Cinchona officinalis, Hooker.

Nat. order , Rubiaceæ; Common names , China (Ch. hard), Quinquina, Cortex Peruvianus (Peruvian bark).

Preparation , Tincture of the bark (or triturations).

Authorities.

1 , Hahnemann, R. A. M. L., 3; 2 , Anton, ibid.; 3 , Bachr, ibid.; 4 , Becher, ibid.; 5 , Clauss, ibid.; 6 , Franz, ibid.; 7 , Gross, ibid.; 8 , Harnish, ibid.; 9 , Hartmann, ibid.; 10 , Hartung, ibid.; 11 , Herrmann, ibid.; 12 , Hornburg, ibid.; 13 , Langhammer, ibid.; 14 , Ch. F. Lehmann, ibid.; 15 , J. G. Lehmann, ibid.; 16 , Meyer, ibid.; 17 , Michler, ibid.; 18 , Stapf, ibid.; 19 , Teuthorn, ibid.; 20 , Wagner, ibid.; 21 , Walter, ibid.; 22 , Wislicenus, ibid.; 23 , [Hahnemann's cited authorities, Nos.

23 to 56 , revised by Dr Huges.] Alpinius, in Murray's App. Med., "general statement from observation;" 24 , Baglivus in Berger, q. v., "results of suppression of intermittents by China;" 25 , Baker, Med. Trans, iii, 162, "effects of Cinchona rubra;" 26 , Baner, Act. Med. Cur., III, 0, 70, "as Baglivus;" 27 , Berger, Diss. de Cinch. ab iniquis judiciis vindicata, 1711, "all S. (save S. 262) mentioned only to reject them;" 28 , Bresl. Samuel, 1728, p. 1066, "as Baglivus;" 29 , Cartheuser, Diss. de febr. interm. epid. Francof., 1749, "as Baglivus;" 30 , Cleghorn, Diseases of Minorca, "effects of China in agues;" 31 , Cruger, Misc. Nat. Cur., Dec. III, ann. 3, "as Baglivus;" 32 , Ettmuller, diss. de usu et abusu præcip., "as Baglivus;" 33 , Fischer, in Hufel. Journ., iv, 652, "as Cleghorn;" 34 , Forney, Med. Ephem., 1, 2, "not obtainable;" 35 , Fothergill, works, "cannot find any such symptom;" 36 , Fiborg, Diss. de usu cort. Peruv., 1773, "physical effects of powder;" 37 , Gesner, Samml. v. Beob, I, 244, "not obtainable;" 38 , Greding, Ludw. advers., I, 90, "effects of Hyoscyamus" omitted; 39 , Hildebrand, Hufel. Journ., xiii, 1, 142, "as Cleghorn;" 40 , Juncker et Fritze, Diss. de usu cort. Per., p. 26, "from China given in gangrene of foot, with Alkermes and syrup of Canella;" 40 a , Kreysig, Diss. de febr. quart., "not obtainable;" 40 b , Koker, "from China given in cold stage of ague;" 41 , Lemprecht, Act. Nat. Cur., II, 0, 129, "as Cleghorn;" 42 , May, Lond. Med. Journ., 1788, p. 273, "as Fiborg;" 43 , Morton, Opera, II, "observed effects of overdosing;" 44 , Murray, App. Med., "as Berger;" 45 , Pelargus, Obs. I, 1, 72, "as Baglivus;" 46 , Percival, Essays, vol. i, "as Fiborg;" 47 , Quarin, Method. Med. febr., p. 23, "as Fiborg;" 48 , Raulin, Obs. de Méd., Paris, 1754, "not obtainable;" 49 , Richard, Recueil d'obs. de méd., II, 517, "as Baglivu;" 50 , Romberg, Misc. Nat. Cur., Dec. III, ann. 9, 10, 0, 109, "as Cleghorn;" 51 , Roschin, Ann. de Heilkunde, "not obtainable;" 52 , Schlegel, Hufel. Journ., vii, 4, 161, "as Cleghorn;" 53 , Stahl, in various works, "as Baglivus;" 54 , Sydenham, Works, I, "observed effect of China;" 55 , A. Thompson, Med. Essays and Obs., iv, 11, 24, "as Baglivus;" 56 , Thos. Thompson, Med. Observ., xxxvi, "as Baglivus;" 57 , Waltl, proving with daily doses, increasing from 2 drachms to 1/2 ounce, A. H. Z., 20, 367; 58 , Piper, effects of a clyster of 1 ounce of powdered bark, A. H. Z., 19, 202; 59 , Goez, effects of a strong infusion on a sound man, Russ. Med. Zeit., 1851 (from Z. f. Hom. Kl, 1, 117) ( 60 to 69 , Jorg's provings, critical essays, No. 2, from B. J. of Hom., 24, 222); 60 , Enders took daily doses, 18 to 120 drops of tincture; 61 , Hacker, same doses as last; 62 , Franthman, same; 63 , Meurer, 2 drachms powder twice in one day; 64 , Steinback, as last; 65 , Kieman, as last; 66 , Guntz, as last; 67 , Meurer took within twelve hours and a half 16 ounces (in four doses) of tincture, prepared in proportion of one part cortex to six parts spirits vini; 68 , Sternback, 6 ounces in four doses, as last; 69 , Guntz, as last; 70 , Robinson's provings, "a middle-aged female, gl. 1/20th in 8 ounces water, teaspoonful each morning," B. J. of Hom., 25, 323; 71 , "a middle-aged female, gtt. 10 θ , in half wine glass of water, at a single dose," ibid.; 72 , "a female, pil. 1/30th, night and morning," ibid.; 73 , " in a young female, gtt. 5 θ, three times a day in a tablespoonful of water;" 74 , Gabalda, effects of half a spoonful of wine of bark daily, in a person after loss of blood, L'Art. Méd., 5, 278; 75 , Berridge, proving on a boy, aged 14, with repeated doses of the 30th dilution, N. Am. J. of H., N. S., 3, 500.

MIND

Emotional.
Excessive excitability, with despondency and intolerance of noise, 1.*
Dreadful feeling of excitement, 71.
Lively the whole evening, though with staring eyes, 8 . [A kind of unnatural excitement, as in the so-called tonic cures of ordinary physicians when they are unable to cure a patient of his disease and still wish to stimulate strength, power, and activity for a few hours. -H.]
Uncommonly lively in the forepart of the night until 2 A.M., 14.
Feels intoxicated; inclined to be jolly, 69.
Slightly intoxicated after each dose, 68.
Slight intoxication (2 ounces), 67.
(Delirium), 30, 37 . [From its use in intermittent fever. -H.]
(Delirium during the fever), 52. [10.]
Completely beside himself and in despair; tosses about in bed, 1.
From time to time she falls into a weeping mood without any external cause, brought on by some self-made imaginary whim, for example, fancied need, something that she could not eat to satisfy her appetite, etc. (after twenty hours), 1.
Moaning, complaining, and screaming, 1.
Quiet mood, 13 . [It seems to be the curative action. -H.]
He is quiet and will not answer, 1.
Obstinate silence; he will answer nothing, 1.
Silent, ill-humored, disinclined to talk (during the first days), 11.
Earnest mood, 10.
Absence of the usual lively mood; he prefers to be alone, 9.*
Sadness, despair, 7. [20.]
Discouragement, 2.
Gloomy mood; has no desire to live, 1.
What usually appears to him bright and joyous seems now unattractive, unworthy, and shallow, 18.*
Despondency, 37.
Inconsolable, 1.
Anxiety, 30, 47, 51.
Anxiety at night, on waking from frightful dreams, 11.
[Great anxiety, death]. 40b . [Effects of China taken during the chill of an intermittent fever. -H.]
(Excessive anxiety), 53.
Intolerable anxiety (about 8 P.M. and 2 A.M.); he springs out of bed and wishes to take his own life, but does not go near the open window, or take a knife; with heat of the body, without thirst, 1. [30.]
Nameless anxiety, 59.
Excessively anxious carefulness, 1.
An excessively anxious solicitude about trifles (after one hour and a half), 1.*
In the morning on waking, anxious thoughts and ideas, 1.*
[Hypochondriac troubles], 53.
Ill-humor, amounting to the most violent wrath, so that he could have stabbed any once, 1.
Caresses increase his ill-humor, 1.
Fretful, taciturn, absorbed in himself, 18.
Fretful, though neither sad nor quarrelsome, but not inclined to rapid thought, 1.
Fretful and irresolute; she is unable to accomplish her aim, and consequently is indignant (after a few hours), 1. [40.]
Complaining fretfulness, 1.
Sighing fretfulness, 1.
Internally very fretful, 2.
*He is peevish, ill-humored, and easily angered (after four hours), 1.
Peevish when excited, at other times stupid, perplexed, embarrassed, 1.
Extremely inclined to become angry, and to seek every opportunity for being angry; afterwards quarrelsome, and inclined to grieve and reproach others (after two hours), 1.
Morose, inclined to anger, 19.
Discontent; he considers himself unhappy, and thinks he is hindered and tormented by every one (after five hours), 1.
Discontented and sensitive mood, inclined to anger, 21.*
He despises everything (after one hour), 1. [50.]
Want of docility, 1.
Disobedience, 1.
During a cheerful mood, sudden, transient screaming, and tossing about the bed, without any apparent or visible cause, 1.*
Indifference to all external impressions, with disinclination to talk, 4.
Intellectual.
Desire for work, to red, to write, to reflect; a general, remarkable activity and industriousness, 1 . [Curative action.]
He has many ideas, a variety of things occupy his mind; he builds castles in the air (after a few hours), 21.
A large number of projects, 1.
He makes many plans for the future, 9.
He makes many plans and reflects upon their execution ; many ideas crowd upon him at once, 11.*
His head is full of many plans which he would like to execute, in the evening, 7. [60.]
No desire for work; he is inactive, 1.
Disinclination for mental labor, with sleepiness, 11.
Disinclination for intellectual and serious business, 4.
Disinclination to think; alternating condition of cheerfulness and gloominess , for three hours (after two hours), 21.*
His perception is slow, has great aversion to motion, and is more inclined to sit and lie, 1.
Slow flow of ideas, 1.
He is rapt in thought (as if the flow of ideas stood still), (after three hours), 1.
Periodic stoppage of thought, 14.
If he wakes at night he is unable to collect his senses, 1.
*He cannot arrange his thoughts in order; he makes mistakes when writing or speaking, places words in reversed order ; the talking of others disturbs him very much (after two hours), 1. [70.]
(Stupidity), 29.

HEAD

Confusion and Vertigo.
[Confusion of the head], 33, 58.
Confusion, extending over the whole head, lasting half an hour (after three-quarters of an hour), 10.
Confusion of the head in the forehead, 12.
Confusion of the head like catarrh (after nine days), 22.
Confusion of the head, like a dizziness, from dancing, and as in coryza, 1.
Confusion of the head, with tensive pain in the forehead and orbits, 58.
Confusion of the head, as after intoxication, with pressure in the temples, 12.
Confusion and emptiness in the head, with indolence of the body, as from night-watching and loss of sleep (after one hour), 1.
The head is very much confused in the morning, as after intoxication, with dryness of the mouth, 6.* [80.]
Vertigo , ( 29 ), 59.
Vertigo; the head is inclined to sink backward, in every position, though it is more severe while walking and on moving the head (after six hours), 11.
Vertigo; the head is inclined to sink backward; more violent on motion and when walking, relieved when lying (after a few minutes), 11.
Vertigo in the occiput, while sitting, 6.
Vertigo, with faintness; she staggered and could not walk straight, 72.
At first vertigo and a dizzy nausea, followed by general sensation of heat, 1.
On waking at night he is dizzy, so that he does not dare to rise, 1.*
General Head.
Blood rises to the head, the forehead is hot, the limbs cold, 1 . [With the Cinchona fever there is very frequently rush of blood to the head, 87, 124, usually with redness and heat of the face, 1216, frequently with chilliness of the rest of the body, 1201, 1214, 1215, with external coldness, 1171, 1202, or only internally perceptible heat in the face, with cheeks cold to the touch, and cold sweat on the forehead, 1219. -H.]
Heat somewhat affected (second day), 67.
Stupefaction of the head, with pressure in the forehead (after a quarter of an hour), 1.* [90.]
[Heaviness in the head], 53.
Heaviness of the head; at noon a dizziness rises into the head, without pain, 1.
Heaviness of the head and weariness of all the limbs, in the morning on waking from sleep, 14.
Heaviness of the head, which is inclined to sink backwards, while sitting, 11.
Headache like a heaviness and heat in it, worse on turning the eyes, together with jerking pains in the temples, 1.*
Headache, 59.
Headache, now in one part, now in another part of the brain, 1.
Headache, alternating with frightful dreams throughout the night, 14.
Headache, weariness, followed by some coldness, 6.
Dull, stupefying headache, in the morning on waking, 1.
*Headache, so sensitive that it seems as though the skull would burst; the brain beats in waves against the skull, 19. [100.]
Headache, as if the brain were pressed together from both sides and out at the forehead, very much aggravated by walking in the open air, 1.*
Headache, as if the brain were gathered into a ball, with excessive excitement of the mind, uneasiness, with excessive and overstrained fantasies, 6.
A kind of pressure, like a congestion in the head, with sweat on the forehead (after half an hour), 20.
Headache, first a pressure in the forehead, afterwards extending over the whole head, 4.
Painful pressure and pressing in the head toward the forehead, as if everything in the head were too heavy and would be pressed out, relieved by strong pressure with the hand (after three hours), 9.
Pressive headache, especially in the occiput, 2.
Pressive headache, aggravated in the open air (after nine hours), 9.
Pressive headache half an hour after dinner; it lasts until going to sleep, 20.
Violent pressive headache deep in the brain, and a sensation of constriction, especially in the right side of the forehead and in the occiput, very much worse when walking, 2.*
The brain seems pressed by much blood, 1. [110.]
An uninterrupted, dull, cutting pain, extending from both temples and the occiput to the orbits, more sensitive and aggravated on motion and on stooping, 14.
Sticking headache, especially in the left frontal region (after one hour and a half), 10.
Single stitches shoot from the inner ear through the brain, as if to pass out through the top of the head, 19.
Tearing in many places in the head, aggravated by walking, or by moving the head, 11.
Sticking-tearing in many places in the head, aggravated by moving the head, 11.
Violent jerking-tearing in several places in the head, aggravated on motion and when walking, relieved when lying (after one hour), 11.*
Tearing headache from the right occipital bone to the right frontal eminence, 11.
Headache, as if the brain were sore, increased on the slightest touch of the hand on any part of the head, but especially by fixed attention, or by deep thought, or even by talking, 1.
Headache, when walking in the wind, consisting of a bruised and sore sensation, 1.
Violent hammering in the head, extending into the temples, 15.
Forehead. [120.]
Frontal headache, 5, 6.
Headache above the orbits, which begins in the forenoon, is very much aggravated by walking, but disappears after dinner (after eighteen hours), 1.
Burning pain, with hot sweat of the forehead, 14.
A pressure like a fulness in the head, just above the eyes (after two hours), 20.
Tensive pain in forehead and orbits, 58.
Digging headache in the left side of the forehead, while sitting unoccupied, or when occupied about something in which he is not interested, 7.
Drawing pain in the forehead, 12.
Drawing headache from the occiput to the forehead, as if the whole forehead were drawn together, this ends in the temples as a throbbing; disappears on walking, but returns when sitting or standing, and is relieved by pressure of the hand, 19.
Headache from afternoon till evening, a pressure in the middle of the forehead, 1.
Sticking pressure on the forehead above the nose, and on the cheeks (after thirty-two hours), 6. [130.]
Sticking pressure in the right frontal eminence, more violent on touch (after ten minutes), 11.
Sticking pressure externally on the left frontal eminence, together with vertigo and some nausea in the throat, 11.
Pressive pain in the right side of the forehead, 7.
Pressive headache in the forehead; on bending backward it changed to the temples, where it becomes worse; while sitting, it was located only in the forehead, 4.
Pressive headache when walking, at first across the forehead, and then in the temples (after six hours), 1.
A little weight about forehead in morning, which disappeared about middle of day (second day), 69.
Sticking headache in the forehead (while sitting), 13.
Pressive-sticking headache in the forehead and in the temple of one side (after four hours), 1.
A severe burning stitch between the forehead and vertex, 10.
Jerking-tearing in frontal eminences, 7. [140.]
Headache, like a jerking, towards the forehead, always worse until evening, when it disappears, 15.
If he puts the hand to the forehead he feels a pain moving back and forth, 6.
Temples.
Headache in the temple, 12.
Headache in the temples like a dry coryza, 1.
Pressing together in the temples (after five hours), 6.
Pressure in the left temple, 11.
Pressive headache in the temples, in the evening, 6.
Fine sticking in the left temple, 6.
Continued sticking sensation in the right temple, 21.
Sticking headache between the right temple and the forehead, with violent pulsating of the temporal artery (after half an hour), 2. [150.]
Stitches between the forehead and temple of the left side; when touched, he feels a severe throbbing in the arteries of the temples, and the sticking disappears, 1.
Tearing headache in the left temple, 13.
Pressive tearing in the temporal region, as if the bones would press out, 11 . [Tearing (drawing) pressure and pressive tearing (drawing) seem to be the chief pains of Cinchona.]
Jerking-tearing in the right temporal region, for three days, 11.
Jerking headache in the temple, extending to the upper jaw, 1.*
Vertex.
Contractive pain in a circle on the vertex (after half an hour), 11.
Headache, first like a cramp in the vertex, followed by bruised sensation in the side of the head, aggravated by the slightest motion.*
Parietals.
Headache; a digging in the left side of the head, while sitting (after nine hours and a quarter), 9.
Pressive headache in the side to which he inclines himself, 9.
Headache in the left parietal bone, like a throbbing, 12. [160.]
Jerking from both parietal bones down to the throat, 12.
Occiput.
A dull sensation in the lower posterior portion of the head, as when waking from sleep, 4.
Painful drawing upon the occipital bone, 6.
Painful drawing on the right side of the occiput, 6.
Drawing pain in the left side of the occiput, which disappears on bending the head backward, 6.
Drawing pain in the articulation of the occiput and atlas, when touched, so that he is obliged to bend the head backward, 6.
Drawing headache in the occiput, while sitting, 6.
Severe pressure in the occiput, as if the cerebellum would be pressed out (after five hours and a half), 16.
Pressive headache in the occiput (after three hours), 16.
External Head.
Momentary contraction of the skin of the forehead, as if it were drawn together in one point in the centre (after half an hour), 22. [170.]
Pain, as if the skin on the upper portion of the head were grasped by the hand, 7.
Contractive pain on the left side of the occiput in the skin, 7.
Sharp stitches in the left side of the scalp, 6.
The whole scalp is so sensitive to touch that everything on it hurts him; the roots of the hair seem to be especially affected (after thirty-six hours), 7.
Sticking-itching on the scalp (after one hour), 6.

