SPIGELIA.

Spigelia, anthelmia, L.

Natural order , Loganiaceæ.

Preparation , Tincture prepared from the powdered plant.

Authorities. (Nos.

1 to 21 , from Hahnemann, Mat. Med., 5).

1 , Hahnemann; 2 , Becher; 3 , Franz; 4 , Gross; 5 , Gutmann; 6 , Hartmann; 7 , Hermann; 8 , Hornburg; 9 , Kummer; 10 , Langhammer; 11 , Meyer; 12 , Stapf; 13 , Walther; 14 , Wislicenus; 15 , Bergius, Mat. Med., p. 97 (observation); 16 , Patrick Browne, Gentleman's Mag., 1751, p. 544, and Natural History of Jamaica, p. 156 (statements); 17 , Chalmers, on the Weather and Diseases of South Carolina, Lond., 1776, 1, p. 67 (observations); 18 , Linning, see Spigelia Marilandica; 19 , Martin, in Konigl. Vetensk. ak. Handlingar, f. a., 1771, (not accessible, -Hughes); 20 , W. Wright, in Samml. br. Abh. f. pr. Aerzte XIV, III (Lond. Med. and Phys. Journ. VIII, 217, observations, -Hughes); 21 , Sdin., from Helbig Heraklides, 1, 59; 21 a , Hg., ibid.; 22 , Sharp, Essays, effect of one drop of 1st cent. dil.; 23 , ibid., same dose; 24 , ibid., a third dose.

MIND

• Unnaturally joyful mood, 12.
• Lively, quiet, and contented mood without care, with all the pains and troubles, 7 . [For a long time before he was always solicitous and suspicious (secondary action, curative action). -Hahnemann.]
• Lively, contented, and trustful mood, alternating with palpitation and anxious oppression of the chest, 4.
• After the first day the mind was more active and lively than usual, 9 . [Curative reaction. -Hahnemann.]
• Uneasiness and apprehension; could not remain anywhere, 1.
• Could not enjoy himself with others, though at the same time he was not sad (after seven hours), 6.
• He sits as if lost in thought, and stares at a single point (after three hours), 9.
• Anxious forebodings, therewith inclination to a peevish, indolent mood, 2.
• Anxiety and apprehensive solicitude for the future (after ten days), 14. [10.]
• Deep thought about his future (after twenty-four hours), 10.
• Sad and peevish (with redness of the face), 1.
• Mood sad, at the same time very peevish, 1.
• Sad mood, at the same time despondency and fearfulness (after half an hour), 13.
• Gloomy mood for three hours, followed by a joyous and excited mood; gloomy again in the afternoon, 3.
• Earnestness; he is vexed if one jokes in the least with him, 5.
• Easily angered, 9.
• He is very peevish and sensitive about everything that does not seem good, for many hours, 11.
• Extreme ill-humor, in the evening; he could kill himself, with chilliness of the body (after eight days), 1.
• Mental indolence and great forgetfulness, 2. [20.]
• Lack of attention, 5.
• Every work associated with mental exertion is difficult, 7.
• Does not talk willingly (after seven and a half hours), 11.
• His memory seemed more trustworthy, and more active than before (after five days), 2.
• Great forgetfulness, loss of memory, .

HEAD

• Confusion and Vertigo.
• Confusion and emptiness in the head, in the upper part of the forehead; the scalp is very sensitive to touch, and the hair seems to bristle (after three hours), 3.
• Vertigo, as if he were intoxicated and had not a firm step (after fourteen hours), 10.
• Vertigo; after standing a few minutes he is in danger of falling, 1.
• Vertigo; whenever he looks down he thinks that he will fall over, 1.* [30.]
• Vertigo; on looking in front of him he is in momentary danger of falling forward, 11.
• Vertigo whenever he turns his head, in walking; but on looking straight ahead he feels nothing, in the open air (after five hours), 3.
• Vertigo; while walking he staggered, as if he would fall to the left (after four hours), 10.
• When walking he became dizzy; everything seemed to turn in a circle; he was obliged to stop; he seemed intoxicated, 1.
• Vertigo while sitting, standing, and walking (most tolerable while lying), the head sinks backward, with nausea at the palate, and discomfort in the abdomen and thorax; in the abdomen a pinching pain, with a sensation as if he would be obliged to go to stool, whereupon he loses all consciousness, 7.
• General Head.
• Heaviness and pain in the head on shaking it, 1.
• Dulness of the head, 1.
• Dulness of the whole head (after half an hour), 5.
• Dulness in the whole head, together with a pressure from within outward, in the forehead (after five days), 5.*
• Dulness in the whole head, in the evening; he seems quite confused, 3. [40.]
• Painful dulness in the head, 12.
• Constant dulness in the head, so that every work associated with reflection was difficult, 7.*
• Dulness of the head, especially of the right side, 21a.
• The head seems stupefied, as after smoking strong tobacco (after half an hour), 13.

