of skin, as from ants; sticking, itching in various parts of body; itching as from burning nettles on 1. thumb and index-finger^ followed by formation of two pimples, as from insect bites (though there had been no tn>ect), with violent burning alter scratching, lasting 3 d. Steeps over

VOL. Ill, 7

9«

uiuml time ; rcitkflt ikcp snd mtny Jrtaiti«» with mxicty ; many rirvafiM oT h'm with an uurioot feeliu u though nomr rvil had bipptntJ t<A hint ^ «lff«|i natwi. Diiiffree^le fteling ofwvnith over whole body wichoue penpinuuMk, in c ,* tWiMig. unelRng penpintioD in axiUsa ^oiellrng like nirfic. (/£i/, )

$. BtHLlRT, from soth dil. Vrnigo whilt xittiii|f (i>t; tkodacbr mihJw| into nose; fine- and dccp-itickitig h^adacbe | h<adarbc m forrhrad, at rime* < jrh d,)^ writhing in forehead above r. eyr (ist d.) { nmJdim nhuoting in forrhead (followtd bf throbbing headache diat ihe ban uftrt) hxrl r'ormrriy) « Tcarmg.aickinn ia forcbeaJ,

acrocs, aboTC eyebrows ) tearms in fofchcul iltovr c^rhruns^lMt u it in tbr in m. (5th d.); tearing cxtciKUn^ upvmrdt from car» 10 temples. S4ttche« ia evn, also hoc burning atitnefi toncthing ihootifrarn brow down into the lA«h<« (jrd 4.1 1 sticking in r. lid from above dawn to ti\c Ushet (ist d.) f hot fttitcbet abooc tnti^Mfif from brows down to lasbes, fim in L» thrn in r, lidc (4tb d.) » ftickeriBir bdRMt eyes as from threads, or mys of ran. Throbbing in bortn tvhind rr} rtncing in «an, and some whining as from inseL-Ui and tcsring j roaring in I, mr ( 1 se di} % wbimo|b as from insects in can (and d.)» it t-cemt. to rvtcrut back into bead I ^th d,}, and rectinues to 7th d. Tcnive borrowing brneath r. no«rrt), t'niloitrti hy biting acniM under nose (xst d.) j tearing from upper part of r. forehrad to dom (rtn d.^. Feeiia{ of stifeeis in malar bone ooodng from ccrrical gtandtt feeling as tboogh WMiwlbJa^ were screwing and burrowing in r. rygoms, al»o in A«ili (4th a.) ( tearing ia ijn^w extendin{^ into ear (7th d.) ) Mrr«iivi»g iKnnLih K car near jaw and in ttcnto-mavoUi as in eiysipelas, followed bymsie ncn^ation on other \itir, e. (4th d.). Fine « tion on 1. side of root of tongue (5tb d.) ^ burning uml dryncM nn palatr, with flbim (after talcing adds) j jpcainic in pakte a it it camr fnim itomach (^tJi d,k I>ryiftcii in throat, with thirst and nausea ; ffeliog so ii ictidons vrtve drawing ihruu n to palate, with pressure as after swillowing LMringetit pran ( ]rd d.) j pmsurc in thrust, as though a plug were in it (after acidi) ; prcmurv in throat ai frnisk wKDethiof ■stringent; preuure in L cerrioiJ musck», especially *tfnio-ma»ioitl, extending upwvd and round head, tike a headache I thrabbine in rronr. in crfvical gianda, alunwjuh extending up into malar booes^ which feel ^ttlF, Burning rfudstioos of dry airt luusea with vomidog and thim ; bui-ruv^ ing ^ from a wrifm in vtoimcli | s^uMMkn ■ though something were drawn up into a ball in iTomich snd mtekiincs, aJmost r«m d. ; pressure in epigastric region, exTendln^ towards br^itt ; prrMitrt in pn of mw^^ while lying dowUi but especially on monng j Urtching fxtrtiding frarn stotnach tv chest ; feehng as though something were griAVring m Kioniach, though withouf v-**^. followed by gnawing in both &idc«, exirnding sctip^ umkt ribs der^ in abdocnm (3rd d.) ; jumping throbbing in pit of nomacb, and extending up unrlcr Hfaa» followed by sensation aa though iomtihing prewcd (ram pit of st<Mtiach trjwndi heart (3rd d.). Sticking in the »td» beneath rib« (tnd d,)^ gnawing on tx«Hi tMn beneatn ribs, deep in abdtmien; tearing in r, of abdomen (7th d,) ; tearing Unm both sides of abdtmien towards middle, deeply seated ( jrd d.) i stitch near r. iliiun rxtrwdipg internally through abdomen and cheKt into 1, nhouldcr, the same also on t,-,

from the 1. below to the r. above (6th d.) ^ gnawing pain in lower portion ji

region, near bone, disappears and returns through whole d. (ano d.), Pr^^urr id anus as for stool, followed by a somewhat soft itool (after vinegar) j thmbbing to anus and small of back. Tickling. itching extending from thtgh« mco graitaK. wnidi became swollen, with a volupruou^v «cn>^tion, acmial desire, and tiUiling, that a cramplike contraction in uterus entcnding into r. ><ide of abdomen, thence MHf breast (in a circular direction), with heat and npprchenMvcnes!^, — tugrthcr with ibaii sensations there is a tickling in anu&^ vrhlch e>xtend:s into re^gioii of kidtitry^, sail thence up to between the shoulders, as if between the «kiti and 6e»h.t Twchtiiiji or turning about in pit of throat (4th — 6th d.). PaJo extending itiward m lowrr portion of ribs ; pressing pain extending from che^t to stomach i stitches through chest abdomen to shoulder j soreness of chest j stitches i» lower pomoa of forrpaLft oA* extending inward (ist d.) j burro>*mg like a wortn in ktrcpart of r. extending towards 1. sideband seeming to be in stomach, afterw^irdii 1 extending from stomach internally upuvard bctv^een the flesh and bones

• In a cold climate, and at a cold time of the year. f She had a similar sensation sereral yean bnbre, which now rMiy| taking Lachesis.

