Ptelea Trifoliata (Ptel.) — Allen TF Materia Medica
Ptelea Trifoliata
By Timothy F. Allen — The Encyclopedia of Pure Materia Medica
Ptelea trifoliata, L.
Natural order , Rutaceæ.
Common names , Hop Tree, Wafer Ash, etc.
Preparation , Tincture of the bark of the root.
Authorities. (Dr. E. M. Hale's provings, Am. Inst. of Hom., 1868)
1 , Prof. Th. Nicol, proving with repeated doses of tincture, 30 to 50 drops at a dose; 1a , same, subsequent proving with tincture, 10 to 25 drops; 1b , same, 6th dil., repeated doses; 1c , same, one dose of 500 drops of tincture; 2 , Dr. Fish, proving with repeated doses (10 to 30 drops) of tincture; 2a , same, repeated doses (40 to 100 drops) of tincture; 3 , Dr. Train, proving with repeated doses of the 3d dil.; 4 , Dr. W. H. Burt, took 1/2 ounce of 30th dec. dil. first, third, and fifth days; 4a , same, took 6th dil. daily for four days; 4b , same, took 2d dil. daily for five days; 4c , same, took 40 grains of solid extract first day, 80 grains second day, 150 grains third day; 5 , Dr. Cowles's proving on Mrs. S. M., aged twenty-seven (average amount of urine daily 28 ounces), took 10 drops of 1st dec. dil.; 5a , same, took 6th dec. dil. three times daily for seven days; 6 , A. C. Cowperthwait, took 6th dec. dil. four times a day for seven days; 6a , same, took 1st dec. dil. four times a day for nine days; 7 , Dr. C. H. Lutes, took repeated doses (3 to 15 drops) of tincture; 7a , same, proving with repeated doses of the tincture (5 to 20 drops); 8 , C. W. Pierce, M.D., proving with repeated doses (10 to 100 drops) of tincture; 8a , same, 1st dec. dil. three times a day for three days; 9 , Mrs. W. ( vide
Dr. Pierce), proving with tincture, three times a day for three days, 10 to 60-drop doses; 10 , Dr. Marshall, proving with 1st dec. trit. four times a day, increasing from 3 to 15 grains at a dose; 10a , same, took 1 scruple of "Ptelein," 1/5th, three times daily for four days; 11 , Dr. E. Parsons, proving with tincture, repeated doses, of 50 drops (several times a day); 12 , Dr. A. Hayward, proving with frequently repeated doses for twenty-five days of 3d dec. trit., then 1st dec. trit. for two days; 13 , Dr. W. Williamson, effects of chewing the bark of the root, Trans. of Am. Inst. of Hom., 1870.
MIND
Emotional.
After eating, in the morning, a feeling of liveliness and activity for one hour; next hour, gradual passing off of cheerfulness, amounting to sadness, and a disposition to be displeased with everybody and everything (third day); feeling, as before, of liveliness after eating, followed by great depression of spirits (fourth day), 8.
Depression of spirits, and a feeling of anxiety about some unknown thing, with the severe headache, in the afternoon (eighth day), 6a.
Disposition to worry about something, he hardly knows what (ninth day), 6a.
(Unusual energy to work, in fact feels better than before commencing the proving), (fifth day), 5a. [20.]
In writing a letter, felt a curious and unusual disposition to hurry through with it as quickly as possible, hardly taking time to write the words (first day), 1b.
Able to examine papers, but inclined to hurry with it, and in selecting the remedy, inclined to follow Fred Humphrey's rule, "First impressions are the best" (fifth day), .
HEAD
Confusion and Vertigo.
Confusion of the head, with the rising of the bitter fluid (fifth day), 1.
Head confused and giddy when retiring to bed at 10.30 (eleventh day), 1.
Slight vertigo accompanying the rumbling and swelling in the umbilical region (after six hours); increase of the vertigo, with straining at stool (after seven hours and a half); vertigo, aggravated by even a moderate warmth of the room (first day); an attack of vertigo, without any exciting cause other than the Ptelea, so violent as to compel discontinuance of writing and to bow the head on the hands, closing the eyes; it was preceded and accompanied by mild nausea, with slight griping pains in the stomach (after eight hours, second day), 1b.
Fits of vertigo, lasting three to five minutes, relieved by moving about, but worse on sudden motion; sensation as if all objects about him were in quick violent agitation (after two hours, second day); fits of vertigo not so frequent but more decided; worse on sudden motion and bending forward (after four hours); vertigo only when stooping (after six hours); vertigo all gone, but head feels a little muddled (after seven hours, second day), 7.
Vertigo, aggravated by even turning the head gradually (after half an hour), 1c.
Attempting to walk aggravates the vertigo very much; unable to stand alone (after forty-five minutes), 1c. [60.]
Vertigo, aggravated by rising from a chair (after forty-five minutes), 1c.
A sudden attack of vertigo, lasting about one minute, at 11 P.M. (second day), 1c.
Slight vertigo, with choking feeling in the pharynx (after thirteen hours, third day), 1a.
On turning the head to look at the clock, taken with sudden giddiness and with faint feeling (after twenty minutes); too giddy to sit up (after thirty-five minutes); rising aggravates the giddiness, 1c.
Transient giddiness, with heat of the head and face, especially on the forehead (second day), 1a.
On rising, giddiness, with piercing pain through the brain, accompanied by severe aching pain in the stomach (seventh day), 1.
Giddiness, with vertigo, at 5 P.M.; vertigo long continued, and after it increase of abdominal tenderness (eighth day), 1.
EYE
Pressure over the eyes, aggravated by lifting the eyebrows (after half an hour), 1c.
Pain behind right ear, at 6 P.M.; hard, at 10 P.M. (fourth day), 5.
Awoke from nap, at 5 P.M., with pain behind right ear and in shoulder, near the spine of right scapula (fifth day), 5.
A few minutes after taking drug, had a very severe pain in the right ear (sixth day), 5.
At 9 A.M. felt a sharp pain behind the right ear; has not felt one since the last proving, and never any before that (third day), 5a.
Pain behind the right ear, which she felt certain was caused by the drug (soon, seventh day), 5a. [230.]
Occasional stitches behind the right ear (fifth day), 5.
Shooting pains from left ear down to the spine (thirty-first day), 6a.
Sharp pain in left ear, at 8 A.M. (eighth day), 5a.
Intolerance of loud talking; a voice usually pleasant sounds very coarse and rough; thought that it would produce spasms if he were obliged to listen; impression produced by the sound heard last continues a long time (four hours and a half after fourth dose), 7a.
At 7.30 A.M. ringing in the ears, with slight giddiness, the ringing lasted for two or three minutes, and returning for the same length of time, half an hour later (second day), 1a.
Roaring in the ears (third morning, fourth and fifth days), 11.
Roaring in the ears, which increases in severity towards evening (tenth day), 11.
Aching of right molar teeth, lower jaw, after going to bed (thirty-first and thirty-third days), 6a.
Aching of right molar teeth, lasting only a few minutes, at 2 P.M., returning at 6 P.M., lasting the remainder of the evening (fifth day), 6. [260.]
Pain in carious tooth, with extreme sensitiveness; soreness of the gums; all the teeth feel sensitive, with a dull, aching pain, in the evening (fourth day), 11.
Sensation as if food were lodged between the teeth on right side, commencing at lower jaw, extending to upper (thirteenth day), 6a.
Tongue.
Yesterday the tongue was slightly swollen, and had white fur on it; more of swelling and fur to day, with burning of the mouth and lips, as if touched with tincture of Aconite (fifth day), 10a.
Tongue coated yellow and feeling rough (second day), 4c.
Tongue yellow, coated along the centre and base (third day), 4c.
Tongue coated yellow, and the papillæ were red and prominent (sixth night), 1a.
Tongue coated yellowish, with red papillæ (fifth day), 1b.
Yellow-coated tongue (fifth and thirty-first days), 1c.
The tongue, which had hitherto been clean, was coated with a yellowish fur, and the nausea was persistent (sixth day), 1.
Tongue dry and coated light brown (second day), 1c.
Tongue dry and coated brownish yellow (twelfth day), 1.
Roughness of back part of tongue, with the nausea (first day), 1a.
Dorsum of tongue sore on right side, causing painful mastication and deglutition (fifteenth day); right side of tongue inflamed not swollen (sixteenth day), .
THROAT
Throat ulcerated on right side (sixteenth day); throat bitter (seventeenth day), 6a.
Throat sore on right side, at 8 P.M. (thirteenth day); at 2 P.M.; passed off about 4 P.M. (fourteenth day), 6a.
Throat sore, growing worse in the afternoon (fourth day); worse (fifth day), 6.
Before rising felt pricking pains through and in the throat particularly in the tonsils and larynx, lasting several minutes, and quite severe (third morning), 11.
Unpleasant feeling in the throat, all the afternoon (sixth day), 5. [320.]
Sense of dryness, high up in the throat, apparently back of the palate (after five hours), 13.
Fauces.
Soreness and inflammation of fauces, worse on right side (fifteenth day), 6a.
Roughness of the fauces, with feeling as if vomiting would come on (in a few minutes, first day), 1.
Increasing appetite (third and fourth days); hungry all the time (fifth day); awoke with hunger and headache, both of which passed off after a hearty breakfast (eighth day), 5a.
