Natrium sulphuricum

Volume III — Main text

NATRUM SULPHURICUM.

Sodic sulphate, Na^SO^. lo H,0. Glauber's salts.

I. Provings. — i. Nenning. Proving (manner unknown) on selfand several women and girls. — Cheerful, happy moodi which she notices herself, particularly after loose stools; a.m., ist d., she stems to be in ver}- good humour, is cheerful, this changes into cross, irritable mood on 3rd and 4th d. ; nothing succeeds well that she undertakes, an<t she does not know why } great irritability, !>he dislikes to speak or be spoken to, particularly in m. ; m., very sensitive, and easily flying into a passion, which mood goes otf townrdn afternoon (jlh d.) j lachrymose, thinks only of sad things (6th d.); music affects her very much, it makes her melancholy and feel like crying, although it was merry dancing music (5th d.); verj- much disheartened, is tired oflife, despairs of getting well. Vertigo, with inclination to fall to r. side, with frequent yawning all d. ; vertigo, followed by vomitmg of sour mucus; feeling as though brain were loose, and when stooping as though it fell to 1. temple, frequently; pressure in forehead, particularly after meals (ist d.) ; pressure in forehead as of a hard substance ; violent pressure in r. ride of hea(], so that she held it with both hands ; pressure inwards in r. side of head, after lying down in e., all n. ; after a little strong coffee violent pressure in back part of head on entering a room j pressing or squeezing pain in whole back part of head, lasting for hours j headache, pressing from both sides of back of head, 6 p.m., followed by quiet n., but pain returned next m. for a h., and then extended ail over r. side of face, this repeated for 3 consecutive m. ; tearing pain in r. temple upwards to top of head, 4 p.m., continued all n. till next m., accompanied by chill running up back, with chattering of teeth and shaking, without external coldness, not lessened by warmth of stove; violent tearing pain in r. temple, towards facial bones; tearing pain in r. s-ide of back part of head, when keeping quiet (ist d.) ; piercing pain in 1. side of head when exerting his arms; violent piercing pain from 1. forehead to back of head, 10 a.m., while sitting; fine piercing pain in 1. forehead, near protuberance; beating pain in both temples when walking, with indescribable pain on top of head, almost like suppuration, as if top of head would split, the same when touched, continuing all d., not better by pressure, returned next d., disappeared at n. when in bed (during catamenia) ; violent pulsating headache, continuing all d., somewhat lessened in afternoon ; a sudden jerk in head, so that it threw it towards r. side, which frightened her very much, forenoon, while sitting; two little bunches on both sides of back of head, sensitive only to touch. Shuns light for long time during hit provings j eyes cannot bear light in m., and bum j eyes weak, objects appear dim to her; eyes seem blurred in m., and often water, without redness or pain; vision dim, with burning and tearing sensation in eyes, as if they gave out heat (loth d.); sensation in r. eye as though a small white leaf were before it, through which she could not sec plainly, disappearing for awhile by washing, but always returning towards e. ; after blowing the nose, hard, small, glittering, yellow pointed bodies appear before eyes ; piercing pain in eyes, at same time nausea in stomach ; eyes bum in e. for seve-al h., and in m. also when near the fire ; burning in r. eye, with frt' quent efflux if burning water in afternoon, outdoors, for i h. ; great dryness and burning of eyes, growing worse from afternoon till e., sensation as though her eyeballs were hot; redness of eyes with dryness and burning; pressure as of two fingers above edge of 1. eye at noon ; on lower edge of 1. bulbus tearing sensation in short jerks (I'it forenoon). Sound in I. ear as if bells were ringing at a distance ; sounds as of a bell in r. ear, fulness of both ears for several m. (4th d,); ringing in r. ear as if near a belfry (5th d.) ; several sharp stitches fly like lightning out of r. ear; suddenly a violent stitch into r. car, which startled her so that she jumped from her chair;

