Cereus grandiflorus, Haw. (Cactus grandiflorus, Linn.).

Nat. order , Cactaceæ.

Common name , Night-blooming cereus.

Preparation , Tincture of the flowers and young twigs.

Authorities.

1 , Rubini (translated by Dr. Ad. Lippe); 2 , Hencke, A. H. Z., 86, 173, proving with the 1st dil.; 3 , ibid., proving with the 3d.; 4 , ibid., proving with the 6th; 5 , ibid., proving with the tincture; 6 , Lembke, N. Z. f. H. Kl. 12, 2, proving with the tincture; 7 , Dr. John H. Fitch, The Medical Eclectic, 1, 190, proving with 7 to 20 drops of tincture; 8 , ibid., proving with one dose of 195 drops of tincture; 9 , Dr. Burt, West. Hom. Obs., 3, 239, proved 100 to 600 drops of the 3d dec. dil., under the name of "Cactus serpentarius."

MIND

Slight delirium at night; on waking up, it ceases for a time, but begins again as soon as he goes to sleep (seventh day), 1.
Talking nonsense while asleep at night; on a waking, he talks unconnectedly (tenth day), 1.
Love of solitude ; he avoids those around him who wish to comfort him (ninth day), 1.
Felt decided impulses to swallow large and unwholesome portions of medicine (first day), 8.
Continued taciturnity; he will not answer repeated interrogations (third day), 1.
Decided repugnance to take any more medicine (first day), 7.
Was affected with impulses to do something facetious, which were repelled (first day), 7.
Impulses to do something bordering on the grotesque (first day), 7.
Depression and languor during the whole day, 1. [10.]
Sadness, taciturnity, and irresistible inclination to weep (first six days), 1.*
Hypochondriasis and invincible sadness (first six days), 1.*
Profound hypochondria ; he is unwilling to speak a word (fourth day), 1.
Unusual melancholy , for which he himself can give no reasons (first four days), 1.
Anxiety returning in the evening (first fifteen days), 1.
Extraordinary irritability; the smallest contrariety puts him into a passion (fifteenth day), 1.
Feeling of semi-remorse at having done something wrong (first day), 8.
Feeling of having done violence to myself (first day), 8.
*Fear of death extreme and continuous; he believes his disease to be incurable (seventh day), 1.
Disposition to do deliberately whatever was undertaken (first day), 7. [20.]
Felt a considerable degree of difficulty in fixing upon anything settled or fixed in what he was pursuing; when conclusions were arrived at, however, they were to the mind quite satisfactory (first day), 7.

HEAD

Vertigo, from sanguineous congestions to the head (after ten days), 1.
On retiring to his room, felt some unsteadiness of gait, almost amounting to staggering, a reeling sensation, 7.
At night, sensation as if the brain was attached to the skull, grown fast (first day), 7.
Feeling of emptiness in the head (second day), 1.
Violent pain in the head, insufferable, from congestion to the head (fourth day), 1.
Excessive pain in the head, which causes such anxiety that he cannot stay in bed (first day), 1.
Pain in the head, with great prostration and weariness, 1.
Dull frontal headache (after four hours), (600 drops), 9.
Pressing pain in the forehead, day and night, for two consecutive days, 1. [30.]
In the evening, a constant pressing pain in the left side of the forehead, lasting until he went to sleep, and felt at night on waking twice (first day), 6.
Pressing pain in the forehead, increased by bright light, and on hearing loud voices or noises, 1.
Pressure in the forehead during the whole day, at intervals; worse in the room than in the open air (first day), 6.
Jerking-tearing in the forehead, and throughout the limbs (first day), 6.
Sensation of heavy weight in the right temple and on the right eyebrow, diminished by pressure, 1.
Strong pulsations in the temples, as if the skull would burst, 1.
Continued and tormenting pulsation in the temples and ears, which is exceedingly annoying, and causes hypochondriasis (first eight days), 1.
Pulsating pain in the temples, becoming intolerable at night (second day), 1.
Tensive pain in the vertex, which returns periodically every two days (in the first twenty days), 1.
*Pressing pain in the head, as if a great weight lay on the vertex, 1. [40.]
*Sensation of weight on the vertex, with dull pain, increased by the sound of talking and by any noise, 1.
*Heavy pain, like a weight, on the vertex, , .

