national library of medicine Bethesda, Maryland Gift of The National Center for Homeopathy y\iammund "Banninq yarns Library I: ^» 19 P^L .<& ^A ____^i74" ;^MOEO^ 5M 7^( cc — />-?- LIBRARY AMERICAN FOUNDATION FOR HOMOEOPATHY LIBRARY AMERICAN FOUNDATION FOR HOMOEOPAIW ^3Kr Illustrated Repertory or Pains in Chest, Sides and Back: Their Direction and Character, CONFIRMED BY CLINICAL OAS-ES. LIBRARY AMERICAN FOUNDATION FOR HOMOEOPATHY By ROLLLN R. GREGG, M.D. THIRD EDITION. CHICAGO : DUNCAN BROTHERS, PUBLISHERS. 1879. Entered according to Act of Congress, in the year 1879, by DUNCAN BROTHERS, in the Office of the Librarian of Congress, at Washington. K Preface. This is the first instance, we believe, in the history of med- icine, in which symptoms for medical guidance have been represented to the sight; and it becomes proper to consider what may be hoped for from it, in some other respects than those hereinafter named in the text. Scientific men have always hitherto denied to medicine the position of a positive, or exact science; and with reason, because of its many uncertainties. But in view of all the facts herein pointed out, together with the order and system which we have endeavored to show can be given them, may we not hope to change their decision? Nature is ever true to herself, and our faith in her provision is unbounded. We believe that no limit will ever be found to the means she has provided to minister to the comfort, the welfare, and, the true happiness of the human race. The only difficulty is to find these and learn how to properly apply them. Where- ever there is suffering to be relieved, there must be a remedy for it. It cannot be within the providence of God to be otherwise. To avoid misunderstandings it seems to us proper to announce to the profession that, in view of the huge expense we have; already incurred in bringing our device, or li PREFACE. plan, for representing symptoms, to its present state of development, we have felt compelled, as a matter of self- protection, to secure by copy-right, and by patent, this method of illustrating symptoms and the remedies for them, not only for Repertories and Materia Medicas, but for the various other uses to which it may be put in the advance- ment of medical science. There is no other way in which we could render ourselves secure in such an investment. Having for several years fully tested the practical value of this Illustrated Repertory in the treatment of various dis- eases, and especially Consumption, it is now sent forth in book form, with the hope, that it may be of equal benefit to the whole profession as it has been to The Author. Buffalo, N. Y., March, 1871). Contents. Preface ............ 5 Contents...... . . . . 7 Introduction - .......9 CHAPTER I. Front View of Chest Pains........13 CHAPTER II. View o; Pains of Right Side - -......38 CHAPTER III. Pains of the Left Side ......- 63 Stitching Pains in the Left Chest which are Uncertain, either as to Location, Direction, or Extent - .....65 CHAPTER IV. Pains in the Back 69 8 contents. Stitching Pains in the Back which are Uncertain, either as to Loca- tion, Direction, or Extent -------- CHAPTER V. Confirmations by interesting Clinical Cases..... -A.XST Illustrated Repertory. INTRODUCTION. All know how greatly the study of anatomy, surgery, midwifery, and even of physiology, has been facilitated by means of figures and plates of the various parts and organs of the human body, and also of many of the natural operations transpiring within, or of the artificial operations performed upon it. Then why not make use of this same great aid in Therapeutics, where the knowledge which may be obtained thereby would be so much more important, because of so much more general use? The only question is, can such a work be properly done? This question we trust we shall be able to answer. In this work is given the development of my plan for representing to the eye the pathogenetic symptoms of drugs, in a manner which furnishes, at the same view, the indica- tions for their administration in disease. In other words an Illustrated Jlepertory, whereby we shall all be enabled to bring the powerful aid of the sir/ht to the assistance of the other fac- ulties, in determining by the locality, and the kind of symp- toms, together with their direction and extent,—in all instances where they have these qualities,—that drug which is surely indicated in each individual case; and this without the necessity of that long and tedious search through several 10 introduction. volumes, which is at present so often required to ensure the best success in the treatment of disease, by a strict applica- tion of the Ilomo'bpathic law. It has long seemed to us impossible for any one to form in the mind, by reading alone, a clear and correct image of the full range of action of any one drug, and retain all its symp- toms, especially if that drug has an extended action upon the system, and such a large number of symptoms as Aconite, Arsenicum, Belladonna, Mercurius, Sulphur, etc. At least we acknowledge our inability to do this. Detached portions of this image may be obtained and correctly impressed upon the mind, so that we can often make the proper application of the drug in the cure of the sick; but, we repeat, as to getting the whole image complete in all its parts, standing out in bold relief before the mind, ready for use under any and all circumstances, it seems to us impossible to be done by any means avc have hitherto had to accomplish such a purpose. Yet, alas, what a terrible necessity exists for this being done. Then when we come to pass from one drug to the large number of these we use, the difficulties become multiplied just in proportion to numbers; while the mind becomes confused and memory literally overwhelmed with the vast multitude of symptoms which should, if they could, be retained. These obstacles to those grand results which we know our system to be capable of, and which we are sure will ulti- mately always be attained, we must confess have been a source of serious trouble to us, individually, ever since we entered upon the practice of our profession. And the prov- ing of more drugs has been adding to the confusion, not- withstanding the importance and need of these provings. Now, however, to our mind, much of this is changed, and we trust we do not build up false hopes to mislead others, when we claim that under the plan we present herein, a great por- tion of all this apparent confusion, conies out into that beau- tiful order and harmony which Nature everywhere displays, when we correctly interpret her language and accurately picture her work. Chapter i. FRONT VIEW OF CHEST PAINS. It is proposed now to give an illustration of chest pains chiefly, that are located in the front portion of the body. These plates, as will be seen, have for their ground-work the outlines of the human body, from the neck to the hips. The arrows are used to indicate all the acute pains, such as darting, stitching, and the like, which pass from point to point Lu the chest, or from this to other parts of the body, and are placed upon the track of the pain; the tail upon the point where the pain arises, and the head where it terminates. The tirst two plates are intended for but one view of the chest, so that the tracks or lines of the arrows may be clearly traced without confusion; and also to afford room for the names of the drugs, which, in each instance, will be seen to be placed above, or immediately along-side, the arrow that represents its symptom. Where there are two heads upon an arrow, one at either end, it indicates darting, or stitching pains in both directions. The hook combined with the arrow signifies a drawing stitch, or a drawing ending in a stitch. The figure of a heart placed upon an arrow means a throbbing or palsating stitch. The short lines or bars placed across the arrow signify a tearing stitch; they are to represent that if the arrow should move forward the bars would tear the tissues through which they passed. The pinchers stand for a pinching pain or ^pinching stitch. The half-globe, or plano- convex figure, represents el pressure in connection with the stitching or darting pain. Where the line of the arrow is crooked it indicates a contractive stitch. 14 AN ILLUSTRATED REPERTORY. We will now give in detail the symptom, or symptoms, of each drug represented on the plates. These we copy direct from Hahnemann's Chronic Diseases, from the Symptomen Codex, and from Hull's Jahr's Symptomatology,*as they are given there, and of course, as all these were procured by trials of the several drugs upon well persons, they are the characteristic symptoms which belong to the different ones respectively. ACTEA RACEMOSA. "Acute pain in the right lung, extending from apex to base, aggravated by respiration;" represented on plate 1 by the arrow correspondingly placed. AGARICUS. "Pinching in the left side of the chest down to the umbil- icus ;" illustrated by a pair of pinchers in the proper position. ALUMINA. "Lancination passing like lightning from the right loin to the left side of the chest, through the pit of the stomach when breathing;" and: "When stooping, a lancination coming out at the left side of the abdomen, and reaching the middle of the chest; the lancination conies on at every res- piration; afterward, also, when standing straight." AMMONIUM CARBONICUM. Violent stitches in the left side of the chest, commencing in the precordial region and then moving downward toward the side, and afterward toward the back. ANGUSTURA. Pressure across the whole right side of the chest and abdomen, as if these parts were compressed in front and behind, accompanied by an incisive cutting from above down- ward, in the sternum, and in the dorsal' spine, increased by inspiration and every movement of the trunk. ARGENTUM METALLICUM. ^ Violent cutting, in both sides, in the region of the lowest ribs, from within outward; the pain is severe only during a deep inspiration. AN ILLUSTRATED REPERTORY. If) ARNICA. Stitches in the heart, from the left side to the right, with fainting fits. ARSENICUM ALBUM. "Drawing-stitching pain under the left hypochondrium, extending into the chest when clearing the throat." This symptom is represented in plate 1 by the hook and arrow. Arsenicum album also has: "Stitching pain in the sternum from below upward, when coughing." BARYTA CARBONICUM. "Throbbing stitches in the left side of the chest, from the pit of the stomach upward;" represented by the arrow with two figures of a heart upon it. BELLADONNA. "Violent contractive griping in the right side of the abdo- men when walking, accompanied by sharp stitches darting from that side through the right side of the chest and the axilla," as the Materia Medica has it, but we have consider- able to add to this symptom from experience. Last summer we had a lady patient who was seized with a violent acute shooting pain, which started in at the right side of the abdo- men, and extended up through the right side of the chest one branch of it shooting through to the vertebral border of the scapula, at a point about one-third of the distance upward from the inferior angle of this bone, and there caus- ing the most extreme tenderness to touch; another branch of it extended to the right axilla, and a third branch of the pain extended to the top of the right shoulder. As would be expected from such a branching pain, there was, or seemed to be, much acute pain through all the lower half or two- thirds of the lungs besides, but these three branches predom- inated over all else, and stood out clear and distinct, while the suffering from them was, to all appearances, as great, if not greater than we ever before witnessed from acute pain. The lady had been an old chronic patient of ours for some three or four years, had suffered much from spinal irritation and very sensitive lungs for many years, was confined in May last, had several very severe chills, and two or three acute attacks of the lungs, threatening pleuro-pneumonia of a typhoid type, before she got up from her confinement. From all this she finally recovered sufficiently to be up about her Hi AN ILLUSTRATED REPERTORY. house part of the time; but was left much emaciated, and with a severe cough and profuse purulent expectoration, night sweats, and much acute pain through the right lung; in"fact had all the symptoms of phthisis so marked, that we were censured severely by some of her friends for giving encouragement of a cure in her case. Well, after continu- ing in this state a few weeks without much change, and no apparent relief of the acute pain from Aconite, Bryonia, Arsenicum, Phosphorus, etc., we were summoned to Jier one morning in haste, and found that the pain in the right lung had developed into the shooting, branching pain that we have described, and so violent was it, that she was almost suffocated from the obstruction to respiration, caused by its severity. The face was somewhat bloated and assuming a purplish hue, while the borders of the lips were already of a distinct purple. We at once prescribed Belladonna 2000, and visited her again in two hours, when we found her so much relieved that she could breathe quite comfortably, though of course the severe pain was not yet wholly con- trolled. She said she was very much relieved in the first half hour, while all appearances of threatened asphyxia had disappeared. From this on she recovered quite rapidly from cough, expectoration, and pain, though still, at times, suffer- ing quite severely from the latter for some weeks, when more rapid improvement manifested itself, until she was restored to a better state of health, by September, than she had before enjoyed since a girl. And all this was done by Belladonna 2000, alone, without any other remedy. Belladonna also has; "Fine stitches in the left side of the chest extending from the sternum toward the axilla, more violent during motion." BEKBERIS VULGARIS. "Violent, sudden, incisive, contractive pain, in the front part of the middle portion of the chest extending down to the abdomen, obliging him to bend double;" represented in plate 1 by an arrow, the central portion of which is a crooked line, to give the idea of being contractive. This drug also has: "Painful dragging-sticking in the region of the heart, outward and downward." BORAX. Ivivals Sepia in its stitching pains in the right lung, with this clear distinction, that the stitches of the former are many of them drawing stitches, while of the latter they are simply AN ILLUSTRATED REPERTORY. 