Veratrum Viride

American or Green Hellebore. Melanthraceæ.

This species of Veratrum is found from Canada to the Carolinas, growing in swamps, wet meadows and along mountain crecks.

The tincture is prepared from the fresh root gathered in Autumn.

Introduced by Burt, proved by him, Hale's New Rem., p. 1033 ; Am. Obs., vol. 7, p. 1870 ; Berridge and Lillie, N. A. Jour. of Hom., N. S. , vol. 2 (1872), p. 505 ; Sullivan, Allen's Encyclopædia, vol. 10, p. 97.

CLINICAL AUTHORITIES.

• Insanity , Briry, N. E. M. G., vol. 6, p. 429 ; Congestion of brain , Palmer, N. Y. S. Tr., pp. 635-641 ; Cerebral and cerebro-spinal affections , Hale, N. A. J. H., vol. 15, p. 576 ; Diseases of fundus oculi , McGuire, Hab. Mo., Aug., 1881, p. 449 ; Gastric disorder , Winterburn, T. H. M. S. Mich., 1888 ; Cholera morbus , Griley, A. J. H. M. M., vol. 3, p. 17 ; Amenorrhœa , Hale, N. A. J. H., vol. 8, p. 409 ; Abortion , Hale, N. A. J. H., vol. 8, p. 410 ; Puerperal convulsions , Kitchen, Raue's Rec., 1870, p. 271 ; Hand, N. Y. S. Tr., 1871, p. 295 ; Younghusband, A. H. O., vol. 5, p. 466 ; Puerperal fever , Hale, N. A. J. H., vol. 8, p. 411 ; Puerperal peritonitis , Brown, Med. Union, vol. 1, p. 42 ; Puerperal complication , Winterburn, T. M. S. Soc. Mich., 1888 ; Hah. Mo., vol. 24, p. 320 ; Pneumonia , Drasche, B. J. H., vol. 26, p. 135 ; Briry, N. E. M. G., vol. 4, p. 451 ; ---, A. H. O., Sept., 1873, p. 468 ; Turrell, Med. Inv., Jan. 1871, p. 149 ; Bilious pneumonia , Dayfoot, A. H. O., vol. 10, p. 468 ; Acute synovitis (4 cases), Moore, B. J. H., vol. 25, p. 256 ; Spasms , Small, U. S. M. and S. J., vol. 7, p. 159 ; Williamson , T. H. M. S. Pa., 1873 ; Chorea , Winterburn, T. H. M. S. Mich., 1888 ; Cooper, B. J. H., vol. 34, p. 272 ; Malarial fever , Morse, M. I., vol. 2, p. 359 ; Remittent and bilious fevers , Pope, N. A. J. H., vol. 9, p. 99 ; Rheumatism , Searle, A. H. O., vol. 10, p. 111 ; Hasbrouck, A. H. O., vol. 10, p. 255 ; Dayfoot, A. H. O., vol. 10, p. 468 ; Greenleaf, Hasbrouck, Dayfoot, A. H. O., 1873, pp. 256, 468 ; Erysipelas , Searle, A. H. O., vol. 10, p. 111 ; Erysipelas of face , J. W. E., Am. Hom., vol. 1, p. 115.

MIND [1]

Stupefaction ; congestion.

Mental confusion, loos of memory ; vertigo. θ Cerebral hyperemia.

From sudden cerebral congestion : quarrelsome delirium ; great mental depression and fear of death ; semi-stupor, sometimes complete coma ; puerperal convulsions ; insanity.

Puerperal mania : silent, suspicious ; will not see her physician, he seems to terrify her ; fears being poisoned ; sleepless, can hardly be kept in her bedroom.

Depression of spirits.

Loquacity, with exaltation of ideas, or an exalted opinion of her own ideas and powers ; everything seems clear to her ; now clearly understands former mysterious things ; wants no medicine, as that will restore her to former condition ; at times tlaks and laughs ; some days laughter is constant ; talks long about one thing ; persists in talking and will pay no attention to what is said to her ; will not answer questions ; knows all that is going on about house, does not want anything said that she cannot hear ; lies in bed and does not want to get up long enought to get clothes changed ; says head feels bad ; eyes red, vision not affected ; appetite poor, or capricious ; bowels torpid ; limbs cold and moist ; pulse small and frequent. θ Insanity.

SENSORIUM [2]

Sunstroke, with prostration, febrile motion, accelerated pulse.

Headache, with vertigo, dimness of vision and dilated vessels.