EYE

• Objective.
• Yellow rings around the eyes, 9.
• Redness of the white of the eye, with injected bloodvessels, 20.
• Redness and inflammation of the white of the eye, in the morning; the lids are so heavy that he can scarcely open them, 3.
• Much hardened mucus in the eyes, frequently all day, 1.
• Great moisture in the eyes, without sensation, 1.
• The eyes are very weak, apparently with an internal impediment; wherever he turns them they remain, and he does not know what he is looking at, like one whose vision has vanished, 1.
• The eyes seem dim and weak, with unchanged pupils, 2.
• Eyes look dim and weak (after seven days), 14. [130.]
• Eyes appear bright and sparkling, as they generally do before the eruption of small-pox or measles, 16 . [Hahnemann's s. 105, revised by Hughes.]
• Eyes seem distended, 16 . [Original revised by Hughes.]
• Subjective.
• *The eyes hurt on motion, as if too large for their orbits, 11.
• *He could not turn the eyes in all directions without pain, 11.
• Pain in the eye, 17.*
• Pain as if sand were in the eyes, 1.
• Dry heat in the eyes in the afternoon, 9.
• Burning pain in the left eye towards the temple (after thirty-three hours), 5.
• Burning pain in both eyes, so that he was involuntarily obliged to close them, and could not open them for five or six minutes, with a feeling of anxiety as if he would never be able to open them again; on opening them after the pain had disappeared vision was prevented by a fiery sea of blood-red masses rising up, with lachrymation and great dilatation of the pupils; the vision returned (after fourteen days), 2.
• Sensation as though the eyes were watering, which was not the case, with slight pressure in them; the vision, however, is just as much affected as in lachrymation (after twenty-six hours), 7. [140.]
• Violent burrowing stitch in the middle of the eye and in the inner canthus, that does not prevent vision, but presses the upper lid downward (after seventy-four hours), .*

EAR

• External.
• Otalgic pain on the margin of the left concha (after twenty-two hours), 6.
• Drawing pain in the antitragus of the left ear, 4.
• Twitching in the right concha, 5.
• Pinching pain on the posterior portion of the right concha (after three-quarters of an hour), 6. [180.]
• Burning pain in the whole of the left concha, 5.
• Burning pain in the right concha, 5.
• Middle.
• Constant pain in the right ear, as if it would be pressed asunder (after fifty-nine hours), 5.
• Pressive pain within the right ear , that extended to the whole malar bone and the right molar teeth (after fifty-seven hours), 5.
• Pressing inward pain, gradually increasing in the auditory canal (after three-quarters of an hour), 6.
• Pressure as with a plug in the left ear (after half an hour), 4.
• Pressive pain in the left ear (after thirteen hours), 5.
• Drawing pain in the left ear, extending towards the malar bone, 12.
• Violent thrusting tearing in the right ear, several times, 6.
• Jumping sensation, as from the swashing of water in the ears, on stepping suddenly (after a quarter of an hour), 3. [190.]
• Recurrent paroxysms of jerking pain in the ear, extending to the eye and lower jaw (after twelve hours), 13.
• Boring stitch within the right ear (after forty-nine hours), 5.
• Boring dull sticking jerk within the ear, from time to time, that even shoots into the throat (through the Eustachian tube), 1.
• Itching-prickling sensation in the right ear (after seventy-seven hours), 5.
• Itching crawling in the right ear, 5.
• Itching sticking in the left ear, 5.
• Beating in the left ear, 5.
• The ears seemed closed, 1.

NOSE

• Objective.
• Tetter-like eruption, with soreness to touch, on and in the right nostril (after twelve days), 7.
• Frequent sneezing (after four hours), 10.
• Sneezing with discharge of bloody mucus, in the morning after waking, 12.
• Catarrh like a catarrhal fever; he was hoarse and hot to touch, day and night; without thirst and without perspiration, with prominent eyes; with profuse fluent coryza; violent headache and weeping mood, 1.
• Dry catarrh, after eating (after twelve hours), 10.
• Sudden coryza, at first dry and after four hours fluent, lasting twenty-four hours, 1.
• Fluent coryza, 21a.
• Mucus, at one time white, at another yellow, is discharged from the nose, at the same time also much mucus is discharged from the mouth (after seven days), 7. [220.]
• Stoppage of the anterior part of the nose, with profuse discharge of mucus through the posterior nares into the fossæ, for eight days, 7.
• Nose stopped for several days, 4.
• Subjective.
• Disagreeable sensation as from an impediment in the root of the nose, 11.
• Burning in the wings of the nose, provoking rubbing, but not relieved thereby, 21a.
• Tickling on the back of the nose, as if lightly touched by hairs, or as if a gentle wind were blowing across it, lasting a long time, 4.
• Sticking crawling in the nose, that obliges scratching, and then disappears for a short time, 3.
• Itching boring in the right nostril, so that he was obliged to sneeze (after seventy-eight hours), 5.
• When snuffing he had no irritation from tobacco in his nose, 2.