lachesis

chcAt to vicinity of breasts j feeling as though labour pains extended up into the breasts, almtet every d. (cau&iicum relieved) j pressure beneath breaiit, and drawing extending upward (4th d.). Feeling of constriction about heart. Sticking in bade from below upwards (ist d.) ; tearing in Mrapulsr, more in r., alw in >houlders (7th d.) i tearing between shoulders and in cervical vertebrae (4Eh d.) ; pain in ^mall of the back, with yawning and stretching of the arms and legs, as in fever (after acids) ; burning, apparently between the skin and 6esh, seeming as though it came from ^raall ot back, (aher acids) ; sticking* burning in small of back, extending upward ; throbbing in small of back and anus, with drawing in all the limbs. Stretching of limbs and feeling about heart as if it were constricted (after acids); frequent tearing pains in both arms and legs ^'i^h cramp } twitching in arms and legs, and at same time creeping from 1. shoulder to head. Arms so weak that she is unable to to raise them, they fall down again j pains in arms as if internally in bones (after acids) j sudden tearing downward through arms (+th d.) ; turning about in the muKuIar margins of axillte, more to^vards r. side, as in erysipelas (3rd. d.) ; tearing through r. arm, less in 1. (5th d,); stitches from abdomen to shoulder} tearing in bone of upper arm, and outward through flesh (after acids) ; tearing in forearm (7lhd.)j aching in joints of wri-^ts, extending to elbow (6th d.) ; cramp between metacarpal bones of 4.th and 5th fingers (3rd d.) ; gnawing and crawling in bones lad flesh of r. 3rd and 4th fingers, aiso under nails, as though something were boring and burrowing from backs of fingers through and through and upward, but without pain. Drawing extending up legsj frequent tearing in thigh$, extending to the knees, as if in bones j she was obliged to move feet up and down^ otherwise legs would jerk up and cause uneasiness in whole body, together with tearing extending up leg (5th d.) ; sticking in legs with changes of wind and weather ; tearing extending up the leg, with uneasinm in the knees ; leeMng in the r, calf as it asleep, atter^vards in whole leg (7th d.) ; she was obliged to move feet, otherwise legs jerked upward intolerably, followed by fine drawing extending up leg like a crawling; tension in tendons beginning at heel (before a snow. storm) j cramp in forepart of foot j cramplike feeling in foot, which draws up toes (4ih d.) j feeling as though something were g£*tig beneath r. toe-nails and pushing them up ; drawing extending from toes upward ; stitches as with needles in toes, extending upward (5th d.]. Stretching ol the whole body, commencing in the toes and going to the fingers ; tearings, now in one place, now in another, on several d. Red pimples here and there on body, with at limes tickling in them, scratching causes pain, tickling is worse in bed, she is unable to sleep on account of the biting-itching, is Irequently wide awake (ist n.) ; desquamation of skin of forehead, with biting.itching j biting in the lobule of the car, afterwards pimples on it; several small pimples on forehead and checks (some d. after dose); burning in skin (after taking ados); siicking-buming everywhere in skin, especially starting In small of back ; sticking in skin commencing rather deep in fle!th^ and sticking outward through skin ; very fine stitches deep in skin, extending outward through it. Yawning (3rd d.); yawning with streichmg; yawning with nausra, and dryness of throat, as if thirsty. Chilliness in back, commencing in small of back ;cold feeling on r. ankle (7th d.}; creeping from 1. shoulder to the head; a, kind at fever commencing at 3 a.m., — drawing trom the toes upwatd and urging to stool, with frequent soft stool during the whole time, then drawing in r. side and in the anus, extending up into chest and r. region ol kidneys, with some scn&ation of wrarmth, Together with pressure in the chest and sighing (and a prcs^iure about the heart lasting a few d.), followed by chillinc.is and stretching, with some thirst, shaking chill in open air, alterwaitls a creeping from anas up into the head, with dulness, vertigo, roaring in ears, dazzling before eyes, weakness of the arms, crawling about and twitching m flesh, even in bones, together with yellow colour of face,— frequently recurring, always after taking vinegar; a feverish condition always after eating salt things. (Ibid.)

1. DfiTwiLLER, from 30th dil. Giddy pressive headache; headache in forenoon; violent itching on scalp and over whole body. Violent pain in r. eye in a person who had been blind more than ten years, though without pain ; fog before eyes, in e. a bluish*grey ring, about 6 inches in diameter, around the Tight ; a beautiful bright blue ring about the light, filled with fiery rays (znd d.), fiery ring with fiery rays (3rd and 4th d.). Swelling of face with much heat and redness ; burning pains in face ; swelling of cheeks and redness of whole face, repeated after

snd dose. Gantt Uniib red* nvolkn» aad nn painAil ; imvISins of ^noi ol front teeth, with duobbiur |wn in s^ CHBattd.n wu wor«, witii mimtnxawl ihn^ bing ; violent painhal iwelBu of gom of aBterior lower inciKin. jrd d., mappanif on 5tb d. ; gum it piillfitl* with toochacbes uhthou* :uid drnuded »poi» on membnne <n buccal caWtf»pRcededbf baronif pain and rawnrm f jrd d., 6th d.) i burning and thioboing pain in muA (mil d. afirr snd dene) ;

burning in moutb and swelling of Um and gam ()rd d.); violent bomuig mouth and lace i rawncM «i OKRitn and dnnac } diiguain^ bad t^iMc i (jid d.). Burning in throat ; lawncM in throaty without hawlcin jc of rtiu<tt« ; d«fei«li swallowing of Smm and drink, at fran Inndianee m rtgioo of cardiat; oriiice, aonl quantitiesonly can get into ttomach after long iatcrviii. Violrot pain in ngkm ei spleen while driving, obliging him to ttittn out Mnigbt, which affbrded i lialr relief, lasting s d.,but oiuy while so tnTcUing; >>titchr« in 1. «idc rxtcnding iois chest, so that brcadiing was tcit difficok % diMm«ion and tcanng in abdoaacn 6tf 4 h., with chilliness I imolcrabfe point in abdnnieTi with buming msd dfacosin. Disagreeable, drjr, scraping ftelii^ at cpigboit aiiiil vicinity (ist to 4A d.) ^ tMoiwness with burning in throat; pewiratxin diffcolt on account of tiitcbn in thnL Stitches in nape o7neck and in whole bock for 3 d« ^ nicking in r. arm* witlk f«eliag as if it were asleep, with noleiu itching In bodi amts, hipn, and lower Lionb^ dtuppearin^ gradually in 10 d. after and doae^ Pceline as though arms had fallen adeep, with sticking in them; violent tearing in L ihonliur, cxiendiof through arm to tip* of fingers in m. (immediately after and dote, and agam on jrd d.l f tearing in joian of r. ouiDd (4th d.)- Sweiliiig of 1, leg and ftioc, BoiU I inch id divnctcr nmr spine, with violent boming-thiobbing poiil,dii^tK^anng without xuppuratioa i rrchin near 1. eye; violent i^ingonLannj vitrientitamg un hipt and lower limb*. V<n violent general chill, with tearing and dittention of aMrtnien ^ s frt>ril< chttl wita thirst and pain in forehead, in e. {Bid.)

