Hydrastis Canadensis, Linn.

Natural order , Ranunculaceæ.

Common names , Orange-root, Yellow Puccoon.

Preparation , Tincture of the root.

Authorities. ( 1 - 16, Lippe's class provings , Hahn. Month., 2, 260)

1 , Aug. Korndœrfer, one dose of 30th dil.; [I have been subject for years to a congestion of blood to the head, which causes vertigo, flickering before the eyes, sensation as if the cranium was too small and would burst; an excruciating pain in the eyes, in the temporal region, and across the top of the head, accompanied with nausea. These are the symptoms in the worst attacks, of which I have from four to six every year; after these severe attacks, I have a dull pain in my head, generally for weeks, the greater part of the time. Am generally constipated, which constipation, has not been affected by the medicine, 1 .]

2 , "A.," aged 31, took one drop of 30th dil.; 3 , W. S. Virgin, aged 24, took 5 drops of tincture; 4 , same, took 10 drops 3d dil.; 5 , W. McGeorge took 30th dil., repeated on fifth and seventh days; 6 , A. G. Lille took a drop of ---?; 7 , Henry Keusel aged 33, took 30th dil.; |Having cold in the head.]; 8 , William D. Hall took 1 drop 30th; 9 , C. B. Dreber took tincture, 1 drop first day, 5 drops fourth day; [Rather dyspeptic.]; 10 , Miss S., aged 30, took 1 drop 30th first day, and 1 drop of 8th dil. "on Wed. and Sat.;" 11 , J. J. H., aged 20, took 1 drop of 30th; 12 , Augustine Thompson, aged 30, [Has had chronic inflammation and much bleeding at lungs, which terminated in an abcess, which was cured by homœopathic remedies; since then the lungs have been very susceptible to morbid impressions; was well when proving began.] took 1 drop of 6th dil.; 13 , Miss M., aged 28, took 1 drop of 30th; 14 , Miss V., aged 20, took 1 drop of 30th; 15 , H. M., aged 36, took 2 drops 30th; 16 , M. M. Walker, aged 21, took 1 drop 15th dil.; 17 , Dr. W. N. Whitesides, Am. Hom. Obs., 1866, p. 516, took tincture of dried root for eighteen days, doses from 30 to 300 drops; 18 , Dr. C. H. Weaver, Am. Hom. Obs., 1866, p. 518, gave N. F. 1st dec. dil., "pellets four times a day;" 19 , Dr. Weaver's proving on himself, ibid.; 20 , Dr. Bayer, Hom. Obs., 1, 189, poisoning of a woman, aged 75, with 60 drops of tincture; , H. N. Martin, Hahn. Month., 6, p. 124, took one dose of the 10m dil.; , poisoning of a lady by application of an infusion of Hydrastis to a sore mouth and throat, "a whole tumblerful was used in five hours as a gargle, and applied with a cloth over mouth and chin," Am. Hom. Obs., 1866, p. 266.

MIND

Emotional.
Affections active, 10.
Exhilaration of spirits and a feeling of lightness and happiness (second day), 13.
Felt high-spirited and good-natured (nineteenth day), 5.
In high spirits; everything looked bright; felt happy, and wanted to sing (third day), 7.
During proving, more cheerful than usual, 10.
Felt cheerful on getting up (second day), 5.
Unusual cheerfulness and hopefulness, several days, 15.
Felt very cheerful and good-natured (second day), 5.
Very sanguine and contented (second day), 5. [10.]
Unusual buoyancy (second day), 5.
Very good-humored (second day), 2.
Felt despondent; better after "quiz," in the evening (seventh day), 5.
Began to grow gloomy, taciturn, and disagreeable towards his acquaintances, at 10 A.M. (second day), 2.
Felt fretful and low-spirited (fifth day), 5.
Ill-humor; vindictiveness; at 8 A.M. (second day), 4.
Spiteful, angry disposition, with desire to snub any one who differed in anything with me; lasting all day (third day), 4.
Spitefulness and disposition to hit and knock things in general; disappeared towards evening (second day), 4.
Intellectual.
Dislike to go out, to read, to write, to do anything (fifth day), 5.
Aversion to mental occupation (second day), 4. [20.]
Constant aversion to the application of the mind (fourth day), 12.
Aversion to study (third day), 3.
Absent-minded (fourteenth day), 1.
In writing, make wrong letters; have never been so absent-minded before (fourteenth day), 1.
Memory seems deficient (fourth day), 12.
Dulness of memory (second day), 4.
Forgetfulness (while writing); if I want anything and raise my hand to pick it up, or go after it, will forget, for a few seconds, what was wanted which would make me very angry and feel like damning and cursing everything and anybody who bothered me in the least (second day), .