Head felt full and heavy.

Vertigo : with nausea ; with vomiting as soon as he rises.

INNER HEAD [3]

Frontal headache : severe ; with vomiting ; dull, with neuralgic pain in right temple, close to eye.

Headache from nape of neck, with vertigo, dim vision, dilated pupils.

Congestion to head : from high living, abuse of stimulants ; during dentition.

Fulness in head, throbbing arteries ; increased sensitiveness to sounds ; buzzing in ears ; double or partial vision. θ Sunstroke.

Great pain, with fulness in head ; face much flushed ; burning in head ; spots`before eyes ; delirium or a kind of stupefaction.

Congestive headache from suppression of menses ; intense congestion, almost apoplectic, accompanied by violent nausea and vomiting.

Nervous or sick-headaches.

Intense cerebral congestion : feeling as if head would burst open ; with nausea and vomiting ; sudden spasms ; from plethora, vascular irritation, coup de soleil, alcoholic stimulants, teething in children, and from suppressed discharges ; weight or distension of head ; giddiness ; intense headache ; fulness and throbbing of arteries ; stupefaction ; increased sensitiveness to sounds, with buzzing, roaring, etc., and double vision.

Constrictive pain in head, increased by warm drinks.

Congestive apoplexy ; intense headache ; stupid, ringing in ears, bloodshot eyes, thick speech, hot head ; slow, full pulse, hard as iron ; convulsions ; dimness of vision, nausea and vomiting.

Cerebro-spinal congestion.

Acute inflammatory meningitis.

Meningitis ; high fever, intense congestion, later rolling of head or vomiting ; face haggard, cold, pulse slow ; breathing labored ; trembling, as if child were frightened and on verge of spasms.

Cerebro-spinal disease ; pulse quick and wiry ; pupils dilated ; muscles of back and neck contracted, drawing head back on shoulders ; delirium ; spasmodic cough ; finally tetanic convulsions every five or ten minutes, for five days ; opisthotonus ; cold, clammy sweat over body.

Cerebro-spinal disease in a child ; burning fever, frequent vomiting, cries out on attempt to move him, draws head backward, rolls up eyes, puts hand back of ears, rolls head from side to side, pulse wiry, rapid, 150 ; spinal column pungently hot and dry, with petechiæ.

A child, æt. 3 months, very much emaciated, head much enlarged and misshapen, drawn back, from contraction of spinal muscles is compelled to lie on side, eyes rolled upward, rolling of head, moaning and screaming, great heat in back of head and spine, respiration feeble and sighing, pulse 160 and feeble, watery diarrhœa, urine scanty and high-colored.

Basilar meningitis.

Cerebral irritation : threatening hydrocephalus.

OUTER HEAD [4]

Right side of head and face much swollen and covered with large blisters ; headache ; high fever ; no sleep ; no appetite ; intermitting attacks of nausea ; occasional vomiting of water drunk. θ Erysipelas.

Phlegmonous erysipelas of scalp ; red streak down centre of tongue, yellow at edges.

SIGHT AND EYES [5]

Double vision.

Photophobia and vertigo > by closing eyes and resting head.

Unsteady vision.

Dimness of vision : with dilated pupils ; from congestion of blood to base of brain, with nausea and vomiting ; when assuming erect position, with partial syncope ; walking brings on blindness, with fainting ; after loss of vital fluids.

Immense green circles appear around candle, which, as vertigo comes on, turn to red.

Amaurosis : from irritation or congestion of optic nerve ; from anemia.

Mrs. ---, æt. 32, never had any previous eye trouble ; vision good at all distances ; has always suffered from dysmenorrhœa, with severe cephalalgia just before or after menses ; for last six years has had occasional epileptiform convulsions, all of which were interrupted during her only pregnancy, and subsequent period of lactation ; child died when 9 months old, and with re-establishment of menstrual function occurred dysmenorrhœa, head pains and convulsions, latter more frequent than ever ; at menstrual period pain in orbital region, gradually extending backward through base to cord ; opisthotonos, body and limbs highly hyperæsthetic, consecutively, from above downward, following course of development of pain ; a few hours later these parts anæsthetic, followed by marked atrophic changes in muscles ; particularly in lower extremities ; sudden complete loss of qualitative vision of right eye, with contracted pupil ; vision of left eye only slightly hazy ; no pain or uneasiness in eyes until two days after loss of vision was noticed, when she had a severe attack of cephalalgia, lasting one week with unconscious state, fainting and vomiting, objects appearing like balls of fire before eyes ; aching in one or other eye constantly, < in evening, with appearance of stars, flashes of fire, etc. ; L. E. V. 15/30 ; R. E. V. = perception of light ; choroiditis circumscripta, a single nodule just external to macula ; nodule, and tissues between it and macula, having characteristic prominence and yellow-red color, while small lines and dots of choroidal pigment gave evidence of approaching atrophy in that tissue ; after Veratr. vir., R. E. V. 15/80 ; L. E. V. 15/15 ; circumscribed atrophy of choroid about same dimensions, remaining portions of choroid and retina in all respects normal ; no return of headache, dysmenorrhœa or convulsions, vision remaining good.