FACE

• When she awoke from the midday sleep the whole face was swollen, puffy, pale, and looked as if she had had a severe illness, without pain, tension, or other distressing sensation; the swelling entirely disappeared only after six hours, but reappeared greater than ever the next morning after waking, but more about the eyes, 12.
• The facial muscles seem distorted and swollen, in the morning on rising from bed, 3.
• Cheek. [230.]
• Dull pressure on the malar bone (after four days), 14.
• Burning pain in the right malar bone, 5.*
• A fine stitch in the left cheek (after four hours), 5.
• Burning pain in the left cheek, persistent (after twenty-seven hours), 5.
• A violent drawing stitch, extending from the right upper jaw to the crown (after half an hour), 6.
• Lip.
• Burning in the upper lip, 1.
• A blackish painless pimple in the red of the lower lip, 1.
• Constant burning tension in the upper lip, during rest, 5.
• Burning in the right side of the upper lip, even on touch (after fifty-two hours), 5.
• Chin.
• A great swelling on the left side of the chin, which itches during the midday nap (after twelve hours), 1. [240.]
• (A tensive pain in the articulation of the jaw), 1.
• Painful pressure on the right ankle of the lower jaw, 1.
• *Tearing in the lower jaw, extending to the ear and about it, as far as into the nape of the neck, so that he could not move the head without pain, 1.
• Pain as if the right side of the lower jaw would be torn out of its joint , only when chewing; when not chewing there remained a dull pain in the articulation of the jaw (after thirty-four hours), 7.*

MOUTH

• Teeth.
• Toothache, so that he was unable to sleep at night; it drove him out of bed; not during the day except just after eating, not while eating, 1.
• Toothache like a pressure outward , worse when lying on the right side; while eating and drinking he noticed nothing of it, but immediately afterward the tooth began to ache again; the pains frequently woke him at night, 1.*
• *Toothache caused by the customary smoke, in the evening, 1.
• Throbbing-tearing toothache, which is especially aggravated by cold water, disappearing on lying down, 1.*
• Pain in the left molars, 21a.
• Cramplike pain in the upper molars, so that when the mouth was closed the lower jaw seemed spasmodically pressed against them, 3. [250.]
• Gnawing pain in a hollow tooth, 3.
• Coldness of the upper teeth, with fine sticking jerking in them, 8.
• Drawing pains in a hollow tooth, 12.
• Painful jerks in the nerve of a hollow tooth , from the crown to the root, alternating with intervals of about ten minutes, worse in the afternoon; pain aggravated by taking water or drawing air into the mouth; tobacco-smoke seemed to relieve (after forty-eight hours), 14.*
• Intermittent jerking through both rows of teeth, but mostly in a hollow tooth (after a quarter of an hour), 14.*
• Bubbling pain in a left back tooth (after twenty and twenty-four hours), 13.
• Tongue.
• Tongue full of cracks , so that it seemed as if it would scale off, which, however, disappeared the next night (after five days), 2.*
• Blisters with burning sensation when touched, now on the tongue, now on the palate (after four hours and a half), 2.
• Tongue coated white, 1, 11.
• Tongue painful, as if swollen posteriorly, when chewing, 11. [260.]
• Sensation as if the tongue were swollen posteriorly (after twelve hours), .

THROAT

• Frequently the discharge of mucus from the posterior nares into the mouth was very perceptible, and of so large amount that he was obliged to hawk it up to avoid suffocation, on account of which he was awakened at night, 2.
• The nasal mucus passes off itself only through the posterior nares into the mouth; on blowing the nose violently a very little exceedingly tenacious greenish mucus is discharged; at another time, the forepart of the nose is constantly dry (from sixteenth to twenty-sixth day), 2.
• Frequent pressing stitch in the throat, in the region of the larynx, that at first was always fine, then more violent and coarser; on swallowing, it disappeared but immediately returned (after twenty-eight hours), 6.
• Much mucus is raised from the fauces all day, consisting mostly of a discharge from the posterior nares (after twenty-four hours), 7.
• Accumulation of saliva in the fauces, 3.
• Swelling on the left side of the fauces and fine stitches while swallowing, 13.
• Tickling itching in the pharynx, and a sensation as if a semifluid substance would rise from the pharynx into the fauces, associated with a hollow cough and with waterbrash, also violent, so that he was anxious and feared that he would faint, lasting three minutes (after four hours and a half), 5.
• He was unable to swallow saliva, because it was always brought up again as by nausea; was obliged to spit it out, 2. [280.]
• Cervical glands swollen, 1.

STOMACH

• Appetite and Thirst.
• Very great desire to eat and drink for three days and a half, 6.
• Total aversion to smoking and snuffing tobacco, 2.
• Much thirst and no appetite, 11.
• He has no desire to eat, but is very thirsty, 1.
• Great thirst in the evening (after twenty-eight hours), 1.
• Aversion to coffee and to smoking tobacco through the whole action of the medicine, 2.
• Eructations.
• Eructations, 10.
• Eructations of only gas, 12.
• Frequent eructations of gas always after eating, 1. [290.]
• Sour eructations as far as the tongue, 11.
• Empty eructations, 3.
• Nausea.
• Nausea, as if he had fasted a long time, a kind of ravenous hunger, with nausea, 11.
• Qualmishness, 19.
• Stomach.
• Pressure in the stomach (after thirteen hours), 11.
• Pressure in the pit of the stomach, as from a lump, that disappeared after pressure with the hand, and changed to pressure and tension in the chest, 3.
• Pressure in the pit of the stomach, as if he would eructate and be relieved thereby, but no eructations follow until he has swallowed air, 11.
• Pressure in the pit of the stomach, as from a weight lying upon it, 1.
• Stitches in the pit of the stomach during expiration, better while lying than while sitting and walking, 1.
• Intermittent burning, sharp stitches near the left side of the pit of the stomach, 4. [300.]
• Dull intermittent stitches two fingers' breadth to the left of the pit of the stomach (after one hour), 4.
• Dull stitches in the pit of the stomach and oppression of the chest, worse on inspiration, 4.*

