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A^LEN, A.M., M.D., PROFESSOR OP MATERIA MEDICA AND THERAPEUTICS IN THE NEW YORK HOMOEOPATHIC MEDICAL COLLEGE; CORRESPONDING MEMBER OF THE BRITISH HOMOEOPATHIC MEDICAL SOCIETY. WITH CONTRIBUTIONS FROM DR. RICHARD HUGHES, of England. DR. C. HERING, of Philadelphia. DR. CARROLL DUNHAM, of New York. DR. AD. LIPPE, of Philadelphia, and others. ^JdAAojAfy >X ^X'X^ VOL. VI. [ (7 Lft# BOERICKE & TAFEL: NE W YORK: PHIL A DELPHI A : 145 GRAND STREET. 635 ARCH STREET. 18 7 7. VXK \S1A- v,6 SHERMAN * CO., PRINTERS, PHILADELPHIA. LIST OF REMEDIES IN VOL. VI. PAGE Lycopodium,........ 1 Lycopus,.........69 Macrotinum,........84 Magnesia Carbonica,.....85 Magnesia Muriatica,.....112 Magnesia Sulfurica,.....131 Magnolia Glauca,......142 Maneinella,........142 Mandragora,........150 Manganum,........151 Manganum Muriaticum, .... 165 Manganum Oxidatum Nativum, . 166 Marum Verum,.......167 Mate,..........173 Meconinum,........174 Medusa...........174 Melastoma,........175 Melilotus,.........176 Menispermum,.......177 Mentha Piperita,.......180 Mentha Pulegium,......181 Menyanthes,........182 Mephitis,.........191 Mercurialis,........193 Mercurius, ........208 Mercurius Acetieus,......235 Mercurius Bromatus,.....235 Mercurius Corrosivus,.....236 Mercurius Cyanatus,.....263 Mercurius Dulcis,......266 Mercurius Iodatus Flavus, . . . 269 Mercurius Iodatus Ruber,.... 282 Mercurius Methylenus, .... 290 Mercurius Nitrosus,.....292 Mercurius Precipitatus Albus, . . 294 Mercurius Precipitatus Ruber, . . 295 PAGE Mercurius Solubilis,.....296 Mercurius Sulfocyanatus,.... 324 Mercurius Sulfuricus,.....325 Methylenum Bichloratum, . . . 328 Methyl-Ethyl Ether,.....329 Mezereum,.........330 Millefolium,........366 Mimosa,.........372 Mitchella,.........373 Momordica,........378 Morphinum,........378 Moschus,.........398 Murex,..........412 Muriaticum Acidum,.....415 Murure,..........430 Musa,..........431 Mygale,..........431 Myrica...........432 Myristica,.........443 Nabalus,.........444 Naja,...........445 Narceinum,........466 Narcissus,.........468 Narcotinum,........468 Narzan,..........472 Natrum Arsenicatum,.....473 Natrum Bromatum,.....498 Natrum Carbonicum, . . : . . 498 Natrum Muriaticum,.....528 Natrum Nitricum,......598 Natrum Phosphoricum, .... 601 Natrum Salieylicum,.....610 Natrum Sulfovinicum, .... 611 Natrum Sulfuratum,.....611 Natrum Sulfuricum,.....611 Niccolum,.........633 List of Verifications in Vol. VI, by Dr. Lippe, 646 ENCYCLOPEDIA OF PURE MATERIA MEDICA. LYCOPODIUM. Lycopodium clavatum, Linn. Natural order, Lycopodiacese, Common names, Preparation, Triturations. Authorities. (Nos. 1 to 8 from Hahnemann, Chr. K-n.) 1, Hahnemann; 2, v. Gersdorff; 3, Goullon; 4, Hartlaub; 5, Rummel; 6, Schreter; 7, Wahle; 8, Riickert; 9, Dr. J. J. Schelling, A. H. Z., 25, 357, proving with 19th dil., taken twice at intervals of four days (doubtful symptoms in brackets); 9 a, same, second proving with same; 9 b, same, proving with 23d dil.; 9 c, same, A. H. Z., 82,121, proving with 8th dil., one dose ; 9 d, same, proving with 20th dil., three doses in one forenoon ; 9 e, same, 20th dil., 3 drops a day ; 9/, same, repeated doses; 9gr, same, proving with 24th dil.; 9 h, same, took Lye, a year after last proving, for itching on scrotum and turbid urine; 9 i, same, subsequently, in good health, took 200th dil. (Jenicheu); 10, Dr. Segin, Hygea, 19, p. 11, took 2 drops of 18th dil. every morning; 10 a, same, proving with 30th, and afterwards with repeated doses of 18th dil.; 10 b, same, took 3d trit., no symptoms for two days, then 30th dil. daily for five days; 10c, same, seven years after, took 1st dil., 10 drops after breakfast; 10 d, same, ten days later, took 10 drops of tincture; 10 e, same, took 1 drop of the oily residue from evaporated tincture; 10/, same, took 50 drops of 3d dil. in the morning, fasting; 11, Dr. Genzke, Hygea, 22, p. 446, took 3d dec. trit., 2 grains morning and evening, increasing 1 grain a day to 14 grains; 11a, same, proving with 20 drops of tincture (first day), 28 drops (second day), 40 drops .(third day), 54 drops (fourth day), 76 drops (fifth day), 100 drops in two doses (eighth day), 130 drops in two doses (ninth day), 160 drops in two doses (tenth day); 11 b, same subsequently took large doses, 300 drops (first day), 400 drops (second day), 500 drops (third day), the dose of each day taken in four parts at morning, 10 a.m., 6 p.m., andbefore retiring at night; 12, from last, Rusch, 24 years old, took 3d trit. daily for twelve days, beginning with 2 grains and in- creasing 1 grain each day; (Nos. 13 to 23, from Martin'sprovings,Yierte\jahr- schrift fiir Horn., 10, p. 52); 13, Blaufuss, took one dose of 1 grain crude (first day), two doses (second day) ; 13 a, same, took 1 grain of 1st trit.; 14, Graefe, took 1 grain crude (first day), two doses, each 1 grain (second day); 15, Gunther, took 1st trit. (first, second, and third days); 16, Hilpert, took 1 grain crude twice (first day), 1 grain (third and fourth days) ; 16 a, VOL. vi.—1 2 LYCOPODIUM. same, took 1st trit. (first, second, third, and fourth days) ; 17, Horn, took 1 grain crude (first day), 2 grains (second day) ; 17 a, same, subsequently took 1st trit. (first and second days); 18, Kuntzmann, took 1 grain pure (first, second, and third days), also" a dose of 1st trit. on third and fourth days; 18 a, same, took subsequently 4 grains pure twice in one day ; 19, Dr. Mar- tin, took 1 grain triturated with 4 grains of Sacch. lac, afterwards repeated on two successive days ; 19 a, same, took 1st trit.; 19 b, same, took 4 grains crude; 19 c, same as last, repeated ; 20, Oehler, took 1 grain (first day), 2 grains (second day); 20 a, same, took 1st trit. three days in succession im- mediately after last proving; 20 6, same, subsequently took a dose of 1st trit.; 20 c, same as last, dose repeated third and fifth days ; 21, Reichmann, took 1 grain, repeated after several days; 21a, same, subsequent dose of 1 grain ; 22, Vulpius, took repeated doses of crude drug, 1 to 3 grains; 22 a, same, 1st trit. on first, second, and fourth days; 22 6, same, subsequent proving, repeated doses of 4 grains crude; 23, Werther, took 1st trit. (first, second, and third days) ; (Nos. 24 to 33, Dr. Ruber's provings, Zeit. d. ver. hom. Aerzte Oest., 1857,1, p. 333) ; 24, Dr. Huber,took 5 grains of 5th trit. morning and evening for eight days; 25, Elizabeth Huber, 24 years old, took same; 26, O. Huber, aged 1 year, took 2 grains of 5th trit. morning and evening for five days; 27, Theresa Herold, maid, 15 years old, took same as Dr. Huber; 28, Maria Weber, aged 23, took same; 29, Emil Koller, took Qth dec. trit., 20 grains (first and second days), 30 grains (third day), 60 grains (fourth day), 90 grains (fifth day), 5th dec. trit., 60 grains (sixth and seventh days), 90 grains (eighth and ninth days), 4th dec. trit., 90 grains (tenth, eleventh, twelfth, and thirteenth days), 3d! dec. trit, 90 grains (fourteenth, sixteenth, seventeenth, eighteenth, and twentieth days), 2d dec. trit, 90 grains (twenty-first to twenty-sixth day), 1st dec. trit, 90 grains (twenty-eighth to thirty-first day); 30, Johann Huber, aged 33, took Qth dec. trit, 20 grains (first, second, fifth, sixth, and seventh days), 5th trit, 30 grains (eighth, ninth, and tenth days), 4th trit, 30 grains (eleventh and twelfth days), 60 grains (thirteenth and fourteenth days), 3d trit, 60 grains (fif- teenth to nineteenth day), 2d trit. (twenty-first to twenty-fifth day), 1st trit, 60 grains (twenty-sixth, twenty-seventh, twenty-ninth, thirtieth, thirty-first, and thirty-second days) ; 31, Dr. Roller's daughter, 6 years old, took 15 grains of 6th trit. (first, second, third, and fourth days), 12 grains of 5th trit. (fifth, sixth, and seventh days), 20 grains of 4th trit. (eighth, ninth, eleventh, thirteenth, and eighteenth days), 20 grains of 3d trit. (twentieth, twenty-second, twenty-fifth, and twenty-sixth days), 20 grains of 2d trit. (twenty-eighth, thirtieth, thirty-third, and thirty-fifth days), 20 grains of 1st trit. (thirty-sixth, thirty-seventh, thirty-ninth, and fortieth days) ; 32, Kathrina Herzig, aged 16, took dilutions from 30th to 1st, in various doses and at various intervals, with only one effect; 32a, same, afterwards took triturations, 60 grains of 6th (first day), 20 grains (second and third days), 60 grains of 5th (fourth, fifth, seventh, and eighth days), 60 grains of 4th (ninth day); 33, Theresa Pell, aged 17 (had never menstruated), took 60 grains of 6th dec. trit. (first, second, third, and sixth days), 60 grains of 5th trit. (seventh, ninth, and tenth days) ; 34, Dr. Baumgartuer, Zeit. d. ver. hom. Aerzte Oest., 1862, 1, p. 166, took one dose of 100 drops of 30th dil.; 34a, same, took like dose of 24th dil.; 34 6, same, two similar doses of 18th dil., with interval of a week; 34c, same, took 100 drops of 15th dil. (first and second days), of 12th dil. (fourth day), of 9th dil. (sixth and seventh days), of 6th dil. (ninth and tenth days), of 3d dil. (thirteenth day), of 2d dil. (fourteenth day), of 1st dil. (fifteenth day), 10 drops of LYCOPODIUM. 3 tincture (sixteenth day), 30 drops of tincture (seventeenth day), 100 drops of tincture (eighteenth and twentieth days), 1^ ounces of tincture (twenty- fourth day); 34d, same, subsequently took 5 grains of 1st trit. morning and evening for twenty-nine days; 35, Dr. Robinson, Br. J. of Horn., 24, 515, proving in a young woraanj glob. TOyo (1000th dil.) (Epps), in 8 ounces of water, a teaspoonful every third morning; 36, same, proving in a middle- aged woman, gtt. y1^- (18th dil.), three times a day ; 37, same, proving in a middle-aged man, gtt. 7y (12th dil.), three times a day ; 38, Dr. Berridge, N. Am. J. of Horn., N. S., 1871, p. 71, a "patient" took one dose of cm Fincke (expunged, T. F. A.) ; 39, Berridge, a man took in water 200th dil., repeated doses (first and second days), on third and fifth days 30th dil.; 40, same, proving in same man with 5000th (Jenichen), one dose ; 41 and 42, same, in patients (expunged, T. F. A.); 43, Berridge, N. Am. J. of Horn., 1873, p. 500, a man took a dose of 6000th (Jenichen), repeated twice with same result; 44, Berridge, N. Am. J. of Horn., July, 1874, p. 296, effect of a high potency on self in health ; 45, Berridge, N. E. Med. Gaz., September, 1874, p. 401, effect of 5m (Jenichen), repeated for twelve days. Mind.—Emotional. Delirious at night,41.—Delirious, raging, en- vious, reproachful, presumptuous, and imperious (after twelve hours),1.— Irrational talking, with weeping, as if she would become delirious, the day preceding and the first day during menstruation (after seven days),1.— A kind of living outside of herself, as in the commencement of fever,1.— Involuntary whistling and humming,1.—Desires to be alone,1.—Disinclina- tion to talk,3.— Weeping, with chilliness,1.—Weeping at night in sleep,1.— [10.] He cries and howls, at first about past and then about future trou- bles,1.—He laughs without being pleased ; humorous,1—If one looks at her to say anything serious, she is obliged to laugh,1.—Inclined to laugh and cry at the same time,1.—Excited and exceedingly merry,1.—Very much excited, almost jovial, from a glass of wine (third day),91.—Lively mood (ninth day),29.—Very lively mood during the whole proving,17**.—Lively and excited, with busy fancies, in the afternoon (fourth day),91.—Great hilarity, especial good humor (fifth day),31.—[20.] Remarkably joyous mood for several days,17.—Exceedingly merry, with dizzy vertigo,1.—*Sad mood,1.—Sad mood, she is obliged to cry all day, and cannot be contented; without cause,1.—* Very sad mood, with confusion of the head (fourth day),16a. —Sad, despondent, at last lachrymose,1.—Extremely sad and ill-humored,1. —Sadness when hearing distant music (thirty-fifth day),45.—Melancholy in the evening,1.—* Melancholy; loss of spirits; sad thoughts,1.—[30.] Ex- tremely melancholy; depressed, joyless mood,1.—^'Depression of spirits (after seventeen days),1.—She became very miserable (with sore throat), and the color of the face became yellowish-gray,7.—^Despondent, sad, fan- ciful,1.—Very despondent and weak,1.—Despairing, lachrymose,1.—Hypo- chondriac, complaining mood ; he feels unhappy (first two days),1.—Anx- iety in the evening, whereby there seems to be a sort of semiconfusion before the eyes,1.—Anxiety on falling asleep,1.—Attack of anxiety on waking after midnight, so that she is unable to get her breath, lasting two hours, two nights in succession,1.—[40.] If people come near her, she is immedi- ately attacked with anxiety at the pit of' the stomach,1.—* Great anxiety, as if in the pit of the stomach, without special thoughts (after twenty-four hours),1.—Internal anxiety in the forenoon, and internal chilliness, like an internal trembling,1.—Anxious thoughts, as if she were about to die, for which she even prepared by thinking of her farewell messages, in the morn- 4 LYCOPODIUM. ing after waking from a deep sleep (after sixteen hours),1.—Loss of confi- dence in his own vigor,1.— While walking in open air, apprehensiveness and attacks of vertigo,1.—He is easily frightened and starts up,1.—* Great fear- fulness,1.—* Very fearful all day,1.—-Fear of going to bed in the evening, .— [50.] In the evening on entering a room he is attacked with fear, as though he saw some one; even during the day he believes that he hears some one in the room,1.—In the evening, in the dark, he is seized with fear when a door that he wishes to open moves with difficulty,1.—Great fear of frightful images, which her fancy conjures up, in the evening, and lachrymose during the day,1.— Great apprehensiveness in the pit of the stomach/from peevish- ness,1.—Anthropophobia (first day),1.—She flees from her own children,1.— She dreads to be alone,1.—Great irritability,341.—^Extreme irritability, with apprehensiveness,1.—* Very irritable and violent,1.—[60.] * Very irritable, and inclined to melancholy,1.—^Extremely irritable, fearful, and peevish,1.—*Ir- ritable, peevish mood,9*.—* Very irritable mood (twenty-seventh day),29.— * Very irritable, peevish mood (fifth day),9"*.