EYES

Weakness of sight recurring periodically; objects appear to be obscured, 1.
Weakness of sight for many days in succession; objects appear as if clouded (first four days), 1.
Dimness of sight; at a few paces' distance he does not recognize his friends, 1.
At a short distance he does not recognize any one, not even a friend, 1.
Momentary loss of sight (first day), 1.
Loss of sight; there appear circles of red light before the eyes, which dim the sight (sixth day), 1.

EARS. [60.]

Pulsations in the ears, continuing day and night (first six days), 1.
Hearing diminished by the buzzing in the ears; it is necessary to speak in a loud voice to be understood (first day), 1.
Noise in the ear, like the running of a river, continuing all night (first day), 1.

NOSE

Dry and very unpleasant coryza; he must breathe, during the night, with his mouth open, 1.
Fluent and very acrid coryza, which makes the nostrils sore, 1.
Profuse epistaxis , which ceases in a short time, 1.*

FACE

Paleness of the face and emaciation (first six days), 1.*
Face flushed (after four hours), (600 drops), 9.
Face bloated (acceso) and red, with pulsating pain in the head (twelfth day), 1.

MOUTH

Fetid breath in the morning (third day), 1. [70.]
Scraping in the palate for an hour after taking (first day), 5.
Sensation of having swallowed something unpleasant (after quarter of an hour), 7.
For some minutes a soapy taste in the mouth (after one hour), 7.
Slimy, weedy taste, not so distinctly soapy as the night before (second day), 7.

THROAT

Felt an accumulation of mucus in the throat, which was expectorated (immediately), 7.
Constriction of the throat, which excites the frequent swallowing of saliva (eighth day), 1.
Scraping on the soft palate (6th dil.), (first day), 4.
Constriction of the œsophagus which prevents swallowing; he must drink a great quantity of water to force anything down into the stomach (sixth day), 1.

STOMACH

Appetite good, better than usual, 8.
At breakfast, appetite better than usual (second day), 7. [80.]
Great appetite, but weak and slow digestion (twentieth day), 1.
*Complete loss of appetite; he cannot take the least morsel of food (third day), 1.
Want of appetite and loss of the taste of food, which disappears after a few hours (second day), 1.
Want of appetite and nausea for many days; it is only by an effort that he can swallow a few mouthfuls (first fourteen days), 1.
Great thirst, which causes him to drink much water (first day), 1.
Nausea in the morning and all day long (seventh day), 1.
Copious vomiting of blood, 1.
Severe gastro-enteritis , cured in five days, 1.
Bad digestion; all food causes weight in the stomach, and so much suffering that he prefers to remain fasting, 1.
Very slow digestion; even after eight or ten hours the taste of the food rises up in the throat, 1. [90.]
Acrid acid in the stomach, which rises in the throat and mouth, and makes everything he attempts to eat taste acid (fourth day), 1.
A feeling of emptiness in the stomach, with good appetite and natural stool (fifth, sixth days), 5.
Sensation of something disagreeable at the stomach (second day), 7.
Sensation of violent burning in the stomach (first five days), 1.
Sensation of great constriction in the scrobiculus, which extends to the hypochondria, constricts them, and impedes respiration (fourth day), 1.
Sensation of heaviness in the stomach, 1.
Sensation of great weight in the stomach, which continues many days (during the first eight days), 1.
Sensation of weight in the stomach , which soon goes off, but reappears every time the medicine is taken (first fifteen days), 1.
Oppression and weight in the stomach (fourth day), 1.
*Strong pulsation in the scrobiculus (first eight days), . [100.]

ABDOMEN

Wandering pains in the umbilical region, which cease and recur periodically (fifth day), 1.
Sharp, cutting pains in the umbilicus (after half an hour), continuing about one hour after stool, 9.
Severe cutting pains in the lower umbilical and hypogastric regions, lasting about an hour (after thirty-five minutes), 9.
The abdominal parietes, when touched with the hand, impart a burning sensation, and are much hotter than the other parts of the body (third day), 1.
Borborygmus in the bowels, before the alvine evacuations, 1.
Slight pain in bowels (after four hours), (600 drops), 9.
Very violent pains in the bowels, almost causing him to faint, which continue, more or less, during the day (seventh day), 1.
Soreness, with distension of the abdomen (third day), 7. [110.]
Distressing sensation in the bowels, as if a serpent was turning round, here and there, in the bowels (fourth day), 1.
Sensation of painful constriction in the groins, extending around the pelvis, 1.