EYE

Objective.
The eyes are somewhat red, with pressive-burning pain in them, and much heat (in the afternoon), (after six hours), 18.
Subjective.
Sensation in the eyes as in general weakness, as if they were very much sunken, which was not the case (after a quarter of an hour), 6.
Feeling as of sand in the eye, 70.
Movement of the eyes painful, with sensation of mechanical hindrance, 58.
Painless pressure in the eyes, as from weakness and loss of sleep (after ten hours and a half and twelve hours), 9. [180.]
Biting in one, and then in another eye, with lachrymation, 1.
Pressive-biting pain in the eyes, as from salt; she was obliged to rub them (after half an hour), 1 . [From the dust.]
Brow and Orbit.
Pain over the left orbit, 12.
Fine, itching pain above the orbits, 12.
Pressure in both eyebrows, more externally, aggravated by motion of the frontal muscles (after three hours), 16.
Lids.
Gum in the external canthus (after sleep), 1.
The eyelids will close from weakness and sleepiness (after half an hour), 1.
Jerking of the upper lid back and forth (after six hours), 22.
Twitching, blinking, trembling in both eyes (after two hours and three-quarters), 15.
Uncontrollable twitching of right upper eyelid, 10. [190.]
Sensation of dryness between the lids and the eyeball, with rubbing pain on moving the lids, without visible alteration in the eye, 10.
Violent pain in the lids, 5.
Pressive pain in the external canthi, 6.
Tearing in the left external canthus, 13.
Tickling sensation on the lids (after five hours), 10.
Lachrymal Apparatus.
Lachrymation, 70.
Lachrymation, with crawling pains in the eyes and in the inner surface of the lids, 4.
On waking at night, it seems as if the right eye were swimming in water (after nineteen hours), 18.
Conjunctiva.
Inflammation and redness of conjunctiva, 70.
Ball.
Motion of eyes painful, with sensation of mechanical hindrance, 58.*
Pupil. [200.]
Pupils dilated (after one hour and a half), 9.
Pupils very much dilated (after a quarter of an hour), 9.
Extreme dilatation, and almost immobility of the pupils, with weakness of vision, so that he could not recognize at a distance distinctly (myopia), with a fresh color the face, and otherwise general activity (after six hours), 6.
Contracted pupils, 1 ; (after three quarters of an hour), 9 ; (after one hour), 18.
Pupils contracted (immediately, and after three hours and a half), 4.
Pupils sensitive, but more inclined to contract than to dilate (after twenty hours), 1.
Vision.
[Dimness of vision], 29.
[Amaurosis], 28.
The room (lighted by a candle) appeared in a blinding sulphurous-yellow light, but after a few minutes all the surroundings were of a shimmering rosy-red (this symptom appeared as the headache suddenly disappeared, during a sluggish evacuation, with tenesmus), 58.
Black points float before the vision (after four hours), 1. [210.]
Darkness before the eyes, 14.

EAR

Internal.
Pain in the left ear, only when touched (after six days), 22.
(Pressive pain in the inner ear, like earache), (after one hour), 1.
At first a throbbing sensation in the ear, afterwards a long-continued ringing, 1.
Tickling in the ear, 12.
External.
Drawing pain behind the ears, extending as far as the mastoid process, 10.
Tearing in the lobules of the ears, 1.
Tearing in the cartilage and the external meatus auditorius, 11.
Transient sticking pains here and there in the parotid glands, 1.
Hearing.
Difficult hearing, 43. [220.]
Something seems to be constantly before the ear (like deafness), (after one hour), 1.*
Ticking sound in the ear, as from a distant watch, 1.*
*Ringing in the ears, 1.
Ringing in the ears, with headache in the temples, 6, 13.*
Frequent ringing in the right ear, together with tickling-crawling in it, as if an insect had crept into it, 4.
Roaring in the ears, 1, 5.*

NOSE

Objective.
Redness and heat only on the nose (after twelve hours), 1.
Sneezing (after half an hour, two hours, and three hours), 1.
The attack of the paroxysms of fever commences with sneezing, 1.
Sneezing, with coryza (after one and two hours), 1. [230.]
Forcible dry sneezing several times (after seven hours), 18.
Watery discharge from the nostril, which is at the same time stopped (after thirteen hours), 6.
Catarrh, so that it trickles from the nose for two hours, 6.
Catarrh, with sensitiveness of the nose, and some pimples on the margin of the nostril and septum of the nose, which are painful to touch (after nine days), 22.
Attacks of stopped coryza, 2.
Bleeding of the nose, in the morning between 6 and 7 o'clock, after rising from bed, for several mornings in succession, 10.
Frequent, profuse nose-bleed, 48.
Nose bleeds after blowing it violently, 22.
Subjective.
A soft pressure across the root of the nose, extending upward, and on the eyebrows, which disappears when touched, with tension of the skin of the left wing of the nose, 6.
Pressive pain in the root of the nose (after the heat of the cheek had disappeared), which extended to the side (after five hours), 1.* [240.]
Fine needle-like stitches in the cartilage of the wings of the nose, 11.
Tearing pain in the back of the nose, 1.
Biting deep in the left nostril, sudden, painful, sticking on every inspiration; the biting is aggravated by compressing the nose, after which there is itching externally on the back of the nose, in the evening (after half an hour), 6.
Smell.
(He fancies that he smells a corpse), 1.

FACE

Objective.
Hippocratic face (pointed nose, hollow eyes, with blue rings), indifference, insensibility; he paid no attention to those about him; did not care about those things of which he was usually most fond (after one hour), 1.
Face sunken, pale, 1.
Sunken, pinched face, pale, sickly, as after excesses, 18.*
The color of the face is bad, earthy, 1.
[Red, puffy face], 33.
Face flushed and swollen, 71. [250.]
Paleness of the face, 1.*
Frequent changes in the color of the face, 1.
Subjective.
Right-sided faceache, 71.
Pressure across the face, especially near the nose and cheeks, together with contraction of the eyelids, as if the upper and lower lids were drawn towards each other (after three hours), 22.
Needle-like pains in left face, left chest, and left hand, 71.
Cheeks.
Redness of the cheeks and lobules of the ears, 1.
Fine stitches in the right cheek-bone, which disappear on pressure, 9.
A picking pain in the zygoma and in a right back tooth, 10.
A cutting-burning pain in the upper jaw, while standing (after seven hours), 6.
Lips.
[Blackish lips], 31. [260.]
(The skin of the lips is wrinkled and shrivelled) (after five hours), 1.
(Cracking of the lips), 1.
Cracking of the lower lip in the middle (in sneezing), 1.
Dry lips , without thirst (after seven hours), 6.*
Sensation of soreness on the right side of the upper lip near the corner, as after much wiping in coryza, 6.
The inner surface of the lower lip is sore and excoriated, 1.
Pain in the lower lip near the left corner of the mouth, as from a corroding ulcer, 6.
Lower Jaw.
Jerking, dull stitches in the right side of the lower jaw, 21.
Tearing in the left side of the lower jaw, 11.
Tearing pressure in the right upper and lower jaws at night, before midnight, 1.

MOUTH

Teeth. [270.]
The teeth are loose and painful, only when chewing, 1.*
Toothache, with looseness of the teeth (after three hours), 1.
Toothache, dry catarrh, and lachrymation, 1.
Drawing toothache comes on easily in the open air and in a draft, 1.
Pressive drawing toothache in the left upper teeth, with sensation as if the gum or inner portion of the cheek were swollen (after one hour), 6.
Toothache, like a pressive drawing, in the left side of the lower jaw, 6.
While smoking tobacco (to which he was accustomed) drawing-tearing toothache upward and downward in the upper jaw, followed by an attack of faintness, 6.
Throbbing toothache, 1.
Drawing pain in the incisors in the morning, 6 . [Rhus tox would seem to be the antidote for the symptoms 278, 283. -H.]
Toothache, sticking from within outward in the front teeth, 1. [280.]
Pain in the lower incisors, as if they had been knocked against something, 1.
*Digging in the upper back teeth, relieved for a moment by biting the teeth together, and pressing upon them (after forty hours), 9.
Pressive pain in the crowns of the right back teeth, when biting the teeth together, 6.
Drawing, pressive toothache in upper back tooth, with sensation as if it were benumbed, in the morning (after twenty-four hours), 4.
Picking pain in an upper back tooth, 10.
Small fine stitches, with tearings in the right upper back teeth, neither relieved nor aggravated by touch, or inhaling fresh air (after two hours and a half), 9.
Jerking-tearing in the upper back teeth of the left side (after five hours), 9.
Gums.
Swelling of the gum and lips, 34.
Tongue.
Painless swelling on the side of the back part of the tongue, 1.
A vesicle beneath the tongue, which is painful to move, 1. [290.]
(Yellowish tongue, not coated with four), 1.
Tongue very much coated, especially in the afternoon (after seven hours), 10.
Tongue coated yellow, 4.*
*Tongue covered with a thick, dirty, white coating (after a quarter of an hour), 7.
Tongue coated very white, in the morning, 21.
[Clean tongue, with bitter taste], 52.
Sensation on the tongue as if it were dry, and covered with mucus (after one hour), 1.
Fine stitches in the tip of the tongue, 1.
Burning stitches on the tongue, 11.*
Biting on the middle of the tongue, as if it were sore or burnt, 1. [300.]
Biting on the tip of the tongue, as from pepper, followed by accumulation of saliva at this place, 6.
General Mouth.
After an agreeable surprise much bright blood came suddenly into the mouth (after twenty-four hours), 18.
Towards morning, an offensive odor from the mouth, which disappears as soon as she eats anything, 1.
The mouth is slimy, and the taste watery and flat, 1.
Acidity in the mouth, 6.
Feeling as though there was an offensive exhalation from the mouth, 1.
[Dryness of the mouth], 53.
Dryness of the mouth , with thirst, 12.*
Painless swelling of the arches of the palate and uvula (after three hours), 1.
Dry palate, with thirst, in the evening, an hour after the fever, 6. [310.]
Tobacco-smoke causes an unusually acrid and biting sensation in the posterior part of the palate (after twenty-four hours), 6.
Scraping on the palate, even when not swallowing (eighth day), 22.
Saliva.
Accumulation of saliva, with nausea, 12.
Much saliva in the mouth , with nausea (after two hours), 15.*
Contractive sensation of the salivary glands; flow of saliva, 6.
A sensation in the mouth, causing a coagulation of saliva, as if he had smelled of too strong vinegar, 1.
Watering of the mouth (70 drops after one hour), 62.
Mucus in the mouth, in the morning after waking, and after making some exertion; it seems to him as thought it was offensive to those near him; he believes there is an offensive odor from his throat, 1.
Taste.
Flat, insipid taste , after drinking, 1.
Sweetish taste, 21. [320.]
Taste at first sweetish, then sour; profuse saliva, 6.*
Nauseous taste in the mouth, as after cheese, 8.
A nauseous, at times bitter taste, especially in the morning; the food had an unpleasant though not a bitter taste, 11.
Very nauseous taste (in consequence of his having taken large doses of bark in powder for intermittent fever, a year and a half previously), (18 drops), 60.
Slimy taste in the mouth, which disgusts him with butter, 1.*
Bitter, slimy taste (70 drops after one hour), 62.
Salty taste, 1.
Sweetish, salty taste in the mouth (after three hours), 18.
Frequently a sour taste in the mouth, as if his stomach had been disordered by fruit, 1.
[Bitter taste], 33, 47. [330.]
*Bitter taste in the mouth; evening the tobacco tastes bitter while smoking, 6.
Bitter taste in the throat, which obliges him to swallow saliva (immediately), 9.
Bitter taste in the morning, 1.
Bitter taste in the mouth, while drinking coffee, 5.
Constant bitter taste in the mouth, 1.
All food tastes unusually salt, afterwards bitter, 16.
Bitter taste of food, especially of wheaten cakes (after six hours), 1.
Although he had no bitter taste in his mouth by itself, yet everything tasted bitter; after swallowing food there was no bitter taste, 1.*
Tobacco tastes sweetish while smoking, 21.
Black bread tastes sour (after three hours), 1. [340.]
Coffee tastes sourish, 1.
Beer tastes bitter and mounts to the head, 1.
Bread tastes good while chewing, but bitter on swallowing, 6.*
Bitter, salty taste of bread and butter; dryness of the palate and throat; when not eating, no unnatural taste in the mouth, only dryness and thirst, 4.
Supper has little taste, 12.
No taste from smoking tobacco, 12.
Speech.
[Loss of speech], 49.

