Jatropha

Jatropha curcas, Linn.

Natural order , Euphorbiaceæ.

Common names , Physic Nut; (Cuban), Piñon Botija.

Preparation , Triturations of the seeds.

Authorities.

1 , C. Hering, M.D., Amer. Arzneipruf., proving of 2d trituration of seeds; 2 , Jablanczy, from Hering, proving with 24th dilution; 3 , Thorer, Beiträge, provings with the 30th, and after with the 3d trituration; 4 , Lembke, Allg. Hom. Zeit., 34, proving with, first day, 1 drop of 1/10th dilution; third day, 5 drops; fifth day, 10 drops; sixth day, 20 drops; 4 a , same, provings with 1st trituration, first day, 3 grains; second day, 8 grains; fourth day, 26 grains; sixth day, whole outer rind of nut, weighing 6 grains, seventh day, the seed remaining from nut; tenth day, one seed weighing 7 grains, then two seeds weighing 8 or 10 grains; 5 , Humphreys's provings with 1st, 2d, and again 2d dilution, from Hering; 6 , Davis, proving with 2d dilution; 7 , Zumbrock, took 1/2 drop of tincture; 8 , G. de V., case of poisoning, from Hering; 9 , poisonous effects, additional, from Hering; 10 , Farquharson, Am. Jour. Med. Sci., 1850, vol. 46, p. 102, two sailors ate ripe seeds, one only three or four; 10 a , same, the other ate a handful; 11 , Honigberger, general effects, from Hering; 12 , Soubeiran, from Hering; 13 , Buchner, from Hering; 14 , George Bennett, London Med. Gaz., 1831, p. 8. "I took four of the seeds;" 15 , case of poisoning, reported by Letheby, London Med. Gaz., 1848, N. S., vol. 7, p. 116, James Cole ate kernels of five seeds; ( 16 to , report of thirty-three persons poisoned by eating nuts, some three or four, others forty or fifty, Dr. Russell, Med. Times and Gaz., 1864, p. 703); , T. M., aged 14, ate forty or fifty; , T. W., aged 14, ate thirty or forty; , G. R., aged 12, ate two handfuls; , H. C., aged 16, ate twenty-four; , C. W., aged 15, ate twenty; , C. W., aged 15, ate more than two handfuls; , T. F., aged 14, ate a handful; , T. H., aged 12, ate a dozen (symptoms as last, and others in addition); , T. O., aged 15, ate a dozen; , T. M., aged 18, ate a dozen; , W. F., aged 12, ate eighteen; , T. H., aged 14, ate a dozen; , W. H., aged 16, ate a dozen; , G. R., aged 13, ate five; , J. M., aged 13, ate ten; , general symptoms in remaining cases not detailed; , A. Vautherin, Des Graines de Croton Tiglium, Monograph, Paris, 1864, experiment on self with the oil.

MIND

• Delirium, with insensibility, 11.
• Delirious, and ultimately quite insensible, lasting about twenty minutes (after two hours), 15.
• An ecstasy, as if an ideal had appeared to a poetic painter, or like that which sometimes comes to a dying person, with bright eyes directed upward, a feeling of lovely warmth and ethereal lightness, during the painful diarrhœas, 2.
• Anxiety, with burning in the stomach and coldness of the body, 8.
• Attacks of anxiety at night, which constrict the chest and do not permit sleep till towards morning, 1.
• Anxious events very easily disturb his equanimity, quite unusual with him, 1.
• Ill-humored, laconic, 3.
• Ill-humor returns to his mind in sleep; he wakes on account of it, and after falling asleep again, dreams of it, 3.