17 stitches; and with Borax; "The drawing stitches in the right side of the chest descend into the right groin, where he then feels a violent pain when hiccoughing, sneezing, cough- ing or gaping " These drawing stitches are represented by a hook, placed in about the centre of the right chest, and an arrow extending from it to the right groin. BROMINE. "Sticking pain in the left side of the chest toward the arm." The starting point of this pain not being given we place the arrow upon the track of a drawing pain through the left breast into the left arm, which is the preceding symptom of Bromine. Future experience must correct this if it is not right. CALCAREA CARBONICUM. "Stitches in the chest, toward the throat, for some hours;" represented by two arrows, one from each side, up into the throat. It also has: "Stitches across the chest, from the left to the right side, with a sensation as of constriction of the chest; his breathing was difficult, and during breathing the stitches became more violent;" and: "Stitches and drawing in the left half of the chest extending to the left submaxillary gland;" these being represented by a hook placed in the centre of the left chest, and an arrow extend- ing from this up through the left side of the neck, as far as the figure allows. CANTIIARIS. "Sticking pain and stitches in the chest, sometimes during an inspiration, in one or the other half of the chest, or one or the other side, extending to the axilla^, or into the ster- num," represented by two arrows upon each side, one extending to the sternum and the other to the axilla. f'ARBO ANIMALIS. Stitches in the back part of the right breast, extending to the axilla. CAUSTKT'M. "Sharp stitches in the chest, near the nipple, in the direc- tion of the umbilicus, especially when breathing;" also: "Stitches in the outer parts of the chest, below the arm, extending to the pit of the stomach, accompanied by slight is AN ILLUSTRATED REPERTORY. anguish;" all represented by two sets of arrows between the points named, though we suspect they are one and the same symptom differently expressed by different provers. Causti- cum also has: "Dull stitches from the axilla toward the chest,*' represented by the arrow in place upon each side, as no distinction is made in the language; and: "Sharp, slow stitches in the left side of the chest in a horizontal line with the pit of the stomach;'* represented by a double headed arrow, as the direction is not given. CHAMOMILLA. "Stitches (rather dull) darting from the abdomen into the middle of the chest, as if caused by flatulence;" also: "Stitches from the middle of the chest to the right side after every inspiration." CHININUM SULPHUR ICUM. "Lancinations in the right half of the chest, extending toward the shoulder, arresting the breathing and relieved by bending the trunk forward; represented by an arrow extending from about the centre of the right lung up to the right shoulder. CINCHONIUM NULPIIURICUM. "Stitches in the chest from the right side to the pit of the stomach." CONIUM. "Beating-stitch, with pain, in the upper and left part of the chest toward the centre of the chest;" represented by an arrow in the proper place, with two small figures of a heart upon it. Conium also has: "Violent stitches in the side, as if a knife were plunged into the side, causing loud moan- ing." Whether right or left, or both sides, is not here designated, so we place the arrow upon each side, and leave the matter for future confirmation or correction. CUPRUM METALLICUM. "Pinching pain in the left side of the chest extending to the hip;" represented by an arrow, in the proper place, with a pair of pinchers for its head. FLUORIC ACID. "Pain from the left side of the chest to the groin, AN ILLUSTRATED REPERTORY. I!) increased by deep respiration, particularly in the groin and back, like a stitch." GUMMI GUTTI. "Painful stitch from the ribs to the axilla, arresting the breathing;" whether upon one or both sides is not men- tioned, but we place' the arrow upon both, that experience may be had to settle the matter; and we give the direction perpendicularly beneath the axilhe, believing this to be the meaning of the symptom, though the language is ambigu- ous. Gumnii gutti also has: "Pressure in the middle' of the chest, and stitches going from both sides of the chest toward each other;" the pressure being represented in plate 1 by two plano-convex figures placed near the sternum, and the stitches, by the arrows coming from each side to them. HELLEBORUS. Sharp cutting in the region of the lowermost true ribs across the chest, from within outward, increased by inspira- tion. INDIGO. Painful spot, of the size of a hand, in the region of the right lower ribs, with a stitch extending to the shoulder joint when sitting (going off by motion.) KALI BICIIROM1CUM. "After dinner external stitches in the epigastrium and breast into the nipple (male), and in the right hypochon- drium;" represented by two arrows running from the epi- gastrium, one to the right nipple, and the other to the right hypochondrium. KALI OARBONKT'M. "Cutting sensation in the lower part of the chest, espec- ially in the left side of it, moving into the epigastrium and leaving a stinging sensation in the left half of the chest," Kali carbonicum also produces: "Stitches under the left mamma, and sometimes ascending deep into the chest; also in the evening." KALI HYDRlODICUM. "Violent stitches in the middle of the sternum extending to the shoulder;" whether upon one or both sides is not 20 AN ILLUSTRATED RKPKRTORY. named, so we carry the arrows to both shoulders in order to ensure future observation, and correct the error if it is one. KALI NITR1CUM. "Stitches in the middle of the chest, extending to both sides and toward the axilla, when walking (during menses);" represented by two arrows upon each side, starting from the same point, and terminating, one in the axilla, the other at the lower part of the chest. Since placing the arrows and writing the above, we have confirmed this symptom in a man, aged thirty-five years, an old and bad syphilitic subject, in whom the disease was sup- pressed, years ago, by Allopathic treatment. Dec. 13, I (SHI), he called upon us and said he had been suffering some weeks from severe acute pains in the chest, like the cutting of a knife. Upon inquiry for the exact locality of the pain, he placed the palm of his hand upon the centre of the sternum, and spreading the fingers said, "It shoots like that from the centre to the arm-pits and sides of the chest below, being about alike," he said "upon both sides.*' With this he had considerable cough and expectoration, and said he was feel- ing badly throughout his whole system. For these symp- toms we prescribed Kali nitricmn '->000, and he reported, the eighth day following, that by the fourth day after taking the medicine the pain was entirely relieved, and he was feeling much better in every way. Here, then, in this pain, is one of the great characteristics for this drug, independently of concomitants, for it will be borne in mind that this result was obtained upon the male organism, and, of course, was uninfluenced in any way by the menstrual function named in the quoted symptom above. And the symptom should be remembered as corresponding to several arrows upon each side, all starting from behind the centre of the sternum and radiating from thence, the upper one to the axilla, and the others from this along down to the lower ribs upon each side. This completes all the remedies represented in plate 1, and we now pass to plate 2. AN ILLUSTRATED REPERTORY. 23 KREASOTUM. "Acute stitches in the middle of the chest, worse during an inspiration, attended with a feeling of lameness, and extending to the elbow joint across the right shoulder, where the pains are most violent on lifting the arms." This symp- tom, Dr. L. M. Kenyon, of this city informs us he has con- firmed in two cases, one some ten or twelve years since, the other more recent; that it occurred in both as a concomitant of chronic leworrhtm and that both were very promptly relieved by Kreasotum. This drug also produces: "Stitches below the left mamma, proceeding thence as with a sharp knife, and like an electric shock across the pit of the stomach, the chest, the right side of the abdomen, thighs, down to the tarsal joints." Each of these symptoms is represented by its appropriate arrow, with the head of it carried in each case as tar as the size of our plate will allow. The same drug further has: "Sticking across the middle of the chest from morning till noon,"' which, as the direction is not givcu, we represent with a double headed arrow, as though'the pain passed both ways, and thus leave it for future experience to correct, if it is wrong. LACHESIS. "Stitch through the chest, from the abdomen to the shoulder;" as expressed under the chest symptoms, but explained under the abdominal symptoms as follows; "Stitches from the right os ilium, through the abdomen and chest, as far as the shoulder; after which the stitches strike from the left lower to the right upper side " of the abdomen, we infer, and place this arrow accordingly. LACTUCA YIROSA. Pleuritic stitches from the middle of the sternum toward the right side. LAlROCERASls. "Stitches through both sides of the chest toward the ster- num;" and: "Stitches from the right axilla to the chest." It also produces: "Stinging tension in the left side when lying on it, extending up to the neck, in the morning." MA( IN ESI A C ARIiONICA. "Stitches below the right side of the chest, toward the umbilcus, or darting out at the shoulder, also during an 24 AN ILLUSTRATED REPERTORY. inspiration;" and: "Dull stitches in the left half of the chest, during an inspiration, extending into the shoulder." "Magnesia carbonica also produces: "Stitches below the left half of the chest, when yawning, also after dinner, or in the evening Avhen they are felt in a sitting posture, and some- times extend into the sternum." AJAOXESIA SI LIMIT RICA. "Stitches from either side toward one another, in the evening, on entering the room from the open air;" and: "Stitches from the left axilla to the chest.". MANOANUM. "Drawing-stitch in the left half of the chest, darting con- tinually upward and downward;" represented in plate 2 by a hook and arrow-head at each end of the arrow, and this placed perpendicularly in the left chest. This drug also pro- duces: "A sticking pain in the chest from below upward, which is sometimes felt during an expiration;" which we cannot locate from this language, so Ave do not represent it on the plate. mosciius. Stitches in the right side, down to the region of the liver. muriatic acid. "Tensive darting from the left false ribs to the right ribs;" also: "Stitches deep in the precordial region, extending as far as the axilla and back, with stitches in the thigh extend- ing to the knee, when sitting, going off when rising." Muri- atic acid also produces: "Slowly ascending, broad stitches, externally in the sides of the chest." NATRUM MURIATICUM. "Stitching pain, transversely through the lungs, in fre- quent attacks, at intervals of an hour;"' represented by an arrow with a head upon each end; and: "Single stitches along the sternum;" which, as the direction is not given, is also represented by a double headed arrow. Natrum rnuri- aticum produces also: "Tearing stitching pain from the left upper region of the chest to the shoulder-joint;" represented by an arrow with bars across it; and: "Dartings under the right arm down the side." AN ILLUSTRATED REPERTORY. 2;) NITRIC ACID. Violent stitch, in the upper part of and within the right ribs, through the abdomen and back. XUX MOSCIIATA. "Darting in the fore part of the chest, shooting upward in an oblique direction and arresting the breathing;** not repre- sented on the plate by an arrow,"as the locality is not given definitely enough to" locate it, but mentioned here so that future experience will be had to properly locate it. OXALIC ACID. Sharp shooting pain in the left lung and heart, extending down to the epigastrium, lasting for some seconds. PETROLEUM. "Lancinating pain, in front, from the right to the left side of the chest, Avhen bending the trunk to the left side." It also has: "Violent stitch as far as the heart, arresting the breathing;*' Avhich Ave cannot locate, as the point of its ori- gin is not named. PHELLANDRIUM A^UATICUM. "Pointed stitch in the upper part of the sternum, some- what to the right;" also: "Dull stitches from the last true rib to the xiphoid cartilage, with painful sensation in the stomach, as if screwed together." The side not being men- tioned in this instance, we place the arrow upon the right side, to correspond with a similar pain given under the abdominal symptoms, and thus located. PHOSPHORUS. Very violent stitching pains, starting in just beneath the skin upon the acromial extremity of the left clavicle, and shooting from there downward through the left lung, and out at the left side of the abdomen, just below the ribsl" This is not from the "Materia Medica, as there are no acute pains passing from point to point, given there under Phosphorus, which can be represented by a front view of the chest; but is a symptom Avhich Ave recently found by clinical experience to be readily controlled by this drug. The case here follows: We were called to a tall powerful man having this symptom in great severity. After laboring under a severe cold a week 26 AN ILLUSTRATED REPERTORY. or ten days, he was taken very suddenly with this pain, Avas in a severe chill at the time of our call, and apparently under extreme suffering. There Avas utter inability to take any but the shortest inspirations; great aggravation upon the slightest movement of the body; and it was impossible for him to lie upon the left side. Though there is no drug in the Materia Medica covering this symptom, we prescribed Phosphorus 3000, with confidence and aAvaited results. The next day Ave found the chill had been soon relieved, and the pain greatly mitigated within two or three hours, Avhen a profuse perspiration broke out and put an end to further suffering from pain. And early that morning he commenced expectorating very thick, heavy, yelloAV sputa, Avhich was accompanied with considerable blood; so the pain Avas from no mere neuralgic action that Avould soon have subsided of itself. The expectoration almost wholly ceased in the course of that forenoon, a gentle perspiration continued some tAVO or three days, and "the patient rapidly convalesced Avithout any other remedy. Now, believing this speedy and marked relief have been due to a specific and powerful action of Phosphorus. Ave place the arroAV, to represent the symptom, upon plate 2, Avith confidence in its value for future guidance in east's Avhere there is suffering from like pains, similarly located. PHOSPHORIC ACID. Dull stitch in the left side between the lowest rib and the pelvis, through the whole cavity of the abdomen, more vio- lent during an inspiration. PL ATI N A. Cutting shocks in the right chest from below upward. RANUNCULI S UULBOSUS. "Sticking in the side of the sternum toward the left side, with sensation as if bruised, while going up hill." It also produces: "Pain" Avhich "extends from the left into the right chest, the sticking pain being felt in both sides of the chest at the same time, however he is able to take deep breath Avhile bending forAvard. RAPIIANUS SATIVUS. Pain in the chest, particularly when eating and coughing, less when drinking, the pain being of an aching and sticking AN ILLUSTRATED REPERTORY. 