Spiræa ulmaria, Linn.

Natural order , Rosaceæ.

Common names , Queen of the meadows; (G.), Spierstaude.

Preparation , Tincture of fresh root.

Authority.

Bojanus, Hom. Vjs., vol. 14, p. 13, took 2 drops of the tincture of fresh root at 5 and 6 A.M.; 8 at 1, 5, and 8 P.M. (first day); 8 at 7 and 10 A.M.; 5, 9.30 P.M. (second day); 10 drops four times (third day); 12 drops five times (fourth day); 20 drops five times (fifth and sixth days); 25 five times (seventh and eighth days); 25 at 7 and 9 A.M., 30 at noon, 35 at 5 and 9 P.M. (ninth day); 30 at 6 A.M. (tenth day); 30 at 6, 8, and 10 A.M.; 60 at 9 P.M. (twelfth day); 60 three times (thirteenth and fourteenth days).

MIND

At 1 A.M. he was attacked with remorse over a long-past slight indiscretion, with most fearful qualms of conscience and loathing of himself; on account of this he could not rest, but was obliged to rise and walk about (eighth night).

HEAD

Headache especially noticed on shaking the head, associated with increased warmth of the body, as if the blood were flowing more rapidly than usual through the vessels (sixth day).
Headache relieved towards evening (sixth day).
pulsative headache in the left frontal eminence, like a pressure and fulness worse on stooping and sneezing, better in the open air (sixth day).
The headache was seated the whole day in the forehead, but afterwards became concentrated beneath the left frontal eminence, and disappeared after walking in the cold open air (seventh day).
Dulness and heaviness in the head, with pressive headache in both frontal eminences; pain like a fulness, aggravated by moving and shaking the head, when it seemed as though the brain were moving back and forth (seventh day).
On lying down at 11 P.M., just as he was falling asleep, but was only half asleep, there was a sensation as if all his senses vanished, with an indescribable sensation in the head like vertigo, and a feeling as though all the blood left the head, with a prickling in the face; this was followed by sudden waking, after which he could not fall asleep for a long time, until after midnight, with distressing burning itching on the scalp. He fell asleep towards morning; the sleep was full of vivid dreams of everything that he knew only indistinctly remembered (seventh day).
Dulness of the head, with similar fulness and heaviness in the upper part of the abdomen and under the ribs, after a light meal (eighth day).
Pain over the whole head, as if a ring were tightened about the head, with heaviness. On shaking the head, it seemed as if the brain wabbled to and fro. After this he fell asleep, and woke about 7 A.M. with some headache, which disappeared on rising; heaviness and dulness in the head remained (ninth day). [10.]
After washing with cold water, which was very unpleasant, the head felt large; this sensation extended upward from the cheeks, was associated with pressure and burning in the throat and œsophagus, which latter was very violent and almost intolerable, immediately followed by an attack of vertigo, with heat of the cheeks (ninth day).
An hour after the dose, heaviness and dulness of the head, like commencing headache (fourteenth day).
A pressive headache and fulness in the forehead, worse in the house than in the open air (fourteenth day).
The headache disappeared about 8 P.M. (fourteenth day).

EYE

In the morning, after rising, the eyes (especially the left eye) were filled with mucus, that had dried to crusts on the lashes and in the canthi, with indistinct vision, as through a mist, relieved by blinking and rubbing the eyes. Lachrymation of the left eye, with smarting and increased sensation of warmth in it. The sclerotic is bright red (tenth day).
On waking after the midday nap, he could not open his eyes for a long time, on account of leaden heaviness of the lids, with frequent headache, as after intoxication, that continued after rising, with pain and pressure in the forehead, as if full. Towards evening the frontal headache was better, and was felt more in the left frontal eminence (thirteenth day).
Sensation as if something hot mounted into the eyes, causing biting and burning, and a feeling as if tears would flow, though they did not (sixth day).

FACE

Increased redness of the face (fourteenth day).
Sensation as if the blood mounted into the face, with a sensation of heat in the face and eyes (sixth day).

MOUTH

Slight drawing toothache in the left back teeth, without ability to tell whether in the upper or lower jaw (eighth day).

THROAT. [20.]

After the first dose, sensation of increased warmth in the pharynx, extending down the whole length of the œsophagus to the stomach, where it seemed to concentrate (second day). A burning pressure in the œsophagus, as before noted, usually disappeared over night, and immediately reappeared after a dose in the morning; the sensation was partly relieved by eating and by drinking, disappeared entirely while eating and drinking, but not on empty swallowing (sixth day). The burning and pressure in the same spot in the œsophagus was to-day especially severe; it seemed as though the œsophagus were forcibly constricted, with many eructations of much gas; this sensation was relieved during the eructations, and while eating was associated with a sensation as if a large hard body were forcibly pressing through the œsophagus (seventh day). Burning in the spot already described in the œsophagus is to-day more like a pressure, with a sensation as if the œsophagus were too small, without, however, affecting swallowing; it extended up to the pharynx and down into the stomach, where there was a peculiar sensation of qualmishness (eighth day).
Towards evening, sensation of coldness in the pharynx and œsophagus is especially noticed; it even did not disappear after eating (eighth day). A cold sensation in the œsophagus extended to both anterior sides of the chest beneath the nipples, and into the upper portion of the pharynx, with oppression of the chest, which obliged deep breathing (ninth day).
Pressure in the pharynx and œsophagus continued the same as yesterday (tenth day).
Sensation of increased warmth in the pharynx, extending down to the stomach; feeling of warmth in the œsophagus, opposite the manubrium sterni (fourteenth day).