THROAT

Very dry sensation in the throat, with cool breath (after one hour), 15.
It seems as if some food remains in the upper part of the throat (after three hours), 18.
The throat seems swollen internally; sticking, only when swallowing, on the left side of the tongue, with a pressive pain in that spot, only when talking or breathing, 1. [350.]
Contractive sensation in the throat, 12.
Sticking in the right side of the throat, only when swallowing, 1.
Stitches in the throat, in the evening after lying down, not when swallowing, but when breathing, 1.
Stitches in the throat from a slight draft of air, when not swallowing, 1.
Sensation in the pit of the throat, as if it were sore; a sensation when swallowing like a sore throat, although swallowing does not hurt it, 1.
Troublesome sensation of rawness in the throat, 18.
Fauces, Pharynx, and Œsophagus.
[Angina faucium], 53.
Scraping sensation in the fauces, especially on the margin of the larynx, as after rancid eructations of heartburn, 1.
Sensation of emptiness in the pharynx and œsophagus (after eleven days), 22.
Tension in the pharynx, on bending the head backward, which, however, did not hinder swallowing, 6. [360.]
Contraction of muscles of œsophagus, 69.
A gentle contraction of the œsophagus, with the peculiar China taste, for one hour and a half (18 drops, directly after), 62.
Swallowing.
Swallowing difficult, on account of a sensation of narrowness in the throat, 2.
Painful swallowing; swollen submaxillary glands, with special pain in them on swallowing, 1.
External Throat.
The submaxillary glands are simply painful (beneath the angle of the lower jaw), especially when touched and on moving the neck, 1.
A clawing or pinching pressure in the right submaxillary glands, on motion of the neck and on touch, or by itself, 1.

STOMACH

Appetite.
Rather an increase of appetite (second day), 63.
Good appetite at dinner, 66.
Very good appetite (70 drops), 60.
Appetite unusual, so that I ate nearly as much again as usual, for eight days (after four days), 57. [370.]
Great appetite for sour cherries, 4.
He has an appetite for various things, but does not exactly know what, 1.
Voracious appetite, longing for something, he does not know what, 1.
Hunger in the afternoon at an unusual hour, 9.
Hunger, though without relish, 1.
Hunger and yet want of appetite; the food tastes natural, yet seems disagreeable in the mouth, 2.*
Great hunger and appetite at 8 A.M., without knowing what he wishes to eat, 14.
Ravenous hunger, with insipid taste, 1.
A kind of ravenous hunger, with nausea and inclination to vomit (after two hours), 1.
Frequent longing for indefinite substances, 1. [380.]
Enjoyed his dinner, 64.
He relishes supper but is immediately satiated, and hence can eat very little, 1.
Less appetite (70 drops), 61.
Little appetite, 11.
Little appetite at noon, from a sensation of satiety, 4.
[Loss of appetite], 50.
Loss of appetite, as from slight nausea, 10.
Loss of appetite and nausea; constantly wants to vomit and cannot, before and after noon, 1.
No appetite all day (140 drops), 62.
No longing for food, with a natural taste, 1. [390.]
No desire for food or drink, 1.
*Indifference to eating and drinking; only while eating some appetite and the natural taste of the food return (after six hours), 1.
The dinner is eaten without any relish, 1.
He does not relish tobacco when smoking, 2.
Thirst.
More thirst every morning than in the afternoon, 11.
Thirst and hunger, in the evening, an hour after the fever, then, after he had eaten, coldness and rumbling in the bowels, 6.*
(Thirst during the chill), 1 . [This together with 402, does not seem to be correctly observed; for in all other observations I have found that the Cinchona fever has no thirst with the shivering or chill, see 1118, 1123, 1131, 1147; the thist appears much more after the shivering or chill, as is shown by 397, 398, 1129, or, which amounts to the same thing, just before the heat, 400. So, also, the thirst is not marked during the fever of Cinchona, even in the most developed hot stage, see 29, 1177, 1180, 1182, 1184, 1193, 1203, 1221, except some burning of the lips, 1185, or dryness of them, see 406, 1203, although this dryness explains the expression " some thirst during the heat," 1187; for the "thirst during the transient heat," 1194, does not denote completely developed feverish heat. Much more, however, does the thirst appear after the heat, 309, 395, 1148, or what is the same thing, during the sweat, 1228. The feverish heat, accompanied by stinging over the whole body, seemed to make an exception, see 1181, 1192.]
Thirst after the chill, without subsequent heat, 19.*
Thirst, after shivering through the skin, 1.*
Thirst after the fever, during sweat on the back and forehead, 20.* [400.]
Very great thirst for an hour (after nine hours and a half), followed by burning heat over the whole body, with throbbing in all the veins, without sweat and without thirst, with violent burning of the ears and forehead, though with only the usual warmth of the cheeks, hands, and feet, all of which parts seem in the internal sensation of being too hot (after ten hours and a half), 9.
Excessive thirst for cold water, with chill and heat, especially in the morning just after walking, 11.
Unquenchable thirst, during a chill and intermittent fever, 39.
Great desire for wine, 1.
Little thirst, 2.
No thirst when eating, 4.
No thirst with the heat immediately after midnight, only dry lips, 1.
Aversion to water and longing for beer, 1.
Aversion to beer, 1.
Aversion to coffee, although food has a natural taste, 1.*
Eructation. [410.]
Eructations (immediately), 9.
Eructations (directly after), 64.
Eructations, without taste or smell, 64.
Eructations until going to sleep (immediately after), 63.
Eructations tasting of the food, 1.
Eructations, as if caused by nausea, with colic (after three-quarters of an hour), 20.
An eructation, as from nausea (after one hour), 20.
Four eructations, with a taste of bark (36 drops after fifteen minutes), 60.
Some eructations (2 ounces), 67.
Sundry eructations (1 ounce, soon after), 67. [420.]
More frequent eructations (70 drops), 61.
Constant eructations (70 drops after one hour), 62.
Empty eructations of only air (after two hours), 1.*
Tasteless eructations till toward evening (directly after), 63.
Tasteless eructations after eating, 18.
Bitter eructations after eating (after two hours), 1.
Continued bitter eructations (18 drops after one hour and a half), 62.
Incomplete sourish eructations, after drinking milk (after one hour and a half), 6.
Bitter, sourish eructations, after bread and butter, 14.
A sobbing-like tendency to eructations, something half way between sobbing and eructations (after three-quarters of an hour), 1. [430.]
Frequent rising of badly-tasting mucus, 1.
Hot risings from the stomach, soon followed by a decided taste of China, beginning at the root of the tongue and spreading through the whole mouth, 58.
Nausea and Vomiting.
Nausea, 43 ; (after five minutes), 58.
Nausea (18 drops), 61.
Nausea (after five minutes), 58.
Nausea (70 drops; after one hours), 62.
[Nausea]. 25 . [Local effect of the powder. -Hughes.]
Nausea for about an hour, 66.
Nausea and hot risings from the stomach, with a decided taste of the China, extending from the root of the tongue over the whole mouth (after five minutes), 58.
Nausea in the region of the pit of the throat, after eating, 11. [440.]
[Nausea, with the usual appetite], 52.
Nausea and unpleasant taste (120 drops), 60.
Nausea and vomiting, 1.
Nausea, without vomiting, 14.
Excessive nausea and aversion for not unpleasant substances, even when they are not set before him and he only hears them spoken of; with aversion to labor, constant sleepiness during the day, and yellowness of the eyeballs (after eight hours), 1.
Nausea, flushes of heat, and orgasm of blood disappear after eating, 1.
Inclination to vomit, 17.
Inclination to vomit (18 drops), 61.
(Retching and contraction in the pharynx, without hindering breathing), 1.
[Continued vomiting], 26. [450.]
11.15 A.M., slight vomiting, consisting principally of water, of a very sour taste, of a spirituous, penetrating smell, like bark, 68.
Stomach.
[Indigestion], 36.
The food eaten at supper remains in the stomach undigested, 1.
The stomach is easily disordered by food, or by eating an improper kind of food, with flat taste in the mouth, fulness in the abdomen, fretfulness, and headache, 1.
Milk easily disorders the stomach, 1.*
Sensation of emptiness and qualmishness in the stomach, 1.*
[Anxiety in the region of the pit of the stomach], 29.
[Anxiety in the region of the pit of the stomach, especially after eating], 53.
After a moderate meal followed by a walk, while sitting, a nauseous anxiety in the stomach, as from an overloaded and disordered stomach, together with hunger, 6.
[Heaviness and pressure in the stomach], 46. [460.]
[Sensation of heaviness in the stomach], 47.
After pressing upon the stomach, a burning rises half way into the chest, 1.
Fulness after eating, though with the usual appetite before the meal, 1.
Sensation of fulness in the stomach, 2.
He feels as though he had eaten to satiety, had drunk to satiety, and also had smoked tobacco to satiety, although he has for all the articles a natural good taste (a few hours), 1.
Compression in the pit of the stomach which impedes respiration (after half an hour), 1.
Some spasm in cardiac region, 66.
Sticking pain in the pit of the stomach, extending to the sternum, 14.
Jerking-sticking in the stomach (after three hours), 21.
Transient stitches here and there in the stomach and abdomen, 1. [470.]
Severe stitches in the pit of the stomach, during inspiration (after three hours), 1.
Sharp stitches in the pit of the stomach, 11.
Sensation of soreness, with pressure (or pain, as if one pressed upon a sore place) in the pit of the stomach, several mornings, 7.*
Pressure in the stomach, 51.
Pressure in the stomach, as from fulness, 12.
In the morning, in bed, while lying on the side, pressure in the stomach (as if it were constricted); it disappears when lying upon the back, 18.
Pressure in the stomach, and griping, 1.
At first pressure in the stomach, afterwards accumulation of flatulence, followed by vomiting after eating, with the usual appetite (vegetables), 1.
After taking food, even a very little, there was immediately a hard, long-continued pressure in the stomach, 11.*
Heavy pressure in the stomach, 40a. [480.]
Severe pressure in the stomach, after every meal, 1.
A severe pressure below the pit of the stomach, as if everything there were sore, in every position; the same when touched; soon afterwards a violent diarrhœa, which did not relieve the pain in the pit of the stomach (after seven hours), 16.
Violent pressure in the stomach, which disappears while eating, 18 . [Alternate action with 478.]
Oppression of the stomach, 25.
Weight on stomach, 66.