many fine stitches into r. car, Corvza with stoppage of noie, he can draw breath through nose only with great dificulty ; epiiiaxis, 2 p.m., while walking, often stopping for awhile and then returning, light red, Nometimes also while sitting, even while lying in bed (during catamenia); tearing pain in r. Mtle of nose an if an eruption were about breaking out. Tearing pain in r, side of face, afterwards tearing and beating along neck ; frequent itching in face, now here, then there (5th d.) j tearing pain in I. check-bone, not relieved by either nibbing or prcs!(ure ; during a pain in neck, and worse afterwards, tearing pain in 1. check<bone, which is stopped by hard rubbing, but M>on returns, lasting 10 m. j tearing pain in 1. cheek-bone, aftcnvards gra&ping and raging pain in root of an upper tuoth, 1. side, generally In m., particu. larly when exposecT to cold air ; in m., alter getting up, great pain in maxillary joint, which is stiff, so that she can only open her mouth with difficulty, it seemed to her as though a bone was lying there which made it hard to open her mouth, after repeated and strong efforts it gradually disappeared ; two small knots are formed deep in skin, on r, side of lower jawj pimple on chin, with burning tensive pain when touched. A blister with inflamed edges and burning pain on one side of I. upper lip, lasting 5 d. ; small vesicles break out on under-lip, which disappear after a short time ; dryness of upper lip, and &kin peels off; her lips burn in e. as though the)' had been rubbed with pepper. Tearing pain in several decayed lower 1. teeth, at n. when out of bed ; tearing and piercing pain in last molar, 1. side, but only during d. i jerking pain in an upper I. molar, beginning while ouldoors, but continuing aftenvards in room ; ragmg pulviting pam in an upper molar, 1. side, wakes her a a.ra., at same time heavy feeling m bead, increased warmth of whole body, and restlessness, so that she did not know where to lay her head, followed by nose-bleeding which did not relieve head ; beating toothache in upper I. side, in c, after lying down, could not sleep all n. for it, if she dozed awhile pain would wake her up } a tooth in r. upper jaw becomes loose, seems longer, and there is drawing pain, cold air makes it better, tobacco'smoke also lessens pain } her g\ims bum like lire, so that she cannot eat bread ; redness of gums and dryness in mouth ; a movable painless swelling on outside of gumN, 1. lower side ; a blister on upper gums which suppurated and then dried up; m., after perspiring, vciy dry in mouth, without thirst J dryness of mouth with thirst and redness of gums ; burning in month as from highly seasoned food ( 5th d.) ; m., no taste, mouth feels rough and almost insensible ; m. and all the forenoon, slimy taste and tongue covered with mucus ; blisters, with burning pain on tip af tongue, disappear soon } tongue burns as if covered with blisters on tip. Whole palate bums as if sore or the skin broken (during catamenia) j blisters on palate, which increased daily, so that palate became so sensitive she could hardly eat, anything cold in her mouth relieved it j in ra. had to clear her throat several times, irritated by collection of mucus there j in m. after clearing her throat she expectorated salty. tasting mucus, which had collected during n. ; dryness of throat as if she did not have enough saliva (7th d.) j dryness in throat, without thirst, often extends into rvsophagus (3rd d.) } sore-throat when swallowing, and when not 5wallo\ving, I. side, in m. on waking until alter breakfast (a few h. before and during catamenia) i feeling of contraction in throat, often intermitting while walking, all d. Particular absence of thirst first days of proving -j thirst eveiy e. without any especial cause ; thirst at n., and following m. before rising ; thirst for something very cold for 3 d., and dryness in mouth (all 9th d.) j want of appetite i she li obliged to jawn, and is thirsty, md m. ; ist d. seems to have more appetite for fruit, afterwards (9th and loth d.) apperite and hunger are ivanting altogether, food does not taste well, thirst p.m., hard stool, great sleepiness (i4tn d.) ; hunger, but no appetite, while eating she feels disgusted ; violent pressure in back part ot head after drmking coffee. (Several of tlie complaints of the m. cease after dinner.) A debilitating hiccough, lasting ^ h. towards e. in room { hiccough lasring a long time, and which could not be stopped after eating bread and butter, afternoon ; constant rising in throat of sour water (3rd d.) ; when going downstairs in forenoon, nausea, then vomiting of salty sour water without relief ; nausea as if to vomit with waterbrash for 5 m. when walking p.m. ; with nocturnal headache, and during d., sour water often collects in mouth, which makes her want to spit constantly, also nausea ; after vomiting, extreme feebleness and a boring headache ; feeling in stomach as with voracious appetite, with boring pain, immediately after memcine, disappears after breakfast ; feeling of great fulness in stomach up into chest, with difficult breathing,

in e. in bed, falls asleep at last, feels nothing oi it next m. ^during catamenia) ; heating pain In stomach, with slight nausea (and d.) ; boring pain in stomach } h. in m. attcr getting up, returning m a h. preceded by nausea and soft stools (ist d.); burning and pinching pain in stomach in m. after getting up, disappears after breakfa^it i trembling and prtvsure in pit of stomach, with want of breath, feels faint while sitting for 5 m., afterwar<is also when walking. Very painful sensitiveness to touch in region of liver when walking for 5 m., i p.m. i tension and piercing pain in region of liver when walking outdoors ; on taking deep breath sharp violent stitch as if in liver and would burst apart there, while sitting, unchanged by pressure, 4 p.m. j piercing and pulsating pam in region of liver, when walking in m. (and d.) ; painful contraction in belly up into chest, oppressing her breathing, then soft stool ; pinching pain in belly, with feeling as though intestines were being stretched, intermitting and returning ; short pinching pain in belly, now here, now there, often from both sides towards middle, with passing of flatus and empty feeling in stomach ; violent pinching in belly into groins, afterwards soft stool (on 3rd d., 4 times); low down in abdomen painful digging, 9 p.m., disappears in bed, with chill followed by thirst (during catamenia) ; at 5 a.m., she is awakened by bellyache, urging to stool, after which it cca^^es (2nd d.) ; bellyache and pain in small of back as if bruised, a^vakens her in n., z a.m., it is so violent she can only get a little relief by lying on 1. side, but still cannot sleep, it continued some time after getting up(xoth d.)i burning sensation in belly, changing from place to place very quickly, e. ; while riding in a carriage much rolling and grumbling in stomach and belly, afternoon ; feeling in belly as from a purgative, with scentless flatus j loud grumbling in upper part of belly, followed by emission of very fetid flatus, e. ; soon after taking med. grumbling and olling in whole belly, with sudden pinches as after a purgative, then soft stool, the same p.m.- constant feeling of fulness in abdomen, as long as soft stool continues, with emission of much flatus ; digging sensation from flatus, with pinching pain around umbilicus towards noon, increased until 4 p.m., until flatus began to pass (1st d.) i flatus rolls about in belly, and is arrested here and there; burning sensation in bend of thighs, between menstrual periods, in e., disappears when in bed ; pain in r. flank as if distended, up into stomach, when sitting in e., and also next m. ; he was awakened during n. by violent pain in r.flank, with sensation as if soft body were lying there, for \ h., after midnight several times ; sharp piercing pain in 1. flank, which extended into armpit when moving, 5 p.m., when resting it disappeared in } h. ; piercing pain in 1. flank, as if drawn together, when resting or in motion, also at n. ; piercing pain in r. flank with nausea, for i^ h., when resting or in motion (ist forenoon) i in m. piercing pain in groin, which extends into small of back, as if from flatus or such ai precedes hard stool, but it is followed by diarrhoea; feeling of great fulne<;s and tension in r. groin as if it would burst, with intermittent pinching pain here and there in belly, when resting or in motion ; piercing pain in both groins, with urging to urinate, p.m., when walking outdoors (ist d.). Seems to promote stool in its primary effect, and to retard it secondarily ; first doses make sort stools, later doses more solid one>i; ist d., in m., regular stool, with burning in anus during and after stool, another, p.m., without the burning. Urine increased so that she had to rise several times during n. j i<t d. more urine than usual, with burning sensation when passing it, at n. burning increased, had to rise twice during n. for the purpose (1st n.) ; soon after taking the drug less urine, but after a h., more, then less again, and less often (ist days, after 11 d. with burning in orifice of urethra); violent pinching pain around umbilicus for 3 m., while sitting, into groin, with urging to urinate, urine so burning that it was retained, with pain in small of back; urine of e. left a yellow. red sediment. On scrotum troublesome itching that rarely ceases after scratching, which makes place burn ; piercing pain in vulva and vagina, p.m., while sitting. Catamenia 3 d. too late, more than usual, and with bellyache, which the did not generally have ; catamenia 16 d, too late, with bellyache and costiveness or hart! stool ; catamenia very little, without complaints and at regular time, 2nd d. more ; catamenia every forenoon for 5 d., lumps of coagulated blood j during catamenia in m. in bed, pinching pain, and when moving, walking, in forenoon, several times passed clotted dark blood at long intervals; menstrual blood is acrid, makes thighs >ore, and only flows much for 2 d. j chili, p.m., without thirst, during catamenia ; on 3rd d. of catamenia, in m., white bloody mucus instead of blood. Short breath when walking, gradually relieved by rest, later the want of breath continues