—Extremely sensitive mood, she cries about being thanked (after twenty hours),1.—*Ill-humor (ninth and tenth days),30; (eleventh day),29; (eighteenth day),31.—Ill-humor; no desire to talk (after two days),34.—Ill-humor, with ravenous hunger, in the even- ing (fourth day),34*.—Ill-humored in the morning (seventeenth day),29.— [70.] Ill-humored, fretful (twenty-first day),29; (twenty-seventh day),30.— Ill-humored all day, and made to weep by the slightest causes (sixth day),34c. —Ill-humored and indolent (eleventh day),30.—Very ill-humored (first day),22.—* Very ill-humored, morose, and melancholy just before menstrua- tion1.—Ill-humored and fretful mood (seventeenth day),29.—Extremely ill- humored in the evening (twentieth day),29.—Out of humor, with disinclina- tion to talk, all day (seventh day),340.—*Fretfulness,3; (eighteenth day),30. —Fretfulness and peevishness (seventh day),24.—[80.] ^Fretful, ill-humored (sixth day),29.—Fretful; very irritable in the evening (eighth day),29.— Fretful, taciturn, inclined to weep (sixth day),28.—Frequent crying, the child was fretful, and in the evening would not go to sleep for a long time (sixth day),26.—Fretful mood, with disinclination for everything, in the morning (twenty-second day),29.—Peevish and irritable; easily excited to anger (twenty-third day),34d.—Peevish, despondent (fifteenth day),1.—^ao", hypochondriac (peevish) mood,1.—He can hardly conceal an internal obsti- nacy and peevishness,1.—She cannot endure the slightest opposition, and is speedily beside herself from peevishness,1.—[90.] *Mood very morose, excit- able, easily roused to anger; becomes peevish about trifles, and is taciturn (fifth day),90.—She is overpowered by many unpleasant recollections, about which she becomes vexed; even at night on waking,1.—* Easily roused to anger . 4.—Normal. No. 5.—After 15 minutes No. »* —Normal. No. 7.—After 15 minutes. MARUM VERUM—MATE. 173 quent yawning, and a sensation as if he must frequently stretch (after a quarter of an hour),5.—In the evening, as he sat in a warm room and con- versed with great interest upon a disagreeable subject, he was attacked with chilly trembling of the whole trunk, which with slight interruptions con- stantly returned, and disappeared after the close of the conversation,3.— Heat. Frequent feeling of flushing heat in the face, without external red- ness2 4. Conditions.—Aggravation.—(Forenoon), Relieved by walking, in- flammation, etc., of great toe.—(Evening), Obstruction of nose.—(Open air), Immediately, fluent coryza.—(Eating), Hiccough, etc.; pain in lum- bar region ; feeling of prostration ; chilliness.—(Sitting), Tearing in ankle. Amelioration.—(Walking), Sensation in chest, etc. MATlS. Ilex Paraguayensis, D. C. (Ilex Mate, Aug. St. Hilaire; Psorulea glandulosa, Linn.) Natural order, Uicinese. Common names, Mate, Paraguay tea. Preparation, Tincture of leaves. Authorities. 1, Mantegazza, general effects, Gaz. Med. Ital., Lombardy, 1859 (from Marvaud); 2, Marvaud, Les Aliments d'Epargne, page 343, experiments on self with the infusion (20 grammes of Mate to 250 grammes of water) taken fasting; also three experiments with the sphygmograph ; No. 1, a man of 35, took 60 grains of infusion (15 grammes Mate to 200 of water), tracings 1 to 3; No. 2, a man of 30, took same, tracings 4 and 5; No. 3, a man of 25, took same, tracings 6 and 7. Mind.—State of satisfaction and contentment with everything, with- out any delirium,2.—Feeling of calmness and comfort; happy and pleased with all the world ; remained several hours tranquil and motionless on my bed, occupied with a throng of pleasant thoughts, but unable to sleep, though without the malaise which generally accompanies wakefulness (after fifteen minutes),2.—Acts especially on the intellect,1. Head.—Slight headache (after a few minutes),2. Stomach.—Quite painful cramps in the stomach (after a few min- utes),2.—A peculiar, quite specific, but indefinable, sort of gastric irrita- tion; more than any other similar beverage, it is apt to disturb digestion when taken after a meal; but few stomachs can bear it well,1. Abdomen.—Borborygmi (after a few minutes),2.—Tension of the ab- domen (after a few minutes),2. Stool.—Promotes the peristaltic action of the bowels; removes con- stipation,1. Respiratory Organs.—[10.] Respiration quickened,2.—Consider- able acceleration of respiration,1. Heart and iFulse.—Acts more strongly on the heart than any other similar beverage,1.—The sphygmographic tracings show an acceler- ated action of the heart, wider oscillations, and diminished arterial ten- sion,2.—Considerable acceleration of pulse,1. General Symptoms.—General hyperesthesia,1.—Removes weari- ness, and disposes to exertion,1.—Violent excitement (after a few min- utes),2. Sleep.—The state of mental activity was at last succeeded by a peaceful 174 MECONINUM—MEDUSA. slumber, from which I awoke next morning without the slightest headache or sense of depression,2. Fever.—Bodily temperature lowered,2.—[20.] Cold feeling in the ex- tremities and lumbar region (after a few minutes),2. MECONINUM. Meconine (Opianyl), C10H10O4. A glucoside obtained from Opium. Preparation for use, Triturations of the crystals. Authority. Harley, Old Vegetable Neurotics, p. 153. 1, Effects of sub- cutaneous injection of-§■ grain in solution ; 2, same, effects of 1 grain; 3, same, effects of 2 grains. Respiratory Organs.—Respiration 20 (before the injection); 16 (after one hour) ; 16 to 17, regular (after two hours and a quarter),1.—Res- piration 20 (before first proving); 17 (two hours after second proving),2.— Respiration 20 (before first proving); 18 (one hour after third proving),3. Pulse.—Pulse 75 (before the injection) ; 66 (after one and two and a quarter hours),1.—Pulse 75 (before first proving) ; 65, regular, not quite so full as before the injection (two hours after second proving),2.—Pulse 75 (before first proving) ; 66 (one hour after third proving),3. General Symptoms.—Secretions free,3.—Secretions quite free,2.— Felt very comfortable (after one hour),1. Sleep.—[10.] Somnolency (after twenty minutes); had had a few light dozes (after two hours) ; somnolency continued; went home and slept well all night, and was sleepy, as usual after his opiate injections, all the next day,2.—Felt very comfortable and sleepy, but not more so than on last occasion (after one hour); somnolency increased during last hour, but he had not actually slept since the injection (after two hours and a quarter) ; weut home and slept well, and felt sleepy throughout the next day,3.— Slight somnolency (after about half an hour); had continued decidedly sleepy, but effect was passing off (after two hours and a quarter) ; did not sleep well during the night; slept most of the next day,1. MEDUSA. Medusa (various species). Class, Acalephse. Common names, Jelly-fish, Sea-nettles. Preparation for use, Tincture of living animal taken in summer. Authorities. 1, Wagner, Edin. New Phil. Journ., 1842; 2, Dr. J. G. Houard, Hahn. Month., 8, 84, effects of two cupfuls of a decoction taken warm by a woman of 38 affected with disease of the stomach and leucor- rhoea (from Dr. Friad's report to Acad, of Med., Paris). Extreme anxiety, with difficult speech,2.—Eyes puffed and oedematous, soon,2.—Ears puffed and oedematous, soon,2.—Nose puffed and oedematous, soon,2.—Lips puffed and oedematous, soon,2.—Speech difficult, with extreme anxiety,2.—The secretion of urine, which had been suspended duriug twelve days, returned; she had taken some powerful diuretics,2.—The secretion of milk was re-established in this woman's breasts three years after the birth of her last child, although she had had twelve children without having suckled any of them, no milk having been secreted,2.—Most of the symp- MEDUSA—MEL ASTOM A. 175 toms disappeared (fifth day),2.—[10.] Desquamation (fifth day),2.—The slightest touch of a medusa causes a perceptible burning sensation, and this is more or less severe, according to the vigor of the animal; they only sting from parts of the body where the epidermis is preserved; he never experienced the sensation when he came in contact with portions in which the epidermis had been removed; in his case a burning sensation was felt in from a few seconds to a minute after contact; after five minutes a slight reduess appeared in his case, and then a simple, lentil-shaped elevation ; but more frequently three or four near one another; the appearance some- times resembles nettle-rash; the pain generally soon ceases, but it lasted half a day with one of the party (Dr. Wills), and after eight days a red- ness was still perceptible,1.—Vesicular eruption of the skin, soon,2.—Prick- ing heat, numbness and burning of the skin of the face, arms, shoulders, and breasts, soon,2. MELASTOMA. Melastoma (Ackermani, of Mure), (plant figured in Mure, Pathogen. Bresil.). Natural order. Melastomacese. Preparation, Tincture of the leaves. Authority. Mure, Pathogen. Bresil., p. 270. Head.—Vertigo (first day).—Headache, with sensitiveness of the scalp (second day).—Lancination and prickings at the vertex (second day). Ear.—Roaring in the left ear (first day). Nose.—Sneezing (first day). Face.—Pale face (second day). Mouth.—Looseness of the teeth (second day).—Digging in the teeth (second day).—White tongue (second day).—[10.] Copious flow of saliva (first day).—Bitter mouth (second day). Stomach.—Sour stomach (first day). Abdomen.—Borborygmi (second day).—Pain in the abdomen (second day). Rectum and Anus.—Tenesmus, with constriction of the sphincter (second day).—Heat and pricking at the anus (second day).—Pain at the perinseum (second day).—Fearful pain and pulling from the perineum to the anus, when sitting; not ceasing in any position; lasting six hours (sec- ond day).—Lancinations in the perinseum, urethra, and testicles (second day). Stool.—[20.] (Cure of inveterate diarrhoea and colic), (second day). Urinary Organs.—Pricking in the urethra (second day).—Profuse urine (second day).—Light-colored and foaming urine (second day).—Red, odorless urine, with bloody clots (second day).—Fetid urine (second day). —Urine more cloudy and less foaming (second day).—The urine deposits a white sediment (second day).—Albuminuria (second day). Sexual Organs.—Hardness of the penis, without erection (second day). Chest.—[30.] Pain in the sternal region, in the morning (first day). Heart.—Palpitation of the heart (first day). Rack.—Pain in the loins (second day). Inferior Extremities.—Weakness of the thighs (second day).— CEdema of the legs (second day). General Symptoms.—Prostration (second day). 176 MELASTOMA—MELILOTUS. Skin.— Eruption on the lips, especially the upper (second day).—Itch- ing and heat at night (second day).—Pricking over the feet, ankles, and wrists (second day). Sleep.—Drowsiness in the daytime (second day). Fever.—[10.] Chills, followed by sweat (first day).—Violent chills for four hours, followed by heat without sweat (second day).—General heat (first day).—Internal heat (second day). MELILOTUS. Melilotus officinalis, Linn. Natural order, Leguminosse. Common name, Yellow Melilot. Preparation, Tincture of the flowers. (Dr. Bowen uses both the yellow and white species; M. officinalis and M. alba.) Authorities (Provings of Dr. G. W. Bowen, in MSS., sent to the Editor). 1, Dr. Bowen took 10 drops of 1st cent. dil. at 8 a.m. ; 1 a, same, effects of one dose (of tincture), U. S. Med. and Surg. J., 5, 317; 2, T. J., a student (always complaining of headache, pain in legs, with occasional nosebleed), took a few drops of tinct.; 3, Miss B., aged 20, put some of 1st dil. ou handkerchief, of which she smelled frequently ; 4, Mrs. B., aged 36 (suffer- ing from prolapsus uteri, left inguinal hernia, and periodic headaches), took one drop of tinct. in 4 doses at intervals of six hours ; 5, Mrs. Bowen, very sensitive to its action, effect of smelling flowers; 6, T. D., a man aged 20,f took 1 drop of 1st cent. dil. every hour for six hours; 7, Dr. T. C. Duncan, Med. Invest., 1874, vol. 11, p. 519, effect of chewing some Melilotus. Mind.—He was fairly furious; was obliged to lock him in his room for twenty-four hours (after six hours),6.—Loss of consciousness (with gush- ing of blood from nose), (fourth day),la. Head.—Dizzy (third day),2.—^Headache lasting four days, with op- pression of the chest, severe stitching or cutting pains in the womb and through the hernia; was confined to bed for four days and only relieved by profuse bleeding from the nose (after two days); she had no more headaches for seven months,4.—^Severe headache (third day),2.—* Almost delirious with headache (second and third day),1*.—In the afternoon had a heavy oppres- sive headache which towards night assumed a heavy throbbing nature (third day),1.—*A frightful, heavy, oppressive headache for three days, which is easiest relieved by applying vinegar to the head,5.—Headache began gradu- ally, and was confined to the left supraorbital region ; it was aggravated by motion ; on lying down it was better; if I allowed myself to think hard, as there was a disposition to do, it would ache worse; I noticed on talking it quite disappeared from the forehead, and settled in the occipital region; when I stopped talking it returned to the forehead ; it took it about a minute, I should judge, to travel back and forth; I could feel it migrate, especially when returning to the forehead; when I walked around the whole head was affected, but worse over the eye (I am right-handed, and have a weak right eye; the left brain is therefore best developed) ; this alternate head- ache is unique, so far as I know; it lasted about two hours (after about two hours),7. f Has been subject to congestive headaches so severe that he would fall in the streets; has had none since taking the Melilotus, now four years.—Gr. W. B. MELILOTUS—MENISPERMUM. 177 Nose.—[10.] Blood gushed from my nose, and I lost consciousness (fourth day),1*. Face.—* Very red face (third day),2.—*Face highly congested, almost livid (after six hours),6.—Looked very pale (after six days),4; (after a week),3. Stomach.—Acid eructations all day, of a burning and smarting na- ture (first day),1 Rectum.