HEAD

Confusion and Vertigo.
Head confused (fourth day), 12. [30.]
Feeling as if intoxicated (second morning), 19.
General Head.
Immediate feeling as if the brain was partially narcotized, soon followed by sharp cutting pain darting through the temples (after 1st dose), 19.
Head feeling very hot, but cold to touch (fifth day), 1.
Remarkable heat and confusion in the head, with a loss of memory of recent things; palliation of the heat and confusion by pressing the cool hand across the forehead (second day), 12.
Head ached severely till I went to sleep (eleventh day), 11.
Headache on rising (fourth day), 5.
Headache all the afternoon (fifth day), 1.
After breakfast, head commenced to ache; first it felt extremely full, then dull pain in temples; on every step or sudden movement of body, felt pain more (eleventh day), 11.
Headache of a nervous, gastric character up to 12 M. (second day), 19.
Dull headache (fifth day), 1. [40.]
Dull headache, with some sharp stitches through the temples (third day); headache increased (fourth day); did not feel quite easy for a week, 19.
Dull pain in head on getting up (second day), 6.
Head feels full (fourth day), 1.
On going upstairs, or on sudden stooping, seems as though head would burst; coughing makes head worse (eleventh day), 11.
Dull, heavy feeling in the head, amounting to pressure over root of nose (second day), 4.
Headache bounding and throbbing (fourth day), 2.
Forehead.
Heaviness and sensation of fulness in forehead, most over left eye; constant in warm room; passed off after walking in open air; at 9 A.M. (second day), 3.
Severe pain in forehead and stinging pains in chest, lasting some time, at 8.30 A.M. (sixth day), 3.
Sensation of fulness on the forepart of the head, lasting perhaps ten minutes; pressing the temples removes the sensation momentarily (second day), .

EYE

Brow and Orbit.
Pain over left eye, at 9 A.M.; ceasing on walking into open air (fifth day), 9.
Pain above left eye, which appeared several times, but was always relieved by laying the hand on the part, at 10 A.M. (second day), 4.
Pain in both supraorbital regions at 8 A.M. (fourth day), 3.
Lids.
Eyes somewhat agglutinated ( unusual ), (second day). On waking in morning, eyes considerably agglutinated (third day). Both eyes completely stuck together; has no cold, and knows of no cause that would produce it, except the remedy (fourth day), 2.
Lachrymal Apparatus.
Burning sensation in lachrymal duct, on right side, at 3 P.M. (fourth day), 1.
Vision.
Flickering before the eyes in bright-yellow light; streaks in squares, always making three sides of a square, at 7 P.M. (seventh day), 1. [80.]
Sneezing in the sun caused flickering before the eyes at 11 A.M. (I have been troubled with this flickering for many years, when exerting myself or standing long in the sun), (second day), 1.

EAR

Partial stoppage of Eustachian tube, 10.
Left ear feels as if it had cotton in it, impeding hearing, at 9 A.M. (Am not sure that this was the effect of the medicine, as my ear had a little wax in it, but this feeling did not go off for some minutes after the wax was extracted), (second day), 16.
Pain in right ear; when that disappeared, it was immediately followed by fulness in the forehead and pain over left eye, immediately after supper, at 6.30 P.M. (third day), 9.
Transient tensive aching in right ear, once in morning and once in afternoon (second day), 15.
Sharp pain behind right ear for one moment (in mastoid process of temporal bone), passing down to right shoulder, back of clavicle, about midway between arm and neck; the entire symptom lasted only a few moments; pain, however, very severe; at 9.30 A.M. (third day), 1.
Hearing.
A noise in the ears (after five minutes, seventeenth day), 17.
Noise in the ears on waking at night, and trembling in the bowels (twelfth and thirteenth nights), 17.
Roaring in the ears at 9 P.M. (eleventh day), 17.
Roaring in the ears like a partridge on waking in the night (ninth night); the waking is habitual, 17. [90.]
Ringing in the ears, with slight pain in the anus (fourteenth day), 17.
Noise in ears, as from the turning of a machine in a machine shop, at 2 P.M. (seventh day), 1.
A noise in the ears as of cog-wheels (tenth and fourteenth nights), 17.