RECTUM AND ANUS

Swollen varices outside the anus, which cause much pain, 1.
Stool, followed by blood from piles (first day), 7.
Copious hemorrhage from the anus , which soon ceases, 1.
A peculiar sensation in the anus, as if the rectum was swollen; it caused a scraping during the stool and a prickling sensation (second and third days), 2.
*Sensation of great weight in the anus, and a strong desire to evacuate a great quantity; however, nothing passes (fifteenth day), 1.
Pricking in the anus, as from sharp pins, which ceases on slight friction, 1.
Great itching in the anus, which causes him to rub the part very often, 1.

STOOL

Morning, diarrhœa of very loose fæces, preceded by very great pain, eight motions from 6 to 12 A.M.; no motion in the afternoon (seventh day), 1. [120.]
Bilious diarrhœa, with pain in the abdomen; eight evacuations in one day (third day), 1.
Bilious diarrhœa, with four or five evacuations in one day, always preceded by pain (during the first eight days), 1.
Mucous diarrhœa, preceded by drawing pains; three motions in the day (twelfth day), 1.
Watery diarrhœa, very abundant each time; passages during the morning hours always preceded by pains and borborygmus (ninth day), 1.
Soft stool, followed by quite severe pains in the hypogastrium (after four hours), (600 drops), 9.
Mushy stool (after three hours), 9.
Dry, hard stool (second day), 9.
Evacuation of hard, black fæces, immediately on taking the remedy, in a man who had been constipated for some days; on the following day bilious evacuations (first day), 1.
Had with difficulty a hard stool; afterwards a discharge of fluid blood from the anus, which continued to drop a moment or two (second day), 7.
Constipation during all the first six days, 1. [130.]
Constipation, as if from hæmorrhoidal congestion, 1.
During the early part of the proving felt a tendency to constipation, with hard stools and bleeding piles; the bleeding after stools; after the second or third day this passed into a more loose condition of the bowels, mushy stools, and felt no more of the piles, 7.

URINARY ORGANS

Constriction of the neck of the bladder, which at first prevents the passage of the urine; but when he strains much he urinates as usual (tenth day), 1.
Redness at the orifice of the urethra, 8.
*Insupportable irritation in the urethra, as if he should pass water constantly, 1.
Heat in the urethra, which, increasing gradually, becomes insupportable (fifth day), 1.
Great desire to pass water, and though he tries a long time, he is unable to pass any at all (first day), 1.
Frequent desire to urinate, with an abundant flow of urine, each time, during the night (first six days), 1.*
Desire to urinate; after he had endeavored to do so for a long time he at last succeeds in passing water abundantly (first day).
*Urine very much increased; he must pass water very frequently, and each time discharges it in great quantity, 1.
Involuntary escape of urine in bed, at night, whilst asleep, at 5 A.M. (first night), 1. [140.]
Urine passed by drops, with much burning (fourth day), 1.
Urine more copious than usual (first four days), 1.
*Very profuse urine of a straw color (first day), 1.
Urine more scanty than usual (fifth and sixth days), 5.
Passed about half a pint of urine, having the odor of freshly drawn green tea (immediately), 8.
*Urine reddish, turbid, very abundant, 1.
Urine, on cooling, deposits a red sand, 1.

SEXUAL ORGANS

Male.
Tendency to congestion to the urino-genital system, early in the proving, 8.
Toward evening priapisms (first day), 8.
Just before retiring slight priapismal symptoms (first day), 7. [150.]
In one or two instances strong sexual desire, with priapisms, 8.
About 12 M. copious seminal emission, after strong sexual desire (third day), 8.
Female.
Pain in the uterus and its ligaments, periodically returning every evening, and increasing gradually until 11 P.M., when it is much worse; it then ceases until the following evening for many successive days (after fourteen days), 1.
Painful sensation of constriction in the uterine region, which gradually extends upwards, and in a quarter of an hour reaches the stomach, and causes the sensation as of a great blow in the veins, that makes the patient cry out, after which it rapidly goes off (on the first day after taking one globule of the 100th potency), 1.
Pulsating pain in the uterus and ovarian regions, like an internal tumor suppurating; the pain extends to the thighs, and becomes insupportable; then it ceases completely, and occurs on the next day at the same time, and so on, for many successive days (after fifteen days), 1.
Menstruation eight days too soon (it happened usually some days too late), (third day), 1.*
Menstruation scanty, and ceasing when she remains lying down, 1.
Menstruation of black, pitchy blood, rather abundant, 1.
Menstruation with most horrible pains, causing her to cry aloud and weep (fifth day), 1.
Very painful menstruation, accompanied by great prostration of strength; she is obliged to remain in bed for three days (eighth day), 1. [160.]
Menstruation, which was usually preceded by very strong pains, comes this time without any pain, and very copiously, 1.

