Alum: the crystallized double sulphate of Aluminum and Potassium (Kal2SO4

, 12H2 O)

Preparation , Triturations of the pure crystals.

Authorities. (The symptomatology is, with a few exceptions, taken from Hering's monograph of Alumen; the clinical observations of the old school are not here included)

1 , Fr. Husemann, took the 30th and 12th; 2 , Tr. took the 6th and 12th; 3 , Dr. M. J. Rheese, 30th; 4 , "n. n." 3d and lower; 5 , Mrs. Hz., 30th; 6 , R. sen., 3d; 7 , Mrs. R. M. R., 12th; 8 , Miss R. A. R., 6th; 9 , Mr. H. H. R., 9th; 10 , Miss A. R., 6th; 11 , C., Jr., 6th; 12 , Dr. Jeanes, 3d; 13 , C. Hg., 200th Jen; 14 , Fechner; 15 , Wibmer, crude; 16 , from Marcy, etc., Elements of a New M. M.; 17 , Alice R.; 18 , Poisoning by calcined Alum.

MIND

Conscious of all that happens; conscious of the services in church, while the blood rushes to the head that she hardly can hold it up or keep her eyes open, 8.
From 9 A.M. until noon very depressed and sad; could have wept all the time; felt very much oppressed, anxious, and heavy, like a stone on the chest, with inclination to take a long breath (third day), 5.
Great anxiety, and disbelief in the power of medicine to relieve him, 3.
Feared to leave her seat in church, after feeling faint, 8.
They frighten him, ebullitions going upwards, 4.
Great fear in her dreams, 5.
Scarcely endurable pains in rectum, 1, [°].
Much excited, with the twitching, 4.
Excitability of feeling, as when one is agitated by unpleasant news, 8. [10.]
Great agitation, anxiety, and restlessness, [t].
Nervous restlessness and excitement, more like that caused by mental emotion than bodily illness, 8.
Perceptive faculties were gone during the deathlike fainting spell, 7.
When thinking about his disease, he feels the heart beating, 3.
After mental excitement, heart begins to beat violently, 3.
More anxious at night than at other times, 3.
Intellect and senses perfect, 18.

HEAD

In the evening, when lying on the back, a sensation as if vertigo was coming on, with a weakness in the pit of the stomach, which disappears when opening the eyes and turning on the right side (one hour), 1.
Vertigo when looking downwards, as if he should fall forwards, and at other times often giddy, 13.
Great vertigo, nausea, and weakness, 10. [20.]
She staggers to a chair; overcome by sudden nausea, 7.
Vertigo, with headache, in the evening, ceases after lying down, 2.
Blood rushes to the head with such rapidity and force that she cannot raise or open her eyes, 8.
Blood at first driven to the head by the suddenness and severity of pain, leaving it afterwards, 8.
Dull, heavy pain in the head, particularly in the back of it, 8.
At 8 A.M., severe jerking pain on the left side of the forehead (third day), 1.
Pain in right of neck and forehead, 1.
Temples shooting, 9.
In the afternoon until evening, stinging pain on the vertex, when stooping, 5.
Pressing on top of the head, 9 ; vertex (third day), 1b.
Back of the head pains, 8. [30.]
Pain in the head, going from place to place, coming and going (forenoon), 6.
The pain in my head was worse than any other symptom (worse in the morning when getting awake); at one time it was acute, shooting from one temple to the other; at another, heavy, and pressing on the top of my head, as if a great weight were placed thereon, with nausea; this continued all day without cessation, but the sickness of the stomach left me, and returned at intervals only; it was accompanied by chilliness and feeling as if cold water were poured down my back; at another time great heat throughout my body: in fact I felt exactly like I did the time I was attacked with small-pox, 9.
About twenty-five minutes after taking the third dose, the same sensation of warmth; slept during the night; in the morning some headache over the eyes and pains on the left side of the chest, 4.
Wakes in the morning with pressing headache over the eyes, which lasts until 10 A.M.; headache is relieved by drinking cold water; the following morning the same symptom (first and second days); in the evening, at half-past nine, the same headache as in the morning, with vertigo, lasts until bedtime; lessens after lying down to sleep, .

EYES. [40.]

Sight grew dim, with attack of pain in the stomach, 8.
When opening eyes vertigo disappears, 1.
Looking down, vertigo, 13.
Pain over the left eye, 6.
Bruised feeling on the inferior edge of orbit of left eye on pressure, or by moving the eyelids (after eight days for two days), 12.
Itching, burning on the border of the right lower eyelid, followed by milder itching, also on the left lower lid and on the left hip; in the morning (second day), 1.
Burning, itching on the right lower eyelid, 1b.
Spongy excrescences of the lachrymal caruncle and of the eyelids (Lefevre).

EARS

Hears everything in sleep; his bird's moving in the cage; what happens around her, 2.
At midnight, heat in both ears and left side of the face, disappearing when going to bed, 1b.

NOSE. [50.]

Great dryness in nose.
In choanæ dryness from throat, 7.

FACE

Animated expression of the face, with fever, 18.
Face, left side, heat at night, 1.
Embonpoint from general bloating, with a sickly and sallow complexion, 12, [°].
Sickly, sallow complexion.
Deathly pale, she supposed she was, 8.
Deathly pallor of the face, like a corpse, with cramp in stomach, 10.
Pain in the left articulation of the jaw close to the ear, 6.
When shaving, the chin bleeds from slight scratch, in the morning (second day), 1. [60.]
Lower lip twitching, with pain in stomach, 1.
Lip blue, 10.

