Rock-oil; Stein-oel; Oleum petræ.

The crude Rangoon oil, thin and light yellow, is to be used.

Authorities.

1 , Hahnemann, Chron. Krank-n, vol. 4; 2 , Foissac, ibid.; 3 , Benson, Trans. Hom. Med. Soc. St. of N. Y., 1868, p. 297, proving with 10 drops of 1st dec. dil.; 4 , Schelling, A. H. Z., 83, p. 189, effect of P. 300th given a person suffering from chilblains on fingers, cold hands and feet, and weak vision; 5 , Berridge, N. Am. J. of Hom., N. S., 2, 51, proving with one dose of the 3000th (Jenichen); 6 , Knorre, A. H. Z., 6, 38, effects of external application; 7 , Jellinck, Wien. Med. Halle, 1861 (A. H. Z., Mon. Bl., 5, p. 6), effects of a teaspoonful of P. taken by a woman to break an attack of intermittent fever; 8 , Weinberger, Wien. Med. Halle, 1863 (S. J., 121, 34), two cases of asphyxia from the vapor; 9 , Meyer, Journ. de Brux., 1865 (S. J., 127, 295), effects of a glassful taken for beer; 10 , E. C. Beckwith, Am. Hom. Obs., 1865, p. 363, effects of drinking the refined oil in a child two years old; 11 , same, another case; 12 , Bassett, Am. Hom. Obs., 1869, p. 368, effects of three tablespoonfuls of the refined oil (for lamps), repeated next day; 13 , Muller, A. H. Z., 81, p. 81, about 2 ounces, in a woman; 14 , El Criterio Med. (A. H. Z., 78, p. 151), about a quarter of a pound, in a man; 15 , Humbert, Journ. de Chim. Méd. (A. H. Z., Mon. Bl., 22, 48), case of poisoning; 16 , Gross (A. H. Z., Mon. Bl., 21, 27), effects of a swallow in a man; 17 , same, case related by Dr. Clemens, poisoning of a man, suffering from gallstones, by Petroleum; 18 , same, effects of external application to itch; 19 , Steininger, Mittbl. d. Aertz. Ver. in Wien, 1872 (S. J., 155, p. 13), effect of about a pint, in a woman forty-five years old; 20 , Ziemssen, Handbuch, 1, 459, chronic effects of fumes on workers.

PARAFFIN OIL . Dr. Dyce Duckworth, Med. Times and Gaz., 1864 (2), 650, M. J., æt. twenty-two, worked in the manufactory; he often spilt some on his trousers, and generally saturated the parts over his thighs; his hands and forearms often covered with the oil; eruption after working one week; suffers from bronchitis, 21.

PARAFIN . Alex. Ogston, M.D., Edin. Med. Journ., vol. 17, Dec. 1871, p. 544, effects on workmen engaged in manufacture of P. at Messrs. Miller's Chemical Works in Aberdeen; they have the skin over portions of the body, especially of hands and arms, but also of feet and legs, brought for many hours daily in contact with the P. shale, 22.

MIND

At first an extravagant and exaggerated condition of mind, with internal trembling, followed by sadness and despondency, 1.
He rose up and then got out of bed, 1.
General excitement, 14.
A little wine taken at dinner goes to his head and makes him stupid, 1.
The child becomes fierce and uncontrollable, 1.
Inclined to be very angry every morning, 1.
Angry rage and peevishness, 1.
Violent, irritable, offended at trifles, 1.*
Excessive anxiety, 7. [10.]
Anxiety at the noise of a crowd of many people, 1.
Great fearfulness ; violent shock from a fright at a trifle, 1.*
Fear of death (after two hours), 14.
Dejected in the morning, quiet, with dimness of vision (after twenty-two, and twenty-three days), 1.
Dejected (after twelve days), 1.
Sad and discouraged, and a sick feeling of weakness of the heart, 1.
Very quarrelsome; he is easily aroused, 1.*
Ill-humored, quarrelsome, in the morning, on waking, 1.
Vexed about everything , even at the smallest trifle; he will not answer, 1.*
Quarrelsome, peevish, lachrymose (after a few hours), 1. [20.]
Quarrelsome and passionate, 1.
Fretful and indolent (after sixteen days), 1.
Constant complaining (after two hours), 14.
Discontented with everything, 1.
Out of humor; very much inclined to hypochondria, with a feverish condition, lasting fourteen days, 1.
Very irritable ; everything makes him very disagreeable and gloomy; he cannot be quiet about many things, which usually seem trifling, and with the greatest effort he cannot be cheerful, 1.*
Hypochondriac while walking in the open air; inattentive in conversation, etc., .

HEAD

Confusion and Vertigo.
Confusion of the head, in the morning (fourth day), 4. [40.]
Confusion of the head and general discomfort (after twenty hours), 1.
After eating a little the head seems befogged, dizzy, and confused, 1.
The customary smoking befogs him (after three hours), 1.
Vertigo (after eight hours), 13 ; (after two hours), 14, 20.*
Violent vertigo, obliging him to stoop forward, with paleness of the face and nausea, more while standing than sitting, disappearing on lying down, together with a slow pulse, eructations and yawning, loss of appetite, and pressure in the abdomen, 1.
Constant vertigo, with roaring in the ears, in the evening (second day), 16.
Vertigo and nausea, in the evening, in bed, especially when lying with the head low, 1.
Vertigo frequently while walking, 1.
Vertigo and nausea on stooping, 1.
Vertigo on stooping and on rising from a seat, 1. [50.]
Vertigo on rising up from lying down; while lying down, heat in the face, 1.
Vertigo, seeming to be in the occiput, as if she would fall forward, especially on raising the eyes, 1.
Dizzy, as if intoxicated, 18.
Dizziness immediately after dinner (after nine days), 1.
General Head.
Rush of blood to the head, after eating, 1.
A feeling of a rush of blood to the head, on every rapid motion, that causes a stitch through the brain, 1.
Heaviness of the head, in the morning , with a sensation of fulness and heat in it, especially on stooping and sewing, 1.*
*Head heavy (third day), 4.
Dulness of the head, in the morning, thick, heavy, full of heat, 1.
Dulness of the head, with pain, 1. [60.]

