Rhus Toxicodendron

Rhus toxicodendron, Linn. (including its variety R. radicans, L.).

Natural order , Anacardiaceæ.

Common names , Poison ivy, Poison oak, Mercury vine, Three-leaved ivy, etc., (G.), Gift-sumach, Wurzel-sumach.

Preparation , Tincture of the plant.

Authorities.

"A," Barton's collection for a Materia Medica, 1795, effects of applying 2 or 3 drops of the juice from a leaf-stalk to the wristband of the shirt (Nos.

1 to 26 , from Hahnemann, R. A. M. L., 2, 357).

1 , Hahnemann; 2 , Fr. H-n; 3 , Franz; 4 , Hartlaub and Trinks, Hufel. Journ., 614, 28, effects of handling plants; 5 , Hornburg; 6 , Lehmann; 7 , Michler; 8 , Rückert; 9 , Schreter; 10 , Stapf; 11 , Alderson, in Samml. br. Abth. f. Pract. Ærzte, XVII, 1 (symptoms observed in patients, -Hughes); 12 , Annalen der Heilkunde (not accessible, -Hughes); 13 , Cavini, Orfila, Toxicologie, 1, 596, 597 (should be

Lavini , from 2 drops of juice, applied to fingers, for two minutes only, -Hughes); 14 , Dudley, in Du Fresnoy (observations, -Hughes); 15 , Du Fresnoy (Des caractères, du traitement, et de la cure des dartres, etc., par l'usage du Rhus radicans, observations, -Hughes); 16 , Du Roy, Harbkesche Baumzucht, II, p. 308 (not accessible, -Hughes); 17 , Dossie, Institue of Experimental Chemistry, 1759 (not accessible, -Hughes); 18 , Fontana, in Edin. Med. Comment., II, 11 (from handling leaves, -Hughes); 19 , Gleditsch, in Beschäft. d. Berlin Naturf., Fr. IV (p. 300, observations, -Hughes); 20 , Jos, Monti, in Act. Inst. Bonon. Sc. et Art, III, 3, 165 (observations, -Hughes); 21 , Nasse, in the preface to Du Fresnoy (observations, -Hughes); 22 , Sherard in Du Fresnoy (effects of smoke from burning Rhus, -Hughes); 23 , Sybel, in Med. Annalen, 1811, July (not accessible, -Hughes); 24 , Wichman, Ideen zur Diagnostik, T. I, p. 74, etc (observations, -Hughes); 25 , Van Mons, in Du Fresnoy (observations, -Hughes); 26 , Zadig, in Hufel. Journ., V. III (p. 196, effects on a patient, -Hughes); 27 , Helbig, Heraclides, 1, 53, symptoms by "Mllin;" 28 , same, symptoms by "N. K.;" 29 , same, symptoms by "G. K.;" 30 , omitted; 31 , Bigelow, Am. Med. Botany, 3, 1, p. 27, general statement; 32 , Notizen aus den Geb. d. Nat. und Heilk, 1832, p. 208 (A. H. Z., 1 144), a man cut some stems in winter; , Dr. A. A. Gould, Medical Magazine (Am. J. of Med. Sc., 1832), a boy was poisoned by R. rad.; , Bartlett, Bost. Med. and Surg. J., 18, 303, 1833, a man working about the ivy cut his leg, but continued his work; to , omitted; , Hasford, Bost. Med. and Surg. J., 19, 256, effects to chewing the leaves; , Toothaker, ibid., p. 190, effects of exhalations from the uprooted plants; and , Puche, Journ. de. Conn. Med., 1840 (S. J., 34, 23), poisoning of two children; , same, effects of rubbing the roots on the forearm; , Rau, Nouvel Organe, p. 55 (B. J. of Hom., 1, 299), effects of expressing the juice from the leaves; , Hom. Pioneer, 1, 44, 1846, effects four years after the poisoning; , Western Journ. of Med. (Bost. M. and S. J., 39, 326), a man drank a gill of a strong decoction of the plant; , J. E. Norton, Hom. Times, 2, 82, effects of a lotion of R. tincture (one-tenth), applied to a sprain; , Cincinnati Journ. of Hom., 1, 124, 1851, effects of exhalations of the plant, in a woman; , Clarke, Bost. M. and S. Journ., 53, 163, effects of application of juice to hands; , Robinson, Br. J. of Hom., 25, 330, proving on a woman, with a globule of the 1000th in 8 ounces of water, a teaspoonful every third morning; , same, proving in a woman, with 200th dil. in water, every second morning; , same, proving in a woman, with 200th dil. in water, night and morning; , same, proving in a woman, with 200th dil. in water, every morning; , Chapin, Bost. M. and S. Journ., 59, 258, effects of poisoning in a woman; , N. M. Payne, Am. Hom. Rev., 1, 251, effects of application of tincture to a finger; , same, effects of gathering the fresh plant; , Dr. B. F. Joslin, Am. Hom. Rev., 1, 553, proving of R. radicans, took 3d dil. in water, repeated doses; , same, ibid., vol. 2, p. 325, effects of preparing tincture; , same, proving, took 2d dil. first day, 3d dil. three times ninth day, 30th dil. fifteenth and nineteenth days, 50th dil. twenty-second day, a mixture of all dilutions between 30th and 50th dils. (except 39th and 40th dils.) twenty-fourth day; , same, a week after last symptom of last proving, took 50th dil. at intervals of five minutes first day, 50th a dose at 6 A.M., and a dose of 6th at 7 P.M. second day; , Behr, Virchow's Archiv, 1862 (S. J., 115, 168), "effects of the California variety of Rhus;" [Rhus diversiloba, Torr. and Gray; R. lobata, Hook.]

60 , Hamburger Garten and Blumen Zeit, 1863 (S. J., 119, 289), effects of handling the plant; 61 , Journ. de Méd. de Toulouse, 1863, effects of handling the plant; 62 , Trousseau et Pidoux, Traité de Mat. Méd., effects of applying tincture to finger; 63 , Maisch, Am. J. of Pharm., 1866, effects of distilling the plant; 64 , Moorman, Am. J. Med. Sc., 1866, 1, 560, effects in two children, of eating nearly a pint of the fruit; 65 , Stokes, Med. and Surg. Rep., 1867, p. 372, poisoning of a boy by drinking a tea made from the root; 66 , Sanders, Edin. Med. J., 1868, p. 715, effects of handling the plant; 67 , Brown, Pharm. J., 1868, vol. 6, 172, general effects; 68 , Berridge, N. Am. J. of Hom., N. S., 3, 501, proving with the 200th (Lehrmann); 69 , Farrington, Am. J. Hom. M. M., 4, 107, effects of handling plant; 70 , Du Fresnoy, Br. J. of Hom., 1870, from Thèse, at Paris, effects of handling the plant; 71 , same, effects of taking an infusion of the leaves for an eruption on the face, in a woman; 72 , Berridge, N. Am. J. of Hom., 1871, p. 56, Mr. --- (a patient) took a dose of the 2000th (Jenichen); 73 , same, Mrs --- (a patient) took several doses of the 200th (Lehrmann); 74 , same, a man took the 200th (Lehrmann) on two occasions, each time same effects; 75 , Gruner, Hom. World, 6, 177, effects of handling the plant; 76 , Caroline Le Beau, M.D., N. Am. J. of Hom., 1871, p. 572, effects of a dose of the 75m (Fincke) of Rhus, in a girl five years old, with ptosis of right lid; , Ward, Hahn, Month., 7, 344, effects in a woman, of handling the leaves; to , omitted; , Berridge, N. Am. J. of Hom., 1873, p. 499; Miss --- took several doses of 2m (Jenichen); , Dr. Jas. C. White, N. Y. Med. J., 17, 229, effects on self, of handling the plant and rubbing the juice upon the hand; , same, effects of gathering the autumn leaves, in a young lady; , same lady, the following year, effects of plant rubbing against the leg; , same lady, poisoned three years later; , same, poisoning of a man by the vine; , Busey, Am. J. Med. S., 1873, p. 436, effects on a woman of receiving (by contact?) the poison from her husband; , same, effects of handling the plant; , same, in their child, who was not near the plant; , same, effects in a man exposed to the plant; , same, in a lady; , De Witt, Am. J. of Med. Sc., 1874, p. 116, two cases of poisoning; , Matheson, Am. J. of Med. Sc., 1874, p. 118, a boy poisoned; , Humphreys, Am. J. Med. Sc., 1874, p. 160, a man poisoned; , same, another man; , Hammond, Med. Invest., 11, 603, a man poisoned; , Sapp, O. M. and S. Rep., 8, 36, a man poisoned; , Yandell, Louisville Med. News, 2, 32, poisoning of men employed in cutting trees; , same, effects on self of rubbing the bruised leaves on the hand; , Dr. John S. Linsley, MS. proving to editor, took about 20 minims of 3d cent. dil., at 8 P.M. (next day a dose of Bell. 200th as an antidote).