MOUTH

Mouth very dry after five hours, but the thirst not increased, 15.
Dryness in the mouth and throat, 18.
Very severe pain in mouth; burning sensation and dryness of the mouth, 18.
In mouth burning pains, burning, 18.
Accumulation of saliva in the mouth, with feeling of dryness on the tongue; qualmishness in the stomach, and accumulation of wind in the abdomen (third day), 1b.

TASTE AND TONGUE

Immediately after taking it, metallic taste in the mouth, and slight nausea, she was very sick, and went to sleep soon, and slept until 5 A.M., 7.
Immediately after taking it, metallic taste in the mouth, and slight nausea, more like qualmishness, 7.
Taste sourish, astringent, with a disgusting sweetish after-taste, [t]. [70.]
Metallic, 7.
Burning, sourish feeling on the right side of tongue; after taking 30th, 1.
In the evening, after taking it, burning, sourish feeling on the tongue, 1b.
Stitches in the tongue, especially on the tip, 1b.
Tongue rough, and as if scraped, in the morning, 2.
Feeling of dryness on the tongue, especially on the forepart, as if it had been scraped (notwithstanding there being sufficient saliva in the mouth), in the morning (second day), 1.
In the evening, immediately after taking it, burning on the tongue (second day), 1.

PALATE AND THROAT

Roof of the mouth thickly coated with phlegm, 5.
After the powder of Alum was blown in the throat, to cure a redness there, the lower half of the uvula was like a berry hanging on a string from the upper part, 13.
Pains in gullet, extending up into the swallow, pain from stomach, 1. [80.]
Very severe pains in the pharynx; burning in the mouth, pharynx, and stomach, 18.
Thick phlegm in the throat, and the roof of the mouth is thickly coated with it, 5.
He spit up a lump of coagulated blood in the morning after rising (third day), 2.
Tickling in throat after rising, 1.
In throat, scratching, with the cough, 1, [°].
Prickling sensation in both sides of the throat, and great dryness, with constant desire to drink; the dryness extended to the posterior nares, and rose into the throat (after two weeks), 7.
Soreness and dryness in the throat, on both sides, when talking, and when swallowing (two weeks after taking the last dose), 8.
Dryness in the throat, with desire to drink, 7.
Heat and burning in the throat and larynx, 18.
In pharynx, burning pains, burning down the œsophagus, 18.

APPETITE. [90.]

Appetite was rather increased (Barthez).
Undisturbed appetite after two hours; increased in two days, 15.
One drachm, dissolved in water, taken in small doses during the twenty-two hours, increased the appetite and digestion moderately, increased the secretion of urine, confined the bowels somewhat, but without injuring digestion, 14.
Increased appetite, 1b.
Unusually good appetite, and thirst (third week), 8.
Good appetite, with fulness of stomach, 5.
Increased appetite and thirst, after a sensation of contraction in the stomach, 15.
Appetite lessened, [t].
No appetite; she eats little (twenty-first day), 8.

THIRST

Desire to drink, with dryness in the throat, 7. [100.]
Thirst intense, 18.
Thirst, and good appetite, 8 ; thirst and appetite increased, 15.
Thirst, with heat in the stomach, relieved by drinking cold water, 8.
Thirst and appetite increased after contraction of stomach, 15.
Intense thirst, with fever, 18.
Before breakfast, attack of nausea; worse during breakfast, better after it, 1 ; during breakfast, cough worse, 1, [°] ; after it, full in stomach, 5.
Eating something, with sinking in stomach, she feels better, 8.
While at dinner, erections, 1.
After the meal, heaviness in the stomach, and a throbbing like in an abscess; distension of the stomach and epigastrium, 8.
After eating, violent throbbing in the stomach, lasting twenty-five minutes, 8.

GASTRIC SYMPTOMS. [110.]

Immediately after taking a dose, each time some eructations, 15.
Slight nausea immediately after taking the 12th, 7.
Nausea, 18.
Qualmish in stomach, 1 ; sickness at intervals, 9 ; when awakening at night, prevents falling asleep again, 9 ; continues in the morning, preventing him from going to his work, 9.
Two hours after taking it in the morning, she was taken with nausea, faintness, and weakness, lasting until the afternoon, 8.
Nausea and faintness in the morning, together with nervous restlessness and excitement, which seemed more like that produced by agitation of the mind than by illness of the body. The pain returned about the same time in the afternoon, and I have not been entirely free from it since, 8.
Nausea in the morning, with such a weakness that she is unable to sit up (twenty-second day), 6, 8.
Nausea and vertigo, 10 ; and headache, 9 ; and metallic taste, 7 ; and faintness, 8 ; and chilliness, 9.
Loathing of food, 8 ; with pain in stomach, 8 ; nausea with it, 18 ; sickness, 10, 8.
Nausea, with retching, as if everything would come up the throat, 7. [120.]
Inclination to vomit, fifteen minutes, but no vomiting (after two and a half drachms); vomiting easy, and not preceded by much nausea; same time with constipation after (three drachms) (Barthez).
Nausea and vomiting, 16 ; with fever, [t].
She spits up a lump of coagulated blood in the morning after rising (second day), 2.
Vomiting and disturbed digestion after large doses (Sundelin).