EYE

Eyes sunken (after half an hour), 9.
Eyes glistening (after two hours), 14. [130.]
Eyes staring, glassy, 8.
Eyes staring wildly about (after six hours), 11.
Eyes very dim (after twenty-two days), 1.*
Twitching of the eyes, 1.
Blinking and winking with the eyes, 1.
Weakness of the eyes, 1.
Eyes easily fatigued, 1.
In the morning he cannot open his eyes; vision is dim and misty, 1.
Burning in the eyes and pressure, with dimness on exerting them, 1.*
Burning in the eyes (after five days), 1.* [140.]
Much pressure in the eyes , especially in the evening by the light, 1.*
Violent pressure in the eyes, as from sand, 1.
Pressure in the eyes, in the evening, 1.
Stitches in the eyes and lachrymation, 1.
Stitches extending from the outer canthus towards the inner, 1.
Stitches in the eyes when pressed upon and when not, 1.
Cutting in the eyes on exerting them by reading, 1.
Throbbing pain in the right eye, 1.
Biting and heat in the eyes, 1.
Biting in the eyes, as from smoke, 1. [150.]
Biting in the eyes, 1.
Itching sticking and burning in the eye, 1.
Itching and sticking in the eyes, 1.*
The eyes often feel as though they would be distorted, 1.
Painful sensitiveness of the eyes to daylight; he was obliged to keep them covered, 1.
Brow and Orbit.
Sticking and beating in the eyebrows, 1.

EAR

Yellowish bloody discharge from both ears, without odor, thin, more copious from the left than from the right (after two weeks), 13.
Redness, rawness, soreness, and moisture behind the ears, 1.*
Inflamed and painful swelling of the meatus auditorius, 6.*
The meatus auditorius is swollen, 1.*
Pressure in the ears, with heat (after five days), 1.
The ear is painful externally (from the vapor of the drug), 1.*
Cramplike drawing in the right ear (after seven days), 1.
Cramplike pain in the right ear (after sixteen days), 1. [190.]
Painful drawing and jerking in the right ear (after five days), 1.
Jerking pain in the left ear (after thirteen days), 1.
Tearing in the right ear, 1.
Sticking in the ear (after eight days), 13.
At first, tickling and sticking in the ear, followed by stiffness in the articulation of the jaw, as if it would crack and creak, on moving it, 1.
Cutting in the left ear, 1.
Bubbling in the ears, 1.
Itching within the left ear, with a bloody discharge (after forty-eight hours), 1.
Hearing.
Diminished hearing (after five days), 1.*
Loss of hearing in the right ear, within which is a painful drawing, extending from the eye (after thirty-eight days), 1. [200.]
Something seemed to come before the ear on eructating, so that he could not hear, immediately, 1.
Noises in the ears, at one time as from a clock, at another as from a waterfall (after eight days), 13.
Roaring in the left ear , like a rushing of water, with at times cracking in it, for three evenings (after twenty-one days), 1.*
Roaring, as of a wind, in the ears and diminished hearing, .*

NOSE

*Ulcerated nostrils, 1. [210.]
A pimple in the nose, 1.
Bleeding of the nose (after a few hours), 1.*
Bloody mucus is blown from the nose, in the morning, 1.
A scab in the fold of the left wing of the nose, without pain, 1.
Slight hæmorrhage from the nose, relieving the headache (third day), 3.
Very violent coryza nearly the whole day (second day), 4.
Coryza, with stoppage of the nose (first day), 4.
Violent catarrh (after thirteen days), 1.
Coryza, lasting till noon (third day), 4.
Chronic catarrhs, 20. [220.]
Sneezing, with catarrh in the throat, that provokes cough, 1.
Much sneezing, with sleepiness, towards evening, 1.
Sneezing daily and very frequently, 1.
Stoppage of the mucus in the nose; he was obliged forcibly to blow out at night small masses, 1.
Stopped catarrh and ulcerated nostrils, 1.
A tensive pain in the root of the nose, extending across from one eyebrow to the other, and an ulcerative pain when touched, 1.
Burning on and near the nose (after a few hours), 1.

FACE

Face distorted (after two hours), 14.
Face bluish-red, 8.
Great persistent paleness of the face, 1. [230.]
Face sunken, pale; forehead covered with cold sweat, with sunken eyes (second day), 7.
*Pale (after half an hour), 9 ; (in chronic cases), 22.
Lips cracked, 1.
Lips bluish-red, 8.
Swelling of both lower jaws; painful on stooping and on pressure, 1.
The right articulation of the jaws easily becomes dislocated, with great pain, in the morning, in bed, 1.
Drawing and tension on the jaw, beneath the ear, 1.

MOUTH

Gum.
Swelling of the gum , with sticking pain when touched, 1.*
A blister on the gum, 1.
A black hollow blister by a lower molar, sensitive to water and cold air; the tooth is painful even on opening the mouth, 1. [240.]
The gum between the lower incisors seems inflamed, with sticking and burning pains, 1.
A pustule on the gum, above a hollow tooth, like a dental fistula, 1.
The gum is painfully sore when chewing, 1.
Teeth.
The teeth are constantly unclean, 1.
All the lower, and part of upper, teeth are elongated and painful, as if ulcerating, 1.
Drawing pain in the upper incisors, with a feeling of coldness (after ten days), 1.
Cutting and constrictive pain in the teeth, 1.
Pain in the teeth, as if ulcerating, with throbbing pressure in the right lower jaw, extending to the ear and posterior cervical muscles, 1.
Pressive pain in the right back teeth, 1.
Boring toothache, 1. [250.]
Drawing toothache, 1.
Sticking toothache, as with a knife, in both jaws, most violent at night; she was unable to remain in bed, 1.
Toothache, with a thickly swollen cheek; she cannot lie upon it at night on account of the pain; is obliged to rise up in bed, 1.
Toothache after breakfast, 1.
Tearing in a hollow tooth, from evening till midnight, with a sore painful gum, 1.
Sticklike jerk in the teeth every evening till 11.30, 1.
Pain in the teeth if the open air enters them, 1.
A stitch in a hollow incisor, 1.
Feeling of numbness of the teeth, and pain on biting upon them, 1.
Both canine teeth seem too long, in the morning, 1.
Tongue. [260.]
Tongue coated (after four days), .