MIND

• Emotional.
• *Delirium, 65, 93.
• Though naturally inclined to melancholy, she felt merry and disposed for work as soon as she swallowed the infusion, 71.
• Grief; inclination to weep; melancholy; extreme irritability even from his own thoughts, or from the slightest cares, 44.
• Full of sad thoughts, anxious and fearful, wherewith she gradually lost strength, and was obliged to lie down for hours in order to regain vigor, 1.*
• Melancholy, ill-humor, and anxiety, as if a misfortune would happen, or as if she were alone and all about her were dead and still, or as if she had been forsaken by a near friend; worse in the house, relieved by walking in the open air, 1.*
• *Sad, begins to weep without knowing why, 1.
• Sadness; loved to be alone (after ten hours), 1.
• She seldom had a joyful thought, 1.
• Satiety of life, with desire to die without sadness, 1.* [10.]
• Involuntary weeping without a weeping mood, with rumbling in the abdomen, 1.
• Great despondency , for eight years, 54a.*
• Feels despondent; don't like to be spoken to; nervousness; starts suddenly at every slight noise (after seventy-two hours), 54.
• If disagreeable thoughts came into her mind she could not free herself from them, 1.
• Extremely low-spirited, with sense of great prostration; she could not prevent herself from crying, every morning after the dose (after some days), 52.
• Depression and discouragement and dissatisfaction with the world, in the evening (eighth day), 58.*
• Depression of spirits and indisposition to conversation, with the pain above superciliary ridges (sixteenth day), 57.
• Depression of spirits with the aching over left eyebrow (twenty-second day), 57.
• Discouragement and apprehension, followed by short cough, from severe tickling and irritation behind the upper half of the sternum after a siesta, from noon to 3 P.M. (sixth day), .

HEAD

• Confusion and Vertigo.
• Confusion of the head without definite pain, 10.
• Head confused and dull, 1.*
• Excessive vertigo on lying down, with fear that he would die (after ten hours), 1.
• Very violent vertigo, 26.
• Vertigo, 4, 11.*
• Vertigo and dulness of the head, 2.*
• Vertigo while sitting, as if he were elevated, 3.
• Vertigo soon after eating, 1.
• Vertigo, as if everything were whirling around with her; worse while walking and standing, also when sitting, but less severe (but not at all while lying down), 1. [70.]
• Reeling, tottering, and staggering of the body while walking, without dizziness of the head, 1.
• Reeling and staggering while walking, without vertigo, 8.
• A whirling on walking on stooping, not at other times, 1.
• He staggers while walking always to the right, 3.
• She seemed intoxicated, and thought that she would fall, on rising from bed, 1.*
• Her head was so much affected that she could not easily stand; could not hold herself up, 1.
• Dizzy while walking, so that he did not see men immediately in front of him, 1.
• Dizziness of the head, 10.
• Dizzy, as if she would fall forward, while walking, 1.
• Quite dizzy in the morning on rising; he is scarcely able to keep on his feet, 1. [80.]
• Dizziness in the head in the morning on waking, while in bed, disappearing after rising, 1.
• Dizziness, in the morning, 44.
• More or less dizziness, 95.
• General Head.
• Swelling about the head (fifth day), 54.
• Swelling of the head in some, .

EYE

• *Inflammation of the eyes, 1.
• The white of the eye is red in the morning, with burning pressure in it ; the eyes seem to protrude, 1.*
• Eyes suffused and watery, 63. [190.]
• Eyes dull, 44.
• Itching in the eyes, on exerting vision, 1.*
• Aching in the eyes, 4.*
• Aching as from an inflammation of the left eye, that is red in the inner canthus, and agglutinated by matter, in the evening, 1.
• Her left eye felt enormously swollen and enlarged , though on looking into the mirror this was not the case (after some days), 52.*
• Feeling of sand in left eye, first about centre, then towards outer canthus; worse by rubbing, with discharge from left outer canthus hardening and causing lids to adhere, on waking, in morning, 74.
• Pressive pain in the eyes, 1.*
• Pressure as if dust were in the eye, 1.*
• Pressive and contractive pain in the eyes, in the evening, 1.
• Burning pressive sensation in the eye, from evening till morning, disappearing in the morning after rising, 1. [200.]
• Periodical cutting pain in the eyes; it is difficult to open the lids, in the morning, 9.
• Sometimes sharp pains run from the eyes into the head, 44.*
• Biting as from something sharp and acid in the right eye, 3.*
• Biting in the eyes; in the morning the eyes are agglutinated with matter, 1.*
• In the eyes pricking and itching and redness by turns, 44.
• Burning pressure in the left eye (after thirty-six hours), 54.
• Brow and Orbit.
• Sensation of painless heat, as from some stimulating application, at the left eyebrow; followed in a few minutes by pain there, .

EAR

• Lobule of the left ear swollen (after thirty-six hours), 54.*
• Earache, 1.
• A sudden drawing pain in the ears, as if a thread were being drawn through them, 9.
• (Itching crawling as from something alive in the ears; she was obliged to bore in with the finger), 1.
• Fine painful tearing behind the left ear, 5.
• Shooting inwards and throbbing behind left ear, 73.
• Painful throbbing within the ear at night, 1.
• Sensation as if something were blowing into the right ear, or stopped it up, 1. [270.]
• Ringing in the right ear, while walking (after one hour and a half), 7.
• Singing in the head like a locust; increased by cold air, disappears in the afternoon, 44.
• Twittering like young mice in the ears, 1.
• (Roaring in the ears), 1.
• Loud sound like that of a cascade in left ear, or like that of a heavy shower of rain striking on the ground (within an hour), 58.
• Two violent cracks in quick succession in the left ear, as if the drum burst, while lying asleep during the midday nap, so that he started up each time and trembled, but soon fell asleep again (after four hours), 7.

NOSE

• Swelling of the nose , ears, and neck, 4.*
• Median edge of right nostril inflamed, without coryza, at 7 A.M.; a tough and irritable pimple formed at the upper part, which became incrusted next morning (after fifteen days), 57.
• The tip of the nose is red and painful to touch, as if it would suppurate (after eight days), 3.*
• Nose pointed for three days, 2. [280.]
• Frequent very violent, almost spasmodic sneezing, 1.*
• Violent sneezing (after four hours), 1.
• Sneezing (soon), 58.
• Before 3 P.M., repeated sneezing, with fluent coryza, during the siesta (nineteenth day), 58.
• Nosebleed on hawking and clearing the throat, 1.
• Frequent nosebleed, almost only on stooping, 1.*
• Nosebleed in the morning (after forty hours), 1.*
• Nosebleed at night (after four hours), 1.*
• Nosebleed, 5.*
• Large quantities of nasal mucus run involuntarily from the nose, as in the most severe coryza, although he has no coryza, in the morning, after rising from bed, 1. [290.]
• (Nose at times obstructed as in dry catarrh, less in the house, better in the open air), 1.
• Nose dry, 44.
• Sensation of hardness and swelling below the nose, that disappeared when touched, 3.
• Hot burning beneath the left nostril, so that the breath seemed to come out of it hot , that disappeared in the open air, 3.*
• Tension beneath the right nostril, 3.
• Sensation of soreness in the nostrils, 1.*
• Nose feels sore, as if abraded (after thirty-six hours), 54.
• Sore feeling in the left nostril (after thirty-six hours), 54.