T. Gross, ftom toth diL A kino of lo« of ideai. Headadbe with vomiriai of food ; violent headache, with flickering before cy¥«^ su if ua^ catarrh wo«ld break out ; pressive headache ft»r a d^ '' J*^ ^ eongc&tipD to head, wkh ftickennx before eyes m wonderfol angular jagged i^ict, lolkiwrd by lieadaehc nnd diffic«it hearing; tearing in head; boring and ttickiag on v^rtric. Ey«a becamr wnk, at a disunce he still tee% well, but near very indi^rtnccly, e^pcciaJly in r^^-oo reading flickering before eyet, and letten become imttHtinct. Cracking in ftoal of ears. C^tann and cough with catilT lootrned rxp«cto ration, with nsodifKr heat of head and hands, mm eyet, violent pilpitatian of heartp ra^etbcr with rash over whole body, having i^pearaace of small •tpotH without being c)rvat«d, as large as point of a tun, sleep at n. rettlcat, with moderate perspiration t frrouett attacks of catarrh, wnich, however, did not folly drvrkop t blowmg of bJood frao nose, with troubles in trachea, Verr bad colour of face, and general djacomfect; pain in face, tearing above orbit, widi vomitine pf food* Toothache extending through jaw to ear; ranng, jtfkin^ tearing, dau itkking tci rootiof lower tcctk often extending throttj^ upper jaw M car, poriodic, »twayi aHrr wakinj^ froni sicvpt soon after eating, also ftom warm and cold drinks. Crawling in throat at n,»ca«ning a short, incessant, hacking cough, during d. sore>throai wsa. Mill wur^e. l^inS throat on takine hold of it, extending even to nape of nrck, with sticking al«ny« «i swallowing, and scraping on swallowing bread, as if everything were raw, rogvihcr with dryness of throat, without actual dryness of lortguc. She lavs alt appetite. especially for bread and rolls, the usual milk cau^s naui<ca, yrt fvcrything has a natural taste; no appetite for breakfast; smoking always causes nauKa, fur 16 d. (in one accustomed to it); nausea and pain in stomach. Vomiting i vomiting nf food ; forcible vomiting of all food, with pain in head And ^bdonirn « vomiting of blood; much pain in pit of ttomach, «>nstant nausea^ with <)UAlmithD«s« atid diarrhoea ; she was attacked with the most frightful cramps and paim in stomach every c. at 5 oclook, with violent eructations, retching, and vomiting, though ootv some mucus was railed, also at other timet nausea, with coated tongue ---* stomach ; pressure io stomach, more or less severe, extending fttnn pi into chest, zi if one would be taken with colic, or as if from incaicenl Abdomen distended as if internal parts were greatly dilated; abdom

< In a giri at puberty who was pale, widi lots of appetiML

lot

much distended, with disagreeable sensation as if inner parts or ligaments from (stomach were very much stretched, — on this account she was obliged to wear the clothes, especially about the stomach, very looi^e, otherwise it was very distressing, and even in bed she wa.^ obliged to loosen and pull up the night-dress to avoid pressure, she dared not lay arm across abdomen on account of pressure j a certain tension and flatulence in abdomen prevents her &om walking far ; violent cramps in abdomen during menstruation, it seems as though a knife were thrust through abdomen ; colic with vomiting of all food ; attacks of colic after confinement with return of other previous symptoms} pain in intestines caused by shock of cough. Discharge of blood from anus. Natural evacuation, followed again by diarrfacea ; diarrhcea-like stools 5 or 6 time& daily. A few d. before and after menses urine at first clear, after standing awhile deposited thick sediment like a beaten egg, — therewith peculiar semation in bladder, not exactly painful, but very di.sagrceablc, and associated with a certain desire to urinate. £mi»:$ions 3 e. in succession, which never happened before, followed by decided weakness and even headache j emission several times at n. and profuse sweat ; menses recurred after 3 weeks (they uitually returned every i8 d.). Feeling as though a plug were fixed in larynx, which moved up anl down, with a short cough, is unable to lie down, blows bloody and purulent matter from nose ; if lungs are irritated in any manner, as, for example, by tobacco smokC) a violent irritation frequently causes uninterrupted cough for a m., so that che^t is most violently racked, and all the blood driven to the head and face; spitting of blood ; unable to get breath, must sit up, then rattling of mucus with alternations of coldness and heat in pit of stomach, and general chilliness and flushes of heat, risings into oesophagus with efforts to vomit, whereby only mucus is raised, which collects in the mouth in large quantities (after 48 h.) ; the chest feels swollen, with violent pains in it, dares not touch it at n. ; pains in 1. side beneath breast, &c. A former paralytic and sprain-likc pain in small of back became far more acute; dull stitches (jerks) in small of back on every motion, so painful that they distorted the feature. Limbs stiffly outstretched, head bent back, eyes distorted, for ^ m. A kind of paralysis of I. shoulder in ra. on rising, as from lying in an uncomfortable position, it however continues and afterwards recurs, but especially in m. when dressing and on bending arm backward ; tearing in I. hand, extending into upper arm. A former tearing in I. hip returns j posterior portion of thigh, especially towards knee, becomes painful as if swollen, knee is swollen with intolerable pain, especially in hollow, chiefly on touch; knee is thick, painful on standing, he can scarcely walk, and only after walking awhile is it endurable; tension in knee, stretching It out was very difficult; frequent violent tearing in feet, especially in c., with heat in them. Constant and fatiguing labour does nut agree with him, he soon becomes weary ; weak, ness, especially of arms, — of legs i great weakness now and then during d. ; great weakness in m. after rising', she constantly desired to sink down again, on the slighte?it exertion the arms sank down exhausted, therewith she felt her heart beat, often also in e. she was very weak, so that she could not remain up long ; he would constantly sink down from weakness. Constantly very sick for 10 d. before the menses, constant beating in temples, headache, and cutting in abdomen, so that she feared the occurrence of the menses every moment j after confinement all her former troubles (pain in I. side beneath breast, tearing in r. foot, violent headache, and attacks of colic) became again more violent, though only transient. Papular eruption on r. forearm, afterwards over whole body ; pustules, especially on thighs, as large as head of a pin, surrounded by a red areola, some of them as large as cornea; a red spot as large as band appears on I. shoulder and exudes moisture, small vesicles suppurate and break ; itching between fingef^i and on knees. Great sleepiness after supper, he can scarcely keep awake, and in m. he awakes late { sleeps over the usual time next m, ; he is unable to sleep on account oi' internal restlessness; abdomen and chest seem swollen, violent pains in chest so that he dares not have anything rest on the chest ; sleep at n. restless, with moderate sweat, catarrh, cough, rash ; sleep very restless, on rising in m. weakness over whole body, especially in arms and feet, after bad sleep she rises less exhausted than after good one; he awoke at n. about 1 or 1 o'clock, sleep was so light that he beard everything, and from then till m. he was unable 10 sleep again, therewith he easily became peevish and mistrustful, with no appetite for bread. Soon after dose feeling of coldness in stomach, as if an intermittent fever which he had formerly had would suddenly return ; violent fever every

