Sumbul

Ferula sumbul, Hook, f. (Bot. Mag., 1875).

Natural order , Umbelliferæ.

Common name , Sumbul (Persian and Arabic).

Preparation , Tincture of the root.

Authorities.

1 , Lembke, A. H. Z., 34, p. 273, repeated doses of 2 to 20 drops of 2d cent. dil.; 2 , same, 10 drops of 6th dil. at one dose; 3 , Mr. H. Cattell, Brit. Journ. of Hom., vol. 9, 1852, p. 256; began, August 1st, with 10 drops of mother tincture of root at night, 20 grains in the morning; no symptoms for one or two days; 1/2 ounce night and morning, and then every four hours; afterwards the dose was divided into 2 drops every hour, then 1/2 ounce of 1st dil.; mother tincture, 1/2 ounce, in 2 ounce doses, night (eleventh day); 2/15 at night (twenty-ninth and thirtieth days); 5 drops, fasting, in the morning; 5 drops of tincture, fasting, at night (fortieth day); 5 drops of tincture, fasting, in the morning and 10 P.M. (forty-first day); same in morning and at night, fasting (forty-second day); 5/5, then 2/0, 5/5; after 10 P.M., 3/0, 5/5, fasting (forty-third day); 5/3 noon, medicine discontinued (forty-fourth day), took Spig. 3/3 in nine doses, 1/3 three times a day sixty-first day); Spig. 1/12 night and morning, six doses (sixty-seventh day); Sumb. 1/3 (one hundred and sixty-ninth day); Merc. 1/5, without effect (one hundred and seventy-second day); Thuja, in water, a tablespoonful very hour (one hundred and seventy-fourth day); Phos. ac. 1/3, 1/9, alternately with Thuja, every three hours (one hundred and seventy-sixth day); Nitr. ac. 1, in water, every four hours (one hundred and seventy-eighth day); Nitr. ac. in water (one hundred and eightieth day); Nitr. ac. night and morning (one hundred and eighty-third day); the symptoms in this group are probably some of them due to the remedies used (Nitr. ac. and Thuja), and are therefore of secondary value (one hundred and ninety-second day); 4 , A.M. T., a woman, æt. twenty, dose 3 φ at night; 3/5 morning, from September 8th, at night; September 22d, dose, at night, gtt. 1/3 trit.; morning, 3/4 from trit.; September 30 th, medicine discontinued; 5 , Murawjew, Med. Zeit. Russ., 1853 (Hierschel's Archiv, vol. 1. p. 241), 20 to 30 drops of tincture of the resin and decoction of Sulphur several times a day; 6 to 13 , from Dr. Altchul, in "a small work" (Brit. Journ. of Hom., vol. 11, 1853, p. 678); 6 , Dr. Altschul, subject to rheumatic affections and catarrhal diarrhœas, especially if he gets his feet wet, took 10 drops of mother tincture in distilled water; tincture prepared by macerating a drachm of Rad. sumbul in 1 ounce of alcohol twenty-four hours, at a temperature of 18° R., then pressing fluid out of root and filtering; an aqua destillata was prepared by putting 1 part of root in 12 parts of water, letting it macerate twelve hours, and distilling a fourth part of it; 6 a , same, ten days later, took 20 drops of tincture, with same symptoms as before, and additional ones; 7 , Mr. K. Fahrn, æt. forty-two years, took 10 drops of mother tincture; 8 , Mr. Sowornoradt, æt. twenty-two years, thin, nervous, pale, took 6 drops of tincture; 9 , W. A. Kalmus, æt. twenty-one years, in robust health, took 8 drops of tincture in 1/2 ounce of distilled water; 9 a , same an infusion of 1 ounce of sumbal in a pint of water and poured it into the water when he was taking a bath; 9 b , same, swallowed an infusion of 1 drachm of root in 1 1/2 pints of water; 9 c , same, chewed the root and swallowed the saliva; 9 d , same used same dose as a decoction; 9 e , same, took 12 drops of mother tincture; 9 f , same, took 1 scruple of tincture in 1/2 ounce of distilled water, in the afternoon; 10 , a friend of Mr. Kalmus made an infusion of 1 ounce of Sumbul in 1 pint of water and poured it into the water when taking a bath; 11 , Dr. Altschul and Mr. Kalmus, each took 20 grains of powder of root and had same symptoms as before, but in a greater degree; 12 , B. Fischer, æt. seventeen years, of unimpaired health, except diarrhœa, to which he is subject when he gets his feet wet, took, in the morning, fasting, 8 drops of tincture in 1/2 ounce of distilled water; 13 , a lady, æt. thirty-two years, subject to hysteria, frequently ill, took 10 drops of tincture; 14 , symptoms by Engelmann, as quoted by Hencke, Supplement to A. H. Z., vol. 55, 1858, No. 4, provings of tincture and 3d dec. dil.; 15 , omitted; 16 , Mr. J. Morgan, in Med. Press and Circular, as quoted in Med. and Surg. Reporter, No. 886 (Am. Hom. Obs., vol. 11, 1874, 416), a young man took 1/2 ounce of tincture during the night.

MIND

• Humor excited and cheerful, 12.
• More cheerful in humor and more disposed for intellectual occupation; he felt in the happy enthusiastic state of mind that accompanies the consciousness of having performed a noble deed; this sort of medicinal intoxication went away in a few hours, 6.
• Very cheerful, 7.
• Cheerful humor, 9.
• Dull humor, though he was usually cheerful, 9.
• Anxiety, 5.
• Easily frightened, 1.
• Melancholy; no desire for labor, even intellectual, in the evening (twelfth day); mirthful, witty, inclined to gayety; continued smiling; calm, contented; amorous; fond of the society of women; cannot feel compassion (fifteenth day); mirthfulness and smiling; nothing disturbs (sixteenth day); mirthfulness, smiling, good-humor, wittily inclined; sympathy with suffering seems robbed of its pain (eighteenth day); fit of hysterical laughter and tears (twenty-second day); tranquillity, indolent, good-humor, mirthfulness (twenty-fourth day); clearness of intellect, especially in evening (twenty-fifth day); vivacity, hastiness; intellect very clear, in the evening (twenty-sixth day); intellect clear, in the evening (twenty-seventh day); nervous excitement and heat, especially in head from listening to a disputation, in the evening (twenty-eighth day); humor fidgety, nervous excitability; cannot continue reading, restless; irritability and agitation from harsh music, in the evening (twenty-ninth day); anxious activity, with physical weakness and debility; nervous excitability; restlessness whilst reading (thirtieth day); intellect clear, in the evening (thirty-second, thirty-third, and thirty-fourth days); mistakes in writing; mild, good-humored, excitable (thirty-fourth day); intellect dull, in the morning; clear, in the evening ; humor merry, smiling (forty-first day); irritability, in the afternoon and evening (forty-eighth day); disposition mild, amiable, smiling (forty-ninth day); nervous excitability; humor depressed, with despair of the future (fiftieth day); humor became cheerful and happy again this morning (fifty-first day); excitability; easily depressed; easily roused into a passion; sensation as if the least provocation would enrage, with merry cheerful humor; the sensation of excitability is accompanied by fulness in temples and forehead and cerebellum, especially on left side, with pulsations in neck on left side, below the ear, in the evening (fifty-second day); frequent mistakes in writing and summing ; one letter or figure is found written for another, even in simple words, and especially in common arithmetical operations, for many days past (fifty-third day); humor (since the fifty-fifth day excessively touchy) irritable, peevish, and sad, as if overburdened with cares and harassed; melancholy despondency, as if ill-treated by every one purposely, alternately with cheerfulness, mirth, and smiling ( ), (fifty-ninth day); humor disagreeable (sixty-first day); continued mistakes in letters and figures (sixty-first day); (one hundred and sixty-ninth day); mildness, amiability, except during the pains; extremely irritable during the pains, while walking or during any exertion (one hundred and seventy-third day); cheerfulness, except during the agony of the pains, to which all the system seems to contribute (one hundred and seventy-sixth day); nervous excitability and weakness; susceptibility to emotional impressions and fear of vertigo (one hundred and seventy-eighth day); mild cheerfulness, amiability (one hundred and seventy-ninth day); clearness of intellect, in the evening, but reading fatigues (one hundred and eighty-third day); cheerfulness; listlessness; not desire for mental labor (one hundred and ninety-second day), .