27 character, extending from the pit of the stomach to the throat-pit, and frequently to the back. RHUS RADICANS. _ "Stinging-tearing pain in the sides of the chest, commen- cing in the stomach, and extending first to the left side of the chest, then to the right;" and: "In the forenoon when walking, sharp pain in the left side of the chest, feeling as if it extended to the throat;" is also has: "Painful stitches in the right side of the chest, extending to the neck, aggravated by motion and deep inspiration." RHUS TOXICODENDRON. Lancination from the left chest to the left side of the abdomen (in the evening). RUT A ORAAEOLENS. "Sharp stitches between the left nipple and axilla, more violent during an inspiration;" also: "Fine cutting, Avhich extends from the throat into the chest, especially into the region of the clavicle and the axilla, where it stops; the cut- ting is felt Avhen Aval king, and becomes Avorse as one Avalks faster." The side not being given in this last instance, we place the arrows upon both sides, subject to confirmation, or correction, if one is wrong. SABINA. Sharp stitches in the region of the last true ribs of the right side, toward the sternum, only during an inspiration. SANGUINARIA. Stitches from the loAver part of the left breast to the shoulder. SEPIA. "Stitch around the right loAver rib, toward the pit of the stomach, continuing for minutes, going off by an empty eruc- tation;" and: "Stitches darting occasionally from the epi- gastrium close below the pit of the stomach into the left side, upward;" also: "Stitches from the umbilicus to the genital organs, when coughing and throwing off mucus." SPIGELIA. "Lancinating pain commencing below the left nipple, and 28 AN ILLUSTRATED REPERTORY. extending into the region of the scapula, and upper arm, more violent during deep inspirations.'" That part of this symptom relating to the arm is represented in plate 2 by its appropriate arrow, while that which extends to the scapula Avill be given in a side view. Spigelia also produces: "Sudden, drawing, stinging pain along the sternum from above downward;'"' represented by the hook and arrow properly placed. This drug further produces: "Momentary, violent sticking pain in the left chest toward the clavicle, preventing the breathing, in the evening;" and: "Dull oppressive sticking in the heart, bctAveen the region where the beats of the heart are felt, and the scrobiculus cordis; the same sticking is felt, in and above the scrobiculus cordis, and the chest is oppressed." SQUILL A MARITIMA. "DraAving stitch from the last true rib as far as the shoul- der;" Avhich, as the language is so indefinite, Ave represent upon both sides, and ieave the future to correct one, if wrong. This drug further has: "Pointed stitches in the region of the extremity of the clavicle toAvard the shoulder, during an inspiration and expiration;" and: "Excessive stitching near the sternum from above downward, making the breathing difficult;" Avhich are also represented upon both sides. ST ANN I'M. • "Sudden drawing under the left breast Avhen raising one's self in the bed, folloAved by sharp cuttings extending thence to the clavicle, in the direction of the shoulder where the pain remains fixed; thence it moves along the left shoulder into the abdomen, made worse when drawing in the chest, pressing upon the part, and especially during an inspiration and vomiturition; in all these conditions the pain is felt as a painful jerk." Stannum also has: "Frequent cuttings through the chest from below upward, and in front in the region of the upper ribs from within outward, independent of breathing." This Ave suspect may be a repetition of the previous symptom, given in different language by another prover, so Ave represent it only upon the left side, but in this may be wrong. STRONTIANA CVRBONICUAI. Shootings through the chest, from below upward, along both sides of the sternum. AN ILLUSTRATED REPERTORY. 29 SULPHUR. "Violent stitches from the right chest through the pit of the stomach and the stomach;" and: "Cutting in the chest down to the pit of the stomach;" both of which, it seems to us, must be meant for one symptom, so we represent them with one arrow upon the right side. thu.ia. Strong, dull, intermittent stitches in the chest, from the left axilla imvard. TONGO. "Stitches under the left chest extending to the axilla;" and: "Bruised sensation and cutting under the left chest, thence shifting to the pit of the stomach and back again, relieved by pressure." \rALERIANA OFFICINALIS. Dull stitch, resembling a pressing from Avithin outward, in the left side of the chest (below the axilla), during a deep inspiration: the stitch lasts as long as the inspiration. ZINCUM METALEICUM. "Violent stitches in the chest when walking in the open air, extending as far up as the left side of the neck, Avith difficult breathing for several hours." The wording of this leads us to infer the stitches must pass up from both sides of the chest, and we so represent it. Zincum also has: "Violent stitches into the sternum Avhen stooping, followed by painful pressure extending from the inmost chest into the throat." AH this is represented by a pair of arrows, one from each side, extending into the centre of the sternum and a line continuing from thence up to the throat, Avhere a plano-convex figure is placed to represent the pressure. This drug further has: "Stitch in the upper part of the sternum, extending into the left lumbal' region, with dread of stoop- ing early in the morning." This closes the list of the older and more reliable remedies for those (hseases that have acute pains passing from point to point in the chest, which can bo represented by a front view of this portion of the body. There are several of the reme- dies having a place on the plates that have darting, stitching, or kindred pains, in addition to those given, which we are 30 AN ILLUSTRATED REPERTORY. left to infer, from the language, extend a longer or shorter distance in the chest, but which, unfortunately, avc cannot represent, as the origin and termination are not given, nor the lung in which they occurred. There are also others not given on the plates, that have the same kind of pains, evi- dently extending from one point to another in the chest; but neither point being named, avc have been compelled to omit them, much to our regret and annoyance. The terms "long lancinating pains," "long stitches," and "stitches darting through the chest," occur under several drugs, without the track they traverse being named in any way so that the arrow could lie located. The only remedy now for this serious defect in the re-proving of all such medicines, and accurately giving the exact localities of these symptoms, with the points of their origin and termination distinctly named in each instance; and avc regard it as important that this should be done. While upon this part of our subject, avc Avill also call upon all provers of drugs in the future, to name accurately the exact point, or points, of the body, upon or beneath which the symptoms appear; if posterior to a rib, for instance, state by number which rib, and the exact place upon it behind which the symptom occurs; the direction and extent of all symptoms where they have these qualities, or their exact origin and termination; and by all means the side of the body, or the limb, Avhether right or left, or both, in Avhich the symptoms occur. Rigid care in the future upon these and all like matters, will be of incalculable value to the profession and to mankind. There are still other instances than those above named, where stitching and kindred pains occur, either in succession, or alternation, in different parts of the chest, or iioav in the chest, then in the stomach, abdomen, groins, shoulders, etc., while they do not exist, or pass between these points; and these are not given on the plates iioav represented, as the arrow would not correctly represent them. It will have been seen that on the plates, and in the symp- toms quoted from the various drugs, Ave have both repre- sented and used the Avords acute, cutting, darting, incisive, AN ILLUSTRATED REPERTORY. 31 lancinating, piercing, stabbing, sharp, shooting, sticking, stinging, etc., synonymously, and given the arrow to repre- sent each indiscriminately, because patients will not certainly discriminate, and many of them cannot, betAveen these various words, and use them literally according to their true mean- ing: one using one of the words, and another selecting another Avord of similar meaning to convey the same symp- tom, just as each should be most familiar with the word he used. "We doubt if even educated physicians would not use, some one, and some another of the above-named words to express the pain. Indeed, by reading the Materia Medica closely, it will be seen that most of these words are there used synonymously. For instance, stitches darting so and so, or lancinating pains, shooting so and so, etc., are common expressions. Far above and beyond all else, it is unnecessary to make any distinction between these various but similar pains, for there is a fact in connection with this very point, brought out by illustrating symptoms in this way, which shows clearly that there is no need for any distinction. Nature evidently provided against any necessity for it, and against the errors which would certainly be committed by different persons, endeavoring to distinguish by the uncertain medium of language, between certain pains, which by name are differ- ent, and yet have so great a similarity. This fact, so brought out, Avhich surprised us and no doubt will surprise others, is this: Though the plates may, at first view, appear some- what complicated or confused, yet among all the drugs thus far proved and represented thereon, there are but very few of them in Avhich the arroAvs that represent their symptoms, even seem to conflict with each other, by extending between the same points; and no tAvo where the symptoms are exactly alike, or, indeed, where the language of the symptoms is not sufficiently distinct, in itself, to point out a clear difference, while the concomitants Avill make the matter doubly sure and alloAV of no mistake as to the drug indicated. To illustrate this, Ave will take up some of the drugs repre- sented, whose symptoms seem to clash. Gummi gutti, Lau- 32 AN ILLUSTRATED REPERTORY. rocerasus and Magnesia sulphurica each have a pair of arrows, one upon either side, extending from the sides of the chest toward each other, and to near the sternum, and in this bare fact there is no difference; but let us look a little more closely into the matter. Gummi gutti has: "Pressure in the middle of the chest, and stitches going from, both sides of the chest toward each other," represented in plate 1 by the fig- ure Ave have chosen to illustrate pressure, placed one upon either side of the sternum, and the arroAvs running toward them; Avhile Avith neither Laurocerasus, nor Magnesia sul- phurica, is there any mention of pressure at any point in con- nection Avith the stitches. This certainly makes a clear and marked distinction, and takes the former, or Gummi gutti, out of the list for comparison, and destroys the appearances of real similiarity in symptoms. The difference between Laurocerasus and Magnesia sulphurica is not so decided in this one symptom, however, and yet there is a clear distinc- tion as seen by the folloAving. Magnesia sulphurica has: "Stitches trom either side toAvard one another, in the evening on entering the room from the open air;" Avhile Laurocerasus has simply: "Stitches through both sides of the chest toward the sternum," without reference at all to-the evening, or entering the room from the open air, and this makes a clear distinction certainly, and one that is sufficient. But nature, as if fearful of being caught at fault upon this point, has added a most positive distinction betAveen the two drugs, in their stitching pains in the chest, for she gave to Laurocera- sus the power to produce and cure "Stitches from the right axilla to the chest," and to Magnesia sulphurica the power to both cause and cure "Stitches from the left axilla to the chest," making the tAvo the exact antipodes of each other in this respect. Chamomilla and Lactuca are two other remedies which seem to conflict, yet do not. Chamomilla has: "Stitches from the middle of the chest to the right side, after every inspiration;" while Lactuca has: "Pleuritic stitches from the middle of the sternum toward the right side," Avithout any reference to inspiration in connection Avith this symptom. AN ILLUSTRATED REPERTORY. 33 And the concomitants of these symptoms are as different under the two drugs as it is possible for them to be. For instance, with Chamomilla the condition of the throat and larynx are characteristically those arising from a free secre- tion of mucus in these parts, causing rattling respiration; and "almost uninterrupted titillation under the upper part of the sternum;" with Latuca on the contrary, the prominent feature is "roughness" and "dryness" of those parts, and "dry cough," and "cough from tickling in the throat." Again, the great characteristic features of the chest symptoms under the latter remedy are, "opj>ressfon of," and "heaciness on the chest," as if oppressed by a great Aveight, while with Chamo- milla these symptoms have no prominence, in fact oppression is but barely mentioned, and heaviness not at all named under its chest symptoms. Calcarea carbonicum and Ranunculus bulbosus, are tAvo other remedies Avhich seem to rival each other upon the plates, in the fact that each has an arrow extending from the left into the right side of the chest, to represent "stdches" Avith the former, and "sticking" with the latter drug, passing in that direction; but with Ranunculus bulbosus, the sticking pain is felt in both sides at the same time," Avhich is not a con- dition of the stitches of Calcarea. But to make assurance doubly sure, Nature Avas again on the alert, in the fact that she gave to Calcarea the characteristic symptom, "difficult breathing, relieved by bending (or draAving) the shoulders backAvard;" but Avith Ranunculus bulbosus the conditions are just the opposite, the patient being "able to take a deep breath Avhile bending forward," and "he has to sit or stand stooping Avith his head and chest forAvard." Again Calcarea has this: "The breath becomes short when ascending the least height" which is a leading characteristic of this drug; under Ranunculus bulbosus, on the contrary, all of this is exactly reversed, as sIioavii in the following: "Pressure in the chest, and shortness of breath when walking on the level ground, but no oppression of breathing when going up hill." And so it is with the few remaining remedies that have arroAvs upon the plates, Avhich seem to conflict by passing in 34 AN ILLUSTRATED REPERTORY. the same direction, and between the same points; they could be shown to be so different in most of their other symptoms, and so directly opposite in some, that no mistake could be made as to which was indicated for this one similar symptom; but Ave have neither the time nor the space to draw the com- parison, and therefore must throw the labor of it upon the reader, who can do it as well as we, now that he has the key by which it should be done. But with the great majority of the remedies represented on the plates, there is no confusion caused by the position of the arroAvs; and it is curious to see hoAv exactly opposite some are in their direction with refer- ence to others, and hoAv entirely different a few are in their location, direction, and extent, from all the rest. When Ave commenced this Avork Ave had no expectation of finding what Ave have, supposing there would be a great similarity in many of the remedies, Avith reference to the location and direction of the arrows, but thought that by representing the symptoms to the eye, we could all get, upon the whole a better idea of the various drugs and their range of action, and this was all Ave hoped for. Therefore our surprise at what we did obtain, may be better imagined than expressed. Another remarkable feature, as it appears to us, Avhich has been developed by this method of illustrating symptoms, is the fact that the stitching pains, which are caused and cured by the various drugs, few or none of them pass along the lines of nerves or the fibres of other tissues, for neither the nerves or other tissues have continuous fibres passing in that direction, and to the distance, that such stitches frequently do. In our casual reflections hitherto upon this part of our subject, but without giving it careful study, we had supposed, as a matter of course, that all acute pains must, of necessity pass along the filaments of some nerve or nerves, for a longer or shorter distance of their course, in a direction outwardly from the nervous centres, or inwardly toward these; or that they might pass along the filaments of fibrous tissues, and here we supposed was the limit and guide to all such symp- toms; but see hoAv far this was from the truth. Take the symptom of Belladonna, for instance, Avhich we have repre- AN ILLUSTRATED REPERTORY. 