Appetite somewhat increased, at 9 P.M. (third day), 5.
Was quite hungry, but did not eat very heartily (second evening); had an abnormal appetite, but his food did not distress him (third morning); appetite remained quite good for two weeks (after the proving), 8.
Appetite about the same as usual, except he gets tired before he gets through eating (fifth day); less appetite (tenth day), 10a.
The appetite was much increased for the first few days of the proving, after which it diminished; no particular loathing of food, but rather an indifference to it, 11.
Appetite was indifferently good, but food still tasteless (after fifteen and a half hours, second day), 1a.
At dinner the appetite not as good as usual, though before the proving it had been keen. Throughout the meal the same faint nausea persisted (first day), 1a.
Appetite good at dinner, but entirely absent at supper-time (first day), 1.
Little appetite for breakfast; the bread seemed tasteless (second day), 1a. [340.]
At dinner appetite very poor, after driving in the cool air all the forenoon (first day), 1b.
Constant feeling of weight in the hypochondria, when walking; a dragging pain which affects the right as well as the left side (eleventh day), 1.
Pain and soreness, extending from the right to the left hypochondriac regions, but worse in the epigastric region; a feeling of weight, aggravated by standing erect or sitting erect, and relieved by stooping forward (six hours and a half after first dose, sixth day), 1a.
Frequent drawing pains in the right and left hypochondrium (fifth day), 4a.
Slight swelling in the region of the liver (sixth day), 1a.
The liver is perceptibly swollen, and sore on pressure, which causes a dull and aching pain (seventh day), 1a.
Griping in the bowels, with swelling of the liver, which is tender to pressure (after eight hours), 1c. [480.]
The right hypochondriac region is swollen, and the clothes feel too tight (fifth day), 1b.
Lying on the left side, the liver dragging on the ligaments, and swollen and tender even to a light touch (first night), 1c.
Eating a very small piece of cheese aggravated all the hepatic and gastric symptoms (second day), 1c.
Heavy aching pain in the liver, with deficient appetite (fourth day), 1c.
Weight and pain in the liver, relieved by lying on the right side; aggravated by lying on the left, which causes a dragging pain (fifth day), 1c.
Awakened by hepatic and gastric symptoms, all of which are aggravated, towards morning (sixth day), 1c.
Dull heavy pain in the right hypochondriac region, apparently on the convex surface of the liver (fifth day), 1a.
Feeling of weight, and dull pain in the right hypochondriac region, with qualmishness of the stomach (after eight hours, fourth day), 1b.
Stitching pains in the right hypochondriac region, which is swollen, with aggravated lumbar pains (after eight hours, fifth day), 1b.
Increase of the hepatic pains after a light meal (fifth day), 1b. [490.]
Liver feels heavy and sore, especially when lying on the left side (seventh day), 1b.
Dull pain in region of liver, at 2 P.M. (sixth day), .
RECTUM AND ANUS
Old pressure at rectum returned (after forty-five minutes), 1c.
Pressure in rectum aggravated by rising (after one hour), 1c.
Pressure in the rectum, and griping and rumbling in the bowels (first night), 1c.
Pressure on the rectum, such as precedes a dysenteric passage (second day), 1c.
Pressure in rectum is worse as night advances (second day), 1c. [600.]
Violent urging to stool (after two hours and twenty minutes); renewed urging (after two hours and thirty-five minutes); urging to stool, and a sudden discharge of a quantity of thin diarrhœic fæces (after four hours and twenty minutes), 1c.
Straining at stool, with increase of vertigo (after seven hours and forty-minutes), 1b.
Urging to stool, but it merely resulted in the difficult discharge of a few balls of hardened fæces (after eleven hours and a half, second day), 1b.
Urging to stool; a continued pressure on the rectum, but on attempting to have passage it resulted in nothing (after nine hours, third day); after breakfast, ineffectual urging to stool; the feeling of pressure in the rectum lasted all day, and at five, finally resulted in the discharge of a small quantity of indurated fæces, with only slight relief; there is apparently a true torpor of the rectum (fourth day); continual urging in the rectum, but no stool (fifth day); urging in rectum aggravated (sixth day); pressure less (seventh day), 1b.
Sudden and unexpected urging to stool, at 8.40 A.M. (first day), 1.
At 5 P.M., urging to stool, at an unusual time (first day), 1.
Urging to stool, with rumbling in the bowels, from 6 A.M. till 3 P.M. (seventh day), 1.
In the evening had severe urging to stool; it was very loose and dark-colored (first day); awakened at 9 P.M. by painful urging to stool; it proved to be another attack of diarrhœa; quantity small, but with much pain throughout the bowels (fourth day), 10a.
Feels as though diarrhœa was coming; desire for stool, tenesmus, but no stool, at 7 P.M. (sixth day), 5.
A sensation as if diarrhœa would come on (soon after sixth dose, third day), 11. [610.]
Stool followed by tenesmus, and succeeded by itching and smarting of the anus (fourth day), 1c.
Distress in the anus following natural stool (after two hours), 1.
STOOL
Diarrhœa.
Diarrhœic stool (fourth day); diarrhœa; five stools during the day (fifth day); some diarrhœa (sixth day); diarrhœa (seventh day), 3.
Diarrhœic stool, very dark in color and sulphuric in smell, followed rumbling in the bowels (fourth day); three stools during the day, rather diarrhœic (fifth day); diarrhœic stool continued a full week, when the unnatural condition was removed, 2a.
The prover was naturally of costive habit, and was costive when he commenced the proving; but, after taking the drug, the bowels moved regularly every morning, without any particular uneasiness, for two or three days, when symptoms of diarrhœa came on, which, however, amounted only to one thorough operation as from cathartic action; after this the bowels became constipated again, there being no movement for two or three days at a time, 11.
Stool at first of natural consistence, but towards the close thinner and diarrhœic, with slight tenesmus (first day), 1.
Soft stool, at 7 A.M. (second day); no stool (third day); soft with tenesmus, at 7 P.M. (fourth day); soft stool, at 8 A.M. (sixth day), very soft, at 8 A.M. (seventh day); natural stool, in the evening (eighth day). Bowels nearly natural after first proving, but very costive after second, 5a.
Passage accompanied by chilliness and shivering (after three hours and thirty-five minutes), 1c. [620.]
Stool of more fluid consistence than usual, and of very fetid smell (after two hours and thirty-five minutes); sudden discharge of a quantity of thin diarrhœic fæces, with smarting of the anus (after four hours and twenty minutes); another stool, of the same nature as the previous one, yet somewhat thinner in consistence, and even more cadaverous in smell (after seven hours); a discharge of fæces coated with slime; the passage is followed by tenesmus, which brings on a small discharge of fæces, with a larger quantity of mucus, and this is again followed by tenesmus, at 8.15 A.M. (second day), 1c.
Copious stool of fluid consistence and bilious, smell, with a very copious expulsion of ascarides (fourth day), 1c.
At 6.30 P.M., stool, with straining; the discharge thinner than usual (first day), 1.
Stool of mushy character, with distress in the hypogastric region (after four hours, first days), 4.
Mushy stool at 5 A.M. and 10 P.M. (fourth day), 4.
Black lumpy stool at 2 P.M. (second day), .
URINARY ORGANS
Bladder and Urethra.
Felt a strange uneasiness in the bladder and prostate (first evening), 2a.
Heat in the region of the prostate (third evening), 2a.
Tickling in urethra, after urinating (after third dose), 3.
Smarting sensation in the urethra upon urinating; continued for twenty minutes after urinating (first evening); considerable burning in the urethra (third evening), 2a.
Desire to urinate, on awaking, at 6 A.M. (fifth day), 2.
At 2 P.M., urine increased in amount, filled with whitish sediment (second day); urine more nearly normal (third day); urine increased in quantity (seventh day), 3. [650.]
Urinated 5 ounces (2 ounces more than normal quantity) at 6 P.M., 5 1/2 ounces at 9.30 P.M. (second day); 6 ounces at 6 A.M. and 6 P.M. (third day); 7 ounces at 6 A.M. and 6 1/2 ounces at 5 P.M. (fourth day); 7 ounces, clear, at 6 A.M., 7 1/2 ounces at 11 A.M., 7 ounces, clear, at 6 P.M., and 5 1/2 ounces at 10 P.M. (fifth day); 9 ounces at 6 A.M., and 7 1/2 ounces at 10 P.M. (sixth day); 8 ounces 10.15 A.M., and 8 1/2 ounces during the evening (seventh day); 25 ounces (eighth day); 37 ounces of rather clear urine (ninth day); 22 1/2 ounces (tenth day), 2.
10 ounces of urine passed (first day); 31 ounces (second day); 30 ounces (third day); about the same amount as the last day (fourth day); nearer normal amount (fifth day), 2a.
Urine, during the last twenty-four hours, only 16 ounces, with reddish cloudy sediment (second day); 20 ounces of clear urine (third day); 24 ounces of rather red urine (fourth day); 28 ounces of clear urine in the last twenty-fours hours (sixth day); 21 ounces of clear urine in twenty-four hours (seventh day), 5.
30 ounces of clear urine during last twenty-four hours (second day); 26 ounces of clear urine in twenty-four hours (third day); 26 ounces (fourth day); 28 ounces (fifth day); 28 ounces, clear (eighth day), 5a.