HEAD

• Confusion and Vertigo.
• Confusion of the head, 9.
• He felt confused during the next day, but in the afternoon became more overwhelmed, having a great tendency to snore and did so while quite awake, 16.
• Slight confusion in the head, with moderate pressing and contractive pain in the left half of the forehead (after ten minutes); the turgescence towards the head lasted scarcely half an hour, 6.
• Slight confusion, accompanied by feeling of contraction in the forehead (soon), lasting half an hour, disappearing after eructations, 7.
• Dull confusion in left frontal region (one hundred and eightieth day), 3.
• Dull empty confusion in left frontal region over left eye; reading fatigues; incapacity for prolonged attention; at times, chiefly in the evening, clear intellect, especially in the warmth; head worse in the morning, even on rising; clearer of an evening and in the warmth (one hundred and eighty-first day), 3.
• Vertigo, 14.
• Slight vertigo, of short duration, 8. [20.]
• Vertigo on stooping and from using warm water; inability to stoop from vertigo, in the evening (seventeenth day), 3.
• Reeling vertigo when rising from a seat and while lying, 14.
• Giddiness on stooping (thirtieth day), 3.
• Giddiness on rising from a seat, on stooping, on moving about; feeling of want of security , as if in imminent danger of reeling, or of having a fit whilst moving or standing, relieved by holding on to some object for safety, worse after 6 P.M. (one hundred and ninety-second day), 3.
• General Head.
• Dulness of the head, 14.
• Dulness of the head, especially in the forehead, 1.
• Dulness of the head, especially in the forehead and occiput, with sensation of fulness, 1.
• Dulness and confusion in the head, especially in the forehead (first day), 2.
• Head freer than usual (first day), 2.
• Heaviness in head and forehead (nineteenth day), 3. [30.]
• Heaviness in the head (thirty-second day), .

EYE

• Objective.
• Sudden sensation of some foreign body in left eye, like grit or dust, which seems to diffuse itself over the eyeball and obscures the sight; eye cannot bear the light, 5 P.M., worse at 6 P.M.; lachrymation; it cannot be opened more than half way, as if eyelids were swollen, and very painful when closed, so as to disturb sleep (thirteenth day). Awoke at 5 A.M. with aching pain in left eye; the pressure of the closed eyelid very painful; red streaks across the cornea, towards external canthus; inflammation of conjunctiva of left eye, towards external canthus; sensation of some fixed grit or foreign sharp substance, which grates against the eyeball when turned outwards; aching pains in left eye, worse when moving it; eyeball cannot easily be turned outwards (fourteenth day), 3.
• Subjective.
• The eyes (especially the left , which had a sensation of a grit in internal canthus) very weak (sixty-seventh day), 3.
• Aching in left eye from (artificial) light (nineteenth day), 3.
• Stupefying pressure in the eyes, with transient dimness of vision (after ten minutes), 6.
• The eyes seem too tight, with biting in the lids and blinking (first day), 2.
• Eyes sensitive to light, 1.
• Brow. [90.]
• Twitchings in left eyebrow (eleventh day), 3.
• Lid.
• Biting in the left eyelids, 1.
• Vision.
• Dimness of vision, 14.
• Transient dimness of sight, 11.
• Slight obscuration of vision, 9c.
• Impaired sight and flickering before the eyes (soon), lasting half an hour, disappearing after eructations; the vision was much better after the trial than it had been before, 7.
• Eyes dull and sight indistinct (sixty-first day), 3.
• Dizzy wavering sensation before the eyes (after ten minutes), 6.
• Quivering before the eyes, 8.
• Swimming before the eyes (seventeenth day), 3.

EAR. [100.]

• Loud singing and hissing in both ears (seventeenth day), 3.
• Singing (as of a kettle) in right ear, in the evening (thirty-third day), 3.

NOSE

• Objective.
• Nose sore about edges, from cold aqueous coryza (twenty-first day), 3.
• Alæ of nose sore, worse morning and towards night (fiftieth day), 3.
• Swelling of left ala nasi (one hundred and ninety-second day), 3.
• Sneezing (fifth and following days), 3.
• Watery coryza (seventeenth day); coryza of yellow mucus; complete stuffing in the nose (eighteenth day); coryza; aqueous running from nose (nineteenth day); tenacious yellow mucus copiously formed in nose, worse in left nostril ; nose dry towards the alæ (forty-second day); watery coryza, at 8 P.M. (forty-third day); thick whitish coryza and diminished smell, in the morning (forty-ninth day); watery coryza (fiftieth day); obstructing, yellow, gummy mucus in left nostril and root of nose, in posterior nares and throat (one hundred and ninety-second day), 3.
• Repeated attacks of epistaxis, 8.
• Subjective.
• Stuffing in nose, at 8 P.M. (third day), 4.
• Stuffing at root of nose (fifth day); stuffing in nose, with diminished small (seventeenth day); stuffing in nose, extending down its chamber, always worse half an hour after a dose (twenty-eighth day); stuffing in nose, at 6 P.M., and in the evening (thirtieth day); stuffing in the nose and its chambers of thick bright-yellow gummy mucus, in the morning (thirty-first day); stuffing of yellow mucus in nose, the root, and chamber, extending down into throat; stuffing in nose, at 6 P.M. and in evening (thirty-second day); stuffing in nose of thick tenacious yellow mucus, at root of nose, and its chambers (thirty-third day); stuffing in nose in its chambers (thirty-fourth day); nose become stuffed at root and in chambers (thirty-sixth day); clogged sensation (fortieth day); stuffing in nose of yellow tenacious mucus, copious, obstinate, and continuous, on waking, increasing at 9 A.M. (forty-first day); stuffing in nose (forty-third day); stuffing in chambers of nose, extending down towards throat, in the morning; nose stuffed at root (forty-fifth day); stuffing in nose (forty-sixth and forty-seventh days); Camphor, by olfaction, speedily removed the stuffing at the nose , and as this was a well-marked symptom, it served as an index which called my attention to the action of different potencies; occasionally after taking the mother tincture, and the voice and nose being perfectly clear and free, the one almost immediately became husky or hoarse, and the other, with the throat, was obstructed with mucus; if the symptoms were present, a corresponding aggravation took place; after the 3d, this occurred after a slight interval, which again was prolonged after the 5th, till, at the 15th potency, it did not appear for half an hour, or even much more, and was proportionately , .

FACE

• Objective.
• Painful expression of face; face very pale, with very numerous black pores (one hundred and seventy-third day), 3.
• Face pale, very thin (thirtieth day), 3.
• Subjective.
• Cramplike pain in both masseter muscles, at noon and in the afternoon, with stiffness on moving the jaw and pain in the meatus auditorius, 14.
• Sensation of a drop of cold water trickling for half an inch occasionally just above zygoma, left side (sixty-first day), 3. [120.]
• Sensation as of cobwebs being moved over different parts, first of cerebellum and then over face (seventeenth day), 3.
• Sensation of cobwebs moving over face, at 10 P.M., in bed (twenty-fourth day), 3.
• Sensation as if skin of face were tightened (eighteenth day), 3.
• Lips.
• Swelling of the upper lip, of the gums, 9.
• Dryness and heat of lips and mouth (nineteenth day), 3.
• Jaws.
• Sensation of partial dislocation of lower jaw, forward, on left side (one hundred and seventy-ninth day), 3.