HEAD

• Confusion and Vertigo.
• Confusion of the head for two days, 5. [10.]
• Confusion and stupefaction of the head (second day), 5.
• Confusion and heaviness of the head (after half an hour, 7.
• Constant confusion of the head (tenth day), 4a.
• Head confused, dizzy, as if he were turned around (fourth day), 4a.
• Head feels confused and almost without ideas (tenth day), 4a.
• Dizziness and vertigo, accompanied by great restlessness, 10a.
• Giddiness (after half an hour), 16, 17, 19 ; (after one hour), 20.
• Giddiness and pain on raising his head (second day), 19.
• Giddiness, pain in the throat and stomach, and inclination to drowsiness (after ten minutes), 30.
• Very giddy (after one hour), 28. [20.]
• Extremely giddy (after two hours), 15.
• General Head.
• Heaviness of the head (fourth day), 4a.
• Head heavy, confused (sixth and seventh days), 4a.
• Heat in the head, especially in the forehead (sixth day), 4a.
• Heat in the head and face (sixth day), 4a.
• Heat in the head and some catarrh at noon, 3.
• Constant heat and confusion of the head (tenth day), 4a.
• Great heat in the head, with heaviness (tenth day), 4a.
• Headache, 1, 8, 9.
• Headache; after some minutes a pressing inward in the temples, lasting half an hour, 5.
• Forehead. [30.]
• Heaviness and pressure in the forehead (tenth day), 4a.
• Headache in the forehead externally, and on the right zygoma, lasting several hours, 1.
• Pressure in the forehead (fourth and tenth days), 4a.

EYE

• Lids.
• Trembling of the left eyelid (first day), 4a.
• Repeated trembling of the left lid, 4.
• Repeated trembling of the left upper lid, 4.
• Itching of the lids, lasting several days, 5.
• Itching and smarting of the margins of the lids , better after rubbing (first and second hours), 5.
• Pupil.
• Pupil either normal or, in the opinion of many who observed the cases, markedly dilated, in those who had taken a large quantity of the poison, 31. [50.]
• Pupils smaller than usual (sixth day), 4a.
• Vision.
• Bright and dark spots before the eyes (fourth day), 4a.
• Black points before the eyes (tenth day), 4a.

EAR

• Burning in the ears (sixth day), 4a.
• Aching in the right ear, lasting a quarter of an hour, 5.
• Stitches in the left ear, several times, 3.
• Constant stitches deep in the left ear (sixth day), 4a.
• Hearing.
• Difficult hearing, 11.
• Roaring in the ears, 4.

NOSE

• Objective.
• Ulcers in the nose and mouth, 11. [60.]
• Catarrh and heat of the head, at noon, 3.
• Sudden attack of coryza, with sneezing, running from the nose, frequent copious discharge of mucus, which very soon became alternately yellow and white, lasting a long time, with infrequent paroxysms of cough, with expectoration only with difficulty; in the intervals, however, frequent easy hawking of large lumps of mucus, together with transient headache at times here and there (after triturating), 1.
• Sneezing, 1.
• Sneezing, catarrh, and discharge from the nose, 11.
• Subjective.
• Constant sensitive feeling in the nose, always on drawing in the air, which seems cold, although it is warm, 4.
• Increased itching in the nose while eating, 1.

FACE

• Countenance pale and somewhat anxious (after four hours), 15.
• Pale face with dark rings below the eyes, in the afternoon (second day), 5.
• Feeling of warmth in the face, as with catarrh, 3.
• Cheeks.
• Pain in the left zygoma, gradually extending to the right, and ending with aching in the right ear (second day), 5. [70.]
• Aching in the right zygoma, 1.
• Contractive pain in the left muscles of mastication, 4.
• Pressure in the left masseter muscles (fourth day), 4a.
• Pressive pain in the right muscles of mastication, 4.
• Lips.
• Lips cracked and painful during the whole proving, 4a.
• Soreness of the left corner of the mouth, 5.

MOUTH

• Teeth.
• Slight rheumatic drawing in a hollow tooth, 3.
• Stitches in a hollow tooth, 3.
• Drawing feeling in the front teeth of the left side (first day), 3.
• Tongue.
• Numbness of the tongue (after four hours), 15. [80.]
• Burning, long-lasting pains in the tongue, 13.
• General Mouth.
• Dryness of the mouth the whole night, 5.
• Dryness of the mouth, without thirst (first and second hours), followed by a sensation as if the mouth had been burnt, the whole night and morning (third day), 5.
• Distressing sensation of dryness in the mouth, followed by a real dryness of the mouth and tongue without thirst, lasting the whole night, from the second to the third day, then a feeling as if the mouth had been burnt, lasting till the sixth day, always worse at night, 5.
• Sensation of heat and dryness in the mouth and throat (after four hours), 15.
• Burning in the mouth and throat, 11.
• Burning sensation in the mouth and throat, continuing over an hour (after ten or fifteen minutes), 15.
• Saliva.
• Much saliva (fourth day), 4a.
• Increased accumulation of saliva (tenth day), 4a.
• Much accumulation of saliva (tenth day), 4a. [90.]
• Frequent accumulation of thin saliva (first day), 4a.
• Frequent spitting of saliva the whole morning, with a metallic, bloody taste, 3.
• Much spitting of saliva with the stools, 1.
• Taste.
• Taste metallic, bloody, with frequent spitting of saliva, the whole morning, 3.
• Insipid taste of the drug, very slightly nauseating, without acridity or heat; after swallowing, this taste became more decided at the back of the throat (three drops), 32.