FACE

• Great swelling of the face, 16. [300.]
• Swelling of the face, especially of the eyelids and of the ears, 18.*
• Swelling of left face, and slightly down left neck, 73.
• *On the next day her face and neck became swollen; this increased much towards evening, and her eyes were nearly closed; the itching, burning, and smarting were intolerable ; all these symptoms increased by the following day, 47.
• *The next morning he found his face much swollen, and the swelling continued to increase until his eyes were completely closed, 45.
• Face and hands so swollen that he could not open the eyes for eight days , and his face did not look human, 4.*
• Red swelling of face in the morning, 68.
• Tension and swelling of the face (third day), 4.*
• Redness and perspiration of the face, without thirst (after one hour), 2.
• Face yellow and brown, 44.
• Sallow complexion for eight years, 54. [310.]
• Paleness of the face, 2.
• The face is sunken and drawn; the left side seems drawn up shorter; the right side seems elongated (after twenty-two hours), 10.
• Sickly expression, sunken face, blue rings around the eyes (after eighteen hours), 10.*
• Violent burning in the swollen face, lids, and ears, 18.*
• A pressure, with fine stitches, in the zygoma, 1.
• Transient burning, semilateral pain just above the zygoma, and in the occiput of the same side, at 3 A.M. (tenth day), 57.
• Cutting contraction in the right cheek, 3.
• Cutting pain in one point in the cheek, followed by itching and sticking in it, that disappeared after scratching (after ten and eleven hours), 3.
• Sudden needlelike stitches in the right cheek, 3.
• Burning contraction in the right cheek, with pressive toothache in the crowns of the three upper back teeth, . [320.]

MOUTH

• Teeth. [330.]
• Great looseness of the four lower incisors; the gum recedes from the teeth, it can be pushed off and touched without pain, except while the teeth themselves are painful, 1.
• Looseness of the lower incisors; she cannot bite upon them, 1.
• The teeth are loose, with from time to time a painful crawling in them, as in a limb asleep, 1.
• The front teeth became loose and were painful from cold and warm drinks, 1.
• Visible looseness of the two first back teeth, of both canines, and of the right lower incisors, with crawling pain in the gum, even when not chewing, 1.
• Toothache in the lower back teeth, a sharp pressure and a dull pain, with a sensation of a mouldy smell in the mouth, 3.
• Toothache (drawing) in a sound tooth, soon after dinner (after thirty hours), 1.
• Toothache (in the evening), first in a hollow tooth, which became elongated and loose, then also in other teeth, in which the pain was partly sticking and partly crawling, 1.*
• Toothache in the right upper teeth, as if they were drawn into their sockets by the roots, 3.
• *Jerking toothache at night (bout 10 P.M.); the jerking extended into the head; relieved by the application of the cold hand, 1. [340.]
• Jerking from below upward in a dental nerve, relieved by the application of a cold hand, which was only palliative, 1.
• Jerking pain in the nerves of the hollow teeth, 1.
• Slowly sticking and at the same time jerking pain in the canine teeth, in the evening, 1.
• Dull pressure in the lower back teeth, and on the left shoulder by the clavicle, 3.
• The teeth are painful only when biting and chewing, as if too long and loose, yet they do not pain when touched and are not loose, 1.
• Pain in the front teeth when touched with the tongue, 1.
• *Tearing pain in the teeth, relieved by hot applications (after two doses), 49.
• On touching left upper canine tooth a shooting from where left ala nasi joins face to left forehead, left temple, and left shoulder, .

THROAT

• A hot vapor comes from the throat (from the lungs), 1.
• She was obliged to clear the throat much, in the morning, and the more she rinsed out the mouth the worse the mucus in the throat became, 1.
• Profuse hawking of mucus, in the morning, 1. [410.]
• Mucus in the throat and posterior nares (after eight minutes), 55.
• Tenacious mucus in the throat, disappearing after hawking a little, but leaving a kind of roughness, 3.
• Dryness in the throat, after getting in the bed, 44.
• Sensation of dryness in the throat, 1.*
• Sensation of swelling in the throat, associated with a bruised pain, when talking and when not; but on swallowing, a pressive swollen pain with sticking, as if something sharp were penetrating (after three hours), 1.
• A pressure in the throat when swallowing, less on swallowing food than on empty swallowing, 1.
• Sore throat, deglutition difficult, with stitching pains, throat much swollen externally, as the maxillary and parotid glands were greatly enlarged (second day); throat symptoms much improved (third day), 76.*
• Soreness of throat, with intense burning extending to the stomach, 65.
• Roughness in the throat and trachea, as if the chest were raw and sore, 1.
• Roughness in the throat, that provokes a hacking cough (after three hours), 10. [420.]
• A sensation in the pit of the throat, as if stopped and constricted in the trachea, relieved for a short time only by eating and drinking, 1.
• Whenever the throat is dry, there is a sticking when swallowing, but when moist there is a pressure in it, 1.
• When swallowing and yawning, a stitch in the throat, as violent as if she had swallowed a needle, 1.
• Violent stitches, that commence dull and end sharp and pointed, in the throat, in the region of the epiglottis, when not swallowing, and always removed by swallowing, 1.
• Sensation of rawness and soreness in the left tonsil, when swallowing (after six hours), 3.
• Strong burning sensation in the throat and chest in the region of the œsophagus, with decided and slightly burning pain in the back, about noon (twenty-first day), .

STOMACH

• Appetite and Thirst.
• Appetite greater than usual (after four days), (Curative action. -Hahnemann.), 3.
• A kind of ravenous hunger, yet the mouth seemed soapy; everything tastes like straw and causes eructations; after taking the slightest amount of food the appetite entirely disappears and he feels full, 2.
• Ravenous hunger and emptiness in the stomach, with loss of appetite in the palate and throat , that disappear after sitting awhile, 3.*
• Natural hunger in the morning, indifference to food at noon, yet he ate with relish, 3.
• He was hungry, in the morning; but on going to the table he was indifferent to food, and it was all the same whether he ate or not, 3. [440.]
• Frequent sudden appetite for dainties, 1.
• Strong desire for cheese, sometimes for hearty food, 44.
• Food is relished (in the evening), except bread, that seems rough, dry, and scrapy, 3.
• Though she relished her food tolerably she had no real desire for it and her stomach seemed constantly full, 1.
• She ate without any desire, and yet the food was relished, 1.
• Food will not go down, in the morning, on account of internal fulness, 1.
• Little appetite, yet a hunger with a sensation as if the hunger affected the chest, 3.
• Appetite almost wanting (next day), 98.
• No appetite (second day); appetite returning (fourth day), 76.
• Loss of appetite with the constipation, 54a. [450.]
• Loss of appetite in the palate and throat, with emptiness in the stomach, and at same time ravenous hunger, that disappeared after sitting awhile, 3.*
• Complete loss of appetite for all food ; nothing tastes good, neither food, drink, nor tobacco (after sixteen hours), 1.*
• At time when a healthy appetite was to be expected, there was complete loss of appetite, together with much saliva in the mouth, having a flat slimy taste, 3.
• Complete loss of appetite; if he eats a little he soon becomes satiated and yet is hungry, 10.