ABDOMEN

• Hypochondrium.
• Stitches in the hepatic region on walking rapidly and jumping, disappearing on walking quietly, 9.
• Umbilicus and Sides.
• Colic, as from a hard conglomerated swelling in the umbilical region, in the evening, 1.
• Cutting colic in the umbilical region, several afternoons from 5 to 6, with chilliness, diarrhœa, and much micturition, 1.
• Griping in the left side of the umbilical region (after ten hours), 11.
• Dull stitches to the left of the navel on inspiration, 4.
• When walking, a sticking near the left side of the umbilicus, 4.
• Loud rumbling in the left side of the abdomen, afterwards also in the right side (after a quarter of an hour), 9.
• Violent cutting in the abdomen, extending from both sides towards the middle, in the morning in bed, with emission of flatus without relief, 2. [310.]
• Sharp rhythmical stitches deep internally in the right side below the ribs, that cease when he takes a deep breath and return on expiration, 4.
• General Abdomen.
• Audible rumbling in the abdomen (after forty hours), 5.
• Rumbling in the abdomen like the croaking of frogs (after four hours), 10.
• Rumbling, as from flatus, here and there in the lower abdomen, now and then painful, 12.
• Rumbling in the intestines before the stool, that occurred twice in the morning and once in the evening, thin and pasty (after six days), 14.
• Flatus of the odor of bad eggs (after several hours), 9.
• Distressing sensation of fulness in the abdomen after a very moderate meal, 12.
• Griping in the abdomen, that extends like a stitch to the chest, with the emission of flatus (after eighty-four hours), 5.
• Griping in the whole abdomen when lying down, so violent that he could not rest (after forty-four hours), 5.
• Griping in the abdomen, as though all the intestines would be constricted, that caused great anxiety and made respiration difficult (after four, and seven days), 6.* [320.]

RECTUM AND ANUS

• Pieces of thick mucus pass from the anus for two days; it seemed as though flatus passed; the evacuation was composed of masses like sheep-dung, and enveloped in mucus, 1.
• A cramplike pressure and straining in the rectum, as if it were impossible to retain the stool (after three hours), 9.
• Dull pressure in the rectum when not at stool, 6.
• Crawling in the anus and rectum, as from threadworms (after one hour), 11.
• Itching in the anus and on the coccyx for many days , with difficulty relieved by scratching, 5.* [350.]
• Itching in the anus, disappearing on scratching (after four hours and a half), 5.
• Boring stitch in the perinæum (after thirty-seven hours), 5.*
• Ineffectual urging in the abdomen for a long time after a complete evacuation, 1.
• Frequent urging to stool, but he was unable to pass anything (after four days), 2.
• Ineffectual desire for stool, after which the urging ceases, 12.

STOOL

• Diarrhœa for two days, thin stools mixed with some tenacious yellow mucus, two to four times a day, at irregular intervals (after three days), 2.
• Thin watery stools twice a day (after sixteen days), 2.
• A loose evacuation (after two hours), 21a.
• Fecal evacuation, the first of which was hard, the last thin, the evacuation followed by two pressive thrusts from within outward in the forehead (after twenty-six hours), 5.
• White stools daily, 1. [360.]
• Nodular stool, with violent pressure, 21.
• No stool (first day); a hard stool (second day); evacuated only after great efforts (after a repeated dose), 5.

URINARY ORGANS

• Prostatic fluid presses out of the orifice of the urethra (after twenty hours), 6.
• Burning stitch in the urethra, with urging to urinate (after fifty-nine hours), 5.
• Desire to urinate, as after taking diuretics, 8.
• Frequent desire to urinate, with passage of much urine without any difficulty (after three hours and three-quarters), 10.
• Obliged to urinate frequently and profusely (after three days), 5.
• Urinates ten times, a large amount of urine, in one night, with pressive pain upon the bladder, which always disappears after the urine has passed (after twelve hours), 1.
• (Spurting of urine on external pressure on the bladder), 1.
• Sudden and involuntary dribbling of five or six drops of urine four times in succession, in the afternoon on rising from a seat; the dribbling was at times followed by burning in the forepart of the urethra, 1. [370.]
• During the night the urine passes with difficulty, and is followed by burning, 1.
• Evacuation of much urine twice in succession, though he had urinated just before taking the drug (after one hour and a half), 5.
• Frequent and profuse secretion of urine for three days and a half, 6.
• Urine watery (after two hours and a half), 11.
• Urine deposits a whitish sediment for several days, 6.