c. with tov of appetittf and headache, internal chill with external he«, ■■ #. febrile heat which lasted all n. ; moderate heat in head and hawbg with naad frequently very hot hands and feet with frequent violent tearing in latter^ in t.f she doe« not know where she shall put her feet in order to find a slight transient orgasm in chcit; peiyplratioo at n. with catlfTh ud coogh; sweat at times at n. (Ibid.)

1. KuMMER. from joih dil. Vertigo while standing, ^oing off 09 vittingtin ■.; dull sensation in head, with nausea, p.m. { feeling of hninne« in hewl, «t 11 uB-i feeling of fulness in head all d., some headache next d. | presiiuc in fbn^efti | Jmi^ ache in both temples. Some aching burning of ejrei ; aching of cyfcm^ pressure in 1. eye, afterwards in r.; prcuure mi r. eye and r. tide soon afterwards m 1. temple, a similar pain on r. aide of lacei M if in a upper jaw, afterward^ in 1. leg and foot in e. ; presiuie on I. c^ ind r. immediately, in m. ; itching in eyes. Sneexing and rery vudcat ewa

d. afier 3rd dose), lasting several d., at one time noie was qnilc atopped, only one side, and then again open and fluent. Pressure in udc of fi jaw, and head; dry lips. Crawling in a tooth of r. upper Jir} mouth and constriction; unpleasant taste in mouth, like mnu or raste taste in mouth, as from stale fat, without haTing eaten hx. A pniti oa r. throat i hard pressure on both sides of throat ; throat Mk doMedy is tbo thing were sticking in pharynx, can scarcely swallow saliva, after supfwr. i^^nij, ^ n. and next d., food ano drink cause no difficulty, but laliva can tcaroe^ be «ii^ lowed ; difficult swallowing at times ; pressure in r. side of throat, aa fiom ^AbtmI pressure. Nausea and unpleasant feelmg as if poisoned, whole afteimwjau AaiiK pain in abdomen, as if on short ribs, wcM'se on inspirarion ; pecufiar fvefia^ in |, gl^ of abdomen, like a violent tension. Hoarseness, with cougnj altenkatsooa af hm^ ache, hoarseness, and tickling in throat in e. on lying down, and violc together with frequent pains m limbs and other parts j difficult rea|Mnrioa d. Pain in short ribs, first in r., then in I., then in 1. elbow, then cstcndia^ .^ ^>**i pains beneath short ribs on breathing ; decided pain in 1. side ( itildbci in L ^4e ■ chest ; needle-Iikc stitches in 1. side and 1. hand. Pain in iichia. Pain in liiA^ ■ after profuse catarrh ; drawings in I. leg from hip to knee, then in r. am ftw m shoulder to elbow; pains as if pressed from without, sometimes very violent^ "^ "^ always transient, in arms, hands, legs, feet, lasting a whole went,

h d. violent catarrh : jerkine in hands and

itching in eyes and on 6th d. violent catarrh ; jerking in hands and lo«<rer ties. Paroxysmal pains in r. arm like pressing m bones ; pain in elbow, cxtrtidhig to hand ; pain in elbow, as if ulnar nerve were pre»cd hanl fas if nerve we^ir bruised); pain in ball of r. thumb; stitches in tips of fingers. Feeling of wcaiinen in tegs; short, transient, pressive pains in 1. leg, just above knee, afterwards bdow it, exrmdev to foot, afterwards in r. arm and r. ear, in e. while sitting { stitches in r. knrr, in L leg } pains in 1. leg below knee, still more in ankle, at same time in I. ann 1 prcwn in i. leg and foot after headache ; pain in fore part of 1. foot, as if it were pinsed between boards ; occasional pain in all the toes, sometimes of r. foot, somctiancK of L ; stitches in 1. great toe. Pains here and there when coughing ; rheumatic |>aln, fine

I ■niiiiiliBfJB

in I. »iue, men in r., ana riequeniiy aiicmaimg, ai iimei irvm r. to k ana oacx. again, but always in different places, in the shoulder, arm, wrist, hand, lower 1 UmliiM^ knee, calf, foot, and teeth ; some needle-like stitches, often vcir viol< parts of the body. Heat of the facej hands disagreeably dry. (/M^O