THROAT

• Throat symptoms (after one hour), 24.
• Throat affected (after three hours and a half), 25.
• Complained of his throat (after one hour), 21.
• Pain in the throat (after one hour and a half), 27.
• Dryness of the throat (after one hour and a half), 22 ; (after two hours), 18. [100.]
• Dryness and pain in the throat (after half an hour), 16.
• Dryness and burning of the throat (after one hour), 20 ; (after two hours and a half), 26.
• Dryness and scraping in the throat (seventh day), 4a.
• Throat hot and dry (after one hour), 28.
• Burning in the throat (after one hour), 5 ; (after one hour and a half), 19.
• Burning pains in the throat, 13.
• Acrid feeling in the throat, which gradually, and with greater violence, extended to the stomach, and at last caused vomiting, 12.
• Feeling as if the throat were swollen, 1.
• Sticking feeling in the throat, especially on swallowing (sixth day), 4a.
• Sore throat (after half an hour), 17. [110.]
• Scraping in the throat, during the whole proving, 4a.
• Feeling of soreness in the soft palate, 6.
• Fauces and Œsophagus.
• Dryness of the fauces, 4.
• Dryness of the upper part of the fauces and throat, with some thirst; yet he dreaded to drink on account of constant nausea; after several hours vomiting of food, with short, hacking, persistent cough, 1.
• Constant dryness in the fauces, 4.
• Dull pain, as though rising from the stomach into the œsophagus, 4.
• External Throat.
• Pain along the external jugular vein of the left side, 6.

STOMACH

• Appetite.
• Little appetite for a whole week, 1.
• Loss of appetite, 11.
• No appetite (tenth day), 4a.
• Thirst. [120.]
• Thirst (after one hour), 21 ; (after three hours and a half), 25 ; (after one-quarter of an hour), 29.
• Decided thirst in the evening (fourth day), 5.
• Thirsty, 17.
• Less longing for wine, 1.
• Eructation and Hiccough.
• Eructations the whole first day, 5.
• Eructations of air (second, fourth, and sixth days), 4a.
• Frequent eructations of air (seventh day), 4a.
• Constant eructations of air for twenty-eight hours, 5.
• Empty eructations (first and seventh days), 4a.
• Empty eructations (seventh day), 4a. [130.]
• (Hiccough and vomiting of a quantity of dark green bile, during convalescence from cholera, in two cases), 2a.
• Nausea and Vomiting.
• Nausea (sixth and tenth days), 4a.
• Nausea that comes and goes (tenth day), 4a.
• Nausea after eating (tenth day), 4a.
• Nausea during the stool, 1.
• Nausea, with a feeling of warmth in the stomach (after half an hour), 7.
• Nausea and burning in the stomach for some hours (after half an hour), 5.
• Some nausea, 4.
• Constant nausea, worse the second day than the first, 9.
• Constant nausea and accumulation of saliva (tenth day), 4a. [140.]
• Great nausea, with almost efforts to vomit (tenth day), 4a.
• Dreads to drink on account of nausea, 1.*
• Peculiar qualmish sensation in the pit of the stomach (tenth day), .