RESPIRATORY APPARATUS

(Bronchitis speedily cured), 1.*
(Chronic bronchitis, with rattling of mucus, which, becoming acute in consequence of a cold, causes great anxiety and suffocation ; it is rapidly relieved, and the acute state ceases very soon), 1.*
(Chronic bronchitis, of many years' standing, with rattling of mucus, continuous day and night; oppression of breathing on going upstairs, and inability to lie horizontally in bed, which is rapidly cured), 1.*
Obstinate, stertorous cough, worse at night, 1.
*Spasmodic cough, with copious mucous expectoration, 1.
Dry cough, from itching in the larynx (first night), 1.
Cough, with thick expectoration, like boiled starch, and very yellow, 1.
Catarrhal cough, with much viscid expectoration, 1.*
Hæmoptysis, which soon ceases, 1.* [170.]
Congestive asthma, which soon passes away, 1.
Short inspiration (after first day), 6.
Short breathing when walking, also when going upstairs, with palpitation of the heart (fourth day), 5.
Oppression of breathing, as from a great weight on the chest (third day), 1.*
Slight oppression of breathing when walking (third day), 2.
Prolonged oppression of the respiration, with great anxiety (first eight days), 1.
Chronic oppression of the breathing, which increases in the open air, and soon goes off again, 1.
Difficult breathing (first day), 5.
*Difficulty of breathing; continued oppression and uneasiness, as if the chest were constricted with an iron band, and could not dilate itself for normal respiration (first eight days), 1.
Periodical attacks of suffocation, with fainting, cold perspiration on the face, and loss of pulse (first eight days), .* [180.]

CHEST

*Sanguineous congestion in the chest, which prevents him from lying down in bed (third day), 1.
(Pneumorrhagia, renewed every four, six, seven, or eight hours, accompanied each time with convulsive cough, and expectoration of two or three pounds of blood; is at once relieved, and ceases entirely in four days), 1.*
For a moment, at night, pain in the nerves, running from the left axilla to the pectoral region adjoining (first day), 7.
Sensation of constriction of the chest, as if bound (fourth day), 1.*
Constriction in the upper part of the chest, which hinders respiration (first fifteen days), 1.
*Painful sensation of constriction in the lower part of the chest, as if a cord was tightly bound around the false ribs, with obstruction of the breathing (sixth day), 1.
Feeling of constriction in the chest, which prevents free speech; and when forced to speak, the voice is low (weak), and hoarse (tenth day), 1.
Oppression of the chest, with loss of breath (first four days), 1.
Oppression in the left subclavian region, as if a great weight prevented the free dilatation of the thorax (fourth day), 1.
Pressive pain in the upper part of the side of the chest (first day), 5.
Sensation in the chest as if some one were pressing and holding it tightly; under the delusion that this was the case, the patient cried out, "Leave me alone!" (third day), 1. [190.]
A pressive pain in the chest, that impedes respiration and causes deep breathing; is worse in walking and on going upstairs; is very troublesome on account of palpitation of the heart, 2.
*Sensation of great constriction in the middle of the sternum, as if the parts were compressed by iron pincers, which compression produces oppression of the respiration, aggravated by motion (first ten days), 1.
Sharp, wandering pains in the thoracic cavity, very annoying, especially in the scapular region (first fifteen days), 1.
Pain in the left breast, which is increased by touching, and relieved by gently raising it (first twelve days), .