Urine scanty, with copious deposit of phosphates and epithelial scales; sp. gr. 1035 (fifth day); incontinence of urine; sp. gr. 1035; a free deposit of phosphates (sixth day); urine frequent, rather scanty, some scalding, and difficulty of retention; sp. gr. 1030; deposit less copious (seventh day; urine scanty during the day; the scalding and difficulty of retention all gone; sp. gr. 1030 (eighth day); urine slightly alkaline, copious deposit of phosphates and urates, tinged with purpurin; sp. gr. 1035 (ninth day), .
SEXUAL ORGANS
Male.
In the evening, when first lying down, intense throbbing pains, commencing in glans penis and extending to left pubic region, and gradually disappearing (sixth day), 6a.
An awakening of sexual desire on awaking (second day), 2.
Perceptible increase in sexual desire (fourth day), 3.
The sexual appetite was very much increased for several days, after which there was a total absence of sexual excitement, until the medicine was discontinued, 11.
RESPIRATORY ORGANS
Before rising, in the morning, sensation as of a foreign substance in the larynx (fourth day), 6.
Great hoarseness of the voice (twenty-first day), 6a.
CHEST. [670.]
In the evening, walls of chest feel as if they had not power to expand when breathing (twelfth day), 6a.
The effects mentioned in the proving have gradually declined. The only new phase consists in a number of thoracic symptoms, which have come on very gradually, and which now cause considerable pain. As the various gastric and hepatic symptoms declined, uneasiness and difficulty in breathing came on , with dull pain, especially in the right infraclavicular region, accompanied by hacking cough without expectoration. This has come on very insidiously, and now the right lung is dull on percussion, especially in the right infraclavicular region. On auscultating the region over the bifurcation of the trachea and the upper part of the sternum (with Cammann's stethoscope), the respiration was found to be tubular, the sound was higher in pitch than the normal vesicular sound, and more rapidly evolved. Expiration and inspiration were of equal length, with a slight interval between them. On making a full inspiration, sharp pains shot from the sternum towards the nipples, especially that of the left side. Pressure on the intercostal spaces close to the sternum caused pain of a dull aching nature. These thoracic symptoms were better in the house, and aggravated by exposure to the keen air (eleventh day); thoracic symptoms had gradually declined (eighteenth day), 1a.
Pain in the lower part of each lung, in the evening (sixth day), 10a.
A sharp darting pain through upper lobe of left lung, lasting only a short time, but returning every half hour; aggravated by descending stairs; did not feel it after the first day, 8.
Pain in left lung, lasting for several minutes (fourth day), 11.
Soon after rising and taking drug, felt sharp stitches through the right lung, which is sound (seventh morning), 5a.
Feeling of pressure on the lungs, and of suffocation when lying on the back, on awaking, at 1 A.M. (first night), 1c.
Pains in the posterior mediastinum were aggravated during the attack of vertigo (second day), 1b.
Stitching pains in the upper part of the posterior mediastinum, aggravated by deep breathing, and by he recumbent position; this is accompanied by soreness of trapezius muscles (second day), 1b.
Pain in back of left breast, near the axilla, at 9 P.M. (third day), 5.
At 10 A.M., darting pain under right breast (seventh day), 5a.
HEART AND PULSE
Awoke from afternoon nap with slight pain near the heart, and afterward shooting pain under the right breast (eighth day), 5a.
Cramplike pains in region of the heart (eighth day), 6a.
A severe pain in the region of the heart, lasting several minutes (after one hour, second day), 11.
Pulse.
Pulse quickened from 72 to 104 in fifteen minutes; small and hard; pulse 126, small and thready (after one hour and ten minutes); pulse, at 104, small and weak, at 10.30 A.M. (second day), 1c.
Pulse 88 (first day); 96, small and hard (third and fourth days); 96, small and fluttering, at 4 P.M. (fifth day), 1. [690.]
Pulse full, hard, tense, but not rapid (third evening); pulse more rapid, 90 (fourth morning); more natural than on preceding day, at 12.30 P.M. (fourth day); pulse rapid, from 80 to 90 (fifth day), 2a.
Pulse 72, weak and fluttering, in the morning (second day), 1a.
Pulse first full and hard, but, during the severe symptoms, quiet; again feverish and full at the close, 2.
Pulse two beats below the natural standard (third day), 4a.
Radial pulse, 68, but very strong, so as to be readily seen (ten minutes after second dose, second day); pulse slow, strong, irregular, 60, at 5 A.M. (third day); pulse full and hard, very irregular, at 5 P.M. (fourth day); pulse 85, full (ninth day), 2.
Pulse 88, soft and weak (after eight hours, fourth day); 74 (after ten hours, fourth day), 4b.
Pulse 88, at 8 A.M., 82, at 3 P.M. (second day); 92 (seventh day); 100 on rising from afternoon nap; an hour later, 80 (eight day), 5a.
Pulse 85, regular, full (normal pulse 75), in the evening (fourth day); 85 (fifth day); 80 (sixth and seventh days); 84 (eighth day), 11.
Pulse 104, quick, small, and somewhat intermitted, in the forenoon; 84, at 2 P.M.; 96, at 3 P.M. (fifth day); 80, in the morning; 92, at 11 A.M. (after ironing an hour); 88, and occasionally intermitting, at 5 P.M. (sixth day); 75, in morning; 106, at 2 P.M. (seventh day); 96, with burning cheeks and hot flushes, at 2 P.M. (eighth day), .
Awoke with severe backache, which lasted about half an hour (fifth day); same symptom, but not so severe (sixth day), 4b.
Dorsal.
Dull aching pain in the left scapula, aggravated by the slight exertion of writing (after half an hour, third day), 1b.
Awake all night from the harassing nature of the pains, especially in the back, in all the regions, but especially the dorsal (fifth night), 1b.
Aching-drawing pain in the left scapula and shoulder-joint, at 2.40 P.M. (third day), 1c. [720.]
Rending-tearing pain in the left scapula (first night), 1c.
Lumbar.
Dull aching pain in the small of the back (seventh day), .
EXTREMITIES
Aching of all the limbs, especially of the flexor muscles (sixth day), 1a.
Aching in the limbs, in the afternoon (sixth day), 11. [740.]
Awoke at 6, with a bruised sensation in all the limbs, especially worse in the muscles of the back. The sore bruised pain was increased by pressure with the fingers (fifth day), 1b.
Aching distress in all the joints, especially in the knees, ankles, and feet (first day), 4a.
Severe aching distress in the wrists, knees, ankles, and feet, all the afternoon (second day), 4a.
Dull aching distress in the hands, fingers, knees, and ankles (third day), 4c.
In the afternoon, constant drawing pains in the wrists, knees, and ankles, worse in the right knee and right wrist and fingers (first day), 4b.
Drawing pains in the fingers and ankles, with distress in the right hypochrondrium and epigastric region (after six hours, fifth day); not so severe (sixth day), 4b.
Drawing pains in the hands and ankles, at 5 P.M. (fourth day), 4b.
Hard, dull, aching pains in the wrists, hands, fingers, and ankles (after eleven hours), 4c.
Rheumatic pains in right leg and arm, at 6 P.M. (third day), 5.
Dull rheumatic pain in anterior muscles of right femur and humerus, which disappeared after getting up (fourth morning), 5. [750.]
Rheumatic pains in the wrist, hands, fingers, knees, and ankles (after six hours, second day), 4c.
Pain in all the limbs, with feverish heat and nausea (second day), 1.
Wandering pains about the limbs, on rising (seventh and tenth mornings), 10a.
Dull feeling, with sensation of weakness in upper extremities, which lasts all day; towards evening, the weakness extends to lower extremities (second day), 6.
Shoulder.
Stitches in shoulder and hip, at 4 P.M. (first day), 5.
Dull pain in left shoulder-blade, at 9 P.M. (first day), 5.
Pain in shoulder, near the spine of right scapula, and behind right ear, on waking from nap, at 5 P.M. (fifth day), 5.
Shooting pains through shoulder and chest (eighth day), 5.
Transient rheumatic pains in right side and right shoulder-blade, at 2 P.M. (sixth day), 5.
Had a few sharp pains in the arms, in the morning (fifth day), 4.
Some pain in left biceps muscle, in the afternoon (fourth day), 5.
Elbow and Forearm.
Drawing pain in the left elbow (after one hour and fifty-five minutes), 1c.
Several times through the day had drawing pains in right elbow-joint and fingers (sixth day), 4a.
In the evening, while riding in cars, had a severe pain in right forearm, lasting several minutes; the pain seemed to be in the flexor muscles of the forearm (tenth day), 11.
Hands and fingers ache constantly (third day), 4c.
Feeling in hands like that produced by electricity (one hour and a half after fourth dose), 7a.
Prickling numbness in hands; sensation as if they were cold, and larger than usual (one hour after fourth dose), 7a. [770.]
Tingling in hands and fingers (four hours and a half after fourth dose), 7a.
Sensation of cold and numbness in hands; they feel clumsy and stiff, with tingling and prickling; as if recovering from cold (after three hours, second day). 7.
Aching distress in legs, back, and bowels, all the forenoon (fourth day), 4a.
Legs and back ached, all the afternoon (sixth day), 4a.
Legs ached, all the afternoon, until 7 P.M. (seventh day), 4a.
Aching distress in the calves of both legs (first day), 4c.
