CARBONEUM SULFURATUM.

Carbon bisulphide, CS2 (Alcohol sulphuris, Alcohol Lampadii.)

Preparation , Dilutions prepared with alcohol.

Authorities.

1 , Knaf, Inaug. Diss. Prag., 1835 ( translated from the daybooks given in Pemerl's collection, All. Zeit. für Hom., supplement ), provings with repeated doses of 2 to 20 drops of the crude oil; 2 , J. Buchner took 3 drops, afterward 1/25th and 1/50th of a drop (ibid.); 3 , M. H., a woman, aged 24, took repeated doses of 1 to 2 drops crude (ibid.); 4 , Dr. Held took 2 drops on the first day, 2 on the second, 1 on the third, 1 on the fourth, 1 on the fifth, 1 on the sixth (ibid.); 5 , Anna Gasberger was cured of severe toothache, with swelling of the gum and pains in that (right) side of the head, face, and neck, by Carb. sulf., so that only some swelling of the gum was left; she continued to take the drug, however, until she took more than half a drachm of the crude oil, and developed new symptoms (ibid.); 6 , Dr. Konigshœfer, aged 36, took the 2d dilution, and afterwards the 1st, repeated doses (ibid.); 7 , Mrs. K., aged 26, took repeated doses of the 1st dilution (ibid.); 8 , L. M., a man, aged 60, took repeated doses of the 2d dilution, afterwards the 1st dilution (ibid.); 9 , Dr. Prims took the 6th dilution daily for four days, afterward the 4th and the 1st (ibid.); 10 , Dr. Prims took 1, 3, 5, and 6 drops of the crude oil (ibid.); 11 , Dr. Pemerl, aged 36 (formerly, five years ago) had hæmoptysis, and now has a tendency to pulmonary congestion) took the 1st dilution at 7 A.M. (three provings), afterward the 3d dilution (two provings), (ibid.); 12 , Dr. Moser took 50 drops of the 1st dilution on several successive days, and afterward 1 to 10 drops of the tincture (ibid.); 13 , Dr. Quaglio took 2, 3, and 4 drops of the crude (ibid.); 14 , Dr. A. W. Koch, N. Am. J. of Hom., 2, 374; , took the 1/6000000th, 3 drops four times a day for three days, 10 drops on fourth day, and 3 drops on tenth day; , took the 2d dilution seven times in twelve days; , 1st dilution 3 to 10 drops, nine times in thirteen days; , 1/6000000th, 10 drops, in six ounces of water, nine tablespoonfuls in nine days; , 1/5th dilution, 5 drops five times in eight days; , Delpech, L'Union, 1855, effects of the vapor of Carb. sulf. on workmen in rubber factories, cases cited in L'Art Méd., 4, 83, also in Zeit. f. hom. Aezt. Oest., 1, 121, also in Ziemssen, Pathol. und Therapy, Band 1, etc.; , Sir J. Y. Simpson, L. and E. M. J., 8, 743, effects of vapor on self and many others; , A. Turnbull, Lond. Med. Gaz., 1, 178, effects of local application to the eye and to enlarged glands; , Bergeron and Levy, Gaz. Méd. de Paris, 1864, p. 584, effects on the eye; , Bienhardt, Berlin Kl. W., 1871 (S. J., 143, 149), effects of inhaling the fumes in a rubber factory; , P. H. Van der Weyde, statement of effects (from Hering's Monograph); , "S. P." (from Hering); , Miller, Elements of Chemistry, vol. 2; , Dr. Radziejewski, Virchow's Archiv, 53, p. 370, effects of inspiring a small quantity of the

Oxysulphide of carbon.

MIND

• Emotional.
• Very much excited during the night, 10.
• Inhalation of the vapor caused a condition resembling intoxication from alcoholic stimulants; this often reached such a degree that one could scarcely walk without reeling, 11.
• Raging delirium; he fell on his father and tried to bite him (child), 15.
• Depressing and disagreeable visions (in several cases), 16.
• Particularly cheerful and free from care (fourth day), 14b.
• Inclination to sing (curative), 14b.
• Sadness, 15.
• Mood depressed, rather obstinate, 4.
• Mood depressed, easily irritated, 3. [10.]
• Sudden ebullitions of a fretful mood (third day), 11.
• Morose mood, inclined to get angry, 4.
• Disposition very changeable; sometimes he had turns of extravagant gayety; sometimes he flew into a passion from the most trivial causes, and in these fits of unreasonable anger smashed everything about him, 15.
• Intellectual.
• Increased activity of mind, 1.
• At first the intellectual faculties are excited; persons talk more than usual; there is an increased liveliness, 15.
• Distraction of mind, 11.
• Distraction of mind; it is difficult to fix the mind upon what one is reading, 11.
• Distraction of mind; he is unable to fix his attention upon his reading, 11.
• Could not find the right words while speaking, 15.
• Frequently she did not know what she was to do with the things she was holding in her hands, 19. [20.]
• Stupidity (secondary action), 15.
• Peculiarly idiotic and childish, 19.
• Loss of memory, 19.
• Loss of memory, and mental alienation, 20.
• Weakness of memory (secondary action), 15.
• Memory so poor that he kept forgetting where he had placed his tools when he had occasion for them, .

EYE

• Eyes sunken, with strongly marked gray rings around them (noon), 14a.
• When applied to the eye, the vapors occasion intense prickling heat and flow of tears, 17.
• Pressure upon the eyes, 10.
• Pressure upon the eyes, with inclination to close them, 12.
• Severe pressure upon the eyes, 12. [110.]
• Itching pressure in the eyes, together with burning on the upper lids and the development of a small pustule, which itches a great deal, with secretion of much whitish-yellow mucus in the eye; this pustule lasted four days, 4.
• Stitches in the right eye, when reading (fifth day), 11.
• Some stitches in the right eye (second day), 11.
• Jerking stitches in the right eye, in the region of the superior rectus muscle, 11.
• Orbit.
• Sensation of pressure in the orbits, 1.
• Sore pain in the orbicularis of the left eye towards the external canthus, especially on moving the lids (fourth day), 11.
• Jerking-stitching pain, paroxysmal, apparently alternating in various muscles of the right eye (fifth day), 11.
• Some dull stitches in the right eye, when reading (second day), 11.
• Lids.
• Twitching of the eyelids, 6.
• Heaviness of the eyelids, 3. [120.]
• Burning in the margin of the lids, which are somewhat red, 7.
• Biting in the right lower lid, 7, 21.
• Itching in the eyelids, 21.
• Lachrymal Apparatus.
• Lachrymation while reading, 10.
• Ball.
• Pressure on the left eyeball, with sensation of heat in it, 10.
• Great itching of the eyeball, 4.
• Insensibility of the cornea in a high degree, without disturbance of vision, 18.
• Pupil.

EAR

• Left ear somewhat painful, and as if stopped, 14b.
• Boring in the right ear (after eight hours and a half), 11.
• Pressive pain in the right ear, repeated at times, just as if one were thrusting a dull instrument into the tympanum, 10.
• Sticking in the left ear (after two hours), 7. [140.]
• Some stitches in the right ear, in the afternoon (second day), 10.
• Stitches in the right ear, 10.
• The stitches in the right ear became worse towards evening, when they lasted nearly a quarter of an hour, 10.
• Some stitches in the right ear, after dinner, which were repeated at intervals of a quarter of an hour, 10.
• Stitches in the left ear (fourth day), 14a.
• Stitches in the left ear, in evening, 14c.
• Fine jerking stitches in the left ear (after five hours), 11.
• Some fine stitches in the ear (after four hours), 11.
• Stitches in the left ear, as if an insect were in it, 9 P.M., 14b.
• Violent stitches and griping pain (transitory) in left ear, which awoke him in the night (second day), 14a.
• Hearing. [150.]
• Ringing before the ears, lasting several days, 4.
• Buzzing and singing of the wind in the right ear, like an Æolian harp, when walking in the morning, 14d.
• Deafness, so that he had to be shouted to; it gradually lessened and disappeared spontaneously after some time, 15.