SEXUAL ORGANS

• Frequent erections without internal physical sexual excitement, though with voluptuous thoughts (after seventeen hours), 6.
• Swelling of half of the glans penis (after seven days), 1.
• Crawling about the glans penis every day, 1.
• Itching on the scrotum (after four days), 5.
• Burning stitch in the right testicle and penis, 5. [380.]
• Itching stitch in the right testicle and penis from behind forward, 5.
• Itching stitch in the left testicle (after fifty-one hours), 6.
• Emission, with a lascivious dream (very unusual), in the morning shortly before waking, without subsequent exhaustion, 12.

RESPIRATORY ORGANS

• Cough and Expectoration.
• Cough in the morning after the coryza had mostly disappeared (after forty-eight hours), 1.
• Cough and catarrh at night, 1.
• Very sudden violent cough, caused by water getting from the mouth into the trachea, 3.
• Short dry cough, causing soreness in the chest, in the open air, 2.
• Cough dry, violent, hollow, caused by an irritation low down in the trachea, especially provoked by stooping; the cough takes away his breath, 1.
• A kind of suffocative cough, as from a large amount of water running down the air-passages, 3.
• Respiration.
• Respirations 10 and deep (after five minutes); 8 and deep (after ten minutes); 6 and deep (after fifteen minutes); 8 and deep (after twenty minutes); 10 and deep (after twenty-five minutes); 14, no longer deep (after thirty minutes); 16 (after thirty-five minutes); 17, natural (after sixty minutes). Taken by surprise by the slow and deep breathing, which was in fact a process of slow and deep sighing, 24.

CHEST. [390.]

• Violent pressure upon the chest beneath the left clavicle, 4.
• Excessive hard pressure upon the whole chest towards evening, 3.
• Pressure, and at the same time drawing, in the chest while standing, 3.
• (Pressive pain in the whole chest after hawking and clearing the throat), 1.
• Tearing constriction in the pectoral muscles while standing, 4.
• Drawing together in the chest, with sticking, so that he could not get his breath, 1.
• Sensation of excessive hunger in the chest, with accumulation of saliva in the mouth posteriorly (after four hours), 3.
• Alternations of pain in the chest, 11.
• Tearing constriction in the lower portion of the chest, above the pit of the stomach, with oppression; afterwards, also, the same pain in the upper part of the chest, beneath the pit of the throat, with palpitation, 4.*
• Cutting constriction, in the chest, with anxiety, 4. [400.]
• A jerking-sticking pain in the upper part of the chest below the axilla (after fifty-five hours), 6.
• Sticking from within outward in the chest when not breathing; he cannot breathe easily, 1.
• An itching stitch beneath the clavicle, 5.
• A stitch from within outward transversely through the chest, mostly in the sternum, in all positions, 11.
• Boring stitch in the region of the diaphragm, in the right side, persistent during inspiration and expiration, 5.
• A pinching stitch in the left side of the diaphragm so violent that it took away his breath, so that he was obliged to remain standing (after two hours and three-quarters), 5.
• Front and Sides.
• Pressure above the ensiform cartilage while standing, 3.
• Violent painful, distressing pressure upon the middle of the chest, 4.
• Sudden drawing, fine-sticking pain near the sternum, extending downward, 8.
• A sudden fine-jerking pain, as from electric sparks, in the forepart of the chest, . [410.]

HEART AND PULSE

• Heart.
• Dull oppressive stitches at the heart, between the place where the beat of the heart is felt and the pit of the stomach; also some sticking in the pit of the stomach and above it, and oppression of the chest, 4.
• *The palpitation was constantly aggravated by sitting down and bending the chest forward, 4.
• Palpitation in the morning, after rising while sitting, with anxious oppression; the heart seemed to be in tremulous motion, 4.*
• *In the morning, as soon as he sat down after rising from bed, the heart began to beat violently, and above the point where the beating was felt there seemed to be a painfully oppressive weight upon the chest, which caused oppression; together with cutting and digging in the lower abdomen, as from incarcerated flatus, which continued longer than the palpitation, 4.
• On taking a deep inspiration, and on holding the breath, the anxiety increased; there was an attack of palpitation and oppression of the chest, the heart beat more violently, and the palpitation was even felt by the hand at the pit of the stomach, 4.*
• *Palpitation and anxious oppression of the chest, 4.
• *Unusually violent beating of the heart, so that he frequently could hear the pulsation, or so that the beats could be seen externally through the clothes, 7.
• Pulse.
• Pulse weak and irregular, at one time rapid, at another slow (after seven hours), 7.*
• Pulse usually 72, was at the time of the morning fever only 54 (after twenty-four hours), 4. [440.]
• Pulse 77 (before taking); 79 (after two minutes); 78 (after five, ten, fifteen, and twenty minutes), 23.
• Pulse 77 (before taking); 76 (after one minute); 75 (after four minutes); 78 (after eight minutes); 77 (after ten, twelve, and twenty minutes), 22.
• Pulse 78 (before taking); 80 (after two, and five minutes); 82 (after ten minutes); 84 (after fifteen minutes); 80 (after twenty minutes); 79 (after twenty-five, and thirty minutes); 78 (after thirty-five minutes); 77 (after sixty minutes), .