STOMACH

Immediately acute pain in the stomach and gullet, burning in the mouth, and nausea; symptoms of a severe attack of inflammation in stomach and bowels ensued; for several days not out of danger. After a single dose of a solution of ten to twenty grains, 18.
Pain in stomach, nausea, vomiting, colic, more frequent discharges from the bowels, 18.
Pain and nausea in the stomach, and pain and rushing of blood to the head, with drowsiness, which lasted several hours, 9.
Next morning I rose at 5 o'clock, and soon after, I think in less than an hour, was suddenly attacked with severe pain and nausea, together with a convulsive bearing in the stomach, resembling the deathly sickness of pregnancy, but without vomiting; this was also attended by faintness and flashing to the head, which made assistance necessary to remove me to a chamber. I think the symptoms lasted a full hour, and were succeeded by partial loss of voice, soreness of throat, and occasional throbbing of the heart, 7.
Nausea and faintness, accompanied with a sick, griping pain in the stomach, and loathing food, 8.
The next day at noon, just as she returned from school, she was seized instantaneously with the most acute pain in the stomach; her mother saw her looking perfectly well, and in less than five minutes, found her sitting drawn together with her knees against her breast, and a face like a corpse; deathly pallor; lips blue. She said, "Oh, mother, I feel so strangely, I think I have the cramp." Cham. relieved, but there remained great vertigo and nausea; she complained of being very cold, but did not shudder; great weakness, as after long illness, with headache lasting all afternoon, 17. [130.]
About 3 1/2 and 4 o'clock, P.M., sitting in church, she was seized with a sharp, steady pain in the stomach, accompanied by the most deathlike faintness she ever recollected to have felt, with extreme sickness and immediate loss of strength. A cold sweat covered her; she thinks she must have been deathly pale, for she felt as though the blood (which had a first been driven to the head by the suddenness and severity of the pain), were leaving it and the extremities altogether; they were quite cold; her sight grew dim, and she became so faint that she expected every moment to fall from her seat.
The pain in the stomach felt as though it would draw her double. Having no friend near her she feared to make the attempt to leave the pew, lest she should not have strength to reach the door unaided, much less her home. The attack lasted, she thinks, about half an hour, after which the violence of the pain gradually abated, the faintness passed off, the chilliness gave place to heat, and the blood rushed to her head with such a force, that she could hardly hold it up, or keep her eyes open, though quite conscious of the services going on about her. After services she was able to walk slowly home, though very weak, feeling very much as if she had been ill for a month. She felt the weakness especially in her back, although she had no pain there, but during the rest of the evening, whenever drawing a long breath, it appeared to come from a spot on each side of the spine, about the middle of the back, on a line with the inferior angles of the scapulæ (fifth day). The effects passed off with a night's rest, and she had no further return of the symptoms (nor has she had such an attack since, two years after), .

ABDOMEN. [160.]

A stitching pain runs straight down the median line of the abdomen into the penis, as though it followed a thread, 7.
Warm creeps running from the pit of the stomach down over the abdomen, followed by jerking contractions of the abdominal muscles, from sides towards the linea alba (fifteen minutes after), 30, 1.
Relaxed feeling in the abdomen (third day), 12, 1

Weakness, 1.
Accumulation of wind in the abdomen, 1.
Distension of the bowels, 18.
Taken internally in large doses, Alum excites nausea, vomiting, griping, purging, and even an inflammatory condition of the intestinal canal; effects which may perhaps be induced by small quantities, in persons endowed with unusual or morbid sensibility of the stomach and bowels (Pereira).
Burning pain in the small intestines, 18.
Fearful burning in the lower part of abdomen and small of back; can scarcely get up; she feels as though her back would break (third day), 1.
Colic, with pain in stomach, 18. [170.]
Without producing either nausea, pain or constipation, it relieved colic pains, 16, [°].
Pain in the belly when walking, with fulness and heaviness, 1, [°].
In the evening, jerking contraction of the large abdominal muscles, from both sides below towards the linea alba (fifteen minutes after taking), 30, 2.

STOOL

Usual fluid discharges cease; and, notwithstanding his various meals, no second stool, as usual, but a sparing, scanty, consistent opening (the second day), 15.
Stools become more difficult for two or three days (after some drachms, which partly had been vomited up), 18.
Costiveness, 18.
In small doses it always causes a rarer, dryer, and harder stool; in somewhat stronger doses irritation, more exudation and copious stools (Vogt).
The bowels confined, 18.
In the afternoon, difficult passage of a hard stool, with some blood (the first day), 1.
In the afternoon, hard stool, expelled with difficulty, and some blood; followed by beating in the anus (second day), 1.
First hard, then soft stools and pain following, 13, [°]. [180.]
Relieved constipation entirely; the stools since, of natural consistence and frequency, 3, [°].
Costiveness of long standing; 30 cent., 1, [°].
Stools dry, seldom, 15.
Copious, solid stools, 18.
In large doses it acts as a purgative, [t].
More frequent discharges, 18.
Had had several days three or four diarrhœa discharges, and while damp weather favored this state, after taking Alum in solution, no stools appeared; the next day only one scanty, consistent evacuation; the following day, in the morning, a copious, mushy stool. After omitting the Alum, soon a light looseness returned four or five times a day, 15.
Diarrhœa, with frequent strong tenesmus, slimy discharges; and while they pass very violent pains in the rectum, going down into the thighs. A tuberculous patient, 1.
Diarrhœa, stools yellow like those of an infant (three on eleventh day), 12.
Diarrhœa appearing during the typhus abdominalis, consuming the strength of the patient, is quickest relieved by it (Maly. in Hygeia, 16, 335), [°].
Diarrhœa in tuberculous patients, 13, [°]. [190.]
Blood with stool, 1.
Great masses of coagulated black blood pass from the anus in the third week of typhus, with signs of the greatest exhaustion. A girl of 18 years, 3d cent. in water, 13, [°].
Diarrhœa, with frequent violent urging, slimy stools with severe pains in the rectum during stool, going down into the thighs, .