Mrs. ---, æt. 21, brunette ; brown irides ; good physique ; family history paraplegia, hemiplegia and apoplexy ; attacked six weeks ago with violent pain in small of back, and through pelvis ; burning as if boiling water were being poured over parts ; pain and violent cramping in calves and feet, with numbness and itching ; preceding these symptoms, violent cephalalgia beginning in nape and base ; < lying down ; scalp sensitive ; menses infrequent and scanty ; acute metritic cellulitis ; dull pain in left eye, with gradual failure of vision ; some heavy pain in left side of head, > by pressure, < by lying down ; L. E. V. 4/70 ; inspection of fundus shows a typical "congestion papille," papillary margins being entirely obscured, and presenting characteristic grey, woolly appearance ; both veins and arteries large and tortuous ; R. E. V. 15/20, with + 1/49 = 15/15 ; retinal veins markedly tortuous and dilated ; after Veratr. vir., R. E. V. 15/15 ; L. E. V. 15/40.

Became suddenly blind in upper half of visual field ; R. E. V. 15/15 ; L. E. V. 15/10 ; optic disk can be distinctly outlined ; only superior retinal vessels can be with difficulty traced.

Twitching in lids, contortion of eyes, rolling of eyeballs, paralysis of lids.

Traumatic erysipelas of lids ; excessive dryness with difficulty of moving them ; great heat in interior of eyes.

HEARING AND EARS [6]

Deafness from moving quickly, with faintness.

Roaring in ears, congestion ; nausea, vomiting.

Humming in ears and sensitiveness to noise.

Paralysis of auditory nerve, producing deafness.

Neuralgia of auditory nerve.

Acute otitis.

Ears cold and pale.

SMELL AND NOSE [7]

Profuse secretion of mucus from nose.

Itching first in right, then in left side of ala nasi.

UPPER FACE [8]

Face : cold, bluish, covered with cold sweat ; nose pinched, cold, blue ; paleness of lips and around alæ nasi.

Convulsive twitchings of facial muscles.

Face flushed ; cerebral congestion.

Right eye completely closed from inflammation and swelling of upper lid ; half of forehead and most of scalp on same side inflamed and covered with large blisters ; much pain ; restless ; sleepless ; fever ; headache ; tongue coated dirty yellow ; breath offensive ; no appetite ; at times considerable thirst ; nausea from one to three hours, seldom vomiting, and then of water drunk. θ Erysipelas bullosum.

Phlegmonous erysipelas of face and head ; furious delirium, screaming, howling, striking so that it required several to keep her on bed ; pulse high, strong ; no sleep for sixty hours ; tongue very red, inclined to a brown color on edges, with a red dark streak through centre ; about three-quarters of an inche wide.

LOWER FACE [9]

Mouth drawn down at one corner.

Lips dry ; mouth dry, or thick mucus in mouth.

TEETH AND GUMS [10]

Dentition ; cerebral congestion, excited pulse ; convulsions.

TASTE, SPEECH, TONGUE [11]

Tongue : white or yellow, with red streak down middle ; dry or moist with white or yellow coating, or no coating at all on either side ; feels scalded ; inclined to be dry.

INNER MOUTH [12]

A peculiarly characteristic odor of breath, not offensive, but reminding one of a faint odor of chloroform or ether. θ Malarial fever.

Dry lips and mucus of mouth thick ; dry mouth and lips all day.

Copious secretion of saliva.

PALATE AND THROAT [13]

Dryness and heat in throat, with severe hiccough.

Burning in fauces and œsophagus, with constant inclination to swallow.

Spasms of œsophagus, with or without rising of frothy, bloody mucus.

Sensation as of a ball rising into œsophagus.

Acute inflammation of whole length of œsophagus, with constant hiccough ; nausea and violent vomiting.