MOUTH

• Teeth.
• Shooting pain in first upper molar of left side, extending into cheek (twenty-third day), 3.
• Shooting pain in first lower molar, left side, in the morning (twenty-fourth day), 3.
• Tongue.
• Tongue coated dirty yellow (first day), 2.
• Tongue covered with moist brown coating (ninth day); light-brown coating on tongue; tongue feels rough, as if scraped (eleventh day); tongue covered with brown coating, in morning (on awaking), (twelfth day); heat in tongue and throat and in stomach (fourteenth day); tongue white, with slight brown crust in centre and at back, in the morning (fifteenth day); tongue white and brown streak down the middle, wider at back, in the morning (seventeenth day); tongue white, with slight brown in centre and at back, in the morning; tongue rather flabby, pitted with the impress of the teeth on its edges; [As in collapse, fever, small-pox, etc.], papillæ at apex enlarged; papillæ conicæ and filiformæ slightly enlarged, coated white, with brown crust at back (nineteenth day); tongue white with brown crust at back (twenty-second day); tongue dirty brown at back, in the morning (twenty-third day); tongue elongated, red (thirty-first day); tongue white, elongated, in the morning (thirty-second day); tongue covered with moist brown coating; papillæ red, enlarged, in the morning (thirty-fourth day); tongue covered with moist brown coating on awaking; papillæ red and raised (thirty-sixth and thirty-eighth days); tongue glazed (fortieth day); tongue coated white, rough (forty-eighth day); tongue coated moist brown, in morning; becomes red and elongated, and the papillæ like deep red spots, with wedge-shaped brow crust at back, towards evening (fifty-second day), 3.
• General Mouth. [130.]
• Flat odor from the mouth (first day), 2.
• Breath at times hot to the hand, offensive (nineteenth day), 3.
• Breath hot and balmy in mouth, hot to the hand and to the lips, in expiration from the nose (twenty-eighth day), 3.
• Breath feels hot (forty-first day), 3.
• Breath feels hot, in the evening (twelfth day), 3.
• Breath offensive (twenty-first, one hundred and seventy-first, one hundred and seventy-fifth, and other days), 3.
• Breath very offensive, and disagreeable odor from the body, tainting the clothes (one hundred and ninety-second day), 3.
• Dryness in mouth and throat; no thirst (eighteenth day), .

THROAT

• Phlegm in throat (ninth day), 3.
• Tenacious mucus in throat (fifth day), 3.
• Tenacious mucus in throat of sweetish taste (nineteenth day), 3.
• Tenacious mucus, sweet tasting, in throat, causing hawking, but without detaching it upwards (twentieth day), 3.
• Tenacious mucus in throat, greenish (twenty-second day), 3.
• Tenacious obstructing mucus in throat, with hoarseness (twenty-sixth day), 3.
• Obstructing mucus in throat (thirty-second day), 3. [170.]
• Tenacious mucus in throat, in the morning (thirty-fifth, thirty-seventh, and forty-first days), 3.
• Tenacious obstructing mucus in throat, and increased saliva, with frequent swallowing (forty-second day), 3.
• Tenacious sweet mucus in the throat (forty-third day), 3.
• Obstructing mucus in throat (forty-fifth day), 3.
• Erosion, burning heat, and rawness in the throat, with phlegm (tenacious mucus), (eleventh day), 3.
• Heat in throat, in the evening (twelfth day), 3.
• Heat in throat, which makes breath hot, like warm balmy air (twenty-eighth day), 3.
• Harshness, roughness, and slight tickling in throat (seventeenth day), 3.
• Rawness in the throat, in the evening (forty-seventh day), 3.
• Hoarseness and rawness in the throat towards night (forty-eighth day, 3. [180.]
• Soreness and rawness in the throat (fifteenth day), 3.
• Soreness, as of excoriation, in upper part of throat, on left side near tonsil, painful when speaking, at noon (twenty-sixth day), 3.
• Soreness, as of excoriation, in throat and upper part, and back of mouth, left side, at noon (twenty-seventh and thirtieth days), 3.
• Scratching in the throat, 6a.
• Scraping in the throat, as if sore, 14.
• Tickling in throat (nineteenth day), 3.
• Tickling in throat inciting to cough, at 6 P.M. (twenty-ninth day), 3.
• Fauces and Œsophagus.

STOMACH

• Appetite and Thirst.
• Appetite increased, 9f, 11, 14.
• Appetite increased; the dinner was eaten with great relish, 6.
• Very great hunger (first and second day), 2.
• Appetite great, without thirst (eleventh day); appetite variable; large at one meal, absent at the next, without relish (twentieth day); appetite deficient, especially for animal food (twenty-ninth day); great appetite (for bread) (thirtieth day); appetite good (thirty-third day); appetite great, at 6 P.M. (thirty-fifth day); no desire for animal food or beer, little appetite at dinner (forty-fourth day); want of appetite for meat (one hundred and sixty-ninth day); good appetite, except for meat (one hundred and seventy-fourth day); appetite good, chiefly for farinaceous food (one hundred and seventy-fifth day); appetite for farinaceous food; distaste to meat (one hundred and seventy-seventh day), 3.
• Disgust and nausea, 8d.
• Thirst.
• Thirst for wine, in the evening (twentieth day); thirst for stimulants, especially wine in the evening (twenty-first day); desire for wine (twenty-second day); thirst for stimulants, in the evening; wine tastes very agreeable, but does not satisfy or allay the desire (twenty-third day); desire for wine (twenty-seventh day); slight desire for wine, in the evening (thirty-first day); thirst for stimulants (thirty-third day); thirst go wine; it tastes very agreeable, whilst stout tastes heavy, and leaves a clammy, insipid aftertaste, as if flat, and is not relished (forty-first day); no thirst one hundred and seventh, and one hundred and seventy-fifth, one hundred and seventy-external and internal (one hundred and seventy-seventh day), 3.
• Feverish dryness, external and internal (one hundred and seventy-seventh day), 3. [200.]
• Sensation of feverish dryness, without thirst (one hundred and seventy-ninth day), 3.
• Eructations.
• Eructation, 9e, 9f.
• Empty eructations, 1.
• Empty, tasteless eructations, 1.
• Frequent empty eructations (first day), 2.
• Empty eructations; also several times before the stool (first day), 2.
• Many empty eructations, with almost constant desire to urinate (first day), .

ABDOMEN

• Hypochondria.
• Shootings in right hypochondrium (fourth day), 3.
• Shootings in the right hypochondrium, while walking in the evening (twelfth day), 3. [240.]
• Shootings, tensive pains in lower right hypochondrium (nineteenth day), 3.
• Umbilicus and Sides.
• Pain in the umbilical region, and drawing in of the abdomen, even on gentle pressure with the hand, 1.
• Bubbling in the left side of the abdomen (first day), 2.
• General Abdomen.
• Abdomen flabby, doughy (first day), 2.
• Distension of the abdomen, with some sensitiveness deep in the umbilical region, aggravated by drawing in the walls of the abdomen (first day), 2.
• Abdomen full and distended, with sensation of heaviness (thirtieth day), 3.
• Abdomen very distended, heavy (not hard), (thirty-second day), 3.
• Abdomen full, distended (thirty-fourth day), 3.
• Abdomen hard and heavy (fortieth day), 3.
• Abdomen heavy and inflated; sensation of bloatedness, puffy fulness, extending as high as the sternum; uncomfortable, especially on stooping or lifting the leg (forty-third day), 3. [250.]
• Emission of flatus (nineteenth and following days), 3.
• Emission of hot, offensive flatus (sixteenth day), 3.
• Emission of fetid flatus (ninth and thirty-eighth days), 3.
• Emission of much flatus (thirty-fifth day), 3.
• Rumbling in the abdomen, 1.
• Rumbling and gurgling in the intestines, 14.
• Frequent bubbling in the abdomen (first day), 2.
• Borborygmi, 3, 5.
• Occasional noise in the bowels, as if from the generation of flatulence there, 9.
• Increased secretion from the mucous membrane of the intestinal canal, 5. [260.]
• Sensation of fulness and heaviness in the abdomen (eleventh day), 3.