—Had a heavy throbbing and fulness in the rectum, which I found to be internal piles, which alarmed me very much, as I had never been troubled there before (third day),1. Urinary Organs.—Was obliged to leave business, and go to relieve the accumulation of water in the bladder, which annoyed me very much (third day),1. Respiratory Organs.—Harsh, spasmodic cough (third day),2.— Dry cough, spasmodic and distressing (third day),1.—Smothered or par- tial suppressed cough,6.—[20.] Cough very harassing, as I could not relieve my throat or bronchia by getting anything up until near night, when it began to loosen a little (fourth day) ; when I woke could expectorate quite freely (fifth morning),1.—Very easily w*earied, as I could not get air enough to do me any good apparently (fourth day),1.—Oppressed for breath, and seemed to be smothering up (after six hours),6. Chest.—Much oppression of the chest; there seemed to be a load on my chest; difficult breathing, felt smothered and oppressed ; frequently ex- amined my clothes, feared they might be too tight (second day); still an oppressed spasmodic breathing, with great fulness of the chest (third day),1.— A great deal of soreness of the chest, both internally and externally; was fearful I had taken a cold, which I knew was not possible (second day),1. General Symptoms.—Very nervous and easily annoyed (third day),1.—Seemed to be quite weak (after six days),4.—Suffered for three days with terrible headache, a bad cough, and oppression of the chest, but she got relief when her nose began to bleed, which it did to a frightful degree,3. —Symptoms only relieved by severe or profuse bleeding from the nose for three days,6. Sleep.—Poor sleep (first night),1.—[30.] Passed a miserable night; my wife was much worried about me; slept better towards morning (fourth night),1. Fever.—Cold extremities (third day),2. MENISPERMUM. Menispermum Canadense, Linn. Natural order, Menispermacese. Common names, Moonseed, Yellow Parilla. Preparation, Tincture of root. Authorities (Hale's provings, Trans. N. Y. State Hom. Med. Soc, 7, p. 125). 1, Dr. J. D. Taylor took tincture, 35 drops (first day), 55 (second day), 150 (evening, third day), 220 (evening, fifth day), 200 (evening, eleventh day), 100 (evening, twelfth day), 150 (evening, thirteenth day); 2, Dr. Graham took " Menispermin," ^th trit., 3 grs. in three doses (first day), 6 grs. in three doses (second, third, fourth, and fifth days), 6 grs. in two doses (sixth to tenth days), 8 grs. one dose (twelfth day). Mind.—Emotional. Low-spirited, but attend to business with ra- pidity (thirteenth day),2.—Low-spirited, but absent-minded (fifth day),2.— Quick-tempered (twelfth day),2.—Quick temper, and irritable (thirteenth vol. vi.—12 178 MENISPERMUM. day),2.—Feel surly, ill-natured, and stubborn (tenth day),2.—Intellec- tual. Absent-minded, but thoughts clear (sixth day),2. Head.—Feeling of fulness in the head, during the night (twelfth night),1.—Headache, with pressure from within outwards (fourteenth morn- ing),1.—Intense headache, with feeling as if it would burst, with pain the whole leugth of the back, at 4 p.m. (fourteenth day) ; the headache con- tinued three or four days ; Bryonia relieved the headache ; it was also ame- liorated by walking in the open air,1.—[10.] Headache, during the night (thirteenth night),1.—Intense headache, with stretching and yawning; the headache lasting three or four days (after three hours, fifth day),1.—Dull, heavy headache, with a feeling of fulness (fourth morning),1.—Slight head- ache in upper frontal region, and through the temples (ninth day),2.— Headache through temples, extending to occiput (tenth day),2.-—Headache in temples and occiput (eleventh day),2.—Severe headache through temples and occiput (twelfth day),2. Eye.—Eyes feel dry and swollen (after three hours, fifth day, and twelfth night),1.—Eyes feel as if swollen, during the night (thirteenth night),1. Nose.—Objective. Sneezing (fifth day),2.—[20.] Much sneezing, and profuse flow of mucus from the nose (fourteenth morning),1.—Nose discharges but little mucus; nostrils feel dry (fourth day),2.—Nasal mucus thinner, but more copious (second day) ; thin, but less copious (third day),2. —Subjective. Nostrils feel dry (fifth day),2.—Nostrils feel dry, espe- cially the left, and itch painfully; mucus excoriates (sixth day),2.—Painful soreness of inner nostrils (seventh day),2.—A feeling of itching and swell- ing of mucous membrane of left nostril (fourteenth day),2.—Itching of nos- trils (twelfth day),2. 31 oath.—Objective. Tongue coated, thicker posteriorly, with raised papillae; dry and parched (fourth morning),1.—Tongue coated yellowish- white (fifth day),2.—[30.] Tongue coated yellow (thirteenth morning),1.— Tongue coated all over with a yellow fur (twelfth morning),1.—Yellow coat on the tongue, thickest at the base; tongue swollen (fourteenth morn- ing),1.—Slight milky coating on tongue (eighth day),2.—Subjective. Mouth and throat dry, during the night (twelfth night),1.—Burning on the tongue, soon (first day),1.—Tongue felt raw, as if burned (after one hour, second day),1. Throat.—Throat feels dry and parched (twelfth morning),1.—No soreness of throat (curative), (after eight or nine days),1. Stomach.—Increased appetite (fourth day),2.—[40.] Rather thirsty (fifth day),2.—Much thirst (eighth day),2.—Slight nausea on waking in the morning (eleventh day),2. Abdomen.—Pain in the umbilical region (fourth morning) ; increased (fifth day),1. Rectum.—Slight tenesmus, with natural stool (first day) ; tenesmus continues (second day); occasional tenesmus, bowels regular (third day); occasional tenesmus (fourth day); tenesmus (sixth day); tenesmus, but bowels still regular (eighth day),2. Urinary Organs.—Urine high-colored, scanty, and hot (after three hours, fifth day),1.—Urine averages 30 oz. (before the proving) ; 34 oz., with white cloud near the bottom (second day); 32 oz., with white thready clouds floating through it (third day) ; yellowish, about 30 oz. (fourth and fifth days); yellow and cloudy (sixth day) ; dark yellow, rather scanty (eighth day) ; less dark (tenth day) ; still yellow (twelfth day),2. MENISPERMUM. 179 Respirator}/ Organs.—(Morning expectoration less, and of a lighter color, curative), (second day),1.—(Very little expectoration, cura- tive), (after eight or nine days),1.—Hurried respiration during the night (twelfth night),1. Rack.—[50.] Pain the whole length of the back, with intense headache, with feeling as if it would burst, at 4 p.m. (fourteenth day),1.—Dull pain the whole length of the back, with yawning and stretching (fourth morn- ing),1. Extremities in General.—Aching in thighs, elbows, and shoul- ders (ninth day),2. — Slight drawing aching in external muscles of the thigh and upper arm, also under left scapula (seventh day),2. Superior Extremities.—Drawing in the brachialisanticus (eighth day),*.—-Noticed once or twice a slight jerking near left elbow, probably in biceps muscle (seventh day),2. Inferior Extremities.—Aching in the bones of the legs, lasting three or four days (after three hours, fifth day),1.—Aching in upper part of left femur and left hip-joint (eighth day),2.—Legs feel sore, as if bruised, with pain in the bones, at 4 p.m. (fourteenth day) ; the pain in the bones continued for three or four days,1. General Symptoms.—Objective. Stretching and yawning, at noon (fourteenth day),1.—[60.] Stretching and yawning, with intense head- ache (after three hours, fifth day),1.—Languor, laziness, mental and physi- cal (eighth day),2.—Subjective. Aching-drawing pains in the muscles of the thighs, also in shoulder-joints and region of scapulse (sixth day),2.—The pains resembled those caused by taking large doses of Quinine, and relieved by a few doses of China,1. Skin.—A few pimples on the face (fifth day),2.—Itching all over the body, especially over the gluteal muscles and thighs, aggravated by warmth of the bed (after three hours, third day),1.—Thighs itch (ninth day),2. Sleep and Dreams.— Sleepiness. Yawning and stretching, with dull pain the whole length of the back (fourth morning),1.—Disincli- nation to get up early in the morning, from unusual sleepiness (nineteenth day),2.—Slept late and heavy in morning (tenth and twelfth days),2.— Sleeplessness.—[70.] Restlessness, during the night (thirteenth night),1. ■—Restlessness, with troubled and confused dreams and sudden starting from sleep, during the night (third night),1.—No sleep (sixth night),2.—Dreams. Sleep wTell, but inclined to dream pleasing dreams (fourth day),2.—Dream of innumerable rats, which creep under my clothing (a ludicrous but en- tirely new symptom), (thirteenth day),2.—Dreams of hearing cannonading (twelfth day),2. Fever.—Some chilliness (after three hours, fifth day),1.—Skin cold and dry, with some itching, at noon (fourteenth day),1.—Face hot, and the pim- ples bleed easily (ninth day),2. Conditions.—Aggravation. — (Morning), On waking, nausea.— (Night), Headache; eyes feel swollen; dryness of mouth, etc.; hurried res- piration.—( Warmth of bed), Itching. Amelioration.—(Walking in open air), Headache. 180 MENTHA PIPERITA. MENTHA PIPERITA. Mentha piperita, Huds. Natural order, Labiate. Common name. Peppermint. Preparation, Tincture of whole plant. Authority. Dr. Demeures, Journ. de la Soc. Gall., first series, IV, p. 115, symptoms observed from one drop of the tincture. 3Iind.—Eager for work, and dispatches it quickly (soon).—All my life, after rising earlier than usual in the morning, my head has felt heavy and my ideas have been confused for some time, so that I could scarcely studv. Since this proving, I have been able to rise as early as I wished without misgiving, always finding that I had slept enough, even after going to bed late, and my mind clear and ready for work. Head.—Confusion of the head (soon).—Headache, beginning in the morning; tension towards both ears, especially the right (second day).— No headache while in bed, but on rising to see what time it was, headache from one ear to the other; on returning to bed the pain ceased, but came back when I got up, at 7 o'clock (third day).—Acute lancinations from ear to ear, on stooping or turning the head (third day).—Frontal headache from one temple to the other, on waking at night (third day).—Very sharp pain in the left temple when writing ; it soon ceases (third day).—The hair, which previously was falling out very fast, now stays in (twenty-second day). Eye.—[10.] Flashes before the eyes when writing, although I had written but little (twenty-first day). Ear.—All day when walking, shooting from one ear to the other, as if abscesses were forming in them, especially in the left ear (second day).— When writing, sharp lancinations in the left ear, which extend to all the teeth on that side (third clay). Nose.—Tip of nose sore to touch (eleventh day); swollen, but not painful (twenty-first day). 3Iouth.—Very severe toothache in the lower molars, when chewing a bit of sugar; it soon passed off (third day). Throat.—Throat dry and painful when swallowing, as if a pin were sticking crosswise in the pharynx (second day).—Momentary lancinations in the parotid glands ; the pains cease during breakfast and dinner (second day).—When fingering the neck, it is painfully sensitive to touch (second day). Stomach.—In the evening, two hours after dinner, feeling of weight in the stomach, which seems to extend to the ears (second day). Respiratory Organs.—The entire trachea,from the larynx to the pit of the throat, is painful to touch (second day).—[20.] Husky voice from reading aloud (after five hours).—Given to a singer a few hours before he is to sing, this remedy will certainly enable him to hold out to the end without straining his voice.—Frequent cough (third day). Dry cough, excited by merely speaking; expectoration every morning of thick mucus like the core of a boil (fourth to eighth day). *Dry cough con- tinues ; it is not caused by titillation, nor by mucous accumulations in the bronchi, but merely by the passage of air into the larynx (ninth day). The least feeling of cold excites a cough (eleventh to twenty-first days). Cough still troublesome; excited by reading aloud, exposure to cold, tobacco-smoke, MENTHA PIPERITA—MENTHA PULEGIUM. 181 and smoke of all kinds (twenty-eighth to forty-sixth days). Cough still continues (third month).*j* Neck.—All the muscles around the neck are painful to touch (third day). Inferior Extremities.—Sensation under the right foot, at the ex- tremity of the metatarsus, as if the shoe-sole was too thick at that place, and made walking painful (twenty-eighth to forty-sixth days). Skin.—Liability of the skin to inflammation; every scratch becomes a sore (eleventh to twenty-first days).—Pimple, with much itching, near left ear, with heat of the part; in the evening (ninth day).—Formication in the arm and hand when writing (twenty-first day).—Frequent itching behind the lobe of the right ear, compelling to scratch (eleventh to twenty- first days). Sleep.—Good sleep (after five hours).—[30.] Sleep good, refreshing, and quiet.—Wakes very early in the morning (third day). Conditions.—Aggravation.—(Cold air), Cough.—(Rising from bed), Headache.—(Smoke), Cough.—(Stooping), Pain from ear to ear.—( Turning head), Paiu from ear to ear.—(Writing), Pain in temple; flashes before eyes ; pain in ear. Amelioration.—(During a meal), Pain in parotid glands. MENTHA PULEGIUM. Mentha pulegium, Linn. Natural order, Labiatse. Common name, Pennyroyal (English). Preparation, Tincture of plant. Authorities (Berridge, N. Am. J. of Horn., N. S., 2, p. 53). 1, a man took 40th dil., one dose, proving repeated subsequently; 2, a man took 40th dil., one dose; 3, another man took same. Head.—Aching pain in bones of forehead and sides of head; worse on right side the same evening after sunset; it lasted four or five days, but decreased,1.—Headache very bad in right lower forehead, forcing tears out of right eye (third day),3.—Headache in right temple, with pressing pains on posterior portion of eyes,first on right, then on both (first day); head better (second day ); towards evening became worse, and continued through night (second night),3.