NOSE

Objective.
Continual snuffing and occasional sneezing through the day (second day), 19.
Sneezing (fifth day), 1.
Sneezing constant for twenty minutes (third day), 19.
Sneezing once at 7 P.M. (fourth day), 3.
Sneezing every time he woke up (fourth day), 2.
Sneezing after breakfast, from tickling in right nostril, left stopped up, at 7 A.M. (second day), 3.
Sneezing, jarring the whole chest, causing sore feeling, particularly on right side above nipple, at 10.15 A.M. (fourth day), 1. [100.]
While sitting in warm room, suddenly seized with sneezing, succeeded by excoriating watery discharge from nose, and retires to bed very sick, at 8 P.M. (fourth day), 2.
Cold worse in morning; very much better in evening (second day), 7.
Slight cold in nose in afternoon (third day); catarrh bad, nose stopped up (fifth day), 5.
Coryza in right nostril, with constant inclination to sneeze, from 7 A.M. to 1 P.M. (second day), 12.
Coryza; in the morning, when walking, the nose felt quite dry; on going into the open air, discharge of water, which ceases in the room, and the nose feels sore when breathing through it (seventh day), 9.
Coryza, watery, not very profuse, mostly from right nostril (fourth day), 1.
On walking into the open air, a watery coryza set in, which stopped again in room (fifth day), 9.
Continued flow of watery coryza; disappears in warm room; much aggravated in open air; at 10.15 A.M. (fourth day), 1.
Watery coryza on right side at 3 P.M. (fourth day), 1.
*Discharge of thick yellow matter from nose (sixth day), 3. [110.]
Awoke at 7 A.M. and blew plug of soft mucus out of right nostril (after six hours), 16.
Discharge of mucus from the nose very profuse, almost incessant for ten days; the bronchia being also affected in a similar manner, but less severe; it felt and acted like a severe attack of catarrh with influenza, and had I ever been affected in a like manner before, I should have thought it the result of a severe cold, 19.
While walking in cold open air, discharge of watery mucus from nose, causing frequent blowing (second and third days), .

FACE

Pale face (fourth day), 10.
An aphtha on the under lip (seventeenth day), 17. [150.]
Small fever blisters on right corner of lower lip (fifth day), 2.
Feeling of tightness of the skin around mouth, the corners of which seemed drawn down, as usual when sick (fourth day), 10.

MOUTH

Teeth.
Dull pain at roots of teeth in upper maxilla (fourth day), 1.
Dull ache from right temporal region down to last molar tooth (upper), lasting only a couple of minutes, at 12.30 P.M. (third day), 1.
Sharp pain in last molar tooth (lower), passing up to the head on left side, and spreading to the right; a sharp, penetrating pain as from an exposed nerve; lasted about fifteen minutes, at 9.30 P.M. (third day), 1.
Edges of teeth painfully sensitive to a draft of cold air (second day), 8.
Tongue.
Tongue seems large and marked by the teeth (eleventh day), 17.
Yellow coat on the tongue (fifteenth day), 17.
Broad yellow stripe on the tongue, and bad taste (twelfth day), 17.
Aphthæ on the tongue, and the one on the lip quite large and sore (seventeenth day), 17. [160.]
Sensation of dryness at root of tongue (sixth day), 3.
Tongue felt as if scalded by hot coffee; aggravated by smoking; on rising in morning (third day), 8.
Point of tongue feels scalded and smarts continually; grows worse; spreads all over anterior half of tongue, and there is a small burning painful vesicle on left side of tip of tongue where the scalded-sensation first started (fourth day), 12.
General Mouth.
Sticky mucus around the palate, and bad taste (second day), 17.
Mouth sticky, with a light fur on the tongue and a little aphthæ on the upper lip (fourteenth day), 17 . [There were aphthæ on the under lip when I commenced the proving, which soon disappeared.]
Burning sensation in back part of roof of mouth, on right side; at 3 P.M. (fourth day), 1.
Roof of mouth, a short distance back of the incisors, sore and smooth as if burnt (third day), 1.
Twice felt a slight smarting pain in the left side of palate, in morning (second day), 11.
Tickling sensation on roof of mouth, right side, back part; between 7 and 9.30 A.M. (fifth day), 1.
Taste.
Bad taste, in the morning (sixteenth day), . [170.]