35 sented as extending from the right side of the abdomen by three lines, upAvard through the right chest; there are no continuous filaments of nerves or any other tissues passing such a distance, in those directions. Again, Kreasotum shoAvs an equal independence of continuous fibres of tissues upon which to travel, in its stiches shooting from below the left breast across to the right side of the chest, and down through the right side of the abdomen and the leg into the toes. The same may be said also of Stannum in its drawing- stitches, shooting upward through the left chest to the clavi- cle, and there turning and darting doAvnward again into the abdomen; and of Phosphorus, Avith its stitching pain from the point of the left shoulder doAvn through the left lung and out at the left side of the abdomen. There are no continu- ous fibres of any of the tissues passing in these various direc- tions, and to such extent, upon which the pains could travel; but instead of this, they strike through and across all classes of tissues indiscriminately, without guide or regard for the structures over or through which they pass. To our mind this shows more clearly and forcibly the specific action and power of drugs, than anything else in con- nection Avith their effects upon the human organism, and must it not be, that this fact, taken in connection with the other that these results are, most of them, in appearance, and all, in fact so different from each other, when we Come to portray them to the eye, must not all this, Ave repeat, raise these hitherto, perhaps, too much neglected symptoms into prominent if not leading characteristics? And does not all this give us a reliance1 upon our Materia Medica that Ave could not have without? We have heard much in times past, and read some articles, charging that many of the symptoms of the drugs, given as provings, Avere imaginary, or not the specific effect of medicine; and no doubt some in our school entertain this vieAV now, Avhile all in the old school, who have any knowledge upon the subject, so regard them. It is no doubt Avithin the province and power of the imagin- ation for it to excite nausea in some persons, who should attempt to prove drugs, especially where they had pre- 3H AN ILLUSTRATED REPERTORY. viously been greatly nauseated by medicine; or possibly to cause, in others, gripings in the abdomen, if they had pre- viously taken active cathartics; but no extent or stretch of imagination could excite, or in any Avay lead to, such stitch- ing pains as we have illustrated as the effect of medicines, and so different Avith each drug from that of any of the rest. Nor is it possible for them to be accidental. Instead of either of these, the results, Avhen viewed in this light, sIioav for themselves, that they belong in each instance to the drug that is credited Avith them, and to nothing else; in other Avords, that they are specif c. And do not these great facts, taken either individually or collectively, sIioav the mistake in alter- nating remedies? In quoting the symptoms, it Avill be seen that avc have not made the distinctions, by italics, as is done in the Materia Medica. This appeared to us unnecessary, as the symptoms are really so different Avhen represented to the eye. It should also be understood, that the symptoms Ave represent on the plates, are all copied from among the chest symptoms under the various drugs, excepting in a feAv instances Avhere Ave have made use of the stomach, or abdominal symptoms, to correct or explain the others. When this Avork comes to be extended to illustrate the shooting pains of the hypochondria, the stomach, and the abdomen, it Avill be seen that many of these reach into various parts of the chest. And the same may be said of the darting pains of the throat and neck. Many of them Avill be found to descend into the chest. It seems unnecessary to dwell upon the advantages of this method of representing symptoms, for they must be apparent to all. The tAvo plates illustrate, certainly, not less than from three hundred to four hundred pages, which Ave have read, from which to select the symptoms, and all of Avhich every physician is liable to have to read for each case Avith any like symptoms, to gather these by the old method, for application at the bed-side; Avith the certainty of his for- getting many, if not the most of them, among the multipli- city of his professional duties. Even those symptoms iioav illustrated, Avhen separated from all else, and placed by them- AN ILLUSTRATED REPERTORY. 37 selves, Avould fill some eleven pages of fine print, and Ave doubt if there are many in the profession avIio can commit them to memory, Avithout the aid of the plates, and retain them for use, to say nothing of the great number of other symptoms he needs to remember. But the plates will make all this part of his labor unnecessary, and leaves him free to apply his mind to such symptoms as cannot be illustrated. Chapter ii. VIEW OF PAINS OF EIGHT SIDE. We continue our work in this chapter, by giving a vicav of the right side of the body, for the darting or stitching pains of the chest and back, which can be represented by such a view. We have added two characters not given in the pre- vious plates. One of these stands for a symptom, and will in the future always be used, Avhen occasion requires, to illus- trate any similar symptoms; the other may be said to stand for a fact in connection with some of the symptoms. The former is a figure of one of the forms of a flame from a jet of gas, and is to be understood now, as representing burning pains; or when placed upon the arrow as is the case on the accompanying plate, to illustrate a symptom of Oleum animale in the upper right chest, it means a burning stitch. The character given to represent a fact in connection with some symptoms, is that of a small circle, Avith two or more arroAvs running out from the centre of this, and sIioavs that in such cases the symptoms start from a common centre, or have a common point of origin. There has been much more difficulty in representing symp- toms by a side view, than there Avas in a front view of the chest, in order to give the correct idea of their exact origin and termination, for the reason that we have to give upon an entirely flat surface what so peculiary belong to a rounded one. For instance, a symptom starting from under the mamma, and passing through to any part of the back, to have its arrow correspondingly placed, may look, upon first AN ILLUSTRATED REPERTORY. 41 view, as though it started at a point some depth in from the front Avail of the chest, and so of any symptom starting from any point on the surface of the chest, out from the median line of the sternum, or upon the back from any point to the right of the spinous processes. But there are few instances of this kind, and any physician can soon make himself famil- iar Avith Avhat they are. Symptoms that commence, or end, "deep in the chest," or "deep in the thoracic cavity," as the expression occurs*1 in several instances, Ave have endeavored to represent by the arroAV commencing, or terminating, as the case may be, in about the middle of the chest antero-posteriorly. Where the darting pains commence or terminate in the right scapula, Ave place the corresponding head or tail of the arroAV upon the scapula, as near the point of origin or termination of the pain as the language indicates. And with all the symptoms which are given as terminating in the back, Avithout any mention of the scapula as the place at Avhich they stop, Ave have carried the arroAvs through beloAV this bone, except Ambra grisea, because with so many of them, the shoulder- blades are so especially named for all symptoms that com- mence, or terminate at, or pass between them, that Ave infer that when the back, and not the scapula?, is given, as the stopping place, a point betAveen these bones must be meant. "With Ambra grisea Ave had to place the arrow someAvhat above the inferior angle of the scapula, in order to find room or a place for it. The plates must ultimately be given on a scale three or four times as large, then there Avill be ample room and all confusion will be avoided. The dotted lines for the arrows across the scapula are to indicate that all such pains pass between this and its mate. In some instances, Ave have had much difficulty in placing the arroAvs satisfactorily, from the fact that the language of the symptoms is so indefinite as to location. The expres- sions, "stitches from Avithout inward," and "stitches^from within outAvard in the right side of the chest," are common, without telling Avhere, or at what point they occur, so we have had to infer the place, either from some facts in connec- 42 AN ILLUSTRATED REPKRTORV. tion Avith other symptoms, or from some results we have known in practice. We do not claim these are all right, but thought best to give them, so as to insure future observation and make them right if they are wrong. In the majority of instances, however, the exact points of origin and termina- tion are given, or near enough to this for all practical pur- poses; and every physician must feel a great satisfaction, or reliability, in this; while the defects we have named show more and more clearly, as Ave go on with this work, the great necessity there is for all provers, in the future, naming the exact locality, together Avith the direction and extent, where they have these latter qualities, of all the symptoms they experience. The absence of Aconite from the previous plates, and also from the one now given, may seem singular to many, but avc have to be governed by the recorded symptoms, in all instances Avhere we have no facts outside of these. In the vieAv of the left side this drug will have its place. AIM BR A GRISEA. "Lancination in the chest extending to the back; in the right half of the chest a violent lancination arresting the breathing." ARNICA. 1. "Dull stitches in the thoracic cavity through the ster- num, from Avithout inward." 2. "Cutting thrusts between the scapulas, extending into the thoracic cavity, Avhen Avalk- ing." 3. "Stitch, at every inspiration, in the right side of the back, extending from the last ribs up to the axilla." 4. "Cramp like pain in the cervical vertebras, accompanied by dull stitches from Avithin outward." ASAFCETIDA. "Stitches (lancinations, darting, etc.,) in the chest, in the right half of the chest, in the region of the right ribs, after a meal, with oppression; pinching pricking in the region of the right ribs; sticking Avith pressure in the right side or in the sternum, from within outward; also in the right thoracic cavity, or in the region of the right ribs toward the spine." The expression, "right ribs," we infer must here AN ILLUSTRATED REPERTORY. 43 mean some point from the middle to the lower rio-ht ribs, thus according with the common expression "under" or "behind the ribs," the lower ribs being always understood. BELLADONNA. 1. "Quickly passing lancinations under the last two ribs, as with a dull knife, by the side of the ensiform cartilage and above the false ribs.'" 2. "Fine stitches under the clavicle from before backward, during a Avalk." Though the side is. not indicated by the language of either of these symptoms, we place the arrows both upon the right side, as Belladonna is so much more prominent in its action upon the right lung; but more especially have avc done so with the latter symptom from the fact of recently obtaining so marked an effect from this drug in the 20,000th potency in curing a patient who had a cavity in the apex of the right lung from tuberculous ulcer- ation, Avith an entire suspension of the menstrual function for nearly a year, and the pulse running at 130 and over per minute for a long time. BERBERIS AULGARIS. 1. "Sticking; pain, or sticking pain Avith pressure, more or less acute, frequently recurring and long continued, in one or the other lumbar region, at'times in the region of the kidneys, at others, a little above or below, extending outward and forward in the side of the abdomen, or into the region of the hips, or into the dorsal spine or the small of the back, into the region of the bladder or the inguinal region, or extending from the region of the kidneys in a straight direc- tion into the abdomen sometimes accompanied Avith a feeling of numbness, lameness, and as if bruised." All given with the plano-convex figure upon the arrow to indicate pressure with the sticking pain. 2. "Deep-seated, acute lancinating pain in the iliac bone of one or the other side, extending obliquely inward and downward toward the small of the back, sometimes accompanied Avith bubbling stitches darting into the part to a considerable depth." We locate the arrow for this according to the language "iiiAvard and downward," though it Avoulcl be inward and a little upward to pass to the small of the back. 3. "Sudden stitch darting from the side of the neck into the upper arm." 4. "Lancinations from the lower region of the dorsal vertebras through the chest, arresting the breathing." The arrow for this must necessarily pass upward and forward, to go "through the 44 AN ILLUSTRATED REPERTORY. chest" from the loAver dorsal vertebra1, and so we have placed it. BORAX AENETA. 1. Stitching or darting pain from Avithout inward, through the upper portion of the right lung, posterior to the second rib. This is not from the Materia Medica, but is given as a result from a case in practice, which avc will endeavor to give in detail under the head of "confirmations'' by and by. 2. "Sudden stitches from within outward in the right side of chest, on lifting the arm." The location of this symptom not being given, wc place the arrow in the upper part of the right chest, as the more1 probable locality, from the fact of the pain being excited by raising the arm. 3. "Fine prick- ings, extending from the back into the chest, in the evening," represented below the scapula, as this is not named in con- nection Avith the symptom. 