THROAT

Constant hawking of mucus, in the morning, with headache, 1. [290.]
He was constantly obliged to hawk up thick mucus, especially in the morning, 1.
Throat covered with mucus, 1.
Swelling of the throat and dryness in the mouth, 1.
Inflammation of the throat, immediately, 15.
Great dryness in the throat, causing much cough, 1.
Dryness of the throat (after a few hours), 16.
Dryness in the throat, with eructations and loss of power, 1.
Dryness in the mouth and throat, in the morning, so violent that it took away her breath, 1.
Stopped sensation in the posterior nares, 1.
Violent tickling in the throat, extending to the ear, on swallowing, 1. [300.]
Violent burning in the throat, immediately, 16.
Sore pain in the throat, and a feeling as if ulcerating, 1.
Sticking pain in the throat on swallowing, as if it were prevented by a fish-bone, 1.
Sticking sore throat only on swallowing, 1.
The throat seems swollen internally, 1.
Fauces and Pharynx.
Burning in the fauces, œsophagus, and upper part of the thorax (after twelve hours), 13.
Constriction of the pharynx (after half an hour), 9.
Sensation of rawness in the pharynx, extending to the stomach (after six days), 1.
Rawness in the pharynx on swallowing, 1.
Scraping and scratching in the pharynx, 1. [310.]
Crawling in the pharynx and nose, as from snuff, 1.
Swallowing.
When swallowing, a portion is forced up into the choanæ, 1.
External Throat.
Swelling of the submaxillary glands, 1.*
Violent painful swelling of the submaxillary glands, .

STOMACH

Appetite and Thirst.
Ravenous hunger frequently, so that she became quite sick on account of it , and was also frequently awakened at night by it, 1.*
Ravenous hunger, but speedy satiety after a stool, 1.*
Insatiability at dinner, 1.
During this trial the appetite was variable, at times could not eat, at others relished a hearty meal, 12.
A nibbling appetite, 1.
No appetite and no thirst, 1. [320.]
Violent unquenchable thirst (second day), 7.
Excessive thirst, 10 ; (after thirty minutes), 11 ; (after two hours), 14.
Much thirst all day, 1.
Thirst (second day), 19.
Much thirst for beer , for a whole week, 1.*
Eructations.
Frequent eructations (second day), 16.
Repeated hot, sharp, sour eructations and uprisings, 1.*
Scraping eructations, even after a light meal (after four days), 1.
Eructations, with pressure in the stomach, after a glass of milk (third day), 4.
Eructations, with pressure in the abdomen, 1. [330.]
Eructations, all the afternoon, after eating, 1.
*Eructations, tasting like bad eggs, in the morning (after twenty-four hours), 1.
Sharp sour eructations, after dinner, 1.
Sour eructations, with weak vision, 1.
Sour eructations , that set the teeth on edge, 1.*
Uprisings of sour water into the mouth, after breakfast, 1.
Tasteless eructations all day, 1.
Unpleasant eructations, 12.
Hiccough and Heartburn.

ABDOMEN

Hypochondria.
Pressure in the left hypochondrium (after twelve days), 1.
Pressure in the hepatic region, 1.
Stitches in both hypochondria, disappearing without emission of flatus, 1.
Stitches in the hepatic region, on some physical exertion, 1.
Umbilicus and Sides.
Violent constrictive pain about the navel and in the pit of the stomach, 16.
Awoke at 5 A.M. with pain below umbilicus; on movement the pain became sharp and cutting, and increased the desire to have a passage from the bowels (second day), 3.
Clawing and biting about the umbilicus, in frequent paroxysms, 1. [400.]
Clawing in the umbilical region (first night), 16.
Clawing in both sides of the abdomen, from below upward, with heaviness in the lower extremities and great sleepiness, 1.
Stitches in the right side of the abdomen, with nausea, 1.
General Abdomen.
Abdomen swelled (after thirty minutes), 11.
Distension of the abdomen, for two days (after three days), 1.
Abdomen wonderfully distended or bloated, 10.
Abdomen very much distended , from drinking a little (after four days), 1.
Abdomen very much distended, in the evening, on going to sleep, 1.
Distension of the abdomen, especially after a meal, with pressure below the pit of the stomach, 1.
Abdomen distended, tense, with indolence, in the afternoon, lasting several hours, 1. [410.]
Abdomen distended by flatus, 1.
Flatulent distension, after a stool, 1.
Rumbling in bowels, at 5 A.M. (second day), 3.
Griping and rumbling in the abdomen, in the evening, 1.
Rumbling in the abdomen , in the evening, 1.

RECTUM AND ANUS

Constant feeling of weakness in the rectum, 3.
Pressive pain in the rectum two days before the menses; she was obliged to bend forward; whenever the body became erect there was a sticking in the rectum, and when walking the stitches increased, 1.
Rectal fistula, 1.
Frequent urging to stool (second day), 16. [450.]
Frequent urging to stool, always with scanty diarrhœa-like discharge, with much pressure, as if there were still much more to pass (after twenty-four hours), 1.
Frequent urging to stool, always followed by a scanty diarrhœa-like discharge, with much pressure, as if more would follow, 1.
Stool evacuated only after much exertion, as if there were not power in the rectum to expel it, 1.
No stool for two days, but much urging; the rectum seems too weak to expel the fæces (after four, and five days), 1.
Stool difficult to pass, with a sore pain in the anus, 1.
Scabs on the margin of the anus, with a tickling smarting sensation, 1.
Burning pain in the region of the anus, 1.
Burning and sticking in the anus (after eighteen days), 1.
Pressure in the anus (after six days), 1.
Violent smarting stitch, extending from the anus over the ilium to the glans penis (first day), 4. [460.]
Itching in the anus, on going to sleep, 1.
Itching of anus, 12.