while sitting; tickling in throat exciting a loose cough (m,, jth d.)f genenUIy dry cough, particularly in m. after getting up ; dry cough with tickling in windpipe for J h. ; dry cough, with soreness m chea and rough feeling in throaty particularly at n., &he had to ^it up and hold her chest to get relief; frcauent cough with Mime ex. pectoration, — if while fttanding, he fecU sharp «titch in I. wde of chest, with nhortne« of breath i prc^^urc on chest as of heavy load ; piercing pain in 1. side of chest, with cough and want of breath when moving about, i p.ra., relieved during rest; piercing psin in 1. Mde of chest, with irritation to cough, but pain so violent that he cannot possibly cough ; several stitches like flcn.bite^ in 1. che»t, and then again In r. forehead j piercing pain in r. chest above nipple, 5 p.m., while fitting; near 1. nipple a piercing stitch while Hitting, soon after a renewed dose several times while standing stitches in 1. Mde of chest (10 d.) ; piercing pain in 1. chest, when stooping to either r. or I. side, continues all lit d. ; internal trembling or quaking in chest, making her irritable. Inlennitting tearing pain and (en^ion in tcn^^o^^ on r. side of neck, while sitting ; tearing sensation in veins of r. side of neck, pulsation tn the arteries is seen, frequently intermitting for ^ h. at a time, again after a few d. } piercing pain in nape of neck, continuing long time (3rd d. and following n.) j indescribable pain in r. side of nape to back part of head, so violent that it made her scream, lasted 5 m. and disappeared only after rubbing it a long time, while i^itting ; piercing patn, r» of knives, between shoulders while sitting in c. (6th d.) ; tearing pain down back, feeling in bones as though dogs were gnawing them, in all positions (5th d.) j directly after going to bed at n. she has pain m small of back, as if it had suppurated, almost unbearable, it disappeared in m. after getting up ) bruised pain in small of hack from m. If> e., disappeared after going to bed i violent piercing pain in middle ot sacrum while sitting. Frequent piercing pain in 1. axilla in all positions; tearing pain in bone of r. upper arm, sometimes under shoulder.joint, from time to time ; tearing pain as if in bone ot 1. upper arm ; tearing and piercing pain on external surface of humerus in c, disappears after nibbing j leeling of heaviness in r, ann, with tearing pain in middle of upper arm (loth d.) i ulcerative pain in r. elbow and in tendons of /. forearm, painful to (ouch (ist and and d.) j transient burning sensation in different places above and below elbow (^.th d.); tearing pain from both elbows into linger?, with sensation of numbness, disappearing after rubbing, but returning in m. in bed } tearing pain in bone of r. forearm on upper side in aftcmonn, below elbow in e. ; itching pimplts on inner side r. forearm that bum after being sciatched,and disappear next d. j several itching pimples on r. forearm that bum after being scratched and contain limpid water (during the caramcnia) ; twitching of handii and feet at n., particularly during sleep, after midnight j sensation in r. hand as if it were filling with btood. It fceU too full and lingers as if stiff (in afternoon, whilt knitting, until e.) j piercing beating pain on back of 1. hand when moving it, it stops for a while, but alway- returns, forenoon ; violent piercing between the metacarpal bones of fore and second finger of r. hand j piercing in middle of palm of r. hand ; burning with redness on back of both hands, as ot nettles, afternoon till e. ; a number of small pimples on inner surface of r. hand, which tempt him to scratch ; tearing pain along I. thumb white sitting: tearing in front ot r. forefinger^ same in last phalanx of 1. forefinger toward* tip; fine piercing in points oi r. thumb and torcfingcr, as if veins were being pulled out, while knitting ; crawling scn-tation in Hngcr-tips of r. hand as if becoming numb, ist e. and and m. ; violent itching between fingers ot r. hand, burning after scratching; small itching vesicles between 1. thumb and forefinger, piercing uK-eraiivc pain under nail of r. forefinger. Excruciating pain in r, hip-joint on getting out of bed in m., continuing all d. and next, particularly when stooping and from some motions when stretching or walking i'tcU nothing, when rising from a scat or moving in bed feels it most; violent piercing and rending from os coccygis mto middle ot I. thigh in bone during motion and rest; bruised pain in middle of (liigh and lower part ot leg all ist d. j painful dragging scn.sation in hollow of r. knee while sitting, which disappears from motion ; great wearinesit in tcct at n., make«i her often change their position j legs very weak and as if bruised during rest or motion ; drawing pains in legs when ^Ia^ding and walking; rending and drawing in both calves and in tendons, which makes it hard for her to step, during rest and motion, sometimes relieved by hard rubbing j drawing pain upwards in tendons and calves ; both legs are quite hot up to knees in c. before going to bed, and next m. j drawing pain in tendo AchilliS then in calves} piercing and rending in r. heel for 1 m. while walking, rc<