NOSE

• Objective.
• End of nose red and burning, sore (second day), 14b.
• Stoppage of the nose, 3.
• Some catarrhal stoppage of the nose (second day), 11.
• Nose was stopped, 4.
• Sneezing, 11.
• Sneezing, with traces of blood in the nasal mucus, 11.
• Subjective.
• Burning in the root of the nose and in the throat, 10. [160.]
• Prickling in the tip of the nose, like an irritation to sneeze, 11.

FACE

• Face red, puffy, 5.
• Great paleness, 15.
• Face as if bloated (third day), 14a.
• Lips dry, 4.
• Compressive feeling in the muscles of the under jaw, particularly alongside the larynx (immediately), 14a.
• Drawing pain in the left lower jaw, 10.

MOUTH

• Teeth.
• Sensation of bluntness of the teeth, 1.
• Toothache in the molars of the right under jaw, 14d.
• Toothache in every tooth, from cleansing the mouth with cold water in the morning (third day), 14a. [170.]
• Slight sticking in the root of a carious tooth, upper right side (after two hours), 11.
• Jerking-sticking pain in a carious tooth at 9 A.M. (second day), 11.
• Dull drawing-sticking toothache in a carious upper back tooth, and also in a lower tooth opposite it, at 6 A.M., lasting in the first tooth till after rising (for half an hour), (second day), 11.
• Stitches extending from the crown to the root of a sound double tooth of the lower right side (after three hours), 11.
• Toothache reappeared in the afternoon, tearing, and at the same time drawing; it increased during the afternoon, and was only somewhat relieved after midnight; it was intolerable in great cold, 4.
• Throbbing pain, with burning in the left back teeth, not violent, coming on in the evening and lasting through the night, 4.
• The toothache of yesterday is increased, and is accompanied by swelling around the painful tooth, which extends towards the palate; chewing causes no pain, but only itching and tension, 4.
• The toothache overpowered all other symptoms; it lasted the whole day, and was worse at night; on account of this I was unable to observe properly my other symptoms, 4.
• General Mouth.
• Twitches in the corners of the mouth, 5.
• Clammy mouth, with bad taste and frequent spitting, 15. [180.]
• Irritability of the mouth and pharynx, with sensation of constriction of the larynx, provoking cough, which amounts to retching, with expectoration of mucus, 2.
• Burning in the mouth, 2.
• Violent burning on the lips and tongue, and in the throat (immediately), 13.
• Most excessive burning in the mouth and pharynx, which are extremely painful, 5.
• Tongue.
• Tongue coated (noon), 14a.
• Sensation of coldness on the tongue, soon changed to a sticking-burning, followed by persistent sensation like that caused by an acrid, and astringent substance, as, for example, pepper (immediately), .

THROAT

• Salty taste of the mucus raised from the throat, 11.
• Continual oniony taste and smell in the throat, 14a.
• Much hawking, with inclination to vomit (after one hour and a half), 11.
• Dryness of the throat, 7.
• She constantly complained of dryness of the throat, 19.
• Great dryness in the throat compelled her to drink enormous quantities of water, 19.
• Sensation of a hair in the throat, 3.
• Sensation in the throat like that caused by an acrid substance (immediately), 1. [220.]
• (Pains and burning in the throat, with profuse catarrh, caused by cold, wet weather), 3.
• Burning in the throat, 10.
• Burning pain in the throat, 10.
• Burning in the throat, extending to the stomach, 3.
• Burning and scraping in the throat and œsophagus, 10.
• Scraping in the throat, 11.
• Scraping sensation in the throat, causing cough, 6.
• A scraping, raw pain (as from a foreign body), in the left side of the throat; on swallowing, it extends to the left ear; lasts one to two minutes (third day), 11.
• Scraping rough sensation in the throat, with fine transient stitches, 6.
• Rawness in the throat, 11. [230.]
• Roughness and scraping in the throat (second day), 11.
• Constant scratching and scraping in the throat, as from catarrh, all day, 7.
• Burning in the soft palate (after three-quarters of an hour), 2.
• Tickling in posterior part of palate, exciting a hard dry cough, soon after lying down, 14a.
• Rough scraping sensation in the fauces (after one hour), 11.
• Burning and scraping in the whole pharynx, 5.
• Swallowing difficult, 5.

STOMACH

• Appetite.
• Increased appetite, 1.
• Desire for food, with increased secretion of saliva, 1.
• Hunger, together with aversion to eating (second day), 11. [240.]
• Hunger, though with aversion to the food set before him; it, however, had real relish (after five hours), 11.
• Sensation of hunger, with, however, aversion to food (second day), 11.
• Appetite diminished, 12.
• Little appetite, 11, 14c.
• Little appetite, especially for meat (third day), 11.
• Loss of appetite, 19.
• Appetite is lost (after repeated doses), 1.
• Constant anorexia, 15.
• Constant satiety, for several weeks, 12.
• Thirst.
• Desire for drinks, 2. [250.]
• Thirst great, especially for beer, 4.
• Eructations.
• Eructations, 2, 10, 13.
• Eructations, with nausea, 10.
• Eructations and inclination to vomit, 10.
• Eructations, extraordinary in quantity and loudness, and very fetid flatus in afternoon, 14a.
• Eructations of air, 7.
• Eructations of wind (immediately), 14e.
• Eructations of a very bitter fluid, at 10 P.M. (third day), 14a.
• Eructations of an acid, corrosive fluid, 14c.
• Eructations of nauseating, disgusting fluid, 14b. [260.]
• Empty eructations, 6.
• Empty eructations, tasting and smelling of the remedies (soon after the 1/10th), 6.
• Insufficient eructations (second day), 11.
• Frequent acid eructations, 3.
• Frequent eructations of air, as after eating radishes, .

ABDOMEN

• Hypochondria.
• Indefinite, unpleasant, painful sensation in the region of the left lobe of the liver (second day), 11.
• Sticking, colic-like symptoms in the hypochondria, after sitting a long time (sixth day), 11.
• Paroxysmal, sticking pains in the region of the small lobe of the liver precede the stool (fifth day), 11.
• Jerking-sticking pain, first in the right, afterwards in the left hypochondrium, continuing but a few minutes on either side, aggravated neither by pressure nor by motion, at 9 A.M. (fourth day), 11.
• Stitchlike jerkings in the left hypochondrium, 11.
• Umbilical.
• Pinching twinges in a small spot three fingers' breadth to the right of the navel, lasting half a minute (from the 3d dec. dilution), in the same place where the same sensation was noticed from the 1st dilution, 11.
• Griping pain in the umbilical region, with urging to stool, followed by nausea and accumulation of water in the mouth, 6.
• Dull stitches in the right side of the umbilical region, extending into the cæcal region, with passage of flatulence in the morning, in bed (second day), 11. [350.]
• Cutting colic about the navel, with slight attacks of nausea, one hour after dinner, 11.
• Some fine tearings from the right side of the umbilical region to the bladder; they frequently return until dinner, 11.
• General Abdomen.
• Distension of the abdomen (after two hours), 2.
• Distension of the abdomen, with sensation of soreness, 10.
• Distension of the abdomen, after eating, 12.
• Abdomen full and tense, 2.
• Increased peristaltic motion, 1.
• Increase of the peristaltic motion, rumbling, passage of flatulence, 1.
• Movings about in the abdomen, 6.
• Movings, like flatulence, in the abdomen (after a quarter of an hour), 11.
• Rumbling of the abdomen, 2.
• Rumbling in the abdomen, without pain, 6. [360.]

RECTUM AND ANUS

• Burning and itching in the rectum, 10.
• Transient stitches in the rectum, 6.
• Violent burning and itching in the anterior commissura ani, which is found to be sore to the touch, in afternoon, after a stool (second day), 14a.
• Urging to stool, 10.
• Urgent desire for stool, at noon, 2.
• 8 P.M., urging to stool, which was pappy and accompanied and followed by a feeling of weakness and tremulousness (second day), 14a.