1. Reichhelm, from 30th dil. Indifferent and disinclined to work in fiwMMfc fl Confusion in head in m., with heaviness and blowing of blood from nose, with headicAft 9 in forenoon and congestion of head, especially on stooping and walkings in aftrmoeC; I confusion of head in m., with inability to think correctly, does net disappear aitVT &leep, 1 but remains, with weakness in all the limbs, till e. (4th d.); slight momentary verrtgo, at I times, on closing eyes, at 1 1 a.m. (after i h.) j heaviness of head in m., fbUowed by pais J in vicinity of r. eye (and d.) ; rush of blood to head, in forenoon, on stooping, togetlKr .fl with headache on r. side, extending towards occiput (17th d.); rush of blood to hcai

for a few h. in forenoon, especially on stooping, preceded by headache above r. nc (5th d.) } rush of blood to nead in afternoon, immediately on stooping;, ^ffy vloJcat (7th d.) ; constriction of head above ears, and pressure in both temples eo«mrdit eart, not persistent (after i h.) } violent pressing pain and congestion to bead im flb (i6th d.) ; sudden violently pressing pain about upper portion of head, tn e,,

both tetnplM, where he feels every step on walking;* headache near r. eye (4th d.J ; pressure above I. eye in forenoon (nth d,); pressure, quite severe, in 1. temple, usiing the forenoon j i^udden headache on I. side, continuing during forenoon (r 5th d.). Eyes arc painful on reading ^ pitinRiI burning eyes ; pressure about eyes ; aching pressure about eyes, on r. side, extending towards occiput, with heaviness, confusion, and congestion, especially on stooping (md to 17th d.) ; inftammation of r. upper lid, as if a stye would form in e. ; lids of both eyes inflamed, with burning pain, r. upper lid the most, eyes are painful, especially when reading (and d.);^ Itching pains in lids (5th d.), which disappear, but return as a pressive pain in cyet 1 (15th d.) ; burning pressure in eyes thcmselTcs (i8th d.) ,■ swelling tike an incipient stye (that he had only seldom had) in I. lid, like small pimples, but more prominent and not so deep in skin, acute sticking pressure tn r. upper lid, lasting about ) h. j some burning-Itching pain< in the lids.f Cutting pain m upper part of 1. outer ear, not very perceptible except when touched, in e., most painful during ist n., lasting J over 8 d. ; stitch-Uke itching in ears. Yellow mucus from nose and throat, tollowing 1 stopped catarrh d. previou!<, preceded for a week by hoarseness and mucus in throat. Prrssivr pain on r. malar bone, more towards eye, also on r. knee towards inner side (nth d.). Much mucus in back part of throat, then in nose, mostly with sweetish taste (ind to i+th d.) j can endure nothing tight on throat, nausea is at times caused thereby (8ih d., and lasting 1 week*). He awoke at ^ a.m. with general nausea and 1 oppression of the chest, pressure in stomach, and, after an h., violent romitingyi followed by some colic, afterwards again violent spasmodic vomiting, at last ^ vomiting of bile, with transient vertigo, accompanied by profuse sweat,— from 6 to 9, diarrhoea 4 times, together ^vith burning in urethra on urinating, followed next d. by general weakness and pressive headache ; feeling of emptiness in stomach in afternoon, and hunger, though he had eaten well at dinner; peculiar feeling of emptiness in stomach at n., although he bad eaten a good supper ; pressure in pit of stomach (afterj I h,), associated with dniwing-pressive sensation downward into abdomen towards^ umbilicus, painful to touch, lasting about 4 h., with feeling of warmth in chest. Tensive pressure beneath pit of stomach, extending towards umbilicus, in the aher. noon, lasting 1} h. Preuure upon bladder to urinate at noon, same repeated next d, in e,, with emission of some semen (or prostatic fluid), which looked milky ^ cutting in urethra ; great desire to urinate at n,, slight cutting in urethra and pressive sensa. tion in testicles from above downward, as if a hernia would protrude, lasting 4 d. Prewivc pain in r, side of scrotum in m., lasting about ij h. (7th d.) j pressing dragging upon testicles, not violent, lasting 3 h, in e. Constant hoarseness (from it\a to 1 4th d.), with much mucus in back of throat and a sweetish taste, — on 1 5lh d. some mucus is loosened, and a discharge 6'om nose takes place, especially in m., — on i6th d. in ra. almost a stopped catarrh, afterwards whitish yellow mucus in nose and throat. Tightness of chest (loth d.) following pressing pains in chest the d. previous ; pressing pains in chest, lasting whole afternoon, together with pressing pains towards stomach ; in e. frequent pulse, and at n. pains in chest (6th a.), — Ktill more on next m., afterwards violent pressing pains. Pulse increased, full and bard, after moderate exertion, with profuse sweat in e. Sensation in I. elbow, when touched, as painful as if a piece of glass were sticking in it, though nothing was to be seen, lasting z d. Pressive pain in r. knee, extending inward. Weakness in m. in all limbs, inclined to sleep, general exhaustion, even to lying down, better after l)*ing down, therewith inactive, sad, disinclined to work, indifferent or gloomy, as after a night's debauch, physically prostrated and mentally indolent (ind to 16th d.) ; sticking sensation over the whole body, loins, face, in c., worse in n., also lasting next d. (after 3 doses). Pimples, especially on hair)' portion of genitals (md d.) ; several pimples on body (8th d.), afterwards here and there on genitals, arms, face, &c. ; pimples on arms \ siicking-huming inflamed tetter as large as a pea on a toe on r. foot that was somewhat exposed to pressure, the pain lasted S h., the spot 3 d. ; pimples half as large as a pin's head on face, with pus, afterwards also on upper lip beneath nose, on brows, and on chest, they disappear next d., but return (also on other parts) for a week; itching on body as from ants, especially on loiirs (i8th and 19th d.) (tollowing phosphoric acid as an antidote), the itching was the same as bad

• After phosphoric acid, inctFcctually taken as an antidote. L t After phosphoric acid. ^

occurred in m former proving, immrHirtriy Jifur Lache<if ; ttklcKa^^.ktdlunr tmt whole bodf, &ce, and waXf, m horn sot^ iih aMcrnoaiit wane at a., acgon>pinM< bf burning pain, and htitang dll mat foroKKm, but then without buraing. lucfcisitiai to sleep, with wcakncM in all fimbi, in fertnoofi (ird ud yth d.). A feefinc if wannth eztcrnaUy in lower dkattf r. iidc^ u from > vttnr* ( i h. aiftcr rl— X ^ extended after | b. as h^ Of as nillii lartlu^ | h., with prctttrT in ■tomach ^ pti ipiratioa profine, with lacrened^ fall, hard puw', iftcr ina:ientv cvrttioo* ao r.«— oa preTious and hUlowiog mominn waa lAyrialty rrlurd, (IHd.)