lieved by rubbing ; great piercing and rending pain in both heels, so that she can hardly help screaming, while spinning, nothing relieves it; ulcerative pain in r. heel so that she can hardly ^step on it ; piercing pain in sole of 1. foot so that it made her twitch while standing, relieved by rubbing } burning sensation in sole of 1. foot all n. ; numbness of r. great toe in m. while sitting; piercing in snd and 3rd toe, r. foot, when stepping on it, and in 4th toe of 1. foot while sitting; itching on balls of toes with feeling as if it drew thein together, relieved by rubbing (10 d.); rending id little toe, r. foot, and at same time in 1. forearm. Transient, twitching, rending pain in all limbs, now here and now there, also in face and I. ear-lobe (e. and n.}; weary and sure in hands and feet in m. after nocturnal attack of fever; great weariness of whole body, mur*: p.m., so that he had to lie down, felt better when walking. Restlessness at n., which keeps her awake a long time; very restless n., she wakes up at times from violent headache ; when she is hardly asleep starts up without waking entirely ; dreams often, but does not remember substance of dreams (ist to 4th d.) ; \ery vivid terrifying dreams, of falling from a height, of being thrown from a carriage, of circumstances which vexed her, also beautiful dreams of flowers and gardens; dream that he was much hurt and provoked because he had been insulted } dream which terrified him about an operation on a friend, the fear of it awoke him, and he felt violent pain as though knives were sticking in his toe. Chilly towards e., she thinks she will get the fever ; chill 7 p.m., ^ h., not followed by heat or sweat (md, 3rd d.) } chilly e. in bed, so that he could not get warm all n. (ii d.) ; violent chill up back, with chattering of teeth and shaking without external coldness, n. ; she awakes, 1 a.m., shaking all over and teeth chattering, with anxiety, 8 m., then falls asleeu j in e. he is alwa}'S chilly without thirst, longs to be near stove ; chill, 6 p.m., which ceases after lying down, not followed by sweat; in m., immediately after getting up, chill without thirst but with external coldness; in m. after walking on empty stomach, coldness and violent shaking chill, with feeling of internal heat in head and pale face, she believes her head must also be hot externally, coldness lasts till e., but disappears after going to bed ; chill with icy coldness and goose flesh, 4 p.m., increases till 8 p.m., after going to bed it disappears without being followed by hot stage, 4 a.m. sweat without thirst (during catamenia) ; increased warmth of whole body, and restlessness ; dry heat all over body as if perspiration would break out, several afternoons ; she often has sudden flashes of heat towards e. ; thirst with remission of headache, a.m., p.m. sweat without thirst; profuse sweat, without thirst and without feeling weak after it, during 3 n.; after sweat, very dry mouth. {AnnaL d. horn Ki., iv.)

1. SCHRETER. Manner of proving unknown. — Very depressed, irritable (5th d.) ; taciturn, speaks but little, and is generally irritable (ist d.); dull and out of humour in m., when getting up, until breakfast time (7th d.) ; great fear with dread of a misfortune. Vertigo when getting up, with dulness of head ; vertigo after dinner, as if everything were spinning round him, with buzzing in head (ist d.)j after vertigo, heat rising from body towards head, becoming more violent until sweat broke out on forehead, after dinner (ist d.); dulness in head, with fcebleneti) muddled feeling in head, as though he should fall, with darkness before eyes, a few m. (md d.) ; stupid feeling in head all d. (4th d.). Pressing headache in r. forehead, returning periodically, 15 to 30 m. (md d.); boring pam in forehead, as if it would burst, for i h. (9th d.) ; violent boring pain in 1. forehead, as if it were forcibly closing 1. eye (4th d.) j boring pain in back of head j grasping pain in middle of forehead, while taking cold footbath it ceased, but returned more violently after 1 h. (2nd ti.) ; breaking pain in middle uf forehead immediately after dinner, followed by great sleepiness ( 3rd d.) j headache while reading, made him feel hot and perspire, when he ceased reading and walked about heat and perspiration on his head ceased, but pain continued (3rd d.) \ feeling like an electric shock on top of head, towardir. side, once during forenoon and afternoon (4th d.); sensation like electric shock in I, head (8th d.) ; in m., while combing his hair, scalp very sensitive, as though each single hair pained him (3rd d.). Pressing in eyes in e. while reading by lamplight, and eyelids heavy, as though lead were on them (3rd d.) ; pressure in 1. eye, as though a lentil had fallen into it (5th d.) ; itching, in 1. then in r. eve, same in r. ear, he had to scratch it (4th d.) ; itching in r. eye and 1. ear (5th d.) ; 1. eye glued together with matter, he had to wash it, at same time aversion to light (3rd d., same in both eyes 14th d.). Kinging in ears as of a small tinkling bell (tnd d.) ; hissing in 1. ear