STOOL

Diarrhœa.
Violent diarrhœa; evacuations involuntary (after one hour), 13.
Profuse diarrhœa, 7.
Diarrhœa, with cutting colic, 1.*
Diarrhœa, with a disordered stomach, especially in stormy weather, 1.
Inclination to diarrhœa and two soft stools (after twenty-four hours), 1.
Diarrhœa-like stool twice, followed by excessive exhaustion, 1.
Profuse mucous diarrhœa (after a few hours), 1.
Free movement; diarrhœic, lightish-brown color, and very thin, at 6 A.M. an; an hour later, had an urgent desire to have a movement, but did not go out, and it passed off; the desire, ineffectual, however, returned a little later. No more movements of the bowels till about 6 P.M., when a natural movement occurred (second day). At 3 A.M. was awakened by an urgent desire to have a stool; movement very free and watery, came with a gush, a little pain just before and after; awakened again at 5 o'clock and had another similar movement; also another at 6 A.M.; at 8 A.M., had an ineffectual inclination to a movement (third day), 3. [470.]
Diarrhœa of much bloody mucus (after four days), 1.
Frequent stools, consisting only of bloody mucus, with great weakness, 1.
Watery stools, with colic, for six days, 1.
Stools watery, containing scrapings of the intestines and blood (second day), 7.
Copious thin stools (soon), 19.
Frequent thin stools, 17.
Soft difficult stool, as from inactivity of the intestines, 1.
Evacuation of ascarides, 1.
Stool soft, but with tenesmus, 1.
Copious, pasty, brownish-yellow stools, 8. [480.]
The child passes blood with a difficult stool, 1.
Mucus with the stool, 1.
Ascarides pass with the stool, 1.
The stool becomes harder in the secondary action (after twenty-eight days), 1.
No stool (first day); two thin stools (second day), 16.

URINARY ORGANS

Kidneys and Bladder.
Catarrh of the pelvis, of the kidney, and of the bladder (second day), 19.
Bladder moderately distended; micturition excessively painful and very scanty (second day), 7.
Violent constriction in the region of the neck of the bladder, at both sides of the mons veneris, especially during micturition, during which the urine often stopped, 1.
Cutting in the neck of the bladder, at the commencement and close of micturition, 1. [490.]
Burning in the neck of the bladder, during micturition, 1.
Pressure upon the bladder; is obliged to urinate as many as ten times in the afternoon; he always waits a long time before the urine passes (after nine days), 1.
Jerking in the urethra, as in ejaculation of semen, 1.
Burning pain in the urethra , towards evening, 1.
Itching in the female urethra on urinating, preceded by urging to urinate, 1.
Burning pains during micturition (first night), 16.
Micturition and Urine.
Very frequent micturition, always very scanty (after four, and seven days), 1.
Micturition twice as frequent as usual and far more than the liquid taken (after twenty-four, twenty-five, and twenty-six days), 1.
He woke two or three times at night to urinate, and passed much urine, 1.
Profuse micturition (after ten days), 1. [500.]
*Involuntary micturition, 1.
Much micturition, at night, 1.
Frequent desire to urinate; the urine passes in a divided stream, with burning pain, and with a tearing in the glans penis, 1.
Frequent desire to urinate, but only a little urine is passed, 1.
Desire to urinate, with burning micturition (first day), 4.
Dribbling of urine, after micturition, 1.*
Offensive odor to the urine; it deposits a red slimy sand that adheres tightly to the vessel, .

SEXUAL ORGANS

Male.
Tearing and twinging stitches in the seminal ducts, especially of the right side (after two days), 4.
Burning in the genitals, with some discharge of blood (after a few hours), 1. [520.]
A smooth red spot on the glans penis, without sensation (after twelve days), 1.
Reddish eruption on the glans penis, with itching, 1.
Tearing in the glans penis (immediately), 1.
A stitch in the penis while urinating, 1.
Itching in the glans penis, becoming a sticking, 1.
Red and moist soreness on the side of the scrotum, 1.
An itching pulling in the right side of the scrotum, persistent, 1.
Itching and moisture on the scrotum, 1.
Cramplike pain in the left testicle (spermatic cord?), with retraction of the scrotum, 1.
Erections every morning on waking (first eighteen days), 1. [530.]
It restored erections and sexual power, for two months, 1.
Frequent erections, without amorous thoughts (after twenty-one days), 1.
Erections at night, without amorous thoughts, 1.
Two emissions (first night), 1.
Emission during caresses (after eleven days), 1.
Emission, followed by anxious heat, in the morning (after forty-eight hours), 1.
Violent desire for an emission, in the morning, after waking, within the genital organs, without flatulent symptoms (after four days), 1.
Emission delayed on coition (after twenty-one days), 1.
Less inclination to coition and less excited fantasies than usual (the first days), 1.
Female.
Soreness near the pudenda, 1. [540.]
Profuse leucorrhœa daily, for several days (after a few hours), 1.
Leucorrhœa like the white of an egg, 1.
The menstrual blood causes itching on the genitals, .

RESPIRATORY ORGANS

Bronchi and Trachea.
Bronchial catarrh, with frothy, wine-yellow sputum of an oleaginous appearance and consistence (after three weeks), 13.
Rattling in the trachea on breathing, in the evening, in bed, 1.
Rattling in the trachea, in the evening, in bed, before falling asleep, 1.
Voice.
Voice weak (after half an hour), 9.
*Hoarseness, in the afternoon, 1.
Great hoarseness, for several days, 1.
Cough and Expectoration.
Cough always on smoking, 1.
Dry vexatious cough that takes away the breath; she cannot cough it out, 1.
Coughing and retching, 8. [560.]
Cough towards evening, caused by irritation, low down in the trachea, affecting the chest, 1.
Cough, at night, 1.*
Very violent cough, only at night, after falling asleep, 1.
Cough from low down in the chest (after three days), 1.
Cough, with scraping in the throat (after four days), 1.
Cough, caused by dryness in the throat (after ten days), 1.
Short cough (after eighteen days), 1.
Cough, caused by scraping in the throat (after nineteen days), 1.
Violent cough and much expectoration for eight days (after twenty-three days), 1.
Profuse expectoration of grayish-white mucus from the pharynx, 8.
Respiration. [570.]
Respiration short and rapid (after half an hour), 9.
Difficult respiration, especially on ascending steps, on beginning to walk, and on loud talking, 1.
Sobbing respiration (second day), 7.
If the child fell down once or hit against anything, it immediately lost its breath, 1.
Dyspnœa, in the evening, for several hours, .