io. RoBMiG, from ]odi ml. Don not mnvmber vrh»t h2.% jme happcMdi dulne« in bead, to thac bic couU mnembcr nothing that hxd j au happeard, UcU om« fused in head and (tistractcd. Pkonre inwardi in fofthrad, it dUappv^rt in ofMn at and on moving about, but retamt when littini; Mill in houw (» r.>. Bioediiif cf gum ; feeling as of pepper dose oo tongoe^ w^th accuntuktioa of uKira in cnoathi immnliatcljr ; mlivatian, widi biting oo tongue. Niutes an b. ah«r diaorr, and is aftenioon ; nausea at times almost amounting lo vomicinjc, with kind of aTvnBoa t» food, and with beadade, for several d., the nauMt i» very peculiar, a% if it wttt m s tingle place in stomach, extremely disagrrnblc, immediatclr catrnd bj looktng at sugar of milk, even at a globule, and even by thou^hr of it. Puin tnnsrer^x »nw* umbilical region, in m., immediately after lum^i uickmE from within outward, ta L side of abdcnnen in e. Great itdung in anus m m. Tarn "tool its m. (after a few d.). Urine dark ydlow, <rf colour of new ropper coin, mining Imcn ycJIttw, aal depositing cloudy sediment, for sevemi week*. Wane of sexuu desire fisr sevtsal weeks. Stitches in L nipple. Indolent, dfeinclincrd far buiincM or itudy. Pain a« ti burnt on different places on titria, 9t fost ilching^ but nH^r nibhing there appeand mther sensitive spots as large m a shilling, with 4ark blucrrd margins aod dry ecwf ( itching and papuiotts eroplion on elbow.joint ^ itcKinj; vvnr whole bodr^ — (o vwmmi places, especiaUy lower leg and loiu, aim on upper arm, in e. Very tCcvpy in M&tt, noon i falls asleep early in e. (iM)

II. WessILHOBFT, from 30th dil. Impatient, de^irei poiative anvwcrs vrhm this is not practicable | unusually oontentioii^ and obvtiatte, to thit he qu vnU with everything about him { so qoarrebone that ht cLi>pur<i with a mother abc^ut the age of her daughters, and affinns the younger to (k the fldcr i writes a Itrtrer with

mistakes in spelling, without noticing them him^ir(in one who hardly _ _

such mistakes). The tfiroat feda swollen whto cwailowinf;; rawnr&t id thro«t and swelling, painful on swallowing, especially pq drinking i liquids caa»c more dificukv in swallowing than scJid food. StitdMs low down in Tosn part oi 4bd4imcsi. Caa3 in e. ; violent, dry cough in e., with pain in iraclira and harriblc tuee to c»»c!CC«raSa as after eating salt fish. Itching on sides and iLhort rihi towardi umbUtcot, ifi m^ where there are red spots like b^-bites, inrresjcil in «, white walking, still wnne te bed, at same time there are white hives on ). scapula, i!mi involving whole K»>.|r^ j^ next ro. these hives were red (jrd and 4th d,> i i^mdi pimples, not unlike tbv veddcs of scabies, on face. {Bid.}

II. Kbhk, ftom jotk diL Congcsdoa 10 hnd (£th d.), Humtng in eyes (aJFttr Sth dose>; flickering and jerking in r. eyr, with vtolcnt mnerMian to bead, relieved by moving about m open air. Stopped catarrh .tnd dryneu of no^ Frequent eructations of sour water an b. afier dianer. HR;morrhoidaJ troubles, wjjth rush of blood to bead (after Sth dose). Camttpation (alter |rh doae). Frrouettt desire to urinate, without much disduurge^ drawing pains in unali of back, which extend to hips (after 7tb dose^. Larynx aflWted , cough m e. j dry rough in e^ ^^i always with first cou^b a stitch through air-puBa^». Drawing piim in aacnimintolerable drawing m sacrum and down into le^, e^ptciilly noticed in ^b^p* freouently in e. ) dramng extending from sacrum up back j drawjngex- — ^" back to hips, with urging to unnate. Drawing pains in -.houlder Jerkings ; paralysed feeling, espedally in knee-joints, which gradually g, walking. {BitC)

I}. KoTH, from 30th dil. Throbbing in both templci, in na. lasting ^ h. ^and d.). Piessive pain in r. onnt on moving fids ( cth tal frecjuently wipes r. eye, thinking there is somethmg on ball, wiui pn orbit ; dimness of r. eye by candJelight, as if dust were on ball (5th and

• In n hot climatei and at a hot time of the year.

after a new dose ; slight dimness o^ both eyes, more of r. Thundering in both ears. Throat feels swollen always on swallowing, for ^ h., afterwards again pain on swallowing i pressure in throat on swallowing, as if a painful lump were in it j throat feels ulcerated on swallowing. Three watery stools, with burning in anus, in e. (md d.). Stitch through trachea, irritation to cough and dry oough. Pains in small of back, as if lame and weak. Vesicular eruption on 1. nostril. Once in e., violent chill, with chattering of teeth, and a feeling as of trismus. [Ibid,)

1. Matlack, from 3Gth dil. Aching or pressive headache deep in forehead and I. temple. Feeling as if a crumb of bread remained sticking in throat, obliging her to swallow, somewhat relieved by hawking \ audible beating of carotids, and feeling of throbbing in chest and abdomen. Hunger, cannot wait for food ; feeling of great hunger in stomach, as though one had to wait a long time for food. Rumbling and gurgling in abdomen ; feeling of emptiness in abdomen. Soft stools of a bright yellow colour (6th d.) ; a soft hut consistent stool (3rd d,). Frequent micturition. Cough seems to be excited by increased secretion of fluid in larynx. Throbbing in chest and abdomen. Rheumatic pains in posterior portion of thigh. Small red pimples on forehead near root of nose. Sleepiness in forenoon. Burning in palms of hands and soles of feet. {Ibid,)

