Cocculus. (Cocculus Indicus.)

Cocculus Indicus. Menispermaceæ.

Tincture of the powdered seeds, which contain a crystallizable principle, Picrotoxine, a powerful poison.

Cocculus was used by the ancients as a poison for fish, stupefying them, and rendering it easy to catch them.

It has been, and still is, extensively used for adulterating malt liquors.

It was known to the Arabian physicians, and for a long time imported into Europe from the Levant.

It is now brought exclusively from the East Indies.

It was first introduced into the Materia Medica and used as a remedy by Hahnemann, who proved it on himself and his disciples. Reil employed a tincture of the seeds with success in chorea, hemiplegia from cold, and paralysis of bladder from the same cause.

CLINICAL AUTHORITIES.

• Mental alienation from suppressed menses , Stens, Sr., A. H. Z., vol. 89, p. 117, or Raue's Rec., 1875, p. 82 ; Vertigo recurring every two weeks , Knorre, Rück. Kl. Erf., vol. 1, p. 75 ; Sudden unconsciousness , Tietze, Rück. Kl. Erf., vol. 1, p. 91 ; Encephalitis , Malan, Raue's Rec., 1872, p. 64 ; Headache , Hartman, Rück. Kl. Erf., vol. 1, p. 172 ; Black, Hughes' Man., p. 301 ; Eczema capitis , Gross, MSS. ; Arthritic ophthalmia , Thorer, Rück. Kl. Erf., vol. 1, p. 300 ; Rheumatic ophthalmia , R. E. Dudgeon, B. J. H., vol. 6, p. 347 ; Prosopalgia , G. Gerson, B. J. H., vol. 20, p. 413 ; Paralysis of face, one side , Wurmb, Rück. Kl. Erf., vol. 4, p. 469 ; Gastralgia , Wurmb, Rück. Kl. Erf., vol. 5, p. 652 ; Acute inflammation of liver , Hartman, Rück. Kl. Erf., vol. 1, p. 678 ; Abdominal spasms from mortification , Jahr, Hom. Clinics, vol. 3, p. 38 ; Cramp in stomach , Somer, Rück. Kl. Erf., vol. 1, p. 654 ; from cold during menstrual period , Frank, Rück. Kl. Erf., vol. 1, p. 747 ; Colic , Gross, Rück. Kl. Erf., vol. 1, p. 635 ; Incarcerated hernia , Bethm., Rück. Kl. Erf., vol. 1, p. 784 ; Inguinal hernia , Knorre, Rück. Kl. Erf., vol. 1, p. 784 ; Chronic diarrhœa , Gauwerky, Rück. Kl. Erf., vol. 5, p. 412 ; Diarrhœa from riding , D. Dyce Brown, M. H. R., vol. 16, p. 224 ; Raue's Rec., 1873, p. 118 ; Amenorrhœa , W. Morgan, H. W., vol. 12, p. 71 ; Dysmenorrhœa , Altschul. Rück. Kl. Erf., vol. 5, p. 589 ; Menorrhagia , Kreuss, Rück. Kl. Erf., vol. 2, p. 227 ; Leucorrhœa , Pleyel, Rück. Kl. Erf., vol. 2, p. 362 ; Leucorrhœa during pregnancy , Diez, Rück. Kl. Erf., vol. 2, p. 306 ; Puerperal eclampsia , O. B. Gause, Raue's Rec., 1874, p. 247 ; Palpitation , C. R. Norton, Med. & Surg. Journ., 1871, p. 391 ; , Cl. Müller, Rück. Kl. Erf., vol. 3, p. 440 ; , H. N. M., Hom. Clinics, vol. 1, p. 41 ; , E. W. Berridge, H. M., March, 1874, p. 346 ; Raue's Rec., 1875, p. 346 ; , H. Kaan ; , W. Gross, Hom. Clinics, vol. 1, p. 5 ; , Hallock, N. A. J. H., vol. 25, p. 298 ; , Gross, Rück. Kl. Erf., vol. 3, p. 509 ; , A. E. Small, B. J. H., vol. 29, p. 105 ; Raue's Rec., 1872, p. 196 ; , Tietze, Rück. Kl. Erf., vol. 4, p. 554 ; , Löw, Rück. Kl. Erf., vol. 5, p. 28 ; , Müller, Rück, Kl. Erf., vol. 4, p. 506 ; , Bosch, Rück. Kl. Erf., vol. 4, p. 731 ; Drs. Wurmb and Caspar, B. J. H., vol. 12, p. 202 ; , Parimaribo, 1827, C. Hering, manuscript ; Cl. Müller, Rück. Kl. Erf., vol. 4, p. 915 ; Hamilton Ring, Hom. Clinics, vol. 2, p. 246.

MIND [1]

Stupid feeling in head.

Loud cries of despair, and irritation, alternate with stupefaction of brain. θ Prosopalgia.

Memory weakened, or want of memory ; head readily fatigued by mental exertion.

Distracted ; he easily forgets of what he has just thought.

During the attack speech difficult, afterwards difficulty in reading and thinking. θ Vertigo.

Time passes too quickly.

Often failed to use right expression for thoughts, could scarcely recollect anything ; mumbled, so that it was great trouble for him to pronounce his words. θ Typhoid.

Thinks and answers correctly but slowly ; takes a long time in reflecting.

Slowness of comprehension ; cannot find the right word ; what has passed he cannot remember ; forgets himself, cannot talk plainly, or is irritable, speaks hastily, cannot bear least noise or contradiction.

Difficulty in understanding what is heard or read and in appreciating the lapse of time.

Thoughts fixed on one unpleasant subject ; she is absorbed within herself and observes nothing about her.

She appears imbecile ; at other times acts like a maniac, is wicked, talks constantly ; dances and makes all kinds of gesticulations. θ Mental derangement following amenorrhœa.

Angry and indignant form of delirium, when roused complains of dizziness and cephalalgia, as if head was tightly compressed ; soon falls into a murmuring stupor, with tossing of head and trembling of hands ; has not slept an instant for seven days. θ Encephalitis.

Mental derangement with vertigo, constant desire to escape ; great fear and talkativeness.

Talkativeness with witty joking.

Irresistible inclination to sing and tra la ; a kind of mania.

Sobbing, moaning and groaning.

Intolerance of noise or any disturbing influence.

Lies with eyes closed, regardless of what is passing around him.

Languid, shirks her work. θ Amenorrhœa.

Is sad and complaining.

Great sorrowfullness, with constant inclination to sit in a corner buried in thought.

Changeable, hypochondriacal humor, melancholy reflections ; disposition to be anxious and frightened.

Melancholy and sad ; indulges in sad reveries ; is sensitive to insults, slights and disappointment.

Melancholy and sadness, with weeping and constant profound absorption in sorrowful thoughts ; great apprehensive anxiety of conscience, and feeling at heart as after committing a wicked deed, with desire to escape.

Pale, prostrated and full of despair. θ Menorrhagia.

Apprehensive mood ; fears death and unknown dangers.

Great fear of death. θ Gastritis.

Frightened look.

Mental terror during paroxysm. θ Puerperal eclampsia.

Little concerned as to his own health, he is very anxious about others' sickness.

Mild, indolent and despondent in the face of difficulties.

Tearful chagrin about least trifle.

Vacillating, cannot accomplish anything at her work or finish anything ; with contracted pupils.

Nothing pleases her, is tearful and easily discouraged. θ Chronic diarrhœa.

Very sensitive mood ; everything worries him ; irritable ; sullen.

Excessive irritability, excited by loud talking or least increase of temperature.

Very easily affronted ; every trifle makes him angry.

Angry and indignant form of delirium. θ Encephalitis.

Startles very easily.

When her mind is turned away from herself her sufferings are forgotten.

Ill effects of anger and grief.

SENSORIUM [2]

Vertigo : as if intoxicated ; with confusion of mind ; with nausea ; when rising from a recumbent position ; whirling ;

(In sick :) things whirl from right to left ; with dulness in forehead, as if there was a board across head ; with pressure in forehead ; with flushed hot face and head ; following palpitation of heart.

Vertigo, occurring every two weeks and lasting several days ; comes during stool, when assuming an erect position in bed, while standing, but most frequently after eating.

Dizziness with ringing in ears and headache. θ Typhoid.

Hysterical dizziness.

Giddy, empty feeling, as if there was no head.

Sensation of emptiness and hollowness in head, < in open air and after eating, > when getting warm in bed.

Congestion of blood to head, with mental derangement. θ Amenorrhœa.

Sensation of cloudiness in head, with dim-sightedness and black spots before eyes after reading.

Clouded, confused feeling in head, with aching pain in forehead.

Dulness of head, as after being drunk.

Confusion of head, generally increased by eating and drinking.

Dulness and confusion of head, < by reading, frequently obliged to pause in order to understand what he is reading.

Confusion of head ; giddiness when sitting up ; roaring in ears ; heat in head and shivering of whole body. θ Typhoid.