(4Xh d.) ; pressure (rom ear outward, » of something pressing on tympanum as far u the meatus externus, at same time he hears well (after a h ) j pressure in r. ear, won-e towards 9 a.m. (^rd d.) i piercing pain in r, ear (after 1 h.). Itching externally on both wings ot nosr, which makes him scratch and rub (and d.). Some perspiration on tice, vhiJe sitting at a meal, with slight oppression of chest, r. eye filled with water (ist d.) ; face pale and wan, immediately on waking in ra. very cross and disheartened (tnd d.). Great flow of saliva after meals (4th d.). Sorethroar, an obstacle when swaDowing, tonsils and glands swollen and inflamed for 3 d., inflammation worse on m. of and d. {yd d.). Great thirst in e., after violent exercise (it and 5th d.) ; great appetite, without thirst (isi and 5th d,). Scjucamishne&s in btomach before meals (inad.)j eructations of diugreeable smell and taste, with incarceration of flatulence, nausea, and flow of saliva, towards e. i pressure in forehead after meals. Dull, piercing, continuous pain in I. hypochondrium when walking outdoors (8th d,); in I. hypochondrium and I. .idc of belly, piercing pain, while sitting, forenoon, followed by piercing pain in r. chest, but less violent (5th d.) i bellyache, such at» often precedes purging (5 d.) } bellyache without distension (jJl d.), m afternoon passed wind ie-eral times with difliculty, giving relief each tune (3rd d.)} bellyache in m. before breakfast (5th d.)i bellyache around umbilicus while sitting at his desk (4th d.j j tearing pain around umbilicus, with flatus, betore breakfast, after breakfas-t it wa.i better, but i h. later it returned, only \r^% violent (4th d.) ; grumbling and fermenting in abdomen after mcal^ (ist d.) ; rolling in belly, after 4 h, (9th d.) j flatulent colic above umbilicus, flatus will not pass, e. fist d.) i emission of fcetid flatus after dinner (md d. and m. of 6th d.) ; p.m., emission 01^ much wind, hard to pa». Itching in anus. Great burning in urethra when passing urine (and d.] y burning in urethra after passing urine (5th d.) ; urine of a more utcritious sediment (first days) i urine of m. has a whitish.ycllow sediment (4th d.)> Itching on glans, obliged to Hrratch {6th d.) j itching of lower surface of peni, was obliged to scratch, after which it ceased, a.m. and p.m. (3rd d.) ; itching on scrotum and lower part of penis (7th d.J i itching on peiinicum, he was obliged to scratch (snd d.); itching on nions veneris in afternoon (ist d.) j sweat on acFotum, whiJe sitting towards e. (5th d.). Oppression ot chest in m. on awaking (5th d.) J stitch in I. side of chest, when yawning, with pain in nape of neck and m shoulder-blades as if bruised (after 2 d.) ; piercing pain as from a spindle in 1. chest, when walking fast towards c. (3rd d ) ; sticcli in I. side of chest, as of a dull instrument, after meals (znd d.) ; much expectoration of mucus in m. after heavy, anxious dreams (4ih d.) Itching on back when undressing in c. (3rd d.). No strength in 1. hand, if he takes hold of anything heavy it drops from his hand (ist d.) j when closing hand or grasping anything pain in flexor muscles, from wrist to above elbow, as if they nad been too much extended {5th d.) j trembling in hands on awaking, later when writing (ind d.). Pain as if he had been bruised in muscles of r. thigh in front, chiefly *vhen walking, for 6 h. in afternoon (3rd d.) j pain in extensors of I. thigh as if they had been stretched too much (7th d.) j weanncss in knees, breaking and rending pain in r. shin (6th d.) ; sprained sensation in r. ankle, could not step well on it until he had walked up and down room several times, in m. when getting up (4th d.) j irritating itching on top of both feel, from ankle to iocs, which made him scratch, which increased the itching, in c. while undressing (and d.) ; on outside of 1. foot near 1. toe, a glow as of fire in afternoon (tnd d.) ; alternating itching on sole of foot and toes (ftb d.) ; feel are sensitive, sore, and heavy as lead, in m. when awaking (tnd t.] ; itching of all toes, causing him to scratch, which relieved it, in e. when going to bed (ist d.) ; pain in extremities, as if brui^tcd, or as after a long journey on toot, all m. (8th d.). Weariness of whole body, particularly in knees, that ieel as it they could hardlv bear him (3rd d.) ; trembling of whole body, with spasmodic visible motion of muscles, worse on 1. side of chest, with great anxiety and tear of a misfortune. Stretching and yawning, with internal coldness j lazy, sleepy directly after breakfast, no inclination to work (5th d.) ; grew sleepy earlier than usual, 9 p.m., but he also woke uyt earlier (ind d.) j restless sleep, he awoke often, had heavy, anxious dreams, and afterwards raised much mucus (4th d.). Internal coldness with yawning and stretching j shuddering chilliness, with thirst, he drank much water, chilliness did not last long, and was not followed by heat or ftffcat, but thirst lasted all m. (3rd d.). {IbU.^ vol. iii.)

, «. Lembke. August nth, 1865, 6.45 a.m., 10 dr. 5th dtl.— tath, 11 p.m.