ABDOMEN

Hypochondria.
Pinching stitches in the left hypochondriac region (after one hour and a half), 9.
Several attacks of intermitting pressure in the region of the liver, while standing, which disappear on bending the body forward; the region is painful to touch, as if suppurating (after five hours), 6.*
Continued stitches beneath the right ribs, in the region of the liver, unaffected by inspiration or expiration (after four hours), 9.
Violent stitches in the region of the liver, extending from within outward only on expiration (after five hours), 9.
Swelling of the liver, 40a. [490.]
[Obstruction of the liver], 44.
[Obstruction of the spleen], 44.
Cutting pressure in the region of the spleen, as if the spleen were hardened, 6.
Stitches in the spleen when walking, even slowly, 6.
Umbilical.
Griping, as if external below the right side of the navel, while sitting, in the evening (after thirteen hours), 6.
Colicky spasms in region of navel, 72.
Pressure in the umbilical region, 12.
A constrictive pressure in the umbilical region, in the evening in bed, 6.
Contractive pressure on the right side below the navel, as if there were and induration there, while sitting, 6.
After a moderate meal at noon and in the evening, pinching pressure somewhat above the navel, in the upper abdomen, which becomes intolerable on motion, and is only relieved during complete rest, 1. [500.]
Severely pressing pain on both sides below the navel, after eating, 4.
Severe cutting in the umbilical region, with cold sweat on the forehead, lasting a quarter of an hour (after a few minutes), 20.
Dull sticking in the right side above the navel, more severe when touched, 11.
Dull sticking in the left side of the abdomen about the navel, and at the same time below the right nipple, extending inward (after one hour), 11.
Excessive, pressive sticking on the left side below the navel, while walking rapidly and afterwards (after two hours), 7.
Tearing in the umbilicus, 7.
Tearing and rumbling in the abdomen below the navel, 12.
Excessive tearing on the right side near the navel, extending down into hypogastrium, in all the inguinal region; relieved by bending backward, 7.
Colic in the region of the umbilicus, together with shivering, 1.*
Frequent attacks of cutting colic in the umbilical region, 2.
General Abdomen. [510.]
[Inflammation of the abdomen], 53.
Distension of the abdomen, especially of the lower abdomen, 1.
Distension of the abdomen, as from much drinking and from flatulent food, 12.*
Distension of the abdomen, in the morning, without flatulence, 1.
Distension of the abdomen after eating, like a fulness, 1.*
Distension of the abdomen, colic, and diarrhœa, 40a.
[Obstinate distension of the abdomen, causing anxiety], 53.
Obstinate, tense distension of the abdomen, 18.*
[Flatulent distension of the abdomen], 53.
[Swelling of the abdomen], 29. [520.]
Belly much swollen for a short time, until eructations ensued (36 drops), 62.
[Ascites, dropsy], 53.
[Tympanitis], 33.
*Tympanitis, 53, 56.
[Contraction of the abdomen and sides by heavings and fallings of the scapulæ]. 55 . [See note to S. 798.]
[Indurations of the abdomen], 53.
[Attacks of hardness, distension, and pains in the abdomen], 55 . [This, with S. 880 and delirium, occurred instead of the ague paroxysms, five days after beginning China. -Hughes.]
[Ulcers in the abdomen], 53.
*Fermentation in the abdomen from eating fruit (cherries), 1.
Crackling in the left side of the abdomen, downward and backward, as if in the ascending colon, 6. [530.]
Rumbling in the abdomen (after one hour), 18.
Rumbling in the upper abdomen (after two hours), 21.
Rumbling and rattlings in the intestinal canal (18 drops, after one hour and a half), 62.
Great rumbling and moving of much flatus in the abdomen, with a pressive sensation, in the evening between 6 and 10, followed by passage of much offensive flatus, 3.*
Violent commotion in abdomen, followed by passage of the clyster, with relief of symptoms, 58.
Excessive flatulence (after five hours), 63.*
Flatulence, and profuse discharge of it, 12.*
More flatus than usual (second day), 63.
Very badly smelling flatus (120 drops), 61.*
Accumulation and passage of much flatus (after half an hour), 1.* [540.]
Flatulent discharges (18 drops), 61.*
Discharges of very fetid flatus (70 drops), 61.*
Passage of much offensive flatus (after ten hours), 1.*
Passage of much excessively offensive flatus, 18.
(With desire and urging for stool only flatus is passed), 1.
Much passage of flatus, together with drawing in the abdomen, with a hard stool, which is difficult to pass (after forty-eight hours), 22.
Pain in the abdominal muscles, as if bruised (after one hour), 1.
Pain in the abdomen, as from a purge, after drinking, 1.
Fulness of the abdomen, 40a.*
After eating, he remains for a long time full; what has been eaten remains in the upper part of the abdomen, 1.* [550.]
It seems as though the upper abdomen were constricted, 11.
Sensation of contraction of the intestinal canal, with rumbling in the lower abdomen, 11.
Contractive pain in the abdomen, in the evening while sitting, which disappears on rising, and still more when standing and walking, 6.
Narrowing and tightening (angustia et firmitas) of the intestines, 27.
Pinching and coliclike contraction of the intestines above the navel, on rising after stooping, 6.
Violent pinching in the upper abdomen (was obliged to bend double in order to relieve it), (after one hour), alternating with inclination to vomit, urging to stool, and shaking chill all over; after a griping pressure in the upper abdomen, 21.
Pain in the abdomen like a pinching and drawing, mostly while sitting, 6.
Griping in the abdomen, with increased hunger and weariness (after three hours), 1.
Griping, with violent pains in the abdomen on passing flatus, 1.*
Violent griping in the abdomen, which disappeared on rising from sitting, 20. [560.]
Spasmodic pain in the abdomen, composed of pressure and constriction (after twenty-four hours), 1.
Cold, colicky cramp in bowels, followed by slight diarrhœa, 73.
Drawing pain in the right side of the abdomen, while walking, 6.
Pressure in both sides of the abdomen, as if a stool should follow and could not, 1.
Pressure and heaviness in the abdomen, 1.
Pressure and cutting in the intestines, during and after the passage of whitish turbid urine, 1.
Sticking pressure in several parts of the upper abdomen, in the morning in bed (four days in succession), 11.
Pressive pain in the region of the cæcum (while sitting), 2.
Griping, pressive pain in the abdomen when walking, towards evening, 6.
Sharp pains in abdominal region, of about eight minutes continuance (after two hours), 63. [570.]
Cutting pains shoot through the abdomen in all directions, before the passage of the flatus (after one hour), 1.
Stitches in the abdomen, extending downward on inspiration, while sitting, 6.
Sharp stitches in the left side of the upper abdomen just below the ribs, extending from within outwards, worse on inspiration (after seven hours), 11.
Beating in the right side of the abdomen, 12.
Drawing-jerking pain in the side of the abdomen, while eating and drinking (after two hours), 1.
Throughout day, during digestion, colicky pain (second day), 67.
[Colics], 53.
Colic before the passage of flatus, 1.*
Colic before the stool, 1.*
Colic with the stool, 1. [580.]
Colic, at noon before eating, as in retention of flatulence, 1.
Colic, immediately after eating a moderate supper with good appetite, that is, distension of the abdomen, with here and there sharply pressive pains, mingled with gripings in all the intestines, 1.*
Colic in the epigastric region, like a pressure, which is always relieved by rising from sitting, but returns on sitting down again, and lasts two hours (after three-quarters of an hour), 20.
[Colic, with nausea], 42.
Colic, with great thirst (after one hour), 4.
[Excruciating, intolerable colic], 26.
[Unspeakable colic], 41.
Flatulent colic (after two hours), 1.*
Flatulent colic; pain in the upper abdomen; the lowest intestines felt constricted, and the flatus endeavored in vain to expel itself, with tension and pressive pain; eating even caused tension under the short ribs and anxiety, 1.
Griping-sticking colic in the abdomen, 1. [590.]
Forcibly pressing colic, in the evening, as if diarrhœa would come on, while sitting, which disappears on walking and standing, 6.
Pressive, pinching colic (sticking) below the region of the stomach, as if diarrhœa would come on, without, however, any stool, in the evening (after thirty-six hours), 6.
[Scorbutic colic], 31.
Hypogastrium and Iliac Regions.
Increased peristaltic motion in the lower abdomen, together with pressure, 12.
Gurgling in the lower abdomen, 13.
Paroxysmal, cramplike pain in the hypogastric region, while standing, 6.
In the abdomen above the mons veneris, griping-drawing back and forth, as if diarrhœa would come on, with short passages of flatus, while sitting (after twenty-seven hours), 6.
Severe pressure in the left side of the lower abdomen (after three minutes), 7.
Pressive pain in the lower abdomen, during the febrile chill (after a quarter of an hour), 4.
Dull sticking in the lower abdomen on the left side, in the region of the kidney, 11. [600.]
Fine stitches in the hypogastrium on the mons veneris, almost only while walking, 6.
Pressive, tearing pain on the left side near the mons veneris, 11.
A sore pain in the abdominal ring, and sensation as if a hernia would protrude through the sore ring (after four hours), 1.

RECTUM AND ANUS

Rectum.
A continued burning pain in the rectum, after the midday nap (after four days), 1.
Contractive pain in the rectum, especially when sitting (after seventy-two hours), 1.
Pressure in the rectum (after two and six hours), 1.
Sharp stitches in the lower portion of the rectum, especially in the sphincter ani, also during stool, and afterwards sticking-drawing, lasting three days, 11.
Tearing and tearing jerks in the rectum, while lying in bed (after ten hours), 1.
Crawling in the rectum, as from ascarides after a stool, 1.
Crawling in the rectum, as from ascarides and discharge of many of them, 1.
Anus. [610.]
Bleeding hæmorrhoids, 23.
Painful sensations in hæmorrhoidal tumors (120 drops), 61.
Sensation of an acrid substance in the anus during stool, 1.
A burning and burning-itching at the orifice of the anus, immediately, 1.
Stitches in the anus during a stool, mixed with blood (after five hours), 1.
Piercing stitches in the anus and rectum, when not at stool (after five days), 1.
Crawling in the anus, 1.
Crawling-creeping and itching in the anus and urethra, with a burning in the glans, 1.
Perineum.
Sticking pain in the perineum, especially sensitive when sitting, 1.
Urging.
Inclination for stool, 11. [620.]
Inclination to thin stool, like diarrhœa, 1.

STOOL

Diarrhœa.
Diarrhœa, 43.*
Diarrhœa; it seemed as though the fæces contained undigested food; they passed in several pieces (after twelve hours); and after he had finished there was still an inclination to stool, but no more passed, 11.*
Diarrhœa, with burning pain in the anus, 1.
*Diarrhœa of undigested fæces, 1.
[Frequent, diarrhœa-like, blackish stool], 47 . [From the extract, looking (says the author), like the extract itself. -Hughes.]
Violent purging, 54 . [Not found. -Hughes.]
Three stools, of which the last was pappy (70 drops), 60.
Three soft stools, with biting-burning pain in the anus and colic before and after every stool, 1.*
Two stools, contrary to custom (36 drops second day), 60. [630.]
Two stools in morning (second day), 66.
Two pappy stools (second day), 67.
Stool after eating, 1.
Thinner stools (120 drops), 61.
Stool thinner than usual (after twenty-four hours), 4.
A soft stool during the day, 3.
Soft stool, with dark urine (after forty-eight hours), 1.*
Nodular, yellow, soft stool, in the morning, 6.
Bilious stools, 23.
Constipation.
[Constipation], 26, 33. [640.]
Constipation the whole day; constipated stool in the evening, 19.
Constipation; a long-continued accumulation of fæces in the rectum, 35.
Constipation, with accumulation of fæces in the intestines, heat in the head, and dizziness, 1 . [The constipation of Cinchona is the reaction or secondary effect of the organism against the great tendency of this drug; the primary action is to cause diarrhœa. -H.]
Throughout the day, constipated (120 drops, second day), 60.
Costive (second and third days), 64, 65.
Rather costive (third, fourth, fifth, sixth, and seventh days), 68.
Stools less frequent, 57.
Alvine discharge intermitted for two days (18 drops), 62.
The stool is evacuated only with great pressure and after long urging, and then it hurts very much, 1.
He is obliged to press out the stool with great force, although it is not hard but pasty; this is followed by ineffectual urging to stool, with pain, 6. [650.]
In evening, stool harder than usual, 64.

URINARY ORGANS

Bladder.
Pressure in the bladder after frequent and almost ineffectual efforts to urinate, 1.
Urethra.
Constant burning in the orifice of the urethra, 1.
Continual burning in the orifice of the urethra, with a sore sensation on the margin of the prepuce, especially painful when the clothes rub against it (after two hours), 22.
Burning pain in the orifice of the urethra, during and after urinating (after three hours), 1.
Spasmodic contractive pain, extending from the rectum through the urethra to the glans penis and through the testicles, in the evening, 1.
Sticking in the urethra when urinating, 1.
Burning-biting in the forepart of the urethra, in the evening, 1.
Painful sensitiveness of the urethra, especially with stiffness of the penis, also noticed when sitting and rising up, 1.
Bubbling sensation in the region of the bulb of the urethra (after six hours), 1. [660.]
Frequent and such urgent need to urinate that the urine passes involuntarily, 1.
Micturition.
It promotes the flow of urine, 23.
Increased passage of urine, with burning in the orifice of the urethra (after two hours), 22.
Very frequent urinating (after twenty-four hours), 1.
The urine is passed in a feeble stream and slowly; he is obliged to urinate very frequently, 1.
Scanty and dark-colored urine (70 drops after one hour), 62.
[Scanty, yellowish-green urine], 33.
Scanty urine, with brick-red sediment, and hard, tense swelling of the foot, spotted with red, 1.
Scanty secretion of urine during the first twelve hours; it afterwards becomes more copious, 1.
Urine.
Urine somewhat darker-colored (18 drops after one hour and a half), 62.* [670.]
Dark-colored urine, with brick-red sediment (after twenty-four hours), 19.*
Urine is not passed frequently, but is paler than usual, and deposits a cloud (after three hours), 6.
Pale yellow urine, which on the next morning has deposited a dirty-yellow, flocculent sediment, 3.
Whitish, turbid urine, with a white sediment, 1.

SEXUAL ORGANS

Male.
Frequent erections (after six hours), 1.
Awoke thrice in the night, with erections (second day), 63.
Pressing pain in the glans, before urinating, 1.
Fine needle-like stitches in the frænum of the glans, worse on touch, especially sticking and tensive, painful; nothing was to be seen externally, 1.
A jerking pain between the glans and prepuce, when walking, 1.
Itching in the glans, which compels rubbing, in the evening, in bed, 1. [680.]
The scrotum hangs down (after one hour), 1.
Drawing pain in the testicles, 1.
A kind of tearing pain in the left testicle and left side of the prepuce, in the evening, in bed, 1.
Swelling of the spermatic cord; painful to touch, and of the scrotum, especially of the epididymis, 1.
Increased sexual desire, 1.
Nightly emissions, 1.
In each of the four succeeding nights, a not insignificant emission (120 drops), 61.
An excessive emission at night, at 3 o'clock, 4.
Female.
Increase of the existing menstruation, even to metrorrhagia; the discharge is passed in black clots (after one hour), 1 . [688 seems to be the primary action of Cinchona, 689 the subsequent or secondary action; the excitement of the circulation and hæmorrhage from the nose (235-237), from the mouth, 301, from the lungs, 705, are the not at all seldom primary action. -H. (Compare Chinin sulf., S. 563. -T. F. A.)]
Suppression of menstruation, 43.

RESPIRATORY ORGANS

Larynx and Bronchi. [690.]
Accumulation of mucus in the larynx, which he constantly loosens, and which makes the voice hollow and hoarse, 18.
Sensation of a collection of mucus in the larynx, 2.
A kind of drawing in the air-passages below the larynx, followed by paroxysms of coughing, 6.
Stitches and a raw sensation in the larynx, 2.
Continual irritation to hacking cough, in the morning after rising, as from sulphur-vapor, whereby nothing could be loosened, for several mornings, 7.*
Tickling in the evening, provoking cough, which, however, he is able to suppress, 1.
Pain in the bronchi and in the sternum, on coughing, 1.
Voice.
An affection of the larynx, so that the tone of the voice and of singing is deeper than usual, and rough (after two hours), 1.
*Hoarse, rough voice, 2.
Cough and Expectoration.
*Cough caused by laughing, 1. [700.]
He wakes after midnight with cough; with every paroxysm of coughing he feels a sharp sticking in both sides of the chest, still he is able to cough lying down, 1.
Severe coughing, immediately after eating (after four hours), 1.*
[During the chill of an ague paroxysm, difficult cough, with stitches in the sides], 33.
Suffocative cough for a few minutes at night, about 2 and 4 o'clock (a kind of hooping-cough); she screamed on account of it after she had coughed a few times, 1.
[Suspicious cough], 40.
(Cough of bloody mucus), 1.
Respiration.
Whistling and wheezing in the bronchi, on breathing (after two hours), 1.*
[Breathing, with sibilus through the nose], 55 . [688 seems to be the primary action of Cinchona, 689 the subsequent or secondary action; the excitement of the circulation and hæmorrhage from the nose (235-237), from the mouth, 301, from the lungs, 705, are not at all seldom primary action. -H. (Compare Chinin sulf., S. 563. -T. F. A.)]
Snoring and moaning when sleeping, in a chill, 1.
Snoring inspiration (through the nose)

when asleep (after three hours), 1. [710.]

Snoring inspiration and expiration, while asleep, 1.
When asleep, a snoring inspiration soon follows, and a puffing expiration, 1.
Inclination to breathe deeply, before dinner, 1.
[Impeded respiration for half an hour], 55 . [See note to S. 798. -Hughes.]
Very difficult, painful inspiration and quick expiration, 1.
[Dyspnœa], 24, 55.
Dyspnœa, with difficult, at times rattling expiration (mostly when walking), with rawness of the chest (after four hours), 9.
[Asthma], 55.
A kind of suffocative attack, as if the larynx were filled with mucus, especially towards evening, and at night on waking from sleep (after eight hours), 1.