Objects around seem to move up and down on sitting up, with nausea.

Constant sensation as if about to faint. θ Dysmenorrhœa.

Semi-consciousness.

Is conscious during paroxysm, but cannot move. θ Puerperal eclampsia.

Syncope following any bodily exertion.

Falls down unconscious, with nausea and vertigo.

Falls suddenly to the ground unconscious, no restorative calls forth least sign of life.

Coma and coma vigil.

Seasickness.

INNER HEAD [3]

Thinking fatigues head.

Painful sensation of emptiness in head.

Head dizzy, heavy and painful. θ Intermittent fever.

Weight in head, with great weakness of muscles of neck.

Pressing pain in forehead, from without inward, with nausea ; < by riding in a wagon ; reading and thinking ; from eating ; drinking and sleeping ; > during rest, in-doors.

Beating in forehead, evenings, < before and after eating ; also when riding, especially in cold air ; from talking ; > in doors.

Drawing, pulsating pain, especially in forehead, with nausea, violent vomiting and sense of contusion in hypogastrium.

Headache chiefly in forehead and temples ; somewhat in vertex.

Compression, dull and undulating sensation in frontal region.

Frequent attacks of headache over right frontal eminence, which last a few minutes, followed by a violent, lancinating, throbbing pain, then a sensation of formication felt over this part, after which headache ceases.

Headache as if something forcible closed eyes, or as if eyes were being torn out.

Pains pass from over right eye into head.

Brain feels as if constricted by a ligature, throbbing in temples.

Stitches in temples and in right frontal region.

Sensation of a blunt body forced slowly into right temple.

Pressing, throbbing headache in both temples.

Headache in temples as if head was seized in a vise.

Throbbing in vertex < by motion of eyes and touch of fingers, with congestion to head.

Violent headache extending from vertex to left side of forehead and nose. θ Apoplexy.

Headache in occiput and nape, pain as if opening and shutting like a door.

Headache, pain extending down spine ; head hot ; eyes and balls protruding.

Violent, dull headache, cannot lie a moment on back of head, forced to lie on side ; cannot bear least light ; noise excites nausea, feeling of seasickness, objects move up and down.

Violent headache, which compels patient to sit up, < by talking, laughing, noise, or bright light.

Sick headache, with vertigo. θ Spinal irritation.

Headache, with nausea and inclination to vomit.

Nervous or gastric headaches, with nausea as if at sea, violent vomiting or cramps.

Painful concussion in brain when walking, moving head, or talking.

Feeling as if brain was rolled up or compressed into a small bulk.

Constrictive headache, tearing and boring pain, with heat and nausea.

Head is painful as if bound up ; as if tightly bound by a cord ; as if nerves in head were drawn up tightly.

Lancinating pain, especially on one side of head.

Pressing headache from without inward ; or, as if compressed by a bandage ; or, as if screwed together.

Digging and boring in head.

Violent, throbbing, tearing headache, < by motion and talking and in evening.

Headache < during heat, with heaviness in head, < on sitting up. θ Intermittent.

Headache from working in sun, or from riding through sand in hot sun.

Sick headache from riding in a carriage, boat, train of cars, etc.

Headache, with colic, after catching cold.

Headache returns at each catamenial period.

OUTER HEAD [4]

Sensation on left side of occiput as if hair was rising up. θ Eczema capitis.

Convulsive trembling of head from weakness of muscles of neck ; < in open air and after sleeping ; from coffee and tobacco ; > in warm room.

Spasmodic shaking of head.

Tossing of head and incessant trembling of hands. θ Encephaloid.

Cramplike pain in left temporal muscle.

Severe tearing pains on one side of head, especially in bones and particularly in left jaw.

Head is most relieved by leaning it back.

SIGHT AND EYES [5]

Objects seem to move up and down.

Dark spot before eyes, though objects appear clearly.

Muscæ volitantes ; a black figure seems to float before eye, moving as eye moves, yet without impairing vision.

Black spots before eyes after reading.

While reading, can only see left half of line of writing.

Dim-sightedness.

Light does not affect the eyes, sight being gone. θ Encephalitis.

Pain in left side of head and eye, then blindness and unconsciousness. θ Puerperal eclampsia.

Sclerotic of left eye most inflamed ; a rose-colored, inflamed circle, deeper in color next cornea, diminishing towards canthi ; cornea dim, as if colored with dust, surrounded by a bluish-white circle ; iris of left eye inflamed, especially towards its inner border ; pupil drawn upward, angular and contracted ; photophobia and contraction of upper lid, no lachrymal flux, sees as through a veil. θ Rheumatic ophthalmia.

Rheumatic glaucoma, with venous hyperemia, dilated pupils, insensibility to light, haziness of lens and vitreous, severe pain in and around eyes ; iritis, with corneal and scleral complications, pupils irregular and contracted, blue borders around cornea, photophobia, no lachrymation, tearing pains in brow and left side of head.

Pupils dilated or contracted.

Eyes open and immovable. θ Puerperal eclampsia.

Eyes closed, with balls constantly rolling ; pupils dilated. θ Sudden unconsciousness.

Eyes protruding.

Headache : as if eyes would be torn out ; or as if eyes were forcibly closed.

Stitches or shooting in eyes from within outward.

Pressure in both eyes, as from dust in them.

Dull pressure on outer border of orbit.

Blue margins around eyes.

Pressive and contused pain in eyes at night, with difficulty in opening lids.

Jerking of eyelids.

Eyelids feel as if paralyzed. θ Typhoid.

Dryness of lids.

Eyelids inflamed.

HEARING AND EARS [6]

Sensitiveness of hearing ; dreads sudden noise.

Noise in ears like rushing of water, with hardness of hearing.

Roaring or ringing in ears. θ Typhoid.

SMELL AND NOSE [7]

Sense of smell either acute or weak.

Worse from strong smells.

Sneezing ; coryza.

Discharge from nose bloody ; pus-like.

Ulcerated nostrils. θ Intermittent.

UPPER FACE [8]

Countenance devoid of all signs of mental activity.

Red cheeks and heat of face, in cold room.

Flushed hot face and head with vertigo or unconsciousness.

Burning heat and redness of face with great thirst and small, hard pulse. θ Inflammation of liver.

Face bloated, hot and red ; suffused with perspiration, which stands out in drops, and is now cold, now hot ; eyes closed ; unconsciousness ; spasmodic jerks through whole body ; face very much distorted. θ Convulsions.

Intoxicated aspect. θ Intermittent.

Face pale ; blue around eyes ; pinched, pale features and sharp nose ; pale and sallow, puffy and bloated ; yellowish-grey ; eyes dull and glassy ; earthy, with a very painful expression.

Leaden hue of face, anguish about heart. θ Puerperal eclampsia.

Face puffed, sometimes bluish. θ Chorea.

Quivering and twitching of eyelids, facial muscles and limbs. θ Typhoid.

Attacks of prosopalgia coming on regularly in afternoon ; before occurrence of paroxysm, irritable disposition, prostration, yawning, chilliness, coldness of feet ; then follows a violent jerk in affected nerve (pes anserinum) ; boring, stitching, crushing, lancinating pains in jaws, drawing, jerking in sympathetically affected nerves ; these radiations extend very far, as far as finger points.

Face distorted and cold to touch. θ Prosopalgia.

Wing of nose, corner of mouth and tip of tongue distorted. θ Apoplexy.

Paralysis of one side of face.

Tearing pains in eyebrows and left side of head, < in evening and at night. θ Rheumatic ophthalmia.

Sensation of dull pressure on left malar bone ; cramplike pains in temporal and malar regions, < on opening mouth.

Swelling of one eye and half of nose in morning, after a violent headache during night.

Sweat in face, cold.

LOWER FACE [9]

Quivering of lower jaw and chattering of teeth when attempting to speak. θ Intermittent.

Pressive, benumbing, cramplike pain in region of malar bone and masseter muscles, < by opening jaw.

Lips parched and dry, slight thirst. θ Encephalitis.

Corners of mouth sore. θ Intermittent.

Pustule below right angle of mouth, with tensive pain when touched.

Swollen, hard glands under lower jaw, and nodes on forearm, which are painful when stroked.

Swelling of parotid glands.

TEETH AND GUMS [10]

Chilly feeling through teeth, and fine drawing in borders of teeth. θ Prosopalgia.

Teeth are long and loose.

Hollow tooth, pains only when chewing, even soft food ; not when biting with empty mouth.

Drawing in dental nerves continues during remission of paroxysm. θ Prosopalgia.

Toothache in upper incisors.

Toothache, with headache and ringing in ears. θ Gastritis.

TASTE, SPEECH, TONGUE [11]

Taste : bitter ; putrid ; sour ; nauseous ; offensive ; metallic ; coppery ; like sulphur ; pappy.

Putrid, sour taste, with aversion to acid drinks. θ Intermittent.

Foul taste in mouth. θ Cramps.

Metallic taste with loss of appetite.

Food tastes as if it lacked salt.