NECK AND BACK

• Neck.
• After stooping for a while it seemed as though he could not raise the head again on account of pain in the nape of the neck, 1.
• Pain in the nape of the neck, in the morning after rising from bed; if he keeps it still it hurts as if asleep; was also obliged to move it constantly, because during motion it did not hurt, 1.
• Intermittent drawing in the posterior cervical muscles, and up to the occiput, 3.
• Sensation of paralysis in the left side of the neck, which, however, did not hinder motion of the head, and soon disappeared (after one hour), 6.
• Sticking pain in the right side of the neck; on swallowing, sticking in the parotid gland and within the ear itself, something between an earache and a throatache, 1.
• Back.
• Bruised feeling in the spine, even during rest (after thirty-eight hours), 5.
• Needlelike stitches in the back, extending to the left side while walking (after twelve hours), 10. [450.]
• Twitching in the dorsal and costal muscles, 5.
• Sensation in the left scapula, as though blood were dropping through a valve, a kind of bubbling (after a quarter of an hour), 14.
• Itching stitch in the right dorsal muscles, 5.
• Needlelike stitches in the upper dorsal vertebræ (after thirty-two hours), 5.
• Stitches in the back, opposite the heart, 4.
• Sharp stitches in the right scapula, recurring at regular intervals, 7.
• Dull boring stitching in the left scapula (after seventy hours), 5.
• Stitches in the small of the back, worse during inspiration and expiration, while sitting (after two hours and a quarter), 5.

EXTREMITIES

• Trembling of the lower, and afterwards of the upper limbs, 8.
• Constant uneasiness in all the limbs at night; he was constantly obliged to move them from place to place; at one time to bend them up, at another to stretch them out, on which account he could not get a moment's sleep (after ten hours), 1 . [These symptoms were removed a short time by gold. -Hahnemann.] [460.]
• Great heaviness in the upper and lower limbs; could get his breath only with difficulty after going upstairs, 11.
• Writing is difficult on account of great heaviness in the arm; walking is difficult on account of great heaviness in the lower extremities, 11.
• Tearing in the limbs, either immediately above, or somewhat below the joints, in the loins, as if they were scraped, 11.
• The limbs are affected, mostly when walking; the spine feels bruised, 5.
• When walking he feels every false step; a painful shooting through all the limbs, 1.

SUPERIOR EXTREMITIES

• Trembling of the upper limbs, 9.*
• The arm frequently falls asleep when writing, so that he cannot hold the pen, 1.
• Shoulders.
• Some jerks in the muscles of the right shoulder, 5.
• Twitching on the top of the right shoulder, 5.
• The left shoulder and arm hang down, as if heavy, while walking, with tension on the forepart of the upper arm, 3. [470.]
• Pain, as if sprained or beaten, in the shoulder-joints, and in the first joints of the thumb and index finger, 1.
• Tensive pain in the left axilla during rest (after thirty-eight hours), 5.
• Burning pain in the left axilla (after thirty-one hours), 5.
• Fine itching-biting stitches in the left axilla, towards the forepart (after one hour and a half), 7.
• Arm.
• Sensation of heaviness in the right upper and forearm, while at rest, and even on slight motion, when raised (after three hours), 6.
• Drawing pain in left deltoid, more violent on hard pressure, 7.
• Cutting drawing across, above the deltoid muscle, 3.
• Twitching in the muscles of the left upper arm (after seven hours and a half), 3.
• Tearing pressure on the middle and inner side of the upper arm, worse when touched, 7.
• Elbow.
• Itching pains, like needle stitches, in the bend of the right elbow, obliging scratching (after thirty-five hours), 5. [480.]
• Itching stitch in the tip of the left elbow (after eleven hours), 3.
• Violent stitches in the bend of the elbow and in the fingers, 1.
• Forearm.
• Pressive pain in the right forearm, 6.
• Twitching in the muscles of the left forearm just above the wrist, only during rest (after fifty-five hours), 5.
• Pressive pain above the right wrist, during rest (after thirty-four hours), .

INFERIOR EXTREMITIES

• Great weakness in the lower extremities, especially in the thighs, as far as below the knees, as after violent running, even while sitting, 8. [510.]
• The lower extremities seem heavy, a tingling in them; could only slip along with difficulty; walking was very difficult, 1.
• Hip and Thigh.
• Drawing pain in right hip and muscles of right thigh, 2.
• Tension in muscles in anterior surfaces of thighs, only when walking, 4.
• Tension in the right thigh, while sitting (after thirty-six hours), 5.
• Tensive pain in the left gluteal muscles, while walking (after five days), 5.
• Bruised pain in the anterior muscles of the thighs, only when walking, 1.
• Pressive pain in the right thigh, aggravated by pressure (after five hours and a half), 5.
• Pressive tearing in the left thigh, externally, extending from the knee to the pelvis, as if in the periosteum; when pressing immediately upon the bone the pain was aggravated (after eleven days), 7.
• Drawing tearing in the right thigh, while sitting (after twenty-nine hours), 6.
• Persistent tensive stitch in the left thigh, while walking, that ceases on standing, and afterwards returns, on sitting (after four days), 5. [520.]
• Intermittent burning sharp stitches in the muscles below the neck of the left femur, externally and posteriorly, in a small spot, while sitting, a little relieved by rising; but on sitting down again more violent than before, 4.
• Persistent itching stitch on the left thigh, 5.
• Knee.
• Digging and great uneasiness in the left knee, on account of which she could not sleep, but was obliged at one time to bend it up, at another to stretch it out and move it from place to place (after four hours), 1.
• The knee is painful to touch, as if beaten, 1.
• Bruised pain on the inner surface of the knee-joint on bending the knee, 1.
• Boring pain above the right knee, only during rest, 5.
• Pressive pain above the right knee, while sitting, that disappears on motion (after a quarter of an hour), .