ABDOMEN

• Hypochondria.
• Crowding in the hypochondria with anxiety, as if death were imminent, while sitting bent over (after nine hours), 3.
• Pressive drawing from below upwards in the left hypochondrium, with anxiety and nausea in the chest (after sixty-three hours), 3.*
• Umbilicus and Sides.
• Flatulent distension in the umbilical region with violent griping, 6.
• Griping in the right side of the umbilical region, with creeping chilliness over the upper arms, 3.
• A cramplike drawing in the umbilical region, 6.
• Drawing pain extending downward from the umbilical region to the mons veneris (after twenty-seven hours), 3. [540.]
• Pain as from a bruise, below the umbilicus, 3.
• Shooting at the umbilicus, about 3.30 P.M. (twenty-second day), 58.
• A sticking pain extending from the nasal to the præcordial region, as if a stitch extended upward; repeated with every pulse (after two hours and three-quarters, 6.
• A sticking above the umbilicus, 3.
• Digging pain in the right side of the abdomen, 3.
• Griping in the right side below the ribs, that soon extended to the umbilical region, as if a worm were in the abdomen, while sitting (after two hours and three-quarters), 6.
• Cramplike pains in the right side of the abdomen with a weeping, despondent, disconsolate mood, in the morning, from taking slight cold (after twenty-four hours), 1.
• A stitch in the right flank, as if a hernia would protrude, 3.
• Engorgement in the left side below the ribs, 3.
• A heaviness as if a boil were hanging on the left flank, while walking, 3. [550.]
• A tension in the left flank with sticking pain, 3.
• Cutting to the left of the navel during expiration, while sitting, 3.
• Sensation as if a hernia protruded in the left flank, 3.
• Drawing pain in the left side of the abdomen during inspiration, 1.
• General Abdomen.

RECTUM AND ANUS

• Painful, sore, protruding blind hæmorrhoids after a soft stool (after twenty-four hours), 1.
• Pain in the rectum when urinating, at 3.08 P.M. (first day), 55.
• Tingling pain felt almost simultaneously in the rectum and the left hip when lying on the left side; the painful tingling was as if from vibrations as rapid as those of some low notes (after eight minutes, ninth day), 57.
• Transient pain in the rectum (after one day), 55.
• Crawling in the rectum, as from threadworms (after a few hours), 1.
• Burning in the rectum before every stool, 1. [620.]
• Itching deep in the rectum, 1.
• Sore pain in the anus when not at stool, 1.
• Very painful burning in the anus, soon attended with burning near the extremity of the penis, at 10.30 A.M. (twentieth day), 57.
• Smarting and burning in the anus during and after evacuation, at 9.30 A.M. (seventeenth day), 57.
• Very severe pricking itching in the anus at three different times when walking, between 3 and 6 P.M., not recurring when at rest (seventeenth day), 57.
• Itching pain in the anus, as from hæmorrhoids, 1.
• Constant urging to stool, with nausea and tearing in the intestines; the desire was frequently ineffectual, but often followed by a scanty watery discharge, 1.
• Frequent desire for stool; he could, however, accomplish but little (after sixty-eight hours), 1.

STOOL

• Diarrhœa.
• Diarrhœa, 1, 11.*
• Diarrhœa; the stool seemed chopped, 1. [630.]
• Diarrhœa; a large stool, preceded by griping (after forty hours), 1.
• Diarrhœa several times an hour for sixty hours (after thirty hours), 2.
• Frequent sudden, excessively offensive evacuations, at first thick, afterwards watery, mixed with flatus, with violent griping and digging in the lower abdomen (after one hour and a quarter), 10.
• Sudden thin and yellow frothy stools, that are scarcely at all offensive, without previous colic; the first few drops are passed involuntarily, as in paralysis of the sphincter ani (after twenty-four hours), 10.
• Fæces loose and dark greenish-brown, followed by erysipelatous redness of the left side of the face, commencing during evacuation and lasting about an hour (thirty-sixth day), 58.
• Four evacuations in quick succession (after a few hours), 1.
• Three or four stools, almost watery, with much flatulence (after twenty-four hours), 1.
• Thin stools several times a day, followed by ineffectual pressure (tenesmus), 1.
• Stool thin and tinged with blood; the evacuation preceded by lassitude (after seven days), 55.*
• Loose and dark-brown stool ; the evacuation preceded by pain at the symphysis pubis, and attended with strong burning in the anus and procidentia ani (eighteenth day), 58.* [640.]
• Dark-brown stool, with procidentia ani, at 10 A.M. (twentieth day), 58.
• Dark-brown stool, preceded by costiveness (twenty-first day), 57.
• Connected, but very soft whitish-yellow stools (after forty-five hours), 10.
• (Stool quite white, not too soft, not too hard), 1.
• Stools mixed with blood, 5.*
• (Stools somewhat bloody), 1.*
• Stools with mucus, red and yellow, gelatinous and liquid, 5.*

URINARY ORGANS

• Kidneys and Bladder.
• Pain in the region of the left kidney; this increased after lying down at midnight (after a quarter of an hour, fifteenth day), 57.
• Stitches from both sides upon the bladder while urging to urinate, 1.
• Pressure on the vesica, with sensitiveness of the right external canthus to pressure and to closing the eyelids (eighteenth day), 58.
• Urethra.
• Violent biting in the forepart of the urethra felt during and after micturition, worse during rest than while walking (after five hours), 6.
• Burning pain at the root of the urethra posteriorly during micturition, 1. [660.]
• Cutting and burning pain in the anterior portion of the urethra during and after urination; the last portion of the urine milky; the urination followed by a sensation of heat in the rectum; at 3.30 P.M. (about three days and a quarter after first dose), 55.
• Cutting, burning, and smarting in the anterior portion of the urethra during urination, and severe burning and smarting pain in it after urination, with irritation, and sensation of heat in the rectum, at 6.30 P.M. (about three days and a quarter after second dose), 55.
• Slight cutting in the urethra when urinating (after twenty hours), 57.
• Micturition and Urine.
• (Urine passed in a double stream), 1.
• He was obliged to urinate every minute during the day, 1.
• Obliged to rise three times at night to urinate, 1.*
• Obliged to pass much water, 27.
• Profuse discharge of urine (after fourteen hours), 1.
• Urine like water, with a snow-white sediment, 1.
• Urine yellow; occasionally a frequent desire to pass his urine, at other times seldom, but in large quantities; sometimes it is transparent, or nearly so, sometimes smells saltish, at others sulphurous, 44. [670.]
• Urine whitish, constantly becoming more turbid the longer he urinates, so that the last drops are the most turbid, like flakes (after twenty-four hours), 1.
• Urine high-colored, scanty, and irritating, .*

SEXUAL ORGANS

• Male.
• Tympanitic swelling of the genitals, especially of the scrotum, with much itching (second day), 4.
• Tightness and swelling of the genitals (third day), 4 . [This and the preceding symptom are from the same subject, and it is the face which is said to be tympanitisch. Correct accordingly. -Hughes.]
• Erection in sleep, at 2 A.M., without amorous dreams, and followed at different times for several hours by mathematical and mechanical calculations (thirteenth night), 58.
• Violent erections towards morning, with frequent desire to urinate, 3. [680.]
• Erection, without amorous desire (twenty-first day), 58.
• Frequent erections at night, with frequent micturition, 3.
• Swelling of prepuce greatly increased (fifth day), 51.
• Swelling of the prepuce close to its union with the glans, 1.
• Red spots on the inner surface of the prepuce, near the frænum, 1.
• The prepuce was darker-colored than usual (eleventh day), 4.
• Swelling of the glans penis, with simple pain when touched, with biting in the urethra during and after micturition, in the morning, after rising (after twelve hours), 6.
• Pain in the glans penis on account of swollen prepuce, causing a paraphimosis, 4.*
• Sticking itching on the inner surface of the prepuce (after nine hours), 3.*
• The scrotum constantly became thicker and harder, with intolerable itching, extending especially towards the perinæum (fourth day), 4.* [690.]
• The scrotum felt like a thick hog's hide (eleventh day), 4.
• Cutting drawing in the left testicle, 3.
• Profuse nightly emissions (after six hours), 1.
• Irresistible inclination to an emission after 3 A.M. (after twenty hours), 1.
• Female.
• Some bleeding from the uterus, without pain, in a pregnant woman, at the new moon (after seventy-two hours), .