4. "Tightness of the chest, with constrictive oppression of the breathing on going up stairs; he is then obliged to take a deep inspiration, Avhich is ahvavs accompanied by an intensely-painful drawing- stitch from without inward in the right side of the chest." 5. "Shortness of breath, after going up stairs, he cannot speak a Avord, and, Avhen he speaks, he has a stitch from without iiiAvard in the right side1 of the chest; he experi- ences this same symptom Avhen running, and Avhen making a bodily effort which heats him." 6. "Arrest of breath when lying in bed; he has to jump up and catch breath; whenever he does this he experiences a cutting in the right side of the chest from without inward." 7. "Stitches between the ribs of the right side, so painful that he cannot lie on this side, with intensely painful drawing and sudden arrest of breath, which obliges him to snap for breath; Avhen lying on the painful side the pain immediately arouses him from sleep." Though the exact locality of all these pains is not given, as Avill be seen, yet they are all essentially one symptom; at least the stitches are so similar, that avc illustrate them Avith one hook and arrow, placed to correspond with results which we have seen from Borax upon acute pains in the chest, pos- terior to the right mamma. BRYONIA. 1. "Pricking pain below the right nipple from Avithin outAvard, in the cavity of the chest; these prickings are only felt during an inspiration." 2. "During an inspiration, stitch through the chest to the scapula?." This is represented AN ILLUSTRATED REPERTORY. 4") as goiug through the chest just below the right mamma, as we have seen better effects from Bryonia upon acute pains in this part of the chest than any other. CALCAREA CARBONICA. "Violent stitches from the thoracic cavity, extending through the spinal column and coming out between the scapula1.'' CAMPHORA. "Painful, drawing-stitches through and between the scap- ula?, extending into the chest when moving the arms for tAvo days."' CARBO AEGETABILIS. 1. "Violent dull stitches, like shocks from Avithin out- ward, in the lower part of the right side of the chest." 2. "Deep stitch in the right side of the chest from without inward, when breathing deeply." CASTOEEUM. "Painful sticking in the scapula?, or bctAveen the shoul- ders, through the chest as far as the pit of the stomach, aggravated by inspiration." CAUSTICUM. "Stitches commencing deep in the chest and coming out at the back." COCCULUS. "Several stitches through the abdomen and the bower part of the back, from before backAvarcl, early in the morning, Avhen in bed." COLCHICUM. "Lancinating tearing, deep in the right breast, through to the back." DIGITALIS. "Dull, clawing stitches along the lower border of the ribs, below the right axilla." DULCAMARA. 1. "Dull stunning stitch in the chest below the right clav- 46 AN ILLUSTRATED REPERTORY. icle from without inward." 2. "Dull stitching pain in the right side of the chest, in the region of the third rib, espec- ially when pressing on the part, when the pain went to the small of the back and extended between the shoulders; with stitches in one of the borders of the left scapula, during inspiration." 3. "Lancinating pain from the middle of the sternum to the dorsal spine when sitting, it goes off Avhen rising." As this does not say "between the scapula?" the common expression Avhere the symptom ends there, Ave carry the arroAV to the dorsal spine below the scapula?. GUAIACUM OFFICINALE. "Continued stitches, finally terminating in one, close below the right scapula, they seem to come from the middle of the right half of the chest, and are increased by an inspir- ation." HEPAR SULPHURIS. "Stitching pain in the side of the chest, in the direction of the back." INDIGO. 1. "Severe sharp stitch in the middle of the sternum, pass- ing through the chest Avhen sitting." 2. "Stitch in the region of the lower false ribs, toward the small of the back." JUNCUS EFFUSUS. "Stinging in the sternum or darting from the third false ribs as far as into the nipple." KALI BICHROMICUM. 1. "Pain extending from the small of the back to the nape of the neck, and shooting through to the sternum, pre- venting him working for four weeks." 2. "Stabbing1 from third cervical to fifth dorsal vertebra?, striking forward through the chest to the sternum, increased on motion, Avith inability to straighten the spine after stooping; it prevented him from Avorking for six weeks." 3. "Stitches under the sternum through to the back." Upon the arroAV represent- ing this symptom Ave have placed tAvo tails, one just posterior to the sternum, the other under the right mamma. The reason for this will be found under the head " confirmations," on a subsequent page. AN ILLUSTRATED REPERTORY. 47 KALI ("ARBONICUM. " Stinging pain as from IiIoavs and bruises, in the right scapula, Avnen in motion: it may be felt as far as the chest." KALI HYDRIODICUM. " Pain as from soreness Avith sticking deep in the chest, in the region of the right lowermost rib, in the evening." KALI NITRICUM. " Sticking below the short ribs of the right side toward the back apparently behind the liver." kreasotoi . "Stitch in the right side, arresting the breathing, some- times, extending as far as under the scapula, and so violent that she imagines she will fall." LACHESIS. 1. " Stitches, sometimes extending to the liver or kidneys," from the " small ot the back " Ave are left to infer, from Avhat immediately precedes and folloAvs this symptom in the Symp- tomen Coclex. 2. " Stitch in the lower part of the breast in front, from without inward." This does not say Avhich side, but from the tAvo preceding symptoms avc infer it must be the right breast that is meant. LACTUCA ATROSA. " Stitches in the right chest, Avith subsequent sensation of spasmodic tAvitching, or in the loAver part of the chest toward the back, in the region of the cartilages of the upper false ribs." LAUROCEBASUS. 1. " Stitches in the chest from the back to the sternum." 2. " Stitches in the sternum, also in the middle or in the lower part, also extending to the back, in the evening, dur- ing an inspiration." MAGNESIA CARBONICA. "Stitch ill the small of the back, on the right side, from without inward, folloAved by jerking stitches in the small of the back." 48 AN ILLUSTRATED REPERTORY. MAGNESIA MURIATICA. " Contraction of the chest, Avith oppressed breathing and dull stitches, from without imvard, in the right side of the chest near the nipple, after supper." MANGANUM. "Violent stitches in the right half of the chest, near the sternum as if from Avithout inward; nothing can relieve them." MERCURIUS SOLUB1LIS. 1. " Acute pain striking forAvarcl through the chest from the right scapula." This is given as the result of clinical experience by a brother practitioner in a distant city. 2. " When sneezing and coughing, between the acts of respira- tion, he feels a stitch in the anterior and superior portion of the chest, extending through to the back; the chest feels contracted and squeezed together by the stitch." NICCOLUM. " Stitch striking from the back to the pit of the stomach, in the afternoon Avhen sitting." NITRIC ACID. "Violent stitch in the upper part of and Avithin the right ribs, through the abdomen and back." OLEUM ANIMALE. "Violent stitch in the upper part of the right chest, near the sternum, as Avith a red-hot needle, the burning at that spot continuing a long time after." PvEONIA. " Throbbing through the right chest and extending pos- teriorly up to the nape of the neck, Avhere the throbbing terminates in intermittent pinching." Figures of a heart are placed upon the line of this symptom to indicate throb- bing. PHELLANDR1UM. "Violent stitch through the right mamma near the ster- num, through to the back betAveen the shoulders and then AN ILLUSTRATED REPERTORY. 4/ clavicle, going off for a short while by pressing on the parts, in the evening;" while Cina has: "-Two dull, piercing stitches, in quick succession, near the sternum beneath the left clavicle, during a deep inspiration, he feels much pain Avhen pressing on the part," making the two the exact opposites, in the fact that the same agency, namely pressing upon the part, relieves the1 one and aggravates the other. But this distinction would appear to be hardly required, for it Avill be seen that Kali carbonicum has five other arrows on the present plate, whereas Cina has but one. Again, Mezerum is markedly different from either of the foregoing, though it, too, has an arrow similarly placed beneath the left clavicle. Its symp- tom, however, leaves no doubt, as Avill be seen by quoting it in full: "Stitches in the left side of the chest, beneath the clavicle, going and coming with the regularity of musical beats, extending deep into the chest, shortly after, only a simple aching aggravated by inspiration, and returning for some days in succession." Of the other short arrow, belonging to Kali nitricum below those representing the preceding drugs, and extending from Avithout inward, it is only necessary to say it simply extends through the upper part of the sternum. While upon this point it appears important to call atten- tion to the following under Dulcamara: "Deep culling pain in the left side of chest, close below the clavicle, going olf by pressing on the part." But whether this is a fixed deep cut- ting pain, or extends from one point to another, as the expression would seem to indicate, and if the latter, Avhet her it passes antero-posteriorly, perpendicularly, or transversely, is so uncertain, Ave thought best not to represent it, but call attention to it in this manner, as it is too marked a symptom to pass by in silence. It Avill be seen that it is ameliorated by the same that the illustrated symptom of Kali carboni- cum is in the same locality, namely, "by pressing on the part," but other symptoms will leave no doubt as to the one indicated. Of the arrows in the precordial region which correspond to each other in position, the same fact holds that does in the left infra-clavicular region. The symptoms of the drugs 58 AN ILLUSTRATED REPERTORY. there represented are really so di tie rent, as will be seen by referring to them, and the concomitants so unlike, there can hardly be a mistake in regard to Avhich remedy might be called for, if any care is taken in comparing them. Aside from these two localities, there are no two or more other arroAvs at all similarly located in the whole of this left side view. The nearest that any come to it are Zincum and Oleum animate, from the left scapula to the axilla, but the distinction is clear, as seen by the fact that the former has: "Continuous stitching in the border of the left scapula, toAvard the axilla;" and Oleum animale "a few pointed and painful stitches from the left scapula" not from its border "to the axilla." The apparent similitude between Bryonia and Kali nitricum is at once dispelled, Avhen we reflect that the arrow belonging to the former on this plate is the mate to the one upon the right side going through to the right scapula. Besides, Kali nitricum does not go to the scapula but through the chest beloAvthe mamma, toward the back. In all the rest of this plate, as just stated, there is no resemblance Avhatever in the position of the arrows, Avhen we consider their direc- tion and the points between Avhich they pass. Does not this fact, then, warrant as extravagant hopes, almost as could be raised of its great value, and is it not of the very highest importance both to Homoeopathy and to suffering humanity that the illustration should he fully completed, for the Avliole system, as speedily as possible? But the labor required to do this is appalling. All the darting pains passing through the centre of the chest antero-posteriorly, or the reverse, Avere illustrated in the last chapter, and are therefore not reproduced here. ACONITUM. Weight in the chest, accompanied with a number of fine but violent stitches in the left breast, from without inward. AMMONIUM CARBONICUM. Violent stitches in the left side of the chest, commencing in the pra?cordial region, and then moving downward toward the side, and afterward toward the back. AN ILLUSTRATED REPERTORY. 51) AROENTUM METALLICUM. 1. Fine stitches in the upper part of the sternum from within outward. 2. Horizontal cutting, as with a knife, in the region of the left false ribs. 3. Lancination across the last rib of the left side Avhen stooping sideways and leaning on the arm. As the last two are probably, one symptom, we so represent them on the plate. BARYTA CARBONIC A. Dull stitches through the left scapula, coming out at the chest. BELLADONNA. Stitches shooting through the left axilla, and from a point on the front of the left chest, two or three inches to the right of the axilla, through to about the centre of the outer border of the left scapula. This is not hitherto a recorded symptom, but is from a case in practice Avhich Avill be found in the chapter on "Confirmations." BERBERIS VULGARIS. 1. Sticking pain, or sticking pain Avith pressure, more or less acute, frequently recurring and long continued, in one or the other lumbar region, at times in the region of the kid- neys, at others a little above or below, extending outward and forward in the side of the abdomen, or into the region of the hips, or into the dorsal spine, or the small of the back into the region of the bladder or inguinal region or extend- ing from the region of the kidneys, in a straight direction into the abdomen, sometimes accompanied with a feeling of numbness, lameness, and as if bruised. 2. Deep-seated, acute lancinating pain in the iliac bone of one or the other side, extending obliquely inward and downward toAvard the small of the back, sometimes accompanied Avith bubbling stitches darting into the part to a considerable depth. BRYONIA. During an inspiration, stitch through the chest to the scapula?. CAMPHOR A. Painful drawing stitches through and between the scapula1, extending into the chest, when moving the arms, for tAvo days. 60 AN ILLUSTRATED REPERTORY. CANNABIS SATIVA. Violent aching and fine painful stinging, for fifty days in the vertebra1 at the base of the chest, the pain sometimes darted toward the loins or the scapula?. CASTOREU3I. Painful sticking in the scapula? or between the shoulders through the chest as far as the pit of the stomach, aggra- vated by inspirations. CAUSTICUM. Stitches at night, Avithout arresting the breathing, as if a knife Avere thrust into the left side of the chest in front and in the back, Avith great anguish and uneasiness, Avhich obliges him to toss about in his bed Avithout being able to sleep. CINA. Two dull piercing stitches in quick succession, near the sternum, beneath the left clavicle, during a deep inspiration, he feels much pain Avhen pressing on the part. CLEMATIS ERECTA. Sharp stitches in the region of the heart, from within out- ward. CUPRUM METALLICUM. Broad stitches as Avith a knife, under the scapula, on the left side near the spinal column, independent of breathing. DROSERA. Drawing stitches from the left loin into the penis. DULCAMARA. 