Sourish taste after a meal.

Tobacco tastes bitter.

Bitter taste at root of tongue.

Speaks hastily, cannot endure contradiction.

Talks in a muttering, mumbling manner ; it requires great effort to speak the words plainly. θ Typhoid. θ Apoplexy.

Speech difficult at beginning of attacks of vertigo ; afterwards, difficulty in reading and thinking ; attacks occur every fourteen days.

Tongue seems paralyzed ; speech difficult.

Tip of tongue distorted. θ Apoplexy.

Peculiar sensation at root of tongue. θ Puerperal eclampsia.

Sensation of swelling at root of tongue.

Pain at base of tongue when stretching tongue out.

Dry, rough tongue.

Dryness of tongue, with a whitish-yellow coat, without thirst.

Complains of dryness of tongue, which is moist and clean. θ Intermittent.

Tongue coated white and dry upon edges.

White coating on tongue. θ Typhoid.

Tongue covered with white mucus. θ Gastritis.

Yellow coated tongue, with aversion to food.

INNER MOUTH [12]

Dryness of mouth, at night, without thirst.

Dryness and burning of mouth and throat, œsophagus seems inflamed, with difficulty in swallowing.

Sensation of dryness in mouth, with frothy saliva and violent thirst.

Afflux of saliva with nausea and vertigo.

Thick saliva. θ Puerperal eclampsia.

PALATE AND THROAT [13]

Burning in palate and dryness in fauces.

Paresis of deglutition and of tongue. θ Typhoid.

Pressive pain in tonsils, < when swallowing saliva than when swallowing food.

Choking constriction in upper part of fauces, with difficult breathing and irritable cough, or disposition to cough.

Sensitiveness of throat and a sense of constriction as if lame.

Spasms in throat. θ Prosopalgia.

Dryness in pharynx and œsophagus. θ Intermittent.

Burning in œsophagus, extending into fauces, with taste of sulphur in mouth.

APPETITE, THIRST. DESIRES, AVERSIONS [14]

Sensation of hunger at epigastrium, with disgust for food.

Will eat nothing but bread and water, at other times eats ravenously. θ Mental derangement from amenorrhœa.

Loss of appetite, metallic taste in mouth.

Extreme aversion to food, caused even by smell of food, although with hunger.

Sensation of hunger or of emptiness, even to fainting, or real bulimy.

Intense thirst while eating.

Longing for cold drink, especially beer.

Thirst with aversion to drink ; drinking < tension in abdomen. θ Intermittent.

Thirstless.

Slight thirst, lips parched and dry. θ Encephalitis.

Aversion to sour things and to beer.

EATING AND DRINKING [15]

All symptoms and affections, particularly of head, < by eating or drinking.

Coffee aggravates headache.

Eats and drinks very little. θ Intermittent fever.

After eating or drinking anything cold, tearing pains in limbs. θ Leucorrhœa.

After eating, pains of contusion, of pressure, of grinding and squeezing in pit of stomach.

HICCOUGH, BELCHING, NAUSEA AND VOMITING [16]

Hiccough.

Eructations : empty ; fetid ; bitter ; putrid, causing sore pain in epigastrium and chest ; followed by pain (stitching) in stomach.

Nausea felt in head.

Marked tendency to nausea resembling seasickness, as if stomach heaved up and down, becomes sick by looking at the pitching of a vessel.

Nausea : with vertigo and muscæ volitantes ; caused by tormenting dryness in pharynx, > by swallowing ( θ intermittent) ; in afternoon after every drink, it seems to be mostly in mouth ; provoked by eating, drinking, motion, becoming cold, or sudden change of posture ; producing fainting ; to point of vomiting, with faintness and vertigo when lifting head ; with inclination to vomit, in morning, can scarcely rise on account of faintness.

Nausea and inclination to vomit while riding in a carriage, boat, train of cars, etc.

Disposition to vomit, with profuse flow of saliva, on getting a chill or taking a cold.

Disposition to vomit in connection with headache and pain in bowels, as if bruised.

Ineffectual efforts to vomit. θ Gastritis.

Directly after rising, nausea and vomiting of food. θ Intermittent fever.

Morning nausea and vomiting of food and mucus, especially at night, with sleeplessness, headache and constipation.

Vomiting of mucus and water, with distension of abdomen, pain < after vomiting. θ Hepatitis.

Vomiting of green mucus > oppression in chest. θ Intermittent.

Unable to retain any food on stomach ; vomit foul, sometimes bitter. θ Colic.

Vomit : sour ; bitter ; bilious ; of bad odor.

SCROBICULUM AND STOMACH [17]

Contractive pain in epigastrium, taking the breath.

Epigastrium commences to bloat with beginning of chill, increases more and more ; sensitive to external touch ; spasmodic internal heaving. θ Intermittent.

Collection of wind in epigastrium. θ Prosopalgia.

Sensation in stomach as if one had been a long time without food till hunger was gone.

Sensation as though a worm were moving in stomach.

Painful sensation of fulness in stomach impeding respiration. θ Gastritis.

Spasms of stomach with shortness of breath, fulness with griping in stomach, followed by a sensation of emptiness.

Violent spasms of stomach, with griping, tearing pains.

In morning between 8 and 9 o'clock, after a quiet night, twisting sensation in stomach, with great pain, nausea, anxiety and perspiration ; empty eructations without much relief ; foul taste in mouth ; attacks last three to four hours, each attack growing less severe as evening advances.

Violent attacks of gastralgia, she has to roll and twist, is thirsty, gasps for breath, sometimes wakes from sleep.

Violent cramp of stomach ; griping, pinching, constrictive pain.

Pain beneath stomach immediately after eating.

Tensive feeling below stomach as if waist was constricted by a tight band, < from pressure. θ Intermittent.

Pinching, constrictive pain in upper abdomen after eating, extending to left side of abdomen and chest.

Chronic dyspepsia from abuse of stimulants or from too long study.

Acidity of stomach. θ Chronic prosopalgia.

HYPOCHONDRIA [18]

Pressive pain in hepatic region, < by coughing and bending over.

Stitches in hepatic region. θ Gastritis.

Pain in region of spleen, at first < then > by lying on that side. θ Intermittent.

Enlarged spleen. θ Typhoid.

Pain as if beaten in both hypochondria.

Pain in right hypochondriac region extending towards epigastrium and stomach, < by bending forward, coughing and breathing ; cannot bear least touch. θ Acute hepatitis.

Abdomen feels distended and tense, particularly in left hypochondriac region, which is painful on pressure. θ Intermittent.

ABDOMEN AND LOINS [19]

Emptiness and sensation of hollowness in abdomen.

Great distension of abdomen. θ Dysmenorrhœa.

Tension in abdomen oppressing chest and hindering deep inspiration and talking. θ Intermittent.

Abdomen feels distended and tense, particularly in left hypochondriac region, which is painful on pressure. θ Intermittent.

Tension in abdomen < by drinking. θ Intermittent.

Great rumbling in bowels.

Gurgling in abdomen with sensation of contraction near umbilicus. θ Typhoid.

Abdomen drawn spasmodically towards vertebral column ; then becoming swollen and distended, with constantly changing swellings over surface. θ Colic.

Spasmodic, flatulent colic about midnight, flatus passed without relief ; belching relieves, < by coughing, pain severest in epigastric, umbilical and right iliac regions.

Distension of abdomen, flatulent colic, pain in umbilical and hypogastric regions as of a heavy stone ; every movement or touch pains as from an internal ulcer.

Spasmodic, crampy pain in abdomen, with feeling of distension followed by oppressed breathing and sensation of emptiness in bowels.

Sensation in abdomen as if sharp stones rubbed together at every movement.

Pressure, sticking and cutting pains in various parts of abdomen, chiefly around navel.

Darting pain below umbilicus through to spine. θ Typhoid.

Pain in left side of abdomen < by bending double.

Pain under left ribs < from pressure, sleep disturbed when lying on that side. θ Intermittent.

Several stitches through abdomen and lower part of back, from before backward, early in morning, in bed.

Constant pain in right iliac region near cecum, < from least touch ; pain often remits, returning, however, very much aggravated ; during paroxysm, drawing pains through whole abdomen, causing her to work the limbs constantly ; can find relief in no position. θ Cold during catamenia.

Constricting pains in hypogastrium, with pressure towards genitals, and qualmishness in epigastrium.

Rupture pain < on right side ; fulness in groin, with sensation as if all would give way there.

Painful inclination to a hernia, especially after rising from sitting.

Protrusion takes place very slowly, as if from a paralytic state of abdominal ring. θ Inguinal hernia.

Incarcerated hernia ; chill ; cutting and burning in abdomen ; scrotum as large as a man's fist, hot and tense ; pulse full.

STOOLS AND RECTUM [20]

Fetid or hot flatus ; emission of hot flatulence before stool.

Incarcerated flatus ; obstruction of bowels.