Severe pain in the left leg, three inches below the knee (after two hours, second day), .
GENERALITIES
Restless and in pain, all over the head, stomach, and bladder (after fourth dose, third day), 2a.
Arose feeling restless and uneasy (fourth day), 3.
Restless and uneasy; unable to sleep (first night), 1c.
Labor performed in a perfunctory manner (second day), 1c.
Weakness, with disinclination to move or study (fifth day), 11.
Weakness of the whole body (twenty-first day), 6a.
Weakness of the whole body; the walls of the chest especially feel as if they would sink in (ninth day), 6a.
A feeling of weakness through the whole body (thirty-first day), 6a.
General feeling of muscular weakness; inclination to avoid all exertion, mental and muscular; sensation as if the nervous system were resting (half an hour after fourth dose), 7a. [810.]
Weak and irritable, all the forenoon, with the frontal headache (fifth day), 1c.
Felt weak in every limb, weak in brain, weak in memory, thought, and will, as if a powerful and all-pervading disease had fastened upon him (third day), 1c.
Very languid, from noon until 6, with a flushed face, and a feeling as if I had fever (third day), .
SKIN
During the last three or four days there was a peculiar reddish-clouded appearance of the skin over the whole body, which disappeared two days after discontinuing the drug, 10.
Eruption under the right ear, discharging a watery fluid (fifth day), 6a. [880.]
Right ear inflamed and somewhat swollen (twelfth day); right ear broke out in white blisters on red base; copious discharge of a watery fluid on puncturing; shooting pains in ear when lying on that side (thirteenth day); vesicles on ear dried up and cuticle desquamating; aching in outer edge of ear when lying down, relieved by pressure (fifteenth day), 6.
In evening, intense itching of right ear (twenty-fifth day); ear swollen; little white vesicles rising under epidermis (twenty-sixth day); swelling of ear increasing (twenty-seventh day); the white vesicles in ear assumed a purple tinge (twenty-eight day); ear not so much swollen (twenty-ninth day); desquamation of cuticle of right ear; the blisters discharged water (thirtieth day); stinging pains in right car; great soreness of the ear during the day; the blisters on the ear scab over, and become filled with a greenish-looking pus, at 5 P.M.; pains in ear of intense throbbing nature, worse on moving and exposure to the air; when walking, wants to hold his hand over it; sometimes pains shoot from it to the boil on forehead (thirty-second day); face swollen in front of right ear and painful to the touch; the ear is not painful to-day; some pus is discharged, and the scabs desquamate (thirty-third day); ear healing up (thirty-eighth day), 6a.
A boil began to make its appearance on right side of forehead (the first in his life), (twenty-sixth day); it discharges some pus every day (thirty-eighth day); it discharged no more (after forty-five days), and by the forty-eighth day it had entirely disappeared. About the same time, another one made its appearance on right side of the chin, which continued painful until the fifty-third day, when it discharged some purulent matter, and then began to pass off; by the fifty-sixth day it was all gone, and from that date he experienced no symptoms, 6a.
Red spots on lower extremities, alike in position on both; after an hour or so, they would change to a purple color; there would be no itching quite near or on the spots, but around on the healthy skin; itching not so annoying while perspiring (fourth day). An hour before breakfast counted as many as fifty spots on various parts of the body, most of them on upper and lower extremities, one or two on the chest; itching more confined to the trunk (fifth day). Discontinued the use of the drug for two weeks, during which time the itching continued as annoying as ever; by getting in the least degree excited or warmed, the spots would be as red as ever; but in an hour or so would subside and assume a purple hue; after the expiration of two weeks could see where the spots had been; the itching was as annoying as ever; it did not produce any disorganization of the skin; as the spots disappeared they became of a dirty-yellow color, somewhat like that left by a bruise, .
SLEEP
Sleepiness. [890.]
Constant inclination to yawn (after eight hours, fourth day), 4b.
At 3 P.M. drowsiness succeeded pain in umbilical region, and the slightest effort seemed to weary (seventh day), 2.
Ten hours of sound refreshing sleep (fifth night); slept ten hours (sixth night), 5.
Sleepiness excessive; went to bed at 8 P.M. (sixth day), 1.
Slept soundly all night (second, third, and fourth nights); retired at 8, and slept soundly all night (fifth night); went to bed early, and slept soundly all night (sixth night); after a walk, lay down and slept three hours, in the afternoon (eighth day), 5a.
Sound sleep all night, but haunted by frightful dreams (third and fourth day), 1. [900.]
During the night heavy sleep, with less vivid dreams than on the previous night (second day), 1a.
Sleep heavy, and troubled with dreams of robbers, etc. (third night), 11.
Sleep from 5 A.M. to 7 A.M.; languid and tired on awaking (fifth day), 1.
Sleeplessness and Dreams.
Awoke about 2 A.M. with severe pains in forehead, roaring in the ears, and very severe pain in right kidney; very restless and uneasy, rolling and tossing about; could not get to sleep for a long time from pain and restlessness; in the morning felt some better; pain in kidney relieved (tenth day), 11.
Restless night, full of dreams, with some fever (seventh night), 5.
Restless and tossing, and some difficulty in falling asleep (first day), 1a.
Sleep restless and uneasy, awaking unrefreshed and languid (ninth night), 1.
Rolled around till after midnight, when sleep grave some intermission to the constant pain (third day), 2a.
Awoke at 7 A.M. tired and unrefreshed, after one and a half hours' sleep (second day), . [910.]
FEVER
Chilliness.
Chilliness and shivering over the whole body; could not keep warm, even by sitting over the stove (soon), 1c.
Shivering in a warm room, and the head hot (after forty-five minutes), 1c.
Shivering from the hips downward (after forty-five minutes), 1c.
Shivering, with chattering of the teeth; scarcely comfortable near a large fire (after one hour and ten minutes), 1c. [930.]
Chilliness and shivering accompanied passage from bowels (after two hours and thirty-five minutes), 1c.
Shuddering and horripilation (after three hours and twenty minutes), 1c.
During the stool, shuddering, with chilliness of the several region (second day), 1c.
Chilliness, with great sensitiveness to cold air, and desire to be near the fire (fourth day); chilliness, and extreme sensitiveness to cold air (fifth day), 11.
At times cold streaks run up and down the spine (twenty-first day), 6a.
Dry heat over the whole body, especially on the palms of the hands (first night), 1c.
Dry heat over the body, with sweat on the forehead (third day), 1c.
Dry heat, most on the parts where the pain is worst (sixth day), .
CONDITIONS
Aggravation.
( Toward morning ), Gastric and hepatic symptoms.
( Morning ), After eating, liveliness, followed by depression; on rising, headache; throbbing headache; on awaking, headache; before rising, headache through cerebrum; shooting pains in head; on rising, pressure in frontal region and in root of nose; on waking, frontal headache; 6 A.M., headache in frontal and temporal regions; pain in right temple; ringing in the ears; everything tastes and smells sour; on waking, unable to speak aloud; before rising, pricking pains in throat; 6 A.M., hunger; craving for acid food; on rising, pain in right hypochondrium; pain in the bowels; 8.40 A.M., urging to stool; 6 A.M., till 3 P.M., urging to stool; 6 A.M., on awaking, desire to urinate; on awaking, sexual desire; before rising, sensation as of a foreign substance in larynx; backache; on awaking, pain in small of back; pain in lumbar region; lameness in region of kidneys; sharp pain in arms; on awaking faint feeling; on rising, soreness of the body; hands and feet hot and feverish; on awaking, perspiration.
( Forenoon ), Lowness of spirits; 11 A.M., unsteadiness and nervous irritability; headache; 11 A.M., frontal headache, lasting ten minutes; pressive feeling in forehead; frontal headache; pressive pain from temple to temple; cutting pains in right temple; 9 A.M., pain in behind right ear; 8 A.M., pain in left ear; 10 A.M., feeling as if tongue were cut in middle and were just healing up; 9 to 11 A.M., oppression at epigastrium; 9 A.M., pain in epigastrium; pains in hypochondriac regions; distress in region of spleen and right side of umbilicus; 11.35 A.M., pain in spleen; distress in bowels, back, and legs; 10 A.M., pain in bowels; pain under right breast; neck stiff; weakness and depression all over body; 10 A.M., trembling and weariness in lower limbs; soreness and weariness in lower extremities; legs weak.
( Noon ), Headache in left temple; pain in right mastoid process of temporal bone; neck feels swollen; pain in back of neck.