STOOL

• Diarrhœa. [420.]
• Diarrhœa at night of a yellow, frothy, sour-smelling fluid, with colic-like pain in the abdomen, especially in the umbilical region, with which the navel was drawn inward; with tenesmus, which soon disappeared without returning (this returned every four or five weeks, and lasted one or two days), 3.
• Sudden diarrhœa set in after dinner, with colic; this was twice repeated during the afternoon, 10.
• Slimy diarrhœa, in the afternoon (second day), 10.
• Watery diarrhœa twice, 10.
• Transient, offensive diarrhœa, alternating with constipation, 15.
• Diarrhœic stool after breakfast (second day), 14a.
• Two stools in quick succession, 7.
• Two small pasty stools at 11 A.M. (fifth day), 11.
• Two stools, the first in part pasty, in part crumbly, the last one thin, fluid, between 9 and 10 A.M. (third day), 11.
• Stool, with relief of colic, 7. [430.]
• Stool, preceded by griping colic, which was relieved after the stool, 6.
• Stool, followed by pinching-sticking pain in the cæcum (fifth day), 11.
• Stool, with mucus, and discharge of cherry-red blood (in the morning, two days after, connected with the headache), (fifth day), 14c.
• Immediately on waking, at 5.30 A.M., was obliged to go to stool, and had a copious, thin, yellowish evacuation, with subsequent burning at the anus, as if from acridity, 14e.
• Stool at first solid, then soft, followed by rumbling in the abdomen, as if another stool would occur, 11.
• Stool soft, 2 . Stool soft, having the peculiar odor of the drug, 12.
• Having been three days without an evacuation, on going to stool, in the morning, after breakfast, without any special call, had a soft stool, with a considerable discharge of cherry-red blood (third day), 14b.
• Soft, pasty stool, preceed by colic, soon after breakfast (second day), 11.
• Insufficient soft stool at 10 A.M. (fourth day), 11. [440.]
• Pasty stool (second day), 11.
• Stools always pappy and scanty, .

URINARY ORGANS

• Bladder.
• Violent stitchlike, crampy pain in the bladder and neck of bladder, at midnight, when making water, on coming home, after taking a glass of wine, extending forwards into the urethra, and accompanied by a similar pain in the anus and rectum; this pain is hardly bearable while it continues, 14b.
• Urethra.
• Slight irritation of the mucous membrane of the urethra, 15.
• Tickling in forepart of urethra, and sensation as though something were about to run out of it (after dinner), 14a.
• Desire to pass urine, 1. [460.]
• Great desire to pass urine, 1.
• Sudden transient desire to urinate, arising from the fossa navicularis, without real urging or necessity for urinating, 4.
• Micturition.
• Involuntary passage of urine, 19.
• Urine.
• Urine smells of sulphur, 15.
• Increase of carbonates and sulphates in the urine, 15.

SEXUAL ORGANS

• Male.
• The sexual organs were relaxed during the whole of the proving, 2.
• Penis much shrivelled and shrunken (eighth day), 14b.
• Erections in the afternoon (second day), 10.
• Erections, with nightly emissions, 10.
• Violent erections, with burning in the urethra, 10. [470.]
• Complete impotence, with atrophied testicles, soon followed its administration, 20.
• No sexual appetite since the proving begun, 14b.
• Scrotum and penis shrunken from the commencement, 14c.
• Left testicle and epididymis somewhat swollen (second day), 14a.
• Left testicle more swollen and harder than usual, also much more painful, even when at rest, 14a.
• No pain in the tumor testiculi, though the epididymis is very much swollen (fifth day), 14c.
• Fine sticking-burning pains in left spermatic cord, running deep into abdomen; these pains returned in the evening, when in bed, 14c.
• Jerking-sticking pain in the left testicle, continuing about two minutes (after five hours and a half), 11.
• Stitches in the left spermatic cord, in the evening, 14c.
• Sexual desire increased (in both sexes), 15. [480.]
• Sexual desire and erections ceased; this impotence was so decided that his wife, herself diseased, gave it as a reason for leaving him, 15.
• Copious emission during the night, 14d.
• Female.
• Almost entire obliteration of ovaries, 20.
• Menstruation five days too early, without trouble, 3.
• Menstruation irregular, 15.

RESPIRATORY ORGANS

• Larynx.
• Irritability of the larynx, 2.
• Inclination to cough, 13.
• Inclination to cough all day, 14c.
• Desire to cough, rising from the bifurcation of the bronchi (followed after the hoarseness and irritation in the larynx), 2.
• Heat in the larynx, 2.
• Voice. [490.]
• Husky voice, 11.
• Voice somewhat husky, though without other catarrhal symptoms (fourth day), 11.
• Rough, husky voice (second day), 11.
• Hoarseness, 14b.
• Hoarseness, lasting two hours, 9.
• Hoarseness from the larynx, with much irritation to hawk, especially on its posterior wall, seldom provoking cough, lasting thirty-six hours, 2.
• Some hoarseness at noon, as if from a catarrh, 14c.
• Cough.
• Violent cough, immediately after lying down in bed, at 10.30 P.M., caused by a continual and very troublesome tickling high up in the pharynx, exactly as if snuff had lodged upon the uvula, straining the chest and making it sore; convulsive and dry, lasting half an hour (sixth day), 14c.
• More or less tormenting cough, without characteristic sputa, 15.
• Dry cough, 6.
• Respiration. [500.]
• Breath smelt of Sulphide of Carbon, 15.
• Increased warmth of the expired air, 2.
• Hot breath, 2.
• Inspiration deep and slow, 23.
• Respiration accelerated, 2.
• Respiration somewhat oppressed, 6.
• Oppression of breathing, with pressure on the sternum, 2.
• "Seemed to have lost his breath," 23.

CHEST

• Sensation of warmth in the chest, 5.
• Constriction of the chest, as though expiration were impeded. I was obliged to inspire deeply, and only obtained relief after continued deep respirations in the open air, 23. [510.]
• Fulness of the chest and oppression of breathing seem to arise from the anterior portion of the right side of the diaphragm, 2.
• Pressive-tensive pain in chest, stomach, and abdomen, 14b.
• Oppression of the chest is increased in impure air and in a room which had not been aired in the morning, when it was also associated with anxiety, 2.
• Some transient stitches in the chest and below the left short ribs (third day), 11.
• The symptoms of congestion of the lungs are perceptible, and seem to involve the upper lobes of the lungs (second day), 2.
• Front.
• Sensitiveness of the anterior wall of chest when sneezing, in the evening, 2.
• Pressure under the sternum, 9.
• Transient stitches near the left side of the sternum (second day), 11.
• Violent stitches under the middle of the sternum, extending upwards like lightning (soon after), 14e.
• Sides.
• Burning in the left half of the chest and beneath the sternum, 10. [520.]
• Dull pressive pain in the right side of the chest, 6.
• Paroxysmal pressive-sticking sensation in the region of the right last ribs, about four fingers' breadth from the pit of the stomach, at 5 P.M. (second day), 11.
• Dull jerking-sticking in the lower portion of the right side of the chest (after three hours), 11.
• Stitches in the left half of the chest, without cough (second day), 10.
• Itching stitches in the right nipple, 11.
• Chest symptoms aggravated by ascending steps, 2.

HEART AND PULSE

• Heart's action accelerated, 15.
• Pulse accelerated, 1, 3, 4.
• Pulse 90 to 95, 5.
• Pulse 80, and increasing (second day), 14a. [530.]
• Pulse accelerated, 92 (usually 76); this, however, lasted only ten minutes, after which it was again regular, 3.
• Pulse reduced to 52 beats (one case), 15.