CHEST

Some twitching and jerking here and there in the pectoral muscles, 2. [720.]
A sensation, at first burning, then of agreeable warmth, extending from the upper part of the chest to the stomach, 10.
An agreeable fulness of the chest, as from satiety, with a pleasant (sweetish) taste of the saliva (after one hour), 6.
[Tightness of the chest], 29.
Tensive pain, especially in the internal pectoral muscles (in the morning), 1.
Contractive pain beneath the last ribs, and a sensation as if bruised, only when walking, 6.
Pressive-drawing pain across the lower portion of the chest while sitting, which caused anxiety; it disappeared while standing and walking, 6.*
Tearing-drawing beneath the last ribs, while standing, 6.
Pressure upon the chest, 6.
A burning inward pressure in the whole chest, 1.
Pressure from within outward in the region of the last ribs (after twenty-four hours), 22. [730.]
An intermitting cutting pressure across the chest while sitting bent, which disappeared on becoming erect, and still more when standing and walking, 6.
Pressive pain in the chest, 5.
Pressive pain in the chest, and sensation of soreness in the larynx, when coughing, 1.
Oppression of the chest, 6.
Great oppression of the chest, in the region of the pit of the stomach, as if something were burrowing about there (after four hours), 7.
[Deathlike oppression of the chest], 40b . [The bark had been given during the chill of an intermittent fever. -H.]
In the evening, a sensation of oppression and uneasiness in the chest; he feels himself obliged to breathe deeply and to make a sighing expiration, whereupon the oppression is for the moment relieved; with a weak, scarcely perceptible pulse, and anxious, impatient mood, 3.
The chest seems oppressed (in the night); whistling and rattling with wheezing and râles in the bronchi, without his being obliged to cough on account of tough mucus (after five hours), 1.
Stitches in the chest, in the morning, 8.
Stitches in the chest when walking rapidly, which disappear during rest, 13. [740.]
Dull stitches in the chest, which compel expiration, 6.
Rhythmical dull stitches from within outward in the thorax, during rest and motion, without affecting respiration (after one hour), 22.
Sharp stitches between the seventh and eighth ribs, 11.
Sharp stitches in the thorax from within outward, in the region of the sixth and seventh true ribs, without affecting inspiration or expiration (after three quarters of and hour), 1.
Some violent stitches in the chest, just above the præcordial region while he was at rest, especially while reading (after three and a half, sixteen, and eighteen hours), 15.
(Crawling in the chest, as if something were crawling about in it), 1.
[Troubles below the short ribs], 53.
Front.
Drawing pain behind the sternum, 11.
Pressure over the whole anterior portion of the chest, at night while lying upon the back, 1.
Pressure externally upon the sternum, while sitting bent over, which cause anxiety, and does not permit sufficient inspiration; it disappears on becoming erect (after six hours), 6. [750.]
Pressure externally on the middle of the sternum while the upper part of the body is bent over, and also while standing; it disappears on pressing upon it (after twenty-six hours), 6.
Severe pressure on the sternum after eating, worse when sitting bent over or raising the arm, 1.
Some stitches from the sternum toward the back, soon after drinking (after eight hours), 1.
Sharp stitches in the forepart of the chest beneath the last ribs without affecting inspiration or expiration (second day), 11.
(Throbbing in the sternum, in the morning and evening), 1.
Sides.
*Pain in the side, as if beaten, or as from a blow, 1.
Bone-pains in the joints of the ribs, as if bruised, on inspiration, 1.
A contractive pain in the right side of the chest, in a not very large spot in the middle of the chest, so that he was obliged to expel the breath suddenly and almost involuntarily, 6.
Pressure on the left side near the ensiform cartilage, 11. [760.]
Drawing pressure on the right side of the chest while sitting; it is relieved while standing and walking, 6.
(Sharp pressure, with crawling in one side of the chest), 1.
Tearing pressure below the last true ribs, on the left side near the ensiform cartilage, 1.
A pressive pain in the side of the chest, which impedes breathing, 1.
Hard pressive pain in the right side of the chest, in the region of the fourth and fifth ribs, 6.
Sticking in the right side of the chest below the arm, in the region of the fourth rib, as if it were in the diaphragm, almost like a continual stitch; it disappears on pressing upon it and bending over (sixth hour), 6.
Sharp sticking pain on the left side near the ensiform cartilage and in the pit of the stomach, only on inspiration (after sixty hours), 11.
A tickling-sticking in the left side of the chest, extending towards the præcordial region, 10.
(Stitches in the side), 49.
Stitches in the side, while sitting and reading, 13. [770.]
Stitches in the side and back, and constant nausea, while eating and drinking (after five hours), 1.
Stitches in the sides, with great heat, strong, hard pulse, and staring eyes, 37.
Stitches in the left side of the chest, 14.
Stitches in the left side of the chest (on expiration), while sitting (after two hours), 13.
Dull stitches in the cartilages of the third and fourth left false ribs, without affecting inspiration or expiration, 11.*
Sharp stitches near the right nipple, from within outward (after ten hours), 11.*
Severe stitches in the side at night, but during the day, only on motion or on touch (after thirteen days), 1.
Severe stitches beneath the last ribs, on inspiration, which arrest the breathing, 1.
A small spot below the last right ribs, in which even the slightest pressure or walking causes a sticking pain, 1.*
Pressive, fine stitches in the left side of the chest (after eight hours and a half), 9.

HEART AND PULSE

Præcordium. [780.]
Dilatation of right side of heart, 59.
[Oppression of the præcordial region, which impedes respiration], 53.*
Stitch in the præcordial region after every drink, 1.
Heart's Action.
Palpitation of the heart, 1.*
Palpitation of the heart, with intermitting pulse ; intermissions of every ninth beat followed by three or four rapid beats, 59.
At 3 A.M., awakened by considerable palpitation of the heart, which was not lessened by any change of position, but was increased by lying on left side; at 4 the palpitation subsided, and at 5 he fell asleep again; at 9 the palpitation returned with diminished force, and increased with increased motion of the body (120 drops, second day), 60.
Soon after dinner, considerable palpitation of the heart, increased by movement, lessened by quiet, continuing till 7 A.M. (120 drops, after four hours), 60.
Palpitation and rush of blood to the face, which was hot and red, together with coldness of the hands (after one hour), 4.*
Palpitation, immediately followed by chill (after twenty minutes), 1 . [The Cinchona fever frequently begins with a concomitant symptom; with palpitation, 788, with sneezing, 228, with great anxiety, 29, 1143, with nausea, 1156, 1139, with great thirst, 400, with ravenous hunger, 1185, 1182, with pressive pain in the lower abdomen, 598, or headache, 1114.]
Violent palpitation, conjoined with anxious sensation, 10. [790.]
Violent palpitation, with depressed pulse and coldness of the skin, 21.
Pulse.
Rapid, irregular pulse (after six hours), 4.
Rapid and hard pulse, with flushes of heat, alternating with chilliness of the back which is covered with cold sweat, which also appears on the forehead (after a few minutes), without thirst during the chill or fever, lasting five hours, 20.
After last dose, pulse more than 70, 69.
Pulse 80, 69.
Pulse slow, weak (after one hour and a half), 9.
Pulse, slow, weak, which after a while became gradually stronger and more rapid (after three-quarters of an hour), 9.
[Pulse much slower and weaker than usual during the first hours], 40b . [From a dose of an ounce. -H.]

NECK AND BACK

Neck.
[Contraction of the neck], 55 . [In an hysterical subject, instead of the paroxysm of ague, with S. 524, 707, 718, 844, 1145.]
Movement of the neck is painful, 1. [800.]
Pain in the nape of the neck, extending to the throat, when turning the head, as if the cervical glands were swollen (which was not the case); the pain is more severe on touch, as if bruised (after a walk), 1.
Drawing pains in the nape of the neck, 2.
Drawing pain in the lower portion of the right side of the neck, just at the beginning of the neck, while standing, disappearing on stooping, 6.
Several stitches in the neck (which leave a kind of stiffness), 10.
Slow drawing stitches in the anterior cervical muscles, while at rest, 3.
Back.
Throbbing-sticking pain in the back, 1.
Stitches in the left side of the back (while sitting), 13.
Pain in the back, on the slightest motion, as if bruised (after three hours), 1.
Dorsal.
Contractive pain between the scapulæ, while standing (after three hours), 6.
Pain, as from a sprain, in the shoulder-blade (after twenty-four hours), 1.
Tearing in the region of the left scapula, on inspiration, 10. [810.]
Drawing-tearing pain in the left scapula (after nine hours), 9.
Needle-like stitches across the right scapula and in the left side of the chest (after a quarter of an hour), 22.
Small stitches in the middle of the spine (after five hours), 9.
Lumbar.
(Tensive) pain in the small of the back, as from a heavy load or after long stooping (after twenty-three hours), 9.*
Intolerable pain in the small of the back, as from cramp, or as if bruised and crushed; the slightest motion causes sudden crying out, 1.*
Dull sticking pain in the region of the right kidney, more violent while bending the body (after twenty-four hours), 11.
Dull stitches in the lumbar regions, 11.
Jerking-tearing in the left side of the small of the back, 7.
Sacral.
Severe sticking-drawing pains in the middle of the sacrum, extending towards the lumbar vertebræ, 10.
Jerking across the sacrum (after half an hour), 21. [820.]
Painful jerks in the sacrum (after twenty-one hours), 22.

EXTREMITIES IN GENERAL

Objective.
[Swelling of the limbs], 29.
Laxity of all the limbs and trembling of the hands, 14.*
Trembling of the limbs from a chill and creeping shiverings over the thighs, in the open, still not cold, air; nevertheless, he was not chilly in a cold room (after nine hours), 6.
[Weakness of the limbs], 53.
Trembling, loss of power of the limbs, with dilated pupils, 1.
[Gout], 44.
Subjective.
Numbness and deadness of the limbs, 1.*
The limb upon which he lies goes to sleep, 1.*
A paralytic stiffness in all the joints, causing mental depression, on rising from sleep in the morning and from the midday nap, 1. [830.]
Heaviness of all the limbs, especially of the thighs, as if lead were hanging to them, 2.
[Pain in the limbs, especially in the joints], 33.
Jerking-tearing in various places on the limbs, especially the hands and soles of the feet, aggravated by touch, 7 . [The chief pain caused by China seems to be a jerklike tearing. -HERRMANN.]
A sensible though invisible trembling of all the limbs, combined with a cooling sensation, 12.*

SUPERIOR EXTREMITIES

Weakness of the arms, noticed if he clenches the hands, 1.
Tension in the arms and hands (after two hours), 1.
Tearing, first in the left and then in the right arm (after three hours and a half), 13.
Tearing and drawing in the arm, if she stand by the window, 1.
Paralytic tearing in the upper limbs, which extends into all parts, aggravated more by touch than by motion, 11.
Paralytic jerking-tearing in the bones of the upper limbs, aggravated by touch (after one hour), 11.* [840.]
Paralytic jerking-tearing, which extends from the head of the humerus along the muscles and bones to the phalanges, where it is painless; therewith the whole arm is weakened; the pain is increased by touch (after three hours), 11.
Shoulder.
Intermitting pressive-drawing pain on the margin of the right axilla, near the forepart (after three days), 11.
Tearing pressure in the left axilla and on the anterior and inner border of the scapula, 11.
Paralytic jerking-tearing on the top of the shoulder, which is painfully sensitive to touch; after the pain has disappeared, it is renewed by touch; even the pressure of the coat on the shoulder causes it, 11 . [Cinchona bark has this characteristic peculiarity, that not only by motion, and especially by touch of the part are the pains aggravated (S. 502, 776, 778, 832, 836, 839, 840, 848, 865, 914, 934), but even if the pains have disappeared, they are renewed by simply touching the part, as in this symptom and 901, 916, and then often increase to a frightful severity; hence this bark is frequently the only remedy in similar cases. -H.]
Arm.
[The arms are outstretched, with flexed fingers], 55 . [See note to S. 798.]
Paralytic pain in the right upper arm, which begins in the head of the humerus, and loses itself in the hand as a fine and slight tearing, together with warmth of the whole body, especially of the forehead (after eight hours), 11.
Sticking pains in the upper arm, which almost immediately disappeared on moving it (after three-quarters of an hour), 20.
Jerking-tearing in the humerus, towards the upper and inner portion (after two hours), 11.
Elbow.
Painful drawing on the coronoid process of the left ulna (in the bend of the elbow), more violent when touched, 11.
Tearing-piercing through the left elbow-joint, frequently returning, 1. [850.]
Stitches in the left elbow-joint, 6.
Tearing pain in the left elbow-joint, worse on motion (after two hours), 11.
Forearm.
The forearm goes to sleep when bending it (for example, when writing), with fine sticking in the tips of the fingers, 1.
Drawing pains in the bones of the forearm, as if the periosteum had been scraped with a dull knife, 6.
Drawing bone-pains from the elbow to the fingers, in the evening (after twenty-four hours), 1.
Tearing and drawing back and forth, now in the right forearm, where it disappears on rubbing, now in the left (after four hours), 16.
Tearing in both ulnæ, worse on touch, 11.
Wrist.
Sharp drawing-sticking across the left wrist (in the evening), (after thirteen and fourteen hours), 6.
Hand.
Trembling of the hand while writing (after one hour), 13.*
Drawing pain across the back of the hand, which is swollen, on moving the left hand, 1. [860.]
Drawing pain in the palm transversely across the roots of the fingers, 6.
The hand pains (cramplike drawing) on closing it, 6.
Dull sticking in the metacarpal bone of the right index finger, 11.
Tearing at the point where the metacarpal bones unite with the bones of the wrist (after five hours), 6.
Jerking-tearing in the base of the hand and metacarpal bones, 11.
Jerking-tearing in the metacarpal bones and fingers, aggravated by touch, 7.*
Fingers.
The knuckle of the middle finger is swollen; he cannot move it on account of pain and stiffness, 1.
[Blue nails], 31.
Drawing in the thumb, middle and index fingers, extending upward, 1.
Tearing in the bones of the last phalanges of the fingers of the right hand, especially severe in the joints, without affecting motion (after half an hour), 11. [870.]
Fine sticking-tearing in the last joint of the right thumb, 11 . [Sticking-tearing and sticking-drawing (which also sometimes become a jerking-tearing) seem to be characteristic pains of Cinchona. See also 857, 877, 929, 945, 948.]
Jerking-tearing in the phalanges of the fingers (after twenty-four hours), 7.
Jerking pain in the left little finger, 1.