( Afternoon ), Anxiety, with headache; dulness; 5 P.M., giddiness, with vertigo; giddiness; dulness; languor; pain through head; headache; 2 P.M., head aches and feels large; 1 P.M., pain at base of brain; frontal headache; pain in forehead and temples; pressive pain in left temple; 1.30 P.M., pain in temporal region; 6 P.M., pain in left temple; 2 to 4 P.M., headache in left side; 3 P.M., pain in right side of head; 2 P.M., headache in occipital region; 3 P.M., pain behind right ear; 5 P.M., awoke with pain behind right ear and in right shoulder; 2 to 6 P.M., burning in face; 4 to 8 P.M., aching of right molar teeth; sore throat; unpleasant feeling in throat; 1.30 P.M., constriction of pharynx; 4 P.M., sour rising from stomach; 3 P.M., hiccough; nausea; pain in epigastric and umbilical regions; 5 P.M., feeling of sand in stomach; 2 P.M., pain in region of liver; 3 P.M., throbbing pain in right hypochondrium; 4 P.M., cutting pain in right hypochondrium; 1.30 and 2 P.M., rumbling in bowels; urging to stool; 6 P.M., pain in back of neck; back and legs ached; 2.40 P.M., pain in left scapula and shoulder-joint; 2 P.M., backache; distress in lumbar and sacral regions; aching in the limbs; distress in wrists, knees, ankles, and feet; pain in wrists, knees, and ankles; 5 P.M., pain in hands and ankles; 6 P.M., rheumatic pain in right leg and arm; 4 P.M., stitches in shoulder and hip; 2 P.M., transient rheumatic pains in right side and right shoulder-blade; legs ached till 7 P.M., lassitude and weariness; feel sick all over; the symptoms; 6 P.M., itching of the right ear; drowsiness, 2 P.M., hot flushes; 4 P.M., heat of skin; 2 P.M., burning checks and hot flushes.
Disinclination for mental exertion (second day), 1.
Marked indisposition for mental work (after seven hours and a half), 1b.
During the whole day, unusual indisposition to a mental or physical exertion (second day); malaise of body and mind; desire to lie on the lounge and "think of nothing at all" (third day), 1b.
Lassitude and weariness, with disposition to hurry (fourth day); mental lassitude (fifth day); continued (seventh day), 1b.
Confusion of thought, with hurriedness of manner (soon), 1c. [30.]
A little ordinary writing difficult, and confusion of the mind and vertigo (after one hour), 1c.
Lassitude of mind, with disinclination to study; tasks performed in a perfunctory manner (after seven hours), 1c.
Extreme lassitude; disinclination for mental labor or bodily exertion (third day), 11.
Thoughts chased each other through the mind; it seemed impossible to fix the attention upon any one object; from 1 till 5 A.M. (fifth day), 1.
Brain seems agitated, mind confused (after second dose, third day), 7a.
A feeling of mental uneasiness, wandering from one subject to another (after second dose, second day), 8.
Could not concentrate his thoughts, in the forenoon (third day), 8.
Unit for mental exertion all day, and toward the afternoon had give up exertion of every kind (tenth day), 1. [40.]
Was weighing out a trituration and the mental confusion was so great that he had some difficulty in telling what was the tenth part of 150 grains (after twelve hours and a quarter, second day), 1a.
Mind confused (four hours and a half after fourth dose), 7a.
Confusion of ideas (one hour after third dose), 11.
Unable to follow the train of thought when reading what is by no means difficult (after six hours and two-third day), 1a.
Goes about his professional duties in a perfunctory manner, very unlike the fiery zeal with which he usually combats disease and his allopathic step-brethren (second day), 1a.
Marked forgetfulness, with increase of the headache (after eight hours); more marked (second day); more forgetful than before the proving, and, yet, by collecting the thoughts, able to recall things read many years ago; able to supply some additional items to a professional paper, intended to be exhaustive (fifth day); forgetfulness continued (seventh day), 1b.
Fretfulness and irritability, without the slightest exciting cause (sixth day), 1.
Giddiness, with the persistent nausea (tenth day), 1.
The giddiness of head and reeling in walking much increased (eleventh day), 1. [70.]
Attacked with too much giddiness and vertigo to keep up (twelfth day), 1.
When coughing, head feels as if it would burst (twenty-first day), 6a.
Head languid and heavy (after six hours and a half, third day), 1a.
Dull feeling of the head, with languor (after ten hours, second day), 4c.
Dull heavy feeling in the head (sixth day), 6a. [80.]
Dull pain through the head, in the afternoon (second day), 12.
Severe dull headache all day, aggravated by walking (third day), 4c.
Severe dull headache, aggravated by walking upstairs (after three hours, third day), 4c.
Dull headache set in about 10 A.M.; continues through the afternoon (second day), 3.
Dull headache, pressing from within outwards. The headache does not incapacitate for mental exertion, but causes a languor and indisposition to work (after one hour and a quarter); increase of headache, with marked forgetfulness (after eight hours); headache aggravated by even a moderate warmth of the room (first day); headache persistent, during the morning (second day); headache a little better before dinner; an hour and a half after much worse, and aggravated by mental exertion (second day), 1b.
Dull headache, with a feeling as if he had fever (after two hours, second day), 4a.
Rose with a dull headache, which wore away after an hour or two (fourth morning); dull headache in morning (fifth day); rose with headache (sixth, seventh, and tenth mornings), 10a.
Headache, a stunning-pressing pain, in the frontal region, closely resembling a chronic headache, which he had had for many years, and which his master in the institute of homœopathy, Dr. Constantine Hering, cured with one prescription of Rhus toxicodendron (third day), 1a.
Dull oppressive headache came on, while reading, about 9 P.M. (third day), 2. [90.]
Dull pressive headache, with distress in the umbilicus and nausea (after eight hours), 4a.
Constant pressive headache all the forenoon (fourth day), 4a.
Pressive feeling at the base of the brain, closely resembling the well-known Ipecac symptom. "Headache, as if the hair and skull were bruised, penetrating through the bones down to the root of the tongue, with nausea" (first day), 1.
Splitting headache, incapacitating for mental exertion, with nausea (fifth day), 1.
Splitting headache, aggravated by stooping, moving the eyes, and reading (fifth day), 1a.
Full throbbing headache, with dizziness and nausea (ten minutes after second dose, second day); headache continued the same for half an hour, when it became sharp and darted from temple to temple; very painful, especially when moving, 2.
Severe throbbing headache on rising (twenty-first day), 6a.
Conscious of stunning headache before he as awake (fourth day), 1a.
Quick sudden starts of headache during the afternoon (first day); headache (after third dose, second day); headache soon after 5 A.M.; severe headache after 1 P.M. (third day); arose at 9 A.M. with headache; became violent, on a sudden movement after doses, at 4 P.M.; confined to left side; passed off after stool (fourth day); dull headache (fifth day); occasional headache (sixth day), 2a.
This morning the headache is so severe that mental exertion is a burden, and the pain is materially aggravated by any attempt to study (seventh day), 1a. [100.]
Oppressive headache over eyes (after third dose, second day), 3.
In the afternoon a severe headache, with depression of spirits, and a feeling of anxiety about some unknown thing (eight day), 6a.
Awoke with headache and hunger, both of which passed off after a hearty breakfast (eight day), 5a.
Head aches and feels large, at 2 P.M. (fifth day), 5.
Headache during afternoon; increased during evening; quite severe upon retiring (third day); during afternoon and evening (fourth and fifth days); headache (six day); awoke with headache (seventh day), 3.
Headache continued all day, aggravated by walking (first day), 4.
Dull frontal headache, feeling as if the temples would be pressed together (after three hours), 4a.
Dull frontal headache, lasting all the afternoon (first day), 6.
Dull heavy headache in frontal region (third night), 8.
Heavy pressing frontal headache still continues, the pain pressing from within outwards, aggravated by stooping (third day), 1a.
Full pressive ache in frontal and temporal regions (half an hour after third dose, third day), 2.
A number of times through the forenoon had a feeling in the forehead as if were being pressed together from temple to temple, with severe distress in the region of the spleen and right side of umbilicus (second day), 4a.
Constant frontal headache, with severe pressive pains in the temples, from one temple to the other, every ten or fifteen minutes (third day), 4a.
Pressure in frontal region, extending into root of nose, with a sensation as if a nail was being driven into the brain on the left side (third day), 6.
On rising, in the morning, a feeling of pressure in frontal region and in root of nose (second day), 6a. [150.]
Racking frontal headache on waking, aggravated by rolling the eyes upward (second day), 1b.
Racking frontal headache, with heat of the face and head (after ten hours and a half, fifth day), 1b.
Throbbing headache in the frontal and temporal regions, very painful (after third dose, third day), 2a.
Severe frontal headache, the pain throbbing, at 10 P.M. (fourth day), 11.
Frontal headache so severe that be almost felt it during sleep, and on waking at intervals during the night, noticed that it was more intense than during the day (second night), 1a.
Headache in frontal and temporal regions, at 6 A.M. (fifth day), 2.
Frontal headache, in the forenoon (second day); in the afternoon (seventh day), 12.
Frontal headache all day, pressing from within outwards (second day), 1.
Frontal headache was aggravated by moving the eyes and by noise (after forty-five minutes), 1c.
Sharp pains shoot from the right to the left frontal region (second day), 1b. [160.]
Sharp darting pains through the forehead and temples (after second dose), 11.
Severe darting pains through forehead (second night), 11.
Severe darting and throbbing pains in the left supraorbital region (soon after fifth dose, third day), 11.
Severe darting pains just above the supraorbital ridge (fourth day), 11.
Sharp darting pain through left superciliary ridge, extending deep into the head, lasting but a short time; would return at intervals, whether in motion or not (one hour after second dose, third day), 8.
Severe pains in forehead and occiput, in the evening (second day), 12.
Pain in the forehead and temples, in the afternoon (sixth day), 11.
Aching pressive pain in the temples, aggravated by chewing (fourth day), 1a.
Dull pressive pains in the temples, with occasional fine neuralgic pains (after six hours, first day), 4.
Sudden pressive pain in the temples; it feels as if the temples would be pressed together (after one hour), 4a.