RECTUM AND ANUS

• Rectum protrudes slightly, posteriorly, like a rim (one hundred and eighty-first day), 3.
• Hæmorrhoids excited, 14.
• Sensation as if the rectum protruded and the anus were not closed, after the stool (twenty-fourth day), 3.
• Sensation of something moving in rectum, at 8 P.M. (thirty-second day), 3.
• Something seems moving in rectum near anus (one hundred and seventy-fifth day), 3.
• Bitings and sensation of something moving in rectum near anus, at night (forty-eighth day), 3. [290.]
• Dull stitch in the lower portion of the rectum (first day), 2.
• Sensation of rawness in anus, with the stool; pain and uneasiness, as if rectum protruded at anus, in the morning; uneasy dryness at anus, which does not seem closed; painful when walking (twenty-fifth day), 3.
• Repeated desire for stool, 1.
• Frequent inclination to stool, which is likely to be loose, without stool (sixty-first day), 3.
• Inclination to stool, 1.

STOOL

• Diarrhœa.
• Diarrhœa, 9b, 9c.
• Serious diarrhœa, 5.
• Diarrhœic motions, whereas his natural habit was constipation; however, afterwards, constipation came on and continued several days, 9c.
• Constipation two days; stool soft, preceded by flatus (fifth day); stool hard (seventh day); constipation for three days; stool large, slightly fetid (ninth day); constipation without desire to evacuate, as if from constriction of the anus (tenth day); stool soft, paplike; stool large, soft (eleventh day); constipation (seventeenth and eighteenth days); constipation (for nine days) without inclination (nineteenth day); stool, with great expulsive efforts, preceded by sickliness, commotion of intestines, and sickly pain in left iliac and inguinal regions, rather soft, very long, and thin, with sensations as if rectum protruded and anus were not closed, at 6 P.M. (twenty-fourth day); stool rather soft, passed suddenly, with sensation of rawness in anus (twenty-fifth day); stool passed with difficulty (after six days' constipation), in pieces, and gritty, at 7 P.M. (thirty-second day); stool rather soft, sudden, at 7 P.M. (thirty-fourth day); fetid, soft abundant stool, in the afternoon (thirty-fifth day); constipation (thirty-eighth day); stool, preceded by tremor and cold clammy sweats and forcing, at 6 P.M. (fortieth day); stool at 2 P.M., with want from 9 A.M. (forty-third day); stool, in afternoon (forty-fifth day); stool, at 9 A.M., bard, in lumps (forty-seventh day); slight stool, in hard pieces, at 9 A.M. (forty-eighth day); stool brown, rather soft, easy, with bitings in rectum, near anus, in the evening (forty-ninth day); stool, at 9 A.M., rather hard, in pieces, preceded and followed by perspiration and external heat (fifty-first day); stool hard, in lumps, at 9 A.M. (fifty-fourth day); stool loose, very fetid, in the morning (sixty-first day); stool hard, slight, and in lumps (one hundred and seventy-fifth day); constipation without desire to evacuate (one hundred and seventy-ninth day); stool, at 9 A.M., large and compact, preceded by commotion in left lower abdomen, as of approaching diarrhœa (one hundred and eightieth day); diarrhœa liquid, sudden, and abundant, preceded by faintness and sickness, as if about to vomit, at 6 P.M., preceded and followed by constipation (after plum jam and a quick walk?), (one hundred and ninety-second day), 3.
• (Stool more copious than usual, at first hard, then soft, followed at last by some blood), 14. [300.]
• Stool softer than usual, 1.
• Stool thin, with much urging, burning, and biting in the anus and rectum, with painful tension in the tip of the penis, followed by discharge of mucus from the anus, .

URINARY ORGANS

• Urethra.
• Stitches half an inch up urethra, in the morning (one hundred and seventy-ninth day), 3.
• Micturition and Urine.
• Frequent desire to urinate (first and third days), 2. [320.]
• Very frequent desire to urinate, even immediately after urinating, 1.
• Frequent desire to urinate, though nothing had been taken, 1.
• Constant desire to urinate (half an hour after 20 drops), 1.
• Constant desire to urinate and for stool, 1.
• The ineffectual desire to urinate that had been almost constant for several hours became at last a constant pressure, and the urine had to be forcibly restrained (first day), 2.
• Frequent ineffectual efforts to urinate, with a sensation as if a stool would soon come; cutting in the anus and coldness in the back, 1.
• Frequent want to urinate, with sensation of the bladder being empty or nearly so and small emission, in the evening (fortieth day); frequent want to urinate, with small quantity at a time; it forms a pellicle, oily, and thin; becomes thick and muddy at bottom; deposits a tenacious rosy sediment, adhering to the sides of the vessel (forty-second day); urine frequent, in small quantities (forty-third day); frequent want to urinate, in small quantities (every three of four hours), (forty-fourth day); increased want to urinate, in small quantities; a drop can be passed into the urethra singly, and this causes momentary relief at its extremity (one hundred and seventy-fourth day); frequent want to urinate (one hundred and seventy-fifth day), 3.
• Urine increased in amount (after 15 drops), 1.
• Frequent evacuation of scanty turbid urine, 5.
• Diminished secretion of urine, 14. [330.]
• Urine much more scanty than usual, in the afternoon (first day), 2.
• Secretion of urine notably diminished, and had a strong ammoniacal odor (first day), 6.
• Urine passes clear, quickly, painless, and free, bright reddish yellow; feels hot in its passage through glans; after some time, the cloudy white floating appearance, disturbed, is seen at bottom; urine clear when passed, with white small shreds floating; after some hours, there forms near the bottom a white cloud floating, easily disturbed, in which the shreds appear like white spots; white sediment passes freely and painless, but feels hot to glans (nineteenth day); urine clear, yellowish red; cloudy floating appearance forms in the bottom; oily pellicle on the surface (twenty-fifth day); urine clear, yellowish red, with small white floating shredlike particles, which, after a time, fall into the cloudy appearance at bottom, like white spots; whitish sediment (twenty-seventh day); urine clear, with few white floating particles; deposits a reddish-brown sediment thick, and muddy, with oily pellicle (twenty-eighth day); urine clear last night, with white shreds; after standing, becomes thick and muddy at bottom, and deposits a rosy-pink sediment, which clings to the vessel when shaken about; oily pellicle (thirtieth day); urine clear, deposits a whitish sediment, which adheres to the vessel when moved about (thirty-first day); urine deposits whitish cloud, covered with oily pellicle (thirty-third day); urine clear, plentiful; shreds few; slight cloudy sediment (thirty-sixth day); urine clear, passed last night; deposits a thick muddy white sediment and is thick (fortieth day); urine clear, yellow, passed in small quantities, and deposits a rosy sediment, which adheres to the vessel; urine thick and muddy, clear on the surface, with thin oily pellicle (forty-fifth day); urine reddish brown, clear; forms slight white cloud at bottom (forty-sixth day); urine reddish brown, clear, with slight white cloud (forty-seventh day); urine (passed last night) clear, reddish brown; white, light, cloudy sediment; urine brownish red, with light small cloud at bottom (forty-eighth day); urine reddish brown; forms a copious oily pellicle, which on being moved, adheres to the side of the vessel; has a rosy coating, and deposits a rosy sediment (fifty-first day); urine reddish brown covered with an oily pellicle, and deposits a rosy sediment, which, on shaking the vessel, is found adhering to its sides (fifty-fifth day); urine become thick on standing (one hundred and seventy-first day); urine, after standing, is thick and muddy (one hundred and seventy-fifth day); urine passed clear, without smarting, and deposits, after standing, a whitish thick cloud, in the evening (one hundred and seventy-seventh day); urine, after standing, becomes cloudy, whitish (one hundred and eighty-third day); urine clear, deep, red becomes very muddy; urine becomes thick on standing (one hundred and ninety-second day), .