Acute spasmodic stricture of œsophagus.

APPETITE, THIRST. DESIRES, AVERSIONS [14]

Thirst.

HICCOUGH, BELCHING, NAUSEA AND VOMITING [16]

Hiccough : almost constant ; painful ; with spasms of upper part of œsophagus.

Heartburn, with bitter, sour rising.

Nausea : and vomiting, with cold sweat ; with dizziness, followed by heat of surface ; painful empty retching, with ejection of only a little bloody mucus.

Vomiting : long continuing ; of glairy mucus after food ; of blood ; of bile ; with inflammatory and cerebral diseases ; smallest quantity of food or drink is immediately rejected ; with collapse, very slow pulse and cold sweat.

SCROBICULUM AND STOMACH [17]

Sharp, flying pains in epigastrium and umbilical region, passing to pubes.

Excruciating pain covering space size of hand, in lower part of stomach.

Twisting tearing pain in stomach.

Intense drawing twisting pains in stomach, as if it were tightly drawn against spine, causing pain in dorsal region.

Pains culminate, every five minutes, in severe vomiting.

Acute gastritis.

Neuralgic or spasmodic affections of stomach, accompanied by vomiting, retching and excessive irritation.

Heartburn and sour eructations ; could take any form of hot food or drink, but a single mouthful of ice water would cause immediate vomiting, without much nausea, followed by empty retching often lasting for hours ; stabbing pain in dorsal region, sometimes extending through to umbilicus.

ABDOMEN AND LOINS [19]

Abdomen as if drawn in, following cramp in stomach.

Pain and soreness across abdomen, just above pelvis.

Pain in lower portion of bowels.

Neuralgic pains at right side of umbilicus, passing down to groin.

Cutting aching pains in umbilical region, with rumbling in bowels and desire for stool.

Enteritis, with high fever, great vascular excitement ; vomiting ; dark, bloody stools.

STOOLS AND RECTUM [20]

Stools : bloody ; black, in typhoid ; copious, light, mornings ; mushy, preceded and followed by cutting in bowels.

Acute enteritis, with high fever, dark and bloody stools.

Cholera and cholera morbus.

Purging and vomiting almost constantly from 1 until 10 P. M. ; lies doubled up with agony ; profuse cold sweat ; frequent attempts at vomiting, at same time watery stool mixed with small flakes of mucus ; burning in stomach which was cramped and felt like a stone to external pressure. θ Cholera morbus.

Hemorrhoids red or dark blue.

Neuralgic pains in rectum.

URINARY ORGANS [21]

Urine increased, pale, deposits a reddish sediment ; specific gravity diminished.

Acute cystitis, with fever.

MALE SEXUAL ORGANS [22]

Acute orchitis takes an erysipelatous nature.

FEMALE SEXUAL ORGANS [23]

Acute metritis and ovaritis, with a high grade of fever.

Pelvic cellulitis.

Congestion of pelvic organs, tenderness of uterus ; fever ; heat ; restlessness ; palpitation ; local or general hyperesthesia.

Menstrual colic, preceded by great congestion or troublesome strangury ; plethoric women.

Menstrual colic or dysmenorrhœa ; much nausea and vomiting ; plethora ; cerebral congestion.

Menses regular, preceded for three days by most terrible menstrual colic ; pains extend all over body ; face and head bloodshot ; pains running into head from neck ; pulsations in head, neck and carotids ; sight disappears at times, and at others everything is moving in confusion before eyes ; tongue feels heavy, but is clear and looks natural ; great thirst ; pulse full and bounding. θ Dysmenorrhœa.

Membranous dysmenorrhœa ; soreness as of a boil in uterine region.

Suppressed menses, with cerebral congestion ; plethora.

After being caught in a shower a few days before menses, chill, followed by intense fever, congestion to head, throbbing and fulness of carotid and temporal arteries, great heat of head with coldness of feet, intense pain in head, occasional delirium, pulse 120, hard and full. θ Amenorrhœa.

Amenorrhœa from exposure ; chill, complete suppression of discharge ; heavy pressive aching in uterine region ; intense pain in head with heat, fulness and beating of arteries ; mind wandering ; hysteric sobbing and tendency to tonic spasms.

PREGNANCY. PARTURITION. LACTATION [24]

Vomiting during pregnancy.

Rigid os uteri during labor.

Puerperal convulsions during labor after blood-letting ; furious delirium ; arterial excitement ; cold, clammy sweat.