ABDOMEN

• Hypochondria.
• Indefinite pain in both hypochondria and in various parts of the extremities, 4.
• Piercing pain in the left hypochondrium extending to the lumbar muscles (second day), 4a.
• Umbilical.
• Pain in the umbilical region, 4. [190.]
• Pain about the umbilicus, with rumbling, emission of flatulence and desire for stool, in the morning (second day), 5.
• Violent pain in the umbilical region, extending into the left hypochondrium and left side of the chest (seventh day), 4a.
• Pain deep in the umbilical region, 4.
• Constant pain deep in the umbilical region, 4.
• Constant dull pain deep in the umbilical region (fourth day), 4a.
• Violent tearing pain deep in the umbilical region, aggravated by pressure (after one hour), 4.
• Every attack of spasm in the bladder comes on with a twisting pain in the umbilicus, and extends downward to the neck of the bladder; these attacks, like the nausea, gradually disappear between 6 and 7 P.M.; they are preceded and followed by many noises of liquids in the abdomen and by sour eructations (tenth day), 4a.
• Crawling about the umbilicus the whole forenoon, 5.
• General Abdomen.
• Distension of the abdomen, 11 ; (fourth day), 4a.
• *Abdomen distended and soft, 4. [200.]
• Abdomen moderately distended, soft and painful deep in the umbilical region to slight pressure (seventh day), 4a.
• Abdomen distended, tympanitic (second and fourth day), 4a.
• Abdomen much distended, tense, tympanitic (first day), 4a.
• Abdomen tympanitic (seventh day), 4a.
• With much rumbling the abdomen soft (first day), 4a.
• The distended abdomen becomes soft and sunken, without emission of flatulence (second day), 4a.
• Some intestinal movements, but without pain or purgation (25 drops), 32.
• *Noise as of liquids in the intestines (sixth day), .

RECTUM AND ANUS

• Violent burning in the rectum after a stool, lasting an hour (first day), 3.
• Stitches in the rectum, 4 ; (second, sixth, and tenth days), 4a. [250.]
• Violent crawling of worms in the rectum, in the evening (first day), 3.
• Soft hæmorrhoidal swellings, 1.
• Stitches in the orifice of the anus, 4.
• Violent itching in the anus, at night in bed (fourth day), 3.
• Inclination to stool (after half an hour), 5.
• Much desire for stool, 4.
• Great desire for a diarrhœa-like stool, in the morning (first and third days), 3.
• Sudden desire for stool, and constant noises as of liquids in the abdomen, especially in the left side (sixth day), 4a.

STOOL

• Diarrhœa.
• Diarrhœa, 11.
• Copious diarrhœa, with watery stools, after which he felt much relieved (second day), 18. [260.]
• Painless diarrhœa, with slight cramplike jerkings in both calves, 2.
• *Watery diarrhœa, as if it spurted from him, 8.
• Profuse mucous diarrhœa (after five hours and a quarter), 17.
• Purging (after a quarter of an hour), 29 ; (after two hours and a half), 26.*
• Severe purging, with tenesmus (after several hours), 21.
• Purging of a violent character (in the course of an hour), (in both cases), 10.*
• Very actively purged (after ten or fifteen minutes), 15.
• Severely purged, 23.
• Purged three or four times, 16.
• Purged three or four times, very copiously (after three hours and a half), 25. [270.]
• Stools copious, mucous, and not unlike the well-known rice-water stools, 31.
• Bowels moved copiously upwards of a dozen times; his stools being mucous and watery (after one hour), 28.
• Several soft stools, with nausea and much spitting of saliva, 1.
• Three natural stools a day instead of one, 3.
• Small stool (after four hours and one-sixth), followed by another in half an hour (51 drops), 32.
• Stool at night, which he scarcely ever had, 5.
• Soft stool at the usual time, followed by much rumbling (sixth day), 4a.
• Soft stool, without relief of the pain in the abdomen, which disappeared after half an hour, with emission of much flatulence (after two hours, first day), 4a.
• Stool softer than usual, followed by constant pain in the umbilical region (after one hour, second day), 4a.
• Thin stool preceded and followed by much rumbling, and at times a noise as if a bottle were being emptied (after one hour and a half), .* [280.]

URINARY ORGANS

• Bladder.
• Every attack of nausea is accompanied by spasm of the neck of the bladder, with drawing pain and desire to urinate (tenth day), 4a.
• Painful pressure and stitches in the neck of the bladder (tenth day), 4a.
• Urethra.
• Clear mucus oozes slowly from the urethra, while walking and sitting, 4.
• Stitches in the urethra (tenth day), 4a.
• Constant irritation in the navicular fossa of the penis, like a tickling, with frequent micturition, 4.
• Micturition.
• Desire to urinate (fourth, seventh, and tenth days), 4a. [290.]
• Desire to urinate even after micturition (second day), 4a.
• Much desire to urinate (second day), 4a.
• Frequent desire to urinate, 4 ; (sixth day), 4a.
• Very frequent desire to urinate, 4.
• Constant desire to urinate, 4 ; (fourth, sixth, and seventh days), 4a.
• Constant desire to urinate (though he had urinated during stool three-quarters of an hour previously), 4.
• Renewed desire after micturition (fourth day), 4a.
• Frequent urging to urinate (tenth day), 4a.
• Much micturition. 4.
• Copious discharge of quite watery urine without odor or color, 5. [300.]
• Difficulty in making water (second day), 16.
• Dysuria (after one hour), 24 ; (after two hours and a half), 26 ; after several hours, 21.
• Urine.
• Remarkable increase of urine after exertion, in the evening (fourth day), 5.
• Urine much more scanty than usual, and very dark-brown, clear, 4.
• Urine bright yellow (second and sixth days), 4a.
• Urine bright yellow, frothy (after one hour and a quarter, fourth day), 4a.