GENERALITIES

• Convulsions followed by death, 17 . [In two lusty children. -Hughes.]
• Weakness in the morning, on waking, 1.*
• Great weakness of the body, after walking, 2.*
• Overpowered by great weakness, when hungry, 1.
• When walking in the open air, he was at first strong and vigorous, but soon became weak and weary, especially in the muscles of the thigh, with anxious pressure upon the chest, so that he would have been glad to eructate but could not, followed by desire for stool and emission of flatus, with relief in the abdomen (after five hours and a half), 3. [570.]
• So weak and prostrated after slight exertion that he thought he was near his end (after twenty-four hours), 2.
• Weakness while walking, standing, and lying, it is almost impossible to take the least thing in the hands or even to dress himself, 11.
• Great weakness, in the morning; all the limbs so fatigued that he could move them with difficulty (after seven days), 4.
• Great weakness, especially noticed on going upstairs (after two hours), 9.
• Great weakness of body and mind, especially after standing, 1.
• Weariness, in the morning; soon after rising from bed he could not prevent falling asleep again, while sitting (after seven days), 14.
• Very sensitive to cold air, 2.
• Great sensitiveness of the whole body to touch; if he knocks against any part there is a sudden painful crawling through the whole body to the head, 11.*
• Painful sensitiveness of the whole body to touch; the slightest knock in any part causes pain, and like a shuddering about the place; even on stepping an unpleasant shattering in the body (after three days), 14.*
• He felt very sick and anxious, in the evening, in the open air, with internal heat, and was obliged to hurry to the house, but even there did not feel especially better (after eleven hours), 3. [580.]
• The whole body does not feel well; heaviness and lassitude in the limbs, with disinclination to work, though without a despondent mood (after six days), 5.
• Everything hurt him as if he were bruised, and on rising for a seat he was dizzy and unsteady on his feet as if reeling, .

SKIN

• Objective.
• Several small pimples on the chin containing pus, almost without sensation, even when touched (after four hours), 11.
• Some red pimples on the neck painfully sore to touch (after five days), 14.
• A red papular eruption on the neck painfully sore to touch (after ten days), 7.
• A hard red papular eruption in a spot where the day previous there had been burning itching in the palm of the left hand, that continued several days, with a burning-itching sensation, 14.
• On the right middle finger, a pimple that is painless by itself, but on pressure it exudes yellow pus, and disappears the next day (after seventeen days), 2.
• Small elevations like hives on the lower extremities, after scratching, 5. [590.]
• An elevated growth like a wart, without sensation, on the second left toe, it disappeared after three days and left a white scar (after three days), 2.
• A wartlike growth on the second left toe, with biting pain; pressure of the shoe caused burning pain as in a corn; it left a thick white scar (after seventeen days), 2.
• Subjective.
• Itching in the right concha (after thirty-six hours), 5.
• Itching in both ears externally at the same time (after five days), 5.
• Itching over the whole right side of the nose (after thirty-five hours), 5.
• Itching on the right wing of the nose, 5.
• Itching on the back, left scapula, not relieved by scratching, 5.
• Itching in both axillæ, especially in the left (after thirteen hours), 5.
• Itching on the right forearm (after five days), 3.
• Burning itching in the middle of the palms (after twenty-four hours), 14. [600.]
• Itching in the palms of the hands and tips of the fingers, as if they had been frozen, 3.
• Constant biting itching in both thighs as if an eruption would form, not relieved by scratching, not noticed at night in bed, 5.
• Crawling itching on the right thigh, disappearing on scratching, 5.
• Itching in the skin, more on the thigh than on the leg, frequently returning after scratching (after eleven hours), .