For a week, watery stools, three or four a day ; but there would be a dozen if he yielded to it ; none in night, but comes on directly after rising from bed, has scarcely time to dress, diarrhœa < from standing, > by sitting down, with stool, pain in bowels, which causes dyspnœa, sweat and faintness.

Stools : yellow, soft, fecal ; slimy ; fetid ; frequent ; thin, painless.

Thin, yellowish, painless stools only by day. θ Chronic diarrhœa.

Diarrhœa, with sensation in abdomen as of sharp stones rubbing together.

Diarrhœa from riding but a short distance in an omnibus or car.

Soft, loose stool, sometimes yellow, with burning in rectum. θ Gastritis.

Diarrhœa, with bilious vomiting.

Simultaneous with vomiting, sudden, thin, black, slimy, very fetid stool. θ Intermittent.

Small, frequent stools accompanied by flatus.

Urging to stool and burning in rectum, feces at first dry and fetid, later scanty, watery, offensive and weakening. θ Intermittent.

Disposition to stool, but peristaltic motion in upper intestines is wanting.

Constipation. θ Dysmenorrhœa.

Hard stool every other day, expelled with great difficulty.

Foul-smelling stool. θ Colic.

Prolapsus recti after stool.

After stool, violent tenesmus, even unto fainting.

Hemorrhoidal flux.

Contractive pain in anus, preventing sitting, afternoons.

Burning and itching in anus ; anus contracted.

URINARY ORGANS [21]

Frequent desire to urinate, with small discharge.

Tensive aching pain in orifice of urethra, between acts of micturition.

Itching and stinging near fossa navicularis.

Diuresis. θ Prosopalgia.

Watery urine.

Urine scanty, clear and smarting. θ Intermittent.

Involuntary discharge of urine during an attack of epilepsy.

MALE SEXUAL ORGANS [22]

Increased sensitiveness of genitals.

Excitement of genitals, with desire for coition.

Alternate excitement and depression of genitals.

Weakness with excitability of sexual organs, sensitiveness of testicles.

Seminal emissions at night ; spermatorrhœa.

Drawing, sore pain in testicles when touched.

Itching of scrotum.

FEMALE SEXUAL ORGANS [23]

Painful pressure in uterus, with cramps in chest, fainting and nausea.

Cutting, cramping pains, particularly in region of uterus and ovaries, on appearance of menses. θ Dysmenorrhœa.

Uterine cramps.

Violent abdominal spasms caused by extreme mortification during menstrual period ; howling, crying and moaning.

Cramps deep in abdomen, instead of monthly flow ; pressure in chest and anxiety ; is so weak she can scarcely speak.

Catamenia appears too early, with violent colic.

Catamenia two weeks before the time. θ Intermittent.

Menstruation seven days too early, with distension of abdomen and cutting, contracting pains in abdomen on every motion and every breath, together with contraction of rectum.

Menstruation eight days too early, pain in upper region of abdomen on every motion, when stooping, and even while sitting, as if inner parts were suffering from sharp pressure of a stone ; the parts painful to external touch as if there was an internal ulcer.

During each catamenial period, return of headache.

During effort to menstruate she is so weak that she is scarcely able to stand or talk.

Dysmenorrhœa followed by hemorrhoids.

Catamenia lessen during abdominal spasms and become copious with abatement of the pains.

Discharge coming in gushes and mixed with mucus during menstrual period.

Menses profuse and too often ; when rising upon feet it gushes out in a stream.

Menses too frequent, with scanty, coagulated, dark blood, with uterine spasms, cardialgia or enteralgia in nervous, sensitive women with irregular menses, spinal irritations and disordered (hysterical) minds.

Menstruation difficult, with violent spasmodic pain in abdomen and loins, < by motion, cold and contact.

Suppression of menses, with spasms in abdomen or chest.

Amenorrhœa causing mental alienation.

Menses fitful, scanty and irregular.

Scanty discharge of a few drops of black, coagulated blood.

Sudden cessation of menses.

Menses become more and more scanty until they finally disappear, but the leucorrhœa is constant.

Leucorrhœa in place of menses or between periods.

Leucorrhœa, like serum, mixed with a purulent, ichorous liquid ; leucorrhœa like the washings of meat ; bloody ; gushing out on bending or squatting down ; with frequent urging to urinate, during pregnancy.

Shivering over the mamma.

PREGNANCY. PARTURITION. LACTATION [24]

Vertigo, not allowing her to rise from bed ; nausea and vomiting, faint feeling and some fever.

Bloody, serous, painless discharge from uterus during pregnancy.

Leucorrhœa, with frequent urging to urinate during pregnancy.

Third month of pregnancy, profuse discharge of bloody mucus.

Spasmodic and irregular labor pains.

Terrible pain in small of back, with hour-glass contraction of uterus.

Spasms following difficult labor, and those brought on by changing position of patient.

Shivering over mamma.

VOICE AND LARYNX. TRACHEA AND BRONCHIA [25]

Voice whimpering and tremulous. θ Intermittent.

Speech difficult. θ Vertigo.

Talking aggravates all symptoms, particularly of head.

Tightness in larynx.

RESPIRATION [26]

Respiration short, noiseless, for several hours scarcely perceptible. θ Sudden unconsciousness.

Respiration quick, anxious and oppressed. θ Convulsions.

Respiration slow, heavy and laborious. θ Apoplexy.

Pants for breath. θ Amenorrhœa.

Obstruction of breath at throat pit, as if throat was constricted.

Dyspnœa : as from constriction in larynx ; from pain in bowels during diarrheic stool ; in amenorrhœa.

Cannot take a deep inspiration on account of tension in abdomen and oppression of chest. θ Intermittent.

COUGH [27]

Disposition to cough from irritation high up in larynx, or from constriction in trachea and chest.

Fatiguing, racking cough from oppression of chest, particularly at night.

Tickling cough.

After coughing, coppery, metallic, sour taste in mouth.

Cough < by indulging disposition to cough.

Spasmodic cough occurring in anemic and hysterical women.

INNER CHEST AND LUNGS [28]

Oppression of chest caused by tension in abdomen, which hinders deep inspiration and talking. θ Intermittent.

Much oppression of chest, a stony sort of a feeling.

Contractive tension of right side of chest, taking breath away.

Cramping pain in chest during menstrual period. θ Dysmenorrhœa.

Pressure under ribs > by belching.

Oppression in chest > by vomiting of green mucus. θ Intermittent.

Audible rumbling in left side of chest, as if from emptiness, especially noticeable when walking.

Sense of emptiness or of constriction in chest, heart or stomach.

Cramps in chest, hysteric, with sighing and moaning.

Fine stitches in various parts of chest.

HEART, PULSE AND CIRCULATION [29]

Anguish about heart, face leaden in hue. θ Puerperal eclampsia.

Palpitation. θ Spinal irritation.

Tremulous palpitation of heart, from quick motion and mental excitement ; with anxiety ; dizziness and faintness and with great tendency to fall.

Palpitation after rheumatism.

Irregular murmuring action of heart ; pulse 100. θ Apoplexy.

Palpitation of heart, followed immediately by vertigo, then stretching of arms, thumbs being drawn inward over palms of hands.

During an attack of palpitation he seizes an object by which he may support himself, has vertigo and sensation as if about to faint.

Pulse, small, hard, frequent. θ Sudden unconsciousness.

Pulse small and spasmodic, often imperceptible, weak, seldom hard and somewhat accelerated.

Very quick pulse and beat of heart.

Pulse frequent, small and tense. θ Intermittent.

Pulse 96. θ Typhoid.

She feels her pulses beat through whole body during heat, at times palpitation. θ Intermittent.

Endocarditis : occasional inflammatory attacks, great anxiety, distorted face ; great weakness ; with inflammatory swelling of knees ; when there remains great fearfulness ; after Acon.

Chlorosis.

OUTER CHEST [30]

Painful stiffness of neck when moving it.

Disabling drawing in small of back.

Red, irregular shaped spots on skin, over whole chest and on sides of neck and behind ears, without heat or itching.

NECK AND BACK [31]

Sensation of cracking or stiffness of vertebræ.

Pain in neck on moving head, as if cervical vertebræ were stiff. θ Intermittent.

Stiffness of cervical muscles and great weakness. θ Spinal irritation.

Weakness of cervical muscles, with heaviness of head.

Stiff pain in cervical muscles on moving neck and on yawning.

Paralytic drawing of sides of throat.

Stitches between scapulæ and in small of back. θ Gastritis.

Stitches in scapulæ from right to left.

Pressure in scapulæ and nape of neck.

The pain extends down spine. θ Headache.

Trembling in back.

Paralytic pain in small of back, with spasmodic drawing across hips, which prevents walking, with anxious, fearful mood.

Sensitiveness, as if paralyzed, in back and neck.

She has a great deal of pain in back, as if menses were coming on.

Spasmodic constriction through whole length of spine, especially on motion.

Drawing, lacerating or boring pain in back.

During short intervals of consciousness, complains of great sensitiveness of back and neck and whole spine. θ Encephalitis.