SEXUAL ORGANS

• Aching in the genitals, as after excessive sexual intercourse, the whole day (sixth day), 5.
• Aching of the genitals, especially of the right testicle, with diminished discharge of urine (fourth day), 5. [310.]
• Drawing pain in the genitals, extending along the inner side of the right thigh to the knee (sixth and following days), 5.
• Aching in the left testicle (third day), 5.

RESPIRATORY ORGANS

• Larynx.
• Painful pressure in the right side of the larynx at night, on account of which he woke; not aggravated by touch (first night), 3.
• Cough.
• Short, hacking, persistent cough the first day; on the second day so violent that he took golden sulphuret of antimony, 1.
• Hollow cough (first night), 1.
• Respiration.
• Respiration quick and panting, 10a.
• Increased difficulty of respiration (sixth day), 4a.

CHEST

• Pain in the region of the left third rib, above and somewhat to the inside of the nipple (after a few minutes), 6.
• Constriction in the chest, with attacks of anxiety, so that he was unable to sleep at night, 1.
• Violent pain in the left clavicle, forenoon (third day), 5. [320.]
• Aching in the left clavicle, lasting only a few minutes, but returning after a few hours (second day), 5.
• Aching, amounting to a throbbing pain in the left clavicle, in the morning (third day), 5.
• Pressure in the left pectoral muscles, which seems to make respiration difficult (seventh day), 4a.
• Painful pressure in the right pectoral muscles (fourth day), 4a.
• Pressive pain in the right pectoral muscles (tenth day), 4a.
• Frequent stitches behind the cartilages of the sixth and seventh ribs (seventh day), 4a.
• Sudden violent stitches to the left of the ensiform cartilage, behind the costal cartilages, which arrest the breathing (sixth day), 4a.
• Front.
• Tension in the middle of the sternum, 6.
• Pressure deep in the chest behind the sternum (second day), 4a.
• Sticking pain, extending from above downward deep in the chest, behind the sternum, 4.

HEART AND PULSE

• Præcordium. [330.]
• Feeling of sinking and nausea in the præcordial region, followed by soft stool (second day), 5.
• Heart's Action.
• The beating of the heart suddenly became distinct to the hand, and was even felt in the chest, 4.
• Violent beating of the heart (after one hour), 5.
• Violent beating of the heart, for several days, 5.
• Violent beating of the heart, shaking the chest, when walking slowly about the room (tenth day), 4a.
• Palpitation (after an hour and a half), 22.
• Palpitation of the heart, after moving about (after six hours), 5.
• Uneasiness at night from palpitation, and rush of thoughts, 5.
• Heart's action very irregular, and so weak that the impulse against the walls of the chest could with great difficulty be perceived, 10a.
• Pulse.
• Pulse accelerated, for two days, 5. [340.]
• Frequent and weak pulse (after several hours), 16.
• Pulse slow, full, and soft (after one hour, tenth day), 4a.
• Pulse diminished 2 beats (after one hour), 4.
• Pulse 5 beats less than usual (after a quarter of an hour, fourth day), 4a.
• Pulse 6 or 7 beats slower than usual (after half an hour); 10 beats slower than usual (after one hour, tenth day), 4a.
• Pulse 9 beats less than usual (after three-quarters of an hour); 5 beats less than usual (after one hour and a quarter, fourth day), 4a.
• Pulse 140 and weak (after four hours), 15.
• Pulse 120 (second day), 16.
• Pulse 87, large, full, almost jerking (after two hours, tenth day), 4a.
• Pulse 80, strong (after one hour), 5. [350.]
• Pulse 80, hard, and throbbing, 5.
• Pulse irregular, of normal frequency (sixth day), 4a.
• Pulse small, thready, and intermittent, 10a.
• (after five hours and a quarter), .*