RECTUM AND ANUS. [200.]

Violent urging to stool, 1.
In rectum, severe pains during stool, 1.
With the stool, tearing in rectum, [°].
Smarting and burning at the rectum, after a solid stool, 18.
Beating in the anus, after a stool (second day), 1.
Violent pains in the anus and rectum, a few minutes after stool; stinging and tearing up the rectum, relieved by bending forward and sitting bent over; worse particularly when lying on one side; somewhat better from lying on back; at the same time burning and throbbing in the anus, 1, [°].
In frequent attacks, first hard, then soft stools, and after it, for three hours, the most violent pains, burning, shooting, and particularly cutting in the rectum upwards, lasting from morning till noon; with the stool passes a great deal of blood, without any relief; sometimes a sensation as if the anus would protrude. After the patient had carried a piece of Alum in his breeches pocket, he never had it again. (Reported to Dr. Neidhard).
The same symptoms have in many cases been cured by giving high potencies, 13.
Severe pains in the anus and rectum, appearing several minutes after stool; stinging and tearing up the rectum, relieved by bending forward and sitting bent forward; particularly worse when lying on the side; not so much when lying on the back; burning and throbbing in the anus; after five days better, but then a stitching pain from the upper part of the left chest through to the back, between the shoulder-blades; worse at night in bed; it wakes him; increases when lying on the left side; not increased by taking a long breath; at the same time, sudden attacks of flutterings at the heart, disappearing as quickly as they came. A man with chronic asthma (Dr. J. Husmann), [°].
A woman with what was called cancer of the rectum (?), caused by a metallic pessary introduced in the vagina for prolapsus uteri, and remaining there for years, which had been somewhat benefited by Nux. and Sulp., but not permanently.
Intense pains in the anus, and in the rectum the worst, particularly after stool; she can scarcely endure it; sometimes lasting three or four hours. During stool, strong dyspnœa.
Four days after taking 30 cent., more relief than from any other remedy since three months; for the first time, stool without pains; was perfectly cured had no return, even after a scirrhus was cut out of the mamma six years later, and is nearly well now, twenty-five years after, 1, [°]. [210.]
Ulceration of the rectum; if there is an ulcerated surface, and mostly exceedingly painful excrescences and fetid, bloody ichor, 2m (Wolf), [°].
Hæmorrhoidal tumor after a hard stool, .

ALUMEN. URINE

Increased secretion of urine, 15.
Frequent urination, 1b.
The urine becomes remarkably acid from the use of it (Kraus).
In the morning a bluish, iridizing film on the urine passed the evening before, 1b.
Brown, muddy urine, over which is formed a thin, variegated cuticle, like that which is formed over stagnant water that contains iron (after six days), 7. [220.]
The urine looks as though cheesy milk had been stirred into it, 1b.
White, cloudy urine (after ten hours), 30.
Orifice of urethra itching, 1.

MALE GENITALS

While at dinner (2 o'clock), erections; something quite unusual (third day), 1b.
In the night an emission of very thick semen; felt unusually well and strong next morning, 1b.
A cutting pain in the left side of the penis, 1.
Shooting pain from the middle line of the belly, as along a thread down into the penis (third day), 12, 1.
Itching on the scrotum and at the orifice of the urethra, in the evening (second day), 1.

FEMALE GENITALS

In the highest degrees of weakness of uterus, its good influence is only transient (Hufeland).
Higher potencies relieved permanently if indicated by the symptoms, 13, [°].
Causes induration and scirrhus uteri, if continually used for copious menstruation and hemorrhages (Hufeland). [230.]
Catamenia very scanty and more watery than usual (33 years old), has usually very profuse menstruation, 5.
During catamenia hands weak, drops things easily, 5.
Menses did not appear since several months, no good digestion, loss of strength, pain in the lower limbs, particularly at night; the collum uteri swollen and puffed up, the vagina very sensitive, and narrowed, particularly at the orifice, by swellings of various size (Jacquot).
As she had it during pregnancy, faint weakness in pit of stomach, 7.

RESPIRATORY

Hoarseness, voice shrill, cannot talk loud; at times she feels as though she had lost her voice; altogether the sound of the voice varied when talking, it is sometimes high, sometimes low; cannot talk loud enough, 7.
After a week, repeated the proving with precisely similar though less violent effects, except that her voice was entirely lost for a full week, and the soreness of the throat became so troublesome, as apparently to give her doctor some uneasiness; he called repeatedly and administered medicine several times during the ensuing fortnight. This aphony lasted for months, 7.
Hoarseness; worse from talking, which likewise causes a tickling cough, 7.
Hoarseness with tickling cough, 1, [°] ; with cough in the evening, 1, [°].
Talking increases hoarseness, 7 ; voice changing, 7 ; throat dry, 8 ; causes a tickling cough, 7.

LARYNX

Tickling in the larynx causing cough (Trbg.). [240.]
Tickling in throat causes cough, 1, [°] ; scratching like dust in larynx, 3.
Painful scraping sensation of roughness in the larynx, with expectoration of much clear mucus, for two or three days after taking the medicine, 3.
With the cough, scraping in the throat to the middle of the sternum; rawness in the breast; but slight expectoration, 1.
In larynx, heat and burning, 18.
Sense of constriction in the windpipe, 8.