STOMACH

Immediately after the dose the hunger disappeared, and only returned about 9.30 P.M., but was soon appeased by a little food (fourteenth day).
There was no relish for smoking; a sensation as though one had not smoked for a long time, as after a long illness (seventh day).
During the day, there were frequent eructations of odorless gas (fifth day).
Frequent eructations of much gas (eighth day).
Eructations of much gas always after eating and drinking (ninth day).
Repeated eructations of gas (twelfth day). [30.]
A sensation of burning warmth in a small spot beneath the ensiform process, as if something hot or acrid had been taken, though without pain. In the evening this sensation became very acute, and almost like heartburn, but less severe (second day).
The sensation of warmth felt yesterday in the pit of the stomach (cardiac orifice) is to-day less in the stomach than in the œsophagus, about the region of the manubrium sterni, and is more decidedly a burning sensation, noticed after every dose. In the intervals between the doses, this sensation almost entirely disappeared, so that it was scarcely noticed; the heat reappeared after each dose (third day).

ABDOMEN

Frequent emission of very offensive flatus (sixth day).
During the stool, moving about and slight griping in the lower part of the abdomen (sixth day).
After eating, movings about in the navel, with a sensation of heaviness in the lower part of the abdomen and pressure upon the rectum, with emission of odorless flatus, immediately followed by a small crumbly evacuation, after which the heaviness in the abdomen was still felt (eighth day).
After a light meal, movement in the lower part of the abdomen, with rumbling and slight griping, followed by desire for stool, with emission of odorless flatus (ninth day).

RECTUM AND ANUS

Crawling and prickling in the rectum, with a sensation as if drawn inward (eighth day).
During the stool, as sensation as if the anus would not open sufficiently (sixth day).
The stool, in the evening, was followed for a long time by a prickling constrictive sensation in the anus (fifth day).
A prickling sensation of closure in the anus, especially in the evening (sixth day). [40.]
Sensation of forcible closure of the anus, with crawling, prickling, and sticking, more while walking than while sitting (eighth day).
In the evening there was several times a sensation as if a stool would occur, associated with a stitch from the region of the bladder to the rectum, which became forcibly closed, and some flatus was passed, but only after long pressure (sixth day).
Frequent desire for stool, that suddenly disappeared (eighth day).

STOOL

Instead of one stool there were two; the first, in the morning, was unsatisfactory, but not hard; the fæces were lumpy, like balls of hare's dung, without being hard, and of a normal color (fifth day).
Stool, which usually occurred in the morning, now occurred about 4 P.M., with long pressure and straining, as if the fæces could not be evacuated from the rectum; the evacuation was scanty, hard, like sheep's dung (sixth day).
Before falling asleep an evacuation, half of which was hard, the rest soft and rather thin, accompanied by prickling, biting, and burning in the anus for a long time after the stool (sixth day).
In the evening a small evacuation, at first thick, afterwards thin, but not hard, with prickling and contraction in the anus after the evacuation (seventh day).
About 1 P.M. a small half crumbly, half normal evacuation without difficulty (ninth day).
About 10 P.M. a somewhat hard stool, accompanied and followed by burning and soreness in the anus, and a sensation as if the anus were drawn up into the rectum and something hard were still remaining there (ninth day).