1. Pain ill the left side of the chest, in the region of the fifth and sixth ribs, as if a blunt knife Avere thrust in. 2. Dull stitch from within outward in the left loin, close above the hips, at every inspiration. FLUORIC ACID. Pain from the left side of the chest to the groins, increased by deep inspiration, particularly in the groin and back, like a stitch. AN ILLUSTRATED REPERTORY. 61 GRATIOLA. Darting from the left scapula to the shoulder and mamma. GUAICUM OFFICINALE. 1. Stitches in the left side beloAv the true ribs, rather toward the back. 2. Frequent and continued stitches on the left side of the nape of the neck, from the scapula to the occiput, Avhen moving about, also Avhen holding the head still. HYPERICUM PERFOLIATUM. Continual stitches from within outward, through the left breast and sternum, aggravated by motion. KALI BICHROMICUM. Cutting pain in the outer left side of the sacrum, shooting up and down. KALI CARBONICUM. 1. Stitches under the left mamma, and sometimes ascend- ing deep in the chest, also in the evening. 2. Dull stitches deep in the left chest under the short ribs. 3. Dull painful stitches in the chest from Avithout iinvard, under the left clavicle, going off for a short Avhile by pressing on the parts in the evening. 1. An occasional stitch from the small of the back, through the left side of the abdomen, toward the chest. 5. Stitch from the apex of the scapula to the pit of the stomach, during fatiguing labor. 6. Violent stinging pain as from a sprain in the left scapula, extending into the chest. KALI NITRICUM. 1. Violent stitch in the upper part of the sternum, from Avithout inward, on the left side. 2. Stitches in the left side of the chest, toAvard the back, and beloAv the left mamma. LACTUCA VIROSA. Dull sticking from the left chest to the scapula. LAUROCERASUS. Stinging tension in the left side when lying on it, extend- ing up to the neck in the morning. 62 AN ILLUSTRATED REPERTORY. MAGNESLA CARBONICA. 1. Stitch from without inward in the precordial region. 2. A stitch into the left region of the ribs, coming out below the left scapula when standing. MEZEREUM. Stitches in the left side of the chest, beneath the clavicle, going and coming with the regularity of musical beats, ex- tending deep into the chest, shortly after only a simple aching, aggravated by inspiration, and returning for some days in succession. MILLEFOLIUM. Violent fine stitch in the middle of the left scapula from Avithout inward, during an inspiration. MURE.X PURPUREA. Stinging and burning under the left short ribs, toward the spine. MURIATIC ACID. Stitches deep in the precordial region extending as far as the axilla and back, with stitches in the thigh extending to the knee, Avhen sitting, going off when rising in the even- ing. OLEANDER. Fine stitches in the left chest. Stabbings in the left chest as Avith a knife. Pinching stitch in the left chest, through the false ribs. Dull stitches in the left side of the chest Avhen walking. Of these avc can only definitely locate the " pinching stitch," but copy the others here as they occur in this close connection in the Materia Medica. OLEUM ANTMALE. 1. Darting in the mamma, when standing, from behind forward. 2. A feAV pointed and painful stitches from the left scapula to the axilla. PJEONIA. Dull stitches in the chest from before backward, as if through the heart. AN ILLUSTRATED REPERTORY. 63 PHELLANDRIUM. Stitch in the lower end of the left scapula, from Avithout inward. PHOSPHORIC ACID. Dull stitch in the left side betAveen the lowest rib and the pelvis, through the Avhole cavity of the abdomen, more vio- lent during an inspiration. RATANHIA. Several fine stitches under the left breast, along the ribs. RHODODENDRON. 1. Painful sticking in the left side beloAv the ribs, the stitches extending in the direction of the dorsal vertebra?, during rest. 2. Sticking pain in the middle of the left chest. He feels the pain as far as scapula?, and it is increased by motion. RHUS RADICANS. Drawing and stitching pain, extending from the left side of the chest near the nipple, through to the left scapula, aggravated by coughing, sneezing, yawning, etc. SPIGELIA. 1. Lancinating pain commencing below the left nipple and extending into the region of the scapula and the upper arm, more violent during deep inspirations. 2. Dull oppressive sticking in the heart, betAveen the region Avhere the beats of the heart are felt and the scrobiculus cordis; the same stick- ing is felt in and above the scrobiculus cordis and the chest is oppressed. These symptoms are all represented by three arrows extending in the proper direction from one circle. 3. Sharp stitches above the left nipple from without inward, when sitting bent while Avriting, recurring at various periods; the stitches disappeared speedily Avhen raising his chest. STANNUM. 1. Sharp broad stitches in the spine, between the scapula?, from within outward. 2. Frequent cuttings through the chest from below upAvard and in front in the region of the upper ribs from Avithin outward, independent of breathing. As this is copied from the midst of symptoms given as in the 64 AN ILLUSTRATED REPERTORY. left side of the chest, we think it, also, must belong there, and so place it. STAPHYSAORIA. Sharp stitches in the region of the fourth costal cartilage of the right and left side, at intervals of several seconds and lasting longer than usual; they press sloAvly from within outAvard, independent of breathing. SULPHURIC ACID. Sudden violent and piercing stitch in the upper part of the left chest, extending to the back. THERlDlON. Violent stitches high up in the chest, through the left shoulder as far as the neck. ZINCUM METALLICUM. 1. Stitch in the upper part of the sternum, extending into the left lumbar region, with dread of stooping, early in the morning. 2. Stitches under the left scapula, extending to the forepart of the left region of the chest. 3- Continuous stitching in the border of the left scapula toAvard the axilla, so violent that it caused her to start, Avith mounting of heat to the head. AN ILLUSTRATED REPERTORY, 65 STITCHING PAINS IN THE LEFT CHEST, WHICH ARE UNCERTAIN, EITHER AS TO LOCATION, DIRECTION, OR EXTENT. ACONITUM. Shooting stitches in the pectoralis major muscle, and in the intercostal muscle of the left side. ASAFCETIDA. Boring stitches in the left side and left half of the chest, from Avithin outAvard. BORAX. At every inspiration stitch into the left side of the chest, as with a knife. BO VIST A. Stitch in the left side, extending through to the back. CROTON TIGLIUM. Fullness and weariness of the1 two cavities of the chest, with stitches in the left cavity and toAvard the scapula?. DULCAMARA. Deep cutting pain in the left side of the chest, close beloAv the clavicle, going off by pressing on the part. LYCOPODIUM. Stitches in the left side of the chest, also during an inspir- ation, and extenchng to the back; they almost hinder breath- ing. MAGNESIA MURIATICA. Stitches deep in the left side of the chest, independent of breathing. Stitches in the left side of the chest, from Avith- out iiiAvard, Avith soreness Avhen touching the parts. MERCURIUS SOLUBILIS. Stabbing pain in the left side under the short ribs, during every inspiration. 66 AN ILLUSTRATED REPERTORY. MEZEREUM. 1. Sticking pain from the left side of the back through the chest, during an inspiration. 2. Sudden sharp stitches in the evening, near the spinal marrow, through the chest, extend- ing into the cartilages of the left ribs. MURIATIC ACID. Dull stitch in the left side of chest, from Avithout inward, with cough in the evening. NATRUM CARBONICUM. Stitches in the back, sometimes as far as the left side of the chest, evening and night. NTCCOLUM. Stitch in the left chest, also striking to the inmost part of the chest and arresting the breathing, or causing one to start, or when walking and Avorse on draAving breath. NITRUM. Stitches in the left side of the chest, toward the back. PHELLANDRIUM. Sticking deep in the left chest. Pointed stitches below . the left mamma. SENEGA. Oppression of the chest, Avith slight shooting pains through the chest in the direction of the scapula?, returning the first ten days at indefinite periods, especially in the open air and during a walk. STANNUM. A sudden long stitch in the left side of the chest, one hand's breadth below the axilla, causing one to start. SULPHURIC ACID. Fine stitches deep in the left side of the chest, from Avith out inward, with arrest of breathing. TARAXICUM. Sticking in the left side toward the back. Chapter iv. PAINS IX THE PACK. In this chapter we complete the illustrations of the darting pains in the chest, by giving a vieAV of those in the back, but as no proper division can be made in these, Avith refer- ence to the chest alone, the Avliole length of the back is given, and the corresponding pains for all parts thereof. It Avill be seen that there are three new characters upon this plate not before used. Their explanation is as follows: The figure of a miniature spade signifies a digging pain; or, when placed upon an arrow, as in this instance, to illustrate a symptom of Aconite, extending down the left side of the spine, it is to represent a digging in connection Avith the "sticking" pain. The figure of the cork-screw is to illustrate a boring pain; with the arrow, a boring stitch. And the ring, Avith a short bar through it, upon either scapula, to illustrate a symptom of Rhus toxicodendron, stands for a sensation of tension, or a "tensive stitch," as it is there used. Again Ave must call attention to the strange and unex- pected distinctness given to drug symptoms by this method, where, before, nearly all appeared so similar, and because of this, so greatly confused. Among all the drugs illustrated upon this plate, no tAvo are alike, even in the one symptom represented, excepting Cuprum, Sulphur, and Nat rum muri- aticum in their transverse stitches through the small of the back; but no one ought to make a mistake as to Avhich of these remedies might be called for by such stitches, if they compare their other symptoms. In all else, where there is a 70 AN ILLUSTRATED REPERTORY. similarity in the location, direction and extent of the arroAvs, the symptoms are so in the representation only, for by com- paring the language upon Avhich the illustrations are made, Ave in no instance have to go beyond the one symptom quoted of each, to establish which drug Avould be indicated. Let us take those with arrows extending from the small of the back dowmvard on to the thighs, for comparison. Oxalic acid has: "Acute pain in the back" not from the small of back, "gradually extending cIoavii to the thighs, occasioning ere long great torture." Dulcamara has: "Drawing from the small of the back through the thighs, during rest, with stitches in the part." Kali bichromicum: "Sharp shooting pains, first in the left, afterward in the right renal region, extending doAvn the thigh, aggravated by motion." Zincum metallicum: "Violent cutting in the small of the back at the least motion, extending into the calves and feet, he is neither able to Avalk, stand, or lie down." Carbo animalis: "Stitch in the small of the back descending along the thighs, on every inspiration." While Hepar sulphur has: "Sharp pressure" "in the small of the back and the lumbar vertebra?, especially in the region of the sacro-iliac symphysis, extend- ing into the lower limbs." So in all this there are no tAvo alike, or even similar in their essential features. Passing up the spine the same fact holds in a still more marked degree, for there is here but little similarity, in any respect, and this is more astonishing than all else, when we consider the important functions and the great length of the spinal cord. The only drugs that at all approach even an apparent resemblance in the illustrations, are Lachesis and Phosphorus, in their arrows ascending the spine; but how great the distinction between them; for the former has: "Stitches in the upper part of the back, or along the back from below upward, or in the whole back and in the nape of the neck, with stinging in the right arm and sensation as if it had gone to sleep, with itching on the arms, hips, and lower limbs." With Phosphorus, on the contrary, the arrow is to illustrate a "Darting pain, during stool, from the os coccygis through the spine as far as the rerfex, the head being drawn AN ILLUSTRATED REPERTORY. 71 backward by it." Stapysagria has: "Sewere stitches along the back, from beloAv upAvard," but the locality and extent are, of course, so uncertain from this language, that Ave have not attempted to illustrate it. It is not probably along the spine, or this avouUI have been specially mentioned as in other instances. Of those descending the spine, Aconite has: "Violent, sticking, digging pain,"' doAvn the left side of the spinal column to the small of the back. Primus spinosa: "Stitch from between the shoulders to the lumbar vertebra? on draw- ing deep a breath." Natrum carbonicum: "Rigidity and drawing between the scapula?, in the open air," descending to the anus, Avhere it terminates in a stitch Avhen sitting or lying. And Magnesia carbonicum: "Violent tearing and darting," descending gradually from the neck along the back. Thus, it will be seen, that no tAvo of these are alike, nor indeed at all similar in the character of the pain, though the direction and extent of the arrows of some of them corre- spond Avith that of others; and by this comparison it w ill also be seen, that Prunus is the only knoAvn remedy for a simple uncomplicated stitch descending the spine the greater portion of its length. Angustura has: "An incisive cutting from above cloAvnAvard in the dorsal spine," accompanied by the same descending the sternum. Stannum: "Slow inter- mittent dull stitches between the scapula? toAvard the middle of the spine." Asparagus: "Sensation when sitting, as if something were darting through the small of the back toAvard the sacral vertebra?." And Ginseng: "Lancinations betAveen the scapula?, extending to the right shoulder, or along the spine doAvn to the small of the back," etc. Well, then, could anything be desired more clear in the distinctions, than is here displayed, where there would appear by simply reading, unaided by illustrations, such similarity and complication? In all the rest of this plate there is not the slightest resemblance in anything as regards the positions and directions of the arrows; Avhile there are some most remarkable contrasts. See, for instance, the arroAvs representing Cantharis and Cannabis, tAvo drugs so 72 AN ILLUSTRATED REPERTORY. frequently called to mind in connection Avith diseases of the urinary organs. There is one remaining point to Avhich we Avill call atten- tion, as showing the great practical value of this work. The fact that more or less severe pains, of some kind, so commonly occur in parts or organs before diseased action, whether acute or chronic, become, really seated in them, cannot have escaped the attention of every observing physi- cian. Here, then, is the cry of distress and the call for relief before the part has become dangerously, often, indeed, before it has become even seriously involved; and, because of this, such pains must have been intended as the surest guides to the proper curative agent, that all cases might be reached before danger arises. In the very large majority of instances where the illustrations have shown but one remedy tor a given pain, no other can be indicated but that, for such pain. Then, if all the pains of every drug Avere illustrated in their characteristic localities, direction, and extent, so that the physician could apply at once, the exact curative remedy pointed out by such symptoms, how grand would his successes and his mission be. ACONITUM. Violent sticking, digging pain, all along the spine, on the left side, cIoavii to the small of the back, aggravated by an inspiration. ALUMINA. Stitches in the left hip, extending to the small of the back, and to the loins; when taking an inspiration, the stitches come on again. ANGUSTURA. 