Sensitiveness of vertebra to touch, but cannot locate pain. θ Intermittent.

Pain in lower part of spine and trembling of limbs. θ Spinal irritation.

Constant pain in back, shooting through body to both sides and along spine to occiput and even to temples at times, < by walking and stooping ; tenderness on pressure on vertebral spines from last dorsal vertebra to sacrum ; frequent giddiness ; does not fall asleep until late on account of pain.

UPPER LIMBS [32]

Stitches in shoulder joint and muscles of upper arm, during rest.

When lifting arm after a meal he feels an excessive, drawing bone pain in shoulder joint and long bones of arm ; when touching parts they feel bruised and contused.

Sensation as of very fine, delicate wires or fibres pulling and continually in motion, down both arms from elbow to hand.

Stitches in right upper arm.

Sensation as if arms were asleep, which alternates with a similar feeling in back, jerking of arms with drawing in thumbs. θ Intermittent.

Arms as if asleep, lame ; with a crawling sensation.

Numbness and paralytic feeling in arms.

Pain with heaviness of arm.

Pain in arms felt on lifting them.

Arms stretched, thumbs drawn inward over palms of hands, with vertigo. θ Palpitation.

Forearm asleep, with sensation as if hand was swollen.

Convulsions of arms with clenching of thumbs-a sort of epileptic paroxysm.

Pains radiate as far as points of fingers ; paralyzed feeling in arm of that side of body corresponding to affected side of face. θ Prosopalgia.

Numbness of right and then of left hand. θ Gastritis.

Now one hand and again the other is numb as if asleep.

Twitching and jerks in hands and fingers.

Incessant trembling of hands. θ Encephalitis.

Hand trembles while eating, and the more the higher it is raised.

Paralysis of hand when writing.

Paralysis of left hand and fingers, particularly of extensors.

Hands feel pithy, lose their sensibility.

Now one hand and again the other is alternately hot or cold.

Hands look blue and as if frozen. θ Chorea.

Hard, dry blotches, surrounded by red borders, on limbs, wrists and backs of fingers.

Blister on edge of hand where finger commences.

LOWER LIMBS [33]

Paralytic immobility of lower limbs extending from sacrum.

Lameness and cracking in hip and knee joints.

Weakness in lower limbs as if paralyzed. θ Dysmenorrhœa.

Unwieldiness of lower extremities, legs cannot be lifted in walking, but are dragged along.

Legs become more and more useless. θ Chorea.

Paralysis of lower limbs, with stiffness, numbness and bruised feeling.

Paralysis of lower extremities : proceeding from small of back, and arising from cold ; after abuse of mercury.

Anguish with convulsive motions of extremities.

Spasms and convulsions of extremities.

Pain as if beaten in thighs.

Boil or pimples on inner side of thigh.

Knees sink down from weakness ; totters while walking and threatens to fall to one side.

Paralytic pain in knee joints.

Disagreeable pain in knees, cannot rest in any position, < from motion. θ Intermittent.

Inflammatory swelling of knee, with transitory stinging pains.

Cracking in knees when moving.

Acute articular rheumatism, pain springing from joint to joint, with redness, swelling and stiffness ; slightest touch or motion causes intense pain.

Sensation of heaviness of feet. θ Typhoid.

Soles of both feet go to sleep while sitting.

Burning in feet. θ Gastritis.

Hot, itching swelling of feet.

Cold feet.

Œdema of feet, with paralysis of lower limbs, after a cold.

Superficial abscess just above root of nail of right little toe, pain as if a hot iron went into it on raising foot from ground in walking ; walks with very great difficulty.

LIMBS IN GENERAL [34]

Trembling in all the limbs with chilliness, which does not disappear, even in a warm room, especially evenings.

Trembling and jerking in limbs, occurring frequently, but not lasting long. θ Typhoid.

Paralytic condition of limbs, with drawing pain in bones.

Paralytic rigidity of extremities-a sort of partial paralysis.

Paralytic weakness of right side, numbness in right upper and lower extremities. θ Spinal irritation.

Great weakness ; aching of limbs, feeling of weight in feet. θ Typhoid.

Here and there in limbs, a laming-drawing, as if in bones, continuous or in attacks.

The limbs are painful when moved, as if they would be broken or crushed by bending.

Tearing pain in limbs, especially after eating or drinking anything cold. θ Leucorrhœa.

Painful lameness in arms and legs ; can scarcely rise from seat, with loss of power.

Upper arm and thigh cannot be moved in their joints on account of a lame pain.

Involuntary motions of right arm and right leg, cease during sleep.

Unable to move right arm and right leg, a feeling of numbness as if fallen asleep.

Violent spasms of arms and legs, which were continually shaken and pushed from the body. θ Convulsions.

On rising in morning, involuntary movements of right hand and then of right foot. θ Chorea.

Now the hands and again the feet "go to sleep," alternately, in short attacks.

Paralysis of left hand and foot. θ Apoplexy.

Hands and feet cold, face pale. θ Palpitation.

Hands and feet become cold after change of position. θ Intermittent.

Convulsive motions of the limbs whenever she wants to use them.

Cracking and creaking in joints.

Painful stiffness of joints.

Pain in bones as if bruised.

REST. POSITION. MOTION [35]

Rest : < pressing pain in forehead, with nausea ; stitches in shoulder joint and muscles of upper arm, during.

After lying down in bed : constant yawning and stretching.

Sitting : < heaviness in head ; > headache ; pain in upper region of abdomen ; soles of both feet go to sleep ; diarrhœa >.

Standing : vertigo ; < diarrhœa.

On lying on left side : sleep disturbed on account of pain under left ribs.

Pain in region of spleen, first < then > by lying on that side.

Cannot lie a moment on back of head, forced to lie on side.

Motion : < headache, nausea, pains in abdomen ; as if sharp stones rubbed together in abdomen ; tremulous palpitation of heart ; spasmodic constriction through whole length of spine ; disagreeable pain in knees, cannot rest in any position ; cracking in knees ; articular rheumatism, with intense pain from slightest ; limbs painful as if they would be broken or crushed by bending ; painful lameness in upper arm or thigh prevents.

On moving body : faintness, with spasmodic distortion of muscles of face.

Changing position : spasms during puerperal state from ; hands and feet become cold after.

Sudden change of posture provokes nausea.

When rising from a recumbent position : vertigo.

On sitting up : giddiness ; objects around seem to move up and down ; headache.

Rising from sitting : painful inclination to hernia.

On rising from bed : diarrhœa.

When rising upon feet : menstrual discharge gushes out in a stream.

Bending over : pressive pain in hepatic region < ; pain in r. hypochondriac region, extending towards epigastrium and stomach <.

Bending double : pain in left side of abdomen <.

When stooping : pain in upper region of abdomen ; pain in back, shooting through body to both sides and along spine to occiput and temples <.

Bending or squatting down : leucorrhœa gushes out.

When moving head : painful concussion in head.

When lifting head : faintness and vertigo.

Leaning head back : head most relieved.

From motion of eyes : throbbing in vertex.

On opening mouth : cramplike pain in temporal and malar regions.

Yawning : stiff pain in cervical muscles.

When chewing : pains in hollow tooth.

When stretching tongue out : pain at base of tongue.

On moving neck : stiffness of neck and pain.

When lifting arm : bone pain in shoulder joint and long bones of arm.

The higher the hand is raised the more it trembles.

When writing : paralysis of hand.

When walking : painful concussion in brain ; audible rumbling in left side of chest as if from emptiness ; pain in back shooting through body to both sides and along spine to occiput and temples < ; legs are dragged ; totters and threatens to fall to one side ; as if a hot iron went into right little toe on raising foot from ground.

Convulsive motion of limbs whenever she wants to use them.

Has to roll and twist, with violent attacks of gastralgia.

NERVES [36]

Great hyperesthesia of all senses and an exalted susceptibility to impressions.

Extreme irritability of nervous system, especially of spinal cord. θ Prosopalgia.

The least noise or jar is unbearable.

A slight noise or slight unexpected touch causes starting and trembling all over body. θ Intermittent.

Sensitiveness of talking, warm air, riding and grief.

Nervousness of twelve years standing aggravated to insanity by grief ; commenced while riding in a boat.

Trembling, from excitement, overexertion and pain.

Trembling over whole body. θ Dysmenorrhœa. θ Prosopalgia.

Shuddering.

Tired feeling with some headache after convulsive attacks, wants to lie down much of the time ; easily startled. θ Palpitation.

Weakness, with trembling ; feels too weak to talk aloud ; cannot give her symptoms.

Great lassitude of whole body, it is an exertion to stand firmly ; faintness from slightest exertion.

Prostration and exhausting sweat over whole body from slightest exertion.

Sensation of seasickness.

Faintness on moving body, with spasmodic distortion of muscles of face.

Faintness caused by pain in bowels during diarrheic stool.

Fainting fits, epileptiform and hysterical convulsions, paralysis.