NECK AND BACK

• Nape.
• Stiffness in the nape of the neck, 4.
• Stiffness of the muscles of the nape of the neck (tenth day), 4a.
• Stiffness of the muscles of the nape of the neck and forehead (fourth day), 4a.
• Back.
• Pain in the muscles across the back (seventh day), 4a.
• Painful pressure in the lumbar, dorsal, and pectoral muscles (fourth day), 4a.
• Transient pressure in the muscles of the back and left upper arm (first day), 4a. [360.]
• Constant bruised feeling in the muscles of the back and chest (sixth day), 4a.
• Dorsal.
• Pain in the region of the sixth dorsal vertebra, 6.
• Constant pain in the rhomboid muscle in the region of the fourth and fifth ribs of the left side, dull pain lasting twelve hours, 6.
• Lumbar.
• Painful stiffness of the lumbar muscles (fourth day), 4a.
• Very transient pains in the lumbar muscles, chest, and shoulders, 4.
• Painful thrusts from the umbilicus to the lumbar region (seventh day), 4a.
• Feeling as from a thrust in the muscles, in the region of the small of the back, while walking, 4.
• Stitches in the lumbar muscles (seventh day), 4a.
• Feeling of soreness in the small of the back (after one hour), 7.
• A sore feeling in the small of the back and rectum as in diarrhœa (after one hour), 7. [370.]
• Crawling beneath the skin of the small of the back (after three hours), 4.

EXTREMITIES IN GENERAL

• Muscles of the extremities contracted by violent spasms, 10a.
• Painful feeling of weakness in the limbs, especially in the knees (fourth day), 4a.
• Cramps in the hands and feet (second day), 18.
• Most severe cramps in the arms and legs (after one hour), 28.
• Drawing pains in various parts of the extremities, in part seeming to be under the skin, 4.
• Pressure in the left calf, right knee, and right wrist (tenth day), 4a.
• Pressure in the upper arms and right calf alternately, though only while sitting (second day), 4a.
• Pressive pain on the back of the right foot, on the posterior surface of the left upper arm, and in the flexor surface of the left forearm (sixth day), 4a.
• Pressive pain in the muscles of the shoulder and back, in the knees and calves, with a feeling of weakness (sixth day), 4a. [380.]
• Pressive and contractive pain in various parts of the extremities, especially in the wrists, toes, and calves, 4.

SUPERIOR EXTREMITIES

• Bruised feeling in the muscles of the arm (first day), 4a.
• Shoulder.
• Pain in the right shoulder and arm, extending into the hand, worse along the ulnar nerve, 5.
• Rheumatic pain in the right and afterwards in the left shoulder (third day), 5.
• Drawing in the muscles of the left shoulder (fourth day), 4a.
• Pressure in the shoulder-joint (fourth day), 4a.
• Pressure in the left shoulder (tenth day), 4a.
• Bruised pain in the shoulder-joints (first day), 4a.
• Bruised and stiff feeling in the shoulders (second day), 4a.
• Arm.
• Weariness in the upper arms, 4. [390.]
• Pressure in the muscles of the right upper arms (tenth day), 4a.
• Forearm.
• Aching along the left ulna nerve (after one and two hours), 5.
• Gnawing in the ulnar nerve, 5.
• Pain along the ulnar nerves, extending from the left elbow to the tips of the fourth and fifth fingers (immediately), 5.
• Pain, with a feeling of numbness extending from the elbows to the tips of the fourth and fifth fingers, with a burning, causing insensibility, lasting half an hour (after half an hour, and repeated after four days), 5.
• Internal pressure in the flexor muscles of the left forearm (fourth day), 4a.
• Hand.
• Drawing on the back of the left hand (seventh day), 4a.
• Pain in the metacarpus of the right thumb, extending to the wrist and hand (after five hours), 5.
• Fingers.
• Violent pain in the first joint of the right index finger, extending to the tip (after five hours), 5.
• Aching in the first joint of the right thumb, extending to the wrist, in the morning (second day), 5.

INFERIOR EXTREMITIES. [400.]