1$. Db Young, trom 30th. Tensive pain in head, better from pressure. A roaring in it, it feels hot, much sneezing and fluent catarrh and hard stool (after 7tb dose) -J tensive pain in whole head, better in open air and from pressure, with an indolent, hard stool (after the 6th dose); headache, with nasal catarrh, full, hard pulse, and drawings in legs, pain as if swollen in angle in front of styloid process, worse when pressing upon it. L. half of tongue swollen, feeling as though it were effect of mercury, soon after rheumatic pains. Swallowing difHcult, it seems as though something were in throat that obliged swallowing (anter 9th dose) ; swelling of r. cer'ical muscles, painful when taken hold of (after 4th dose). Larynx swollen, sore, raw, scraping somewhat also on pres^ng upon it, at same time is obliged to swallow (after 9th dose), the same on following d. rather increased ; larynx seemis tensively swollen, and swallowing is difficult (4 h. after 6th dose) ; some hoarseness for several d. Stitches in chest ; stitches through chest, when coughing ; stitches in 1. chest, not much worse on inspiration and coughing, afterwards some drawing pain in r. metacarpus, soon disappearing; stifTne^s and pain on pressure at insertion of stemo-mastoid muscle j stitches inl. side of chest, worse when coughing and breathing, together with sticking pains in I. knee, drawing in fibula and doH'n into foot, stitches in r. ankte. Swelling of muscles of forearm, painful when grasping anything, 1 h. after 3rd dose, disappearing during n. ; tearing along ulnar side of I. carpus and metacarpus, extendmg to tips of both outer fingers, it is not so violent on r. side, still worse on snd d.; sticking pains in buth hands, soon disappearing. Paralysed feeling in both recti muscles of thigh, which also (feel swollen, disappearing overnight ; drawing pain, as from swelling, in both knees, a sticking (after i h.) ; crawling pain in r. knee down forepart of tibia to dorsum of foot and toes } drawing pain from both knees to tarsal joints } pain in tarsal bones \ stitches in r. malleolus. After 7 doses symptoms became violent and constant, especially headache and catarrh, he then smefled of Lachesls 30th, whereupon everything was speedily relieved, especially the catarrh, and after 3 to 4 d. it disappeared. Small tubercles on r. forearm (sth d.), these gradually extend over whole body, except face, chest, and abdomen, very violent itching at n. in bed, afterwards ernption assumed different character, partly larger, like nettles, hives, or insect bites, partly, after scratching, becoming like M:arlatinaj or roseola, or prickly heat, and disappeared the and d. (in June). (Ibid,)

i£. Helpprich, from 30ih. Dull headache in forehead i^after and and 3rd b.)< Difficult hearing. Qualmishness, with feeling as if he were very sick, was awakened thereby from a sound sleep, lasting several m. (4th d.). Pain a.s from a sprain in r. wrist, in c., on exerting it (5th d.). (Ibid.)

1. ScHMoLE, from 30th. Sticking drawing pain in r. eye, extending up to vertex, in afternoon, lasting several m., eyes sensitive to light. Whole r. side of throat is in a very painful condition, and slightest pressure with finger increases the pain. Qualmishness and aching in abdomen and epigastric region, as if he would be faint, a few m. after 4th dose, was obliged to loosen his clothes. Pain In aUiomen, in umbilical region, as from diarrhcsa, all d. Urging to stool at times without result, after 3 days -, absence of stool, followed at last by touity «tool after great pressure,

io6

nest m e., even (raring voy iatcmdBg coavcisktioo with hit fritnti* c-»n harShr kr«f awftke; sleepf tne. cnrHcrdMn vnal| very ilecpy in mfteniooit $ dreun* tbv «4dvL concerning oocnntnoet and hMiinPM of d. | drcunft of Maf icmi^d of thrft,^ — itf < hanghtv earl, on whom Iw it detennined to nke vagMiwc, and thcrciojT W hm knives Ijring ready at hand in older to make u»r of thm whtn (he cari comet mt shows himself insolent. (JKO

iS. LiRCBii,from 300. CilarihtV*Hir)^ nvouM nol devr1«n for tong time, at be came on fluent, with Miming t a toitspcH hcnnih the note ttmt MeeA vrrr mmtk. {Ibid,)

1. Dr. H. B. FiLLOwatoofcfcracDugh.Hringofhrrwiac vteNy 5 nclkts of t«ife at ^ a.m., July 4th, tt64. Boon aftfr noon heno 10 fed gfvnt Dcariori» s^ lassitude all through bodv, paiticalar^ in harfc and Up \ thi* fBC*ea%rd in ificnaow, but after supper paitialrf paiaed or. Hctirrd «o«n afier 9; W^ atiU acKrd sU through, but cspecnUly aboot knees. jtb.^^AU wdl till ifrrr bfv«kfa«t, when kA began to ache as cm previous e. { tfiey atto frit <ery hciiry. Smmc lrrling%, tbo«f{h tt less degree, in shoabcn and anna. Gentt^l liuitude vnost marked than vgnewlaf. Felt better after dinner. In c, while w^tking, pain dtrp in L ear, or bctwcea cw and throat, worse when patting temporal and maiBet^ muvlc^ trv trn^ioa t this na soon subuded, and one came Just abosr I. rxtf mal malteo^u^, incrra»icig on ateMM^H and lasting some time. On m and 7th U^itudc- *tiil per«j«Ted, but be othcrwne^^H well. {Am, Htm, Xev., v, 411.) ^™

ao. Dr. MrrCALV preacribed tw a youns lid^, nufermg from chvonSc a dose of I.achesis 30 every n. Ibr 6 n. At tne end of the time ihe rosispUncd nf i new and annoying mnpcom. After taking s or ^ do^i %hc had every rveniiw ftnm about 9 o'clock a little flattering, aetvou!i rough» appirrntty eircttcd by ti^Uiag* the larynx, unattended by paintO^ectoration, or any vymptom of a coM. It cai^st no other time, and ceased 00 her going to i^lrcp. The Laehcii^ waa diaconrmoefL ad [N.Jm - ^

the annoyance disappeared. {N. Jm, Jtmrtt 9/ H»m.t 'it, ijR.)