NECK AND BACK

• Neck.
• Very marked intermittent bruit de souffle in the cervical vessels, 15.
• Stiffness of neck prevented me from turning the head, toward the left particularly; continued all day (sixth day), 14b.
• Painful stiffness in the nape and neck (fifth day), 14b.
• Violent sticking constrictive pains in the neck, near the commencement of the œsophagus, as though there were a bone sticking there; this pain returned several times during the day, 14c.
• Drawing pain in the right musc. sterno-cleido-mastoideus, 6.
• Itching-sticking pain in the right sterno-cleido-mastoid muscle (fourth day), 11.
• Dorsal.
• Feeling in back as though a heavy weight were lying across shoulders and weighing him down, so that his head sank forward; at noon, when walking 14a.
• Lumbar.
• Lumbar pains (hæmorrhoidal), 14c. [540.]
• Lumbar pains, continuing until morning, 14b.
• Persistent lumbar and sacral pains through the day (second day), 14c.
• Violent lumbar and sacral pains on waking in the morning (third day), 14e.
• Dislocated pain in right lumbar region, 10 P.M., 14b.
• Jerking stitches in the right lumbar region, at 7 P.M., 11.
• Tension in the small of the back, especially on ascending steps, together with occasional jerks extending towards the hip-joints, 2.
• Drawing in the small of the back, in the afternoon (second day), 10.
• Tearing and pressure in the small of the back, 10.
• Sacral.
• Continual sacral pains, 14b.
• Sensitive pain in the right tuber ischii and in the flexor side of the foot, in the afternoon, when riding, 11.

EXTREMITIES IN GENERAL. [550.]

• Dwindling of the limbs and of the whole muscular structure, 15.
• Severe pains in the limbs, 15.
• Pains in the limbs, like chronic rheumatism, with formication and general prickling, 15.
• Jerking-sticking pains in several joints (third day), 11.
• Intermitting dull sticking pain (sensitive twitching in single muscle-fibrillæ) in several places as large as the tip of the finger, on the inner side of the upper arm and thigh (after one hour and a quarter), 11.
• Jerking-sticking transient pains on the back of the left foot and in the right wrist, 6.

SUPERIOR EXTREMITIES

• 10 P.M., paralytic pain in left arm, from holding newspaper to read in bed, 14a.
• Violent rheumatic pain in right arm and shoulder, in forenoon (fourth day), 14a.
• Pressive pain in the right arm (third day), 10.
• Slight attacks of itching-sticking pains, in places as large as the tip of the finger, on the inside of the right arm (soon after taking), 11. [560.]
• Frequent slight stitches in the arms, extending from the shoulder-joint to the wrist (second day), 3.
• Diminished sensibility on the arms and hands, 15.
• The left arm goes to sleep, with pain and sensation of weariness in it, 10.
• Shoulder.
• Jerking-sticking pain in the right shoulder-joint, 11.
• Arm.
• Rheumatic pain in left upper arm, occiput, and nape, 14b.
• Violent rheumatic pain in left upper arm to the bones, in the evening, 14b.
• Paroxysmal itching-sticking pain in the left deltoid muscle (sixth day), 11.
• Jerking stitches in the upper arm and shoulder-joint (third day), 11.
• Elbow.
• In evening, frightful rheumatic pain in left elbow-joint, so that he could not move the arm without crying out; when quiet, it was painless (sixth day), 14b.
• Slight stitches in the right elbow-joint, along the course of the extensors to the wrists, transient, frequently returning during the day, 3. [570.]
• Tearing pain in the left elbow and in the left shoulder (these parts had formerly been the seat of a rheumatic affection); the pains were transient, 8.
• Jerking in the region of the elbow (after eleven hours), 11.
• Forearm.
• Trembling of the left forearm, with sticking in it, especially about the wrist, 10.
• Pressive pain in the left forearm, when touching it or leaning upon it, 9.
• Pressive pain in the left forearm, aggravated by leaning upon it, lasting half an hour, 10.
• Jerking-stitching pain at the tendinous insertion of the biceps of the forearm, paroxysmal, going and coming, during the afternoon and night (fourth day), .

INFERIOR EXTREMITIES. [590.]

• Weariness of the lower extremities (from the 1st dil.), 13.
• Hip.
• Itching in the region of the left hip and pelvis, obliging him to scratch (third day), 11.
• Thigh.
• Violent (rheumatic) pains in the muscles of the thigh after rising (sixth day), 14a.
• Violent muscular pains in the thigh the whole day, but especially in the ankle; can scarcely walk (sixth day), 14a.
• Drawings from the left hip to the knee-joint (after half an hour), 4.
• Drawing pain in the left thigh while walking (after half an hour), 7.
• Dislocated pain in right thigh when walking in forenoon; the same in left foot near tibia (fourth day), 14c.
• Jerking-sticking pain in the middle of the thigh, like a pain in a nerve, lasting half an hour, and very painful, repeated during the next forenoon; in the afternoon the same pain is felt between the tibia and fibula, after dinner, 2.
• Jerking stitch in the middle of the right thigh, 11.
• Knee.
• Pain in the hollow of the knee (second day), 11. [600.]
• Tensive pain in the right popliteal space, when walking or stretching out the foot, 6.
• Drawing pain in the knee-joints (from the 1st dil.), 13.
• Sensation in the left knee-joint as though it were sprained, 4.
• Dislocated pain in knee and sole when walking in the forenoon, as if he had made a misstep, 14c.
• Dislocated pain in right knee, repeated several times during the day (second day), 14c.
• Tearing pain in the right knee and ankle in the afternoon, 10.
• Itching, sticking pain in the hollow of both knees, at the point of insertion of the tendons of the gracilis and sartorius muscles, and also in the tuber ischii, 11.
• A peculiar, itching-stitching pain on the external tendons of the left popliteal space, more severe than formerly, and lasting several minutes (third day), 11.
• Leg.
• Rheumatic (?) pain in left tibia, .

GENERALITIES

• Objective.
• Considerable emaciation, 13.
• Deranges the whole nervous organization, 20.
• Serious nervous disturbances occur after inhaling the vapor, 20. [630.]
• Muscular contraction was inefficient and tremulous; the fingers could not be closed with any degree of force; on extending the arm for a few seconds, there was a well-marked trembling of the muscular fibres, 15.
• Its vapor, breathed, produces great depression, followed by coma, 22.
• Disinclination for every work, together with sleepiness, and pressure upon the eyes, lasting several weeks, 12.
• Unusual weariness, 6.
• General painful weariness, 15.
• Weariness of the whole body, especially of the left arm, in the morning, which disappeared towards noon (second day), 10.
• Painful weariness and bruised sensation in all parts of the body, especially in the back, loins, and joints of the feet (second day), 14c.
• Weakness, 3.
• Great weakness and prostration, 12.
• Muscular debility (wife), 15. [640.]
• Rapid decline of strength; could scarcely walk, and could only work sitting; walked with a cane, and on going upstairs, had to stop at each landing-place. This debility affected the upper as well as the lower limbs, 15.
• If raised from bed she sank on to her knees and gradually slid down to the ground, 19.
• On coming out of the attacks of fainting she could not walk or remember anything of her condition; she was very much confused, and even demented; on attempting to speak she frequently stuck out her tongue like a child, stretched the lower jaw far forward and gnashed it against the upper one; she frequently stared at her hands and fingers with a vacant look, 19.
• Prostration, weakness of the body, for several weeks, 12.
• Prostration and weakness of the feet, 12.
• Frequent attacks of faintness, 19.
• Cannot long remain quiet in one place, 12.
• Hyperæsthesia (one case), 15.
• Anesthesia of various portions of the skin, as also of the mucous membrane of the mouth, eyes, ears, and nose, .