tearing on dorsum of 1. foot and r. knee. — 13th, 8.30 a.m., same dose. 9 a.m., wandering pains in sinciput. 10.30 a.m., pressure near nose, 1 1 p.m., a second soft stool. — 14th, 8 a.m., same do-»e. 8.4.5 ^-tn., strong compression above 1, elbow. 9.30 ii.m., pressing in 1. calf when standing. Noon, pressing in I, deltoid. 1 p.m., several stitches under 1. ribs anteriorly ; soon afterwards boring in dorsum and outer side of 1. foot.— 15th, 8 a.m., same dnse. About noon and later, a fingers' breadth from 1. ear, feeling as if skin were drawn up. a p.m., stitches in I. short ribs when sitting, tearing in 1. ankle, pressing in r. calf, later in 1, ankle, aggravated by moving joint and treading, more persistent when at rest. 7.30 p.m., tearing in back of i. forearm. 9.30 p.m., pain in r. big toe. — i6th, 8 a.m., when sitting pressive pain in mu^clcs of anterior part of r. thigh, then in 1. knee, drawing in 1. thumb-joint, later in 1. side of forehead. — 17th, 8 a.m., same dose. 8.30 and later, pressive pain in J. forearm. Repeated shooting in all 1. toes; pressure in r. deltoid. 2 p.m., drawing in various parts of r. thigh i pressure in I. shoulder } tearing in sinciput. 4 pjn., pressure in whole 1. arm i severe compression in r. wrist repeatedly, 5 p.m., same in r. elbow-joint ; pressure in r, knee-joint at side of patella ; drawing and pressive pain in occiput with feeling of heat and pain there; drawing in r. toes. 6 p.m., great compression in 1. leg followed by shooting in all 1. toes } burning on tip of tongue. Though he had drunk lew, passed urine uftener and more copiously ; the urine was darker coloured. 9 p.m., txiring as with a blunt instrument in r. angle of lower jaw, later in r. side of forehead spreading over sinciput. — i8th, 7.30 a.m., on 1. zygoma as if skin were drawn up. i p.m., drawing in calves, pressure in 1. knee when walking, then in 1. shoulder, 41(1 1. finger, r. wrist, 1. zygoma, and 1. side of head. 1 p.m., pressure in I. thumb-joint, pulsation in tip of 1. little finger for some m. 3 p.m., pressure in r. big toe. 5 p.m., boring pain in r. side of frontal bone; boring as with a blunt instrument in 1, temple. 8 p.m., on dorsum of nose feeling as if an insect were crawling there, for ^ h. when walking; pressure in 1. knee, then in r. wrist and in r. temple, later, pressure on r. knee when sitting, also in r. thumbjoint. 9 p.m., shooting in all 1. toes j pressure in 1. shoulder. Orawingand pressure in both legs when sitting, later in r. knee. 9.30 p.m., pressure as of 2 peg tn r. angle of lower jaw, repeatedly; great smarting on tip of tongue. — 19th. On rising, 6,15 a.m., tearing in r. fingers repeatedly. 7.30 a.m., tearing in r. shoulder, 1. toes, in muscles of r. thigh, in 1. forearm. 8 a.m., compression in r. knee and 1. ankle { drawing on r. side of head, in r. ankle. 11 a.m. and later, tearing in toes and fingers when walking. 2 p.m., boring in 1. side of occiput. 5 p.m., compression in r. wrist and 1. elbow; drawing in teeth of lower jaw. 9 p.m., severe persistent tearing in r. sole when sitting and standing. 10 p.m., tearing in 1. fingers ana pressing pain deep in palm. — 20th, 8 a.m., tearing on dorsum of r. foot and in 1. hand, when sitting ; pressure in r. knee, also when walking ; compression in 1. forearm ; transient pain in r. knee when walking ; boring in 1. shoulder anteriorly ; drawing in skin on outer side of 1. leg. 9 a.m., drawing hclow 1. scapula, then in nuchal muscles axkd 1. thumb, then pressure deep in head ; drawing in r. elbow ; tearing in joints of 1. little finger. 2 p.m., boring in 1. side of head. 4 p.m., tearing in 1. thumb ; piercing in 1. wrist. 9 p.m., shooting in region of 1. nipple when sitting; drawing in lower incisors. 10.30 p.m., boring in I. side of head, in I. knee, then in r. ; wandering pain in 1. side of head, especially behind ear; compression in 1. tljen in r. elbow; drawing in r. palm, in 1. ankle, in r. toes, in r. shoulder>joint. — 21st, 8 a.m,, boring in 1. knee; shooting in 1. big toe; pressure and heaviness in 1. shoulder-joint; boring in joints of r. big toe ; drawing in 1. fingers and hand, in 1. side of nape, in muscles of r. thigh, in r. ankle ; pressure and wandering pains in forehead. During d, many of the pains and feeling in 1. zygoma as it skin were drawn up. — 2znd, 8 a.m., same oose, 9 a.m., drawing in joints of 1. big toe ; compression in 1. wrist. 4 p.m.^ tearinsr in outer side of 1. leg; pres-^ure in r. knee, then in and above r. elbow repeatedly; tearing in fingers, e7.pecially in I. thumb ; boring in 1. wrist ; when walking pressing and tirt-d pain above 1. ankle, then same feeling above 1. knee, later in r. knee ; boring pain in bone behind r. ear. 8 p.m., pressure in both wrists, repeatedly; pressure is trom a peg in 1. temple, drawing in r. toes and outer border of foot. — a3rd. On waking 6 a.m., in bed shooting in joint of 1. big toe, worse when pressed on. Soon after rising :ame pain. In bed, compression in muscles of 1. upper arm, also after rising. 8 a.m., tearing between scapula and on r. side of forehead. 9 a.m,, pressure in 1. ankle when walking, then above 1. knee, and tired pain in both knees ; teariog

in r. toes and 1. thumb. 10.30 a.in., drawing between scapulx and boring in I. side of frontal bone; tearing in 1. scapula and I. pectoral muscles extending to nape, when \Talking. j p.m., repeated boring on r. libia when walking. Drawing in r. finger* and in t'orehead, repeatedly; bruiMd pain and tired feeling in elbowi ^ presMire and weight in forehead. 7 p.m., tension and prewure in I. fingers and thereaher in r. arm and I. toes ; in I. zygoma shooting and feehng as if iikin were drawn up ; shooting in region oi middle thoracic verfebrv ^ in occiput wandering pains, then in both zygomata. 9 p.m., boring in bunc behind r. car ; presiiure in r. knee ^ per&iiitcnt boring in joint ot 1. big toe, altcnuting with same pain ii» r. and pressure above both cyeorows.— &4lh, 6 a.m., in bed tearing in ). ankles and toes. 8 a.m., boring in joint of I. big toe. Tearing in r. scapula and I. wrist. Acute shooting in I, knee, then in r. shoulder i drawing in torehcad and lingers, in 1. little finger and in hand. 4. p.m., drawing in knees and 1. toes ; stitches dart through root of tongue. — J5th, 8 a.m., repeated <.hootin^ tn femoral muscles, dmwing and stiffness in r. nngers. Pressing in flexors of both forearms j pre^ure in r. wrist, when walking, then in r. ankle, in I. pectoral muscles, in 1, hand, a p.m., pressure in nape extending to occiput for 10 m., aggravated by moving head. 9p.n1., pres>^ing In I. wrist, in finger-joints, cutting tearing in I. Ititlt linger to border ot hand. Pressure in r. foot and 1. thoulder-joint. Tearing in I. side of frontal bone. Cutting pains under r. bon,ier of ribs anteriorly. Severe pressive paias in scrob. cordis when walking for some m. — 26th. Some of former pain% but slighter, worse e. xo p.m.* boring in r. side of Irontal bone, when sitting.