SEXUAL ORGANS

• Male.
• Itching in genitals, with increased desire (fourth day), 3.
• Itching in prepuce (sixth day); heat and burning sensation in genitals, at 6 P.M.; at 8 P.M., chiefly in perinæum, between the thighs and glans penis. Increased sexual desire; abundance of amorous ideas. Soreness of extremity of penis from friction of the clothes in walking. Glans penis and lining membrane of prepuce painful and irritable; tingling in glans penis; left scrotum hot and inflamed; skin in places excoriated, leaving a bright-red surface beneath. Shooting pains and sensation of great heat in left testis, and burning pain. Erythema of scrotum on left side, exactly to raphé, and of glans and lining membrane of prepuce; redundant secretion of smegma behind glans, near frænum (fifteenth day); burning tinglings in glans penis; prepuce and glans moist, with a watery saltish-smelling fluid; excoriation of left scrotum; extremity of prepuce thickened; phimosis; excretion of whitish curdy matter abundantly between glans and prepuce; glans and prepuce bluish red and swollen; testis on left side dark red, entirely excoriated; saltish smell from genitals, and secretion of saltish-smelling fluid (sixteenth day); shooting pains in extremity of penis; secretion of greenish-yellow pus from excoriated surface of scrotum; voluptuous itching; tickling in prepuce (seventeenth day); want of sexual desire; discharge from glans, aqueous; itching in extremity of prepuce, at intervals (biting, stinging, pleasurable sensation), in the evening (eighteenth day); phimosis; constriction of prepuce a little above extremity (which is swollen), retaining drops of urine (nineteenth day); tickling, pleasurable itching in preputial extremity, at intervals, at 6 P.M. (twentieth day); phimosis (partial), and without pain or tenderness; tickling in extremity of prepuce, at intervals, at 6 P.M. (twenty-second day); itching tingling in prepuce, in the evening (twenty-sixth day); itching in prepuce, at night (thirty-second day); in the morning (thirty-third day); tickling in lining membrane of prepuce; tingling in extremity of prepuce, at 6 P.M. (thirty-third day); tinglings in lining membrane of prepuce; shootings up the left side of penis and tinglings (forty-fourth day); annoyed about 6 P.M., for some evenings, with tinglings in prepuce, which gradually increased and at length interfered with sleep, becoming like lancinations in glans and prepuce, with occasional sharp twinges; small spot of white curdy matter in left corner at root of frænum; surrounding membrane, glans prepuce, and frænum bright red and irritable, with shooting twinges so acute as to jerk the body about; absence of sexual desire (one hundred and sixty-ninth day). Extremity of prepuce becomes inflamed, acutely sensitive to touch; friction of the clothes, as in walking, painful; slight preputial gonorrhœa (one hundred and seventy-first day). Walking becomes very painful; prepuce inflamed, very red, and swollen; penis painful to the least touch over surface and glans; lancinating twinges and shootings in glans and prepuce, chiefly after 6 P.M., and especially in bed at night, and then becoming insupportably severe, with startings and shocks all through the body; cannot lie still; increased by attention and the least touch (one hundred and seventy-second day). Pains, twitchings, lancinating in prepuce, and agony in bed, at night, causing startings in the limbs; cannot lie still; the least movement increases them; desire for Opium to allay the sensibility; absence of sexual desire (one hundred and seventy-third day). Prepuce swollen considerably, projecting beyond the glans; phimosis; violent preputial gonorrhœa; ; sensation of melting away, as if drops were passing from the extremity of the penis or it were becoming matter; the effort seems to be aided by the whole body; increased by change of posture; the recumbent, with the muscles and fascia on the stretch, is most easy; pains in penis when pendant, relieved by being kept up (one hundred and seventy-fourth day). Swelling of prepuce increased; it forms a thickened bluish-red lump beyond glans, which cannot be seen; sensation of oozing increased and more frequent; secretion curdy white, and becomes yellow on drying; ulceration at points on the edge of prepuce, which is notched; balanorrhœa increased; change of posture and emotion increase the pains; contortion of the body during the pains, with writhing; erections, without voluptuous thoughts, during the night; the expanding glans causes acute lancinating pains in prepuce; surface of prepuce all over glans, especially on left side, excessively tender to touch, and red; (commenced milk and water tepid injection between glans and prepuce, with much relief, every six hours); great secretion during the night, with acute oozing pains (one hundred and seventy-fifth day); pains and contortions worse to-day; on urinating this morning, smarting lancinations in prepuce and glans, as if the orifice had been growing together, which continues after the act; frequent and painful erections; slight erythema of left scrotum as far as raphé; left testis hangs down, aching extending from it up spermatic cord, whilst walking (although it is suspended artificially); penis very tender over surface of glans, chiefly along corona glandis ; smarting pains whilst urine passes through glans and prepuce (one hundred and seventy-sixth day); smarting in glans whilst and after urinating; cold water aggravates, warm relieves the local symptoms; extremity of prepuce can be painlessly handled, but over corona glandis, on left side, is still tender and painful to the touch; it aches on contact, , is considerably swollen and pale; expansive pains on touching it; aching-boring pains in the swelling when the penis is pendant; secretion diminished, whitish, but becomes yellow as it dries, and redissolves white; insoluble in alcohol and water; balanorrhœa, with oozing tickling sensations, not disagreeable (one hundred and seventy-seventh day); penis painful when pendant; pains in the swelling over the left corona glandis and great irritability; stitches up the commencement of the urethra, at 3 P.M.; much yellowish matter has discharged this morning, with oozing sensations, and the swelling on left side of glans penis is greatly diminished and so tender (one hundred and seventy-eighth day); balanorrhœa more watery, yellowish (one hundred and seventy-ninth day); phimosis; prepuce can be drawn now about a quarter of an inch backward, exposing the glans; frænum red and swollen; larded-looking surface appears on upper glans; which could not be detached by washing or scraping, and around the margin of which were several distinct spots, like ulcerations, which altered the detachments or separation of a slough; [Pointed out by Mr. Wilson, to whom also are due all the physical symptoms of auscultation, etc.] stinging itching in genitals, chiefly in penis, after 6 P.M. (Nitr. ac.?); occasional oozing sensations, which render it impossible to rest still; heat in the genitals (one hundred and eightieth day); balanorrhœa considerable, during the night, milky, and becoming yellow (one hundred and eighty-first day); balanorrhœa of prepuce slight; no urethral discharge could be detected; [Notwithstanding frequent minute observation both by Mr. Wilson and myself throughout.] thickening and congestion around urethral orifice, lasts several days (one hundred and eighty-second day); itching in extremity of penis, at intervals (one hundred and eighty-third day), .

absence of erection and of all sexual desire , for five days (one hundred and ninety-second day), 3.

• Female.
• Leucorrhœa white, especially after sitting (eighteenth day); continues (twenty-fifth day), 4.
• Catamenia premature (five days) and of short duration (three days), with deficient quantity (after six days), 4.
• Retardation of the menstrual flux, 13.

RESPIRATORY ORGANS. [350.]