CHEST

Pneumonia on the right side (possibly caused by dashing with cold water), 8.
Very painful cramplike spasm in the chest, that takes away the breath, immediately after eating, in the morning and at noon; stooping relieved, though the difficulty of breathing returned on rising again, 1.
Oppression of the chest , at night, and restless sleep, 1.* [580.]
Oppression of the chest and difficult breathing, more while sitting than while walking, 1.
Pressure and digging in the chest, 1.
Pressure and tightness in the chest, in the afternoon, 1.
Sticking in the chest and constrictive pain in the head on coughing, 1.
Sticking in the chest, 1.
The chest is very sensitive to cold air, and if she sits in it, the chest is very much oppressed, for several days afterwards, 1.
Feeling of coldness in the chest, in the præcordial region, 1.
Front and Sides.
Pressure upon the upper part of the sternum, at night, disappearing after eructations, 1.
Pressure upon the sternum, in the morning, 1.
A griping pressure above the chest from the forepart, 1. [590.]
Sticking-cutting pain in the forepart, from the right side of the chest to the left, if he bends the body to the left (during a meal), 1.
Violent pain in the chest below the arm, more tearing than sticking; it lasts the whole night, after going to bed, 1.
Sticking in the right, then in the left side of the chest, just under the arm, 1.
Acute pressive-drawing pain on the left short ribs, on the left chest, and in the right hypochondrium, 1.
Violent stitches in the side, 1.

HEART AND PULSE

Great præcordial anxiety (after two hours), 14.
Violent stitch at the heart, taking away the breath, 1.
At times, palpitation for a moment, 1.
A kind of palpitation extends as far as the umbilicus, in the evening, while sitting still, 1.
Violent circulation of blood, on slight motion, 1. [600.]
Violent orgasm of blood, in the evening, with a bitter taste, 1.
Violent pulse, especially on walking and going upstairs (after two or three days), 1.
Violent pulse, while walking, with paleness of the face and difficult speech (after nine days), 1.
Pulse 140 (after twelve hours); 130 (second day); 100 (third day); 80 (fourth day), 11.
Pulse excited, 16.
Pulse excited, hard, not compressible, 60 to the minute (in health, 80); afterwards sank to 48 (after half an hour), 9.
Extremely small, thready pulse, 7.
Pulse contracted (after two hours), 14.
Pulse and respiration imperceptible, 8.

NECK AND BACK

Neck.
The right side of the neck seems stiff, 1. [610.]
Heaviness in the nape of the nec k, 1.*
Pressive pain in the nape of the neck, aggravated by the slightest motion, 1.
Very painful distressing drawing in the nape of the neck, extending up to the occiput, 1.*
Pain in the nape of the neck, 1.*
Back.
Spine bent backward and stiff (opisthotonos), 10.
Vertebral column bent backward and stiff (after thirty minutes), 11.
The spine is painful from comfortable riding in a wagon, as from a shock, 1.
Stiffness in the back, 1.
Stiffness and drawing in the back, 1.
Drawing in the back, disappearing on bending backward, 1. [620.]
Heaviness in the back, 1.
Pressure, heaviness, and weariness in the back (after eleven days), 1.
Pain in the back so violent that he could not move, 1.
Pain, as from a sprain, in the back and scapulæ, extending into the chest, two or three times a day, impeding respiration, 1.
Cramp in the back and ribs, with pearly drops of perspiration on the face and arms, for three-quarters of an hour, followed by profuse mucous diarrhœa (after a few hours), 1.
A painful jerk in the back, always on swallowing, also with incomplete eructations, at times also without swallowing, during rest; but always followed by oppressed respiration, 1.
Tearing stitches in the back and left shoulder (first day), 4.
Dorsal.
Pain, as from a sprain and pressure, between the scapulæ, extending forward into the chest, 1.
Tearing in the back, between the scapulæ, so that she could not move, 1.
Lumbar.
Great weariness and stiffness in the small of the back and coccyx, in the evening, . [630.]

EXTREMITIES

Weakness of the joints (after fifteen days), 1.
*The upper and lower extremities seem stiff and without joints, in the morning after rising, 1.
Twitches in the limbs during the day (after seven days), 1.
Uneasiness of the limbs; cannot remain in any place, 1. [640.]
Heaviness of all the limbs, and indolence, 1.
Heaviness in the limbs and weariness in the back, at night, 1.
Cramplike drawing and pressure in the limbs (after five days), 1.
Cramps of the extremities, extending into the toes and fingers, 7.
Bruised sensation in the limbs, in the evening; he does not know where to put them (after thirteen days), 1.
The upper and lower extremities easily fall asleep, 1.