RESPIRATORY ORGANS

• Frequent tickling irritability in the air-passages, as if it would provoke cough , that makes the breath short, that disappears on moderate exertion, 1.*
• On waking, at 6 A.M., a burning rawness in larynx (after ten hours), 98.
• Voice. [710.]
• Hoarseness, causing a scraping raw sensation in the larynx, 1.*
• Hoarseness low down in the trachea, 1.
• Cough and Expectoration.
• Cough, with a disagreeable tension on the chest, 1.
• (Cough, immediately after eating), 1.
• Cough and coryza, with expectoration, 5.
• A tickling cough, that causes dryness in the throat, especially in the evening, 1.*
• (Some cough, especially in the morning, with a black glutinous expectoration), 1.
• Very fatiguing cough, with expectoration of white mucus, day and night, 5.
• He is unable to sleep at night on account of a cough that torments him excessively, 1.*
• Spasmodic cough that shatters the head, 1.* [720.]
• Cough, about 3 A.M., most violent after waking, 1.
• (Cough in the open air), 1.
• Cough causes vomiting of food (in the evening), 1.
• Cough shatters the whole chest, as if everything in it were loose, 1.
• Cough especially violent after waking, 1.
• Short anxious painful cough, that frequently awakens her from sleep before midnight, with very short breath, 1.*
• Coughs night and morning, 44.
• Frequent hacking cough, in the evening, after lying down, with bitter taste in the throat till he falls asleep, and in the morning a similar hacking cough and a similar taste in the throat, lasting till he rises from bed, 1.*

CHEST

• Oppression of the chest (after two hours), 6.*
• Oppression of the chest, at night, with sticking pains, especially on breathing (after five hours), 1.*
• Oppression of the chest, as after violent weeping, 3.
• Pressive oppression upon the chest, 3.
• Fulness in the region below the sternum, with a sensation as if all appetite had forever vanished, 1.
• The chest seems full, with hunger, without appetite, 3.
• Weakness in the chest, so that talking was difficult, after walking in the open air, 3.
• Sensation of constriction of the chest, 1.
• The chest becomes constricted, and he is qualmish and nauseated, 3. [750.]
• Tension across the chest, in the evening, very short breath, and weakness in all the limbs, 1.*
• With the anxiety she felt a weight on the lower portion of the chest, so oppressive that she breathed with difficulty and sometimes very deeply , when it seemed easier; pulse at one time slow, at another rapid, 1.*
• Numb sensation in the chest and in the upper back teeth, 3.
• Pain in the chest, as if the sternum were pressed inward, in the morning, in bed, disappearing after rising, 1.
• Scraping and burning in the chest, even when not breathing, 1.
• Distressing sensation of heat in the chest, while walking in the open air, 1.
• Tickling and itching in the chest, 44.
• Front and Sides.
• Pressive pain two inches to the right of the middle of the sternum, at 1.30 P.M. (first day), 55.
• Pressure near the middle of the sternum, on the left side (after two-thirds of an hour), 57.
• Contractive sensation in the sternum, with sticking jerking in it, 1. [760.]
• Fine sticking oppressive pain on the sternum, that makes respiration difficult, with constant short cough, without expectoration (after half an hour), 7.
• Burning and pressive pain and sensation of excoriation in the chest, behind the upper half of the sternum, with short cough, excited by a tickling at the same part, at 11 P.M. (tenth day), .

HEART AND PULSE

• Some violent pulsating stitches above the præcordial region, so that he was obliged to cry aloud, while sitting in the evening (after a quarter of an hour), 6.
• A disagreeable sensation of weakness of the heart, trembling of the heart, 1.*
• Palpitation, so violent while sitting still, that the body moved with every pulse, 1.*
• Pulse rapid, 18.* [790.]
• Pulse 130 (after two days); pulse still high (sixth day), 76.
• Pulse 120, at 2 P.M. (after eighteen hours), 98 ; (fifth day), 34.
• Pulse 110, 93.
• Pulse slow, at times irregular (after three-quarters of an hour), 7.
• Pulse at first full and strong, but slow, afterwards small, frequent, and compressible, 64.
• Feels the pulse in the back part of the head, 1.

NECK AND BACK

• Neck.
• About thirty days after the poisoning, a swelling came on the left side of my neck under the ramus of the lower jaw, which increased to the size of a man's fist, so large that it turned my face directly to one side, causing my chin to rest on the right shoulder; the swelling was quite hard, and disappeared in about two months, without suppurating, 54a.
• Stiffness of the nape of the neck (after four hours), 2.
• Rheumatic stiffness of the nape of the neck, 8.*
• Stiffness of the whole neck, so that on moving the head she made loud complaints of the pain in the nape of the neck, 2.* [800.]
• On motion the nape of the neck hurts as if stiff and tense, 1.*
• Pressure in the cervical muscles, on bending the head forward, 3.*
• Pressure in the upper part of the nape of the neck, the place seems numb (after ten hours), 3.
• Drawing over one side of the nape of the neck, while stooping, 3.
• Severe stinging pricking in the lower and upper part of the neck and upper part of the back, after drinking cool water, at 4.40 P.M. (twenty-third day), 57.
• When stooping it seems as though he could not rise again, something in the nape of the neck hinders; when stooping, it seems as though blood rushed into the brain, 1.
• Pain in the cervical muscles as if the parts were asleep, and as if one had been lying for a long time in an uncomfortable position, towards evening, 1.*
• Pain in the nape of the neck, as from a heavy weight like lead, on account of which he could not lie down (after four days), 1.
• Back.
• Drawing downward in the back, with tension and pressure in the rectum, as if everything would press out, 1.
• Drawing pain in the back; he was obliged to sit upright, in the evening, 1. [810.]
• Drawing pain in the back, while sitting, disappearing on walking, 1.
• Decided and slightly burning pain in the back, with strong burning sensation in the throat and chest in the region of the œsophagus, about noon (twenty-first day), .

EXTREMITIES

• The left arm and both legs were very tensely swollen, and their surface strongly resembled the denuded surface of a blister, scald, or burn, in a suppurating state, 33.
• Swelling of the hands and feet, 11.*
• *The limbs tremble after exciting them, 1.
• Twitching in the limbs, 11.
• The left arm and lower extremity are somewhat contracted and feel stiff, 2.*
• Great weakness in the limbs, 44.*
• Limbs readily sprained (twenty-third day), 57.*
• *All the limbs feel stiff and paralyzed, during and after walking; with a sensation of a hundred weight upon the nape of the neck, 3. [850.]
• *Sensation of stiffness on first moving the limb after rest, 1.
• *The limbs upon which he lies, especially the arm, fall asleep, 1.
• The flesh on the limbs pained as if beaten to pieces, she did not dare to touch it, since the pain was greatly aggravated thereby, 27.
• Pain, as if bruised, in those limbs and joints upon which he does not lie, in the morning in bed, 1.*
• *A sensation similar to a trembling in the arms and lower extremities, even while at rest, 8.
• The pains in the joints are worse in the open air, 1.*
• *Drawing in all the limbs, while lying down, 1.
• Fine sticking pains in the limbs, 11.
• Stitches in the joints during rest (while the limb is lying at rest, not while stretching it out), not on touch, also not when lying down at night, 1.
• Stitches in a small spot on the limbs, aggravated by lying down, 1.

SUPERIOR EXTREMITIES. [860.]