THROAT

Objective.
Increased secretion of mucus in throat, inducing cough, or rather hawking (seventh day), 11.
Unusual clearing of the throat while singing (eighth day), 17.
Subjective.
Throat dry and sore (fourth day), 12.
Dryness in throat, with an apparent swelling in uvula, and an accumulation of mucus about the posterior nares, which clogged the throat.
Throat seemed raw, and swallowing scraped it; at 4 P.M. (third day), 10.
Sore throat (fifth day), 1.
Sore and raw feeling in the throat, especially around the epiglottis, with hoarseness (after second dose), 19.
Throat very sore in morning on waking (thirteenth day); felt most on coughing or swallowing (fourteenth day), 11. [180.]
Sensation of roughness and soreness of throat, on waking in morning; worse on swallowing (seventh day), 11.
Fauces and Pharynx.
A little mucus in the fauces, which I cannot swallow (tenth day), 17.
Sticky mucus around the fauces (ninth day), 17.
Feeling of lump in lower part of pharynx, inducing constant deglutition; at times this lump seems to rise, almost suffocating me; by drawing as long breaths as possible through my mouth this feeling of suffocation is removed (eleventh day), 11.
Upper part of right side of pharynx sore; worse during dry swallowing, better on swallowing fluids (eighth day), 11.
Constant tickling low down in pharynx, after lighting a match the fumes of which passed into mouth; coughing and drinking relieved it momentarily; 6 P.M. (tenth day); desire to cough increased to nausea at times (eleventh day), 11.
External Throat.
Pain in neck, extending from left mastoid process to scapula, at 9 P.M. (third day), 3.

STOMACH

Appetite.
Desire for bread and tea (fifth day), 5.
Had a desire for eggs; generally, do not eat them or like them (fifth day), 5.
Poor appetite (fourth and fifth days), 5. [190.]
Diminished appetite for breakfast (second day), 4.
Dislike for meat and vegetables (fifth day), 5.
Thirst.
Thirst, at 4.30 P.M. (third day), 1.
Eructation.
Some eructations (unusual), (first day), 21.
Occasional belching of wind all day (sixth day), 9.
Occasional loud belching of wind during afternoon (second day), 9.
Heartburn in afternoon, which he had not had before for almost a year (second day), 6.
Nausea.
Slight tendency to nausea (first day), 21.
*Nausea (third day), 19.
Constantly, a feeling of nausea in the stomach, accompanied by belching up of wind; feeling of emptiness in stomach, and visible sinking in the region of the stomach, lasting about thirty minutes; at 11 A.M. (second day), 9.
Stomach. [200.]
Painless gurgling in the stomach (twentieth day), 17.
Sinking at epigastrium and palpitation of heart have been previously noticed by self and others after use of Hydrastis in low dilutions or massive doses, 20.
Great sense of sinking and prostration at epigastrium, in morning (second day), 20.
Empty, gone feeling in stomach, as though he had been suffering from a long-continued attack of diarrhœa, and had been unable to eat anything for several days; the abdomen presented a scooped-out appearance; with this, slight nausea and heavy, white-coated tongue, on rising in morning (second day), 8.
Feeling of emptiness and dull pain in stomach, for one hour, at 11 A.M. (sixth day), 9.
Some pain in the stomach (thirteenth day), 17.

ABDOMEN

Hypochondria.
Cutting pain in left hypochondrium and stomach, after dinner (sixth day), 9.
Severe cutting pain in left hypochondrium (fifth day), 3.
Sharp pain in right side in region of liver, extending to shoulder-blade, not constant, nor coming on at stated times, but mostly in morning between 8 and 2 o'clock, 14.
Umbilical.
Some pain in the umbilical region and anus (fifteenth day), 17.
General Abdomen.
Rumbling in abdomen as if diarrhœa was coming on (after fifteen minutes), (fourth day), 9.
Rumbling and gurgling in left side of abdomen, at 12 M. (second day), 4.
Flatus fetid (eleventh day), 17.
Sensation as if the bowels would be moved, but nothing but wind passes, with urging to urinate (first day), 21.
Heavy pain in the abdomen, as if full of gas, and sensation as if dysentery was approaching (after half an hour), 21. [220.]
Uneasy burning sensation in abdomen (second day), 4.
Cramplike pains through abdomen, with flatulency (these cramplike pains in the abdomen I have very often, arising, I think, from constipation); at 1.30 P.M. (sixth day), 1.
Griping in the bowels and soreness over the surface of the abdomen (second day), 19.
Griping in the bowels, with several light, somewhat acrid stools (after second dose), 19.
Griping in the bowels, with profuse light-colored diarrhœa, so prostrating that he was obliged to discontinue the proving, 18.
Cutting pain in upper right side of abdomen (second day), 3.
Cutting pain in bowels before and after dinner, resembling those before an attack of dysentery, two years ago (third day), 3.
Cutting pain in bowels, extending to anus, relieved by passing a small quantity of flatus while lying; at 10 A.M. (second day), 3.
Cutting pain in the sigmoid flexure of the colon, at 2.15 P.M. (sixth day), 9.
During breakfast, cutting pains in bowels; soon after, desire for stool, with passage of some wind before evacuating; first part of stool seemed natural, last part soft and dark-brown (second day), . [230.]