SKIN

• Objective.
• Eruptions, Dry.
• Eruption on the face after shaving in the morning, 14d.
• Red, somewhat raised eruption on both cheeks and across nose and on alæ nasi at 2 P.M., after shaving; it resembles the acne potatorum or the soreness of the nose accompanying catarrh, with burning of nose and lips; it had not disappeared when he went to bed. A medical friend whom he met asked him if he had herpes on his face (second day), 14a.
• Eruption on face became strongly developed after drinking two glasses of beer at noon (second day), 14b.
• Small scales visible on the parts of the face formerly occupied by the eruption (fourth day), 14a.
• Little scales upon the cheeks (third day), 14b.
• Violently itching pimples (like nettle-rash) on the back of the right forearm, obliging him to rub and scratch it (after four hours), 11.
• Several isolated papules on the right forearm which itch when touched, 11.
• Eruptions, Moist. [670.]
• Small boil on left thigh, 14b.
• Subjective.
• On applying this substance to the skin there is first experienced a piercing sensation of cold, owing to its rapid evaporation; this is afterwards followed by burning pain, as though the part had been dipped in hot water, 1.
• Crawling along both forearms, often alternating with slight stitches (second day), 3.
• Crawling from the left elbow to the tips of the fingers (excepting the thumb), 3.
• Slight crawling over the whole of the right arm, with sensation as if the arm would go to sleep, 3.
• Pricking-sticking feeling over the whole skin, particularly in the hands and feet, 14b.
• Fine itching stitches in various parts of the skin (after three-quarters of an hour), 11.
• Fine prickings in various parts of the body in the evening; 10.30 P.M., 14b.
• Itching in various parts of the body (fourth day), 11.
• Itching on various parts of the body, 15. [680.]
• Itching and itching stitches at intervals during the day (third day), .

FEVER

• Chilliness.
• 7 P.M., chills (second day), 14a.
• With the nightly restlessness, shivering, followed by heat and profuse sweat, 15.
• Chilliness, 3.
• Slight chilliness all day, 14a. [730.]
• Unusual sensation of coldness, chilliness, and anxiety from within outward, 7.
• Icy coldness, which lasted for hours, and left him in a state of painful weariness, as if he had been beaten, or had taken a forced march, 15.
• Unpleasant sensation of coldness in both cheeks during the complaints in the abdomen (second day), 11.
• Cold feet, 7.
• Coldness of the forepart of the foot (after three-quarters of an hour), 2.
• Heat.
• Fever seldom, mostly at night, 15.
• Skin hot, with burning, like nettles, in various places, 12.
• Heat over the whole body, with slight headache and full pulse, 8.
• The heat over the whole body towards five in the morning left great prostration, after which he slept; when he awoke after an hour he felt entirely well, 8.
• Momentary orgasm of blood, with accelerated pulse, 3. [740.]
• General warmth of the upper part of the body (after three-quarters of an hour), 2.
• Warmth spread from the pit of the stomach up through the chest to the head, and also downward to the navel, 1.
• Heat in the head and face, 10.
• Forehead hot (after one hour and a half), 5.
• Sensation of heat on the forehead, with moderate pressive pain and constant desire to rub the forehead with the hand, 10.
• Warmth of the face and hands, especially of the palms, 1.
• Heat in the face, especially in the cheeks, in the afternoon, 7.
• Heat of the cheeks, lasting three-quarters of an hour (soon), 2.
• Sweat.
• Perspiration checked, 12.
• The skin was dry for several weeks, with suppressed perspiration, . [750.]

CONDITIONS

• Aggravation.
• ( Morning ), Bitter, sour taste.
• ( Forenoon ), Headache.
• (

5.30 A.M .), Diarrhœa.

• (

6 A.M .), Toothache; violent pain in temples on walking.

• (

9 A.M .), Headache; pain in carious tooth.

• (

10 A.M .), Colic in lower abdomen.

• (

12 M .), Desire for stool.

• ( Afternoon ), Heat in face; eructations, etc.; general sick feeling.
• (

5 P.M .), Pain in last ribs.

• ( Evening ), Headache worse; pain in teeth; stitches in left ear.
• (

8 P.M .), Urging to stool.

• (

10 P.M .), Headache.

• ( Night ), Diarrhœa; stitches in left ear; fever.
• ( Ascending steps ), Chest symptoms.
• ( Beer ), General symptoms; confusion of head; eruptions on face; burning of nose.
• ( Breathing deeply ), Pain in stomach.
• ( Cold or cold water ), Toothache.
• ( After dinner ), Diarrhœa; stitches in ear.
• ( After eating ), Distension of abdomen; eructations; pressure in stomach.
• ( Lying down ), Cough.
• ( Lying on forearm ), Pain in it.
• ( Motion ), Headache; discomfort in abdomen.
• ( Motion of head ), Headache.
• ( Pressure ), Burning in stomach.
• ( Reading ), Headache; lachrymation; stitches in eye.
• ( Close room ), Oppression of chest.
• ( Shaking head ), Pain in temples.
• ( Sitting ), Vertigo.
• ( After sitting ), Colic.
• ( Scratching ), Itching.
• ( After smoking ), Eructations.
• ( Stepping hard ), Pain in temples.
• ( Stooping ), Headache; discomfort in abdomen.
• ( Tobacco ), Symptoms in general.
• ( Urinating ), Pain in bladder; involuntary stool.
• ( Walking ), Headache.
• ( Washing in cold water ), Itching of abdomen.
• ( Wine ), General symptoms.
• Amelioration.
• ( Open air ), All symptoms; pain in head, in abdomen, etc.

SUPPLEMENT: CARBONEUM SULFURATUM. Authorities.

24 to 47 , A. Delpech, Nouv. Recherches sur l'Intoxication Spéciale que détermine le Sulfure de Carbone l'Industrie du Caoutchouc Soufflé, Paris, 1863, twenty-four new cases among workers in rubber factories; 48 , J. B. Tavera, Thèse de l'Intoxication par le Sulfure de Carbone, Paris, 1865, a woman worker in a rubber factory; 49 , same, case of a man; 50 to 52 , Gourdon, Thèse de l'Intoxication par le Sulfure de Carbone, Paris, 1867, effects on men; 53 to 55 , Abel Marché, Thèse de l'Intoxication par le Sulfure de Carbone, Paris, 1876; ( 56 and 57 , Berridge, Collection in Appendix in Brit. Journ. of Hom.); 56 , Wutzer and Pellengham, Journ. de Chim. (Lancet, 1830-1 (2), 329), general effects; 57 , Dr. Geo. Kennison, Med. Times and Gaz., 1868 (2), 77, effects of external application; 58 , Dr. Davidson, ibid., 1878 (2), 350, W. G., æt. thirty-three years, took a quantity.

MIND

• Delirium, with incoherent talking, 30.
• On two occasions he had nervous attacks analogous to hysteria; the face was affected by convulsive movements, but he did not lose consciousness; laughed involuntarily and irrepressibly, 42.
• At one time during the night he seemed to be surrounded by enemies; persons were coming to harm him; he heard imaginary voices and saw strange objects; this continued for four days, and he was taken to the hospital, 37.
• Hallucinations of vision and hearing, he seemed to see splendid spectacles of carriages, with magnificent objects, talked of the emperor, of money, and of grandeur, often incoherently, 24.
• Violent cerebral excitement, so that he had to be put into a strait jacket, 24.
• It seems to him as if he were constantly in a state of intoxication, 29.
• Beat his wife, 24.
• Violent and irascible, 25.
• Incessant desire to prattle and laugh without cause, 24. [760.]
• Excessive gayety, followed by sadness and moroseness, 50.
• At first he was excessively gay, but with the progress of the poisoning he became extremely sad, and lost all energy, 38.
• Exaggerated gayety, changing to profound sadness and absolute indifference, 36.
• Screaming, 24.
• Extreme loquacity, 46.
• Excessive loquacity, but he cannot think of the words he wishes to use; he searches in vain for an expression, and an attempt to speak results in stammering, 27.
• The patient was sad, preoccupied, 32, 45.
• Preoccupation, with sad, melancholy ideas, indifferent to all about her, 46.
• When interrogated he replied by monosyllables or by signs with the hands; his intellect was greatly impaired, he sought solitude, and like a child was occupied by the objects immediately about him; when not amused he was inactive, seemed distrait, 26.
• Unable to fix the attention, 29. [770.]
• Oppression, 46.
• Sad, 43.
• Profound sadness, 25, 31 , etc.
• Profound sadness, with irritable desire to weep, .