SLEEP

• Sleepiness.
• Yawning, without sleepiness, 11.
• Almost incessant yawning, immediately, 1.
• Drowsiness, 17 . [Revised by Hughes.]
• Irresistible sleepiness, in the evening, so long as he was up, but after lying down he could not sleep for a long time, 6. [610.]
• Frequent desire to sleep, which he could resist, 2.
• Irresistible desire to sleep all the forenoon, with yawning (after two hours), 6.
• Sleepiness with yawning, as if he had not slept enough (after five hours), 10.
• Sleep, 16, 20 . [Brown says, "as from Opium." -Hughes.]
• A very unusually long midday nap, and on waking he could not persuade himself to rise but kept falling asleep again, 12.
• Such great sleepiness in the morning that his head fell forward, he was obliged to close his eyes (after two hours and a half), 9.
• Heavy and stupid sleep, 15 . [From the smallest dose, as stated. -Hahnemann.]
• Sleep at night with many unremembered dreams, 3.
• Sleeplessness.
• Every night no sleep before midnight, though without pain, 1.
• After lying down he remained awake for into the night; could not fall asleep, 4. [620.]
• Restless sleep, 11.
• Sleep very restless, with frequent waking , full of anxious frightful dreams, for example, that lightning had struck off his shoulder, 1.
• Sleep very uneasy, disturbed by vivid unremembered dreams; the sleep was late on account of great mental activity; after midnight he woke frequently, tossed about, and was in a half waking condition, 12.
• Sleep very restless, tossing from side to side, with vivid dreams of fire and quarrels and about 1 o'clock he thought it time to rise, 5.
• Sleep unrefreshing; in the morning he was more weary than in the evening on lying down, 1.
• Dreams.
• Confused dreams in which he seemed so busy that in the morning he felt weary; he could either indistinctly or not at all remember his dreams, .

FEVER

• Chilliness.
• Chilliness every morning, after rising, 7.
• Chilliness in the morning when rising, and at noon (five hours afterwards) heat, mostly on the trunk, though greater on the face, with redness, without special thirst, five days in succession at the same hours, 7.
• Chilliness every morning after rising, coming and going for two hours, 7.
• Shaking chill in the morning without thirst, with considerable lightness of the movements of the fingers and mental activity, 3.
• Sudden creeping chills every morning , at one time only in the feet, at another only in the head and hands, at another on the back or chest and abdomen, at another over the whole body, without thirst (after seventy-two hours), 4.
• Chilliness, immediately on going to bed in the evening, afterwards violent sweat, of a bad odor, so that he became wet all over, 11.
• Chilliness of the whole body, without thirst, only in the morning (after two hours); several mornings in succession, recurring at intervals and extending from the feet upwards, 7.
• Violent chill and coldness, immediately after dinner, on account of which he was obliged to lie in bed, 1. [640.]
• Shivering and chill, towards evening, in the open air, with tensive pain in the left side of the neck below the ear; the next morning glandular swelling in a small spot, hard and painful to touch, with sticking in the left side of the throat on swallowing, with swelling of the gum and difficulty in opening the jaws; the sticking pain on swallowing ceased when the swollen glands pressed inward, with sweat, two mornings in succession (after nine days), 6.
• Very slight motion of the body causes chilliness, 4.*
• Alternations of chill and heat, chilliness especially on the back, heat in the hands and face, 11.
• In the afternoon, he was first attacked with a chill, then he became very hot and thirsty (for beer), 1.
• On lying down, in the evening, he had first a chill for half an hour, immediately followed by heat, then sweat all over, lasting nearly all night, 1.
• Alternations of chills followed by heat, all day, with redness of the face, .

CONDITIONS

• Aggravation.
• ( Morning ), 3 to 4 A.M., pain in occiput and nape of neck; sneezing; on rising, facial muscles seen distorted; dryness of mouth; in bed, cutting in abdomen; palpitation; on stepping, soles of feet painful; weakness; sleepiness; chilliness; internal fever.
• ( Afternoon ), 5 to 6 P.M., cutting colic; 3 P.M., griping in abdomen; pressure upon chest.
• ( Evening ), Dulness in head; tearing pain in brain; dulness in occiput; heat in eyes; roaring and whizzing in ears; colic.
• ( Night ), Toothache; cough and catarrh; uneasiness in limbs; heat.
• ( Open air ), Headache; dry cough.
• ( Blowing nose ), Closure of ear and loss of hearing.
• ( Chewing ), Pain in right lower jaw; pain in tongue.
• ( After eating ), Eructations of gas.
• ( Expiration ), Stitches in stomach; stitch in right side of abdomen; stitch in left chest; stitch in right chest; stitch in back.
• ( Going upstairs ), Tension on outer side of left knee-joint; needlelike stitches in body.
• ( Inspiration ), Stitches in pit of stomach; stitch to left of navel; stitch in right side of chest; stitch in left chest; tearing pain beneath left nipple; sticking pain beneath left nipple; stitch in back; stitch in margin of left ilium.
• ( Lying down ), Headache; griping in abdomen.
• ( Lying on left side ), Toothache.
• ( Lying horizontally ), Bubbling pain in occiput.
• ( Motion ), Shaking and swashing in forehead; pain in forehead; pain in occiput; bubbling pain in occiput; stitch in sole of right foot; chilliness.
• ( Moving index finger ), Cutting pain above left wrist.
• ( Noise ), Pain in occiput.
• ( Pressure ), Stitch in right true ribs; pain in left deltoid; pain in right thigh.
• ( During rest ), Pain in left axilla; heaviness in right upper and forearm; twitching in muscles of left forearm; pain above wrist; pain in right forearm; pain above right knee; digging in left tibia; digging in right foot; stitch on back of right foot; creeping in tips of right toes.