i>, ayth, 7.30 a.m., 10 gr. 3rd trit. Before taking med. pressure in 1. ankle and r. elbow, r. thumb and index, ant) third metacarpal bones. Pressing in r. femoral muscles and 1, elbow.joint. S a.m., pressure in joint of 1. middle finger. 9 a.m., pressing in 1. shoulder-joint and musclcH above r. knee. 10.30 a.m., tearing on inner side of I. upper arm. Pres^ivc pain in joint of r. big toe for i h., hindering walking, returns at noon, lasts ^ h., aUo pressure in nape extending to occiput, aggravated by moving neck, i p.m., persistent pressure in joint of 1. middle finger, later in joint of r, index. 3 p.m., tearing in forehead. Sudden pressure in r. shoulder for a few seconds, then in r, wrist and 1. trochanter, in 1. nape-muscles extending to 1. ear, with stiffness and pain on moving head, repeated later. 5 p.m. pressure in 1. ankle when walking. 6 p.m., drawing in r, toes, pressing in I. wnst, shootings through I. thumb, in back with puUation. 7.30 p.m., burning Tike pepper on tip of tongue ; compression in lower part of I. calf, in joint of r. index. Occasional shooting in orifice of urethra; pressure in r. scapula, gradually increasing and going over ^houlde^, afterwards in 1. knee-joint.— 18th, S a.m., pressure in joint of I. middle finger and 1. nuchal muscles, later in r. knee with tired pain. 9 a.m., pressure in l.shouldcr.joint, in joint of 1, big toe, later in r. big toe. Sudden pressure in r. shoulder, then in 1,, later in both knees. In e. of 27th occa.<^ional stitches in inner canthus of 1. eyeball, tame on 28th. 4 p.m., pressure in 1, knee; drawing in joints of 1. fingers. — 19th, 6.30 a.m., on rising, boring pain in and joint of I. thumb, drawing in toes. 9 a.m., tearing on inner side of both upper arms, then in joint of 1. thumb and outer side of 1. leg. Boring in 1. temple. Pressure in r. knee, in joint of 1. index. Drawing in upper r. teeth. Tearing in r. shoulder-joint and in forehead, 1 p.m. Pain in 1. side of nape, at first burning, then with feeling of coldness under skin. 6.30 p.m., when urinating, cutting in orifice of urethra, boring in joint of r. big toe and r. shoulderjoint, pressing in r. wrist, then above r. elbow, in I. wrist. Tearing in 1. scapula, at same lime burning pain going into nape, increased by moving head j on r, shoulderjoint repeated pressure. 8 p.m., pressing above I. wrist, extentling into fingers; repeated pressure in and below 1. outer ankle. Painful burning on 1. *ide of napemuscles and stiffness for several h. Tearing in I. foot. — 30th. Woke at 5 with shooting pain in joint of I. big toe and on I. side oi nape. 7.30 a.m., same dose, 8,30 a.m., pressure in I. pectoral muscles, in r. forearm. Drawing in I. thumb, in I. little finger and along hand, in r. shoulder-joint. Tearing in r. toes, in forehead, in r. elbow.joint, in bend of 1. elbow, in r. hand. Pres,*ure in 1. knee, in 1. wrist going into fingcn, especially I. thumb. Wandering pains in I. thoracic wall, especially under I. nipple. Repeated drawing in flexor aspect of I. forearm. Drawing on I. side of nape with stiffness. Prewurc in joints of 1. fingers; shooting pains in soft parts under 1. axilla extending backwards. Tearing in joints of 1. 4th finger, in knees, occiput, wrists, tibia:. Prts&urc and burning in I. side of nape extending to

occiput and clavicle, with stiffness j later, coldness and prickling in skin, lasting i h., anil n4)t quite gone till i p.m. Later, burning in tip of r. big toe under nail for some m. — 5ist, 9 a.m., boring in 1. ankle-joint, drawing in r. knee down leg. 6 p.m., pressure on inner side of 1. knee. 7 p.m., tearing in sinciput; pressure in 1. inner ankle ; tearing in r. fingers ami pain in 1. side of nape. 10 p.m., sudden pres&urc in r. vhiHiUkr-jnmt, then in 1. scapula. — Sept. ist, 6.30 a.m., 30 gr. 8.30 a.m., drawing In torclicad ami nape. Tearing above both ears and in shoulders. Crawling as of an in-ifct on hack of nose repeatedly. 9 a.m., pressure in r. elbow.joint ; drawing in arnix. When urin.iting, cutting in orifice of urethra, continuing after ujinatioii. Boring in 1. elbuw. During d. several of former pains; tearing in inner side of both ujipir aniTi, — ind, 6,15 a.m., on ri>ing pressure in 1. thumb-joint and shooring in I. shouldLr-joini. 7 a.m., drawing in skin over r, zygoma. Drawing in I. \ide of nape. 3 p.m., tearing in I. fingers and toes repeatedly. Burning in 1. side ot tongue. Boring in joints of 1. third finger; repeated boring in r., then in 1. temple. Stitches under I. ribs anteriorly. Occasional pain in r. trochanter. Pressure on sides of dor>a! vertebrx\ Pain in 1. hip-joint on treading. Drawing in ankles when sittiny and walking. 10 p.m., pressure between sternum and r. nipple when sitting, increased by pressure and inspiration. Pressure in r, knee, long continued, when sitting, then boring in bone behind r. ear and in frontal bone; pressure in r. shoulder. — 3rd, ^ a.m., tearing on 1. side of hand and 1. shoulder. Stinness in I. side of nape; tearing in 1. knee down leg. Shooting under 1. ribs anteriorly, also at 3 a.m. During il. much tearing in joints, 1. side of nape, r. side of head, in r. shoulder and clbow.joints repeatedly, on 1. scapula, in knees. Pains worse e. Woke at 2 a.m., and felt tearing in toes and knees.