Intense congestion of blood to brain, blue, livid face, profound coma or wild delirium. θ Puerperal convulsions.

During nearly whole period of pregnancy, severe vomiting, constant nausea with severe burning pain in stomach, entire inability to retain food except a very small quantity of thin gruel or beef broth, these would often excite protracted vomiting ; constant pressure and confused feeling in head, with paroxysms of intense burning pain, prostration of strength, coldness of limbs, dryness of mouth, without much thirst ; pain and pressure in head, extending over entire head, with a confused feeling, partial loss of memory ; face flushed ; heat in head and face ; pulse wiry and increased in frequency ; dryness in mouth with some thirst, no pain except in head ; premonitory to convulsions, slight chilliness with a little nausea and twitching of muscles of face, followed by a rapid convulsed movement of muscles of body and limbs ; dilated pupils, difficult breathing, continuing with slight intermissions for fifteen minutes ; stupor from which she could not be aroused for fifteen minutes ; afterward pain and pressure in head, with nausea and faintness. θ Puerperal convulsions.

Violent convulsions setting in as head of child was passing through vagina, and continuing after expulsion of placenta ; face turgid, livid, expression hideous, great activity of arterial system ; violent clonic spasms.

Convulsions with mania, or mania continues after convulsions have ceased.

Puerperal mania : silent, suspicious and distrustful ; would not see her physician, his presence seemed to terrify her, feared he would poison her ; complete sleeplessness, could be with difficulty confined to bedroom.

After excitement during confinement, sixth day, semi-unconscious state, muttering to herself ; face hot and flushed, extremities cold ; pulse full and bounding, 160, temperature 105.5°F.

Puerperal fever : sudden suppression of milk and lochia ; intense fever, restlessness ; excessive pain, tenesmus, tympanitis ; skin cold and clammy ; quick, weak or bounding hard pulse, cerebral congestion and delirium.

After abortion, retained placenta ; high fever ; severe congestion to head ; abdomen distended and very tender over uterine region ; sudden cessation of profuse hemorrhage.

Sudden suppression of lochia on fourth day after labor, from exposure to a draft ; severe chills, mingled with and followed by intense fever ; bursting headache ; throbbing of arteries ; occasional delirium ; slight spasms ; tenderness of abdomen ; with sharp pain in uterus and ovaries ; breasts flaccid ; no secretion of milk. θ Puerperal fever.

Mastitis, with great arterial and nervous excitement.

VOICE AND LARYNX. TRACHEA AND BRONCHIA [25]

Membranous croup (after Aconite).

RESPIRATION [26]

Breathing : labored, must sit up, cold sweat on face : (In sick :) decreased from 40 to 16, pneumonia ; difficult, convulsive, almost to suffocation ; sensation as of a heavy load on chest ; patient has to sit up, cannot lie down ; cold sweat on face.

Oppression of chest ; anxiety.

COUGH [27]

Cough : short, dry, hacking ; loose, rattling ; < going from warm to cold.

INNER CHEST AND LUNGS [28]

Congestion of chest, with rapid respiration, nausea, vomiting ; dull burning in region of heart.

Pneumonia, pulse hard, strong, quick ; engorgement of lungs, with faint feeling in stomach, nausea, vomiting, slow or intermittent pulse.

After exposure, severe chills and headache, pain in right side, cough ; after five days, fever, quick pulse, pain in r. side of chest, cough, frequent and labored respiration ; profuse, bloody expectoration ; clear, bloody mucus. θ Pneumonia.

Tongue feels as if scalded ; violent nausea and vomiting every fifteen minutes ; soft mushy stool ; anxious oppression of chest ; high fever. θ Pneumonia.

Holding his side complaining that he cannot breathe ; cannot take a full inspiration ; stitching pleuritic pain, very severe in right side. θ Pleurisy.

High fever ; face flushed ; vomiting ; labored breathing and expectoration of pus and florid blood ; tongue has a red streak through centre. θ Pneumonia.

HEART, PULSE AND CIRCULATION [29]

In cardiac region : burning ; prickling ; dull aching.

Heart's beat : loud, strong, with great arterial excitement ; low and feeble ; fluttering.

Palpitation with dyspnœa.

Faintness and blindness : when rising from lying ; from sudden motions ; lying quietly.

Idiopathic and rheumatic peri-and endocarditis ; violent fever ; full, hard, bounding pulse ; congestion to head, without delirium ; throbbing carotids ; constant burning pain, with oppression of chest ; sensation as of a heavy load on chest ; heart's action violent and tremulous ; respiration rapid, labored and sighing.