RECTUM AND ANUS

Heavy pressing distress in rectum (fourth day), 2.
Sensation all day as if hæmorrhage might be repeated, and was, as a consequence, squeezing the sphincter ani all the time (second day), 2.

STOOL

Diarrhœa.
Diarrhœa driving him out of bed, about 7 A.M. (eighth day), 11.
Diarrhœa preceded and followed by much tenesmus. Before stool, sensation of weakness and trembling; after stool felt better, though weak, at 10 A.M. (ninth day), 11.
Diarrhœa; painful feeling over whole body (fifth day), 1.
Diarrhœic stool, preceded by much tenesmus and slight nausea, followed by some tenesmus for a few minutes; about 10 A.M. (seventh day), 11.
Three loose, greenish stools, with pain in bowels, as after a drastic purge (third day), 20.
Two normal stools (fourth day), 12. [250.]
Half an hour after breakfast, bowels moved more profusely than on the previous morning, which was followed by hæmorrhage, as on the day before. The prover had no operation from the bowels for three days, before taking the medicine (third, fourth, and fifth day), 2.
Stool, almost entirely of yellow water, at 12 M. (eighth day), 11.
Very copious, mushy, light-colored stool (third day), 19.
Stools a little softer than usual all through the proving, and of smaller diameter, 17.
Stool of natural size, but excoriating the anus, as though covered with sand (sixth day), 3.
Stool tinged with blood (ninth day), 5.
Observed in passing a natural large stool that it was tinged with blood, no pain nor straining (third day), 5.
Stools covered with blood, no pain in passing them (fourth day), 5.
Half an hour after breakfast, had an operation of the bowels not differing from that of any former occasion, but followed by profuse discharge of bright-red arterial blood, lasting for about a minute, and occasioning some anxiety (second day), 2.
The discharge of blood with each stool continued all the time till the evening of the seventeenth day, Lycopodium 10m, was then given, when this symptom ceased suddenly; the liver remained enlarged, and gave a dull sound on percussion; the distress above stated became worse after the lapse of ten days, when

Lycopodium 41m, was administered; a slight improvement followed, and then all the former symptoms were relieved. Four days after the enlargement and induration of the liver had entirely disappeared, 2.

Constipation. [260.]
Have been constipated for two days (third day), 12.
Scanty stool, in morning (tenth day), 11.
No discharge from bowels since yesterday morning; no desire; passed some flatus during day (third day), 3.

URINARY ORGANS

Urethra.
Slight tickling in urethra several times, generally low down, but once just at orifice of urethra, in evening (second day), 11.
Micturition.
Urging to urinate, and sensation as if the bowels would be moved, but nothing but wind passes (first day), 21.
Urine seemed to be diminished in quantity, and paler than usual (third day), 3.
Passed considerable limpid urine frequently (second day), 19.
Less ability to retain the urine; have to urinate more frequently, but I think not more copiously (fourth day), 17.
Frequently when eructating, a little urine escapes into the urethra (fifth day), 17.
Urine.
Secretion of urine diminished, and smells strong (seventh day), 9. [270.]
Urine smelling a little decomposed (thirteenth day), 17.
Urine has an unusual odor (seventeenth day), 17.

SEXUAL ORGANS

After urinating, pain at root of penis, just as the flow stopped, at 6 A.M. (sixth day), 3.
During and just after stool, aching pain in glans penis (ninth day), 11.
Voluptuous itching of the scrotum, compelling him to rub it, which relieved, at 8.30 A.M. (third day), 8.
While lying in bed, sharp cutting pain from right iliac region into right testicle, which left the parts above Poupart's ligament very sore and tender, with pain extending into root of penis while pressing upon it, at 11 P.M. (fifth day), 3.
Increased desire for sexual intercourse (fifth day), 8.
During the first embrace, there was no emission; during the second, the emission was too late, and very scanty (fifth day), 8.

RESPIRATORY ORGANS

Larynx.
Very sharp acrid feeling near the epiglottis, with hoarseness (after first dose), 19.
Voice.
Hoarseness (second day), 19. [280.]
Increased hoarseness (third day), 19.
Cough and Expectoration.
Pressure with fingers on trachea causes cough (eleventh day), 11.
Short, dry cough at first, turning to a loose cough, 10.
Expectoration of slimy mucus at 5 P.M. (fourth day), 1.
Expectoration of cough sweetish (fourteenth day), 11.
Respiration.
Constantly want to draw long breath (eleventh day), 11.
Shortness of breath, 18.
Oppressed for breath (eleventh day), 11.