r. 4th, 7 a.m., 10 gr. 2nd trit. 8 a.m., pressing in 1. wrist; shooting pains in region of I. nipple. Pressure round about 1. elbow, above and below it, in r. big toe, r. side of head, I. side of nape, x p.m., stitches under 1. ribs anteriorly for i h., increased by inspiration and pressure, when walking. All d. frequent pains in joints named, in cranial bones, in nape. 11 p.m., on going to bed, snooting in tip of r. then of 1. big toe, pressure in their joints, in the other toes, and in chest between nipples.— 5th. During d. same pains in joints of hand, shooting in tips of toes. Burning as from pressure on tip of tongue ; stitches under 1. ribs anteriorly. — 6th, m., in bed, pressure in r. scapula. 7 a.m., same pain in 1. elbow.joint, for several m., and in scapul.e. Drawing in r. toes and sinciput, repeatedly. Pressure on inner side of both upper arms and on sides of dorsal vertebne. During d. pressure in joints, especially of knees, shoulders and fingers. Burningon tip of tongue; tearing on r. zygoma and cranial bones. — 7th, 6.45 a.m., 20 gr. 8 a.m., pressure in fingerjoints, knees, ankles, elbows and big toe. Pain and stiffness in I. side of nape; drawing in inner side of both upper arms ; pressure in r. side of forehead. Persistent pressure deep in r. hip-joint. — 8ch. Same pains in joints, dorsal muscles, knees, shoulder-joints. Burning on tip of tongue. — 9th, m., some pain in joints, and in 1. nape witli burning and thereafter cold feeling. During d. the former pains, but slighter. — loth, m., tearing in fingers, toes, r. si^e, repeatedly. Pressure in wrists and knees. Tearing in r. side of head, forehead, ankles. Many pains in joints and tibia;, when walking and sitting. At n. on waking pressure in joints of big tt>e, burning in its tip and under nail. — 11th, 7 a.m., drawing in joints of r. fingers and wrist. Pressure in r. knee. Pressure behind 1. ear, on r. zygoma, and in other joints. Stitches on r. pectoral muscles, increased by inspiration. When walking a feeling deep in r. leg as if the part were swollen or congested with blood, for ^ h. ; Hiis sensation occurs repeatedly. Wandering boring in bones of root of nose. Shooting on 1. trochanter, e,, increased by pressure, for ^ h. — loth. Much sneezing. — nth. Tickling in larynx and dry cough, also n. Pains as before. — nth, m., pains in big toe and ankle, r. shoulder-joint, then 1. During d. the former pains. At same time frequent scraping in lar)'nx and dry cough. — 13th. Same pains and cough.

d. 14th, 6.30 a.m., 10 gr. jst trit. 8 a.m., drawing in fingers, 1. side of nape, occiput, toes \ pressure in joints of r. big toe, 11 a.m., tearing in 1. zygoma and r. forearm. Pains in joints as before, boring in tip of tongue. Many pains in joints of big toes and fingers ; tearing in various parts of head. On lying down, e., pain in 1. wrist, increased by moving it. On waking, m., pressure in toe.joints. — iftn, 8 a.ro., pressure in shoulder-joints. 8.30 a.m., 10 gr. Tearing in different parts of head. Persistent pain in nape and stiffness ; pressure in shoulder-joints. When walkingi

I I

contraction like cramp in muscles of 1. calf. E., tearing and prcMurc in r. ude of occiput. Some of these symptoms continued till sjrd.

t. 14th, 7 a.m., ao drop* of a solution of 5 gr. of Nat. sul. in i 01. water. The accustomed paias in big toes repeatedly. Drawing in I. cheelc as if skin were drawn up. Drawing in r. fingcr-joint^ and knees. 9 a.m., deep pressure in 1. side of lumbar vcrtebrre, increased by moving body and pressure. Tearing in front of r. thigh. Boring in hnger-rips. Pains in joints, tearing in forehead. E., drawing in joints and behind 1. inner ankle \ stitcht-s in balls of big toe«, 10 p.m., tearing in r. side of crown and in r. instep. Drawing deep in r. hand to fingers and arm with !K>me feeling of exhaustion and inlcmal heat. Boring and shooting in tip of tongue, then former j)ains in I. ami from shoulder, and in I. ankle-joint. — ssth, 7 a.m., 40 dr. Immediately shooting in big roe. S a.m., drawing in I. finger and wriftt-joint», shoulders and dorsal muscles, 9 a.m., pressure in I. little toe, and 1, side of nape ; drawing in I. side of lower jaw. 8 p.m., frequent pressure in shoulder, knee, elbow and ankte-joints j cutting in fore part of urethra when urinating. — 16th, 6 a.m., soft stool at unusual time ; burning in tip of tongue, some joint pains, s p.m., took a tcaspoonful of .solution ; prewure and tearing in joints as before. 6.J0 p.m., when fitting anxious feeling in heart, rapid, short heart's beat«J, with dimness of vision ; wishes for open air, which relieves. 11 p.m., tearing in shoulder and wrists, and and wft stool. He took %x\\ larger doses of this solution and afterwards 5 and 10 dropK of looih dil., but no fresh s)*mptom$ were developed, the same pains in joints, nape and head occurring with greater or less severity. (M Ztit.J. ham. Klin., xi, 97, tt seq.)