Pulse : suddenly increases and gradually decreases below normal ; slow, soft, weak ; irregular, intermittent.

NECK AND BACK [31]

Aching in back of neck and shoulders.

Muscles of back contracted, drawing head backward.

Opisthotonos : arterial excitement ; hands and feet cold ; shocks in limbs ; congestion of brain and spine ; loss of consciousness.

Heat and redness down spine ; back of head hot ; spotted fever.

LOWER LIMBS [33]

Pain in either great trochanter when lying on it.

Much pain in hip joints and about condyles.

Lancinating pain in right hip.

Inflammatory rheumatism affecting knees, ankles and hips ; joints swollen, red, very painful and tender ; high fever ; loss of appetite ; much sweat without relief ; red streak down centre of tongue, white at edge.

After wrenching, knee tender and swollen ; severe pain preventing sleep ; excruciating jumping of limb, controlled by a splint. θ Synovitis.

Right ankle feels as if dislocated, can scarcely walk ; later left.

LIMBS IN GENERAL [34]

Rheumatism, especially in left shoulder, hip and knee ; high fever ; scanty, red urine.

Acute rheumatism ; knees, ankles, wrists and fingers much swollen and very painful ; some general fever ; tongue exhibited central red stripe with coated edges.

Flying pains : pains in joints ; shuddering. θ Rheumatism.

Galvanic shocks in limbs of great violence.

Cramps of legs, fingers and toes.

Pains, especially about condyles.

REST. POSITION. MOTION [35]

Lying : headache < ; doubled up, cholera morbus ; cannot, difficult breathing ; quietly, faintness and blindness > ; on back with thighs flexed on pelvis.

Rising : faintness and blindness.

Sudden motion : faintness and blindness.

NERVES [36]

Faintness after rising from recumbent position.

Trembling as if child were frightened and on verge of a spasm.

Convulsive motions of facial muscles. θ Chorea.

Chorea ; twitchings and contortions of body, unaffected by sleep, froth about lips ; champing of teeth ; difficult swallowing ; head jerking or continually nodding ; sexual excitement.

Violent spasms like galvanic shocks.

Convulsions : of all limbs, trembling of whole body ; coming on suddenly, frothing at mouth and violent jactitations of all voluntary muscles ; twitching and contortions of body, cramps in legs and fingers, ankles feel as if dislocated ; hysterical ; after scarlet fever, great dilatation of pupils, inability to sleep ; during dentition ; puerperal, with mania, which keeps on after cessation of spasms ; face flushed, pulse wiry, thirst ; epileptiform ; with opisthotonus, anemia from diarrhœa ; trismus.

Epileptiform convulsions, with high fever, pulse 190, rapid respiration, 76 in a minute, and much cerebro-spinal irritation.

Chorea in a woman, childless and subject to menorrhagia ; continual nodding of head, and violent convulsive action of one arm and jactitation of one leg.

Chorea of two months' duration, entire muscular system in a continuous and tumultuous motion, face worked into most horrible and ludicrous contortions ; head constantly jerking ; writhing of whole body, no sleep.

Chorea in a lady, æt. 30, constant moving of head, lower jaw, larynx and tongue, twitching of head, jerking of arms and lower extremities, when these symptoms subside she is attacked by violent palpitation of heart.

Chorea for a month ; movements continue in sleep ; throws about arms and legs while asleep ; is unable to hold a spoon ; speech affected, drops his words when speaking ; complains of pains in hands if he keeps them still for a few moments ; constantly "on move" as to his legs and arms ; since choreic movements showed themselves has been continually eating ; pain extending up arms and shoulders to head, and a like pain in legs.

A girl, æt. 13, began having choreic symptoms during her eleventh year ; at times quite well then for several days making faces ; bobbing head ; face livid and covered with cold perspiration ; pain in back of head, desire to press it against pillow ; pulse slow but heavy ; on attempting to rise makes a series of springs, apparently from impossibility of raising one foot from ground without lifting both.

A boy, æt. 13 ; St. Vitus' dance for four years ; began throwing arms and legs about before being put to bed, when spoken to harshly ; frightened by a chimney sweep previous day ; fractious, obstinate boy ; becomes much < when he cannot have his own way.

Paralysis ; tingling in limbs ; cerebral hyperemia.

SLEEP [37]

Sleeplessness.

Coma ; blue face ; spasms.