• Gait tottering; the body involuntarily inclined towards the left, while walking (fourth day), 4a.
• Feeling of stiffness and unsteadiness in the legs, when walking (fourth day), 4a.
• Knee.
• Pains in the hollows of both knees, for several days, 5.
• Pressive pain in the right knee and left calf, on walking slowly up and down the room (seventh day), 4a.
• Painful tearing in the left knee and malleolus (after seven hours), 5.
• Bruised pain in the knees, 4.
• Bruised feeling in the knees, while sitting, 4.
• Leg.
• Stiffness of both calves (fourth day), 4a.
• Feeling of stiffness in the left calf (second day), 4a.
• Feeling of stiffness in the calves, while walking up and down the room (seventh day), 4a. [410.]
• Feeling of stiffness and pressure in the left calf and back of the left foot (first day), 4a.
• Pain in the calves, even when walking, with internal drawing in them (fourth day), 4a.
• Constant compression in the muscles of the left leg, especially in the lower portion of the calf (tenth day), 4a.
• Internal jerking and pressure in the left calf and toes, more towards the inner margin of the tibia, extending up and down the inner surface (fourth day), 4a.
• Slight cramplike jerkings in both calves, with painless diarrhœa, 2.*
• Violent cramplike pain in the lower legs, and cramps in the calves, which become knotted, 8.*
• Slight cramps (after a quarter of an hour), 29 ; (after three hours and a half), 25.
• Severe cramps and pains in the legs and feet (after three hours and three-quarters), 17.
• Violent cramps, in the evening (after several hours), 21.
• Violent cramps and twitchings, "the calves were twisted around to the shins." (Hering.) [420.]

GENERAL SYMPTOMS

• Objective.
• Depression very great, in some cases, 31.
• Great depression of the vascular system (after one hour and a half), 22.
• General weakness, 11. [450.]
• Extreme weariness and sleepiness (first day), 3.
• Weakness (tenth day), 4a.
• Great weakness, and heaviness of the head (tenth day), 4a.
• So exceedingly weak as hardly to be able to walk about, after the perspiration broke out (after about one hour and a half); this debility greatly increased during the next half hour; in another half hour he had so far recovered as to be able to walk to the London Hospital; was very weak (after four hours), 15.
• On the slightest exertion, painful weakness of the muscles used, even when writing or standing (fourth day), 4a.
• Prostration (after half an hour), 7.
• Great prostration, with frequent and weak pulse, in the evening (after several hours), 16.
• Great restlessness, 10a.
• Subjective.
• More susceptible than usual to wine, 1.
• Feeling of agreeable warmth, ethereal lightness, 2.

SKIN

• Objective. [460.]
• Several small pimples on the wrist and back of the right hand (second day), disappearing after a few days), 5.
• Two badly looking, hard though not painful pimples on the middle of the right cheek, slowly disappearing, 5.
• Sore painful pimples on the back of the neck (second day), 5.
• Sore painful pimples in the bend of the right thigh (second day), 5.
• Ulceration, smarting, and tension in the right corner of the mouth, in the morning (fourth day), 5.
• Subjective.
• Prickling on the back of the left hand (second day), 4a.
• Crawling in the skin of both lower legs and feet (tenth day), 4a.
• Itching and tension of the lips, in the morning (second day), 5.
• Itching and slight tension around the mouth, better after rubbing (after two hours), 5.
• Itching between the right index and middle fingers, and on the palm of the hand (after seven hours), 5. [470.]
• Itching between the toes in bed (first night), 5.
• Violent itching, as from the itch, between the thumb and index finger, at first aggravated then relieved by rubbing, 5.
• Violent itching of the commissure between the first and second fingers, relieved by rubbing, in the morning (third day), 5.
• Internal itching of the fingers, worse on the left hand (fourth day), 4a.

SLEEP AND DREAMS

• Sleepiness.
• Much yawning, with nausea, accumulation of saliva and many eructations (tenth day), 4a.
• Drowsiness (after a quarter of an hour), 29 ; (after one hour), 24.
• Drowsiness very marked, many of the patients falling asleep in the cabs on their way to the hospital, and many dropping off to sleep repeatedly in the waiting-room, but they could all be immediately aroused, 31.
• Drowsy, 17 ; (second day), 16.
• Very drowsy, 27.
• Very drowsy and prostrated (after one hour), 28. [480.]
• Very drowsy, hot and feverish, after vomiting (after one hour), 20.
• He thought that he had a fever so that he had to sleep, without being cold or hot or sweaty (first day), 9.
• Dropped off to sleep every half minute, although easily aroused (after five hours and a quarter), 17.
• He is scarcely able to wake from sleep; in the morning and afterwards; he is obliged to forcibly make himself move, after which he feels better, 1.
• Sleeplessness.
• Sleepless, with throbbing of the pulse for several hours after lying down (third night), 5.
• Restlessness at night on account of rush of thought and palpitation, 5.
• Restless tossing about, sleepless, with throbbing of the pulse, the whole night, 5.
• Attacks of anxiety at night did not permit sleep till towards morning, 1.
• On account of angry conversation which he had had in the evening, he awoke at 2 A.M., because he had it in his mind in sleep; he fell asleep again and dreamed of it, 3.
• Dreams.
• Incessant dreams, 1.