BREATHING

Oppression of chest; tightness across the upper part; sense of heat and burning, [t].
Sensation as if ligated in chest, 8.
With every deep inhalation, pain on both sides of the spine, in the middle, 8.
When inhaling, pain in clavicle, 1.
Rapid short breathing with uneasiness in stomach, 1. [250.]
Respiration rapid, 18.
Ineffectual urging to take a deep breath, by fulness in pit of stomach, 13.
Not increased by deep breathing, stitches from chest to back, [°].

COUGH

Cough from tickling in larynx, caused by talking, 7, 2.*
Some irritation to cough, in the morning after rising (first day); tickling in the throat causing cough (second day), 1.
Tickling cough one hour after getting up in the morning (second day), 1.
Cough immediately after rising, excited by a tickling in the throat; worse during breakfast, after breakfast better, and only occasional cough during the day, 1, [°].
Tickling cough in the evening, from twilight (7 o'clock), until bedtime, with hoarseness, 1, [°].
Severe spell of hard shaking cough, caused by a scratching sensation in the larynx, as if dust were in it, which is relieved by the discharge of a quantity of clear mucus (after a few hours), 3.
Dry cough in the evening after lying down ; after she felt nearly well; but she had a cough in the evening, 7.* [260.]
Every morning (as often before), some cough (twenty-second day), 8.
Cough in the morning immediately after rising, excited by a tickling in the throat, particularly worse during breakfast, afterwards better; only now and then during the day. The same tickling cough in the evening, from 7 o'clock until he goes to bed, with hoarseness.
When coughing, a scratching in the throat, to the middle of the sternum, and rawness in the chest; very scanty expectoration. After the 30 cent., immediate improvement; after three days a relapse; then with a repetition of the dose for two days, gradual improvement.
Diarrhœa with frequent, violent urging; slimy stools, with severe pains in the rectum during stool, going down into the thighs. A young man who had been given up several years before as an incurable consumptive, but had been afterwards cured by homœopathy, 1, [°].
With the cough, scraping in throat, 1.*
When coughing, a scratching in the throat, to the middle of sternum, 1, [°].
Cough, with pain in region of ovary, 12.

EXPECTORATION

Slight expectoration, 1 ; very scanty, 1, [°].
Thirst, phlegm in throat and on palate, 5.
Expectoration of a mass of clear, transparent phlegm, 3.
Expectoration relieves scraping, 3. [270.]
It evidently so changed the expectoration as immediately to cause a copious discharge of mucus from the bronchi, and finally checked the superabundant secretion; did not produce thirst or any unpleasant symptoms, and so far from aggravating the febrile state, it often served materially to alleviate it, 16.

CHEST

When inhaling, pain under the right clavicle and right shoulder (second day), 1.
Since yesterday, stinging from the upper part of the left chest, through to the back, between the shoulder-blades. Worse at night in bed, when it awakens him; not aggravated by deep inhalation, 1.
Stitching pain down the middle of the chest; later in the right side, 6.
From upper left of chest stitches through to the back, [°].
Pain from heart to lower part of right lung, 7.
Sore pain in the right side of the chest under the nipple, especially when bending up double (contracting the body) in the morning (second day), 1.
Pain in the left chest when sitting, especially when bending forwards, 1b.
Pains in the chest to the left, near the middle of the sternum, after rising, when washing and dressing, lasting until 9 A.M. The following morning the same and worse (Trbg.). Pains in the chest; on side of chest, 4. [280.]
Rawness on the chest, 1, [°].
To the middle of sternum, scraping, scratching, 1, [°].
Sensation of fulness in the chest; in the afternoon, particularly after supper, painful, as if distended in the chest and arms, 6.
Soon after taking it in the evening, felt a slight pain or binding sensation in her breast, especially on the right side, retiring to rest almost immediately, it disappeared after lying down, 10.
Tightness across upper part of chest, 18.
Feeling of weakness in the lower part of the chest and in the abdomen, b, 1.

HEART

Half an hour after the second dose he feels very warm in the left side, opposite the shoulder, inside, and feels also very tired, still he slept afterwards very good, 4.
To the heart a throbbing from epigastrium, 8.
From the heart a pain shooting to the lower part of right lung, 7.
At times quite well as if nothing ailed her, then, when beginning to think about her disease, she feels the heart beating, so that it seems to move the whole chest; and yet, when she places her hand over it, it seems to beat very little stronger than natural, and at other times its motion in scarcely perceptible; sometimes the contractions are frequent, sometimes seldom. The contraction seems to end with a snap, as if the valves of the heart were jerked suddenly shut, 3. [290.]
Fluttering of heart, sudden attacks, disappearing as quickly as they came, [°].
Rapid and violent palpitation, worse when lying on the right side; also when lying in one position for any length of time; has to throw himself about in bed (twenty-first day), 1.
Perceptible strong palpitation and strong pulsation through the whole body, when standing for some time on one spot, 1b.
Was in about an hour seized with a throbbing of the heart, similar to heavy blows of a hammer, with long intervals; in ten or fifteen minutes the violence abated, and gradually subsided, 7.
Violent palpitation; intermitting beating of the heart, 7.
The palpitation of the heart and other symptoms, except the constipation, were better during the first week until Saturday, when owing to a sudden excitement, the heart began to beat violently, and continued to do so for a few moments, and the palpitation then passed off.
Since that time all symptoms have been increased, 3.
Had but little trouble with the disease in heart since, and the few slight attacks have been immediately relieved by it, 7, [°].
Pulse, intermittent, 7.
Throbbing, as in an abscess, in the stomach, 8 ; after a pressing pain there, 11 ; then throbbing in arms, 1, [°]. [300.]
Strong pulsation through the whole body, 1.