Restless sleep ; dreams of drowning ; of being on water.

TIME [38]

All day : dry mouth and lips.

From 1 to 10 P. M. : purging and vomiting.

TEMPERATURE AND WEATHER [39]

Going from warm to cold : cough <.

After exposure : chills and headache.

FEVER [40]

Coldness of whole body, cold sweat on hands, face and feet.

Chilliness with nausea.

Coldness with pale skin, flabby muscles ; quick but weak pulse.

Profuse, cold, clammy perspiration.

Irritative fever, with cerebral congestions, causing convulsions ; particularly in children.

Fevers during dentition, with irritation of brain, spasms or tendency to them.

Scarlatina, during first or febrile stage, when arterial excitement is intense, and there is cerebral congestion.

A girl, æt. 13, had been suffering with continued fever for ten days ; violent pain in back ; inclination to sleep most of day ; very sick at stomach ; black diarrhœa ; pulse varying from 98 to 110 during day ; pain and weakness in lower limbs. θ Typhoid.

A man, æt. 18 ; sick two weeks ; high fever ; pulse 120 ; face very flushed ; fulness with slight pain and great buzzing in head ; gnats and bugs flying before eyes ; inclined to jump out of bed ; talking at random ; slight bearing-down pain in bowels, attended with black diarrhœa ; great weakness in lower extremities, general prostration.

A girl, æt. 20 ; violent inflammation of bowels for three days ; pulse 110.

A girl, æt. 14 ; high fever ; face flushed, white spots as large as a quarter here and there.

Ephemeral fevers with vertigo, headache, dimness of sight, nausea and weakness.

Remittent and bilious fevers not dependent on miasmatic influences.

Congestive fevers of malarial districts.

A girl, æt. 9, unconscious for four or five hours ; complete anesthesia ; heart laboring tumultuously ; pulse weak at wrist, 150 per minute ; breathing panting and irregular ; extremities cold and clammy ; back and neck very hot ; complexion ashy pale, with purplish lips ; now and then a spasmodic twitching of arms and hands.

Cerebro-spinal fever in first stage.

Typhoid fever : pulse is full, hard, frequent ; pain violent in back of head ; delirium ; black stools ; constant talking and muttering unintelligibly, with open eyes ; squinting ; ocular conjunctiva injected ; secretion of yellow mucus at inner canthus ; nightly agglutination ; face pale with cold sweat ; boring occiput into pillow, jerking head backward, sometimes forward ; pupils dilated ; dropping of lower jaw ; corner of mouth drawn down on left side ; champing teeth ; tongue coated white ; red streak down centre ; beating of heart when turning over in bed, shaking left side of thorax ; pulse irregular ; urine dark and turbid, fetid, involuntary ; great restlessness ; constant moving, thrusting out one leg, then drawing it up ; position on back, with thighs flexed on pelvis ; picking at bedclothes ; subsultus tendinum, like galvanic shocks ; twitching of facial muscles.

Yellow fever ; intense fever with occipital pains, and vascular and nervous erethism, threatening convulsions ; development of local inflammations ; precordial distress ; vomiting with cold sweat on face ; great and sudden changes in pulse.

ATTACKS, PERIODICITY [41]

Every five minutes : pains culminate in vomiting.

For hours : empty retching.

For a month : chorea.

For four years : St Vitus' dance.

LOCALITY AND DIRECTION [42]

Left : vision hazy ; dull pain in eye ; heavy pain in head ; rheumatism in shoulder, hip and knee ; corner of mouth drawn down.

Right : neuralgic pain in temple ; head and face swollen, with blisters ; loss of vision ; inflammation and swelling of upper lid ; neuralgic pains from umbilicus to groin ; pain in chest ; lancinating in hip.

Right then left : itching in ala nasi ; ankles feel as if dislocated.

SENSATIONS [43]

As if head would burst ; as if boiling water were being poured over parts ; as of a ball rising into œsophagus ; as if stomach were tightly drawn against spine ; confused feeling in head ; tongue as if scalded ; as of load on chest ; as if ankles were dislocated ; as of galvanic shocks in limbs.

Pain : in orbital region ; in calves and feet ; in lower portion of bowels ; all over body from uterus ; into head from neck ; in right side ; in joints ; about condyles ; in back of head ; in lower limbs.

Intense pain : in head, with dysmenorrhœa.

Sharp pain : in uterus and ovaries.

Sharp flying pains : in epigastrium and umbilical region to pubis.