FEVER

• Chilliness. [490.]
• Skin cold and moist, 10a.
• Chilliness with a feeling of coldness extending through the abdomen; the palms of the hands previously dry become moist and cold (fourth day), 4a.
• Much chilliness, cold hands and blue nails (after three hours, first day), 4a.
• Much chilliness, with cold tips of the fingers (tenth day), 4a.
• Coldness of the body , shivering and clammy sweat, with vomiting and diarrhœa, 8.*
• Cold shivering over the whole body (after one hour), 7.
• Chilliness up and down the back (fourth day), 4a.
• Chilliness creeping over the back, 4.
• Chilliness through the back extending into the upper arms, constant, even in a warm room, 4.
• Chilliness in the spinal marrow (second day), 4a. [500.]
• Chilliness starting from the lumbar vertebræ (seventh day), 4a.
• Chilliness deep in the lumbar vertebræ, with desire for stool two or three hours earlier than usual in the morning, 4.
• Much chilliness in the region of the lumbar vertebræ (tenth day), 4a.
• Constant chilliness in the back (sixth day), 4a.
• Great chilliness creeping through all the limbs, extending to the scalp, 4.
• At times coldness through the back (second day), 4a.
• Much coldness in the back, extending into the upper arm (first day), 4a.
• Great coldness deep in the spine, 4.
• Extremities cold, nails at times blue, 4.
• The hands hitherto warm became cold and the nails blue (after half an hour), 4. [510.]
• Hands rather cold (after four hours), 15.
• Shivering in the back (sixth day), 4a.
• Frequent shivering through the region of the lumbar vertebræ, 4.
• Required application of warmth to the extremities, in the evening (after several hours), 16.
• Heat.

CONDITIONS

• Aggravation.
• ( Morning ), Desire for stool; aching in thumb; pain in ball of foot.
• ( Forenoon ), Pain in ankle.
• ( Evening ), Thirst.
• ( Night ), Attacks of anxiety; feeling in mouth; in bed, itching in anus; pressure in anus; in bed, itching between toes.
• ( On entering house ), Pain in temple returns.
• ( Pressure ), Pain in stomach; pain in umbilical region.
• ( Rubbing ), Itching between thumb and finger.
• ( While sitting ), Muscular symptoms; bruised feeling in calves.
• ( Sitting down after walking about room ), General bruised sensation.
• ( On stooping ), Feeling of cramp in stomach.
• ( While walking ), Feeling in small of back.
• ( In warm room ), Rumbling in abdomen returned.
• Amelioration.
• ( Open air ), Symptoms in general; pain in temples; rumbling in abdomen.

SUPPLEMENT: JATROPHA. Authorities.

33 , Dr. C. Hering, North Amer. Journ. of Hom., vol. iv, 1851, p. 447; 34 , E. J. Waring, Pharm. Journ., 2d Ser., vol. vii, p. 554, a young Hindoo swallowed three or four fresh seeds of "Curcas multifidus;" 35 , Dr. Marrett, Madras Med. Journ., 1861, p. 37 (Pharm. Journ., 2d Ser., vol. vii, p. 553), a person swallowed fifteen to twenty seeds.

• Within an hour and a half after ingestion, burning sensations in the throat and stomach commenced, followed by profuse purging, vomiting, violent cramps of the extremities, which subsequently extended to the muscles of the abdomen and back, and occasional twitchings of those of the back, almost like those observed in tetanus. This was followed by deafness, and although the patient seemed all the time to be quite sensible, he failed on recovery, which occurred after two days of intense suffering, to recall any of the events of his illness subsequent to the occurrence of the purging, which was one of the earliest symptoms, 35.
• Violent purging and vomiting, intense heat and pain in the stomach, with great prostration of the vital powers, were the principal symptoms, 34.
• In Cuba, it is said that placing the hands in cold water will cause the effects to cease, 33.