HEAD

• Vertigo, 26, 27 , etc.
• Intense vertigo, 44, 47. [800.]
• Frequent intense vertigo, 32.
• Attacks of vertigo, so that he could scarcely stand, with partial loss of consciousness, 41.
• Sudden vertigo, during which he nearly fell to the ground, and had to be taken home, 29.
• Intense vertigo, with loss of smell; vision was affected in that all objects seem larger than they really are, 46.
• Violent vertigo, reeling so that he was obliged to stop at almost every step, 34.
• Heaviness of the head, 29.
• Headache, 27, 29.
• Intense headache, 28, 32 , etc.
• Most intense headache, with a sensation of painful pressure in the temples (first day), 36.
• Violent headache, with distressing throbbing at the temples, aggravated towards, evening, 37. [810.]
• Violent intense headache, characterized by compressing pain from one temple to the other, associated with vertigo and great agitation, 39.
• Constrictive headache, 49.
• Compressing headache, 31.
• Headache like the painful pressure of a tight cap, 32.
• Very intense compressible headache, especially in the root of the nose, and in the temples; it consisted of a sensation of most violent constriction in the temples, without throbbing; it was associated with extreme stiffness of the next; this painful stiffness, especially over the posterior portion of the neck, was accompanied by a local sensation of very great coldness; the patient experienced great pain in turning the head; the pain in the neck was associated with very distressing vertigo, 38.
• Sensation as if a band of iron were compressing the head, 54.
• Violent intermittent pain in the head and frontal region, 50.
• Lancinating pain in the head, 29.
• Intense frontal headache, 25.
• Violent frontal headache, especially in the evening, with vertigo and ringing in the ears, 52. [820.]
• Temporal headache, , .

EYE

• At one time was seized with violent inflammation of the right eye, kerato-iritis, treated by Calomel and Atropia, 44.
• Eyes fixed, without expression; pupils dilated, especially the left, but very sluggish; the patient, however, could not see with the right eye as with the left; the ophthalmoscope showed in the formed very slender retinal veins, extravasations of blood into the vitreous, extremely fine filaments and points floating in the vitreous, 41.
• Ophthalmoscopic examination showed the papillæ very pale and deeply excavated, after several months, 42.
• Progressive atrophy of the ophthalmic papillæ of the left eye, 47.
• Pupils mobile, moderately dilated; the field of vision normal; ophthalmoscopic examination revealed a slight paleness of the internal segment of the optic nerve of both sides; there was marked excavation of the papillæ, which were less transparent than normal; the optic nerve had the appearance of a smoked glass, 27. [830.]
• Pupils sluggish, rather dilated. Ophthalmoscopic examination of the fundus of the eye showed depigmentation and some dilatation of the retinal veins, 26.
• Pupil incompletely dilated (he had lost his right eye by getting a drop of the vulcanizing mixture into it, followed by intense pain and ophthalmia, and formation of a staphyloma of the cornea and iris), 44.
• Sensation of heat and pricking in the eyes, 50.
• Marked anæsthesia of the cornea, which was insensible to pricking with a pin, 52.
• Marked anæsthesia of the cornea, 49.
• Lids.
• Lids affected by spasmodic trembling, 50.
• Pupil.
• Pupils dilated, 26, 50, 51.
• Vision.
• Vision at first very clear, 47.
• Great susceptibility to light, 48.
• Dimness of vision, 49. [840.]
• Mist before the eyes, 43, 49, 50.
• Vision dim, as through a veil, 47.
• Vision dim, as though objects were enveloped in a mist, .

EAR

• Very painful pricking in the external meatus auditorius, 54.
• Impaired hearing, 26, 47, 49.
• Hearing very much impaired; it seems as though something were stuffed into the ears, 31. [860.]
• Hearing in the left ear entirely lost, 50.
• Ringing in the ears, 49.
• Insupportable tinkling in the ears, 28.

NOSE

• Profuse bleeding of the nose at times, 49.
• Pain in the nasal fossæ, as though he had inhaled Sulphuric acid, 54.
• Impaired smell, 49, 50.

FACE

• At one time his face became very red, but soon afterwards was very pale, 53.
• He has the aspect of astonishment, with hesitating speech and loss of memory, 38.
• Countenance expressive of the most profound sadness, 26.
• Convulsive movements of the lips, 52. [870.]
• The lips were stiff, 41.

MOUTH

• Stiffness of the tongue, 47.
• Complete paralysis of the tongue, 41.
• Salivation, 46.
• Constant desire to spit, 32.
• Constant salivation, 46.
• Salivation, with constant desire to spit, 25.
• Constant spitting on account of excessive secretion of saliva, 31.
• Taste impaired, 50.
• Difficult speech, 28, 47. [880.]
• Speech became embarrassed, 28.
• It was with difficulty that he could articulate his words, it seemed difficult to move the tongue, 26, 41.
• Extreme difficulty in expressing his ideas, the patient said his tongue would not work, 41.
• Experienced great difficulty in articulating words, because he could not move his tongue; the tongue seemed rigid an awkward, causing a kind of stammering, 38.
• Loss of power of expressing his ideas; his tongue seemed to refuse its office, 29.

STOMACH

• Increased appetite, 33.
• Appetite increased, digestion difficult, irregular, with colic, vomiting, and congestion, 43.
• Enormous and insatiable appetite, 40.
• Appetite ravenous, 27.
• Enormous appetite and voracious eating, 42. [890.]
• Ravenous appetite; the patient said he could eat all day long, 23.
• Marked diminution of appetite, 24, 31.
• Appetite very irregular, 38, 47.
• Complete loss of appetite, 49.
• Anorexia without vomiting, 29.
• Great thirst, 32.
• Great desire to drink, 24.
• Constant nausea, 34.
• Nausea without vomiting, 30, 36. [900.]
• Vomiting, 44.
• Vomiting of food and glairy mucus, 42.
• Violent vomiting at once on taking food, 34.
• Acute pains in the stomach, 31.
• Frequent cramps in the stomach, 35.

ABDOMEN

• Fetid flatus, 31.
• Profuse fetid intestinal flatus, 25.
• Colic, 27, 29.
• Frequent colic, 26.
• Violent colic, 31, 38. [910.]
• Violent colic and diarrhœa for three months, 25.
• Very acute pain in the groin, 33.

STOOL

• Profuse diarrhœa, 44.
• Fetid diarrhœa, 29.
• Constant fetid diarrhœa, 43.
• Diarrhœa with colic, 44.
• Frequent diarrhœa, with sensation of smarting in the anus, 29.
• Alternations of constipation and diarrhœa, 27, 31, 47.
• Intense constipation, 34, 41.

URINARY ORGANS

• Intense pain in the kidneys, 53. [920.]
• Violent cutting in the urethra during micturition, 38.
• Tenesmus of the bladder and frequent urgent efforts to urinate, and emission of two or three drops at a time, 49.
• Micturition slow and painful, 55.
• Micturition, associated with cutting pain in the urethra, 29.
• Micturition painful, accompanied by acute burning pain, 26.
• Micturition excessively painful, with tenesmus and frequent desire to urinate; urine bloody, 31.
• Smarting during micturition, 47.
• Frequent efforts to urinate; the urine was passed guttatim , accompanied by burning in the urethra, and tenesmus of the neck of the bladder, 52.
• Urine highly colored, 38.
• Urine turbid, 36. [930.]
• Urine pale and turbid, 29.
• Urine slightly albuminous, very red and turbid, 50.
• Urine red, containing an abundance of carbonate and phosphate of lime, 51.