Melancholia, nervous fevers, nervous weakness, hysteria, convulsions, syncope.

Hysteric complaints, with sadness.

Automatic movements of muscles and tendons.

Twitching of isolated groups of muscles.

Spasms through whole body, coming like electric shocks. θ Epilepsy.

Spasms, occurring frequently at midnight.

Spasms, hysterical, or from cerebro-spinal irritation.

Sudden spasms from non-appearance or sudden checking of menses.

Violent convulsions and cramps, especially in lower extremities, in chest and in abdomen.

Convulsions after loss of sleep.

Puerperal eclampsia ; paroxysms passing off with a sigh after several minutes ; paroxysms then become more frequent, last longer and come during sleep or when awake ; spells cause mental terror at the time ; is conscious during paroxysm, but cannot move, eyes open and immovable.

Tetanus, chorea.

Attacks of paralysis weakness, with pain in back.

Numbness, migratory, coming and going.

Paralysis, one-sided, with numbness, bruised feeling and stiffness.

Hemiplegia, left side, with coldness of affected part.

Apoplexy.

Paralysis of face, tongue or pharynx, paraplegia.

Paralytic affections originating in small of back after taking cold, with cold feeling of extremities and œdema of feet ; likewise after apoplexy.

No reflex movement produced upon tickling sole of right foot, while on tickling that of left, limb is drawn up. θ Sudden unconsciousness.

Locomotor ataxia.

Post-diphtheritic paralysis.

SLEEP [37]

Spasmodic yawning.

Constant yawning and stretching after lying down in bed.

Sleepiness or a half waking state, with dreams. θ Typhoid.

Somnolence and stupor.

Unconquerable sleepiness, least interruption of sleep is followed by great loss of strength, eyelids heavy and shut as if paralyzed ; drowsiness may increase to coma.

Must remain constantly in bed because of great sleepiness and weakness, on rising vertigo and dizziness. θ Intermittent fever.

Sleep disturbed when lying on left side on account of pain under left ribs. θ Intermittent.

Many thoughts of business of day prevent sleep for an hour, wide awake at about 1 o'clock, cannot go to sleep again.

Sleep disturbed by excessive anxiety and restlessness.

Frequent waking from sleep as from fright.

Wishes to sleep, but directly on closing eyes a frightful sensation, as of a hideous dream, comes over him, making him start up again.

Sleeplessness. θ Dysmenorrhœa.

Sleeplessness from long-continued nursing ; from night watching.

Maniacal sleeplessness.

Anxious, frightful dreams.

Sleep aggravates all the symptoms, particularly of head.

Does not feel refreshed in morning, yawns incessantly.

Slightest loss of sleep tells on him.

Ill effects from loss of sleep and night watching.

TIME [38]

Early in morning : in bed, stitches through abdomen and lower part of back.

In morning : after a violent headache during night, swelling of eye and half of nose ; inclination to vomit ; nausea and vomiting of food and mucus ; on rising, involuntary movements of right hand and then of right foot ; does not feel refreshed, yawns incessantly ; sweat, principally on chest.

In morning between 8 and 9 o'clock ; twisting in stomach, nausea, anxiety and perspiration ; empty eructations, foul taste in mouth ; attacks last three or four hours, each attack growing less severe as evening advances.

About 11 A. M. : chilliness, with great disgust at even smell of food.

In afternoon : prosopalgia ; nausea after every drink ; contractive pains in anus ; internal chill, with shivering through whole body, but more in back and on legs ; prosopalgia.

During day : thin, yellowish, painless stools.

In evening : beating in forehead ; headache < ; tearing pains in eyebrows and left side of head < ; trembling in limbs with chilliness ; internal chill, with shivering through whole body, but more in back and on legs ; shaking chill ; chills run down back ; itching of skin.

At night : pressive and contused pain in eyes with difficulty in opening lids ; tearing pain in eyebrows and left side of head ; dryness of mouth without thirst ; nausea and vomiting of food and mucus, with sleeplessness ; seminal emissions ; fatiguing, racking cough from oppression of chest ; night sweats ; in feather bed, much itching of skin.

About midnight : spasmodic, flatulent colic ; spasms.

About 1 o'clock : wide awake, cannot go to sleep again.

TEMPERATURE AND WEATHER [39]

Warmth : itching of skin from.

Warm air : is sensitive to.

Sun : headache from working in, or from riding through sand.

In-doors : pressing pain in forehead, with nausea ; beating in forehead >.

In warm room : convulsive trembling of head < ; trembling in limbs with chilliness.

From warmth of bed : sensation of emptiness and hollowness in head >.

Cold : spasmodic pains in abdomen during menstruation < by.

Open air : sensation of emptiness and hollowness in head ; < ; convulsive trembling of head < ; cannot bear cold or warm air.

Cold air : beating in forehead < ; sensitive to.

In cold room : red cheeks and heat of face.

Eating or drinking anything cold : tearing in limbs after.

Cold drinks : longing for.

FEVER [40]

Before chill and before shaking commences, during an hour, and while extremities were becoming cold, a great dread of the coming paroxysm. θ Intermittent fever.

During paroxysm restless and anxious, no thirst ; during chill, which was internal, great trembling, particularly of head, which she could not support. θ Intermittent.

Chilliness began about 11 A. M., and was attended with great disgust at even smell of food. θ Intermittent.

Internal chill in afternoon and evening, attended with shivering through whole body, but more in back and on legs ; not > by external warmth.

Frequent shivering mingled with heat, later chill, followed by heat ; skin at times moist, perspiration does not relieve. θ Intermittent.

Shaking chill in evening, preceded by shivering and blueness of nails.

Upward and downward shaking instantly ceases when vomiting and diarrhœa set in, but coldness continues for an hour longer when fever begins to predominate. θ Intermittent.

Chills run down the back in evening.

Chill frequently alternating with heat. θ Chronic diarrhœa. θ Typhoid.

Continuous chilliness with hot skin. θ Gastritis.

Flushes of heat, with burning heat of cheeks and cold feet.

Heat in head and chilliness in body. θ Typhoid.

Dry heat the whole night through.

Fever setting in with giddiness, during fever a state of apparent stupor with consciousness and no confusion of thought. θ Intermittent.

During heat : headache < ; heaviness in head, < on sitting ; she feels her pulse beat through whole body ; at times palpitation. θ Intermittent.

Hectic fever, with emaciation and night sweats.

Intermittent fever, with colic and lameness of small of back.

Low, nervous, bilious and lingering cases of gastric fever.

Insidious nervous fevers, particularly in cases which have been produced by frequent fits of anger, or are accompanied by great disposition to anger.

Febrile stage followed by general perspiration, profuse, clammy, offensive, runs off from chest in streams. θ Intermittent.

Morning sweat principally on chest.

Prostration and exhausting sweat over whole body from slightest exertion.

Sweat, caused by pain in bowels, during diarrheic stool.

Perspiration stands out in drops on face, is now cold and then again hot. θ Convulsions.

Cold sweat now of one, now of the other hand.

Sweat of body from evening till morning, attended with cold sweat on face.

Sweat of affected parts.

Temperature very slightly affected or increased. θ Typhoid.

ATTACKS, PERIODICITY [41]

Sudden : unconsciousness ; thin, black, slimy, very fetid stool ; cessation of menses ; spasms from non-appearance or sudden checking of menses.

Spasmodic : shaking of head ; jerks through whole body ; drawing of abdomen towards vertebral column ; flatulent colic ; pains in abdomen ; pains in abdomen and loins during menstruation ; labor pains ; cough ; drawing across hips ; constriction through whole length of spine ; yawning.

Transitory : stinging pains in swollen knee.

Frequent : attacks of headache over right frontal eminence ; stools ; desire to urinate ; giddiness ; trembling of limbs ; waking from sleep as from fright ; shivering mingled with heat ; alternation of chill with heat.

Constant : inclination to sit in a corner buried in thought ; talking ; sensation as if about to faint ; trembling of hands ; rolling of eyeballs, eyes being closed ; pain in right iliac region, near cecum ; working of limbs, with drawing pains in abdomen ; leucorrhœa ; pain in back ; yawning and stretching after lying down in bed ; chilliness with hot skin.

Lasting a few minutes : frequent attacks of headache over r. frontal eminence.

For an hour : many thoughts of business of day prevent sleep.

For several hours : respiration scarcely perceptible.

Lasting through whole night : dry heat.

From evening till morning : sweat of body, with cold sweat on face.

Lasting several days : vertigo.

For seven days : has not slept an instant ; watery stools, three or four a day, but there would be a dozen if he yielded to it.

Regularly in afternoon : attacks of prosopalgia.

Every other day : hard stool.

Every two weeks : vertigo, which lasts several days ; attacks of vertigo, with difficult speech and difficulty in reading and thinking.

At each catamenial period : headache returns.

Intermittent fever.

Chronic : diarrhœa ; dyspepsia ; prosopalgia.

For twelve years : nervousness aggravated to insanity by grief.