HEART AND PULSE

Increased action of the heart, and on walking, pulsation in the chest with anxiety; lasts the whole forenoon (first day), 5.*
Rapid, short, irregular beats of the heart, on rapid motion, 6.*
Several violent, irregular beats of the heart, on slow walking, rising from a chair, turning suddenly (fourth day), 6. [200.]
Several violent, irregular beats of the heart, with sensation of pressure and heaviness in the region of the heart (after one hour), 6.*
Many violent beats of the heart on walking the room slowly; with tightness of chest and deep breathing (second day), 6.
The beating of the heart and the pulsation of the chest were worse when lying on the back, more perceptible and audible than when lying on the side, together with anxiety and restlessness at night, 5.
Violent palpitation and pulsation in the upper part of the chest, at night in bed (first day), 5.
Fast walking does not cause palpitation of the heart; on the other hand, it is brought on by a rapid motion, such as suddenly stooping, or rising from a chair, as well as by any excitement (first day), 6.
The palpitation occurs very frequently during the day, and always at the commencement of any motion whatever, such as stooping, rising, turning around; but walking for some time does not bring it on; it is accompanied by an anxious sensation in the chest, rising into the throat (second day), 6.
*Palpitation of the heart, continuous day and night, worse when walking, and at night, when lying on the left side (first six days), 1.
Palpitation of the heart, on standing and sitting; anxious sensation in the heart (after first day), 6.
Palpitation, and feeling of oppression at the heart, on sitting, and lying in the evening, in bed, especially when lying on the back, 6.
The palpitation of the heart consists of small, irregular beats, with necessity for deep inspiration; slight excitement or deep thought is sufficient to produce this condition, 6.* [210.]
Nervous palpitation of the heart, augmented gradually on the occurrence of the catamenia, 1.
Dull, heavy pains in the region of the heart , increased by (external) pressure (second day), .

BACK AND EXTREMITIES IN GENERAL

Pain in the lower part of the muscles of the back on the right side, extending into the gluteals, in the morning before rising, continuing the whole day (third day), 5.
Toward evening, single violent pains in the limbs appear, but soon cease (second day), 6.
Drawing in the fingers, toes, knees, and ankles (fifth day), 6.

UPPER EXTREMITIES

After retiring, and before going to sleep, a drawing pain, for ten or fifteen minutes, in the left axilla and neighboring portion of the chest anteriorly, affecting the nerves, 7.
Sensation of great constriction in the shoulders, so that he could not move (fifth day), 1.
Tearing in the left shoulder-joint (6th dil.), (first day), 5.
Transient tearing pains in the joints, now in the shoulder, now in the elbows, now in the fingers, for the most part on the right side (fourth day), 5.
Painful weariness and heaviness of the arms (fifth and sixth days), 1. [230.]
Formication and weight in the arms, which cannot be raised freely; worse in the left arm, 1.
Pain in the muscles of the right upper arm, of the thorax, of the calves, of the soles of the feet, now and then during the day (second day), 5.
Numbness of the left arm, and troublesome pricking in the little finger (first night), 5.
Tearing through the left arm (first day), 6.
A drawing-tearing in the right arm, early in the morning, on waking, and lasting through the forenoon; after rising, it extends into the right side (6th dil.), (second day), 4.
Œdema of the hands, worse in the left, 1.

LOWER EXTREMITIES

Great weariness and heaviness of the legs, and unusual sleepiness in the morning, on rising, after a quiet sleep, lasting about two hours (second day), 2.
Violent pain in the right knee, extending from the knee-cap to the outer side of the leg; the slightest motion of the leg increased the pain; it awoke him at night; lasted an hour (first night), 5.
Pains in the knees and forehead, with necessity to inspire deeply, and single, irregular beats of the heart (after one hour).
(Œdema of the legs up to the knees; the skin is shining, and pressure with the fingers leaves an impression for a long time), 1. [240.]
(Œdema of the feet up to the inferior third of the legs, which soon goes off), 1.
Cramplike pain in the sole of the right foot, several times during the day, when walking (3d dil.), (third and fourth day), 3.

GENERALITIES

In the evening, the muscles did not accurately obey the will, whether owing to defective vision or other causes. Had noticeable ill-luck in performing accurately what he undertook in anything requiring precision, either on account of perfect sight or execution. Played a game of croquet very badly (second day), 7.
He cannot remain still when sitting; he throws his legs about here and there involuntarily, 1.
For several days, marked restlessness, and haste in his actions; he seemed to be too late everywhere, never to be in time, and always behindhand in his business; at the same time, agitation at the heart, with feeling of oppression, 6.
General weakness, so that he does not venture to speak, 1.
Great weakness for many successive days; he does not venture to walk at all, 1.
*Such great weakness, that he does not venture to do anything, not even to walk through the room, 1.
General weakness , with sadness and bad humor, 1.
Great corporeal depression; he does not trust himself to stand on his feet, 1. [250.]
Great prostration of strength , so that he must remain in bed, not feeling able to use his legs, 1.
General discomfort (fifth day), 5.
General malaise, and such weakness as to be unable to rise from his seat, 1.