URINARY ORGANS

Burning in the orifice of the urethra while urinating during stool (sixth day). [50.]
The urine passed the previous evening had become turbid, as if mixed with a thin film over the surface, looking like fat, and breaking to pieces when the liquid was moved; the urine was bright yellow, almost straw-colored (second day). The urine passed was bright yellow, but after standing an hour, a flocculent cloud seemed to hang on the upper surface; and hour later (two hours after urinating), this cloud sank to the bottom (third day). The urine passed yesterday is cloudy, as if mixed with clay, the surface covered with an iridescent film, with numerous red granules; these, when collected, had the appearance of sand, and when pressed by a knife, gave a crackling noise and formed brickdust powder. The urine passed in the morning, fasting, was clearer than that of yesterday, but had the same cloud. The urine became milky soon after it was passed, and after a few hours deposited a clear flocculent sediment, which, when collected on the filter, was slimy and of a rosy-red color, mingled with much red sand. A part was collected from the filter and mixed in the glass tube with nitric acid, which dissolved the mucus with odorless frothing; the liquid then had a clear yellow color, and the grains of sand fell unaffected to the bottom. Another portion was mixed in a glass-tube with sulphuric acid, which completely dissolved both the mucus and sand, and the liquid became dark brown; there was no frothing, but the liquid had a strong odor of decomposing urine. The third portion was mixed with muriatic acid in a glass tube, but there was not the slightest change (fourth day). The urine passed in the morning was clearer than yesterday, and developed a cloud hanging from the upper surface, even before the urine became cold (fifth day). The urine passed this morning was decidedly darker than that of yesterday, without, however, being too dark; a cloud immediately formed after becoming cold (sixth day). The urine passed the fifth day formed a cloud but no sediment; that passed on the sixth day the same, but had again a red sand, and the cloud lying at the bottom exhibited everywhere a number of these grains of sand looking like frog-spawn; the urine passed on the seventh day had the same character. The urine passed yesterday was still clear, showed no trace of decomposition, though it had stood the whole time in a warm room (seventh day). To-day the urine, while yet warm, formed a cloud, was clearer than on the fifth and sixth days, but darker than on the fifth and sixth days, but darker than on the fifth day (eighth day). The urine passed yesterday became turbid and cloudy; after twenty-four hours had a slimy flocculent sediment of a dirty rose-red color. The urine passed toward evening was quite clear and lemon-yellow. The urine passed on the fifth day was beginning to decompose, but without being turbid; that of the sixth, seventh, and ninth days is unchanged; that of the eighth day has, in addition to a cloud, a white pellicle, like an iridescent film of fat on the surface. The urine passed to-day developed a cloud while still warm (ninth day). The urine passed on the ninth day is very turbid and cloudy, with iridescent flakes, that with difficulty sank to the bottom; it has already begun to decompose. The urine passed in the morning, and also that of the eighth day, has not begun to decompose. The cloud lying in the bottom of the vessel is full of large grains of red sand. The urine passed on the ninth day has the same peculiarities, with the addition of a white fatty film on the surface, in which are entangled numerous grains of red sand. The urine passed on the tenth day is the same, rather turbid yellow, has a cloud at the bottom, but no perceptible colored sand. The urine passed last evening is lemon-yellow and very turbid (tenth day).

SEXUAL ORGANS

In the morning, in bed, violent erections, with great sexual desire (seventh day).

RESPIRATORY ORGANS

At 7 P.M., without any apparent cause, cough at first dry, afterwards loose, with tickling and scraping in the throat, that continued long after the cough (eighth day).
On inspiration, the air of the room seemed very cold and as though he had been chewing peppermint (eighth day).

CHEST

In addition to the burning sensation in the œsophagus felt all day, there was a pressive sensation in the region of the manubrium sterni; was exactly like the pressure caused by swallowing too large a morsel of food or a large piece of hard-boiled egg (fifth day).

PULSE

Pulse 90, hard and tense; afterwards 66, weak, soft (sixth day); 60 (seventh day); small, contracted, hard, 100; afterwards full, large, 76 (ninth day).

SUPERIOR EXTREMITIES

In the flexor muscles of the forearm a feeling as if cramp would come on; whenever he attempted to lift anything heavy, a real cramp occurred, that disappeared in the afternoon (eighth day).
Veins of the hands greatly distended.

INFERIOR EXTREMITIES

In the afternoon, heaviness in the lower extremities, as if full, especially on ascending steps (eighth day).

GENERALITIES

In the afternoon great exhaustion, with stretching of the limbs and yawning (seventh day). [60.]
Weak, prostrated, and weary with sleep; was obliged to lie down after dinner and sleep for a few hours; after the sleep he was somewhat refreshed (eighth day).
After the midday nap there was an indefinite feeling of discomfort over the whole body, as after illness, or like a foreboding of fever, a kind of unsteadiness while walking or moving about, disappearing after moving about, towards evening (seventh day).

SLEEP

Overpowering sleepiness and heaviness in all the limbs, with dulness of the head (thirteenth day).
In the evening it was difficult to fall, and at night there was restlessness with frequent waking and tossing about, with indefinite dreams, of which he had no remembrance on waking (first night).
Very vivid dreams during the midday nap, without ability to remember the dream on waking (seventh day).
In the evening, lascivious dreams and emission (thirteenth day).

FEVER

At 5 P.M. became very warm in the usual temperature of the house, and heat seemed to creep over different parts of the body, especially the head, shoulders, and chest, with a feeling as though sweat would break out, and with a moist forehead; the veins of the hands were swollen, the hands burnt and were moist. Very great heat in the face, like rush of blood, with burning in the ears, which were red; the face easily reddened, and half an hour afterwards the skin over the whole body was moist, with a moist forehead and hands; heaviness and dulness in the head (ninth day).
Rising of heat to the head, with redness of the face. Sensation of increased warmth over the whole body, with heaviness; the hands seem injected, full, and hot (thirteenth day).
While eating and afterwards, sensation of heat over the whole body and rush of blood to the head, with slight outbreak of sweat on the chest, face, and hands (fourteenth day).

CONDITIONS

Aggravation.
(In the house), Headache.
( Moving head ), Headache.
( Stooping ), Headache.
( Sneezing ), Headache.
Amelioration.
( Open air ), Headache.
( Eating and drinking ), Burning in œsophagus.
( Moving about ), Feeling of discomfort.

Spirea Ulmaria