INFERIOR EXTREMITIES

Tottering of lower extremities, 59.
Weakness and exhaustion in the upper and lower legs, as from a long walk, 12.
Walking becomes difficult, and he feels very soon exhausted, as from a sensation of heaviness and paralysis of the legs, 18.
The lower limbs go to sleep while sitting, 1.
Cramplike (stickinglike) drawing in the upper and lower legs (after half an hour), 21.
Pain, like a sticking and burning simultaneously on several parts of the lower limbs, 7.
Hip.
Weakness and unsteadiness of the hip and knee-joints, two mornings in succession, as though he had taken a long walk on the day previous; on continued motion this sensation leaves the joints, and changes to a bruised pain in the upper thigh during the first day, but more especially in the lower legs on the second day, 3. [880.]
[Pain in the hip-joint, knees, and foot, as if they were sprained or crushed], 55 . [See note to S. 526.]
In the hip and knee-joints, pressive drawing when sitting, which disappears on standing and walking, 6.
Thigh.
Hard swelling of the thigh, which at times extends down over the knee to the sole of the foot, becoming thinner in the lower part, reddish, and painful to touch, 1.
Weakness of the thighs, 1.
Sensation in the left thigh, while standing, as though there were hardened pimples in the flesh, with drawing pain in it (after two hours), 6.
(Burning on the front of the upper part of the thigh), 1.
A burning and crawling, as if gone to sleep, in the thigh on which he had been sitting, on rising from sitting; especially noticed in the hollow of the knee, particularly while standing, 6.
Tension in the anterior muscles of the thighs when walking, 1.
Cramplike paralytic pain in the right thigh and knee-joint, on rising from sitting, if he had sat for some time; also noticed while walking (after five hours and a half), 9.
Drawing in the nates and also in the knees, while standing, which ceases while sitting. [The authority is omitted by Hahnemann.] [890.]
Slow painful drawing on the inner side of the left thigh, which seems to be only in the skin, 6.
Cramplike drawing in the right thigh, extending upward from the hollow of the knee (with sensation of pressure), just as if the lower leg would be drawn up, in the evening, while sitting; it disappears when standing and walking, 6.
In the bend of the thigh, especially in the tendon (of the psoric muscle), a pressive drawing, while sitting, 6.
A painful pressive drawing downward in the femora, mostly while sitting, in the afternoon, 6.
Tearing-drawing in the left nates, while sitting, 6.
Drawing pain in the bones of the thigh, as if the periosteum had been scraped with a dull knife, 6.*
Pain in the posterior muscles of the thigh as if they were beaten, while sitting, 1.
In the upper part of the flesh of the right nates, on the pelvic bone, pulselike steadily increasing pressure while sitting, which disappears after rising, 6.
A stitch on the posterior portion of the right thigh, extending downward, while standing, 6.
Tearing in the femora from above downward, during rest and motion; paroxysmal, lasting several days (after seventy-two hours), 22. [900.]
Jerking-like tearing in the thigh, 1.
Jerking-tearing on the anterior and outer portion of the right and left thighs, only caused by touch, not by motion, 11.
Jerking-tearing on the anterior portion of the left thigh (after two hours), 7.
Jerking in the middle of the left thigh (after five hours), 21.
Knee.
Hot swelling of the right knee , with drawing-tearing pain, whereby he is waked at night (at 12 o'clock), 1.*
Giving way of the knees, especially on ascending steps, 2.
When walking, the knees give out and bend under, 6.
Pain in the knee on bending it, preventing sleep, with nodes in the skin on it, 1.
Slight trembling of the knees when rising from sitting, which was relieved while walking, 4.
A sharp drawing pain in the right knee when rising from sitting and when walking, which disappears on sitting again (in the afternoon), 18. [910.]
Rhythmical jerklike drawing in the tendons of the flexor muscles in the hollow of the knee, 6.
Stitches in the left knee-joint, 6.
Tearing, extending from the knee-joint up towards the thigh, combined with weakness, so that standing and walking became difficult, 11.
A jerking-tearing on the inner side of the patella, 7.
Paralytic tearing in the right knee-joint, which soon extends upward towards the thigh, and then extends downward toward the lower leg, with weakness of the part, aggravated more by touch than by motion, 11.
Pain in the knee on the slightest motion, as if bruised (after three hours), 1.
Pain on the side of the patella when touched (after two hours), 1.
Jerking pain in the knee, 1.
Leg.
[Hard dark-red swelling on the calf, which progresses to suppuration], 45.
Weakness in the lower legs when walking, the whole day (after two hours), 20. [920.]
An inner restlessness in the lower legs obliges him to bend them double and draw them up, 6.
A severely burning tension above the tendo Achillis, 10.
*Sensation in the lower leg as if the garters were tied too tightly, and as if the leg would go to sleep and become stiff, 1.
Painful cramp in the left calf at night, on stretching or bending up the foot, which prevents sleep (after sixteen hours), 1.
Drawing pain in the right tibia, in the lower portion near the heel, and then in the whole lower portion of the foot, while sitting, 13.
Painful drawing in the bones of the lower legs (second day), 11.
Cramplike drawing on the inner side of the left sole, while sitting, 6.
Pressive drawing in the tibia, in the evening, while sitting; it disappears on standing and walking, 6.
A pressive drawing pain on the outer and inner portion of the left tibia, below the patella, on stretching out the left lower leg while sitting, which disappears on bending the leg, 6.
Sticking-drawing in the heels (after forty-eight hours), 7. [930.]
Sticking in the tibiæ while walking , which disappears during rest (after five and several hours), 13.
Stitches now in the tibia, now in the back, now in the chest, while sitting (after fourteen hours), 13.
Severe, sharp, suddenly recurring stitches in the upper part of the calf, while walking in the open air, 6.
Tearing in the calf, 13.
Bruised pain in the bones of the lower (?) leg when stepping upon it, and still worse when touched; if she feels of it, shivering of the whole foot and chilliness, as if she had put it into cold water, 1.
Pain in the lower half of both lower (?) legs, as if the periosteum were bruised and swollen, only when standing; when touched, a smarting pain, as if there were a sore bruised spot, 1.
Foot.
[Swelling of the feet], 53.
[Painful swelling of the feet], 33.
Very soft swelling of the soles of the feet, 1.*
[Paralysis of the feet], 31. [940.]
Weakness of the feet, as if they were bruised (after four hours), 1.*
Violent sticking-burning in the upper part of the foot, close to the tibia (while sitting), 7.
Contractive pinching pain on the outer side of the right sole (after six hours), 9.
Drawing pain in the metatarsal bones of the right foot, 11.
Drawing, with sore pain, on the back of the foot while standing, which disappears while sitting, 6.
Very violent tearing-sticking in the soles of the feet, while sitting and walking, 6.
Stitches in the left sole, 13.
Stitches in the scar of a wound on the left foot, 2.
Sticking-tearing in the sole of the foot, in the region of the heel, while sitting and walking, 11.
Jerklike tearing in the tarsal and metatarsal bones, 11. [950.]
Jerklike tearing in the metatarsal bones and in the toes, 7.
Jerklike tearing, aggravated only by touch, not by motion, in the metatarsal bones and in the phalanges, especially in the joints (after thirty-one hours), 11.
Jerklike tearing at the union of the metatarsal with the ankle-bones (after twenty-five hours), 11.
Sticking-crawling, extending from the great toe up to the back of the foot, as if the part had been frozen, in the evening, while sitting, disappearing on standing and walking, 6 . [Although the symptoms and pains of China are most frequently (next to touch, S. 843) caused and aggravated by movement of the part, yet there is also a not uncommon alternate action, in which the symptoms are relieved and removed by motion, as in this case and 802, 881, 891, 897, 920, 927, 928, and also in which they chiefly occur during rest, 893, 894, 896, 1013, 1017, 1018, 1021. -H.]
Toes.
Boring stitches in the tips of the toes, 1.

GENERALITIES

Objective.
[Œdema], 53.
Erysipelatous swelling of the whole body, 34.
*[Dropsy], 24, 27, 44, 48, 49, 50, 53, 55.
Turgor of the cutaneous veins (70 drops), 61.
[Asphyxia, apparent death], 31. [960.]
[Cachexiæ], 27, 44.
[Consumption], 24, 44.
[Slight attacks as of apoplexy, loss of consciousness], 55 . [See note to S. 526.]
Wandering rheumatism, now in one part, now in another, without swelling or fever, alternating with pains in the interior of the body, 54 . [In those who have taken China for a long time. -Hughes.]
[Suppression of the evacuations], 44.
Stretching, 1.
Trembling, 59.
Jerkings, 37.
Cramplike jerking in various muscles, 2.
Cracking in the joints, 1. [970.]
Extreme lightness of all movements, as if he had no body (after two to three hours), 6 . [Alternate action, following the previous sensation of weakness caused by China. -H.]
Inclination to lie down, 1.
After the last dose, an agreeable mélange of inclination to rest and merriment, 69.
Aversion to physical or mental exertion, 2.
[Sleepy indolence], 53.
Indolence, 21.
A languid condition of mind and body, with unusual sensitiveness, 1.
Awoke in morning quite lively, yet feeling somewhat exhausted, as after a night of walking (second day), 69.
*Weakness, 37.
Weakness; he could scarcely hold up the head, and fell asleep, 6. [980.]
Weakness and relaxation of the whole body, 11.
Weakness, together with loss of the senses, 14.
Weakness and sleepiness after supper (after twelve hours), 9.
At one time weakness, at another extreme sensation of vigor in the joints, 6 . [An alternate action in a healthy person. -H.]
Chronic weakness, 55 . [Not found. -H.]
[Sinking of the strength], 50.
[Exhausted strength], 30.
Exhaustion and relaxation of the body and mind (after one hour), 9.
Exhaustion of the whole body, noticed even while sitting, but still more while walking, 2.*
Faintness, 31, 37, 43.* [990.]
[Faintness, death], 40b . [Also Sydenham (Opera Lips., 1695, p. 379) speaks of two men killed by Cinchona bark taken a few hours before the paroxysm of fever. -H.]
Great faintness, 25 . [Occurred in a strong man who had taken a drachm of the best red bark at one dose; the attack of faintness was so violent that he did not come out of it until an emetic had been administered. -H.]
Restlessness, 59.
Sensations.
*Excessive tenderness and sensitiveness of the nervous system; the special sense, sight, smell, hearing, and taste, seem too acute; his internal sensibility is offended, and his mind is unpleasantly affected; previous pains seem subdued and violently suppressed, together with great heaviness of the whole body, 1.
*Excessive sensitiveness of all the nerves, with a morbid sensation of general weakness, 1 . [Compare this note to 1013. Here we see expressed the peculiar weakness which Cinchona causes in such an excessive degree and it is especially this kind that Cinchona can permanently remove, if the other morbid symptoms correspond to those caused by Cinchona. This particular kind of weakness is very similar to the exhaustion caused by the loss of fluids. -H.]
The sensibility of the whole nervous system is particularly increased, tense, and excited, 1.
Cannot endure the customary tobacco-smoke; it affects his nerves, 1.
*Excessive, almost painful, sensitiveness of the skin of the whole body, even of the palms of the hands (after ten hours), 1.
In the morning, after a night-sweat, the skin is not sensitive to the air, and is not liable to take cold; he is able to uncover himself without injury, 1.*
Feeling of comfort in the evening, 14. [1000.]
Weariness, 1.
Weariness and indolence after dinner, 9.
Weariness after eating, so that he desires to lie down and sleep, 1.*
Sensation of weakness, especially on rising from sitting; is much inclined to sit down, and even sinks back upon a chair is he does not exert the muscles; whereupon a comfortable sensation of rest follows (after three and four hours), 3.*
He seems very weak and prostrated in the open air, and very faint about the stomach and chest, although he seems to have a superabundance of strength for walking, 6.
Sensation of heaviness of the body, 48.
If he remains erect for a few minutes, stiffness follows, he becomes pale and loses consciousness, 37.
All the joints feel stiff on rising from the midday nap, 1.
An internal sensation as of impending disease, 1.
He feels sick generally; is not at all well, 1. [1010.]
Complaints from a slight draft of air, 1.
Dread of the open air, 1.*
Rheumatic pains, 48.
Pain in the joints while sitting and lying; the limb cannot endure lying quietly in one place, as after an excessive fatigue from a long journey, or from great exhaustion consequent upon excessive bleeding or a profuse loss of semen; one is obliged to move the limbs hither and thither, at one time bend them up, at another stretch them out, 1 . [The weakness here noticed as if proceeding from great loss of the fluids is associated with 1, 987, 993, 995, 1014, together with the mental symptoms (11, 82, 40, 41, 47), also with the existence of disordered digestion, the disturbance after eating, the much too easy sweating, especially on the back, on motion and during sleep, and the confusion of the head, and is exactly that weakness for which Cinchona is the only fit remedy, and it, almost without exception, affects persons who have lost and essential portion of their strength by hæmorrhoids or frequent bloodletting, by constant loss of milk from the breast, by excessive nursing of children, by excessive coition, or onanism, or frequent involuntary emissions, by profuse sweating during disease, by too powerful sudorifics, by diarrhœas, or by frequently repeated cathartics. In the other forms of morbid exhaustion, when the disease itself does not find its remedy in this drug, Cinchona is always followed by the most pernicious results, frequently shortening the life of the patient; although, indeed, in these inappropriate cases an excitement of the vitality may be produced during the first few hours, but which is easily seen to be unnatural and forced, and which only tends to hasten death by the excessive excitement; and if in these cases its use be long continued, a cachexia difficult to cure may be brought about by the malpractice of the physician. -H.]*
[Tensive pains], 32.
Affection of the bones, like a drawing, 6.
Tensive, extremely sensitive drawing pain in almost all the bones, now in one, now in another, which is for the moment relieved while lying, but soon returns more violent than ever (after fourteen hours), 3.*
Pain in all the joints, as from a heavy weight pressing upon them, in the morning, in bed, disappearing on rising, 1.*
Pain in all the joints, as from a heavy weight pressing upon them, while sitting; the longer he sits, the more tired he becomes, 1.
Oppression of all parts of the body, as if the clothes were too tight (after walking in the open air), 1.* [1020.]
*He is sore all over, in the joints, the bones, and the periosteum, as if they had been sprained, like a drawing-tearing, especially in the spine, the sacrum, the knees, and thighs, 1.
Pain in all the joints, as if bruised, during the morning nap; the longer he lies, the more they pain; he is obliged to move the limbs frequently, because motion relieves the pain; when fully awake, the pains disappear, 1.
Bone-pains in the joints of the ribs, in the limbs, in the shoulders, and in the shoulder-blades, as if they were bruised, if he touches or moves them, even in the slightest degree, 1 . [This is the alternate action of 299, 300, 302. -H.]

SKIN

Objective.
[Yellow color of the skin], 33.
*[Jaundice], 27, 49, 53, 55.
A jumping in the skin of the abdomen in several places, as if a hair were pulled up, 6.
Eruptions, Dry.
In the morning, frightful swelling of face, forearms, and hands (urticaria); eight days after this had disappeared the dose was repeated, upon which the eruption returned with the same intensity; this time the nettlerash pimples were mingled with vesicles like varicella, 74.
Eruption in the concha, 1.
(Red rashlike eruption on the forepart of the throat, without itching), 1.
Eruptions, Moist.
Watery blisters behind the ears, 1.
Eruptions, Pustular. [1030.]
Boil upon the cheek, 1.
A boil in the pectoral muscles, 1.
[Eruption on the lips and tongue, ulcers, which itch and burn very much], 52 . [Said to be critical. -Hughes.]
(Offensive matter is discharged from an ulcer, with burning and itching in it; he cannot let the foot hang down; the foot is painful when standing), 1.
Subjective.
Fine sticking at various points in the skin, 6.
Itching of the skin; blood oozes on scratching, 1.
Intolerable itching at night, 74.
Itching of the skin; after scratching, vesicles, as from burning nettles, appear, 1.
Sensation at the elbow-joint as if the skin were infiltrated with blood, 10.
Contractive pain on the left side of the occiput externally; it seems as though the skin were drawn to one point; not aggravated by touch, 11. [1040.]
Boring pain in an ulcer, 1.
Digging pain in a sore, 1.
An ulcer becomes painfully sensitive, with boring pain in it, 1.
Painful sensitiveness of the skin of the thighs to the rubbing of the clothes, as though the skin were raw and covered with pimples (after eight days), 22.
Throbbing pain in an ulcer on moving the part, but not during rest, 1.
(Sticking-throbbing pain in an ulcer, even while at rest), 1.
(Creeping in the skin of the forehead), 1.
Itching-crawling in the scrotum, in the evening in bed, which causes rubbing, 1.
Itching on the left lid, 6.
Itching on the arms, loins, and chest, especially in the evening; after scratching pimples appear, 1.
Violent itching on the right sole while walking and sitting, relieved for awhile by scratching, 11. [1050.]
Burning-itching under the knees, on the inside of the arms, when warm and at night in bed, with eruption of small blisters which contain water, but which disappear in the cold air, 1.
Sticking-itching on the scrotum, 6.
In a sore (an ulcer) sticking-itching pain, lasting two hours (after a few hours), 1.
Biting-itching, almost only on those parts upon which he does not lie, and which are turned upward (during the midday nap), (after twenty-six hours), 1.
Biting-itching almost only in those parts upon which he lies in bed; scratching relieves only for a moment; but if he lies upon the other side, so that the itching side may be upward, then the itching soon disappears (after eight and nine hours), 1.
Crawling-itching on the coccyx, which disappears for only a short time on rubbing (after one hour), 1.