1. Dull stitches between the top of the left shoulder and the neck. 2. Pressure across the Avliole right side of chest and abdomen, as if these parts avc re compressed in front and behind, accompanied by an incisive cut ting from above down- ward, in the sternum and in the dorsal spine, increased by inspiration and every movement of the trunk. AN ILLUSTRATED REPERTORY. 73 ARNICA. Stitch, at every inspiration, in the right side of the back, extending from the last ribs up to the axilla. ASAF AN ILLUSTRATED REPERTORY. 87 or three years, principally of the nature of anasarca and ascites, and has been a victim to the Avorst form of constipa- tion we have ever known. She asserts most positively that, in the last two years she has been no less than three or four different times, as long as four weeks at a time, or from one menstrual period to the next, without the slightest particle of fecal matter passing her boAvels, and then they would work off in a diarrhea, for a day or two, but after this resume the old condition, and go tAvo, three, and sometimes the four Aveeks before another fecal evacuation; but Avould daily have discharges of pure pus, during all the intervening period. Well, after treating her at intervals, for a year or over, Avith only tolerable results in controlling other symp- toms, but never breaking in but little upon those above given, excepting once, for a few Aveeks, getting a very de- cided action of Causticuni 1,000 in relieving the constipation, she Avas one day seized Avith an acute pain just under the left axilla, which darted from there horizontally across the chest into the right lung, and Avith it came also darting pains in the upper half of both lungs, and shooting from there up into the throat, and sometimes to behind both ears. For these pains we prescribed Calcarea carbonicum 6,000, one dose, which in a few hours fully subdued them all, and since that, now two Aveeks, she has shown more gain in the whole condition than she has before under any remedy. SPIGELIA. The acute pains of this drug, illustrated on plate No. 4, by three arroAvs starting out from one circle beneath the left mamma, and extending, one to the left shoulder, another to the left scapula, and a third into the sternum, Ave have con- firmed in the following case: June 2, 1870, Ave were called to an unmarried lady aged tAventy-eight years, Avho, upon examination was found to be laboring under an attack of acute rheumatic inflammation of the heart. The bellows murmur was loud and distinct. In the previous six or eight years she said she had had tAvo very severe attacks of inflam- matory rheumatism, and both times treated with local appli- 88 AN ILLUSTRATED REPERTORY. cations. But this time, as Avas to have been expected from the former suppressing treatment, the disease seized at once upon the heart, and soon developed acute pains through the precordial region. We at first administered Aconite 1,000, expecting it Avoulcl subdue the inflammatory condition, but as it did not in tAventy-four hours, and the pains were becoming more severe, we prescribed Bryonia 2,000. Ten hours later we were summoned to our patient in great haste, and found her in apparently the most excruciating agony, from acute pains in the left chest. She could scarcely take an inspira- tion, and could not even move hand or foot, so great were the aggravations therefrom. Upon inquiry, the pain was ascertained to start from the region of the apex of the heart, and shoot, one branch to the left shoulder and doAvn the front and inside of the left upper arm, another branch back- ward and upAvard to about the center of the left scapula, and a third branch from left to right into the lower extrem- ity of the sternum. Pulse 140 per minute. We then gave Spigelia 1,000 one dose, and it certainly did not exceed half an hour, before great relief from all the symptoms was afforded. After this, as auscultation shoAved constant im- provement in the sounds of the heart and the whole condi- tion there, we administered no more medicine for four days, though there Avas some pain most of the time, and occasion- ally very severe threatening of a return of the acute suffer- ing, but this would soon pass over again, until the fourth day, when there Avas no more evidence of a cessation of the improvement, and Ave gave another dose of Spigelia 1,000. This again relieved for three days, though not as much as at first, when the symptoms called more prominently for Bry- onia, one dose of which we gave in the 200th potency, and from that on no more medicine Avas needed to fully restore her to health in two or three Aveeks. While the heart was improving, considerable rheumatic action shoAved itself in the right thumb, right elboAv and right ankle, and some also in the left knee and left ankle; but for this Ave did nothing, allowing the above named remedies to complete the Avhole cure, as has already been stated that they did. AN ILLUSTRATED REPERTORA'. 89 BORAX AENETA. The following is the confirmation by Dr. Kenyon, of the symptom of Borax, illustrated by an arrow extending from before backward beneath the right clavicle, through the apex of the right lung. The patient was an unmarried lady aged twenty-eight, and her case here folloAvs: The doctor was first called to her for an attack of acute sore throat, and says: Upon examination he found the entire fauces, as far doAvn as he could see, completely covered Avith whitish pimples, strewn as thickly together as they could stand. There Avas extreme suffering from deglutition, and great burning sensation in the fauces, extending doAvn the throat. Mercurius corrosivus relieved these symptoms promptly, but tAvo or three days folloAving, some other throat symptoms manifested themselves, for Avhich he prescribed Baryta car- bonicum. This appeared to control all remaining troubles, and he heard nothing more from his patient for four or five weeks, Avhen he Avas called again and found her complaining of burning and raAV feeling in the fauces, and oppressed res- piration. This Avas in February, 1869, and these symptoms continued, with but little, if any relief from various reme- dies, until the last of May, when there arose an acute or sharp aching pressure just beneath the right clavicle, and extend- ing through to the right scapula. After the appearance of this symptom, there was still no curative action established by medicine, through the summer, and no time that she Avoulcl pass more than a Aveek or ten days Avithout an increase of the symptoms of soreness and burning in the throat, or an aggravation of the acute pain under the clavicle, until December, when there appeared a glandular swelling in the left axilla. For a time this Avas very painful, remaining about the same for four Aveeks, then, under the action of Lycopodium, suppuration took place rapidly, and entire relief folloAved, both to the throat symptoms, and the pain through the apex of the lung for another four Aveeks. The pain then returned, but not the sore throat, and continued until February 20, 1870, Avhen, acting upon the statement as to the action of Borax upon the upper right lung, he 90 AN ILLUSTRATED REPERTORY. administered one dose of Borax 3,000. The result was an immediate subsidence of the pain, and the evening follow- ing, the moment she laid down, there arose a sensation as though she Avere falling out of bed, and during the night she dreamed much of falling out of bed, and would wake with a start. The sense of falling, and the dreams, persisted in returning for several successive nights, but there was no return of pain or throat symptoms until March 7th, fifteen days, Avhen there Avas a slight recurrence of the pain, and another dose of Borax 3,000 Avas given, folloAved with a repe- tition of all the sensations and dreams of falling out of bed. After this there Avas no further pain until the middle of May, Avhen it arose again in a good deal of severity. Borax 3000, one dose, Avas again prescribed, Avith the identical sensation of falling, but each time the dream was less. The pain did not return until August 19th, and then but slightly, Avhen Borax 3000 was again repeated, but as she has been absent on a visit, the result has not yet been learned. In addition to the Borax he also gave three doses of Arum triphyllum 5000, the first one June 22, 1870, and the other two at intervals of two or three weeks, for burning and a sense of excoriation of the fauces and a husky, changeable voice, which then arose for the first time in some six months, and this drug afforded quick relief, each time, to these symptoms. A still further important fact and result Avith the patient was, that she had had an attack of " Hay-fever" between the 10th of June, and July 1st, every summer for nine years in succession, until this summer, when there was no appear- ance of it, thus showing that this disease, as Avell as the other symptoms of the case had been broken up by the treatment. Since writing the above we received the following note from Dr. Kenyon in regard to the case, and the result of the last dose of Borax. " Dear Doctor :—My patient has returned and has had no recurrence of either sore throat, or the pain under the right clavicle; and says she has ridden over rough roads, and ex- ercised in various other Avays, that she knows Avould hereto- AN ILLUSTRATED REPERTORY. 91 fore have excited both, for frequently, getting into a street car and riding a few blocks, Avould bring on the pain very severely. L. M. K." According to this result, the arrow illustrating that symp- tom of Borax, should have had the character representing pressure, upon it, to correspond with the sensation of sharp aching pressure, a fact we did not know when the illustration was made. CANTHARIS AND ZINCUM METALLICUM. " I have had tAvo cases Avhere the medicine acted like a charm, and produced relief in a few minutes. One Avas a case of sticking pain in the chest, just above the region of the heart, and flying both Avays, not affected by inspiration, shooting to the sternum and axilla, left side: Cantharis. " The other Avas a lady Avho had been suffering from ulcer- ation of the cervex uteri, and has lately had a tumor removed. The pain began at the pit of the stomach, and would pass up folloAving the course of the oesophagus, Avith a sense of draw- ing, and a cold streak; it afterward changed to a gurgling sensation, but Avas removed both times by Zincum metalli- cum. Blakely." Although these cases are given so briefly, yet how impor- tant they become. Think of it; a physician is led by an illustrated symptom, to at once, and without hesitation, select and prescribe, the only known curative remedy in the world, for that symptom, Avhich had arisen probably, in the second case certainly, from a serious diseased condition of the system, and finds the medicine acting " like a charm," and giving " relief in -a few minutes." Can anything be more astounding than such results in a field Avhere Ave have all, no doubt, been too much given to view matters in the light of doubt and uncertainty? That the picture is not overdrawn by the doctor, we fully believe, for we have, ourselves, seen just astonishing results, and point to the next case as a sample of many such that have come under our observation. cocci LUS. August 25, 1870, we were called to a man aged forty-six, 92 AN ILLUSTRATED REPERTORY. Avho, after passing through the premonitory symptoms, for two or three Aveeks, was, the day before our call, taken doAvn Avith typhoid fever. The symptom of Avhich he complained the most Avas a dull aching pain through the forehead, and from there back to the center of the head, it not being felt much in the temples. This was controlled in tAvo or three days, and the appearances were that the fever Avas being broken, but a day or two following that, the same kind of pain seated in the abdomen, just beloAv the umbilicus, and increased in severity from day to day, notwithstanding the administration of Nux vomica, Rhus toxicodendron, etc., until, in a few days, it culminated in a very acute pain, darting through just below the umbilicus to the spine. For that we prescribed Belladonna, Bryonia, and Pulsatilla in succession, giving each one day to develop its effect, but without any relief, and then allowed ourselves to be gov- erned especially by this one symptom of acute pain, Avithout reference to the other indications of the case, and gave Cocculus, according to the illustration of it on plate 3, though this drug seemed so foreign to our patient's condi- tion, in all else excepting that pain. The next day Ave found that all acute suffering had ceased, leaving the same aching pain and a soreness behind, but it was a matter of great question with us Avhether the symptom had not stopped of itself, from the length of time it had continued, or if medi- cine had anything to do with its disappearance. Following this, the dull aching continued, and increased in severity, until it caused great suffering, and then extended into and through both legs, the right the Avorst, down into the great toes. And now a moderate drawing and severe bruised sensation set in with the aching, and extended to the back and into the legs, and the bowels became very much consti- pated. Pulse about 100 per minute, urine very turbid. Again Ave prescribed Nux vomica, Rhus toxicodendron, Sulphur, and two or three other remedies, but they had no effect Avhatever in allaying the pain, though the tongue cleared up under their action, and all appearances of fever, and the typhoid condition wholly subsided, leaving the pain AN ILLUSTRATED REPERTORY. 