Several times through the forenoon had pressive pains from one temple to the other (third day), 4a.
A number of times through the day had hard pressive pains in the temples (fifth day), 4a.
In the afternoon had hard pressive pains at times in the left temple (first day), 4b.
Once in the evening had hard pressing pains in the right temple (fourth day), 4b.
Hard pressive pain in right temple (after half an hour, third day), 4c.
Fine sharp pains of a pressive character in the left temple (first day), 4c.
Several times in the forenoon had severe cutting pains in the right temple (fifth day); not so severe (sixth day), 4b. [180.]
Severe darting pain in the right temple, and throbbing pains in the left supraorbital region (after two hours and a half, second day), 11.
Severe darting pains in right temporal region (fourth day), 11.
Frequent darting pains in right temple, with constant distress in stomach (probably mechanical), (after one hour), 4c.
Piercing pain shooting through the temples, with increased headache and nausea, at 12.45 P.M. (third and fourth days), 1.
Sharp neuralgic pains in the right temple (after twenty minutes), 4c.
Some throbbing pain in right temple (twenty-third day), 6a.
Throbbing pain in left temple (seventeenth day), 6a.
Throbbing pains over left temple, then over right (ninth day), 6a.
Headache, worse in left temple, about noon (fifth day), 5.
Headache in left zygomatic region, at 7 P.M. (second day), 2. [190.]
At 10 P.M. headache set in, confined to the temporal region (sixth day), 2.
Constant dull headache all the forenoon, with frequent paroxysms of pain in the right temple, as if it would be pressed to the left side (second day), 4c.
Occasional pains in the left temple (after nine hours), 4c.
Awoke having hard sticking pain in left temple, followed by a dull headache (fifth morning), 5.
Pain in right mastoid process of temporal bone, at noon (fifth day), 5.
Fine stitches in the right temple, with dull distress in the stomach (after forty minutes), 4c.
Vertex and Parietals.
Hot flushes and pain in top of head and eyes (fifth day), 5. [200.]
Some pains in head on left side, but by evening all symptoms were gone (twenty-fourth day), 6a.
From 2 to 4 P.M., headache on the left side and sharp pain in left temple (seventh day), 5a.
Hard pain in left side of head, at 10 P.M. (fourth day), 5.
Dull pain in right side of head, at 3 P.M. (third day), 5.
In fifteen minutes felt pain in my left temple, which ran across the forehead to the right temple, and several times in the course of the evening this pain was felt over the left temple and in the forehead; soon after the pain commenced in the left temple, a boring pain was felt in the right temple, which was confined to a small spot, at 8 P.M. (after two hours). I had pain in the back part of my head, worse in the left side; later in the evening, the pains in the front and back parts of my head alternated with each other several times; by 11 P.M. the pains in my head were less in degree, and chiefly concentrated in the left half of my forehead, 13.
Occiput.
Headache in the occipital region, lasting half an hour, passing then to the frontal, over the eyes, not very severe, at 2 P.M. (fifth day), 2.
Heaviness in the occipital region, with gloomy feeling in the forehead (second day), 1a.
Saliva very profuse; ran from the mouth during sleep, and wet the pillow (first night); saliva flowed from mouth very profusely during the night (second night); perceptible increase in the flow of saliva (third day); troublesome drivelling (third night); saliva not so troublesome (fourth night); unusual quantity of saliva, thin and watery (fifth day); drivelling (fifth night); great increase in the amount of the saliva (sixth day), 2.
During the afternoon noticed an increase in the amount of saliva. Spitting became frequent, though unusual in health (third day); saliva is greatly increased in quantity, and keeps up a constant drivelling while lying on the face (fourth day); saliva very abundant at 12.30; not troublesome at 9 P.M. (fifth day); an unusual amount of saliva has troubled the prover ever since, 2a.
Increased flow of saliva that tastes saltish (after three hours, third day), 4c.
Increased secretion of saliva, with biting sensation in the tongue (third day), 4c.
Slight ptyalism (seventh, eighth, ninth, eleventh to fourteenth day), 12.
Before taking the dose had a good appetite, but after swallowing it, found that he could not bear the sight or smell of food, especially of roast beef, 1c.
At dinner, marked repugnance to butter and fatty foods (second day), 1b.
At breakfast, repugnance to butter; even a small quantity aggravates the epigastric pain (sixth day), 1b.
At dinner, a complete repugnance to animal food, although there was less nausea than on the preceding day; unable to eat rich pudding, of which he is ordinarily fond (third day), 1a.
At dinner, complete disgust at animal food, unable to eat any, and the appetite was very poor (fourth day), 1a.
Thirst.
Thirsty and drank a great deal of water (fourth and fifth days), 3.
Thirsty, with a dry feeling all over the system (ninth day), 2. [360.]
Awoke in after part of the night with heart-burn, and a sensation of fine, violent, agitation of all the muscles of the body and limbs, worse in hands and fingers; this sensation passed away gradually in about five minutes (first night), 7.
Slight but persistent nausea, not at all disagreeable, somewhat resembling the effect of a few inhalations of sulphuric ether, at 9.30 A.M. (first day), 1.
Slight but persistent nausea, from 9 till 11 P.M. (first day), 1.
Nausea, with pressive feeling at the base of the brain (first day), 1.
Nausea, with feverish heat and pain in the limbs (second day), 1.
Increased nausea, with heat of skin and profuse perspiration on the forehead, after dinner (third and fourth days), 1.
Nausea all the afternoon and evening, with splitting headache, incapacitating for mental exertion (fifth day), 1.
Persistent nausea and vomiting, with giddiness of the head, and a feeling as if unsteady in the legs (tenth day), 1.
Some nausea for two minutes, with efforts to vomit (after six hours, third day), 4c.
Sensation of nausea (soon after first dose), 2. [390.]
Epigastric region is sore to touch (sixth day), 1a. [420.]
When awake, during night, felt that the weight at the stomach was much worse than during the day (third night), 1a.
At breakfast he ate some pudding; symptoms all aggravated at once, especially the heaviness at the stomach and the difficulty of concentrating thought (fourth day), 1a.
At dinner ate roast beef and pudding; pain and distress in the stomach soon after, with feeling as if a stone were there (fifth day), 1a.
Awoke with a weight at the stomach (sixth day), 1a.
An immediate feeling of heaviness in the stomach (after first and second doses, third day), 2a.
Burden in stomach, soon after dinner (second day), 2.
Weight and fulness in the stomach, one hour after eating a light breakfast (after one hour and a quarter), 1b.
A very moderate meal was followed in half an hour by a sensation of stuffing and fulness (second day), 1b.
Weight in the stomach, with bloating in the abdomen, on waking (second day), 1b.
Awakened at 1 A.M. by a pressing pain in the stomach; a feeling as of a weight; worse on motion, and aggravated by pressure with the hands (fifth day), 1. [430.]
Constant distress in the epigastric region and right hypochondrium, with drawing pains in the fingers and ankles, for one hour (after six hours, fifth day); not so severe (sixth day), 4b.
Dull distress in the stomach, with fine stitches in the right temple (after forty minutes), 4c.
Constant distress in the stomach, with darting pains in right temple (after one hour), 4c.
Breakfast relieved the distress in the stomach (after one hour and ten minutes), 4c.
Griping pain in the epigastrium, aggravated by speaking and by deep respiration; pressure aggravates the pain and causes nausea (after forty minutes, third day), 1b.
In bed the griping pain in the epigastric region worse than during the day, and the abdomen swollen, but not painful (second day), 1a.
Occasional sharp pains in the stomach (fifth day), 4a.
Rapid motion causes sharp pain in the right epigastric and hypochondriac regions (second day), 1c. [460.]
At 9 A.M., felt a hard pain in the epigastrium, with slight feeling of nausea for about five minutes, and afterwards, three or four times during the day (sixth day), 5a.
When bending the body, cramplike pains in cardiac region (twelfth day), 6a.
Slight colicky pain in the epigastric region (fourth day), 4.
In the afternoon frequent, cutting pains in the epigastric and umbilical regions (first day), 4b.
Severe aching pain in the stomach, with giddiness (seventh day), 1.
Aching pains, with occasional sticking in the region of the diaphragm (third day), 1a.
Continued speaking, even for five minutes, causes stitching pains in the diaphragm (second day), 1b.
A squeezing pain in the epigastric region (after thirteen and three-quarter hours, second day), 1a.
Throbbing pain in the epigastric region, aggravated by full and deep respiration (fifth day), 1a.
Awakened by gastric and hepatic symptoms, all of which are aggravated towards morning (sixth day), 1c. [470.]
Eating a very small piece of cheese aggravated all the gastric and hepatic symptoms (second day), 1c.
Feeling as of sand in the stomach, at 5 P.M. (fourth day), 2.
Some unpleasant sensation in stomach, at 9 P.M. (first day), 3.
Rapid motion causes sharp pains in the right hypochondriac and epigastric region (second day), 1c.
During the whole forenoon, sharp pains in the right hypochondriac region (fifth day), 1.
Occasional pains in right hypochondrium, shooting downward (eleventh day), 6a.
On rising, pain in the right hypochondrium, disappearing on pressure (fourth morning), 6.
At 10 P.M., a sharp cutting pain in the right hypochondriac region, aggravated by deep inspiration, sufficiently severe to prevent sleep (fourth day), 1a.