• Tickling in the windpipe, 6a.
• Voice.
• Voice like speaking through the nose, from obstructing mucus at root of nose, extending down into the throat, in the evening (eighth day); voice rough (eleventh day); hoarseness and tenacious mucus in throat; which renders it convenient to keep the mouth constantly open (eighteenth day); hoarseness (nineteenth day); hoarseness from the mucus in throat (twenty-sixth day); voice obstructed by mucus in throat hoarseness, after 9 A.M. (thirty-third day); voice obscured (thirty-fifth day); hoarseness, at 8 A.M. (thirty-sixth day); hoarseness (forty-seventh day); on rising, the voice gruff, bass and hoarse; obstructing sweetish mucus in throat; voice becomes clearer after a short time (forty-eighth day), 3.
• Cough and Expectoration.
• Dry cough several times, 1.
• Hacking cough, from tickling in larynx, chiefly in morning (fourteenth day), 4.
• Hacking cough, from irritation in throat, as if from warm air ascending spirally, in the daytime (nineteenth day); cough, in the evening (twentieth day); cough, in the morning (twenty-first day); hacking cough, in the morning (twenty-second day); hacking cough, at short intervals, from irritation in throat, as of hot air rising spirally, at 6 P.M., and in the evening (twenty-sixth day); cough hacking, from irritation in throat, as of hot air rising spirally, morning, noon, and evening (twenty-eighth day); hacking cough, troublesome, frequent, excited by speaking, and tickling in throat, in the morning (twenty-ninth day); cough hacking, which detaches sweet mucus into the mouth (thirty-first day); cough ejects sweet mucus into mouth; cough hacking, from tickling in throat, at intervals (thirty-second day); cough, from tickling in throat, at intervals, in the morning; coughing and hiccoughs; shaking hacking cough (thirty-third day); hacking cough (thirty-fourth day); cough from tickling in throat; two or three single coughs in succession (thirty-sixth day); cough in series, 10 to 11 A.M. (thirty-seventh day); cough single, hacking, in the morning, at intervals (forty-eight day); cough, with hiccough, at intervals (fifty-ninth day), 3.
• Increased secretion from the mucous membrane of the respiratory organs, 5.

CHEST

• Feeling of tightness in chest with diminished secretion of mucus; the asthmatic symptoms went off after a few hours, 6a.
• Pains as of knives darting through the chest (after meal), decreasing towards night (eleventh day); after every meal (twelfth day), 4.
• Pain in the chest on both sides, as if from a knife (twenty-fourth day), 4.
• Darting pains in the chest under lower sternum (sixteenth day), 4. [360.]
• Paroxysms of dull pressure under the sternum, 1.
• Oppression in left chest, clogged sensation, as if it were difficult to force the blood through that lung, worse on stooping (forty-seventh day), 3.
• Dull pains through the left chest, worse on moving the left arm or leaning forward (forty-eight day), 3.
• Tightness, tensive-stretched feeling across chest between left breast and sternum, and in left breast, worse on inspiration, in the morning (twentieth day), 3.
• Tightness under left breast (thirty-first day), 3.
• Tightness, tensive pain in left chest under breast, especially during inspiratory inflation (forty-ninth day), 3.
• Tensive pain in left side under ribs, in a line with the nipple; worse on inspiration, at 9 A.M. (thirty-fifth day), 3.
• Tensive pains in left side just below axilla (sixteenth day), 3.
• Dull tensive pains in left chest under arm-pit and near nipple, in a line with it externally (forty-eighth day), 3.
• Dull tightened pain in left chest on blowing the nose (forty-eighth day), 3. [370.]
• Dull pain in left side (under axilla, in a line with nipple), in the evening (thirty-fifth day), 3.
• Anteriorly , under left clavicle on inspiration a shrill, whiffing, slightly jerking tubular sound, the jerks perceptible throughout inspiration, but the shrill tubular whiffing perceptible only at the commencement of inspiration, 3.
• Pain like a knife darting through left chest, from a spot a little below the breast, also slightly in right chest, chiefly during the inspiration (fifth day), 4.
• Pain as of a knife in right side, at noon (fourteenth day); (sixteenth day), 4.
• Pain like a knife in left side under the ribs (twenty-first and twenty-seventh days), 4.

HEART AND PULSE

• Heart. [390.]
• Palpitation of the heart (ninth day); palpitation of the heart, with transient flushes of heat (eleventh day); sinking of the heart, which beats softly as if in water (twelfth day); slight palpitation of the heart (twentieth day); palpitation of the heart, from the least exertion (thirty-fifth day); palpitation of the heart at 9 P.M. (thirty-fifth day); palpitation and jerking of the heart at intervals, worse during the flush of heat, and especially after drinking stout (forty-first day); palpitations; jerkings of the heart, in the evening (forty-fifth day); palpitation of the heart, violent and visible, prolonged after running upstairs (forty-ninth day); palpitation of the heart after drinking beer, increased by paying attention to it (fifty-first day); beatings of the heart at intervals, without any apparent exciting cause, with the heat (fifty-ninth day); heart still palpitated violently and irregular at times, with a bellows' sound; after a dose of Spig. 3-3d, the heart became quiet (fifty-nine day); flushes of heat in floods from the back (sixty-first day); heart's impulse strong; pulse irregular (one hundred and seventy-seventh day); uneasiness over heart, palpitation intermittent; jerking whilst lying down or sitting (one hundred and seventy-eighth day); uneasiness over heart, it flutters slightly, especially after quick exertion, chiefly in the afternoon (one hundred and eightieth day); heart's impulse strong (one hundred and eighty-first day); heart's impulse strong, jerking , especially after exertion, or ascending stairs, and during digestion (one hundred and eighty-second day); the action of the heart full, and sharp strokes at times, irregular, beating rapidly eight or ten times, then slowly; (like arnica heart), 3.
• Pulse.
• Accelerated full pulse, 9f.
• Circulation perceptibly accelerated, 6.
• Pulse 70, weak, low, and irregular (fourth day); pulse 78, irregular; afterwards 80, low and weak; subsequently sinks to 70, irregular (ninth day); pulse 90, strong, in the evening (twelfth day); pulse 82, full; afterwards 74; strong, very irregular ; very compressible during the flush (sixteenth day); pulse 96-100, very irregular (eighteenth day); pulse very irregular , 66, weak, low, and occasional quick, full beats, compressible ; afterwards 70, very irregular, strong, the narrow, compressible (nineteenth day); pulse 58-60, with occasional powerful quick beats, in the morning; rises to 88 after dinner; 70 in the evening (twentieth day); pulse 52-6, compressible, very irregular; afterwards 90, followed by moisture on the skin, in the morning subsequently narrow (twenty-second day); pulse 88, irregular in the morning (twenty-fourth day); pulse irregular, 82-88, compressible, narrow, occasionally strong (twenty-seventh day); pulse very irregular, compressible (thirtieth day); pulse strong, compressible, irregular (thirty-first day); pulse 72, very irregular, compressible (thirty-second day); pulse narrow, compressible, 94, very irregular (now at 66, now 100) (thirty-second day); pulse full, very irregular, compressible, in the evening (thirty-second day); pulse accelerated in the afternoon (thirty-ninth day), .