Excruciating pain : in lower part of stomach.

Violent pains : in small of back and through pelvis ; in back.

Lancinating : in right hip.

Cutting : in umbilical region ; in bowels.

Stabbing : in dorsal region, sometimes to umbilicus.

Stitches : pleuritic in right side.

Pricking : in skin.

Prickling : in cardiac region.

Tearing : in stomach.

Neuralgic pain : in right temple ; in stomach ; right side of umbilicus to groin ; in rectum.

Rheumatic pain : in joints.

Twisting pain : in stomach.

Drawing : in stomach.

Pressure : in head.

Heavy pain : in left side of head.

Bearing down : in bowels.

Constrictive pain : in head.

Cramp : in stomach ; in calves and feet ; of legs, fingers and toes.

Dull pain : in left eye.

Soreness : across abdomen ; as of a boil in uterine region.

Aching : in umbilical region ; heavy pressive, in uterine region ; dull, in cardiac region ; in back of neck and shoulders.

Burning : in head ; in fauces and œsophagus ; in stomach ; dull, in region of heart ; in chest ; in skin.

Fulness : in head ; in arteries.

Distension : of head.

Faint feeling : in stomach.

Numbness : in calves and feet.

Tingling : in limbs ; in skin.

Heat : in eyes ; in head and face ; down spine.

Dryness : in mouth.

Itching : in calves and feet ; in ala nasi ; in skin.

TISSUES [44]

Congestions, especially to base of brain, chest, spine and stomach.

Dropsy : with fever ; after scarlatina.

Violent pains attending inflammations.

Acute rheumatism with high fever, full, hard, rapid pulse, pains in joints and muscles ; scanty red urine.

Inflammatory rheumatism with gastric complications ; tongue coated on sides with a red streak through centre ; creeping chilliness ; aching in all bones, followed by headache and fever ; affects especially left shoulder, hip and knee.

Endo-and pericarditis ; cardiac oppression with passive congestion.

TOUCH. PASSIVE MOTION. INJURIES [45]

Rubbing : > pain and itching.

Sunstroke.

Pressure : > pain in head.

SKIN [46]

Itching of different parts from rubbing.

Tingling and pricking in skin.

Itching and burning of skin ; high fever.

Skin cold, clammy, bluish, insensible, shrivelled.

Eruptions, with intense fever.

Erythema and vesication of skin.

Phlegmonous and vesicular erysipelas.

Skin cold and moist, or hot and burning.

Scarlatina : with intense arterial excitement ; during febrile stage cerebral congestion or irritation of spinal centres ; convulsions, with greatly dilated pupils ; perfect sleeplessness ; sequela, as rheumatism, dropsy ; when inflammatory symptoms are present.

Measles during febrile stage, especially if pulmonary congestion is impending ; convulsions before eruption.

Smallpox before eruption ; cerebral congestion and excessive nausea, vomiting and great prostration.

In erysipelas, if cerebral symptoms should set in from metastasis of inflammation to brain, with hard, very full pulse.

STAGE OF LIFE, CONSTITUTION [47]

Full-blooded, plethoric persons.

Boy, æt. 5 ; rheumatism.

Girl, æt. 6 ; erysipelas.

Boy, æt. 7, delicate constitution, sickly aspect and color, has passed through several pulmonic attacks ; pneumonia.

Boy, æt. 10, scrofulous ; rheumatism.

Boy, æt. 11, suffering one month ; chorea.

Boy, æt. 13, suffering four years ; chorea.

Girl, æt. 13 ; chorea.

Girl, æt. 13, ill ten days ; continued fever.

Girl, æt. 14 ; fever.

Mr. H., æt. 18, ill two weeks ; typhoid fever.

Miss C., æt. 20 ; inflammatory fever.

Mrs. M., æt. 26, primipara ; puerperal convulsions.

Lady, æt. 30 ; rheumatism.

Man, æt. 35 ; rheumatism.

Widow, æt. 36, has tow children, since death of husband nervous and excitable, rather insane for years ; after an attack of erysipelas ; insanity.

Mrs. B., æt. 55 ; bilious pneumonia.

Young lady, strong and plethoric, after sweeping a cold, damp floor in her slippers ; amenorrhœa.

Mrs. G., delicate, after being caught in shower ; amenorrhœa.

Lady, middle-aged, sick five days ; erysipelas of face.

Lady, middle-aged, fleshy ; erysipelas of scalp.

RELATIONS [48]

Verat. vir . cured spasms from Strychnine .