SUPERIOR EXTREMITIES

Shoulder.
Pressure upon the shoulders and in the back, 1.
Frequent jerking in the right shoulder (after eight hours), 1.
Tension and drawing in the shoulder, 1.
The shoulder-joint is painful on raising the arm, 1. [650.]
Pain as from a sprain in the shoulder-joint, on raising the arm, 1.
Drawing pain in the left shoulder, extending to the elbow, 1.
Arm.
Erysipelatous inflammation of the arm, with burning pain, 1.
In the morning, in bed, the arm stretched itself; he was involuntarily obliged to stretch it out, 1.
Muscular twitches in the arms, 1.
Great weakness in the arms, 1.*
Internal trembling of the arm, 1.
Sharp pressure on the right upper arm, commencing like a jerking (after sixteen days), 1.
A sudden cramplike pressure, here and there in the arm, 1.
Violent cramp in the upper arm, renewed by holding a trifle in the hand, and on the slightest motion; the deltoid muscle became very hard; the next day the spot was painful, as if beaten, 1. [660.]
Tearing in the right upper arm, 1.
Drawing pain in the right arm, then in the head, 1.
Stitches up and down, the whole right arm, extending above the elbow, especially on bending the arm, also during rest, 1.
The arms and hands fall asleep easily if he lies upon them at night, 1.
The left arm falls asleep, for several days, 1.
Elbow.
Paralysis about the elbow-joint, for two days, 1.
The right elbow-joint began to be painful and to swell; the swelling became so great that it obliterated the fold of the elbow and the olecranon process of the ulna; here rapidly developed an abscess, which afterwards rapidly disappeared, 13.
Rheumatic drawing in the fingers and elbow-joints of both sides; it was interesting to note that pronation of the arm caused pain, while flexion did not cause pain in the joint, but in the axillary fossa; while supination was painless, .

INFERIOR EXTREMITIES

Pain and stiffness in the lower extremities (after five days), 1.
The lower extremities are heavy, 1.
Sense of heaviness in the lower extremities (second day), 16.
Great heaviness of the lower extremities; they totter while walking, 1.
Drawing pain in the left lower extremity, 1.
Uneasiness in the lower extremities; was constantly obliged to move them back and forth, 1.
Cramp in the calves, thighs, and feet, all day, 1.
When putting right foot to ground in walking, sudden sharp pain in outer side of right thigh, but most felt at outer side of hip and outer and anterior part of knee; it came on every time I put my right foot to the ground, making me limp; after a few minutes was only felt in right knee (when walking as before); afterwards, when sitting and raising right leg to cross it over left, pain in right knee; all this lasted five to ten minutes (10 A.M., sixth day), 5. [690.]
Constant paralytic sticklike asleep sensation from above the knee down to the foot, while walking and sitting, 1.
Hip and Thigh.
Pressure in the hips, while sitting, 1.
Transient drawing pain in the left hip-joint (after seven days), 1.
Pain, as from a sprain, in the hips, near the sacrum, on motion, 1.
Gouty pain in the hip, knee, and ankle-joints, at night, 1.
*The thighs are stiff and heavy, on walking, 1.
Tensive pressure in the thigh, posteriorly above the hollow of the knee, 1.
Transient jerking pain in the left thigh (after sixteen days), 1.
Pain in the left thigh, on motion; she could not rise from a seat on account of it (after eight days), 1.
Painful tearing in the thigh, during the menses, 1. [700.]
When walking quickly, the muscles of left upper thigh (inner side, rather posteriorly) felt tight for a few minutes, in morning (eighteenth day), .

GENERALITIES

Visible emaciation, with good appetite, 1.
Loss of flesh (in chronic cases), 22.
The parts of the body upon which he was lying became very red, 8.
General convulsive movements (after two hours), 14.
Violent tetanic spasms; the patient suffered frightful pains, at times followed by general rigidity; accompanied by incessant cries; after ten minutes' quiet, the paroxysms would return with renewed violence; during this no liquid could be taken, and six men were unable to hold the patient on account of the violence of the paroxysms, 15.
Twitchings in sleep at noon and at night, 1.
Trembling, in the morning, on rising, 1. [760.]
After riding, descending from a carriage, and walking up and down in the open air, sudden violent nausea and so great weakness that she sank down, with inclination to stool, very cold sweat on the head, throat, and chest, and complete paleness of the face and blue rings around the eyes; after a stool violent chill, and afterwards, in the evening, some heat, 1.
Restless (after half an hour), 9.
Very restless (after two hours), 14.
Patient very restless, tossing to and fro, with constant cries (second day), 7.
Restless; he does not know what to do with himself, 1.
Constant desire to change the position (after two hours), 14.
Night restless (first night), 16.
Very weary, in the morning, in bed ; the limbs feel bruised (after eleven days), 1.
Overpowering weariness, 1.
Weariness and bruised sensation in the limbs, especially in the evening, on lying down, 1. [770.]
Great weakness, without any cause (after fifteen days), 1.
Great weakness, after a walk (after eleven days), 1.
Great weakness and dizziness after a stool; the vision vanishes, and he is obliged to close his eyes in order to recover himself, 1.
Very weak, in the morning, on rising; she was obliged to sit still for half an hour to coldness herself, 1.
So weak that the limbs were painful on account of weariness, .