SKIN

Dry scaly herpes at the outside of the right elbow, without itching, of one and a half inches in breadth (thirtieth day), 1.
A similar dry, scaly, herpetic eruption on the outside of the left elbow (after forty-eight days), 1.
Dry scaly herpes, two inches broad, on the left internal malleolus, without itching (after twenty-four days), 1.
A similar dry, scaly herpes on the right internal malleolus (after thirty-eight days), 1.
Every evening very troublesome itching, like the stings of insects, on the chest and abdomen, compelling one to rub; relieved in bed on going to sleep; it was not noticed during the day (third to sixth day). The same itching appeared even during the day and disappeared at evening (two provings), (first day), 2.
Itching on the abdomen and on the calves in the evening on undressing (3d dil.), (second day), 3.
Very violent itching, causing him to scratch the lower part of the tibia (after twenty-one days), 1. [260.]
Violent itching on the ankles (twentieth day), 1.

SLEEP AND DREAMS

Slept well every night during the whole time of the proving, 8.
Sleepiness as after severe illness (fifth day), 5.
Felt rather drowsy, laid down early, and slept well all night with his clothes on (first day), 8.
At about daylight, undressed himself, and went to sleep again (second day), 8.
Awoke, feeling refreshed; in fact, better than usual (second day), 7.
Awoke, feeling splendidly (second day), 7.
Restless sleep at night (fifth day), 5.
The forepart of the night sleepless on account of rush of ideas, afterwards restless sleep (second night), 5.
Interrupted sleep at night; the next morning he feels fatigued, as if he had not slept at all (twentieth day), 1. [270.]
He cannot sleep in the first hours of the evening, and when then he falls asleep he awakens suddenly (first eight days), 1.
Sleeplessness in the evening and at night, from arterial pulsations in the scrobiculus and right ear (second night), 1.
Sleeplessness at night, without apparent cause (first night), 1.
Protracted sleeplessness during forty-eight hours, with pulsations in both ears (third day), 1.
Sleep disturbed by voluptuous dreams and painful erections (first night), 5.
Had an erotic dream, with emission of semen (second day), 8.

FEVER

Slight shivering, which passes off quickly towards 2 P.M. (first day), 1.
General chilliness , so severe as to make the teeth chatter, which lasts three hours, and does not go off, although he lies down, and covers himself over with many blankets (first day), 1.*
Great chilliness towards ten in the evening (first day), 1.
Great coldness at night, which lasts half an hour (first day), 1. [280.]
Coldness in the back and icy-cold hands , which remained so for half an hour, although he took warm soup, and his face and hands became hot (after two and a half hours), 6.*
Burning heat, which causes shortness of breath and madness, so that he cannot remain quiet in bed; this heat succeeds the chill of three hours' duration, and continues during twenty hours (first day), 1.
Scorching heat in the course of the night, with much pain in the head, great dyspnœa, and inability to remain lying (first day), 1.
Great heat in the head, and heat of the face, as if he had been before a strong fire, which causes madness and horrible anxiety (first day), 1.
Insupportable heat in the abdomen, as though something burned him internally (after two days), 1.
Copious perspiration, which follows the hot stage (first day), 1.
Slight fever and pain in the head, which develops itself after a very short chill; it lasts but a short time, and terminates with slight perspiration, at 4 P.M. (first day), 1.
Quotidian intermittent fever, which recurs every day at the same hour for many successive days . At 1 P.M., a slight chill, then burning heat, dyspnœa, and very great pulsating pains in the uterine region, terminating in very slight perspiration. From 11 P.M. till 12 A.M., the next day, complete apyrexia (after thirteen days), 1.*