EXTERNAL CHEST

Tenderness over the second rib of the left side when touched; tenderness upon pressure, later above the left clavicle, 3.
An intermitting sore pain along the course of the third rib of the left side, which continues sometimes a minute (but more frequently less than a minute), and is sometimes accompanied with a more stinging pain in the region of the sixth or seventh rib of the same side, which is sometimes felt in the elbow, at long, irregular intervals, 3.
In the morning, sore pain in the right chest under the nipple when bending forward, in sitting (second day), 1.

NECK

Pain on the side of it, 1.
Burning on the right side of the neck, 1b.

BACK

Between the shoulder-blades, stinging, 18.
Stitching pain from upper left chest through to the back between the shoulder-blades, worse at night in bed; awakens him, increases when lying on left side, not by taking a long breath, [°].
Pain on the right side of the spine, near the spine, exactly there where the shoulder-blade ends, 1b.
From 2 o'clock P.M. until evening, tearing pain in the back, at the lower angles of the scapulæ, when sitting still, not when moving, 5. [310.]
Under the shoulder-blade, 6.
Pain on both sides of the spine on a line with the inferior angles of the scapulæ, with every deep inhalation, all evening. On each side of the spine above the middle of it, a spot where the breath appears to come from, drawing a long breath, 8.
Feels as if her back would break; can scarcely get up, 1.
In back the weakness is most felt, 8.
Sensation as if cold water running down the back, 7.
In back, warmth spreading, 4.
In small of back, burning, 1.
In the morning, fifteen minutes after the fifth dose, a kind of cramp in the back just below the hips on both sides; very warm ebullitions; the sensation goes from the hips up the left side; it frightens him and he quickly takes a cup of coffee, 4.

UPPER LIMBS

Great weakness in the region of the shoulder-blades, with inclination to bend forward, which relieves, 1, [°].
Severe pain in the left shoulder, 6. [320.]
Pains in the left shoulder, which disappear from motion and exercise, 1b.
Itching on the right shoulder, 1b.
Drawing-tearing pains particularly in left shoulder, 1.
Feeling of weakness, a kind of numbness in the left arm, and particularly in the left shoulder, 1b.
In arm, lack of power and dull pain, 8.
In arms, fulness, 6 ; of bloodvessels, 8.
Between three and four o'clock I felt a pain in my right arm as though a cord were drawn tightly around it, just below the shoulder, occasioning great fulness of the bloodvessels and deprivation of strength. The pain was dull and heavy, not general throughout the arm, but rather in lines, extending in different directions from the ligature which apparently bound it; the weakness was such that I could scarcely hold the needle which I was using when the pains commenced; it began suddenly, continued for a few moments, and then abated, although it did not leave me entirely, and returned at irregular intervals during the remainder of the day and evening. Renewed doses increased the pain in the arm, which is this evening quite severe, 8.
Pain in the right arm as if a string were tied tightly around it, 6.
Half an hour after the second dose pains in the arms and pains over the left eye.
Rheumatic pains in the bones of the arms, particularly in the right; the right side of the chest and under the left shoulder-blade, 6. [330.]
In the morning, for an hour, unpleasant sensation in both arms, afterwards heat, more in the left hand, 1b.
In arm, pain from elbow, 1 ; in elbows, 3.
In the morning, when awaking, rheumatic pain in the bend of the left elbow-joint, when extending the arm; disappears after rising and going about, 1b.
Bruised pain in the joints of the arm, hand, and feet, 6.
Pain as if sprained in the right wrist, at 12 M., from thence the pain goes into the first phalangeal joint of the right forefinger, where it is a tearing, which disappears soon, but returns quickly (third day); felt weak in the hands, during catamenia; she drops things easily that she holds in her hands, 5.

LOWER LIMBS

Great lassitude in the lower limbs when going upstairs; the whole of the third day, 5.
In lower extremities, lassitude, 2. [340.]
Down into thighs, pain from rectum, 1, [°].
When standing, bruised pain in the lower extremities, as after a severe cold, 1b.
Uneasiness in the knees, with pain right above them, 6.
Pain in both knees, particularly in the right, when walking, 6.
Sensation as if a cord were tied around the leg, under the right knee; the pain extends downward and upward, but is confined to the lower leg. To-night a similar feeling, though much slighter, in the lower limb on the same side, as though a cord were bound round it below the knee, the pain extending both below and above, on the under part of the limb only, 8.
In the evening a kind of numb sensation in the right leg, from the knee down into the foot, when lying on it (one hour), (first day), 1.
Legs, from knees down, cold, 1.
Pain in the left ankle-joint when walking, and particularly when going upstairs; in the morning (third day), 1b.
Pain in feet, 6, 1.
Coldness of the feet, with numbness, in bed, even if the feet are covered up warm, 7. [350.]
In the feet, coldness from the knee, 1.
Feet are very sensitive to pressure, and when walking, particularly the soles, 1b.
Pain in the sole of the foot between the ball of the little toe and the heel; also, drawing, tearing pain, particularly in the left shoulder, 1b.
In the evening, when walking in the street, stitch pain in the under part of the right big toe; felt each time when pressing on it, all evening (second day), 1.
Stitches in the right big toe, 1b.