• Painfulness and swelling of the arms, 4.*
• *Trembling of the arms after moderate exertion of them, 1.
• Jerking sensation in the left arm, 3.
• *Violent tearing pain in the arm, most violent while lying still, 2.
• Sensation as if something, neither warm nor cold, were rolling down in the arm from the shoulder to the hand, 1.
• Sensation as if hot water were running through the arms, 11.
• The arm upon which he rests the head in sleep goes to sleep, 1.*
• Shooting pains through the arms, 44.*
• *A drawing and paralyzed sensation in the left arm, at night, 29.
• *Sticking and drawing in the left arm, extending from above downward and out at the tips of the fingers, 28. [870.]
• Drawing stitches in the arms, from the shoulders downward, 1.*
• Shoulder.
• Swelling of the axillary glands, painful when touched and when not, 1.*
• Pressure on the shoulders like a heavy weight, 44.*
• The left shoulder seems paralyzed, 3.*
• Sensation as if some one were pressing upon the left shoulder, by the clavicle, 3.*
• Rheumatic pain in the left shoulder and arm in the region of the deltoid muscle (after twenty-four minutes), 55.*
• Transient pain in the right shoulder (after half an hour), 37.
• Pain in the left shoulder when riding, in the forenoon (fifteenth day), 37.*
• Pain in the left shoulder and behind the right sacroiliac symphysis (twenty-seventh day), .

INFERIOR EXTREMITIES

• She staggered and could not stand upright, in the morning, on rising (after twenty-hours), 1.*
• In the afternoon had a limping walk, noticed also by others (fourteenth day), 58.
• Paralysis of the lower extremities for three days; he walked with the greatest difficulty, slowly and shuffling, 10 . [From the application of a strong tincture to the finger. -Hahnemann.]* [950.]
• Weakness of the joints of the lower extremities, for eight years, 54a.
• The lower extremities seem paralyzed (after twelve days), 1.*
• The lower extremities feel bruised, they are so weary, 1.*
• Weakness of the legs , with severe pain at the anterior tuberosity of the left tibia on first walking, then just behind the outer malleolus of the left ankle, and five minutes later, by superficial pain at the inferior occipital ridge, increased on exerting the muscles whose tendons are there inserted, between 5 and 6 P.M. (thirty-first day), 57.*
• Weakness of the legs in the forenoon (after five day), 55.*
• Weakness of the legs and desire to lie down, at noon (seventh day), 57.*
• Weakness of the legs, with the pain above the superciliary ridges (sixteenth day), 57.*
• *Great weakness of the legs, while walking in the open air (in the afternoon); he is scarcely able to proceed, because they are so heavy and weary; after sitting an hour all weariness disappeared, 1.
• *Great weariness in the legs while sitting, disappeared on walking (after thirty-six hours), 1.
• Can scarcely walk in the street on account of stiffness of the legs ; he staggers always to the right, in the forenoon, 3.* [960.]
• Great inclination to stretch out the leg and foot, in the morning , in bed, 1.*
• Dull aching and sensation of weakness in the legs and ankles (after five and six days), .*

GENERALITIES

• My whole body, from the top of my head even to the ends of my toes, was enormously swollen; for eight or ten days my eyes were closed; penis so badly swollen, could not void urine for five days; the symptoms were the same as those above described, only much more severe, 54a.
• He fell down unconscious, there was no pulse, but feeble ineffectual efforts to vomit, with general offensive odor from the body; the epigastric region was painful, frothing from the mouth, inflammation of the lips (after suppressing the erysipelatous inflammation by vinegar and water); subsequently the pustules returned, developed into furuncles, after which the patient recovered, 32.
• The left side of the trunk, from the axilla down to below the ribs, is swollen and painful, 2.
• Convulsions of different parts of the body, accompanied by slight delirium, 64.
• Nervous twitching, 65.*
• Twitching in various parts of the body, except the joints, 3.
• Some twitchings across the abdomen, with irregular and convulsive motion in the limbs, and when the nervous influx seemed to pass to the extremities, it excited in the brain such a sensation of pain as made him frequently exclaim most violently; but when any one asked him where his pain was, he answered he could not mention any particular place, but that all his limbs were as if stretched forcibly; this was more especially after sleep, 11 . [Transcribed from original. -Hughes.] [1090.]
• Twitching of various muscles, 11.
• Incubus, with inability to move, and sensation of pressure on the right upper portion of the chest, with superstitious fear, connected with the supposed presence and agency of some invisible, sly, and malicious being, in the night (after two days and a half, 55.
• Incubus, with strong pain in occiput, after waking, at 1 A.M. (twenty-first day), 58.
• Paralysis of the whole body, in all the joints, worse on attempting to rise after sitting and towards evening, 1.*
• Extreme mobility and physical activity through the whole afternoon (third day), 3.
• He became weak and dizzy after a meal, 3.
• Great weakness, as if the bones ached; he constantly desired to sit or lie down, 1.*
• Unsteadiness of the limbs during the chill, on account of which he could not stand, .*

SKIN

• Objective. [1150.]
• Blue color of scars when exposed to cold air, 44.
• The juice made the skin touched by it hard like tanned leather, after a few days this indurated part desquamated, 17.
• The skin touched by the juice became hard and like leather, 19.
• A black spot on the part touched by the juice (after three days), 18.
• Hands seemed covered with a coating of nitrate of silver; frequent washings made the spots almost all disappear in three or four days, 75.
• Skin yellow and sunken between the knuckles, 44.
• Eruptions, Dry.
• *Red flush over the whole body, at 2 P.M. (after eighteen hours), 98.
• Erysipelatous redness of the left side of the face, commencing during stool and lasting about an hour (thirty-sixth day), 58.
• Erysipelatous appearance in the face, below the left eye, at 1 P.M . (tenth day); this returned four and five days afterwards, without repetition of the dose, 57.*
• Erysipelatous redness, burning, and smarting of the left side of the face (thirty-fifth day), 58.* [1160.]
• Scarlet redness over the abdomen as far as four fingers' breadth above the umbilicus (eleventh day), 4.
• Bright redness of scrotum and penis; scrotum extremely flaccid and relaxed, falling half way to the knee ; at 2 P.M. (after eighteen hours), 98.*
• A dark-scarlet redness, without swelling, extending downward from the scrotum to the middle of the thigh, becoming striped (eleventh day), 4.
• Two red sore spots, caused by ruptured blisters on the mons veneris (eleventh day), 4.
• Some small round red spots on the upper part of the upper arm, 4.
• Reappearance at the bend of each elbow of a red furfuraceous eruption, which had once existed there for a short time, but had long since disappeared (after eight days), 55.
• A red, very hot spot, with burning pain, on the right hip, 1.
• (Small round red spots in the ball of the foot), 1.

After having been once injured, they are ever after very susceptible to the poison . Even passing to the leeward of a bush on a windy day, or through the smoke of a fire in which it is burning, will "bring the poison to the surface" again. So poisonous is it, that it pollutes the air where it grows. Children, and even grown-up people, who are gathering berries, or other-wise approaching its vicinity, are often badly poisoned.

Their faces are frequently swelled until their eyes are shut; the neck, hands, and arms covered with inflamed vesicles, the cuticle highly inflamed, and not unfrequently constitutional symptoms are observed, resembling those of "milk sickness ." On breaking a stem of the Rhus a milky fluid exudes, which is exceedingly poisonous, and if applied to the skin, will produce effects like that of nitrate of silver. A black welt is produced, which in a few hours becomes sore, destroys the cuticle, which sloughs off, and upon healing leaves a circular cicatrix, 67.