SEXUAL ORGANS

• Erections difficult, the patient says "he reaches no result in five times," 55.
• The testicles are very small, 26.
• Diminished size of the testicles, with diminished sensation on pressure, 26.
• Testicles not painful to pressure, 49.
• Sexual excitement, 23, 38, 43.
• Excessive sexual excitement, 24, 47.
• Excessive sexual excitement, constant fatiguing erections giving place speedily to complete impotency, 45. [940.]
• Sexual excitement sometimes amounting to the greatest intensity; at night in particular, he was often taken with veritable rage, during which he had coition with real fury, 33.
• Sexual excitement at first, followed after a time by complete loss of power; two or three times his wife became pregnant, but miscarried, 42.
• He became very amorous; erections, however, were seldom, coition much too long, and ejaculation short and incomplete, 36.
• The sexual appetite at first increased, but afterwards diminished, until there was complete absence of desire; at times an incomplete erection resulted in indefinite coition without emission; or at times an ejaculation was obtained with great difficulty, but was very profuse, 27.
• Sexual excitement, with loss of power, 39.
• Sexual excitement after a time gave place to complete indifference, 25, 31 , etc.
• At first sexual instincts were very much excited, but afterwards they disappeared, and at last there was complete impotency, 26.
• Complete loss of sexual power, 26, 41, 49.
• Sensation as though the genital organs were completely chilled, 36.
• Symptoms of uterine catarrh, 46. [950.]
• Profuse menstruation, 48.
• Menses arrested; at the same time she became very large, and had the appearance of being pregnant; after awhile she was seized with violent hæmorrhage, which lasted six months, and was only arrested by the use of ergotin, 28

[Miscarriages are frequent among the women who work in rubber factories.]

• All sexual sensation entirely disappeared; there was complete indifference to her husband, 35.

RESPIRATORY APPARATUS

• Voice feeble, 54.
• Deep bass voice, 24.
• During the last two months the sounds of his voice became altered in tone, 24.
• Tormenting cough and irritation of the bronchi, 29.
• Breath fetid, 36.
• Very great difficulty of respiration on ascending stairs, 26.
• Prolonged expiration, 43. [960.]
• The form of the chest was not at all altered, but expiration was more prolonged than normal, 38.
• Constant depression of breath, 27.
• Gets out of breath easily, 31.

CHEST

• Auscultation of the lungs showed prolonged expiration over the posterior portion, 26.
• Some emphysema of the lungs, 44.

HEART AND PULSE

• The murmur of the first sound of the heart extended along the great vessels, 47.
• The volume of the heart was normal, but with the first sound there was a prolonged murmur, which extended along the vessels of the neck, 38.
• Slight murmur of the first sound of the heart, 37 . [A short time afterwards the patient died from the rupture of a small aneurism of the aorta.]
• Anæmic murmur of the heart, 55.
• Anæmic murmur in the large vessels, 52. [970.]
• It excites powerfully the activity of the heart and arterial system. Its internal use causes acceleration of the pulse, increased heat, and sanguineous congestion towards the skin and genito-urinary organs. The next remarkable secondary symptoms are abundant diaphoresis, increase of the urinary secretion and of the menstrual discharge, 36.
• Palpitation, 44.
• Violent palpitation, 50.
• Pulse moderately accelerated, 24.
• Pulse feeble, compressible, 53.

NECK AND BACK

• Pain and tension in the nape of the neck, followed by development of anthrax, which made rapid progress, was arrested by crucial incision, followed by extremely profuse suppuration; this was followed by improvement and complete cure of the paralysis and general condition, 41.
• Pains in the back, 34.
• Pains in the loins, 36.

EXTREMITIES

• Trembling of the limbs, 31, 32, 50.
• Trembling of all the limbs, especially of the right side, 49. [980.]
• Rigidity of the limbs, 31, 43, 45.
• Rigidity of the limbs; this rigidity made rapid progress, involving all the principal articulations of the limbs, 27.
• Marked rigidity and pains in the joints, 40.
• The tips of the fingers and toes became rigid and insensible, 35.
• Stiffness of the limbs, 25, 37.
• Pronounced paraplegia, so that the limbs would not support the body, 39.
• Paralysis and atrophy of the extensor muscles, 42.
• Feebleness of the limbs, 34.
• Walking was difficult; it was possible to stand upon the left leg with support of the hands, but not upon the right; while in bed the movements of the lower extremities were slow but perfect; motility of the hands was impaired, the fingers were in a state of semiflexion with contraction, but he was unable to extend them without a feeling of stiffness; attempts to grasp anything caused pain, 26.
• Pains in the limbs, 38, 43. [990.]
• Deepseated pain in the limbs, apparently in the bones and in the muscles, 40.
• Deepseated pain in the limbs, 48.
• Violent pains in the muscles of the limbs, 42.
• Fulgurating pains and sensations as of girdles about the limbs and body, 50.
• Very acute pains in the limbs, especially in the thick muscular portions, associated with cramps, especially in the lower extremities and in the feet, 25.
• Extremely acute pains, sudden, lightning-like, in the limbs, aggravated by pressure; these flashes of pain accompanied the cramps; at night the intensity of the pains rendered sleep impossible, 26.
• Cramps in the extremities, 31, 50.
• Cramps in the right leg and arm, 41.
• Frequent desire to stretch the limbs, 32.
• Limbs feel tremulous, 34. [1000.]

SUPERIOR EXTREMITIES

• The upper extremities were feeble; the pressure of the hand was diminished in force, 26.
• Terrible pains in the upper extremities, especially at night, 51.
• Very acute pains in the upper extremities, especially in the shoulder-joints, 50.
• Anæsthesia extended over the upper limbs into the thorax, 30.
• Marked anæsthesia of the arms and hands, 31.
• Prickling and tingling in the arms, 51.
• Extreme rigidity of the hands, 34. [1010.]
• Rigidity or insensibility of the hand, 25.
• The hands became rigid and contracted, 50.
• While lying in bed, the hands were habitually in a state of semiflexion, and could not be completely extended, 26.
• The hands became rigid, painful, awkward; extension and flexion were equally difficult, 47.
• Rigidity and awkwardness of the hands, 39.
• Diminished motility and sensibility of the right hand, 41.
• Sensation on the backs of the hands very obtuse; the hands felt as if covered with a glove; the right was worse than the left, 54.
• Painful prickling and numbness of the hands, 49.
• Anæsthesia, numbness, and feebleness of the hands, 34.
• The fingers became swollen, insensible, and difficult to flex or extend, 27. [1020.]
• The fingers seemed rigid and insensible; she could not button her clothes, 46.
• The index finger was partially paralyzed with cramps, 42.
• The digits became insensible, stiff, and awkward, unable to take hold of small objects, 42.
• Numbness of the digits, so that it is difficult to take hold of small objects, 37.
• Insensibility and awkwardness of the fingers, 38.

INFERIOR EXTREMITIES

• Trembling of the lower extremities, 48.
• Gait hesitating, 48.
• Gait unsteady, 38, 55.
• Great feebleness of the lower extremities, so that walking was very difficult, 33.
• Walking became very difficult, 47. [1030.]
• While lying down he could move the lower limbs with considerable energy, but on attempting to rise found it very difficult to move them, especially the left, 26.
• Walking very difficult, the left limb being more feeble than the right, 45.
• Loss of power in the lower extremities, 53.
• Great loss of power of the lower extremities, 39.
• Very great rigidity of the lower extremities, 44.
• Tormented by cramps of the thighs and soles, often lasting half an hour, 26.
• Very painful cramps in the thighs and feet, 25.
• Pain in the lower extremities, 30.
• Prickling in the lower extremities, 55.
• Sensibility of the lower limbs impaired; the hands, forearms, and arms, especially at the insertion of the deltoid; this loss of sensibility is not found on the body or in the face, 26. [1040.]
• Diminished sensibility of the lower extremities, 30.
• Complete insensibility of the lower extremities, 55.
• At one spot on the upper portion of the left leg there is complete insensibility; over the whole extremity sensibility is impaired, 55.
• Rigidity of the knees, 38.
• Contractions and pain in the muscles of the calves, especially of the right, 55.
• Cramps in the calves and legs, 49.
• Œdema of the ankles, 30.
• Insensibility of the skin of the feet, so that he did not know when the feet touched the ground, 47.