—Slight dull aching and empty feeling in whole right side of head accompanied the pain in small spot on upper part of right scapula, at 9.30 p.m. (second day),2.—Itching all around base of skull at roots of hair, relieved by scratching for a short time, from 2 to 4 p.m. (second day;,2. Eye.—Pressing pains on posterior portion of eyes, first on right, then on both, with headache in right temple (first day),3. 31 oath.—Woke during the night lying on left side, with copious flow of saliva out of left corner of mouth ; he thought it was blood, having t I cured with this remedy every ca>e of influenza which came under my care during the winter of 1817-8. It is to dry cough, however caused, what Arnica is to injuries and Aconite to inflammatory compbiints It relieves even the cough of consumptives. A single dose (one globule of the 30th) was always sufficient when- ever there was dry cough ; however long it might have lasted, I could safely promise a cure in twenty-four hours, provided the affection corresponded with that caused by this agent. 182 MENTHA PULEGIUM—MENYANTHES. previously dreamed that he had received a blow on the mouth (second night),2. Throat.—Sharp stitches down left Eustachian tube and into left side of throat, slightly relieved by pressing upon throat under left ear (for two minutesy at 9.30 p.m. (second day),2. Abdomen.—Stitches in right hypochondrium, sometimes in middle of sternal region (first day),3.—[10.] Severe cutting stitches in groin of left side, and left side, for five minutes, while sitting, at 1 p.m. (second day),2. Chest.—Woke on right side, and as soon as he had turned to the left, sharp cutting pain in right chest, for two minutes (fourth day),2. Rack.—Small spot on upper part of right scapula feels bruised and slightly stiff, from 8 to 8.30 p.m.; the pain had returned in a more marked manner, accompanied by a slight dull aching and empty feeling in whole right side of head, at 9.30 p.m. (second day),2.—Sharp cutting pain iu re- gion of left kidney, accompanied by a shooting pain running up left side into left chest, at 6.30 a.m. ; this lasted for fifteen minutes, when he got up, and the pain almost immediately ceased (second day),2. Extremities in General.—Aching pain in bones of legs, chiefly right, and of upper arms, chiefly right, half an hour after the pain in head came on ; the pain in the limbs ceased after a night's rest,1. Superior Extremities.—Two sudden successive jerks upwards of left shoulder and upper arm, while lying on right side (after twenty-five minutes),2.—When pouring out from a jug with left hand, could not hold it steady ; the hand and forearm trembled (never noticed this before), (after five hours),1. Inferior Extremities.—Momentary twitching of muscles in an- terior part of right thigh, at 5.30 p.m. (second day),2.—Burning in a small spot just above right patella, for one minute, at 8.20 A.m. (third day),2.— Stitches in right little toe when at rest (first day),3. General Symptoms.—[20.] A jerk of the whole body, especially of head, almost directly after waking, at 6 a.m. (second day),2.—A general sensation of disturbance, as if the blood were circulating quicker than usual, and he could at times hear the pulsations of the arteries in right side of head, ou which side he was lying, for five minutes, soon after getting into bed (first night),2.—Rheumatic pains flying from one part to another, but principally in right side (second day),3. Skin.—Sharp pricking like a fleabite superficially in left elbow, relieved for a moment by rubbing, but returning, at 7.30 a.m. (for three minutes), (second day),2. Sleep and Dreams.—Restless night (second night),3.—Very ner- vous and restless at night; troublesome dreams (first night),3.—Dreamed that he received a blow on the mouth (second night),2. Fever.—General creeping chilliness over back and half way down front of left thigh ; momentary or nearly so; 7.30 to 8 a.m. (second day),2. Conditions.—All pains worse by thinking of them ; not noticed when thinking of something else; slightly relieved by moving about.1 MENYANTHES. Menyanthes trifoliata, Linn. Natural order, Geutianacese. Common names, Buck-bean, Bitterklee. MENYANTHES. 183 Preparation, Tincture of whole plant. Authorities (Hahnemann, Mat. Med. Pura, 5, 15). 1, Hahnemann; 2, Franz; 3, Guttmann ; 4, Hornburg; 5, Hartmann ; 6, Haynel; 7, Lang- hammer; 8, Moeckel; 9, Teuthorn ; 10, Wislicenus; 11, Joh. Francus, Trifol. fibrin, hist., 1701; 12, Schlegel, in Huf. Journ., VII, 4, p. 163. 3Iind.—Emotional. (With increase of the heat, delirium, and small, rapid, irritable pulse),12.*}*—Quiet mood ; contented with his circum- stances,7.!—Quiet, reserved, contented with himself all day,7.$—He prefers to be alone, though not ill-humored, because he would rather be quiet than talk (after seven hours),5.—Excessively frolicsome (after eleven hours),5.|| —Weeping mood,9.—Despondent mood ; his thoughts incline to dwell upon past, sad, disagreeable subjects (after eighty hours),10.—Apprehensive sen- sation about the heart, as of impending evil, and as if he had to endure some hardship (after one hour),12.—Fretful, ill humored, and discontented with himself and his circumstances ; apprehension drives him from place to place (after sixteen hoursy2.—[10.] Gloomy, morose, and fretful (after one hour),8.—Keeps aloof from amusements (after twelve hours) ; half an hour afterwards is inclined to joke,3.—Intellectual. Disinclination to work,5. Head.—Confusion and Vertigo. Confusion of the head like a gloominess, in the house ; thought was difficult, though he could readily re- member anything; but in the open air he felt freer and easier (after two hours),2.—(Vertigo, on stooping and rising again),1.—General Head. Emptiness in the head after eating,1.—Dulness in the head (after seventeen hours),6.—Headache like a painful dulness, increased after eating,2.— Heaviness with pressure in the whole head ; at times also violent stitches iu the left frontal eminence; a headache that completely disappears on laying the head upon one side,5.— Constant heaviness of the head, immediately,3.—■ [20.] Dull headache, on leaning the head to one side,1.—*A pressure in the head from above downward, relieved during hard pressure with the hand, afterwards returning and lasting several hours (after five hours and a half),5.—Headache like a pressure from both sides, together with some stitches in the occiput,9.—Pressive headache, violent in the open air (after twelve hours),3.—Pressive stupefying headache, mostly involving the forehead, during rest and motion (after half an hour),7.—Pressive headache, aggra- vated on ascending or descending steps, when it seemed as though a heavy weight were lying upon the brain and pressing outward at the forehead (after three hours and a half),5.—Forehead. Drawing headache in the forehead,2.—Drawing headache in the right side of the forehead (after three hours and a half),6.—Pressive-drawing headache in the forehead just above the root of the nose (after two hours),2.—Pressure in the forepart of the forehead from within outward (after two hours and a half),5.—[30.] Press- ive headache above the right side of the forehead, immediately disappear- ing on applying the palm of the hand (after two hours and a half),3.—Dull pressive pain in the forehead from within outward, lasting several hours (after twenty-seven hours),6.—Stitches iu the forehead, extending toward the vertex (after six hours),8.—Burning stitches in the forehead, less ou the scalp, with heat in the face, without increased warmth of the rest of the body (after twelve hours),10.—Stitchlike tearing in the right side of the fore- head near the temporal region (after one hour and a quarter),7.—Temples, f In an intermittent fever.—Hahnemann. % Curative action.—Hahnemann. § Rather a curative effect.—Hahnemann. || Alternate action.—Hahnemann. 184 MENYANTHES. Headache in the temples, as if they were compressed from both sides; it disappears while pressing with the hands, but returns,9.—Constant pressure in the left temple mingled with sharp stitches,5.— Vertex. Tensive head- ache over the whole vertex,1.—* Compressive headache in the vertex from both sides, together with a sensation, on ascending steps, as if upon every step a weight pressed upon the brain (after two hours),10.—Jerking head- ache above in the vertex, especially after stooping (after five hours),10.— Parietals. [40.] Drawing pain inthe right hemisphere of the cerebrum from below upward, ending in the occiput (after four hours),6.—Drawing headache internally along the left parietal bone,2.—Pressive pain in the right side of the head (after a quarter of an hour),3.—Stitches in the left side of the brain extending towards the vertex (after two hours),8.— Occi- put. Drawing in the occiput while sitting (after two hours).,2.—Piuching- drawing on the side of the occiput,2.—External Head. Burning in the scalp above the right side of the forehead (after seven hours),3.— feeling of soreness in the skin of the left temple, when touched (after twenty-six hours),3.—Gnawing headache externally on the vertex (after sixteen hours),10. Eye.—Pressure on a small spot in the eye, as if in the lens, with a sen- sation like vertigo, or vanishing of sight, or of squinting of the eyes, but without obscuration of vision (while sitting),2.—[50.] Tearing stitches in the inner canthi, which cause the eyes to fill with water (after twelve hours),10.—Rroiv. Burning above the left eyebrow,3.—Lids. At times stiffness in one or the other lid, like a tonic cramp, so that he could not move it,2.—A sensation on the left lower lid internally, as if a not very hard body were lying under it (after four hours and a half),3.—Sensation in the eyes as from swelling of the lids, or as in a stye, on holding the lids still,2.—Burning tension above the left upper lid that disappears when touched,3.—Twitching in both eyelids and a pressure in both eyeballs, which, however, soon disappears after eating,1.— Lachrymal Apparatus. Lachrymation from time to time,3.—Rail. Dull stitches in the eyeballs,2. —Pupil. Pupils dilated (after four hours and a half),7.—[60.] Pupils contracted (after three-quarters, and one hour),7.— Vision. Dimness of the eyes, only in the open air (after six hours),8.—It frequently becomes black before the eyes, on reflecting while reading (after eight hours),8.— Flickering before the eyes, so that all objects seem to jump, lasting four minutes (after four hours),8. Ear.—External. Sticking tearing in the posterior portion of the cartilage of the ear, and in the mastoid process (after fourteen hours),10.— 3Iiddle. Feeling of coldness within the ear, just as if water had got into it (after one hour),10.—Aching in both ears,4.—Small stitches in quick suc- cession in the left inner ear (after seven hours and a half),8.—Dull stitches extending through the ear into the head, and in the facial muscles of the same side below the eye (after one hour),10.—Some fine stitches, first in the right, then in the left ear,6.—[70.] Itching within the right ear, lasting three days,3.— Rearing. He seems to hear sounds in the right ear (im- mediately),6.—Slight humming as from insects in front of the ears (after forty-eight hours),10.—Constant ringing in the right ear, which ceases when the ear is rubbed internally, but immediately returns (after four hours),8.— Roaring in the left ear, on blowing the nose, as though air passed out through it (after twenty-six hours),10. Nose.—Objective. Sneezing without coryza (after six hours and a half),7.—Profuse fluent coryza all day; involuntary running from the MENYANTHES. 185 nose,3.—He blows blood from the nose in the morning,1.—Subjective. The nose seemed stopped, with fluent coryza, though he could easily draw air through it as usual (after two hours and a half),7.—Tension in the root of the nose,1.—Smell. [80.] A disgusting odor in front of the nose, as from bad eggs, caused nausea, occurring in the house or open air, lasting a quarter of an hour (after nine hours),8. Face.—* Visible, though not painful, twitching of the facial muscles, espe- cially of the right side, worse during rest than while walking (after six hours and a half),8.—Painful cramp in the right cheek muscles during rest,5.— Stitchlike tearing in the left upper jaw during rest and motion (after two hours),7.—Lips completely dried and cracked, without thirst or perceptible heat (after three hours),8.—Tension in the jaws,1. Mouth.—Teeth. A grumbling in the upper teeth, not aggravated by biting upon them,1.— Tongue. Fine stitches on the under surface of the tongue, which disappear on moving it (after three-quarters of an hour),3.— General 3Iouth. Dryness of the palate, which causes sticking when swallowing, without thirst, and with the ordinary saliva in the mouth (after one hour),'2.—Sensation as if the left side of the palate were para- lyzed on yawning and coughing,1.—[90.] Pressure in the upper part of the palate,1.—Saliva. Increased secretion of saliva (immediately),6.—Saliva accumulates in the mouth, without nausea (after eight minutes),6.—Water accumulates in the mouth, with nausea (after one hour and a quarter),6.— Taste. Bitter-sweetish taste iu the mouth (after two hours),2. Throat.—Feeling of dryness in the throat (after twenty minutes),6.— Dryness, with so great roughness of the throat that swallowing saliva was difficult, increasing for two days,3.—Transient, extremely fine stitch in the right side of the throat (after one hour),6.—Constant sticking in the throat, in front by the larynx, only on swallowing, which it impeded (after eight hours),7.—Pharynx and (Esophagus. Dryness of the pharynx, commencing in the morning, for two days,3.—[100.] *A sensation of cold- ness extending up the oesophagus, with great nausea, following pressure in the stomach, lasting twenty minutes (after ten hours and a half),8.—External Throat. Sensation of heaviness in the anterior cervical muscles; obliged to bend the neck backward,4.—Cramplike pain, ending in a stitch, in the right anterior cervical muscles, disappearing after touch, but returning in two hours and three-quarters,7. Stomach.—Appetite. Sudden ravenous hunger, lasting half an hour, ceasing after eating a little (after five hours),8.