CHEST

The catarrh has descended into the chest, causing distress and difficulty of breathing; he wants to take long breaths all the time (sixth day), 2.
Pain and rawness in chest (fifth day), 1. [290.]
Burning, stinging pain in chest, most in region of heart, from time to time during the whole day. (These pains are similar to those I had some two or three years ago, resulting, I believe, from adhesions, following pleurisy and pericarditis, but had entirely disappeared, only returning when I took a violent cold (fourth day), 3.
Spasmodic pain, commencing under right clavicle, and extending down to right side of chest and back; felt the pain twice severely when laughing; could not finish the laugh; in morning (second day), 13.
Violent retching pain in lobe of left lung, from the front through to the back, with a congestive sensation and feeling such as precedes bleeding at the lungs, lasting four hours, at 9 A.M. (fourth day), 12.
Soreness of chest (sixth day), 1.
Sore feeling through chest at 4.30 P.M. (fourth day), 1.
Soreness of chest, mainly the superficial muscles, between 7 and 9.30 A.M. (fifth day), 1.
Sensation of soreness through chest and upper part of abdomen when drawing long breath; later, soreness in both mammary regions, and great disposition to stretch the body backwards, arms upwards, with yawning (fourth day), 3.
Front.
Constriction in chest at middle of sternum (second day), 19.
Constrictive, pressive feeling about the sternum, 19.
Pain, as from excoriation, under upper part of sternum, at every cough; though there is a constant desire to cough, I dread to, so severe is this sensation (eleventh day), 11.
Sides. [300.]
Aching of superficial muscles on right side of chest, passing to left side, at 11.30 A.M. (sixth day), 1.
Mammæ.
Felt a vertical drawing streak on muscles of left breast, half way between nipple and sternum; this came quickly; about twelve inches long; seemed to spread, like a feather, each way from the median line; it went as quickly as it came (first day), 16.
Sneezing generally causes sharp pain in right breast, between third and fourth ribs to right arm, down arm and forearm, half way to wrist, at 9 A.M. (fourth day), .

HEART AND PULSE

Heart's Action.
While attending lectures, heart became agitated, and continued so for about five minutes, at 5 P.M. (second day), 2.
*Violent and long-continued palpitation of heart in morning (second day), 20.
Pulse.
Pulse slow and labored (second day), 19.
Pulse 56 (eleventh day); 52 at 9 A.M. (thirteenth day); 66 (seventeenth day); 76 at 1 P.M. (nineteenth day), 17.

NECK AND BACK

Neck.
Pain in left side of neck to shoulder, relieved by laying the hand on it (second day), 4.
Pain in back part of neck, extending to right shoulder, with heavy pain in right shoulder (fourth day), 3.
Great soreness and harshness of the muscles of the neck (second day), 19.
Back. [310.]
Slight pain under left scapula all day (fourth day), 12.
Sensation as if draught of cold air was being thrown on the right lumbar region, and on the right nates, lasting for fifteen minutes, at 11 A.M. (second day), 8.
Slight pain in back below the kidneys (first day), 21.
Painful, tired feeling across small of back and waist and lower limbs (fifth and sixth days), 1.
Pain across small of back and in knees (fifth day), 1.
Sore pain in small of back, and region of kidney, lasting all day, at 9 A.M. (third day), 8.

EXTREMITIES IN GENERAL

Pain as if tired in all limbs (fourth day), 1.
Excruciating pain in all the limbs and chest; at 8.30 P.M., pains mostly in the joints; lasted all the evening (fifth day), 1.
Stinging rheumatic pains in the elbows, forearms, and knees (second morning), 19.

SUPERIOR EXTREMITIES

Soreness of the muscles of the arm when moving them (fourth day), 3.
Shoulder. [320.]
Heavy pain in left shoulder (fifth day), 3.
Aching pain in right shoulder and left elbow and knee-joints (fourth day), 3.
Aching pain in both shoulders (deep in), most severe in the left, with pain extending from head to shoulder, for a few seconds very severe (fourth day), 3.
Sharp aching pains in the shoulders, arms, and especially in the first finger of the left hand (third day), 19.
Stinging pain in the right shoulder (second day), 19.
Arm.
Sharp, shifting pain, first in right arm, above the elbow, then in right side of thorax, above and to the right of the nipple about one inch, then down to the right thigh, at 11.30 A.M. (fifth day), 1.
Elbow.
Contusive lameness in the elbows and biceps muscle (after first dose), 19.
Aching pain in left elbow, with snapping in shoulder-joint, when rotating arm (fourth day), 3.
Sharp cutting pains in the elbows and biceps muscle (after first dose), 19.
Crick in the right elbow and phalanges of the left hand, quite painful (tenth night), 17.
Forearm. [330.]
Drawing pain from wrist towards elbow on left radial side at 11.30 A.M. (sixth day), 9.