SKIN

Cyanosis and marble-like coldness of the whole body, especially of the extremities, 7.
Unhealthy skin; even slight wounds suppurate and spread, 1.*
Eruptions, Dry.
Yellow spots on the right arm (after six days), 1.
Skin of the hands fissured (after thirteen days), 1.* [810.]
Skin of the hands cracked and rough, 1.
Redness and moist soreness on the upper and inner portion of the lower extremities (after twelve days), 1.
A large red spot on the left knee, afterwards with pressive pain, 1.
Papular eruption about the eyes, 1.
Papular eruption on the eyelids, 1.
Eruption on the outer ear , lasting thirty days, 1.*
Papular eruption on the right ear, disappearing in the evening (after five days), 1.
Papular eruption on the face, 1.
On left cheek, at anterior border of whiskers, a pimple, painful to touch (eleventh day), 5.
Papular eruption at the corner of the mouth , with a sticking pain, 1. [820.]
Scabby pimples above the upper lip, with sticking pain when not touched, 1.
Eruption on the lips, 1.
Papular eruption on the abdomen, burning when touched, 1.
Small itching pimples on the angle between the scrotum and thigh, 1.
Pimples, that itch very much, on both legs, 1.
Greatly inflamed papular eruption above the knee, 1.
Eruption between the toes, 1.*
Eruption of nodules and pimples on the exposed skin, speedily breaking out on those who are, for the first time, engaged in the manufacture, lasting for a few weeks or months, and then generally diminishing or disappearing. In a few exceptional individuals the eruption does not disappear, but assuming a chronic character, produces so marked and prolonged an affection of the skin that the general health becomes impaired, and the cessation of this employment becomes a necessity. In the form of the eruption, which soon appears in those exposed to the influence of crude paraffin, the skin of the hands, wrists, arms, feet, and legs becomes covered with a rash of bright-red nodules, closely approximate to each other, and usually largest and most numerous on the wrists, or wherever the dress tightly embraces the skin; the dorsal aspects of the parts being most severely affected, and the palms of the hands and soles of the feet enjoying a complete immunity; similar nodules arise, though to a less extent, on the face, neck, and other parts of the body to which the oily matters find access; on examining minutely the skin of those affected in this way, the following are the leading peculiarities of the eruption: the bright-red nodules, hard to the touch, tender on pressure, varying little in size, which is about equal to that of a grain of barley, are of a rounded form, and consist each of a single hair-follicle with the parts immediately surrounding it, which are inflamed, indurated, and reddened; the hair emerges from the very summit of the nodule, and the orifice of the hair-follicle is much enlarged and easily visible to the naked eye as an aperture of a magnitude similar to that of a pinhole in a card; the dilatation extends to the deeper part of the follicle, which forms the kernel of the inflamed knot, the retention of its contents evidently contributing to the inflammatory induration around; the gaping mouth of the follicle exhibits masses of cast-off epithelial scales, dry and friable instead of greasy and tenacious; the nodule has little of the tendency to run on to suppuration observable in an ordinary comedone, and its contents cannot be squeezed out; on the contrary, the redness and induration, after remaining for some little time, gradually diminish, and finally disappear, leaving the hair-follicle enlarged, and its mouth gaping so as to exhibit the retained epithelial masses, these latter being rendered more distinct by continued retention and accumulation of dirt; in fact, the form of the eruption consists of successive crops of these nodules, which are at the same time seen in all stages of their growth, full development, and subsidence; while the skin between them, studded with the black gaping mouths of such follicles as have already passed through or are about to undergo the process, retains, contrary to what is observed in the chronic form of the malady, its natural pliancy and elasticity. In all paraffin-workers patency and enlargement of the hair-follicles continue, to some extent, so long as they are engaged in this manufacture, and the black dots in the skin of their hands and face strike the eye of the observer at once; men with dark complexions and strong hair being especially deformed in this way, while fair complexions and light or reddish hair escape comparatively unaffected; a few exceptional individuals, with swarthy complexions and hairy skins, suffer so much from an exaggerated patency of the follicles that they are compelled to quit their occupation and seek a more suitable calling. When the disease assumes a form it exhibits the following characteristics; the backs of the feet and toes, the dorsum of the hand, and the backs of the fingers between, but not over, the joints, exhibit a peculiar honeycombed appearance of the skin, which is elevated, thickened, and inelastic, so as to prevent or render difficult and painful the flexion of the fingers and hands; these elevated honeycombed patches are of natural color, and not inflamed (except where the isolated papule exhibits the appearance described under the acute form), but consists of densely grouped arrays of hair-follicles, with the indurated cutis between and around them, the follicles packed with dry brittle accumulations of epithelial scales, so extensive as to be easily visible through the dilated mouths of the follicles, these latter being large enough to admit the extremity of an ordinary probe; the hairs themselves have disappeared from these patches, having probably become atrophic from the pressure of the epidermic masses, while cracks and bleeding fissures traverse the indurated parts, and in rare instances a follicular abscess gives variety to the picture; the knuckles of the fingers and toes, the palms of the hands, and the soles of the feet remain unaffected by the disease; in the subjects of the chronic malady the complexion is pale and the tongue foul, while the loss of flesh betrays the effects of the sleepless nights caused by the constant irritation and pain of the skin of the affected extremities, .

SLEEP

Sleepiness. [860.]
Great sleepiness and weariness in all the limbs, 1.
Sleepiness (second day), 4.
Sleepiness during the day (after seventeen days), 1.
Sleepiness while sitting still, for several evenings, 1.
(Sleepiness at noon; falling asleep while playing the piano), (first day), 4.
Weary and sleepy, in the morning (third day), 4.
He lies in a constant slumber, 1.
Sleeplessness and Dreams.
Restless sleep and anxious dreams (after ten days), 1.
Sleepless nights (in chronic cases), 22.
Restless sleep and frequent waking (second day), 4. [870.]
Sleep restless at night, full of dreams, with cold feet and frequent waking (third night), 4.
He imagined that some one was lying near him, 1.
She started up in sleep; had palpitation, trembling, vomiting, and profuse diarrhœa-like stool, 1.
Starting up at night from frightful dreams, 1.
Starting up in the evening in sleep, so that the limbs trembled, 1.
Snoring in sleep, in the morning, 1.
Unable to fall asleep for a long time, in the evening, in bed, and tossed about all night, 1.
He tosses about at night in bed, and sleeps for only a quarter of an hour at a time, 1.
No sleep at night, only fantasies about the same disagreeable subject, with nightsweat, 1.
Dreamy slumber, at night, 1. [880.]
Sleep at night interrupted by emissions and desire to urinate, 1.
Sleep at night full of dreams, 1.
Confused dreams at night and frequent waking, 1.
Anxious dream at night, 1.
Vivid horrible dreams, every night, 1.
Vivid unremembered dreams (after two days), 1.
Constant dreams of one and the same subject, though lying in different postures (first day), .