• Those persons who are constitutionally liable to the influence of this poison, experience from it a train of symptoms very similar to those which result from exposure to the Rhus vernix; these consist in itching, redness, and tumefaction of the affected parts, particularly of the face, succeeded by blisters, suppuration, aggravated swelling, heat, pain, and fever; when the disease is at its height, the skin becomes covered with a crust, and the swelling is so great as in many instances to close the eyes and almost obliterate the features; the symptoms begin in a few hours after exposure, and are commonly at the height on the fourth or fifth day, after which desquamation begins to take place, and the distress, in most instances, to diminish. Sometimes the eruption is less general, and confines itself to the part which has been exposed to contact with the poison. The symptoms of this malady, though often highly distressing, are rarely fatal. I have, nevertheless, been told of cases in which death appeared to be the consequence of this poison, 31.
• Small blisters, exactly like Willan's vesicles, except that they were associated with greater swelling, at first between the fingers, and then over the whole hand (second day), 4.* [1200.]
• Vesicles, most of which contain a milky but some of which also contain a clear liquid, become confluent; this condition lasts three days, after which the skin desquamates, 4.*
• A burning eruption of small blisters, filled with water, with redness of the skin of the whole body, except on the scalp, palms of the hands, and soles of the feet, 23.*
• Red spots of the size of a pea, with small vesicles in the centre, 2.
• A wound becomes inflamed and covered with small vesicles (sixth day), 4.
• Erysipelas, with numerous vesicles, that burst, and secreted for eight days a slimy liquid, 42.*
• *After the lapse of about twenty-four hours, itching and burning commenced, lasting from half an hour to two hours. After about thirty-six hours, swelling of the parts, with violent itching and burning, increased on touching or moving the parts affected, as if pierced by hot needles; white transparent vesicles appeared on the highly red and inflamed skin, 54.
• *Covered from head to foot with a fine red vesicular rash, itching and burning terribly, especially in the joints; worse at night, causing constant scratching, with little or no relief, and which felt very hard upon pressure with the finger; skin burning hot (second day), .

SLEEP

• Sleepiness.
• Yawning so violent and spasmodic that it caused pain in the articulations of the jaws, which threaten to be dislocated, in the morning and at all times, 1 . [The masticator muscles of the neck seem at these times to be affected by a spasmodic contraction, often so violent that she is obliged to hold the lower jaw with the band, in order that it may not be drawn downward too far. This symptom is also caused by Ignatia, and by the north pole of the magnet. -Hahnemann.]
• Much yawning, as if sleepy, in the morning, and also in the evening, 1. [1340.]
• Several were affected by yawning, 22.
• Frequent yawning in the morning on rising from bed, 2.
• Yawning with lachrymation, with the aching over left eyebrow (twenty-second day), 57.
• Yawning (after one hour, second day), 58.
• Great drowsiness, languor in the afternoon, requiring great exertion to move about (twelfth day), 54.
• Drowsy and stupid (in a few hours), 64.
• Sleepiness, yawnings, and indisposition to mental and corporeal labor, at 11 A.M. (after five hours, ninth day), 57.
• Great desire to sleep; constant drowsiness; with itching in the eyelids (after thirty-six hours), 54.
• Very heavy for sleep, she had to lie or sit down (after some days), 52.
• Extreme sleepiness immediately after eating ; he could not keep awake, 1. [1350.]
• Extreme sleepiness during the day and evening (twenty-seventh day), 57.
• Sleepiness, with headache, in the forenoon (after ten days), 55.
• Sleepiness during the day, even in the morning in bed; when she wishes to rise she very sleepy, 1.
• Sleep suddenly overtakes her, so that she is not in a condition to undress; therewith all the limbs feel paralyzed, about 6 P.M., 1.
• Constantly wishes to lie down; during the day sleepiness, anxiety, sadness, dryness of the lips, 1.
• He is inclined to sleep while sitting, after walking, 1.
• Sleepiness in the daytime (eighth day), 57.
• Soporous slumber, filled with interrupted dreams full of difficulties, .

FEVER

• Chilliness.
• Chilliness with shaking in the house, about 5 P.M., with throbbing toothache and accumulation of saliva in the mouth, without thirst; a shaking chill, still worse in the open air; this continued in a warm room, even by a hot stove, with violent thirst, with cessation of the salivation; the chill disappeared only in bed while the thirst continued; afterwards stupid sleep, like dulness of the head; in the morning the thirst and dulness of the head continued but disappeared after rising (after six days), 1. [1390.]
• Chilliness towards evening; he was obliged to lie down and cover up, after which he became warmer, 1.
• Chilliness, with dry lips and less thirst than hunger, 3.
• Chilliness in the house, towards evening; creeping coldness all over, 1.*
• Constant chilliness, 2.
• Chilliness (immediately), 1.
• Chilliness in the open air, without thirst, 1.
• Chilliness and heat in the evening; the face seemed very hot, though the cheeks were cold to touch and pale; the breath came very hot from the mouth; two afternoons in succession, 1.*
• Chills (after seventy-two hours, and thirteenth day), 54.
• Shaking chill, followed by slight warmth, in the evening in bed, without thirst, 3.
• Shaking chill on going from the open air into a warm room, without thirst, 3. [1400.]
• Cold shivering, at times in the middle of the sweat, at night in bed, and during the shivering, cramps in the abdomen, 1.
• Shivering and heat at the same time over the whole body, without thirst; even some warm perspiration over the whole skin; the most perspiration in the palms of the hands, after walking in the open air, 1.
• Shivering in fright on falling asleep, as if he had let something important fall, 1.
• She is attacked with shivering immediately on going away from the stove, 1.
• Shivering through the whole body, from time to time, from nausea, without chilliness, 1.
• Shivering, especially after eating, 1.
• Sensation of shivering on rising from bed in the morning, 1.
• External coldness and sensation of coldness, without shivering and without feeling cold, without internal coldness, about 7 P.M.; he could without trouble take cold drinks; immediately after lying down in bed external heat, which did not disappear on uncovering, without thirst, with watery mouth and dry lips; afterwards about midnight general perspiration while half asleep, and after midnight sweat, first on the face, then on the scalp and throat to the chest, .

CONDITIONS

• Aggravation.
• ( Morning ), Low-spirited, crying; dizziness; headache; eyes red and agglutinated; on rising from bed, flow of nasal mucus; accumulation of saliva in mouth; mucus on tongue salt; bitterness in mouth disappearing after eating; hawking of mucus; after rising, nausea; cough; in bed, pain in chest; in bed, pain in limbs on which he is not lying; in bed, inclination to stretch out leg and foot; on rising, pain in feet; on first standing, pain in heels; sweat.
• ( Forenoon ), Headache; after intellectual labor, pain over right eye.
• ( Afternoon ), Anxiety at heart; headache in occiput; crawling in spot on occiput; during nap, accumulation of saliva; towards evening, paralysis of whole body; 6 P.M., sufferings; towards evening, chilliness.
• ( Evening ), Pain in eyes; lids dry; lachrymation; pain in canine teeth; on lying down, nausea; pain in vagina; tickling cough; stitch from right side of chest to left; while sitting, stitches above præcordial region; on stooping, stinging in back; itching.
• ( Night ), Anxiety; apprehension; throbbing in ear; jerking toothache; bitter taste; thirst; midnight, after lying down, pain in kidney; erections; cough; short breath; tension across chest; sensation in left arm; midnight, while lying in bed, cramp in calves; pain in tibia; uneasiness; itching and burning; pain; biting pain in ulcer; sweat.
• ( Cold air ), Singing in head; the symptoms.
• ( Open air ), Fretfulness; pain in joints.
• ( Bending head forward ), Pressure in cervical muscles.
• ( Bending forward ), Pain in dorsal muscles.
• ( Bending part ), Sprained sensation in left wrist.
• ( When in bed ), Pain in biceps muscles of both arms.
• ( When biting and chewing ), Teeth painful.
• ( On deep breathing ), Sticking in left side.
• ( Cold ), Pain between scapulæ.
• ( When coughing ), Pain in stomach; stitches in left side of chest; sweat all over.
• ( After eating ), Vertigo; headache; pressure in stomach; distension of abdomen; apprehensiveness in abdomen; shivering.

SUPPLEMENT: RHUS TOXICODENDRON. Authorities.