INFERIOR EXTREMITIES

Weak pains down the legs (first day), 21.
Sharp, shifting pain in left leg, from middle of thigh down to middle of lower leg, at 11.45 A.M. (fifth day), 1.
Hip.
While walking, pain in right hip-joint, which passed to the knee and disappeared (second day), 3.
Thigh.
Rheumatic pains in both thighs, extending later to the hip and knee-joints; the pain is worse when first sitting down after walking (eighth day), 9.
Sharp pain from right hip-joint to knee, making it impossible to stand or bear any weight on the right limb, at 6.15 P.M. (fifth day), 1.
Knee.
Stiffness of the knee-joints, made worse by going upstairs (second day), 8.
While walking, severe pain in outer part of left knee, causing limping; at the same time, pressure in left shoulder (second day), 3.
Aching pain in outer part of left knee while sitting and walking (fourth day), 3.
Leg.
Dull, shooting pain on posterior part of left leg; pain runs down to os calcis; pain lasted about five minutes; at 10.30 A.M. (second day), 8.
Foot. [340.]
Pain in left foot, extending from metatarsus to knee, very painful, at 5.30 P.M. (fourth day), 1.
Troublesome aching in the sole of the left foot, for an hour or two, at 7 A.M. (fourteenth day), 17.

GENERAL SYMPTOMS

Objective.
*Languor (fourth day), 10.
Less languor from fatigue than usual (second day), 13.
Great ennui and lassitude (fifth day), 17 . [The weather is like spring, (in November).]
Almost constant weakness, so increased towards evening, with terrible headache and giddiness, that I was obliged to cling to my horse for support in the saddle; fell two or three times in walking to my room, but after a cup of warm tea, and a little

Nux vomica , I was able to get about (third day), 19.

Subjective.
Felt refreshed and like studying or working all night; 12 P.M. went to bed, not tired (second day), 5.
Felt unrefreshed and dull (second day), 4.
Disposition to lie down (second day), 4.
Arose feeling weak (third morning), 19. [350.]
Began to feel very weak at 4 P.M. (second day), 19.
General feeling of dulness (second day), 4.
Fell dull; want to lie down (eighth day), 11.
General feeling of malaise (third day), 3.
Fears he will become sick all over (fourth day), 2.
Feeling of sickness and languor, with depressed spirits, sad manner, lasting a whole week, 14.
Had pain at night, violent, but too sleepy to notice where (first day), 13.
Occasional darting pain in long muscles (third day), 12.
Headache and all symptoms worse in warm room, while sitting and resting, especially while thinking of the symptoms, 12.
Fresh air very agreeable, and always brought relief (third day), 12. [360.]
All symptoms, except the gone feeling, disappeared after dinner, and did not return again (second day), 8.

SKIN

Objective.
A yellow appearance of the skin, particularly around mouth and neck, 14.
Eruptions.
Erysipelatoid rash, covering face, neck, palms of hands, and joints of fingers and wrists. Irritation maddening, with intense burning heat (third day). Symptoms continued four days, when the skin exfoliated. Irritation remained in a slighter form some days; always worse at night, 20.
The mouth, lips, and nose were very much swollen, and pimples made their appearance during the day around the mouth and chin, resembling the early stage of small-pox or varioloid (second day); on the next day they began vesicating; I should have pronounced it small-pox if I had not known the previous history of the case; the pustules began to sink in the centre and turn black (fifth day); then commenced drying, went through the various stages of small-pox or varioloid, and scaled off on the ninth day, 22.
Subjective.
Troubled less on elbow and scrotum (had been troubled during summer with a vesicular in upper and lower extremities and on scrotum, for which had taken Crot. tig. 200; this removed the eruption and also the intense itching on the tips of the elbows and scrotum, in which place the itching was as bad as ever), (second day), 5.
Sleep disturbed after 1 A.M. by an irritation of skin and pudendum, compelling scratching, which relieved (second day), 10.
Felt at different times during day spasmodic attacks of itching in various parts of the body, particularly in the scalp. No eruption visible. No return of irritation during night (second day), 10.