—Although not hungry, he relishes food as usual, and even eats more than usual,2.—He does not relish bread and butter; he has appetite and relish for only meat,*.— Eructation and Hiccough. Empty eructations?; imme- diately,5.—Frequent empty eructations (after a quarter of an hour),7.— Frequent hiccough (after four hours and three-quarters),7.— Nausea. Very transient nausea, without eructations (after ten hours),8.—[HO.] Great inclination to vomit, usually with painful retching and constriction in the stomach, though without eructations (after ten hours and a half),8. —Stomach. A constant rumbling in the epigastric region, as frequently occurs in emptiness of the stomach, though without an empty stomach (after two hours),5.—Sudden heat in the stomach, lasting a quarter of an hour, followed by excessive hunger (after three hours),8.—Constrictive sensation in the stomach (after a quarter of an hour),4.—A pressive pinch- ing iu the region of the stomach, that slowly descends towards the rectum, and disappears after the emission of flatus, but soon returns and obliges him to go to stool, after which it disappears (after half an hour),5. 186 MENYANTHES. Abdomen.—Hypochondria. Pressive cutting in the hypochon- driac region (after eight hours),10.—Sticking pain beneath the short ribs while sitting, not affected by inspiration or expiration, relieved for a moment by external pressure with the hand (after three hours),9.— Umbilical and Sides. Long-continued griping in the region of the umbilicus; it sinks like a weight towards the lower abdomen, and disap- pears after emission of flatus (after half an hour),5.—Gurgling movements in the right side of the abdomen, with a feeling of heat over the whole abdomen, and an internal sensation as if diarrhoea would follow, during rest and motion (after half an hour),7.—General Abdomen. Disten- sion of the abdomen (after fourteen hours), followed after two hours by profuse emission of flatus,8.—[120.] * Distension and fulness of the abdomen, as if overloaded by food, all day, with undiminished appetite, together with a sensation as of incarcerated flatus, and frequent ineffectual efforts to emit flatus; in the evening the fulness ivas much increased bg smoking tobacco,9.— Flatus moves about the abdomen, which makes him very qualmish,4.— Audible rumbling in the intestines after eating,4.—Tension and pressure in a part of the abdomen,1.—Griping in the abdomen, immediately followed by a hard stool,3.—Cutting pain suddenly shoots from the spine out through the abdomen (after twelve hours),10.—Painful soreness of the parietes of the abdomen to touch and the rubbing of the clothes, as if it were covered with pimples (after seventy-two hours),10.—Painful soreness of the skin of the upper abdomen while lying, as also on moving about, though worse on stooping (after two hours),3.— Hypogastrium and Iliac Re- gions. Griping in the lower abdomen (after half an hour),3.—Griping in the lower abdomen, with urging to stool in the rectum,2.—[130.] Vio- lent pressure in the hypogastrium and spermatic cord, which is also pain- ful to touch,1.—Sudden sticking in the sides of the lower abdomen while sitting, disappearing from touch, but immediately returning,2.—A constant sharp stitch in the left side of the lower abdomen while walking, followed on standing a little by small, sudden jerklike stitches (after twelve hours),2. —Sudden jerking stitches, causing shuddering in the left side of the lower abdomen, while sitting,2.—Pressure in the glands about the abdominal rings on bending the body forward,2. Rectum and Anus.—Sensitive itching within the rectum (after thirteen hours),8.—Twitching in the anus,3. Stool.—Griping in the abdomen, followed by a stool that was not very hard, and occurred several hours sooner than usual (after a quarter of an hour),3.f—Constipation for two days,1.—Stool retained,1.—[140.] Retention of stool (first day); a hard stool, evacuated with difficulty, with drawing- griping pains in the lower abdomen (second day),2.—Retention of stool (first day), and not till the third day two easy stools,2.—Retention of stool for thirty-two hours, followed by evacuation of hard fseces,10. Urinary Organs.—*Frequent desire to urinate, with scanty discharge (after four hours and nine hours and a half),7. Sexual Organs.—Male. Pressive drawing-cutting pain in the right side of the scrotum, or a feeling as if one side was squeezed (after fourteen hours),4.—Fine stitches in the left side of the scrotum (after three hours),10.—Constant burning stitches in the scrotum and symphysis pubis (after one hour and a half),6.—The painful testicles were retracted, the f Curative reaction in the organism of a person inclined to constipation, and who had an evacuation only every thirty-two or thirty-six hours.—Hahnemann. MENYANTHES. 187 right more so (after one hour aud a half),8.—Painful jerking in the right testicle, worse during rest (after six hours and a half),8.—Great desire for coition, without sexual phantasy or erections (after five hours),7.—Fe- male. [150.] (A tensive-pressive pain in mons veneris while walking aud sitting),1. Respiratory Organs.—Larynx. Spasmodic constriction of the larynx; the exertion of drawing in air provoked cough, lasting several minutes (after nine hours),8.—Crawling tickling in the larynx, frequently returning (after fifteen hours),3.— Voice. Rough voice,3.—On talking, the voice was rough, almost harsh, wherewith the ears were almost as much stopped as if they had been stuffed with something (after three hours),7.— Hoarseness,11.—Respiration. Respiration accelerated, even while stand- ing, with increased pulse, aud redness and heat of the face (after two hours),9.—Dyspnoea,11. Chest.—A compression around the chest while sitting, walking, aud standing, a very disagreeable, anxious sensation (after six hours and a half),6.—Drawing pain in the right chest, extending towards the axilla (after one hour and a half),6.—[160.] Pressure upon the chest after din- ner,2.—Constant pressure upon the left chest, mingled with stitches, alike on inspiration and expiration (after one hour and a half),5.—Dull sticking pain in the chest in the region of the heart, aud in the corresponding spot on the right side, aggravated by pressing upon the parts and making them tense (after twenty-one hours and a half); it returned and lasted several hours (after tw*enty-six hours),6.—Boring sticking in the left chest while sitting and ou moving about, though more violeut on inspiration and ex- piration (after three hours and a half),3.—Violent stitches in the chest only on moving (after three hours and a half),6.—Long fine stitches in the left chest, close to the clavicle, on inspiration (after one hour and a half),5.— An itching stitch in the left false ribs, persisting during inspiration and expiration (after two hours and a half),3.—Soreness of the chest, as if beaten, on sitting bent over,2.—Throbbing in the left chest, persistent dur- ing inspiration and expiration, though only while lying (after fourteen hours),3.—Front. Pressure, with some sharp stitches, in the steruum (after twelve hours),10.—Sides. [170.] Contracting pain from both sides of the chest, with sharp stitches (after twelve hours),10.—Pressure on both sides of the chest, with sharp stitches, greatly aggravated on inspiration (after nine hours),10.—Frequent pressure on the left side of the chest, as from flatulence,1.—Transient stitches in the right side of the chest (after one hour aud a quarter),6. Heart and Pulse.—Drawing paiu in the region of the heart after eating,6.—Violent, persistent stitch in the region of the heart, increased by holding the breath (after fifteen hours),6.—Pulse slow, 52 (after one hour and a quarter;,7. Neck and Rack.—Neck. Stiffness in the nape of the neck in the evening,1.—Sensation of stiffness in the cervical muscles on moving the neck (after nine hours),10.—Stiff, drawing sensation in the nape of the neck, with dulness in the occiput,2.—[180.] Tearing pressure in the nape of the neck (after eight hours),10.—Pain in the cervical muscles, sprained, para- lyzed, and tense, as after long bending backward, on walking in the open air (after six hours),7.—Dorsal. Twitching of the right dorsal muscles (after eleven hours),3.—A sensation of heaviness between the scapulse; while walking he was constantly obliged to bend forward and backward to obtain relief,4.—Sharp pinching near the spine, in the region of the 188 MENYANTHES. scapulae (after twenty-four hours),10.—Dull boring sticking in the left scapula, extending across the spine*.— Extremely painful tearing between the scapulce, extending downward, especially on deep breathing, disappearing while sitting, but immadiately returning on walking; during rest, there remains a sen- sation of soreness,4.—Lumbar. Muscular twitches in the right lumbar region while sitting (after three hours),3. —A constrictive pain in the small of the back; later in the evening a feeling of pressure as with the thumb upon it, and when it became worse, a crawling in it,1.—Pain like a dull drawing near the lower vertebra? on bending the body forward while sit- ting,2.—[190.] A pressive pain in the small of the back, extending upward, while sitting,2.—Pressive pain in the small of the back on stooping,3.— Pressive pain above the sacrum always on stooping (after eight hours),6.— Drawing-pressive pain in the small of the back on stooping,2.—Bruised pain in the left lumbar region, in the vicinity of the kidney, in the evening while sitting quietly,2.—Bruised pain in the small of the back, mostly while sitting quietly, disappearing on touch,2. Extremities in General.—Weakness of all the limbs for an hour, during rest and motion (after twenty-eight hours),8. Superior Extremities.—Painful visible twitching in the left arm, worse during rest (after six hours and a half),8.—Shoulder. Stitches in the deltoid muscle of the shoulder-joint,2.—Fine stitches shoot into the axilla on moving the arm (after four hours),10.—[200.] Numerous fine stitches in the right axilla, extending towards the chest (after seven hours and a half),8.—A burning-scraping sensation on the top of the shoulder,4. —Arm. Muscular twitches in the right upper arm (after twenty-four hours),3; (after sixteen hours and a half),6.—Sudden cramplike tearing in the upper arm while sitting,2.— Firearm. Cramplike pain in the muscles of the left forearm, extending to the palm of the hand, almost like paralysis (after two hours),7.—Repeated cramplike drawing in the inside of the left forearm; at last four fingers became involuntarily contracted; the arm itself was spasmodically stiff, so that no exertion sufficed to move it (after eight hours and a half),8.—Cramplike pressure in the forearm, close to the bend of the elbow, disappearing on touch, but immediately returning,2.— Stitches below the elbow and at the wrist (after twelve hours),10.— Wrist. Cramplike pressure in the right wrist and metacarpus during rest and motion (after one hour and three-quarters),7.—Sticking pain in the left wrist (after half an hour),6.—[210.] Paralytic tearing in the wrists, espe- cially on moving them (after two hours),6.—Hand. Distension of the veins of the hands and somewhat above them on the forearm-;, with the ordinary warmth of the body, but icy coldness of the feet (after five hours),5. —Drawing pain on writing and on moving the hand, disappearing on rest- ing it (after two hours),2.—Cramplike drawing on the back of the hand in the muscles of the thumb,2.—Fingers. Sticking pinching on the outer side of the first phalaux of the thumb (after three hours),10.—Cramplike pain in the left index finger, rather externally, disappearing on motion (after two hours and three-quarters),7.—Crarnplike pressure in the ball of the right thumb (after five hours),7.—A stitch extending outward in the right thumb and index finger (after one hour and a half),6.—Fine stitches in the first joints of the fingers, somewhat relieved by motion (after three hours),10.—Painful jerking in the left fourth finger (after nine hours),6. Inferior Extremities.—Hip. [220.] Sticking constrictive pain in the hip-joint, about the acetabulum, only when walking (after three hours),9.—Very acute fine stitches in the right hip-joint, when walking and MENYANTHES. 189 standing (after thirteen hours),8.—Thigh. Twitching of the muscles of the left thigh,6.—Four spasmodic starlings in the outstretched right thigh and leg, while sitting, but while standing or if he drew up the knee while sitting it was not noticed (after eight hours),8.—Tension, with stitches on the anterior surface of the thigh and leg, in the vicinity of the knee (after ten hours),10.—An intermitting pinching, with bubbling, as from something alive, in the upper part of the inner side of the thigh, worse while sitting (after five hours),10.—A cramplike drawing on the forepart of the thigh, while sitting (after two hours),'2.—Violent burning stitch on the an- terior surface of the left thigh, somewhat above the knee, while sitting (after fifteen hours),6.—Sudden shooting stitches in the right gluteal mus- cles (after seven hours),10.—Jerking stitches in the upper margin of the left gluteus maximus,2.—[230.] Cramplike, drawing, bruised pain in the femur, with a feeliug of heat in the back and over the whole upper part of the body, mostly while sitting,2.—Numb, tense, pressive, bruised pain in both thighs, while walking and sitting,2.—Knee. Drawing in the hollow of the right knee, extending through the calf, while standing and sitting,2.—Pain in the knee-joint, as if dislocated, extending inward, during rest and mo- tion (after three-quarters of an hour),7.—Dull stitches in the patella, from within outward, with a feeliug of heat in the knees (after twelve hours),10. —An itching-boring stitch on the inner side of the right knee-joint, during rest and motion (after eleven hours and a half),3.—A jerking in the left knee, not exactly painful, worse during rest than while walking (after six hours and a half),8.—Leg. Cramplike pain in the muscles of the right leg, extending from below upwurds, like a paralytic pain (after two hours and a half ),7.—A cramplike drawing from below upward, on the outer side of the left leg, while sitting quietly,2.