SLEEP AND DREAMS

Sleepiness.
Inclination to yawn, 22.
Yawning, 1.
Yawning and stretching (after a quarter of an hour), 9.
Yawning, with chilliness of the body, 1. [1060.]
Incessant yawning, without sleepiness, 1.
After dinner, great inclination to lie down and sleep, 1.
Sleepiness during the day, 1.
Sleepiness after eating, 1.
Sleepiness with palpitation, 1.
Sleepiness the whole day, with stretching of the limbs and yawning, 2.
Sleepiness, soon followed by activity, 12.
Constant sleepiness during the day; he falls asleep unawares, 1.
Overpowering sleepiness while sitting, 1.
8.30 P.M., striving against drowsiness, 69. [1070.]
As soon as she sits down during the day she nods and slumbers; but if she lies down she becomes wide awake on the slightest noise, 1.
Very sound sleep at night, only twice awakened by thirst and two calls to urine (the latter unusual), 67.
Very sound sleep, as of a drunken person, without waking once; in the morning he was completely confused in his head, as though he had not slept enough, together with pressure in the temples on shaking his head, 6.
While asleep one eye is open, the other half closed, with the eyeballs turned upward, as in a dying person (after one hour), 1.
While asleep he lies upon the back, with his head thrown backwards, arms stretched above his head, with slow expiration, and strong, rapid pulse, 1.
Sleeplessness.
Sleeplessness the entire night, 71.
Sleeplessness until midnight, with pressive pains all over the head, 4 . [The pressive headache at night seems to be characteristic of China; also the pain in the umbilical region in the evening in bed is related thereto. -H.]
She cannot sleep the whole night; vivid and disagreeable thoughts one after another crowd upon her, 1.
He was unable to sleep on account of many thoughts and reflections; each occupied him for only a short time, but in succession crowded upon him, so that through nearly the whole night no sleep came to his eyes, on account of which he became very warm all over towards morning, although he is unable to have less covering, or to be uncovered; without thirst (after thirty hours), 1.
Feeling more lively than sleepy at night, lay down on sofa, and smoked a pipe, 68. [1080.]
He falls asleep late; he is unable to sleep on account of many thoughts; he also does not sleep soundly, and in the morning on rising is very much exhausted, 1.
Sleep only from 3 to 5 A.M., 14.
[Uneasy sleep], 30.
Uneasy sleep, with tossing about, without waking, 10.
Uneasy sleep, and slight sweat all over after waking in the night, 12.
Uneasy sleep, full of dreams and crying out, 1.
Uneasy sleep at night, from which he started up from time to time, and every time remained unconscious for some moments, 16.
Uneasy sleep at night, with worrying dreams and tossing about, from which he awoke every time, 6.
Uneasy sleep; he could not fall asleep; if he fell asleep he soon awoke, with sweat on the scalp and forehead, with chilliness over the back, 20.
Uneasiness and loss of sleep, 48. [1090.]
Unquiet sleep in the night, interrupted by four or five erections (first day), 63.
At night in sleep, he tosses about, uncovers himself, and has all kinds of worrying dreams of former occurrences in the morning he cannot get wide awake, on account of confusion and stupidity in the head; he feels out of sorts in the morning and not at all refreshed by his sleep, 6.
He starts up on falling asleep, 1.
He starts out of sleep at night, 1.
Slept for some hours, waking frequently at intervals; on the whole, the night resembled one after indulging in spirituous liquors during the day, 68.
Out of nervous anxiety went to bed as early as a quarter past eight, soon fell asleep, but awoke frequently (120 drops after eleven hours), 60.
Loss of sleep after midnight; he is also very sleepy, though his thoughts remain active, so that he remains with the eyes closed, and frequently changes his position in bed, 1.
He woke two hours earlier than usual in the morning, 3.
Dreams.
Confused fancies, in the evening on falling asleep, on which account he awoke again (after sixteen hours), 22.
Confused, senseless dreams, from which he frequently awoke, 1. [1100.]
Sleep disturbed by confused, interrupted dreams, with frequent wakings; on waking he did not become perfectly conscious, 4.
Confused, senseless dreams after midnight , mingled with half unconscious waking, 11.*
Voluptuous dreams, with emissions, 12.
Heavy dreams during the sleep at night, which make him anxious after waking, 1.*
Anxious dreams at night, whereupon he awoke in a half unconscious condition, and remained frightened for some time, 21.
An anxious dream; he imagines he is descending a precipice, on which account he awakes, but the dangerous place remains vividly before his fancy (especially on closing the eyes), so that he continues for a long time in a great fright about it, and cannot quiet himself, 1.
Just as he falling asleep he is waked by frightful fantasies, 1 . [Uneasy sleep at night, with dreams that cause anxiety and starting up, on waking from which he cannot collect his senses, or about which he continues to be anxious, is very characteristic of Cinchona. -H.]
A frightful dream at night (after eight hours), 1.
Frightful dreams of unhappiness, which awoke him, without however, his being able to come to his senses, 7.
At night frightful dreams of falling from a height with waking full of uneasiness, with loss of consciousness for the first few moments, 21. [1110.]
Dreamed that some one had stabbed his brother, and then he called for his mother; that his mother was dead, and then he cried; that his mother's arm was hurt; on each occasion the impression continued after waking, 75.
As soon as she closes her eyes to sleep, dreams of horrible things, 1.

FEVER

Chilliness.
Chilliness, 59 ; (after a quarter of an hour), 2.
Chilliness of the whole body, more internally (after three hours and a half), 16.
Chilliness over the whole body, without external coldness, followed by dull cutting headache, extending into the orbits, 14.
Chilliness over the whole body, with cold hands (after half an hour), 16.
Chilliness of the whole body, with very cold feet (after two hours), 6.
Chilliness of the whole body, without external coldness, 14.
Chilliness, without coldness of the body, without thirst (during the one and a half hours between the chill and heat), 11 . [On the second and third days after taking the drug the intervals between the chill and heat in the paroxysm became longer.]
Chilliness of the body, as if a cold wind blew upon it, especially when walking, only seldom with shivering; it only comes on while sitting, over the arms, loins, and thighs (after eight hours), 6. [1120.]
Some chilliness, with pressure in the abdomen, 20.
Slight chilliness over the whole body, 10.
Fleeting chilliness, especially over the back (immediately), 20.
Violent febrile chilliness at 5 A.M., with coldness of the feet (after twelve hours), 5.
Internal chilliness, without perceptible external coldness (after four hours), 22 . [1118, 1124, alternate action with 1151.]
Chill internally and externally over the whole body, at times most in the marrow of the bones of the feet, which are colder than the hands (after half an hour), 7.
Chill the whole afternoon, alternating with heat, together with weakness of the lower limbs; everything is far worse while walking in the open air, 20.
[Two attacks of chill at different times, preceding the fever], 33.
Febrile chill (after a quarter of an hour), coming and going alternately, together with weakness of the knees and tibiæ, while walking and standing, less while sitting, 4.
Febrile chill over the whole body from time to time during the whole day, especially on the forehead, which has cold sweat upon it; violent thirst a quarter of an hour after the first chill (after one hour), 4.* [1130.]
Febrile attacks of chill and sweat throughout the whole day, intermingled with a persistent sensation of heat and redness of the face, alternating with a little thirst, 2.
Shaking chill over the whole body, without thirst, 13.*
Shaking chill over the whole body, with ice-cold hands, without thirst (after one to three hours), 9.
Shaking chill and internal coldness for several hours, without thirst (after half an hour and one hour), 21.*
External shaking chill and shivering, with internal chilliness, wherewith the left hand and left foot were colder, afterwards both hands and feet became equally cold, without thirst (half an hour to one hour), 21.
(Severe shaking chill, in the evening on lying down), 1.
Shivering over the whole body, with gooseflesh (after one hour), 9 ; in the open air, 21.
Shivering over the whole body, without thirst (after two hours and a half), 11.
Shivering over the whole body, though less severe on the limbs, without thirst; the body is not cold, only the hands (after half an hour), 11.
Shivering in the morning and forenoon, with cold hands, sensation of nausea, and rapid pulse, 6. [1140.]
In the morning, shivering for half an hour, without thirst and without subsequent heat, 1.
Shivering and chill on going from the open air into the warm room (after five hours), 1 . [An infrequent alternate action of the more frequent condition, 1136, 1144, 1148, 1157, and 1172.]
Shivering and shaking chill over the whole body, 21.
Shivering and shaking chill through the whole body, cold hands and dulness of mind (after one hour), 21.
He is attacked with shivering and creeping chill in the open air that is not cold; they immediately cease in the room, 6.
[Slight shivering, followed by loss of speech], 55 . [See note to S. 798.]
Violent shivering in the open air, together with shaking chill and gooseflesh, 21.
At noon he eats with relish and with good appetite, but an hour afterwards there follows coldness without thirst, and afterwards a sensation of heat, 6.
Coldness and shivering when walking in the open air at 5 P.M., disappearing in the room (after ten hours), an hour afterwards great heat, especially in the face, increased on motion and on walking; thirst follows an hour after the disappearance of the heat, 6.
Internal coldness, periodic, with shivering and shaking chill over the whole body (immediately), 21. [1150.]
Internal sensation of coldness, mostly on the arms and hands, 4.
He is cold all over, 1 . [Alternate action with 1118, 1124.]
Chilliness in the back while walking in the open air, afterwards heat in the back, with breaking out of sweat, immediately after which there again follows a cold sensation and chilliness, 20.
Slight chilliness in the back (after three hours), 18.
Shivering just above the elbows and above the knees, 6.
Shivering or chilliness, with gooseflesh, after every swallow of drink (after six hours), 1.*
Chill over the arms, with nausea in the stomach, followed by could limbs, with shivering and recurrent nausea, 1.
Shivering chill on the chest and arms, when walking in the open air, 1.
Coldness of the hands, 13.
Coldness of the hands and feet, even in a warm room, 6.* [1160.]
Coldness and chilliness in the knees (after half an hour), 1.
Coldness of the feet in the evening, 1.
Coldness of the hands, feet, and nose, 1.
The right hand is noticeably colder than the left, 21.
Feeling of coldness in the stomach, 1.
*Sensation of coldness on the lower limbs, while the face and chest are still warm (after one hour), 11.
Sensation of icy coldness in the left hand, though externally it did not feel colder than the right, 1 . [Alternate action with 1163, 1208]
Sensation of internal coldness in the upper abdomen after every swallow of drink, and renewed on every inspiration (after four hours), 1.*
A cold sensation in the left lower leg, from the knee to the sole of the foot, 12.
Cold sensation on the ankles and coldness of the rest of the body, while walking in the open air, preceded by increased warmth in the room that was not warm, in the forenoon before dinner, 6. [1170.]
Cold hands (after a quarter of an hour), 1.
Cold hands in the evening, and hot cheeks, 6.
Cold hands, with chilliness externally over the whole body, as if he had been dashed with cold water; in the open air it amounted to chattering of the teeth; it disappeared in the room, except that the coldness of the hands persisted, 19.
Cold feet in the evening (after four hours), 17.
Cold hands and feet in the morning, with shivering chill over the thighs, which was aggravated by walking (after twenty-eight hours), 6.
One hand is icy cold, the other warm, 1.
Ice-cold feet, with warmth of the rest of the body (after one hour), 12.
Heat.
Somewhat increased warmth of the whole body, with distended veins, though without thirst, with easily dilating pupils (after eight and twelve hours), 1.
The whole body is very warm, especially the face and chest (after half an hour), 11.
At one time warmth, at another coldness over the whole body (after half an hour to one hour), alternating the whole forenoon, 21. [1180.]
Heat over the whole body, without thirst (after three hours), 1.
Heat over the whole body, with fine needle-like stitches in the skin, especially of the throat, together with great thirst for cold water (after twenty-two hours), 11.
Heat of the whole body from 5 to 7 P.M., aggravated on walking in the open air, which caused sweat on the forehead, preceded and at a first accompanied by heat and great hunger, which return after the fever; on walking there is a sensation in the abdomen as of hot water running down (a creeping of heat over the whole abdomen and down the thighs), with red cheeks, without thirst (after twelve hours), 6.
Heat throughout the whole body, internally and externally, as from drinking wine, with redness of the face, 21.
Heat of the whole body, with swollen veins of the arms and hands, without sweat or thirst (after four hours and a half), 9.*
Heat of the body, with redness and heat of the face three hours, with great hunger; burning of the lips if they touch each other, with burning-sticking pain in the skin about the lips, in the afternoon, 6.
Heat, with sensation of heat of the body; at first therewith the limbs are still cold, and he has a sensation of coldness in them (after half an hour), with slight thirst for cold water, 11.
Heat, alternating with chill; heat follows about half an hour to an hour after the chill; some thirst for cold water during the heat, 11.
Some heat towards evening, though quite free from chill, with rapid pulse (after twelve hours), 4.
[Irregular heat, acute fever, with excessive sweat], 53. [1190.]
Dry heat the whole day, 2.
Sensation of heat throughout the whole body, with distended veins, with cold feet, with external warmth over the rest of the body not perceptibly increased, 1.
A very transient sensation of heat, with heat of the whole body, and in several places in the skin five, slight, needle-like stitches, with thirst for cold water (after one hour), 11.
Very great sensation of heat over the whole body, with red cheeks, heat of the trunk and arms, moderate warmth in the upper and lower legs and feet, with moist forehead, without thirst, 9.
Sensation of flashes of heat, with thirst for cold drinks, 7.
During the heat he is scarcely able to uncover the hands without difficulty, 1.
(Fever periodically recurring), 52 . [From the use of China in intermittent fever. -H.]
[Fever, with loss of appetite], 33.
(Increased fever), 33 . [From its use in intermittent fever. -H.]
(Diminished chill and increased fever), 52. [1200.]
[Insidious fever], 24, 53.
Warmth of the face, with chilliness of the rest of the body, and shortly afterwards coldness of the forehead, with a sensation of warmth in the rest of the body, 12.
Warmth and redness of the face, while the rest of the body was cold, with sometimes an unpleasant sensation of coldness (chill) on the warm forehead, 4.
Warmth of the face, with redness of the cheeks, with dry sticky lips, without thirst, at 3 P.M., 6.
Warmth in abdominal region, 69.
Feeling of warmth in abdominal region (70 drops), 60.
Agreeable warmth in the abdominal region (18 drops after one hour and a half), 62.
An agreeable warmth from the region of the stomach to the navel, with one tasteless eructation (18 drops), 60.
The right hand is warm (while writing), the left cold, 11 . [1163, 1208, alternate action with 1166.]
The hands are now warm, now cold, 1. [1210.]
Heat in the head and oppression of the chest, towards morning, 1.
Heat in the head, with distended veins in the hands (after four hours), 1 . [In the Cinchona fever the veins are usually distended, even with only heat in the head, as in this case, or with the somewhat increased warmth of the body, 1177, or with a simple sensation of heat, without noticeable external heat, 1191, and even with real external heat (1184).]
Heat of the external ears, 1.
Heat of the face, 48.
Redness and heat in the cheek and lobule of the ear of one or the other side, and before this disappears chill over the body, and at last over the limbs (after four hours), 1.
Redness and heat in the cheeks and lobules of the ears, with chilliness over the arms and abdomen (after one hour), 1.
Heat in the face, and after a few hours shivering and chilliness, with coldness of the whole body, 1.
Heat in the umbilical region, 12.
Burning heat of the face appeared on coming from the open air into a room that was not warm, 18.
Very great internal heat of the whole face, of the trunk, and thighs, with cold sweat on the forehead, cold cheeks, and cold feet (after ten hours and a half), 9. [1220.]
Alternating heat and redness of the face, 53.
Sensation of heat and redness of the cheeks, without externally perceptible warmth, without thirst, with cold feet (after nine hours), 6.
A burning, mingled with some crawling and itching, in various parts of the body during the day, 7.
Sweat.
Sweating at night, even with slight coverings, incessant, 1.*
*Sweating during sleep, 1.
*On being covered he sweats profusely all over; this is very troublesome, yet he is so sleepy with it that he cannot collect himself and get up, 1.
Sweat in the morning while asleep, 1.
Cold sweat, 59.
After waking at 3 A.M., sweat of the body, with thirst, without sweat on the feet or on the head, excepting where his lies upon the cheek, 1.*
General, but profuse sweat, 23. [1230.]
Profuse sweat, 43.
Profuse sweat over the whole body, when walking in the open air, 1.
Profuse perspiration, with feverish heat, 71.
Cold sweat over the body (after half an hour), 1.
Oily sweat in the morning, 1.
[Exhausting sweat at the end of the fever], 52.
Sweat in the hair of the head, 1.
Sweat broke out on the face, in the morning as soon as he had risen, 1.
Sweat on the neck and back, on the slightest motion, 1.
Profuse sweat in the hair of the head, when walking in the open air, 1. [1240.]
Cold sweat of the face, with thirst, 1.