SLEEP AND DREAMS

Sleepiness.
Sleepy; could not pay proper attention to lectures; at 10 A.M. (second day), 4.
Found it almost impossible to keep from sleeping; missed one lecture for purposes of sleep, and returned to the college, all his symptoms being much worse; at 11 A.M. (second day), 2.
Sleep natural; feeling of lassitude after rising (fourth day), 3. [370.]
Slept well all night; felt refreshed in morning (third day), 3, 4.
Slept well all night; felt quite refreshed in morning. On waking, no desire for further rest, and had to get out of bed. (Sleep usually unrefreshing; when he awakes in morning has no disposition to get out of bed; wants to sleep and rest more, but feels much better a short time after getting up), (second day), 2.
Slept well. In the morning on rising, the usual bitter taste in mouth is absent, and an unusual feeling of good health (second day), 9.
Slept unusually soundly in the morning; hard to awaken (second day), 3.
Sleep unusually sound in morning; hard to be awakened, which was never the case before (second day), 4.
Sleeplessness.
Sleep uneasy; dreamed during night; awoke early (fifth day), 1.
Restless night (first day), 20.
Sleep restless all night, tossing about, seeking cool positions (second day), 2.
Restless sleep all night (fourth day), 2.
Night restless and full of dreams (had studied hard), (second day), 12. [380.]
Very restless all night; woke up every half hour; upon each occasion sought a new position, in order to gain rest (third day), 2.
Very restless night; troubled with frightful dreams and fancies (first night), 19.
Awakened once or twice through the night; thought it was time to rise, but immediately fell asleep again (first day), 4.
Dreams.
Sleep disturbed by vague unremembered lewd dreams (eighth day), 11.
Troubled and lascivious dreams, with profuse involuntary emissions of seminal fluid, 19.
During the night, sleep disturbed by dreams, troublesome, worrying dreams; travelling about, always in motion; sleep was refreshing withal (second and third days), .

FEVER

Chilliness.
Chilliness at 9 A.M. (thirteenth day), 17.
Slight chill, on undressing at night (eleventh day), 11. [390.]
Chilly feeling around shoulders and chest, at 9 P.M. (fifth day), 1.
Slight chilly sensation in back and thighs, followed in a short time by an agreeable sensation of heat in these parts, while walking in open air, at 11 A.M. (second day), 4.
Heat.
Considerable heat of the skin (second day), 19.
Great heat of whole body, at 10 P.M. (fifth day), 1.
Feverish, with moist mouth and tongue (third day), 1.
Somewhat feverish, with intense itching in various parts of the body (second day), 19.
Flushes of heat over face, neck, and hands (third day), 20.
Sweat.
The genital organs perspire freely, particularly the scrotum, and emit so offensive an odor that everything in the pantaloons pockets, and even the hands when put into them, partook of it; and under the prepuce the perspiration is excoriating (fifth day), 2.

CONDITIONS

Aggravation.
( Morning ), Cold in head; stoppage of nose; on waking, sore throat; sense of sinking, etc., at epigastrium; on rising, empty feeling in stomach; between 8 and 2 o'clock, pain in region of liver; on rising, while inhaling, soreness in upper abdomen; pain in chest; palpitation of heart; at 9 o'clock, chilly.
( Forenoon ), At 11 o'clock chilly sensation in back, etc.
( Evening ), Pain in groin; at 9 o'clock, chilly feeling around shoulders, etc.
( Night ), Irritation of skin; on undressing, chill; at 10 o'clock, heat of body.
( Open air ), Watery coryza; burning in nose.
( Ascending stairs ), Fulness in head; pain in parietal protuberance; stiffness of knee-joint.
( Coughing ), Headache.
( After dinner ), Pain in hypochondrium, etc.
( After eating ), Immediately, cutting in gastric region.
( Sitting and resting ), Especially while thinking of the symptoms, headache, and all symptoms.
( First sitting down after walking ), Pains in thighs.
( Sudden stooping ), Fulness in head.
( Dry swallowing ), Soreness of upper pharynx.
( While walking ), Pain in groin; pain in hip-joint; pain in knee, etc.
Amelioration.
( Evening ), Cold in head.
( Open air ), The symptoms; heaviness, etc., in forehead; headache in temples; pain over eye.
( Cool air ), Pain in occipital region; itching in nostril.
( Cool hand ), Pain in occipital region.
( After dinner ), All symptom except gone feeling.
( Laying on of hand ), Pain above eye.
( Mental occupation ), Feeling in head.

Hydrastis