Steady cutting pain in right hypochondrium, at 4 P.M. (fourteenth day), 6.
Pains shoot from right hypochondrium downwards (fourth day), 6. [500.]
Shooting and throbbing pains in right hypogastrium (twenty-sixth day), 6a.
Throbbing pains in the right hypochondrium, at 3 P.M. (eighth day), 6.
Occasional stitches in right hypochondrium (third day), 6a.
Constant distress in the right hypochondrium and epigastric region, with drawing pains in the fingers and ankles, for one hour (after six hours, fifth day); same, but not so severe (sixth day), 4b.
All the evening had a drawing aching distress in the right hypochondrium (first day), 4a.
Drawing distress in right hypochondrium (fourth day), 4.
Severe distress in the region of the spleen (after half an hour), 4a.
Severe distress in the region of the spleen and right side of umbilicus, with pressive feeling in forehead, during the forenoon (second day), 4a.
Frequent fine pains in the region of the spleen, and in the fingers (after eight hours), 4a.
Acute cutting pain in the spleen, at 11.35 A.M. (third day), 1c. [510.]
Tenderness of the splenic region, with soreness to the touch (eighth day), 1.
The pain in splenic region much increased, and the swelling evidently greater (eleventh day), 1.
Umbilical region very tender, and seemingly on the point of aching (third day), 2a.
Rumbling in the umbilical region, with swelling, accompanied by slight vertigo, with sweat on the forehead (after six hours), 1b.
Pulsations in umbilicus isochronous with those of the heart (after second dose), 7a.
In the evening, the feeling of uneasiness in the bowels (umbilical region) came on, increasing in severity until 9, when it was almost intolerable. It was of a peculiar character, bearing down, sometimes spasmodic, and griping; sometimes sharp and throbbing. This really severe attack passed off by midnight, and sleep brought entire relief (sixth day), 2.
Feeling of uneasiness in umbilical region (one hour after second dose), 7a.
Dull pains in the umbilical region, quite severe, continuing half an hour, at 8 P.M. (second day), 2.
Dull heavy pain in umbilical region (after second dose), 7a. [520.]
Dull heavy aching in region of umbilicus (half an hour after fourth dose), 7a.
Dull, heavy, passive pain around the umbilicus, with a fine, active pain above the umbilicus, across the abdomen; relieved by pressure (half an hour after second dose, third day), 7.
Dull, constant, heavy pain in the umbilical region (after one hour, fourth day), 7.
Several times through the afternoon and evening had sharp colicky pains in the umbilical region (second day), 4c.
Slight colicky pains in the umbilical region (third day), 4c.
After going to bed, colicky pains in umbilical region, with a desire to press it, but pressure aggravates; better on rising (fourth day); similar but not quite so severe, after going to bed (fifth day), 6.
5 P.M., colicky pains in the umbilicus for the last hour (fourth day), 4b.
Sharp pains in the umbilicus (after one hour, fourth day), 4b.
In the abdomen, frequent cutting pains in the umbilical and epigastric region (first day), 4b. [530.]
Distress in the umbilicus, with dull pressive headache, and nausea (after eight hours), 4a.
Almost constant cutting pains in the left umbilical and epigastric region, with aching distress in the right hypochondrium (third day), 4a.
About 5 P.M., the old pain in the umbilical region became a prominent symptom, and continued without intermission, rather severe (second day); pain in umbilicus and stomach set in with vigor (after third dose, third day), 2a ; pain and tenderness in umbilicus continued all day (fifth day), 2a.
The abdominal pain extends more towards the umbilical region, and is worse on motion. On drawing a long breath, a sharp stitch proceeds from the umbilicus towards the backbone, and the tenderness on pressure is increased (ninth day), 1.
General Abdomen.
Bowels slightly distended at night, and feeling like diarrhœa (sixth day), 5a.
Bloating of the abdomen, with weight in the stomach, on waking (second day), 1b.
The abdomen much swollen, and tender over its whole extent, especially over the splenic region (tenth day), 1.
In bed, the abdomen swollen but not painful (second day), 1a.
A general change in the system seemed to have taken place, and the former weary feeling supervened, with tenderness of the abdominal viscera, i. e. , readiness to become painful (after third dose), 2a. [540.]
Abdominal tenderness increased after the vertigo (eighth day), 1.
Rumbling in the bowels followed by diarrhœic stool (after dose, fourth day), 2a.
Frequent rumbling in the bowels, with desire for stool (third day), 4a.
Some colic after retiring at night (third day); colic pains in the morning before rising, with discharge of flatulence; after going to bed at night colic, with emission of flatulence and borborygmus; awakens from sleep (fourth day); before rising, colic with excessively bitter taste in the mouth; colic disappears on motion, but comes on at intervals all day, with frequent discharge of wind from the bowels (fifth day); about noon, severe colic, which seems mostly on the right side (seventh day), 6a.
Flushes of heat in abdomen (half an hour after fourth dose), 7a.
A feeling of warmth in abdomen and stomach (half an hour after second dose, third day), 7a.
Felt a soreness about the abdomen, aggravated more by bending the body in any direction than by pressure; the soreness or heaviness of the bowels is such as to incline him, when sitting or walking, to support the abdomen with the hands, indicating a moderate degree of congestion of the abdominal viscera (fifth day); bowels not so sore (sixth day), 10a.
Griping in the bowels, with rumbling, and pressure in the rectum; pressure increased the griping (first night), 1c. [560.]
Dull pain in abdomen (half an hour after second dose, third day), 7a.
After a restless dream, haunted slumber till 1 A.M.; awoke with a seated, dull, heavy pain in the abdominal region, felt distinctly in the liver, which was easiest when lying on the right side (first night), 1c.
Constant distress in the small intestines, with an urgency to stool (after three hours), 4a.
Frequent distress in the bowels, during forenoon (first day), 4a.
Constant aching distress in the whole abdomen (second day), 4a.
Aching distress in bowels, back, and legs, all the forenoon (fourth day), 4a.
Slight distress in the abdomen, in the forenoon (third day), 4b.
Pain in abdomen very severe (after third dose, third day); whole abdominal region began to ache and pain, on a sudden movement (one hour and a half after dose, fourth day); abdominal pain settled to a steady dull pain, not so severe as before (after five hours, fourth day); bowel pains continued (fifth day). It was full three weeks before pressure on the abdomen could be endured without pain, 2a.
Awoke with the same pain in the bowels as the night before, at 5.30 A.M.; at 10 A.M., pain in bowels came on with redoubled vigor; 1 P.M., pain less (seventh day), 2.
Had repeated colicky pains in the small intestines, lasting but a minute or two at a time, in the evening (first day), 4b. [570.]
Colicky pains in the small intestines, every few minutes for one hour (after fourteen hours, third day), 4.
Colic pains came on earlier than yesterday, but are of short duration (sixth day), 6.
At 9 P.M. (in bed), sharp thin pain across abdomen, from side to side, half an inch above umbilicus; comes in flashes, at intervals of about one minute; relieved by pressure (first day), 7.
Pain in the bowels, in the morning (eighth day), 5.
Awoke three or four times during the night, with hard pain in the bowels (sixth night), 5.
Pain moved downwards to the abdomen (after four hours), 1c.
For three days has had no stool till to-day; stool nearly natural (fifth day); no stool for two days (seventh day); hard stool, at 9 A.M. (eighth day); less tendency to costiveness (three or four days after leaving off drug), 5.
No passage from bowels to-day, a very unusual occurrence (first day), 1a.
Dull heavy pain, extending around the small of the back (fifth day); the soreness or lameness of the lumbar region is worse (sixth day); pain in the lumbar region most of the time (seventh and tenth days), 10a.
On awaking, had a pain in the small of the back, which ceased after rising, leaving, for a while, a tired feeling (sixth morning), 5a.
Aching distress in the small of the back, knees, and calves of the legs (fifth day), 4a.
Dull aching distress in the small of the back (second day), 4a.
Dull aching pain in the small of the back, aggravated by motion, at 11 A.M. (third day), 1c.
Became conscious of a dull aching pain in the small of the back; motion adds a sharp sticking pain to the dull one (fourth day), 1c.
On getting up, had a feeling of lameness in small of back (second day), 5.
Severe backache, worse in lumbar region, at 2 P.M. (sixth day), 5. [730.]
Severe aching distress in the whole lumbar and sacral region, in the afternoon (third day), 4b.
Awoke with severe pain in the lumbar region (fourth day), 4a.
Awakened, at 4 A.M., by the severity of the lumbar pain (fifth day), 1c.
Lumbar pains aggravated, with stitching pains in the right hypochondriac region, which is swollen (after eight hours, fifth day), 1b.
Feels lame in the region of the kidneys, on waking (seventh morning), 5a.
(Thinks the provings have improved the condition of the kidneys), 5a.
Pains in the right leg, below the knee, extending to the ankle (seventh day), 11.
Aching-drawing pains in the left ankle, aggravated by motion; the pain extends up the calf of the leg (after one hour and fifty-five minutes), 1c. [800.]
Drawing pains in the left heel (after three hours), 4a.
Nervous pain, alternating from the left arm to left eye and parietal region (soon), 2. [860.]
Pains to-day worse on the right side (seventh day), 11.
Felt much better to-day till half past 4, when the pains of the extremities, back, and head all returned (eighth day); pains in head, limbs, etc., not so severe (ninth day), 11.