LOCALITY AND DIRECTION [42]

Right : frequent attacks of headache over frontal eminence ; stitches in frontal region ; as if a blunt body was forced slowly into temple ; pustule below angle of mouth ; pain in hypochondriac region extending towards epigastrium and stomach ; pain in iliac region with flatulent colic ; constant pain in iliac region, near cecum ; rupture pain on side ; contractive tension of side of chest, taking breath away ; stitches in upper arm ; superficial abscess above root of nail of little toe ; paralytic weakness of side ; numbness in upper and lower extremities ; involuntary motions of arm and leg ; unable to move arm or leg ; feeling of numbness in arm and leg, as if asleep ; involuntary motions of hand and then of foot.

Left : compression, dull and undulating sensation in frontal region ; headache extending to side of forehead and nose, from vertex ; sensation as if hair was rising up on side of occiput ; cramplike pain in temporal muscle ; tearing pains in jaw ; pain in side of head and eye ; sclerotic of eye inflamed ; iris of eye inflamed ; tearing pains in side of head ; tearing in side of head ; dull pressure on malar bone ; hypochondriac region feels distended and tense, and is painful on pressure ; pain in side of abdomen ; pain under ribs ; audible rumbling in side of chest, as if from emptiness ; paralysis of hand and foot ; hemiplegia of side.

From right to left : things whirl ; stitches in scapulæ ; numbness of hands.

From before backward : stitches through abdomen and lower part of back.

From within outward : stitches or shooting in eyes.

From without inward : pressing pain in forehead ; pressure in glands.

SENSATIONS [43]

As if her head was tightly compressed ; as if there was a board across head ; as if there was no head ; as if about to faint ; as if eyes were being torn out ; as if brain was constricted by a ligature ; as if a blunt body was forced slowly into right temple ; as if head was seized in a vise ; as of seasickness ; as if brain was rolled up or compressed into a small bulk ; as if head was bound up ; as if head was bound tightly by a cord ; as if nerves in head were drawn up tightly ; as if head was compressed by a bandage, or as if screwed together ; as if hair was rising up on left side of occiput ; as if something forcibly closed eyes ; as of dust in both eyes ; as if eyelids were paralyzed ; as if tongue was paralyzed ; as of swelling at root of tongue ; as if œsophagus was inflamed ; as if throat was lame ; as of hunger in epigastrium ; as if stomach heaved up and down ; as if one had been a long time without food till hunger was gone ; as though a worm was moving in stomach ; as if waist was constricted by a tight band ; as if opening and shutting like a door, in occiput and nape ; as if cervical vertebræ were stiff ; as if paralyzed in back and neck ; as if menses were coming on ; as of very fine, delicate wires or fibres pulling and continually in motion down both arms from elbow to hand ; as if arms were asleep, which alternates with a similar feeling in back ; as if hand was swollen ; as if forearm was asleep ; as if hands were asleep ; as if lower limbs were paralyzed ; as if beaten, in thighs ; as if a hot iron went into right little toe ; as of weight in feet ; as if limbs would be broken or crushed by bending when moved ; as if right arm and leg were asleep ; as if beaten, in bones ; as if beaten, in both hypochondria ; as if abdomen was distended and tense ; as of a heavy stone in hypogastric region ; as of an internal ulcer in abdomen ; as if all would give way at groin ; as of sharp stones rubbing together in abdomen ; as if inner parts were suffering from sharp pressure of a stone ; as if throat was constricted ; as of stiffness or cracking of vertebræ.

Pain : in head ; from over right eye into head ; in left side of head and eye ; in stomach ; beneath stomach immediately after eating ; in region of spleen ; in epigastric, umbilical and right iliac regions with flatulent colic ; in hypogastric region ; in left side of abdomen ; under left ribs ; in bowels, with stool ; in small of back ; extending down spine ; in back ; in lower part of spine ; in back, shooting through body to both sides and along spine to occiput and even to temples at times ; in arm ; in bones.

Lancinating : over right frontal eminence ; especially on one side of head ; in jaw.

Cutting : in various parts of abdomen, chiefly around navel ; in region of uterus and ovaries on appearance of menses ; in abdomen.

Lacerating : in back.

Darting : below umbilicus through to spine.

Boring : in head ; in jaws ; in back.

Stitches : in temples ; in right frontal region ; in eyes ; in jaws ; in hepatic region ; through abdomen and lower part of back, from before backward ; between scapulæ and in small of back ; in scapula from right to left ; in shoulder joint and muscles of upper arm ; in right upper arm.

Fine stitches : in various parts of chest.

Dull stitches : in skin.

Stitching pain : in stomach ; in jaw.

Sticking : in various parts of abdomen, chiefly around navel.

Stinging : near fossa navicularis ; in swollen knee ; in glands.

Shooting : in eyes.

Jerking : in pes anserinum ; in nerves sympathetically affected by prosopalgia ; in arms.

Tearing : in head ; on one side of head, especially in bones and left jaw ; in brow and left side of head ; in eyebrows and left side of head ; in limbs ; in stomach ; in bones.

Laming-drawing : here and there in limbs, as if in bones.

Paralytic drawing : of sides of throat.

Spasmodic drawing : across hips.

Disabling drawing : in small of back.

Fine drawing : in borders of teeth.

Drawing : in forehead ; in nerves sympathetically affected by prosopalgia ; in dental nerves ; through whole abdomen ; in testicles when touched ; in back ; bone pain in shoulder joint and long bones of arm ; in thumbs ; in bones of limbs.

Burning : of mouth and throat ; in palate ; in œsophagus, extending into fauces ; in abdomen ; in rectum ; in anus ; in glands ; in feet.

Twisting : in stomach.

Smarting : urination.

Sore pain : in epigastrium and chest ; in testicles ; in bones.

Tensive pain : in pustule below right angle of mouth ; beneath stomach.

Contractive tension : of right side of chest, taking breath away.

Pinching : in stomach ; in upper abdomen, extending to l. side of abdomen and chest.

Squeezing : in pit of stomach.

Griping : in stomach.

Crushing pain : in jaws.

Grinding : in pit of stomach.

Digging : in head ; in bones.

Painful concussion : in head.

Contused pain : in hypogastrium ; in eyes ; in pit of stomach ; in shoulder joint and long bones of arm.

Compression : in left frontal region.

Cramping pains : in abdomen ; in region of uterus and ovaries and appearance of menses ; in chest during menstrual period.

Cramplike pain : in left temporal muscle ; in temporal and malar regions ; in region of malar bone and masseter muscles.

Cramps : of stomach ; in chest ; in uterus ; deep in abdomen ; in lower extremities.

Constriction : of throat ; in larynx ; in trachea ; in chest ; in heart ; in stomach ; of internal parts.

Constrictive : headache ; pain in stomach ; pain in upper abdomen, extending to left side of abdomen and chest ; pains in hypogastrium.

Choking constriction : in upper part of fauces.

Spasmodic constriction : through whole length of spine.

Contractive pain : in epigastrium, taking the breath ; in anus ; in abdomen.

Contraction : near umbilicus ; of rectum.

Pressing pain : in forehead ; in both temples.

Pressive pain : in eyes ; in region of malar bone and masseter muscles ; in tonsils ; in hepatic region.

Painful pressure : in uterus.

Pressure : in forehead ; in both eyes ; in pit of stomach ; in various parts of abdomen, chiefly about navel ; towards genitals ; in chest ; under ribs ; in scapula and nape of neck ; in glands.

Dull pressure : on outer border of orbit ; on left malar bone.

Oppression : in chest ; of respiration.

Anguish about heart.

Rupture pain : on right side.

Gouty pains : in joints.

Paralytic pain : in small of back ; in knee joints ; in bones.

Bruised pain : in bowels ; in shoulder joint and long bones of arm ; in lower limbs ; in bones.

Aching : in forehead ; of limbs.

Sensitiveness : of throat ; of genitals ; of testicles ; in back and neck ; of whole spine.

Disagreeable pain : in knees.

Benumbing pain : in region of malar bone and masseter muscles.

Painful lameness : in arms and legs.

Painful stiffness : of neck ; of joints.

Stiff pain : in cervical muscles.

Tensive aching : in orifice of urethra between acts of micturition.

Tension : in abdomen.

Tightness : in larynx.

Painful sensation of emptiness in head.

Emptiness : in head ; in abdomen ; in bowels ; in chest ; in heart ; in stomach ; in internal parts.

Fulness : in groin.

Painful sensation of fulness : in stomach.

Heaviness : of head ; in head ; of arm ; of feet ; of eyelids.

Weight : in head ; in feet.

Throbbing : over right frontal eminence ; in temples ; in vertex ; in head.

Beating : in forehead ; in feet ; in skin.

Pulsating pain : in forehead.

Spasmodic internal heaving : in epigastrium.

Undulating sensation : in left frontal region.

Irritation : high up in larynx.

Excitement : of genitals.

Nausea : felt in head ; seems to be mostly in mouth.