99 , Dr. D. S. Kimball, Hempel's Jahr's New Manual, Appendix, p. 1041, effects on Dr. K. of gathering and preparing some of the Tox; 100 , J. H. Sherman, M.D., New Eng. Med. Gaz., vol. xi, 1876, p. 407, a lady was poisoned; 101 , H. M. Logee, M.D., Cincin. Med. Advance, vol. vi, 1878, p. 168, Mrs. W., a healthy woman, aged sixty years, drank a cup of sassafras tea, in which were some roots of Rhus rad., Friday evening, and rather more than a cupful the next morning; ( 102 to 105 , from J. Murray Moore, M.D., Annals of Brit. Hom. Soc., Aug., 1878 (Amer. Hom. Obs., vol., xv, 1878, p. 465), effects of Rhus diversiloba); 102 , Dr. Max Werder gives a case of poisoning; 103 , E. B. M., a lady, aged twenty-five years, was poisoned by exposure to the shrub; 104 , John W., aged twenty-three years, lay down among the shrubs while sweating, and once or twice relieved his bladder there; 105 , Wilson K., aged ten years, plucked some leaves.

MIND

• Intellect clouded, has little recollection of her suffering, 101.

HEAD

• Dull frontal headache (third day), 103.
• Shooting semilateral pain from temples to vertex, both sides alike affected; shooting pain from nape of neck to vertex; head feels too large, 101.

MOUTH

• Increase of saliva, with burning-pricking pain in the tongue; tongue feels sore at the tip, 101.

STOMACH

• Great desire for raw oysters, 101.
• Loss of appetite, 104. [1480.]
• Anorexia (third day), 103.
• Nausea (after third day), 103.
• Vomiting (fifth day), 103.
• Derangement of the whole digestive system was very marked for three weeks (in the fifth attack), 103.
• In about an hour after the morning draught, she complained of burning pains in the stomach, sickness of the stomach, with dizziness; the stomach felt as though it were too large, hanging down like a bag; soon followed by chills, running from the feet to the head, followed by flashes of heat; chilled every morning during the inflammatory stage, from 2 to 3 o'clock; the pulse was full, varying in frequency from 84 to 98 betas per minute, 101.

ABDOMEN

• Shooting pain in the region of the liver, thence to right shoulder, 101.

STOOL

• Bowels costive, 103.
• The fæces were unaltered until near the close of the inflammatory stage, when a painless, brown, watery diarrhœa set in; there was occasionally a little pain before getting up from stool, 101.

URINARY ORGANS

• Urine felt hot when passed, 104.
• Urine scanty, high-colored, and passed with a feeling of heat in the urethra (fifth to eighth day), 103. [1490.]
• Urine red, frequent, and in small quantities, 101.

EXTREMITIES

• Stiffness of the limbs (third day), 103.
• Rheumatic stiffness of all the joints; pain shooting through the knee-joints from side to side; wandering pains; sometimes on one side, and then suddenly appearing on the other; pricking in the feet and fingers; feeling of great weakness; the flesh feels as though it would drop from the arms and limbs; pain seems deep, or as the patient expressed it, "Down to the bone;" all pains aggravated by gentle friction, relieved by hard rubbing only so long as rubbing was continued; wants to move the limbs frequently, which relieves the rheumatic pain, but soon has to change position for similar relief, 101.

GENERALITIES

• Extreme languor (third day), 103.
• Itching burning (especially in the morning), and vesicular eruption on the hands and wrist and about the eyes, with smarting and redness of the eyes, and photophobia twenty-four hours after gathering, but commencing about eighteen hours previously. Headache through the eyes and temples, with dulness and sleepiness thirty to thirty-six hours after, in the afternoon. Secretion of urine more copious and rather pale. Next day, itching, burning, and extension of the vesicular eruption around the eyes, upper lids, superciliæ, mouth, and external orifice of the ears, and drowsiness and dulness of spirits in the afternoon. Headache, slight photophobia, and obscured vision at times, as well as on the previous day. Itching of the scalp. Tongue more furred and appetite not as good. After midnight, on the beginning of the third day, pain, colic, rumbling, and griping in the bowels during repose, with sulphuretted eructations, and discharge of flatus. (Had eaten custard at noon before). Two or three years ago when similarly affected from preparing some, had loose evacuations in the morning for several days; recurring, in addition to the colic and cutting pains in the abdomen. Rather copious secretion of palish urine continues. Rheumatic pain in the lumbar region and through the hips. Nausea, want of appetite, and loathing of food on rising in the morning, and colic and griping, etc., continue, but better after moving about during the day. Tongue still more coated. Itching of the hands and face still continues, and more extended. Took a dose of Bryonia, and it is proper to remark, that I inhaled Bryonia rather freely the evening of the exposure, otherwise I would probably have suffered still more, as I had done two or three times in as many years before. Fourth day, symptoms all materially relieved excepting the eruption, which is more extended. Fifth, sixth, and seventh days, first eruption drying up, but coming out on new spots. From a boy up to 1842, I had always been able to handle this and the Rad., and be among it, without experiencing any inconvenience, 99.
• All the sufferings were aggravated at 2 A.M., gradually improving till about 10 A.M., and growing worse towards evening, 101.

SKIN

• The eruption made its appearance in the afternoon, after the second cup, of a bright redness, and an intense burning sensation; it soon covered the whole body from scalp to toes; the head and limbs badly swollen; the eruption, first smooth, soon assumed a minute vesicular appearance, which in places, ran together, forming small bulbs filled with serum. On the fifth day the vesicles began to dry up, followed by a desquamation of the cuticle, with intense itching; the cervical glands were swollen and sore to the touch when the eruption made its appearance; swelling of the eyelids, with œdema of the upper lid, 101.
• Sunday (the third day) there was an eruption of itching red papules behind each ear and on the neck. On Monday these papules enlarged and became more numerous, and the eyelids were red and œdematous. Face was red and swelled; the cervical glands became tumid and slightly tender. On rising from bed she fainted, and again later in the day syncope came on. On Tuesday the rash had extended all over the face, over the hands, between the toes, and thighs. The itching was becoming more and more intolerable, and partook of a burning character. About the fifth day from their first appearance, the papules had become vesicles, which rapidly coalesced on the face and burst, emitting and acrid serum, which, on drying, formed a crust, so dense as to make the movement of the facial and buccal muscles painful. The nose and lips were much swollen. The œdema of the eyelids was so great as to close up the left eye entirely and the right partially. The burning and itching were somewhat relieved after the breaking of the vesicles. The acute stage was now over (six days after the commencement), but the cracking of the crusts over the face, etc., occasioned such a disfigurement that the lady was confined to the house for a fortnight more; by that time all traces of the skin erysipelas had disappeared, only an unusual irritability (to flannel, etc.) of the integument remained, and a hypersensitiveness to cold air. After a second exposure to the shrub several months later, there was very intense erysipelas of the face for four or five days. The next month there were two attacks. Five months later there was another attack, without fresh exposure, shortly after taking a bath rather too hot. The vesicles that appeared during the first two days were scattered and few, and strongly resembled the eruption of chicken-pox, 103.
• A fifth attack came on after taking a bath rather too hot, five months after exposure. One of the earliest symptoms was the peculiar rheumatism of Rhus, affecting the legs chiefly, a stiffness of all the joints on first moving them; aching pains in the joints, constant feeling of lameness in the legs. This rheumatism continued nearly three weeks, 103.
• A man was poisoned in California, in September, went back to the Eastern States, had an annual eruption for six successive years, and during the seventh attack was carried off by a pneumonia, which would not have been fatal probably to him when in his ordinary health, . [1500.]

SLEEP

• Restless, sleepless nights, must move about in bed constantly, 101.

FEVER

• The next day she felt, in the afternoon, chills and feverishness by turns, and general malaise, 103.
• Slight amount of pyrexia (in the fifth attack), 103.
• Head felt hot, 104.