Felt very badly all day (fifth day); better in the morning, but in the afternoon felt quite badly again (sixth day), 11.
Felt better in the morning, but in the afternoon and evening much worse again (seventh day), 11.
Symptoms aggravated towards evening and on lying down; ameliorated on motion and on rising, 6a.
Right side principally affected; symptoms more from right to left, from above downwards, and from within outwards, 6a.
Symptoms ameliorated, towards evening (third day), 6.
All the former symptoms, but greatly ameliorated (tenth day), 6.
All the symptoms ameliorated by a walk in the open air (after one hour and three-quarters), 1c. [870.]
All the symptoms are better in the open air (second day), 1c.
All the symptoms have declined to-day, especially the headache (seventh day), 1c.
All the symptoms aggravated in a hot room and ameliorated in the cool air (first day), 1b.
All the symptoms are aggravated in the warm room and ameliorated in the open air, though they are worse on commencing motion (sixth day), 1b.
At supper ate some sour apple-sauce, when all the symptoms became milder and gradually disappeared (seventh day), 1b.
In the evening, amelioration of all the symptoms; though still languid and drowsy (third and fourth days), 1.
At 4 P.M., ate a bunch of somewhat tart grapes, and all the symptoms disappeared; the nausea and headache were entirely removed in a few minutes (first day), 1a.
A slight bruise on the large joint of little finger of right hand inflames and suppurates, causing painful tension of the fingers of that hand (thirty-fifth day); vesicular eruption on right hand, commencing at the sore on little finger and gradually extending upwards (thirty-ninth day); the eruption appears under right ear, and gradually extends over the whole face and neck and on right hip; burning and itching sensation in the eruptions; on scratching they discharge water (fortieth day); burning in eruptions, increased on exposure to air; much worse to-day than yesterday (forty-first day); no more burning or itching; the eruptions began to disappear (forty-second day); all gone, and desquamation of the cuticle set in (forty-fifth day), 6a.
A lame spot on inside of right knee, as large as a penny, on waking from afternoon nap (fifth day); still felt (sixth morning), 3.
It occasioned quite an irritation of the skin. The itching was so intense all over the body that she could not be induced to continue the proving longer. She described it as so many thousand fleas on her; could not refrain from constant scratching; the itching was not worse at night, 9.
Itching of the right ear, at 6 P.M. (eleventh day), 6.
Intense itching on back of right hand (thirteenth day), 6a.
A pricking in lower extremities, almost like that of pins, mostly in popliteal space; on scratching, it burns like fire, but no change in color of the skin (after second dose, third day); burning in the skin of lower extremities, like fire; could get more relief from rubbing than scratching (third night), 8.
Sleep unusually deep and heavy (first night); sleep broken and restless, and at waking intervals hardly able to determine whether sleeping or waking (second night), 1b.
The sleep during the night was heavy, but restless, with fantastic dreams, practicing medicine among people of gigantic stature; suddenly the scene would change, and his patients were about the size of peas (third night), 1a.
At a quarter past nine, on awaking, was attacked with a kind of nightmare; quite conscious, but unable to stir on account of a pressing weight in the stomach and whole front of the trunk (sixth day), 1.
Dreamed of armies of soldiers rising out of their graves and marching into the house (third night); dreamed of enemies prowling about the house (fourth night), 10a.
Awoke during night with nightmare (third night), 3.
One long and remarkably vivid dream all night till four (fifth night), 1c.
Unpleasant dreams during the whole night (first night); sleep broken by dreams, at first of a frightful nature, but towards morning lascivious (third night), 1b.
The dreams during the night were so vivid and lifelike as to seem, on waking, as if he had been up all night (first night), 1a.
Slept well until 2 A.M., when he awoke, dreaming of fighting (first night); most frightful dreams; dreamed of getting whipped and killing snakes (second night); dreamed as before (third night); could go to sleep quite easily; was able to sleep only a short time, awaking from horrible dreams, and covered with a profuse perspiration (fourth night), 8.
Passage accompanied by sweat on the forehead and head, though the morning was cool (first day), 1.
Sweat on forehead, accompanying the rumbling and swelling in the umbilical region (after six hours), 1b.
Sweat on the forehead, with the rising of the bitter fluid (fifth day), 1.
( Towards evening ), Pain in head; the symptoms.
( Evening ), 9 P.M., while reading, headache; headache; 9.30 P.M., pains in head; 10 P.M., frontal headache; pains in forehead and occiput; pressive pain in right temple; 7 P.M., headache in left zygomatic region; 10 P.M., headache in temporal region; pain in left side of head; pain in head; after going to bed, pain over eyes; pain behind right ear; roaring in the ears; 7 P.M., lower molar teeth ache; aching of right molar teeth; teeth sensitive and painful; 8 P.M., throat sore; 9 P.M., constriction of pharynx; nausea; 9.30 P.M., nausea and rumbling in bowels; 9 P.M., unpleasant sensation in stomach; distress in right hypochondrium; uneasiness in umbilical region; 8 P.M., pain in umbilical region; after going to bed, colicky pains in umbilical region; pain and rumbling in bowels; colicky pains in small intestines; 9 P.M., in bed, sharp pain across abdomen; before stool, colicky pains in hypogastrium; 7 P.M., tenesmus; urging to stool; throbbing pain from glans penis to left pubic region; when breathing, walls of chest feel as if they had not the power to expand; pain in lower part of lung; 9 P.M., pain in back of left breast; 7 P.M., backache; pain in left shoulder-blade; while riding in cars, pain in right forearm; in bed; prickling pains in fingers; aching distress in right knee; 9 P.M., sticking pain in left knee; on retiring, feeling of malaise; 7 P.M., sick feeling.
( Night ), 1 to 5 A.M., mind wandering; when retiring at 10.30, head confused and giddy; 11 P.M., sudden attack of vertigo; frontal headache; 12.45 P.M., shooting pain through temple, with headache and nausea; 11.15 P.M., dryness of mouth; 1 A.M., rising of bitter fluid; heartburn, with sensation of agitation of all the muscles; weight in stomach, 1 A.M., awakened by pressing pain in stomach; 10 P.M., pain in right hypochondriac region; 1 A.M., awoke with pain in abdomen; pain in bowels; pressure in rectum; when lying on back; pressure on the lungs; pain in back; restless, with dreaming; sweat.
( Open air ), Pain in the ear; burning in eruptions; thoracic symptoms.
( On awaking ), Mouth parched; weight in stomach, with bloating of the abdomen.
( After going to bed ), Aching of right molar teeth.
( In bed ), Griping pain in epigastrium; abdomen swollen.
( Bending body ), Cramplike pain in cardiac region; soreness about abdomen.
( Bending forward ), Vertigo.
( At breakfast ), Repugnance to butter.
( After breakfast ), One hour, weight and fulness in stomach.
( Deep breathing ), Pain upper part of posterior mediastinum.
( Butter ), Epigastric pain.
( Cheese ), Gastric and hepatic symptoms.
( Chewing ), Pain in temples.
( Coughing ), Head feels as if would burst.
( Descending stairs ), Pain in left lung.
( At dinner ), Food tasteless; repugnance to butter and to animal food.
( After dinner ), Nausea; burden in stomach; empty feeling in stomach; heat of skin; profuse perspiration.
( After eating ), Pudding, all symptoms; roast beef and pudding, pain and distress in stomach.
( Exertion ), Slight, pain in left scapula.
( Inspiration ), Full and deep, pain in epigastric region; deep, pain in right hypochondriac region; stitch from umbilicus to backbone; pain in bowels; full, pain shot from sternum toward nipple.
( Lifting eyebrows ), Pressure over eyes.
( Lying down ), Nausea; the symptoms.
( Lying on back ), Pressure in abdomen.
( Lying on left side ), Weight and pain in liver; liver heavy and sore.
( Lying on part ), Pain in right ear.
( Lying meal ), Pressure at pit of stomach; pressure on stomach.
( After a meal ), Sensation of stuffing and fulness; pain at stomach; hepatic pains.
( Mental exertion ), Headache.
( Motion ), Sudden vertigo; headache; rapid sharp pain in epigastric and hypochondriac regions; pain at stomach; sudden aching and pain in abdominal region; abdominal pain; pain in left iliac region; pain in small of back; drawing pain in left ankle.
( Moving eyes ), Headache; frontal headache.
( Noise ), Frontal headache.
( Pressure on intercostal spaces ), Pain.
( Pressure ), Pain in epigastrium; nausea; pain in stomach; liver sore and tender; bowels tender; tenderness of abdomen; griping; of finger, bruised sensation in all the limbs.
( When reading ), Unable to follow the train of through; headache.
( Recumbent position ), Pain in upper part of posterior mediastinum.
( Deep respiration ), Pain in epigastrium.
( Rising from a chair ), Vertigo.
( Rising ), Giddiness; pain in brain and stomach; nausea; pressure in rectum; lameness in small of back.
( In a hot room ), The symptoms.
( Rolling the eyes upward ), Frontal headache.
( Singing ), Headache; nausea.
( Sitting erect ), Weight in hypochondria.
( Speaking ), Nausea; continued, stitching pain in diaphragm; pain in epigastrium.
( Standing ), Erect, weight in hypochondria; aching in bowels; pain in lower extremities.