CONDITIONS

Aggravation.
( Morning ), On waking, anxious thoughts, etc.; head confused ; on waking, heaviness of the head; on waking, dull headache; weight in forehead; between 6 and 7 o'clock, bleeding of nose; pain in incisors; toothache in back tooth; tongue coated white; after waking and after making some exertion, mucus in mouth; nauseous taste; bitter taste; thirst; just after walking, thirst, etc.; sensation of soreness in pit of stomach ; in bed, while lying on side pressure in stomach; distension of abdomen; in bed, pressure in upper abdomen; irritation to cough ; stitches in chest; in bed, pain in joints; at 5 o'clock, chilliness, etc.; shivering; cold hands, etc.; while asleep, sweat; at 3 o'clock, after waking, sweat, etc.; oily sweat; as soon as he had risen, sweat on face.
( Forenoon ), Before dinner, while walking in open air, cold sensation on ankles, etc.
( Noon ), Dizziness.
( Afternoon ), Headache; towards evening, when walking, pain in abdomen; towards evening, suffocative attack ; mostly while sitting, drawing in femora; chilliness, at 5 o'clock, when walking in open air, coldness, etc.; from 5 to 7 o'clock, heat of body ; at 3 o'clock, warmth of face, etc.
( Evening ), Full of plans; headache in temples; an hour after the fever, dry palate, etc.; an hour after the fever, thirst, etc.; while sitting, griping below side of navel; in bed pressure in umbilical region; while sitting, pain in abdomen; while sitting, pressing colic; pinching colic; in bed, itching in glans; in bed, pain in testicle, etc.; sensation in chest, etc.; while sitting, drawing in thigh; while sitting, crawling in foot; in bed, crawling in scrotum; itching on arms, etc.; on lying down, chill; coldness of the feet ; cold hands, etc.
( Night ), Forepart, until 2 o'clock, lively; on waking, anxiety; on waking, dizzy; headache; on waking, eye seems swimming in water; towards morning, odor from mouth; on waking from sleep, suffocative attack ; while lying on back, pressure over anterior chest; in bed, burning-itching under knees, etc.; pressive headache; towards morning, heat in head, etc.; sweat.
( Before midnight ), Pressure in jaws.
( After midnight ), Loss of sleep.
( Open air ), Pressive headache ; toothache; weak, etc.; creeping chill; cold hands, etc.
( Walking in open air ), Headache, etc., stitches in calf; chilliness, etc.; chilliness in back etc.; chill on chest, etc.; heat of body; profuse sweat; sweat on hair.
( Draft of air ), Toothache; stitches in throat.
( Ascending steps ), Giving way of knees.
( Fixed attention ), Headache.
( Bending body ), Pain in region of kidney.
( Sitting bent ), Pressure across chest; pressure upon sternum.
( After bread and butter ), Eructations.
( During chill ), Pain in lower abdomen.
( After chill ), Thirst.
( While drinking coffee ), Bitter taste.
( Compressing the part ), Biting in nostril.
( Coughing ), Pain in chest, etc.
( After dinner ), Weariness, etc.; inclination to lie down, etc.
( After drinking ), Flat, etc., taste; pain in abdomen; stitch in præcordial region; shivering, etc.; cold sensation in upper abdomen.
( After eating ), Eructations ; nausea in pit of stomach; anxiety in pit of stomach; fulness; pressure in stomach ; pain below navel; distension of abdomen; colic; coughing; pressure on sternum; weariness; sleepiness.
( While eating and drinking ), Pain in side of abdomen; stitches in side, etc.
( Expiration ), Stitches in region of liver.
( Eating fruit ), Fermentation in abdomen.
( After the heat ), Thirst.
( Inspiration ), Stitches in pit of stomach; stitches in upper abdomen; pain in left chest; stitches beneath rib; tearing in region of scapula.
( Lying ), Pain of the joints.
( After drinking milk ), Eructations.
( Motion ), Pain from temples, etc., to orbits; tearing in head ; headache in vertex; pressure above navel; in daytime, stitches in right side; palpitation of heart; pain in back; pain in small of back; pain in elbow-joint; pain in joints; heat.
( Moving the part ), Pain in ulcer.
( Moving head ), Vertigo; tearing in head.
( After midday nap ), Pain in rectum.
( Pressure ), Pain below rib.
( Raising arm ), Pressure on sternum.
( Rest ), Especially while reading, stitch in chest ; stitch in cervical muscles.
( Rising from sitting ), If he had at for some time, pain in thigh; trembling in knees; pain in knee; sensation of weakness.
( Rising from sleep ), Stiffness in joints.
( Rising after stooping ), Contraction of intestines.
( In room ), On coming from open air, heat of face.
( Sitting ), Vertigo in occiput; heaviness of head; drawing headache; headache in forehead; digging in side of head; drawing pain in occiput; pain in abdomen; stitches in abdomen; colic in epigastric region; griping-drawing in abdomen, etc. pain in rectum; pain in perineum; pain across lower chest; pressure on right side of chest; reading, stitches in side; stitches in left chest; drawing in hip-joint, etc.; drawing in bend of thigh; drawing in nates; pain in muscles of thigh; pressure in nates; pain in tibia; drawing in sole; on stretching out lower leg, pain in tibia; stitches in tibia, etc.; pain of joints ; sleepiness.
( During sleep ), Sweat.
( Standing ), Drawing headache; pain in upper jaw; pressure in region of liver; pain in hypogastric region; drawing beneath ribs; pain in side of neck; pain between scapulæ; sensation in thigh, etc.; burning, etc., in thigh; drawing in nates, etc.; stitch in thigh; pain in lower legs; drawing on back of foot; weakness of knees, etc.
( After stool ), Crawling in rectum.
( Stooping ), Pain from temples, etc.; to ribs.
( Stretching or bending up foot ), Cramp in calf.
( After supper ), Weakness, etc.
( Deep thought ), Headache.
( Smoking tobacco ), Toothache.
( Touch ), Headache; pressure in frontal eminence; sticking in side; stitches in frænum of glans; tearing in upper limbs ; tearing on top of shoulder; drawing on coronoid process of ulna; tearing in ulna; tearing in metacarpal bones, etc.; tearing in thighs; tearing in knee-joint ; pain in patella; pain in bones of leg; pain in lower legs; tearing in metacarpal bones, etc .; bone-pain in joints.
( Turning eyes ), Headache, etc.
( While sitting unoccupied, or when occupied with something in which he is not interested ), Digging headache.
( Walking ), Vertigo ; pressive headache, etc.; tearing in head; headache above orbits; stitches in spleen; pain in side of abdomen; stitches in hypogastrium; pain between glans and prepuce; pain beneath ribs, etc.; pain below rib; tension in muscles of thigh; pain in thigh; pain in knee; sticking in tibia; exhaustion of body ; chilliness; chill over thighs.
( When walking rapidly ), Stitches in chest.
( On standing by window ), Tearing etc.; in arm.
( Walking in wind ), Headache.
( While writing ), Trembling of hands.
Amelioration.
( Bending backward ), Tearing below navel.
( Bending body forward ), Pressure in region of liver.
( On bending head backwards ), Drawing pain in occiput disappears.
( Bending leg ), Pain in tibia.
( After eating ), Nausea, etc., disappeared.
( Becoming erect ), Pressure across chest; pressure upon sternum.
( Lying on back ), Pressure in stomach.
( Moving the parts ), Pains in upper arm; pains in joints.
( Pressure ), Drawing headache; pressure from middle of sternum.
( Rest ), Pressure above navel; stitches in chest; sticking in tibia.
( Rising from bed ), Pain in joints.
( Rising from sitting ), Griping in abdomen; colic in epigastric region.
( In room ), Chill ceases.
( Sitting ), Drawing in nates, etc.; pain in knee; drawing in back of foot.
( Standing ), Pain in abdomen; colic; pain across lower chest; pressure across chest; pressure over middle of sternum; pressure on right chest; drawing in hip-joint, etc.; drawing in sternum; pressure on right chest; drawing in hip-joint, etc.; drawing in thigh; drawing in tibia; crawling in foot.
( Stooping ), Pain in right neck.
( Walking ), Drawing headache; pain in abdomen; colic; pain across lower chest; pressure across chest; pressure on right chest; drawing in hip-joint, etc.; drawing in thigh; trembling of knees; drawing in tibia; crawling in foot.

SUPPLEMENT: CHINA. Authority.

76 , John, M. Walker, Inaug. Diss., 1803, experiment on pulse.

One grain pulv. Cort. per. rub.: Pulse 66, natural, on taking; no change (after five minutes); 67, full (after ten and fifteen minutes); 68, full and tense (after twenty minutes); 69, full and tense (after twenty-five and thirty minutes); 70, full and tense (after thirty-five minutes); strong and regular (after forty to seventy minutes); 71 (after forty-five and fifty minutes); 72 (after fifty-five and sixty minutes); 71, slight headache (after seventy-five minutes); 70, full (after eighty-five minutes); 68, full (after ninety-five minutes); 67, nearly natural (after one hundred and five minutes).

12 grains of resin of P. bark: Pulse 64, natural, on taking; full and regular (after five to twenty-five minutes); 65 (after ten minutes); 66 (after fifteen minutes); 68 (after twenty and twenty-five minutes); full and tense (after thirty to forty-five minutes); 68 (after thirty minutes); 69 (after thirty-five and forty minutes); 70 (after forty-five minutes); regular (after fifty to sixty minutes); 71 (after fifty minutes); 72 (after fifty-five and sixty minutes); full, face flushed (after sixty-five to eighty minutes); 73 (after sixty-five and seventy minutes); 70 (after seventy-five minutes); 66 (after eighty minutes); 65, diminished in fulness (after eighty-five and ninety-five minutes).

12 grains extract of P. bark. Pulse, 66, natural, on taking; 60, full and strong (after five minutes); 67 (after ten minutes); 68 (after fifteen minutes); 69 (after twenty to thirty minutes); full (after thirty-five to sixty-five minutes); 70 (after thirty-five and forty minutes); 72 (after forty-five to fifty-five minutes); 71, full and tense (after sixty minutes); 70, full and tense (after sixty-five minutes); 68, diminished in strength (after seventy-five minutes); 67 (after ninety-five minutes).

12 grains gum of P. bark: Pulse 72, natural, on taking; no change (after five minutes); 73, fuller (after ten minutes); 75, fuller (after fifteen and twenty minutes); tense (after twenty-five to thirty-five minutes); 77 (after twenty-five minutes); 78 (after thirty minutes); 80 (after thirty-five minutes); fuller and stronger (after forty to fifty-five minutes); 81 (after forty minutes); 82 (after forty-five to fifty-five minutes); full (after sixty to seventy minutes); 80 (after sixty minutes); 79 (after sixty-five minutes); 76 (after seventy minutes); 75 (after seventy-five minutes).

2 ounces decoction of P. bark: Pulse 72, natural, on taking; 62, soft (after five minutes); 63, soft (after ten minutes); 65 (after fifteen and twenty minutes); fulness (after twenty to thirty minutes); 67 (after twenty-five minutes); 68 (after thirty minutes); considerable tension (after forty to seventy minutes); 69 (after forty minutes); 71 (after fifty minutes); 72 (after sixty minutes); 73 (after seventy minutes); 71 (after seventy-five minutes); tense, with flushing of the face (after seventy-five to ninety minutes); 77 (after eighty minutes); 69 (after ninety minutes); 66, full (after one hundred minutes).

2 ounces infusion of P. bark: Pulse 64, natural, on taking; no change (after five minutes); 66 (after ten minutes); 68 (after fifteen minutes); 69, fuller (after twenty minutes); 70, fuller (after twenty-five minutes); 72 (after thirty minutes); tension increased (after thirty to fifty minutes); 73 (after forty minutes); 76 (after sixty to seventy-five minutes); full and tense (after sixty to eighty minutes); 74 (after eighty and eighty-five minutes); full (after eighty-five and ninety minutes); 73 (after ninety minutes); 66 (after one hundred minutes), 76.

China