—A sharp pressure on the tibia,2.—[240.] Pain as from a sprain, while walking, now in the left, now in the right leg, near the inner malleolus (after seven hours and a half),7.—Dull pulsating stitches below the middle of the tibia, during rest, disappearing on motion, but returning during rest (after two hours),2.—Sharp stitches below the knee (after twelve hours),10.—Sharp stitches in the middle of the tibia, together with jerking clutching, as if he had held the foot in a difficult position for a long time (during rest), (after two hours),10.—Constant corroding-biting pain in a very small spot between the right external malleolus and tendo Achillis, frequently returning while sitting ; on moving about it is renewed (after fourteen hours),6.—Tremulous sensation iu both calves, lasting a quarter of an hour, more violent while sitting than while standing (alter two hours),8.—Ankle. Pain as from a sprain in the left leg, from one malleolus to the other, while walking in the open air (after ten hours and a half),7.—Cutting in both external malleoli duriug rest, disappearing on motion (after twelve hours),10.—Burning stitches above both ankles, while walking (after one hour and a half),6.—Foot. Coarse stitches in the soles of the feet, while walking (after three hours and a half),8.—[250.] Stick- ing pain in the right heel (after two hours and three-quarters),6. General Symptoms.—Objective. Twitching of small portions of muscles in various parts of the body at different times,6.—Visible twitching in several parts at the same time, not exactly painful, worse dur- ing rest than while walking (after six hours and a half),8.—Vitality ex- tremely increased; excessive hastiness of all movements (after thirty-two hoursj,8.f—Weariness and exhaustion, immediately,1.—Weakness of the f Alternate effect.—Hahnemann. 190 MENYANTHES. body while walking; together with chilliness all over (after one hour and a quarter),6.—Great weakness of the whole body, together with pressive pain above the sacrum while standing, diminished while sitting (after seven- teen hours),6.—(Extreme weakness, with heat and violent headache),12.*}"— Subjective. Sticking pinching here and there iu the body (after eight hours),10.—A drawing-bruised paiu on the outer side of the thigh, small of the back, and left loin, and in the region of the kidney, whilesitting quietly, in the evening,2. Sleep and Dreams.—Sleepiness. [260.] Frequent yawning,as though he had not slept enough (after two hours),7.—Sleeplessness. Uneasy sleep; he tosses from side to side,3.—Redness and heat of the face during sleep ; he woke and cried out, "There, there!" and pointed with his finger, and fell asleep again,1.— Dreams. Vivid unremembered dreams,1.— Lascivious, vivid, unremembered dreams, without emissions,3. Fe ver.—Ch i Illness. *A sensation of chilliness, especially in the fingers,1. —Chilliness over the whole body, especially on the back, not relieved by the warmth of the stove (after three-quarters of an hour),6.—Chilliness over the whole body, disappearing by the warmth of the stove, returning at a distance from the stove, lasting half an hour (after a quarter of an hour),6.— Shivering, as after a long walk,4.—Creepings of external shivering without internal chilliness, especially on the legs, in a warm room (after three hours),10.—[270.] Horripilation, without chilliness, for ten minutes iu a warm room (after seven hours),8.—Feeling of chilliness over the whole trunk, with otherwise equable temperature (after eight hours and a quarter),6. —Cold sensation in the abdomen, especially on pressure with the hand,1.— Feeling of coldness in the abdomen, on rising from bed in the morning ; creeping coldness over the back and sides, like a shivering when listening to a horrible tale,1.—Coldness of the spine, with shaking (after four hours),8. —*Feet cold as far up as the knees, as if they were in cold water,4.—Cold feet, for forty-eight hours,5.—Coldness of the feet, lasting till night; she could not even get them warm iu bed (after three hours),9.—*Icy coldness of the hands and feet, with warmth of the rest of the body (after half an hour),5. —Shivering over the upper part of the body, with yawning, immediately,5.— [280.] Shivering in the back, as from listening to a horrible tale, not like a chill, in the morning,1.—Shivering over the back without chilliness, as if he had been excited or frightened by something, without subsequent heat (while sitting), (after one hour and a half),7.—Febrile shivering over the whole back, as if he had been- uncovered for a loug time in the cold air (after a quarter of an hour),7.—Heat. Increased temperature of the body, in the evening, without thirst, with freedom and lightness of mind,2.—Heat with- out thirst, and slight perspiration over the whole body, in the evening after walking in the open air,2.—Heat, especially of the face; soon afterwards, a general chilly feeling, without thirst (after three hours),8.—Very great heat over the whole body, without perspiration or thirst, with cold feet (after two hours and three-quarters),5.—Sensation of heat on the trunk, especially the back; at times mingled with a sensation of coldness, without thirst, heat, or redness of the face (after eight hours) ; several hours afterwards, redness of the cheeks (after sixteen hours and a half),6.—Heat of the ears (after three-quarters of an hour),6.—Flushes of heat in the cheeks, to- wards evening,2.—[290.] Disagreeable feeling of heat on the trunk, espe- cially on the back, six hours after the chill (after seven hours),6.—Sweat. f In an intermittent fever.—Hahnemann. MENYANTHES—MEPHITIS. 191 Perspiration from evening till morning,1.—Perspiration in the evening, im- mediately after lying down,1. Conditions.—Aggravation.—(Morning), Blows blood from nose; shiveriug iu back.—(Evening), After walking in open air, heat, etc.; im- mediately after lying down, perspiration.—(Open air), Pres.-ive headache; dimness of eyes.—( Walking in open air), Pain in cervical muscles.— (After eating), Emptiness in head; headache; rumbling in abdomen; pain in region of heart.—(Inspiration), Pressure in sides of chest.—(Lying), Throb- bing in chest.—(Motion), Stitches in chest; tearing in wrists; drawing in hand.—(Rest), Twitching in facial muscles; cramp in cheek-muscles; jerk- ing in testicle; twitching in arm ; jerking in knee; stitches in tibia; cutting in malleoli; twitching in several parts.—(Sitting), Drawing in occiput; pain in small of back; bruised pain in small of back ; tearing in upper arm ; startings in thigh ; pinching in thigh ; drawing in thigh; stitch on thigh; pain in femur, etc.; pain between malleolus and tendo Achillis ; sensation in calves; pain in thigh, etc.—(Smoking), Distension of abdomen, etc.—(Standing), Pain above sacrum.—(Ascending or descending steps), Pressive headache.—(Stooping), Headache in vertex; soreness of upper ab- domen ; pressive pain in small of back.—(Walking), Stitch in lower abdo- men; tearing between scapulae; pain iu hip-joint; stitch above ankles. Amelioration.—(Open air), Confusion of head, etc.—(After eating), Twitching in eyelids, etc.—(Motion), Stitches in finger-joints. MEPHITIS. Mephitis putorius; M. chinga, Tied. Class, Mammalia. Order, Carnivora. Family, Mustelidse. Common names, Skunk, stinkthier. Authorities. Hering, Corresp. Blatt., symptoms obtained from 30th dilution, and several from inhaling the substance while preparing the dilu- tions. (Dr. Neidhard's report of the effect of the substance on a young man "afflicted with symptoms of consumption," producing a spasmodic cough with a crowing sound, lasting all night and returning several times, N. Am. J. of Horn., 3, 505, is not admitted.) Mind.—Emotional. Excited mood, with warmth of the head,1.— (Very talkative, almost as if intoxicated y.—Fretful about trifles or only fancied occurrences,1.—Intellectual. Disinclination to work, with inclina- tion to stretch,1.—Aversion to mental labor, on account of distracting fancies,1. Head.—Confusion and Vertigo. Dull confusion of the head, as if it became enlarged, with ill-humor and nausea,1.—Vertigo on stoop- ing; suddenly while sitting; on various motions of the head; or on turning over in bed,1.—General Head. Feeling of heaviness; a dull pressure, especially in the occiput, as if here and there pressed in with the finger,1.— Headache on riding in a carriage,1.—[10.] Violent headache follows ful- ness, which presses upward,1. Eye.—Red vessels in the eyes,1.—Pain as from exerting the eyes,1.—Pain as if something were in the eye,1.—Heat, burning and burning pressure in the eyes, especially in the morning and evening,1.—Stitches as if with needles in the eyes,1.—Pain above the eyes,1.—Pressure upon the lids, a burning in the margins as if styes would develop,1.—* Redness of the conjunctiva, as if injected with blood,1.—Pain in the eyes on turning them in various direc- 192 MEPHITIS. tions,1.— Vision. [20.] Weakness of vision; also, usually, pain in the eyes or head,1.—Dimness of vision,1.—Short-sighted ; he is unable to dis- tinguish letters; they run together,1.—(Night-blindness),1. Ear.—Earache,1.—Tearing in the ear, or in the jaws and teeth,1. Nose.— Fluent coryza and cough, with soreness of the chest,1.—Nose- bleed,1.—Nose dry,1.—Long-lasting irritation to sneeze,1. 3Iouth*—[30.] Pains in the hollow back teeth, especially of the lower jaw; sudden jerking in the roots of the teeth; tearing drawing,1.—Coppery taste in the mouth,1. Throat.—Distressing irritation to ineffectual hawking,1.—Choking while drinking and talking,1.—Pain in the right side of the throat,1.—Ten- sion in the cervical muscles of the right side,1. Stomach.—Appetite. Appetite at one time great, at another slight,1. —No appetite in the morning, not even for smoking,1.—Eructation, Eructations relieving the flatulent troubles,1.—Hiccough-like eructations,1. —Nausea. [40.] Nausea, with a feeling as if the head were distended; with emptiness,1.—Nausea, with scraping in the palate,1.—Stomach. Feeling of emptiness and nausea,1.—Pressure in the stomach, with colic,1. Abdomen.—Pain in the hepatic region,1.—Pain as from flatulence in the left side,1.—Colic as in diarrhoea, without stool,1. Stool.—Diarrhoea,1.—Stool infrequent but thin,1. Urinary Organs.—Urging to urinate, very frequent micturition, especially at night; urine clear,1.—[50.] Urine turbid, with sediment, in the morning after the evening fever,1. Sexual Organs,—Warmth of the genitals,1.—Soreness of the female genitals, with swelling of the labia,1. Respiratory Organs.—Cough on reading aloud, while talking, and after drinking; caused by choking,1. Chest,—Rheumatic pain in the right side,1.—Sore pain behind the last ribs aud posteriorly, extending up into the chest internally, on deep breathing or moving the back,1.—Pain in the lowest ribs of the left side, to touch, pressure, especially on coughing and sneezing,1. Rack.—Stitches in the spine on moving,1.—Weariness in the small of the back, in the morning,1. Sujwrior Extremities.—Trembling of the arm, on resting upon it,1.—[60-] Uneasiness in the left arm, which seems insensible,1.—Rheumatie pains in the arms; paralytic drawing pains, better on moving,1.—Tearing or a bruised feeling in the bones of the arms,1.—In the first joint of the index finger, a disagreeable feeling, that obliges him to stretch and crack it,1. Inferior Extremities.— Woke at night with rush of blood to the legs; heat in them,1.—Drawing rheumatic pains iu the thighs aud hip, especially iu the lower leg, extending down to the foot,1.—The knees feel beaten,1.—* Uneasiness in both lower legs, as if they would become insensi- ble,1.—Sudden cramplike pain in the left foot, that compels him to hop,1.— Stitches in the foot,1.—[70.] Pain like gout in the heel,1.—Burning in the little toe,1.—Throbbing like a pinching in the great toe,1.—Burning and pain in the corns,1. General Symptoms.—Great weakness and weariness, whereby the muscles are painful to touch and motion,1.—Prostrated and sleepy after eating,1.—Uneasiness of the whole body internally, with an indescribable, extremely unpleasant sensation,1.—Paralyzed sensation, especially with the pains,1.—Pain in the back and all the limbs, with paralysis,1.—Wandering pains, with desire to urinate,1.—[80.] Rheumatic pains of various kinds in MEPHITIS—MERCURIALIS. 193 different provers,1.—Frequent sensations like electric shocks,1.— Very fine nervous vibrations causing great uneasiness, as if extending into the interior of the bones,1.—In the evening vertigo, headache, symptoms in the eyes, toothache, colic, a feeling of coldness, uneasiness,1.—Some of the symptoms rapidly alternate with others quite different, during the first days; after- wards they become more constant, until at last, after several weeks, they disappear,1.—Smelling Camphor relieved for only a short time, without removing the symptoms,1.—Washing in ice-cold water is very agreeable,1. Skin.—Pimples on the forehead, lower jaw, back, nates, and the inner side of the thighs,1.—Itching, heat, redness, and erysipelas, with vesicles on the right external ear,1.—Itching on the scalp, face, and chin,1.—[90.] Itching on the scrotum,1. Sleep and Dreams.—Sleepiness. Frequent yawning, so that the eyes fill with tears,1.—Sleepiness, sleep in the midst of society,1.—Sleep the greater part of the day, after good sleep at night,1.—Extremely sleepy in the morning, stretching for an hour as if stupefied, with burning in the eyes, tearing in all the limbs; he was uncommonly refreshed by turning upon the other side,1.—Sleeplessness. * Woke earlier than usual in the morning,1.—Dreo ms. Very vivid remembered dreams of water, fire, spitting blood, of disheartening loss,1.—Nightmare,1. Fever.—Chilliness. Pressure and chills in the abdomen, as from taking cold, with a feeling of coldness, shivering, and desire to urinate, better by a warm stove,1.—Coldness and desire to urinate, with colic as before diarrhoea; in the evening,1.—Heat. [100.] Increased warmth, espe- cially in the morning; is less chilly in the cold air, and does not dread cold water,1.—Warmth in the head, genitals, and legs, at night,1. Conditions.—Aggravation.