CONDITIONS

Aggravation.
( Morning ), After rising, pain in parietal bone; fetid breath; diarrhœa; early, on waking, tearing in right arm.
( Toward evening ), Priapism; pains in limbs.
( Evening ), Anxiety; pain in left forehead; itching on chest, etc.; on undressing, itching on abdomen, etc.; toward 10 o'clock, chilliness.
( Night ), Delirium; sensation in brain; pain in temples; cough in bed, palpitation, etc.; when lying on left side, palpitation of heart; heart, etc.
( Open air ), Oppression of breath.
( Ascending stairs ), Short breathing; pain in chest.
( After dinner ), Pulsation of cœliac artery.
( Bright light ), Pain in forehead; pain in right side of head.
( Lying on back ), Palpitation of heart, etc.
( Lying on back, with head touching pillow ), Pain in occiput.
( On occurrence of menstruation ), Palpitation of heart.
( Motion ), Constriction in sternum ; palpitation of heart.
( Rapid motion ), Palpitation of heart.
( Moving head ), Pain, etc.; in occiput.
( Noise ), Pain in forehead; weight on vertex.
( Periodical ), Pain in vertex; pains in umbilical region; pains in uterus, etc.; attacks of suffocation ; fever.
( Pressure ), Pain in region of heart.
( Raising head from pillow ), Pain in side of head.
( Rising from chair ), Beating of the heart.
( In room ), Pressure in forehead.
( Sound of talking ), Weight in vertex; pain in right side of head.

SUPPLEMENT: CACTUS. Authorities.

10 , Hahn. Month., 11, 1876, p. 509, W. McGeorge and M. B. Tuller, Report of Bureau of Mat. Med. to West Jersey Hom. Med. Soc.; 11 , E. Clark, M.D., U. S. Med. Invest., New Series, 11, 1879, p. 345.

Sensation of constriction of the heart, as if an iron band [Lippe in his Materia Medica and translation of Rubini makes this word rend "hand" wile in allen's Encyclopedia, and Hale's New Remedies, it is written "band."] prevented its normal movements, 10.
I inhaled the odor of recently prepared tincture, and immediately thereafter rode to see a patient. When I had ridden a mile I had an uneasy sensation in my stomach like food difficult of digestion, but soon after entering the sick-room thought no more of my stomach. Thirty minutes later found it difficult to cross the sidewalk to enter my carriage. After ten minutes more the vertigo had increased, there was stricture about the chest and stomach, pain in the heart and head. Arrived home and threw myself on the sofa. Now there was violent vertigo, causing me to stagger and reel; violent pain in the head, chest, and stomach; head felt full as if there were congestion. Pressing pain in the head, like a great weight on the vertex, pressing in the temples, pulsating in the temples, ears, and eyes, as if they would burst outwards. Weakness of sight, objects were not seen clearly; intolerance of light and sound. Tongue dry and coated, slime in the nares and throat, very thirsty, satisfied with small quantity of water at one time. Profound nausea, lay for hours with my bowl near me, retching many times, with copious discharge of mucus. Terrible pain in the stomach, with pressure from without in; constriction of the scrobiculus, extending to the hypochondria, and as high up the chest as the fifth rib, as if encircled by a hot iron cincture, having involuted edges of an inch in size, pressing more and more, from hour to hour, till respiration was most difficult and distressing. Some cough with much mucous expectoration, which greatly aggravated my sufferings. Attacks of difficult respiration, amounting almost to suffocation, with increasing hard and painful beating of the heart. The heart felt as if compressed violently, and as violently struggled to burst its bands. Pulse very irregular; could not suppress a groan, so great was my distress. At the same time severe pain in the spine, worse in the lumbar region, pressing down the glutei muscles to the inferior extremities. Tearing pains in the shoulders and arms; worse at first in the joints; after twenty-four hours worse in long bones. These symptoms increased for about twelve hours. Ipecac. was used for the nausea and the pain in the head; after several hours found no relief. Verat. vir. was taken with like nil results. Camphor was used in drop doses once in fifteen minutes for several hours, nil . A most miserable night was passed, not a symptom disappeared; but the nausea was less distressing, and the iron band was less distressingly close around me. The heart struggled less violently; the tongue was coated thickly, whitish; thirst considerable; the pains in the extremities remained unchanged. Three mushy motions from the bowels during the forenoon, with pain. During The second day I took Bryonia for the pain in the head with some relief. Night found me still in bed, unable to raise my head for vertigo; not a symptom had left its quarters, only a little less violent. During the second night I had a few hours of disturbed sleep, scared with dreams; awakened on the third morning somewhat refreshed, and was able to leave my bed for a few hours. All my remedies having failed to relieve the bone pains in my extremities, I now took Eupatorium perf., and was soon so far relieved that sleep came, to my great comfort. The fourth morning found me relieved of all severe suffering, but well in no part which had been seat of suffering. In about ten days the symptoms disappeared, and I look back upon the horrors of those days of anguish as one escaped from the greatest danger. I remained weak for several weeks, with frequent attacks of palpitations, .

CACTUS.