Qualmishness : in epigastrium.

Faintness : from slightest exertion ; from pain in bowels during diarrheic stool.

Crawling : in arms.

Formication : over right frontal eminence.

Numbness : in arms ; of right then of left hand ; of lower limbs ; in right upper and lower extremities.

Tickling : cough.

Stiffness : of lower limbs.

Stony sort of feeling : in chest.

Pithy feeling : of hands, with loss of sensibility.

Hollowness : in head ; in abdomen.

Trembling : in back ; of limbs.

Paralytic weakness : of right side.

Weakness : of muscles of neck ; of sexual organs ; of cervical muscles ; in lower limbs ; of knees.

Paralytic

feeling : in arms ; in arm of that side of body corresponding to affected side of face.

Lameness : in arms ; in hip and knee joints ; of small of back.

Confusion : of mind ; of head.

Dulness : in forehead ; of head as after being drunk ; in left frontal region.

Peculiar sensation : at root of tongue.

Cloudiness : in head.

Depression : of genitals.

Dryness : of lids ; of tongue ; of mouth ; in fauces ; in pharynx and œsophagus ; of lips.

Itching : in anus ; near fossa navicularis ; of scrotum ; swelling of feet ; of skin ; on chest, tibiæ and in axillæ.

Burning heat : of face.

Heat : in head ; in feet.

Shivering : over mamma.

Chilly feeling : through teeth ; in body.

Coldness : of feet ; of face ; of hands ; of extremities.

TISSUES [44]

Ill effects of loss of sleep and mental excitement.

Vomiting and intestinal spasm dependent on reflex action, such as megrim, and also in nervous women at the menstrual period.

"Acts chiefly upon those portions of nervous system which control muscular movements, found in anterior portion of cranio-spinal axis."

"It influences the voluntary muscles rather than the intellectual powers."

"While convulsions are produced in acute poisoning, paralytic symptoms abound in the continued experiments of the provers."

Violent emesis ; syncope.

Ovario-uterine organs : spasms ; hyperesthesia.

Paraplegia occurring in debilitated, nervous persons.

Paralysis of inner parts.

Pain of muscles when touched.

Anemic states ; impeded, sluggish circulation giving rise to œdema.

Paralytic pain ; tearing ; soreness ; digging ; or as if beaten in bones.

Assisted the expulsion of necrosed bone after fracture of head of femur.

Gouty pains or cracking in joints.

Glands : burning ; pressure from out inward ; hot swelling ; cold ; stinging.

Emaciation.

Patient has a sunken, corpse-like appearance. θ Intermittent.

TOUCH. PASSIVE MOTION. INJURIES [45]

Touch : throbbing in vertex < from ; tensive pain in pustule below right angle of mouth from ; epigastrium sensitive to ; right hypochondriac region sensitive to least ; pain as from an internal ulcer in abdomen from ; constant pain in right iliac region near cecum < from least ; drawing sore pain in testicles ; upper region of abdomen painful ; spasmodic pains in abdomen during menstruation < ; vertebræ sensitive ; bruised and contused pain in shoulder joint and long bones of arm ; articular rheumatism with intense pain from slightest ; starting and trembling all over body from slight, unexpected ; pain in muscles ; ulcers very sensitive.

Pressure : < tensive feeling below stomach ; left hypochondriac region painful on ; < pain under left ribs ; vertebral spines from last dorsal vertebra to sacrum tender.

When stroked : swollen, hard glands under lower jaw, and nodes on forearm painful.

Least jar unbearable.

Riding : beating in forehead < ; in a carriage, boat or train of cars, sick headache ; nausea and inclination to vomit ; diarrhœa ; sensitiveness to.

From riding in a wagon : nausea with pressing pain in forehead worse.

SKIN [46]

Skin feels soft, is white and moist. θ Typhoid.

Paleness of skin ; wretched color. θ Intermittent.

Skin pale and lax.

Much itching, especially in evening when undressing, or at night in a feather bed, or from warmth.

Burning and itching as from nettles.

Burning, itching stitches and dull stitches in skin.

Itching on chest, tibiæ and in axillæ.

Ulcers very sensitive to touch.

Miliary eruptions or red spots, < on undressing.

Adenitis, cold, hard glandular swellings.

Hard blotches, containing no fluid, surrounded by a red areola.

Single pimples filling with pus, and then drying up and disappearing, on nose, temple, chest and between scapulæ.

Wine-colored (red), irregular spots on chest and behind ears.

STAGE OF LIFE, CONSTITUTION [47]

Mild and sluggish temperament ; light hair.

Hypochondriacal, melancholy, timid, fearful persons.

Depression of nervous system, with little disturbance of vegetative sphere.

Women of great nervous and paralytic weakness, with suppressed or very painful menstruation.

Indicated after mental and bodily overtaxation.

Suits especially bookworms and sensitive, romantic girls with irregular menstruation ; onanists, rakes and other debilitated persons ; drunkards.

Chlorotic females.

Cramps of unmarried girls and childless women.

Often indicated with children and women.

Chronic prosopalgia in ladies of high rank, of ages varying from 30 to 40 years ; abdominal plethora, extreme irritability of nervous system, especially of spinal cord ; wind in epigastrium ; acidity ; obstinate constipation ; diarrhœa ; menstrual colic ; bland, thick leucorrhœa ; spinal irritation, with nocturnal pains ; temperament choleric ; through long-continued suffering had been brought into a state of desperation, constantly changing, and that quickly, from pusillanimity and despondency to extreme gayety.

Girl, æt. 6, small, weak ; intermittent.

Robust girl, æt. 8 ; sudden lameness of right arm and leg.

Girl, æt. 8 ; palpitation.

Boy, æt. 12 ; encephalitis.

Girl, æt. 12 ; necrosis of femur.

B., æt. 14 ; abscess of toe with diarrhœa.

Girl, æt. 15 ; paralysis.

Girl, æt. 16, tall, slender, blonde hair, delicate complexion ; chronic diarrhœa.

Girl, nervous, delicate, addicted to much coffee drinking, and compelled to sit much ; dysmenorrhœa.

Boy, æt. 16, slender ; chorea.

Boy, æt. 16, strong, well nourished ; typhoid.

Boy, æt. 17 ; vertigo every two weeks.

Girl, æt. 18, slender, has not yet menstruated ; sudden attack of unconsciousness followed by hemiplegia.

J. Q., æt. 19, married, lymphatic temperament, delicate as a child, subject to headache and pain in back, menstruates regularly since 16th year ; pain in back.

Girl, æt. 19 ; acute articular rheumatism.

Girl, æt. 20, healthy, strong, menses regular ; cramps from cold during catamenia.

Miss ---, æt. 20 ; spinal irritation.

Man, æt. 22 ; incarcerated hernia.

Servant girl, æt. 24 ; amenorrhœa.

Woman, æt. 26 ; leucorrhœa during pregnancy.

Woman, æt. 26 ; plethoric constitution ; menorrhagia.

Woman, æt. 28 ; sanguine temperament ; leucorrhœa.

Mrs. T., æt. 29 ; puerperal eclampsia.

Man, æt. 30, cachectic appearance ; colic.

Delicate woman of good family, married late ; intermittent.

Man, æt. 34, had scabies all over, later rheumatism of l. arm, also had pneumonia ; heart disease.

Man, æt. 34, formerly had itch ; cramps in stomach.

Miss H., æt. 35, plethoric ; headache for 15 years, came shortly after appearance of menses.

G, æt. 43, strong, muscular, formerly suffered from rheumatic pains in limbs ; rheumatic ophthalmia.

Mrs. B., æt. 48, nervo-sanguine-bilious temperament, scrofulous diathesis, has prolapse of pelvic viscera ; intermittent.

Woman, æt. 50, large, emaciated ; apoplexy.

Mother, æt. 69, much exposed to cold ; arthritic ophthalmia.

Old man, compelled to stand during his work ; inguinal hernia.

RELATIONS [48]

Antidoted by : Camphor., Chamom., Cuprum, Ignat., Nux vom .

It antidotes : Alcohol, Chamom., Cuprum, Ignat., Nux vom., Tabac .

Compatible : After Acon . in endocarditis with fearfulness ; after abuse of Chamom . ; after Chamom . and Nux vom . in gastralgia ; after Ignat . and Nux vom . in paralytic symptoms, in chorea.

Incompatible : Coffee.

Compare : Acon., Act. rac., Ant. crud . (gastralgia) ; Agar . (somnolency) ; Ant. tart. ; Arsen., Bellad., Calc. carb., Carb. veg . (lingering pain of parotitis) ; Chamom., Coffea, Colchic., Cuprum , Ignat . (headache) ; Ipecac., Iodium, Laches . (sopor) ; Lycop., Mercur., Moschus, Nitrum , Nux vom . (somnolency) ; Oleander, Petrol ., Pulsat . (headache) ; Rhus tox., Sabina, Sassafras, Scutellaria , Silica , Stramon., Tabac., Valeriana, Veratr .