—(Morning), No appetite; weariness in small of back; warmth.—(Evening), Vertigo, etc.; coldness, etc.—(Night), Frequent micturition ; rush of blood to legs; warmth in head.—{Mutton), Pains in arms.—(Riding in carriage), Headache. Amelioration.—( Washing in ice-cold water), Is very agreeable. MERCURIALIS. Mercurialis perennis, L. Natural order, Euphorbiacea^. Common names, Dog's Mercury, Bingelkraut. Preparation, Tincture of the whole plant. Authorities. Nos. 1 to 18, Dr. Hesse, " provings on fifteen persons" (eighteen separate initials are found, possibly the result of typographical errors), including four women and seven girls, with doses of 5 to 40 grains of the extract, N. Archiv. f. Horn., 1, 2,141; 1, symptoms without authority in original, to be referred to Hesse ; 2, " A.;" 3, " F.;" 4, '* G.;" 5, " H.;" 6, " Hel.;" 7, " Ho.;" 8, " J.;" 9, " K.;" 10, " Kl.;" 11, " M.," 12, " Min.;" 13, "R.;" 14, "S.;" 15, "St.;" 16, "T.;" 17, "Z.;" 18, "Fi.;" 19, poisoning of three women by a quantity cooked and eaten as salad, Bost. M. and S. J., 3, 358. 3Iind.—Emotional. Excited mood,14; (first to third days),3.—Very excited mood; everything was accomplished hastily and rapidly,14.—Lively mood (after one hour),13.—Lively, excited mood,13.—She was very much excited and lively, so that she was constantly inclined to make foolish remarks, lasting all day (after half an hour),3.—A condition similar to vol. vi.—13 194 MERCURIALIS. slight intoxication (after two to six hours),8.—Excessive cerebral excite- ment; they became delirious (after half an hour),19.—Lively mood, in- clined to sing and joke,8.—Lively mood ; inclined to laugh, though she was very much affected by the drug, so that she even laughed about her con- dition, especially about the dizzy intoxication,9.—[10.] She complained of despondency and sadness, and wished to weep (after one hour),14.—Fretful- ness,11.—Very fretful mood (second day),9.—Lively mood ; at times easily excited to anger,1.—Excited, violent mood,8.—Morose, quarrelsome, and peevish,7.—Fretful, exhausted, indifferent, depressed, peevish ; very quiet during the first five hours ; afterwards, very lively ; ill-humored (after half an hour to six hours), followed by feeling well,4.—Intellectual. It was frequently difficult to put his mind upon different things,8.—Difficulty in collecting his senses (first and second days),1.—Coma (after half an hour),19. Head.—Confusion and Vertigo. [20.] Confused and full feel- ing in the head, with painfulness, tension, and pressure (after a quarter of an hour),14.—His head feels confused ; he seems lost iu thought (after, three hours)',8.—Vertigo in the sinciput (after two hours),8.—Vertigo, with heat of the head,13.—Vertigo, preceded by headache, so that she staggered like a drunken person, and on stooping was obliged to steady herself to prevent falling; while walking, she could not step correctly, and at times rolled to and fro; she was dizzy while sitting, though still more while standing (after three-quarters of an hour to two hours),9.—*She was attacked with vertigo on going down stairs; and it seemed as though thought and con- sciousness would vanish (after one hour and a half),14.—Vertigo towards the left side, while sitting, standing, and even while lying down ; it con- stantly seemed as though the body would fall towards that side (evening first day, and next morning),8.—Whirling vertigo, after a long walk (after one hour and a half),14.—Whirling in the head (second day),10.—Inclined to be dizzy, while sitting (after three to six hours),8.—[30.] Dizziness (after two hours),8; (after three to four hours),4.—Dizziness and confusion of the head, as after loss of sleep and night watching, in "the morning (second day),3.—Dizzy sensation in the head (after two hours),8.—Head dizzy, as if distended,8.—Dizzy intoxication (after two hours),9.—The head seemed to turn around ; some pressive headache in the forehead ; a portion of the occiput very numb (after a quarter of an hour),6.—General Head. Slight pain in the head (after three hours),8.—Burning heat and pressure in the head (after four to five hours),6.—Fulness and tension in the head (after a quarter of an hour),8.—The head feels full and confused, as if something were lying before the ears (after three-quarters of an hour),8.—[40.] Pressure and tension in the head, as if it were too full, on stooping (after half an hour),14.—Tension in the head (after one to two hours),8.—Feeling of tension in the head and face,8.—Tension in the head,' especially in the forehead and above the eyes; on stooping, changing to a pressing-out pain (after one hour),8.—Tension and a numb sensation in the head; at times also in different places, especially in the superciliary ridge, at times also with some stitches (after five to eight hours),1.—* Tension and heaviness of the head, with a sensation of heat (after three hours),8.—Sensa- tion of puffiness in the head (after one to five hours),14.—Dragging and pressive headache, commencing in the right temple (after a quarter of an hour to two hours),9.—Pressure in the head (after one hour),14.—Pressure, especially in the forepart of the head (third day),14.—[50.] Constant pres- sure aud tension iu the head, and in the sinciput (first day),8.—^Sensation MERCURIALIS. 195 of heaviness in the head, as if it were pressed down by a weight; the scalp seems tense, numb, and difficult to move; with sometimes a slight painful sensation in it (after three-quarters of an hour),8.—Stitches shoot through the head at times, so that she would start up or cry out,4.—Forehead. Constant pain in the right side of the forehead (after two hours),5.—Slight pain in the forehead, with isolated painful points (after three-quarters of an hour),3. —Tensive pain in the forehead and forepart of the head (after half an hour to four hours),14.—Tensive pain in the forehead and eyes; afterwards extending to the temples and vertex (after three hours),14.—Sensation as if the forehead were too large (after one hour),14.—Pressure in the forehead and sinciput, in the region of the glabella and root of the nose (after one hour and a half),1.—Pressure in the forehead, especially above and between the eyes, and also in the occiput, as if the head were pressed downward from behind,3.—[60.] Pressive pain in the forehead and temples, lasting half an hour (after half an hour),9.—Pressive pain in the forehead and eyes (after half an hour to five hours),14.—Pressive headache in the fore- head,13.—Violent pressive headache in the forehead, in the morning, lasting two days,1.—Slight tearing in the forehead (second day),8.—The frontal and temporal regions, and the upper part of the face, are painfully sore to touch (second day),3.—Temples. The temporal muscles are difficult to move (after three-quarters of an hour),8.—Sudden pain in the left temple (after half an hour),4.—Pressure in both temples (after three hours),8.— Pressive pain in the temples (after five hours),14.—[70,] Transient sticking pain deep in the left temple, extending down to the articulation of the jaw (after two hours and a half y\—Pressive sticking in the left temple, lasting a quarter of an hour,9.—A stitch in the left temple (after ten hours),10.— Wandering, tearing, and sticking pain in the left temple, accompanied by heat (second day),8.—Slight tearing in the left temple (after six hours),8.— Dull tearing in the right temple (after four hours),8.—Pressive tearing in the right temple, extending to the vertex (after eight hours),8.—Slight sticking-tearing pain in the right temple (after one hour),8.— Vertex. Burning sensation in the region of the vertex (after four hours),14.—She experienced uneasiness in the head on the vertex ; no pain, but a real twisting sensation (after three-quarters of an hour),4.—Parietals. [80.] The left side of the head seems hollow,8.—Tearing in the left side of the head,8.—Tearing in the left side of the head, and in the teeth of the right side; changing to headache in the evening (first day),*.—Slight tearing in the skull above the right ear (second day),8.—Occiput. Slight tearing in the occiput, as if in the bone (second day),8.—External Head. Burning and digging in the scalp (after one hour),14. Eye.—Objective. Staring look,1; (after three hours and a quarter),*. —Dimness of the eyes,13; (after four hours),14.—The eyes have a dim look (after two hours),1.—The eyes look dim to another, after waking from sleep,14.—[90.] The eyes seem dim, misty, as if swimming in tears (after four hours),14.—Eyes seem prominent (after six hours),14.—Eyes difficult to move (in several provers),1.—Stiffness and pressure in the eyes (after half an hour),14.—Weakness of the eyes (after two to six hours),1.—Eyes weak; intoxicated look (after two hours),9.—Subjective. Dryness of the eyes and lids (after one to two hours),814.—Dryness and stickiness of the eyes, usually with burning (several provers),1.—Painfulness of the eyes,2.—Pain in the eyes, especially in the right, while reading (after six hours),8.— [100.] Slight pain in both eyes, while reading and writing (after six hours),8.—Burning in the eyes, especially in the lids and canthi (first U6 MERCURIALIS. day),3.—Burning in the eyes, with lachrymation (after two to four hours) ; more dryness (after four to six hours),8.—Burning in the eyes, as if they had been exposed to horseradish,4.—Burning heat in the eyes, extending over the cheeks (after three hours),14.—Eyes seem too large and difficult to move (after four hours) ; afterwards a sensation as if they were smaller than usual (after seven hours),14.—Tension iu the eyes and temples (after two and seven hours),14.—Tension in the eyes, as if they were swollen, in the morning (second day),14.—Painful tension in the eyes, with dryness and heaviness of the lids (second day),8.—Aching in the eyes, in the even- ing by the light,8.—[HO.] Pressure in the eyes (after half an hour),14; worse on stooping,8.—Pressure with dryness in the eyes (second day),8.— Pressure in the eyes and in the forehead; it seems like a veil before the eyes (after one hour and a half),3.—Pressure deep within the eyes,7.— Pressure in the posterior portion of the eye (after four hours),11.—Pressure in the left eye; if she closes the lids they become agglutinated, and she cannot immediately open them,12.—A sensation in the eyes as if something were pressing upon them, especially when reading,2.—A sensation as if something pressed the eyes together,2.—Pressing-out sensation in the eyes (after two hours),14.—Forcing-out sensation in the eyes, with an unsteady look,11.—[120.] Some stitches in the eyes (after three to five hours),4.— Tearing in the right eye (after five hours),8.—Tearing in the right eye, persistent in the upper part (after eight hours),8.—Biting in the eyes as after being in a wind,4.—Itching of the right eye (after fourteen hours),3.— Rrow and Orbit. Pressure and tearing in and above the eyebrows,6 8. —Pressive pain in the region of the left infra-orbital foramen (after three hours and a half),8.—Acute pressive pain beneath the upper orbital margin of the right eye (after two hours and a half),14.—Sticking in the region of the right infra-orbital foramen (third day),8.—Tearing above the left eyebrow (sixth day),3.—[130.] Tearing in the left lower orbital margin, extending down to the upper portion of the side of the nose,8.—Tearing or pressive pain in the margins of the orbits, especially in the upper (several provers),1.—Fine sticking-tearing in the region of the left lower orbital margin (second day),8.—Lids. The inner surfaces of the lids, especially towards the margins, are red (many provers),1.—The margins of the lids maturate easily, especially in the morning (several provers), (after two hours),14.—* Blinking of the eyes, in the open air and sunlight (first day),8.—Frequent blinking of the eyes, even when not looking at the light, with burning in them (first day),3.—* Twitching of the upper lids, especially of the left eye (soon),7.—Twitching of the left upper lid,7.—Lids and eyes difficult to move (first day),814.—[140.] The lids are difficult to move, as if they would draw together (after half an hour),14.—*On waking at night, she was unable to open the lids immediately; they seemed paralyzed and could not be opened until she had rabbed them (second night),3.—* Weakness of the upper lids, so that at times she could not completely raise them,3.—^Heaviness of the eyelids?.—-Heaviness and agglutination of the lids,14.—Heaviness and dryness of the lids ; she could scarcely move them (after three-quarters of an hour),14.—Heaviness, tension, and dryness of the lids (after three hours),8.—Heaviness of the lids, with pressure and burning in the eyes,8.— *Lids somewhat heavy and dry (after five hours),8.—Burning in the eyelids, with dryness (after six hours, and even next morning),8.—[150.] Burning in the eyelids followed after an hour by watering of the eyes; next morn- ing the lids were agglutinated (after a quarter of an hour),8.—The eyelids seem tense and dry (after one hour),8.—Constrictive sensation in the left MERCURIALIS. 197 eyelids ; the eyes seemed closed ; on closing the lids, a glutinous sensation, in them (after two hours),3.—The eyelids are difficult to move ; sticky on the inner surface and margin ; when closed, she can hardly open them (after three to eight hours),6.—Lachrymal Apparatus. The eyes are moist, and at times smart, as if coryza would come on (after half an hour),4.—* Watery eyes (after one hour),14.—Watery, dim eyes (after half an hour),4.—Lachrymation, as if coryza would come on ; therewith the nose is sometimes moist,8.—Rail. Slight tearing pain in the eyeballs (third day),8.—Pupil. Pupils dilated, with great sensitiveness to the light (after six to eight hours),13.—[160.] Pupils somewhat dilated; they contract slowly, even when exposed to a strong light (after four hours),14.—Decided dilatation of the pupils after taking a walk, so that she is frightened on looking into a mirror; they only become normal after eighteen hours (after eight hours),9.—* Pupils perfectly dilated (after half an hour),19.— Vision. Vision foggy (after three hoursy14.—Cloudy vision in the open air (second day),8.