NECK AND BACK

• Neck.
• Nape of neck on right side much swollen from the spine to the mastoid process, and left maxilla slightly enlarged; the swelling in not tender, but pressive and hot, the head is with difficulty rotated, but without pain, further than tension over the part which seems to press on the brain (one hundred and ninety-second day), 3.
• Stiffness and pain in muscles of neck and back, on rotating the head (thirty-third day), 3.
• Painful stiffness of the cervical muscles, extending towards the ears and temples, 14.
• Tensive pain in muscles of neck along left shoulder, over superior edge of shoulderblade (twenty-second day), 3.
• Uneasiness and sensation of heat over nape of neck, left side (one hundred and seventy-eighth and one hundred and eighty-third day), 3. [400.]
• Slight uneasiness in nape of neck, right side (one hundred and ninety-second day), 3.
• Uneasiness in nape of neck increased (one hundred and ninety-second day), 3.
• Shooting pain, extending from the cervical muscles of the left side up to the temporal region (after ten minutes), 12.
• Pulsation in nape of neck, and between shoulderblades, with heat (eleventh day), 3.
• Sensation of throbbing in nape of neck, in abdomen, and lumbar region (eleventh day), 3.
• Back.
• Tensive pains and pulsations in swelling, extending down left side of spinal column; the spine is not tender to touch or pressure, the uneasiness felt within , not externally (one hundred and ninety-second day), 3.
• Uneasiness and sensation of swelling in spinal cord and nape of neck, chiefly on left side, slight prickings and throbbings as if about to inflame, excited and increased by heat, especially of the sun; uneasiness in nape of neck and trembling heat, chiefly in left side below cerebellum, extending in a less degree down the spinal column to sacrum (twenty-fourth day), 3.
• Posteriorly , over left scapular region, an indistinct mixed murmur and purring sound, similar to that which has been supposed to depend on muscular contraction, and often associated with rheumatism (like Spigelia); this sound is not heard at all anteriorly; laterally , on la line with left nipple, when the inspiratory inflation has been about half completed there are two most distinct inspiratory jerks, but nothing of the tubular whiff; a similar jerking inspiratory murmur, very distinct below left nipple, over seat of pain, but on right side no such jerking to be discovered, either anteriorly or posteriorly (forty-eighth day), . [Examined by Mr. Wilson.]

EXTREMITIES

• The left arm (and foot slightly), however, continued affected, it easily becomes chilled and numbed in the cold, despite gloves, friction or motion; the fingers, especially the third and fourth, are then bluish-white, the nails blue, with a sensation as if they were being rooted up; when brought into the warmth this hand is slow in recovering itself, and if held near a fire or in a heated room its vessels become distended much more than those of the right side, and in a cool temperature this is some time in disappearing; the arm, too, is easily numbed, even to a sensation as of temporary paralysis, by leaning or lying upon it; if held up when the vessels are distended they suddenly become empty, and again immediately refill on its being brought down (seventy-sixth day), 3.
• Jerkings in the limbs and starts in the muscles, increased to contortion and writhing of the whole body, during the pains; straining and stretching of the facia and muscles; jerking off the chair upon the floor (one hundred and seventy-fifth day), 3.
• Weariness and aching in left extremities and sole of left foot (one hundred and seventy-fourth day), 3.
• Uneasiness in the extremities and vibrations along the course of the nerves, better after motion in the open air, 14. [420.]
• Aching in left leg and arm, and in sole of left foot (one hundred and seventy-third day), 3.
• Aching in left extremities (muscular), and in sole of left foot (one hundred and seventy-fifth day), 3.
• Aching in left limbs and sole of left foot during the pains (one hundred and seventy-sixth day), 3.
• Fulness of hands and feet (thirty-third day), 3.
• Tremulous tingling, dry, in palms of hands and feet (thirty-fifth day), 3.

SUPERIOR EXTREMITIES

• Loss of elasticity in vessels of left arm (sixty-first day), 3.
• Excessive weakness and beaten sensation inside left arm and in triceps (tenth day), 3.
• Bruised, beaten sensation in muscles of the arms, chiefly in triceps of left arm (ninth day), 3.
• Bruised, beaten feel in muscles of the arms (ninth day), 3.
• Left arm weak and easily fatigued (forty-eighth day), 3. [430.]
• Aching pains down left arm, and in knuckle-joint of its forefinger (forty-eighth day), 3.
• Aching pain as if bruised down left arm (forty-ninth day), 3.
• The arm was easily numbed by the slightest cold or by resting it upon anything, causing tingling pricking numbness (sixty-first day), 3.
• Left arm numb and heavy, weary (sixty-first day), 3.
• The right arm down to the thumb feels numb, 14.
• The arm felt bruised (sixty-first day), 3.
• Fatigue in left arm (one hundred and seventy-ninth day), 3.
• Shoulder.
• Shoulder-strap falls over left shoulder (as if it were emaciated), ( constant from commencement ), the same suspender, if removed to right side, does not move from its place (forty-eighth day), 3.
• The left suspender falls over the arm (seventy-sixth day), 3.
• Uneasiness in left shoulder, above superior edge of shoulderblade, and tensive pain (forty-seventh day), 3.
• Arm. [440.]
• Aching in belly biceps of left arm when extended or touched (forty-second and forty-third days), 3.
• Forearm.
• Weakness in forearms (seventh day), 3.
• Hands.
• Hands ruddy and their veins distended (twenty-second, twenty-ninth, and following days), 3.
• Hands red, and the veins distended painfully, especially in left hand, which empties on raising the arm, but becomes painfully distended on depressing it (forty-first day), 3.
• Hands red, with distended veins, particularly in left hand (forty-fifth and forty-ninth days), .

INFERIOR EXTREMITIES

• Knee.
• Pain in knee, with stiffness of leg, impeding walking, 9f. [450.]
• Aching rheumatic pain, from right knee to ankle, externally, when walking (sixteenth day), 3.
• Aching in knee-joints, especially the left, when sitting near the fire; it disappears on walking , or sitting in the cool (one hundred and seventy-sixth day), 3.
• Aching in knee-joints, especially the left, whilst sitting with them near the fire; it disappears on removing to a cool place, or by walking (one hundred and seventy-ninth day), 3.
• Aching in knees when near the fire (one hundred and eightieth day), 3.
• Aching pain around outer angle of left knee, in front, lightly stiff in walking (one hundred and ninety-second day), 3.
• [Sensation (painful), as if internal ligaments and covering of right knee were loosened, on stepping; transient, in the morning] (fifth day), 3 . [Did not appear again; symptoms inclosed thus [] are doubtful.]
• Legs.
• Heaviness and fatigue in the legs, in the morning on awaking, as after excessive walking (forty-ninth day), 3.
• He felt as if his legs were not his own, and could not trust himself to walk, 16.
• Slight weariness in right leg (one hundred and seventy-third day), 3.
• Foot.
• Trembling of the feet (after ten minutes), 12.

GENERALITIES. [460.]

• A strong odor of medicine from the breath and skin, and especially from the palms of the hands, which felt, he said, "sticky," 16.
• Emaciated (thirtieth day), 3.
• Writhing and muscular contortions during the pains (one hundred and seventy-sixth day), 3.
• Tremors and slight chilliness (one hundred and seventy-fourth day), 3.
• Tremblings (third and following days), 4 ; (thirty-fifth and forty-first days), 3.
• Startings during the pains (one hundred and seventy-fourth day), 3.
• Weakness, 1 ; (thirtieth day), 3.
• Weakness and trembling (seventeenth day), 3.
• Sensation of weakness and easy fatigue, after walking about the room (first day), 2.
• Debilitated muscular power, cannot clench the fist (one hundred and seventy-third day), 3. [470.]
• Weariness (twenty-eighth and thirty-second days), 3.
• Weariness and fatigue from the least exertion, especially muscles of arms and hands, chiefly on left side (thirtieth day), 3.
• Tired feeling of insufficient, unrefreshing sleep (eighth day), 3.
• Weary and prostrated and unsteady in the feet, on waking (first day), 2.
• Tired and prostrated, next morning, 6.
• Weariness in the evening, with stretching and yawning, 14.
• Weariness, tired feeling all over, especially in left arm (one hundred and eighty-second day), 3.
• Fatigue after walking (forty-third day), 3.
• Languor, with sleepiness, in the morning (seventh day), 3.
• Listlessness and languor (ninth day), 3. [480.]
• Languor and oppression, weariness and lassitude (tenth day), 3.
• Languor (sixteenth and seventeenth days), 3 ; (twelfth day), 4.
• Languor, debility, feel ill (eighteenth day), 3.
• Languor, weariness (twentieth day), 3.
• Great languor (one hundred and eighty-third day), 3.
• Languor for some weeks past (one hundred and sixty-ninth day), .