GENERALITIES

• Pale and emaciated, 29.
• Great awkwardness, 53. [1050.]
• The patient is very awkward in her movements, 48.
• Constant twitching of the muscles, 32.
• Habitual trembling, often lasting twenty-four hours, in a very aggravated form, 26.
• Trembling of the whole body, especially of the upper extremities, 47.
• Total loss of power, 40.
• Loss of motion and sensibility of the whole right side of the body, 41.
• Rigidity of the muscles, 47.
• Analgesia of the right side, the patient could be pinched freely without sensation, 50.
• Hemiplegia became very pronounced; sensibility of the right side of the body very slight; muscular contractility completely lost, but the paralysis was associated with a very pronounced degree of contraction, especially of the arm; every effort to extend it caused pain, 41.
• Suddenly one day the face became very much congested, covered with perspiration, expression anxious, uncertain, the whole body covered with sweat, the hands trembled, pulse 120, hard; there were profuse diarrhœa, intense headache, vertigo erratic pains, great muscular feebleness rendering the gait unsteady, very dim version, rigidity, very dim vision, rigidity of the hands, with prickling and diminished sensibility and very pronounced oppression of the chest, 43. [1060.]
• On admission was lying on chair with all the muscles relaxed, face pale and covered with clammy sweat; lips blue and moist, with saliva and frothy mucus. Eyelids closed; conjunctiva slightly sensitive to touch; pupils dilated and insensible to light. Breathing deep and laborious, almost stertorous; and the breath had a very strong odor of bisulphide of carbon. Pulse 110, regular, but very weak. On the next day, giddiness and slight headache, 58.
• Loss of all energy, 47.
• Extreme lassitude, 46.
• Great feebleness, 26, 30, 36.
• Easily fatigued, 25.
• General weakness, 35.
• Great muscular feebleness, 50.
• General muscular weakness, with a certain incoordination of the movements, like motor ataxia, 48.

SKIN

• After it has been applied externally for a minute ot two, a sensation is felt as is several leeches were biting the part, and after the lapse of two to four minutes more the smarting and pain become rather severe. It is very seldom that any redness of skin is produced, 57.
• Development of a very large number of furuncles, 35.
• Very acute irritation of the skin, itching and smarting over the chest, thighs, and especially on the scrotum, 42. [1080.]
• Very violent itching of the scrotum, 40.
• Formication of the limbs, 31.
• Painful prickling and formication over the hands and feet, 44.

SLEEP

• Constant sleepiness; often during the night sleep disturbed by sad dreams, 39.
• Sleepy during the day, sleepless during the night, 46.
• Sleep prolonged and deep, 25.
• Sleep heavy and profound, 33.
• Sleep profound, it was difficult to awaken him, 32.
• Insomnia, 24, 37.
• Alternations of constant sleepiness and wakefulness, 38. [1090.]
• Sleep restless, interrupted by starts, 36, 40.
• Sleep disturbed by starting and constant waking; in the morning he was sleepy and difficult to rouse, 42.
• Sleeplessness or sleep with distressing dreams, 29.
• Sleep restless, tormented by distressing dreams, 43.
• Sleep interrupted by dreams, 51.
• Sad, fatiguing dreams with a kind of hallucination that she was swollen and enormously distended, 46.
• Terrible dreams of crimes committed under her eyes, 33.
• Distressing dreams during sleep, 38.

FEVER

• Sensation of general coldness, especially over the lower limbs, 38.
• Intense chilliness at night, followed by heat and profuse sweat, 52. [1100.]
• Frequent horripilation, 49.
• Great sensitiveness to cold, 44, 54.
• Fingers cold, rigid, with little sensation, 43.
• Sensation of icy coldness in the lower extremities, 36.
• Habitual coldness of the feet, 48.
• Icy coldness of the feet and lower extremities, 39.
• Very profuse sweat, 47.
• Habitual cold sweats, 29.

SUPPLEMENT: CARBONEUM SULFURATUM. Authority.

59 , T. Wilson, M. R. C. S., Brit. Journ. of Hom., vol. xvii, p. 274, effects of vapor.

April 15th, 1857. In good health, aged thirty-eight years. Yesterday I was exposed in a small room to the vapor of the Sulphuret of carbon, for half an hour, in the evening. To-day, in the afternoon, pain commenced suddenly in the right lower eyelid, as if bruised, first observed on touching the eyelid, and near to the outer angle; after a short time the same bruised feel in the upper eyelid came on, over the region of the lachrymal gland; the globe of the eye at the upper and inner part has the same bruised feeling; the pains are all aggravated by movement of the eye or lids, also by pressure; the eyelids of the same eye feel as if swollen, but are not so; the conjunctiva of the lower eyelid redder than usual, at the outer margin of the lid; sensation as if a stye would begin. Humming noise in left ear. The above feelings were all new to me, never having had anything of the sort before.

16th. The same lower eyelid hot, painful, sore, slightly swelled, rather red near the outer angle of the eyelid.

17th. Since yesterday, continued humming in left ear, extending to the back of the head; stye forming on right lower eyelid, hot and painful.

18th. Loud humming, like wind in the distance; left ear. Lower eyelid very red and swollen, more so at the outer edge; punctured the stye with a lancet, a small quantity of muco-purulent discharge came away. When talking, I feel obliged to raise the voice on account of the loudness of the noise in the ear.

In the evening and during the night, always a feeling of fulness at back of head, with humming noise there; these sensations gone in the morning.

Yesterday took Pul. 3d without relief.

Drowsy day and night ever since exposed to the vapor of the Sulphuret of carbon.

Yesterday after dinner, and during dinner, feeling of deafness in the left ear, as if obstructed by a thick substance.

19th. Noise continues, worse after food; left ear rather deaf, and feels obstructed. Lower eyelid discharges yellow thick pus; this morning not so painful.

Took tincture of Belladonna 1st dil., a few drops yesterday, with slight relief to the noise in the ear; it returned, however, in the evening as bad as ever, with oppression at the back of the head. To-day took a few drops of tincture of Belladonna 1/10th, without the slightest relief.

20th. Noise in the ear not quite so loud. Vertigo this morning felt at the back of the head. Severe laryngeal, tracheal, and bronchial cough came on yesterday, continues to day, with soreness in the chest; expectoration of thick mucus this morning.

Took Merc. sol., 3d trit., gr. ii, and Phos. 3d, three hours afterwards.

22d. Cough continues but not so severe; sneezing, running at the nose, with profuse discharge of thick mucus, lachrymation, and headache in the forehead and back part. Headache worse yesterday, this evening nearly gone. Noise in the ear much less, but still continuing slightly. Symptoms of the last two days like influenza.

Took Merc. viv., 2d trit.; Kali hydr., 1st dil., gtt. iv; Hep. sul., 3d trit.; one dose of each at various periods. Eyelid about well.

27th. No noise in the ear to-day, except a little before rising in the morning. No deafness; this is the first day since the noise in the ear commenced that I have been free from it. Still running at the nose, and cough first thing in the morning, getting easier by bedtime; ceasing entirely when lying; mucous rattle in upper part of left lung a few inches above the nipple. The right nostril bled a little yesterday and the day before.

30th. Rather loud noise in left ear, like gusts of wind through a funnel or hollow tube. Influenza continues; herpetic eruption on the upper lip.

May 3d. Noise in left ear has continued since last date, more intermitting, and not so loud. Cough, with expectoration of mucus. Mucous râle in the upper part of the left lung on first waking in the morning.

Took one dose of tincture of Bell., m. 1st, to day.

12th. Noise in left ear continues, other symptoms about gone. Very low-spirited from the first symptoms till yesterday.

20th. Noise in left ear, but less severe.

25th. Noise in the ear about gone.

28th. Another stye forming on right under eyelid. Noise in the ear beard slightly at times.

June 14th. Occasionally noise in the left ear.

July 5th. Noise in left ear returned yesterday, it has continued at intervals ever since; same noise as before.

The left ear continued affected for some months after this time by the morbid sound, but less in degree, and it finally ceased altogether, 59.