ALL THE LIMBS

Rheumatic pain in the whole body, 6.
Pain in the right side of the neck and forehead, then in the left foot and ball of the foot, then on the vertex, 1b.
Bruised pain in the whole body, 6.
Slept well; in the morning, an hour after rising, tiredness, and for three hours a twitching in the limbs, particularly in the arm, and with it much excited, 4.
Coldness of the legs from the knees down to the feet, and coldness of the hands, in the afternoon and evening, 1b. [360.]
Coldness of the hands and rheumatic pain in the left shoulder; worse after motion, 1b.
Cold hands and feet, as if all the blood had left them, with pain in stomach, 8.

GENERALITIES

Has to throw himself about in bed, 1 ; restlessness, agitation, with fever, 18.
Nervous tremor and excitability of feeling, as when one is agitated by unpleasant news, 8.
Trembling of muscles, 4.
Twitching in limbs three hours in the forenoon, 4 ; of lower lip, 1.
Jerking contraction of abdominal muscles, 2 ; follow the warm creeps, 1.
Slight convulsive movements, 18.
Sensation as if a string were tied around the arm and lower limbs, 8.
Weak feeling in pit of stomach, 1 ; sinking sensation, 8 ; uneasiness, 1 ; faintness and weakness, as if dying, 8. [370.]
Lassitude in the whole body, particularly in the left lower extremity (Trbg.).
Feels very tired (soon after taking it), 4.
Keeps the bed; so faint that she expected every moment to fall from her seat, 8 ; (reached her chamber with difficulty; staggers to a chair), 7 ; deathlike fainting, 7.
Weak with the nausea; could not sit up; loss of strength, with sickness; faintness and nausea (in the morning), 8.
Very weak, as if she had been ill for some time, 8 ; great weakness, as after long illness, 10 ; debility in typhus, 5.
I was immediately sensible of a metallic taste, and slight nausea, but soon feel asleep, being greatly fatigued, and slept heavily until near five; I arose without more effort than usual, and about six, while standing at a table making some arrangements for breakfast, was suddenly seized with the most overpowering nausea, as though my whole stomach were rising to my throat; I tottered to a chair, when a cold sweat broke over me; the effort to vomit ceased, though the nausea continued, attended by a flushing to my head, extreme faintness, and a disposition to shiver; I reached my chamber with much difficulty, and on lying down felt some relief, chiefly in the faintness, and after taking some Ipecacuanha was able to rise and attend to my family, though feeling very weak; strong palpitation of the heart, intermitting pulse; the pain shoots from the heart to the region of the lower right lung, 7.
Great weakness after attack, particularly in spine, 8.

SLEEP

When going to bed heat in ears and face disappears, 1.
Cannot get to sleep on account of ebullition of blood (first day), 1. [380.]
Is more anxious at night than at other times, 3.
Sleeplessness, with fever, [t].
Very light sleep in the night; hears nearly everything that happens (Trbg.).
Very restless sleep, tossing to and fro; when he does sleep it is so light that he hears it if his birds move in their cage (Trbg.).
Wakes at night, with nausea and violent headache; lay awake about a quarter of an hour, when he went to sleep again; next morning, when he was called, he was unable to attend to his business on account of nausea, with violent headache; now sharp stinging, from temple to temple; now heavy pressure on the vertex, as of a heavy weight lying on it; continued all day long, 9.
In the night, half waking, half dreaming, she hears what happens around her, but dreams on, of dead bodies, that her father had died; with it great fear; would like to turn on her side, but cannot do it, feels so heavy in her bones; in her dream it seems to her as if the dream would soon pass over if she could turn on her side, but she is not able to do it (at 4 A.M., fourth day), 5.
When awaking in the night, thick phlegm in the throat, and the roof of the mouth thickly coated, which she never had before (third day), 5.

FEVER

Very sensitive to cold, which was not the case before (third day), 5.
Like after a severe cold, pain in limbs, 1.
While washing and dressing, pain in chest, 2. [390.]
Inclination to chilliness after attack of retching, 7.
Chilliness with the sickness at the stomach, 9.
She complained of being very cold, but did not shiver; it passed off, perhaps in an hour, but was succeeded by pain in the head, which lasted all the afternoon, 17.
In the last attack the coldness was general; she could not distinguish a particular coldness of the feet; but all perceptive faculties were gone during the deathlike fainting spell, 7.
Chilliness, and feeling as if cold water were poured down the back, 7, 9.
Coldness in hands, 1 ; of legs and hands, 1.
Cold feet, even when covered up, 7.
Creeping and coldness of the skin, soon after doses, followed by heat and tingling of the same parts, 16.
Fever, accompanied by intense thirst; continued nausea and vomiting; sleeplessness; agitation; animated expression of the face; pain and distension of the epigastric region; frequent pulse, and burning pains in the mouth, pharynx, and stomach, 18.
Sensation of warmth, soon after taking it, 4. [400.]
Great heat throughout the body, 9.
Sensation all forenoon, as of inward heat, 6.
Heat and tingling following creeping and coldness, 18.
Warm ebullitions in both sides, 4.
He cannot get to sleep for a long time, on account of extraordinary ebullition of blood in the whole body (second day), 1.
In the morning, after the fourth dose, very soon tired; warm ebullitions like spasms spread over the whole trunk, particularly in the back; no pains, but a trembling of the muscles; towards two o'clock the pains in the chest return; feels better when walking, 4.
Flushes of heat to the head after attack, 7.
Warm creeps run over the abdomen, 1.
Cold sweat; breaks out over the whole body, 7 ; covers her, with cramps in stomach, .