SKIN

• Objective.
• Skin dry (no sweat), pale and cold, with empty vessels, followed by clammy sweat (nineteenth day), 3.
• Skin dry, as if washed in acid water (twentieth and twenty-first day), 3.
• Skin dry, as if washed in acid water, on hands (forty-seventh day), 3.
• Skin pale, bloodless, at intervals in the afternoon (forty-ninth day), 3. [520.]
• Skin peels off the nose in dry patches (eighth day), 3.
• Numerous black pores on the face (one hundred and seventy-first day), 3.
• Eruption of smooth small spots, reddish on face, chiefly forehead (forty-fourth day), 3.
• Spots reddish on the face, forehead, chin, and whiskers; they contain either water or white, thick, curdy matter (one hundred and seventy-first day), 3.
• Miliary spots on back, especially right shoulderblade and hip, which provokes scratching till they bleed, at 10 P.M. (thirty-fifth day), 3.
• Red spots on shoulderblades, with itching, bleeding when scratched, at 10 P.M. (forty-third day), 3.
• Small, conical, raised yellow pimple, with bright-red margin, on left arm, over deltoid ridge, containing white crudy matter; pustule on sacral region, just above coccyx, on left side, very red margin, with itching; it is broken and contains water, and afterwards a little blood oozes (one hundred and seventy-eighth day); throbbing, with redness in pustule, another appears close to it (one hundred and seventy-ninth day); itching where the first pustule had been; it is still red, and a third, smaller, has appeared close to it (one hundred and eighty-third day); the pustules not yet healed; they itch and are sore when the scabs are pressed upon; around the scabs redness; pustules containing serum above and behind left ear (one hundred and ninety-second day); similar slight elevations of cuticle, sore to the touch, appeared on the left scalp during the earlier proving at times, but the hair did not fall off (one hundred and ninety-second day), 3.
• Itching in the skin (thirty-fifth day), 3.
• Itching in skin of nose, in the morning (twenty-ninth day), 3.
• Itching between the right thumb and index finger, where there is a small red spot, that reappears after pressure, and obliges scratching; towards evening another red itching spot, of the same kind, appears in another place after the first has disappeared (second day), . [530.]

SLEEP

• Sleepiness.
• Feeling of sleepiness in the cold, 9f.
• Sleepy and without thought, 1.
• Sleepiness in morning, with languor (seventh day), 3.
• Sleepiness in afternoon and at 6 P.M., with protracted sleep at night (till 1 A.M.), (seventeenth day), 3.
• Sleepiness after a walk, in the evening (twenty-third day), 3.
• Fell asleep after breakfast (one hundred and eighty-second day), 3.
• Sleepiness in daytime (one hundred and ninety-second day), 3.
• Sleep at night long and sound, on the next day was sleepy, and especially weak in the feet (first day), 2. [540.]
• Sleep prolonged in morning, with difficult arousing from falling suddenly asleep again, with vivid dreams (eighth day); sleep prolonged in morning, with vivid dreams (fifteenth day); sleep prolonged in morning (eighteenth day); sleep prolonged in a half-waking sleep, with vivid dream of having already risen and dressed; dream influenced by occurrences in next room (twenty-third day); sleep prolonged with light sleep, difficult arousing; dreams vivid; amorous dreams, in the morning (twenty-eighth day); sleep prolonged; many dreams, never disagreeable or frightful (thirtieth day); sleep prolonged in morning; many most agreeable dreams; amorous dreams (thirty-third day); sleep prolonged; many vivid dreams (thirty-fourth day); sleep prolonged in morning; vivid agreeable dreams (thirty-sixth day); sleep prolonged; vivid dreams, in the morning (thirty-seventh day); prolonged, with agreeable vivid dreams (thirty-eighth day); sleep prolonged; vivid agreeable dreams of recent events (forty-second day); sleep prolonged (forty-fifth day); sleep prolonged; dreams of personal diseases and injuries (forty-ninth day), 3.
• Sleeplessness.
• Wakefulness at night, but fall asleep soon and easily (thirty-second day), 3.
• Sleep interrupted by startings of the limbs, and lying awake greater part of the night from sleeplessness (one hundred and seventy-fifth night), 3.
• Dreams.
• Many dreams; dream of falling from a great height (forty-eighth day), 3.
• Sleep prolonged; dreams many and vivid (thirty-second day), 3.
• Dreams vivid, in morning; sleep prolonged, like half-sleep; difficulty in arousing oneself (seventeenth-day), .

FEVER

• Chilliness. [550.]
• Chilliness, with cold skin, extending to the upper arms, 1.
• Chilliness, inability to sustain the animal heat, even in bed; sensibility, especially down the spine , to the least draught; left arm and leg too easily chilled and numbed by lying on them; want of elasticity in the vessels (one hundred and seventy-seventh day), 3.
• Feeling of cold and rigor (after ten minutes), 12.
• Coldness of the body (nineteenth day), 3.
• Coldness in the whole body, in the morning; heat after dinner in flushes (twentieth day), 3.
• Coldness all over the body, without flushes of heat, during the day (twenty-first day), 3.
• Coldness, and dry white shrunken skin (twenty-second day), 3.
• Coldness in morning; sensation of cold wind in lumbar region (twenty-ninth day), 3.
• Coldness in morning, especially hands and feet; those of left side feel icy cool, benumbed; sensation of cold wind in lumbar region, coldness in the morning (thirty-sixth day), 3. [560.]
• Sensation of internal coolness, though not amounting to shivering, as if seated in the interior of the back, 1.
• General diminished warmth over the whole body, 1.
• Shivering a few times (soon after 10 drops), 1.
• Chilliness in the back, with cold hands and finger tips, 1.
• Chilliness in the back, with cold hands, in the morning (second day), 2.
• Almost constant chilliness, deep in the spine (first day), 2.
• Cold creeping over the back, with nausea, salivation, inclination to urinate pressure in the stomach, and rumbling in the bowels, 1.
• Frequent coldness over the back, 1.
• Coldness several times, in the interior of the spine, with a sensation as if a soft stool would follow (first day), 2.
• Sensation of cold air over lumbar region (nineteenth and twenty-third days); in the morning (forty-fourth day), 3. [570.]
• Creeping coldness, especially in the region of the lumbar vertebræ, thence extending upward and downward; the formerly warm fingers were cool, and the skin on the back of the hands was somewhat shrivelled, .

CONDITIONS

• Aggravation.
• ( Morning ), Confusion of head; cold in head; soreness of nose; on waking, heaviness and fatigue in legs; 6 A.M., local symptoms; sleep prolonged; coldness.
• ( Evening ), Towards night, soreness of nose; pain in hypogastric region; 6 P.M., tingling in prepuce; 9 P.M., local symptoms; heat.
• ( Blowing nose ), Pain in left chest.
• ( Changing position ), Pains in penis.
• ( Cold ), Pains.
• ( Drawing in walls of abdomen ), Sensitiveness.
• ( Emotion ), Pains in penis.
• ( Exertion ), Heat.
• ( Inspiration ), Tightness across chest; pain in left chest; sound under left clavicle; pain in left breast.
• ( Deep inspiration ), Gnawing in right hypogastrium.
• ( Leaning forward ), Dull pain through left chest.
• ( Lifting leg ), Sensation in abdomen.
• ( Moving arm ), Pain through left chest; aching in left clavicle.
• ( Music ), Faintness.
• ( Pressure ), Pressure between stomach and navel.
• ( Rising from sitting ), Giddiness.
• ( Sitting wear fire ), Aching in knee-joints.
• ( After sitting ), Leucorrhœa.
• ( Speaking ), Cough.
• ( Stooping ), Vertigo; sensation in abdomen; oppression in left chest; faintness and vertigo.
• ( Stout ), Palpitation.
• ( Sunbeams ), Head symptoms.
• ( Walking ), Shooting in right hypochondrium; pain in knee; heat.
• ( Cold water ), Penis symptoms.
• ( ), Vertigo.