FEVER

Chilliness.
Excessive chill from morning till noon, with dull headache, and drawing towards the forehead all day (after twenty-four hours), 1.
Violent chill, at 10 A.M., with coldness of the hands and face, without thirst, for half an hour; then in the afternoon heat of the face, especially of the eyes, with thirst, for an hour, 1.
Chilliness every afternoon, at 3 or 4 o'clock, lasting two hours, with cold hands and dryness of the mouth, 1.
Chilliness in the evening, followed by flushes of heat in the face, 1.
Violent internal shaking chill, at 10 P.M., lasting a quarter of an hour, for several evenings, 1.
Shaking chill, every evening, 1.
Violent shaking chill, 8.
Shaking chill, at 7 P.M., lasting an hour, followed by perspiration in the face and over the whole body, except the lower extremities, which were quite cold (after six days), 1.
Chilliness through the whole body; he was obliged to lie down (after seventy-two hours), 1. [900.]
Chill, followed by heat, with great thirst (after a few hours), 16.
Chilliness, with trembling of the whole body; the face was cool, the cheeks bluish, with blueness of the fingers and nails, with pulse 66, but hard, temperature 36.6° C., towards morning (second day), 16.
The air affected him very much; while walking in the evening he was chilly (in July), 1.
Fever and chilliness, with complete exhaustion, and a painful sensation in the whole body (after two days), 1.
Shivering on the back and loins in a warm room (first day), 4.
The hands were constantly chilly; she was obliged to cover and wrap them up, 1.
Temperature depressed, 8.
Coldness, in the evening, in bed, so that she could not get warm, followed by nightsweat, 1.
Skin cold and dry (gooseflesh), (after half an hour), 9.
Lower extremities cold (after two hours), 14. [910.]
Feeling of coldness in the right lower extremity, at night, 1.
Feet icy cold, from 10 A.M. to 3 P.M., with heat of the head (second day); (had never been so cold for so long a time before), .

CONDITIONS

Aggravation.
( Morning ), Angry; dejected, quiet; on waking, ill-humored; confusion of head; heaviness of head; dulness of head; headache; on rising, headache; on waking, sticking pain in forehead; pressure in occiput; unable to open eyes; vision dim and misty; bloody mucus blown from nose; in bed, right articulation of jaw painful; canine teeth too long; dryness in the mouth; bitter, sour taste; hawking of mucus, with headache; dryness in mouth and throat; eructations tasting like bad eggs; heartburn; after waking, nausea; pressure in the stomach; pain in stomach; clawing in the stomach; 5 A.M., pain below umbilicus; rumbling in bowels; cutting colic; on awaking, cutting in the abdomen; 4 A.M., wakened by cutting in the abdomen, with nausea and diarrhœa; on awaking, erections; emission, followed by heat; on awaking, desire for emission in genitals; pressure upon sternum; pain in small of back; after rising, extremities seem stiff; in bed, arm stretched itself; sticking in right hand; after rising, weakness in the knees; on waking, tearing in the heels; on rising, trembling; weakness; exhaustion; on entering house after going out, faintness; on waking, burning in the hands; itching of the whole body; weary and sleepy; snoring in sleep; on waking, heat in the whole body; 4 A.M., wakened by perspiration on back.
( Forenoon ), Pain in arms, chest, and back; chill, with headache; 10 A.M., violent chill.
( Noon ), Sleepiness.
( Afternoon ), Sticking in left side of occiput; after eating, eructations; distension of the stomach; pressure in the stomach and diarrhœa; stitches in the stomach; abdomen distended; hoarseness; pressure and tightness in the chest; 3 or 4 P.M., chilliness; febrile coldness and blue nails.
( Toward evening ), Sneezing, with sleepiness; heartburn; eructations; burning pain in urethra; cough.
( Evening ), Vertigo, with roaring in the ear; in bed, vertigo and nausea; after walking in the open air, headache; tearing headache; pain in right side of vertex; stitches in vertex, followed by pressure; pressure in the eyes; twitching before eyes; roaring in left ear; tearing in a hollow tooth; sticking in teeth; hiccough; clawing in stomach; on going to sleep, abdomen much distended; griping and rumbling in abdomen; cutting colic; griping in abdomen; feeling of diarrhœa in the abdomen, without stool; in bed, rattling in trachea; dyspnœa; while sitting still, palpitation; orgasm of blood, with bitter taste; weariness and stiffness in small of back and coccyx; bruised sensation in limbs; stiffness and arms; picking in a wart on the finger; in bed, pain in warts; tearing in left knee; while walking and lying down, sticking in right knee-joint; swelling and heat in sole of foot; on lying down, heaviness and bruised sensation in limbs; in bed, whole body jerked together; while sitting still, sleepiness; chilliness; 10 P.M., internal shaking chill; shaking chill; coldness; cold feet; 5 to 6 P.M., heat; after lying down, perspiration on head.

SUPPLEMENT: PETROLEUM. Authorities.

23 , G. W. Haile, M.D., Cincin. Journ. of Med., May, 1867, p. 300, Mary ---, aged eighteen months drank an indefinite quantity; 24 , Dr. O. Lassar, Virchow's Archiv, Jan. 1878 (Lond. Med. Rec., 1878, p. 163), effects of inunction.

Rolling its eyes up occasionally (after fifteen minutes), 23.
Pupils slightly contracted (after fifteen minutes), 23.
Breath smelt very strongly of the oil (after fifteen minutes), 23.
A skin of spasmodic cough (after fifteen minutes), 23.
Very hard convulsion (soon), 23.
The urine had been highly albuminous, and contained "hyalin and granular cylinders." At the necropsy, the body was extremely œdematous, and the epidermis in places was raised in little blebs; dissection showed dropsy of the cavities and œdema of the lungs, but no lesion of any organ to account for the dropsy, the kidneys being perfectly normal in all respects. "The most scrupulous histological investigation failed to find a trace of interstitial growth, proliferation of nuclei, amyloid degeneration, or more than traces of fatty degeneration of the epithelium." On inquiry, it turned out that this man had dated the commencement of his illness from an extensive inunction of his body with Petroleum, which about four months before his death, he had employed as a means of relieving himself from scabies. He used the Petroleum for four days, and a week elapsed before he noticed swelling of the feet, which, rapidly increasing, spread over the abdomen and thorax; in the course of a fortnight it disappeared, but returned after eight days, and persisted up till his death. While in hospital, the radial pulse was noted to be small, empty, and of low tension; the blood-corpuscles were few, but their relative proportions were normal. Temperature was normal. Histological examination of the skin showed localized areas of inflammation; along the veins and lymphatics a small-celled growth existed, and in all the layers of the cutis there was a widely distributed nuclear proliferation, 24.
Much inclined to sleep (after fifteen minutes), 23.

Petroleum