CONDITIONS

Aggravation.
( Morning ), Headache over eyes, etc.; itching burning on border of eyelid, etc.; tongue rough, etc.; dry feeling on tongue; sickness at stomach; nausea, etc.; nausea, with weakness, etc.; cough ; bluish film on urine; sore pain in right chest; cramp in back; pain in left ankle-joint; very soon tired.
( Morning, when getting awake ), Pains in head.
( Morning, on waking ), Headache over eyes; rheumatic pain in bend of left elbow.
( Morning, after rising ), Spits up coagulated blood, etc.; tickling in throat; severe pain, etc.; irritation to cough; cough; cough from tickling; twitching in limbs.
( Forenoon ), Sinking sensation at stomach; most violent pains in rectum; twitching in limbs, etc.; twitching of lower lip; sensation as of inward heat.
( Noon ), Most acute pain in stomach, etc.; sprained pain in right wrist.
( Afternoon ), Headache difficult passage of hard stool, etc.; hard stool, etc.; sense of painful fulness of chest, etc.
( Afternoon and evening ), Coldness of the limbs, etc.
( Evening ), Contraction of abdominal muscles, etc.; itching of anus; itching on the scrotum, etc.; hoarseness with cough; tickling cough; pain on both sides of the spine; pain under big toe.
( Evening, after lying down ), Dry cough.
( Night ), More anxious; heat in side of face; itching of lump at anus; emission of very thick semen; pain in lower limbs; nausea and violent headache.
( Night, when awaking ), Great pain in head, etc.; thick phlegm in throat, etc.
( Night, in bed ), Stitching pain through upper chest; stinging pain through upper chest.
( Midnight ), Heat in ears, etc.
( 9 A.M. till noon ), Very depressed, etc.
( Towards two o'clock ), Pains in chest return.
( 2 P.M. till evening ), Tearing pain in back.
(

3 P.M .), Sudden pain from stomach into the swallow, etc.

( Between 3 and 4 P.M .), Pain in right arm.
( About 3.30 and 4 P.M .), Pain in stomach.
(

8 P.M .), Pain in left of the scrobiculus.

( Evening at 9.30 ), Headache over eyes, etc.
( Walking in open air ), Pain to left of the scrobiculus.
( In bed ), Coldness of feet, etc.
( Bending up double ), Sore pain in right side of chest.
( Sitting bent forward ), Pain in left chest.
( Before breakfast ), Attack of nausea.
( During breakfast ), Nausea, cough.
( After breakfast ), Feels very full in stomach, etc.
( Coughing ), Scratching in throat.
( Drawing breath ), Pain under right clavicle, etc.
( Drawing deep breath ), Pain on both sides of spine.
( At dinner ), Erections.
( After dinner ), Heaviness in stomach.
( After eating ), Violent throbbing in stomach; distension of stomach, etc.
( Mental excitement ), Heart begins to beat violently.
( When extending arm ), Rheumatic pain in bend of elbow.
( Looking down ), Vertigo.
( Lying on one side ), Pains in anus and rectum.
( Lying on right side ), Palpitation of heart.
( Lying on right leg ), Numb sensation in it.
( Lying in one position for any length of time ), Palpitation of heart.
( Lying on left side ), Stitching pain through upper chest.
( Lying on back in the evening ), Pain in pit of stomach, etc.; weakness in pit of stomach, etc.; throbbing sensation in pit of stomach.
( During menses ), Hands weak, etc.
( After motion ), Coldness in hands, etc.
( ), Bruised feeling on edge of lower orbit.

SUPPLEMENT: ALUMEN. Authorities.

19 , Dr. Barthez, Rec. de Mém. de Méd., etc., 1835 (Frank's Mag., vol. iii, p. 675); 20 , Hicquet, Annal. d'Hyg., 39, p. 192, a man, aged fifty-seven years, took 30 grains Alum in water, by mistake for salts; 21 , Helen J. Underwood, M.D., copied from MSS.

Took, fasting, a dose of 1/2 drachm Alum in 1 ounce distilled water. He noticed contraction in the whole mouth, which lasted about a quarter of an hour, with very acute pressure in the stomach. During the rest of the day there were no marked symptoms. Three days afterwards took 1 drachm Alum in 2 ounces of water. This was followed by more violent contraction than before; the appetite was not diminished, on the contrary, he rather thought that it was improved, an that digestion was rather better than usual. After this he took doses, increasing every time by 1/2 a drachm, until he took 2 1/2 drachms at once. After the last dose he experienced violent inclination to vomit, lasting nearly a quarter of an hour, followed by vomiting. Through the day there was decided disturbance; the inclination to vomit seemed to depend rather upon the astringency and disagreeable taste of the Alum than upon any irritating influence on the stomach. Six days afterwards he took fasting 3 drachms at a dose, and in three or four minutes vomited twice a portion of the solution. Through the day there were no symptoms and no pain in the abdomen; only two or three days afterwards the stools were more difficult than usual. The vomiting spoken of occurred without effort hand without previous nausea, 19.
Sensation of dryness and burning in the mouth, throat, and stomach. Incessant nausea and vomiting of only blood; extreme anguish. Pulse small, rapid; afterwards intermittent and thready. Respiration rapid. Skin cold. Deglutition impossible, 20.
Every time this patient takes 3 c. She feels a sort of metallic sensation about the urethra; also a feeling in the clitoris as if the urethra lay there, and the urine were pressing to be expelled, and a feeling that the urine could not be retained on account of the pressure on the clitoris. This she never feels except after taking the Alumen, 21.