93 still worse, if anything, and the patient very weak. He then passed some five or six days entirely Avithout fever, but with no abatement of pain, Avhen a sister came from a dis- tance to see him, and said she knew Iioav to treat "nooral- igy," and Avithout waiting to consult us in regard to it, Avent to making applications of cloths wrung out of hot Avater, to the abdomen and limbs. The effect was decided, to say the least, for the pain Avas relieved in a few hours, but at our visit the next morning Ave found him Avith quite a high fever, the tongue covered with a broAvn coating through the center, and many other symptoms indicating a return of the whole typhoid state. Prohibiting further interference Ave pre- scribed Phosphorus, folloAving it in a day or two Avith Rhus, Avhich subdued the fever in four or five days, but no sooner had this been done than the same kind of pain returned to the abdomen, and soon became Avorse than at all before. He now, too, presented more indications of exhaustion of the vital energies, than at any previous time, and through it all extreme constipation continued, once going ten days Avithout a fecal evacuation. The abdomen did not become very sensi- tive to pressure, from the pain, neither did it become in the least hardened, nor but slightly tympanitic. We diagnosed the case as one in which the suffering arose from diseased action, or iiritation, in the spinal cord, having passed doAvn the spine from the bram under the effect of medicine the first few clays, and that the pain in the abdo- men and legs was the result of the nerves manifesting their sufferings at their extremities in those parts. But what was to cure this condition, Avas the more important question? We noAV again tried Nux vomica, Belladonna, Pulsatilla, Bryonia and Rhus toxicodendron, then Mercurius, Colocynth, and Veratrum, but each day he suffered more, groaning every breath Avhen awake, and not sleeping to exceed two or three hours in twenty-four, then only from sheer exhaustion, until most profuse cold perspiration set in, and finally one day Avhen Ave called, indications of paralysis of the organs of deglutition had arisen, though there had not before been the slio-htest suffering of any kind in those parts. He had no 94 AN ILLUSTRATED REPERTORY. appetite, in fact, a great repugnance to food of all kinds, but we had ordered beef tea, etc., and insisted upon his eating something, so that morning he tried to eat a piece of toast, but in attempting to swallow, the throat would not act at all to pass it doAvn into the oesophagus, and after three or four efforts he had to desist. Pulse was now running to about 130 per minute; hands very cold and becoming purple. In reflecting upon our patient's condition, it did not seem to us possible that he could live to exceed tAvo days, if he was not relieved in a few hours. So, from not knowing Avhat better to do, and more in a fit of despair than from the exercise of any skill, we put together the tAvo facts of the darting pain below the umbilicus through to the spine, which had arisen in the early stage of the case, and the threatening paralysis of the fauces, or oesophagus, Avhich had now come up, and upon these two symptoms prescribed Coc- culus 1,000, one dose, followed by Saccharum lactis. Making an appointment to visit him again in a few hours, avc left, Avith scarcely a ray of hope ever seeing him any better. But at the next visit, some eight hours later, almost the whole condition of the patient had changed or was rapidly changing. His wife said that it Avas not more than fifteen or twenty minutes after Ave gave him the dose of medicine, before he called for toast and ate a whole slice of it with evident relish, and without any difficulty in SAvallowing. The cold perspiration, Avhich had been Arery profuse the night before and that morning, had almost Avholly ceased, the pain had so far subsided that there was no more groaning, nor a complaint of it, though upon inquiry he said he still felt it slightly; his voice, which had been very Aveak was now quite strong, in short, he seemed in all respects like another man. He slept well the night following, and the next day found him almost without symptoms, except the debility, which was, of course, very great, but he rallied rapidly from this, his bowels became regular in their action, the appetite good, and we dismissed him ten days after, able to walk out of doors a short distance, and not requiring further medical at- tendance. Such, then, as extreme as it may seem, was all AN ILLUSTRATED REPERTORY. 95 the result of the action of one dose of Cocculus 1,000, for Ave did not give him another dose of it after the one mentioned. The improvement was so rapid that it Avould have been the height of folly to have meddled in any way Avith it, even by one more dose of the same remedy. Now, is it not clear, that Cocculus was the only drug indi- cated in this case, first, last, and all the time (it has: "Aching pain m the forehead," the first prominent symptom of the patient), while all the other remedies given Avere useless, or, perhaps, Avorse than useless? And had Ave alloAvecl ourselves to have been governed by the one symptom of acute pain darting through the abdomen, below the umbilicus, to the spine, as avc had illustrated this on plate 3, and held to this remedy from that time, should Ave not have cured our patient without ever allowing a dangerous symptom to have arisen, and avoided all the extreme suffering? And if so, do avc go too far in saying that the exact locality, direction, and extent of any specific kind of pain is of far more consequence, because more characteristic as guides in therapeutics, than all else besides in any case1 of disease Avhere pains locate themselves, and remain long enough to show there is no doubt about them. From our experience thus far in this matter, Ave are led to place just as much reliance upon the locality and direction of aching, boring, burning, drawing, pinching, pressing, throbbing, and other pains, as true guide» in the indications of remedies, as Ave do upon the darting or stitching pains. In conclusion, Ave Avill say we firmly believe that highly attenuated medicines are capable of always performing as remarkable cures, or nearly so, as Cocculus did in this in- stance, while disease remains functional, or before it reaches the point of developing organic changes, and where its primary causes are not daily or frequently reneAved, as in sufferings brought on by errors in diet, or other abuses; and the only reason Avhy physicians of our school do not uniformly get such effects, is from our not yet having the means of always positively knowing the one and only specific remedy indicated in every case, then relying upon that, and 96 AN ILLUSTRATED REPERTORY. avoiding its too frequent repetition. Let us all, then, work together in this promising- field, and have every symptom of every drug illustrated as soon as possible, so that Ave shall have that great aid, before unused, to the knowledge we need. RHUS RADICANS. One day last summer, the draughtsman Avho has made the draAving for all our illustrations, came in and said he was taken that morning on rising, Avith a " drawing and stitching pain," Avhich started in at the left nipple, and extended through to the left scapula. There was no cough, nor other symptoms, but the pain had gradually increased in severity, he said, until then, when it Avas causing severe suffering, and his countenance was quite pale. One dose of Rhus radicans 200 was given, Avhich relieved him entirely in from one to tAvo hours, and he has never had this symptom since. CONIUM. We recently received the following highly interesting and concisely reported case, from Dr. L. Shafer: " In the Illus- trated Repertory, you say, Conium also has: ' Violent stitches in the side, as if a knife were plunged into the side, causing loud moaning.' * Whether right or left, or both sides, is not here designated, so we place the arrow upon each side, and leave the matter for further confirmation or correction." "The folloAving may throw some light upon the subject, so far as the right side is concerned: " In February, 1870, Avas called to see Mrs.----, aged seventy-five. Found her laboring under a severe attack of pneumonia, affecting her right lung. The respirations Avere somewhat accelerated and painful, the cough troublesome, the sputa rust-colored, the tongue coated and whitish, the pulse about 100. Under the use of Aconite 200, folloAved by Bryonia 30, the symptoms were considerably mitigated. On calling again I found a marked change in the symptoms. She complained of ' violent stitches in the side, as if a knife AN ILLUSTRATED REPERTORY. 97 were plunged into the side, causing loud moaning.' On inquiry as to the precise situation of the pain, she pointed out, upon her person, exactly the region covered by the arrow on the right side in plate 1. " A few pellets of Conium 30, were dissolved in a dozen teaspoonfuls of Avater, and a teaspoonful ordered to be given every three hours. The pain soon passed off, as by magic, and the patient made a rapid and very satisfactory recovery." Does not the above prove that the one symptom of stitches in the locality named Avas of far more value than all the other symptoms of the case combined? Who Avould have otherwise thought of Conium as a curative remedy in pneu- monia, and given it in preference to several other remedies for rust-colored sputa? And yet avc see that under it, " the t pain passed off, as by magic," and the " patient made a rapid recovery," of course from all other symptoms as Avell as the pain. Index. a Aconite, chest pain, left side, 58, Ho, 80. Aconite, chest pain, back 72. Actea racemosa, chest pain, front 14. Agaricus, chest pain, front 14. Alumina, chest pain, front 14; back 72, 79. Ambra grisea, chest pain, right side 42. Ammonium carbonicum, chest pain, front 14. Angustura, chest pain, back 72; left side 80. Apparent conflict of remedies 31. Argentum, chest pain, front 14; left side 80. Arnica, chest pain, front 1-5; right side 42 ; back 73. Arsenic, chest pain, front 15. Asafoetida, chest pain, right side, 42 ; left side 65 ; back 73. Asparagus, chest pain, back 73. B Baryta carbonicum, chest pain, front 15; left side 59. Belladonna, chest pain, front 15; right side 43; left side 59, 73; confirmed symptoms 89. Berberis, chest pain, front 16; right side 43; left side 59, 73. Borax, chest pain, front 16, 41, 65; confirmed symptoms 89. Bovista, chest pain, left side 65. Bromine, chest pain, front 17. Bryonia, right side 44; left side 59. C Calcarea carbonica, chest pain, front 17; right side 45; back 80; confirmed symptoms 86. Camphor, chest pain, right side 45; left side 59. Cannabis sativa, chest pain, left side 60; back 65. Cantharis, chest pain, front 17; back 73 ; confirmed symptoms 91. Carbo animalis, chest pain, front, 17; back 73. Carbo vegetabilis, chest pain, right side 45. Castoreum, chest pain, right side 45; left side 60. Causticum, chest pain, front 17 ; right side 45; left side 60. Chamomilla, chest pain, front 18. Chelidonium, chest pain, back 74. Chest pains, plates of 12, 23, 40, 56, 68. China, chest pain, back 79. Chininum sulphuricum, chest pain, front 18. Cina, chest pain, left side 60; back 74. Cinchonium sulphuricum, chest pain, front 18. Clematis, chest pain, left side 60. Cocculus, chest pain, right side 45; back 74; conlirmed symptoms 91. D Digitalis, chest pain, right side 45. Dulcamara, chest pain, right side 45; left side 65; back 74, 79. Drosera, chest pain, left side 60; back 74. E Explanation of plates 13, 39,51,52, 69. F Facilitation of study, by plates 9. Ferrum, chest pain, back 74. KM) INDEX. Fluoric acid, chest pain, front 18; left side 60. G Ginseng, chest pain, back 75. Gratiola, chest pain, left side 61; back 71. Guaicum, chest pain, right side 45; left side 61; back 75. Gummi gutta?, chest pain, front 19. Hellebore, chest pain, front 19. Hepar, chest pain, right side 46; back 75, 79. Hypericum, chest pain, left side 61. Ignatia, chest pain, back 75. Indigo, chest pain, front 19; right side 46; back 75. Juncus effusus, chest pain, right side 46. Kali bichromicum, chest pain, front 19; right side 46 ; left side 61; back 75; sternum 80 ; con- firmed svmptoms 82. Kali carbonicum, chest pain, front 19 ; right side 47 ; left side 61. Kali hydriodicum, chest pain, front 19; right side 47. Kali nitricum, chest pain, front 20; right side, 47 ; left side 61. Kalmia latifolia, chest pain, back 75. Kreasotum, chest pain, front 23; right side 47, 80. Magnesia sulphuricum, chest pain, front 24. Magnesia muriaticum, chest pain, right side 48; left side 65; back 76. Manganum, chest pain, front 24; right side 48. Menyanthes, chest pain, back 76. Mercurius solubilis, Hahn. chest pain, right side 48; left side 65; back 74. Mezereum, chest pain, left side, 62, 66. Millefolium, chest, left side 62. Morphium aceticum, chest pain, back 79. Moschus, chest pain, front 24. Murex purpurea, chest pain, left side 62. Muriatic acid, chest pain, front 24; left side 62, 66. N Natrum carbonicum, chest pain, lpft side 66 ; back 76. Natrum muriaticum, chest pain, front 24; back 76; confirmed symptoms 81. Xiccolum, chest pain, right side 48; left side 66. Nitric acid, chest pain, front 25; right side 48. Nitrum, chest pain, left side 66. Nux vomica, chest pain, back 76. Obstacles to memorizing 10. Oleander, chest pain, left side 62. Oleum animale, chest pain, right side 48 ; left side 62; back 76. Oxalic acid, chest pain, front, 25, 76. Lachesis, chest pain, front 23; right side 47; back 75. Lactuca virosa, chest pain, front 23; right side 47; left side 61. Laurocerasus, chest pain, front 23 ; right side 47 ; left side 61; back 79. Lycopodium, chest pain, left side 65; back 76, 79. M Magnesia carbonicum, chest pain, front 23 ;. right side 47 ; left side 62; back 76. Paris quadrifolia, chest pain, back 77. Psenia, chest pain, right side 48; left side 62. Phellandrinm chest pains, front 25; right side 48; left side 63, 66. Phosphorus, chest pain, front 25 ; right side 49; back 77. Phosphoric acid, chest pain, front 26; left side 63. Plate 1, front view of chest 12. Plate 2, front view of chest 23. Plate 3, right side of chest 40. Plate 4, left side of chest 56. Plate 5, back of chest 68. INDEX. 101 Plates, explanation of 13, 39, 51. Platina, chest pain, front 26. Prunus spinosa, chest pain, back 77. Pulsatilla, chest pain, right side 49. R Ranunculus bulbosus, chest pain, front 26. Raphanus sativus. chest pain,front 26; right side 4it. Ratanhia, chest pain, right side, 49 ; left side 63. Rhododendron, chest pain, left side 63. Rhus radicans, chest pain, front 27; left side 63. Rhus toxicodendron, chest pain, front 27; back 77; confirmed symptoms 96. Ru'ta, chest pain, front 27; right side 49. a Sabina, chest pain, front 27. Sambucus, chest pain, right side 49; back 79. Sanguinaria, chest pain, front 27. Sarsaparilla. chest pain, right side 49; back 77. Senega, chest pain, right side 49; left side 66. Sepia, chest pain, front 27 ; right side 50; back 77. Sihcea, chest pain, right side 50. Spigelia, chest pain, front 27; right side 50; left side 63; con- firmed symptoms 87. Spongia, chest pain, right side 50. Squilla, chest pain, front 28. Stannum, chest pain, front 28; left side 63, 66; back 77. Staphysagria chest pains, right side 50; left side 64. Strontiana, chest pain, front 28. Sulphur, chest pain, front 29; right side 50; back 77. Sulphuric acid, chest pain, front 29; right side 50; left side 64, 66; back 77. T Taraxacum, chest pain, right side 50; left side 66; back 78. Thuja, chest pain, front 29; right side 50. Tongo, chest pain, front 29; back 78. V Valerian, chest pain, front 29; right side 50. Verbascum, chest pain, back 78. Z Zinc, chest pain, front 29; left side 64; back 78; confirmed symp- toms 91. Vs* mmm® . ■il--r.:y-i_i,i;.::i|.'..v; , <•■*!;•>>■■ ■ '• ■ .' ■ "!«•**>• V. v ' ■■■&??%'■;■ :/•,■•, ■" V^W-V'1-.-V .•■■ '>^«f-,' ■■:•'■•■ *»?■■■ : ■■:.■ A-v-y «'.■'■'''■"-' ^«i.-'s-.-. .-•.".■• ,•'£$$ Y-. '•:• ' l$V; :• :.<.•'. ■ ?".-7ts:-i :■•. •-,• .'-•i^C-V. -.' . ■'-. 'J,-.'-;.';';.