II. Pnstmngs, — i. TlieioUowbg arc given hy Hesieno as cffWoof bite of snake, LoM of contciouene5», with vomiting and (lurKing ; ksas of consciousneta (2 d. after), with somrwh^it irregular motions of JimbSp covered with cold, clammy sweaty pul^^c small, slow, aJmost imaer< ceptible; lost of coiuciousnest with \o^t. of strength and disappcarafict of the pulse. Vertigo (chronic result) % a condttiun iimilar to mioccation. Expression of pnin in fiice with comai ; face twoUctVi gettctalW puffy; dryness in mouth and thirst. Constant inclination to vomit, with anxiety and oppression of chest. Neither stool nor urine j^ 7 d. (secondary efiect). Pulse iroall and rapid, with hot »kin. Bhtcn limbs became inAamed and swollen. Faintncss and coldncas, so that all the limbs became stiff, and he «ank to the rarth po^vcrlcss (alter 2\ h. he was found as above, and died in spite of all remedies : frotn bite of a serpent^ "boschmeister," similar to the curucucu, in an Indian who had been bitten above elbow). He falls unconicious to ground^ a& if struck by lightning, has an involuntary stool snd vomits ; intolerable pains extending from the hand that is bitten to the chest ; the p1.icr ofrhe bite became gangrenous, hands and Angers became swollen and inscnkible, the inflammation extended to arm, swelling to shoulder, here and there gangrenous blistera (arm was amputated j. Constant $leeplcs&ni^%a,verT much exhausted. Constant fever with dry skin, dry rnouth. apd constant thirst ; dry burning skin, dry coated longue, cc small rapid pulse, weak eyes. (Op, at.)

1. While engaged in a band-to-hand conflict with ydl year, I received a hurried call '* snake-bite." M7 informant was

fifteen miles away to ai a brother to the vl

response to my questions said : " Hain't bin doin' nuthin. Hain't

no whisky on the mountain and hit's a d d copperhead, doctor."

Now this reptile is deemed by all mountaineers the most vicious and dangerous — striking silently, swiftly, deeply, and often fatally. I had never treated a case of this character, and therefore gladly seized this opportunity of witnessing and learning something new. So, turning my yellow fever patients over to a co-labourer, I rode to the cabin of my new patient on the mountain, and arrived about 7 h. after he had received his wound. When I entered the room the pitiable, trembling victim was lying on a couch before me. He was about 21 years old> heavy built, of sanguine-lymphatic temperament. His r. arm was bandaged, and his hand covered with saturated tobacco. Standing by his side I remarked the following symptoms : Trembling all over, rigors, hurried, laborious breathing ; flushed face, eyes bloodshot and suffused with tears, great anxiety, voice tremulous and weak, extremities cold, pulse 1 10 to 11 5, small, jerky, wiry. Laying his hand over his heart, he said : " Here, doctor, I suffer the most. Hit's powerful sore. I know IMl die." Heart's action tumultuous, slight nausea, tenderness over the epigastric region, intense headache, photophobia, severe aching in back and limbs, tongue flat, spongy, with red edges ; much mucus. When I had stripped off the bandages 1 discovered two small^ penetrating wounds on the dorsal surface of the hand, near the knuckle of the second finger, about three fourths of an inch apart, from which oozed a watery substance, and around which the tissues were of a greenish hue, shading off into yellow from the wound. His hand was considerably swollen, as was also the arm up to the shoulder. I was surprised to see in the totality of the symptoms such ^fac-simlU of the train of terrible symptoms I was combating in the city. The case was a miniature mirror, reflecting, as it were, the condition of my patients in the city. With much confidence thought sped along the track of theory to conclusions ; from conclusions rapidly to action, thus: First stage of blood poison \ its similar, first stage of yellow fever. Decision : Aeon, ist, i dr. to 5 oz. water ; 1 tcaspoonful every 30 m. till reaction sets in and perspiration freely follows, then every h. I ordered his hand plunged in as hot water as could be borne -, hot bricks around and extra clothing over the patient. Result : Free perspiration in I h., with great improvement in his condition. Passed n. comfortably, and at 9 a.m., 24 hours from the time he was poisoned, I found him resting easy. A marked yellow tinge of the entire surface, with eyes and tongue deeply tinged ; a general stiffness and soreness with '* tired feeling," took the place of the intense pain of the few hours previous ; heart still painful. The next day he was up, presenting all the appearance of one who had shaken hands with " Bronze John " upon short acquaintance and could not let go ; a deep yellow pervaded the entire surface of his body. A month later I met the patient again. His hand was still puffy, with a general soreness upon pressure. (D. G. Curtis, M.D., /frmr. Hom.^ Nov., 1879.)

Volume IV — Appendix

LACHESIS. (See vol, iii, p. 86.)

I. SI. Dr. Edw. Rushmorb took on ist, and, and 3rd d. 10 dr. of 34th dil., on 4th d. ao dr., and on 5th d. 35 dr., several times daily, ist d. — Transient dull prewure on top of head near forehead ; pressure in r. orbit, in region of supra-orbital nerve, while sitting reading ; slight pressing pain in r. eyebrow on walking across raooi J pressure in I. malar bone while sitting bent forward ; pressing pain in middle of 1. lower jaw, returning for a short time after pressing on spot to fix the place. snd d. — Disinclination to prescribe for patients, would rather read, with dulness in forehead over eyes while walking in room, continuing on sitting down to write ; prenure in 1. occiput behind mastoid process while standing. 3rd d.— Fine sharp pricking shooting across inner side of 1. tibia, about 3 in. below knee, a.m. 4th d. — BonnewEat sharp pressing pain above 1. temple. Pimple on outer margin of 1. nostril, near lip, discharnng yellow pus on being pricked with a needle ; sore swelling on middle of lower lip as if a fever blister would form } could not sleep soon, mind full i>f thoughts ; at midnight disturbed by mucus in throat, with sense of irritation there [had felt a little exposed to cold draught in e.). 5th d. — ^Woke with slight dryness in throat ; still sore swelling in lip, and return of shooting in tibia. Reticed a.<l

II p.m. ; dull aching in I. eyeball soon after lying down, and prickiD| p»mml»l while lying on it ; could not sleep ; about midnight fine pricking burning in I. gtoin,! near superior process of ilium ; arose at a a.m. and read and wrote for i\ h.; tlirtj went to bed and got some sleep, feeling as well as usual when rising U 7 tm. 6th d.— Repeatedly made use of wrong word in writing; pressing pain in I. teiBpl«| whole scalp of 1. side sore to light — not to hard— pressure, thL< seemed to fit abruptly at middle line (continuing several d.) j feeling of weakness and fine »niiri with lachrymation, in 1. eyeball, relieved by closing lids ; sensitiveness of iti I. eyelids on first closing them, going off when holding them together (il?* oa| ing days) ; fine shooting vertically in upper lip below outer border of 1. nortiflj — shooting downward at 1. side of root of penis j pricking, as if in middle off. ribii," front, sitting. (TAe Organon, iii, 185.)