—It seems as though a cobweb were before the eyes (after one hour and a half),3.—Vision as if a veil were before the eyes, with twitching of the lids, so that he could scarcely recognize objects (after six hours),8.— Weakness and sensitiveness of the eyes to bright and artificial light (third dayy1.—Blinding sensation in the eyes, on looking at the daylight,2.—Blink- ing of the eyes, while sewing or reading by the light,3.—[170.] He was fre- quently obliged to blink the eyes in the open air on account of the snow, which blinded him (first day),8.—She is unable to continue her work on canvas, in the evening by candlelight, because the threads run together; also to read, because the letters run together (after twelve to thirteen hours),9.—While reading, everything ran together; while sewing, she was unable to distinguish the stitches; she thought there was a veil before the eyes (after four hours),14. Ear.—Feeling as if something were lying before the left ear (after three hours),8.—Pressive pain in the left ear (after three hours),8.—Tran- sient stitches deep in the left ear (fourth day),8.—Very deeply seated tear- ing earache, at times sticking, in the left ear, in the evening (first day),8.— Drawing-tearing pain in the left ear (after three hours),8.—Pressive tearing in the right ear, for a short time (after six hours),8. Nose.—Objective. Nose moist, catarrhy,14.—[180.] Nose and eyes moist, as at the outbreak of coryza,8.—The nose was sometimes moist, as if coryza would occur, then again dryer than ever,8.—An old chronic periodic catarrh returns,8.—Violent coryza (second day),14.—Subjective. Dry- ness of the nose (first day),9.—Constant dryness of the nose (after eight hours),8.—Sensation of dryness in the forepart of the left nostril (after three hours and a half),8.—Sensation of heat in the nose, as if rising from the stomach (after three to four hours),14.—The breath seems hot in the nose (after one hour),8.—*The breath, from the nose is cold (after four hours),14.—[190.] Burning in the nose, at times with fine stitches, especially in the evening (first to third day),8.—Burning pain within the nose that is quite dry; if she inhales air forcibly it feels sore internally; a very violent burning, sore pain, as if from horseradish, if she presses upon the bony portion of the nose or upon the place where the bone and cartilage unite; worse in the left and then in the right nostril (after two to six hours),14.— Drawing sensation in the nasal bones; running as if coryza would occur; some drops of water from the nose (after four hours),*.—Tearing in the nose,8.—Crawling in the nose, at times sneezing (after one hour and a quarter),8.—A crawling sensation in the uose, as if clear water would run 198 MERCURIALIS. out of it; the nose becomes moist (after three-quarters of an hour)/.— Crawling and burning in the nose, internally and externally, as from pep- per ; he is conscious of having a nose; the nostrils seem sore (after nine to eleven hours),3. Face.—Objective. Very sickly look, with blue rings around the eyes, for several days,9.—Redness and heat of the face (after two to four hours),14.—Great redness and heat of the face (after half an hour to six hours),14; (after two hours),9.—Subjective. [200.] Sensation of numb- ness in the left side of the face, with slight tearing in it (second day),8.— The left side of the face feels swollen (first day),8.—Tense and numb sen- sation in the skin of the face, even severe on the third day (after two to six hours),8.— Cheeks. Great redness of the cheeks (after a quarter of an hour),6.—Burning in the cheeks, that are red but not hot to touch (after one hour),14.—Burning pain in small points in the left cheek, in the region of the infra-orbital foramen, deeply seated; changing to a deep tearing pain (second day),8.—Tension in the left cheek, with a sensation of numb- ness, also in the frontal region (first to fifth day),8.—Pressure in the right cheek, with heat in it, and in the whole body (after four hours),14.—Pres- sive sensation in the right upper jaw, extending down from the vertex (after one hour),8.—Burning pressure in the region of the left malar bone and zygoma (after three hours),8.—[210.] Violent dragging-pressing pain in the upper jaw, less in the lower jaw, and behind the ears (after five hours and a half),9.—Tearing pain iu the left cheek and ear (after six hours),8.—Tearing pain in the left cheek, and in the sockets of the teeth (after six hours),8.—Tearing pain in the left cheek, especially in the bone, here and there, also in the teeth and ear (first to third day),8.—Tearing pain in the left cheek, rather in the upper jaw than in the teeth or their roots; especially above the second back tooth, in the bone and socket, with a sensation of warmth and swelling of the cheek ; earache, and tearing in the left temple (first to third day),8.—Transient tearing iu the right malar region (after seven hours),8—Pressive-tearing pain deep in the left cheek (after five hours),8.—Lips. Lips dry, with increased thirst (third day),3. —Lips very dry (second day),8; (first day),9.—Burning of the lips, often only at the corners of the mouth, at times itching, also with fine stitches, as from a hair,8.—[220.] Fine sticking in the upper lip, lasting only a min- ute and changing to slight burning,8.—Burning sticking in the upper lip,8. — Chin. Painfulness in the region of the left lower jaw behind the last tooth, for several days,8.—Tearing in the left lower jaw, extending down- ward from the ear, lasting five minutes (third day),3.—Tearing in the left lower jaw and along the alveolar process, lasting two hours, in the after- noon (after four hours, fourth day),8. 3Iouth.—Teeth. Sudden painful dulness in the two upper left in- cisors,1.—Constant pain in the sockets of two teeth on both sides of the upper jaw; the gum was somewhat red (third to fifth day),8.—Slight pain in the upper and at times also in the lower back teeth (second day),8.— Dull pain in the socket of the second upper back tooth, worse when biting (second day),8.—Tearing several times in the second upper back tooth that was decayed down to the root,8.—[230.] Transient tearing in the last right upper back tooth, in the morning (second day),3.—Frequent painful tear- ings in the roots of the teeth of the lower jaw, sometimes transient, some- times lasting a long time (ninth and tenth days),3.— Tongue. Tongue is white, numb, and insensible (after three hours),14.—Tongue coated white, feels quite dry (after three hours),9.—A small burning-sticking blister on MERCURIALIS. 199 the left side of the tongue (second day),8.—Dryness of the tongue, without thirst (several provers),1.—Tongue dry, swollen, aud seemingly insensible on the sides (after one hour),14.—Tongue quite dry (after two to seven hours),14.—The tongue almost sticks to the palate, it and the mucous mem- brane of the mouth are so dry (after three to four hours),14.—Heaviness of the tongue (after two hours),8.—[240.] Tongue heavy, as if thick (after two hours),3.—Tongue so heavy and dry that she could scarcely speak (after five hours),14.—Tongue seems numb, insensible as if she had no taste (after half an hour),8.—Burning on the tongue, which is whiter than usual posteriorly (after third day),8.—Burning on the tongue, just back of the tip (after two hours and a half),8.—Burning sensation on the tongue, as from pepper (after three hours),8.—* Burning and smarting on the tongue (after three to six hours),8.—Constant burning and biting on the tongue,8. —^Sticking burning on the tongue, as from a blister, moving about (third day),8.—Biting burning on the tongue after eating bread and butter (after two hours and a half),8.—[250.] Sticking pain in the tongue (after seven hours),8.—The left side of the tongue is painful in the middle on moving it (second day),8.—Fine burning sticking on both sides of the tongue (after two hours),8.—*The tongue is painful, if it touches the palate, as if there were blisters on it (first day),3.—Tongue painful, especially in the middle and on moving it, as if blisters had formed (after twelve hours),8.—Scraping sen- sation on the root of the tongue (after three hours),8.—Painful scraping and a dry sensation on the tongue (after two to six hours),8.—Biting on the tongue,8.—General 3Iotlth. * Dryness of the mouth (after two hours and a half),14.—Mouth dry and hot without special thirst (after eight hours),8.—[260.] Dryness of the mouth, with heat without thirst (second day),8.—Dryness and stickiness in the mouth, with increased thirst (after seven hours, and also next morning),3.—* Great dryness of the mouth; the want of saliva is so great that a piece of sugar does not dissolve in the mouth (after two to three hours),2.—Great dryness of the mouth while eating (after two hours and a half),14.—Dryness of the mouth, so great that she swallowed a piece of bread with great difficulty; after swallowing, a sen- sation as if a morsel were still sticking in the mouth (after two to five hours),14.—Chewing was very difficult, partly ou account of the dryness of the mouth, and partly on account of the difficulty of moving the tongue (after two hours),8.—Parched sensation in the mouth, without thirst (after three to four hours),14.—Stickiness in the mouth,213; (second day),8.— Stickiness and dryness in the mouth (third day),14.—Glutinous sensation in the mouth (after five to six hours),8.—[270.] Mouth very glutinous and pasty (first day),3.—Burning in the mouth,8.—Crawling in the mucous membrane of the mouth,8.—Saliva. Accumulation of water in the mouth (after one hour and a half),14.—Some accumulation of water in the mouth (after a quarter of an hour),8.—Saliva, returns but is very tenacious (after seven hours); saliva teuacious, glutinous (first day),14.—Taste. Taste seems unusually acute (after two hours),8.—Foul, bitter taste, with heart- burn and nausea (after four hours),9.—Sour taste (after one hour and a half),14. — Disgustingly sour, nauseous taste (after one hour),9.—[280.] Taste as if he had eaten very sour bread; as if fasting (after three hours),8. —Taste as sour as vinegar (after three hours),14.—Soapy, garlicky taste, soon (after the extract),7.—She thought she could only taste with the tongue (after two hours and a half),14.—Soapy taste (of the extract), (after one to five hours),14.—Everything, even bread, tastes bitter,3.—Bread has an un- 200 MERCURIALIS. usually sour taste (after two hours),8.—Speech. Speaking was very diffi- cult; the tongue seemed paralyzed (after two hours),9. Throat,—Objective. Collection of some mucus posteriorly in the throat (after two hours and a half),8.—Collection of some mucus in the throat, in the evening (first day),8.—Subjective. [290.] Burning dry- ness in the upper and back part of the throat, with difficult swallowing, and choking on attempting to swallow (after two hours),14.—Burning pain, like a heartburn, still more acute posteriorly in the throat and pharynx, with pressive constrictive burning pain, extending along down the esophagus, very distressing (after three hours),17.—Pressive pain, pos- teriorly in the throat, on swallowing, as if it were thick (third day),14.— Rawness in the throat, with a husky voice (after two hours),14.—Seusation of rawness in the throat, as if it were sore, with pain on swallowing, mov- ing the throat, and talking, but not on pressure (after thirty-four hours),14. — Scraping in the throat, extending forward to the tongue (after a quarter of an hour to four hours),8.—Scraping in the throat, as if she had eaten fat (first day),12.—Tonsils. Pressure in the throat, in the left tonsil (after two hours),8.—Pharynx. Sensation of heat in the pharynx, as if rising from the stomach (after three to four hours),14.—Violent burning, constrictive pain in the pharynx (after two hours),14.—[300.] Violent sticking pain in the pharynx, especially on swallowing; uvula, palate, and pharynx decidedly red (after seven to nine hours),11.—Sivallowing. She is unable to swallow* an apple, because swallowing hurts the throat (after two hours),9. Stomach.—Appetite. Very great appetite (after three hours),9.—■ Thirst. Much thirst (after two to seven hours),11.—Eructation. Eructations (after a quarter of an hour),7.—Frequent eructations, at times not long after the dose, at times also later, usually affording relief to the troubles in the stomach and abdomen ; mostly tasteless (in several provers),1. —Violent tasteless eructations, especially ou stooping,11.—Eructations tast- ing of the drug (after one hour),9.—Eructations of a horribly bitter, bilious taste (first to third days),12.—Waterbrash (after six and twenty hours),8.— [310.] Constant waterbrash (after three to six hours),8.—Heartburn. Heartburn posteriorly in the throat (after one to six hours),14.—Nausea and Vomiting. Nausea in the stomach, in the afternoon (after a dose in the morning),13.—Nausea, so that she thought she would vomit (after three-quarters of an hour to one hour),14.—Nausea from time to time, as if she would vomit, worse after eating (first to third days),3.—Great nausea, preceded by heartburn ; constant eructations and heaving, though nothing results, with burning in the stomach and a foul bitter taste, lasting three- quarters of an hour (after four hours),9.—Stomach, Epigastric region full and distended (after three hours),8.—Feeling of emptiness in the stom- ach (after half an hour),8. — Sensation of fasting iu the stomach, de- scribed as a flabby sensation (after a quarter of an hour to one hour and a half ),14.-—Feeling of discomfort in the stomach (after one to two hours),14. —[320.] Sensation of discomfort, nausea, and distension in the stomach (soon),8.—A burning working in the stomach, then extending down into the abdomen, at times ending in eructations, at times in emission of flatus; usually soon after a dose, and in several provers,8.—Feeling of fulness and distension in the stomach (after a quarter of an hour),14.—Tensive pressive distension in the stomach, especially in the cardiac portion, ex- tending down into the abdomen, at times with slight twinging cutting, at times with rumbling; sometimes with eructations and emission of flatus MERCURIALIS. 201 which afford relief,8.—Sensation in the stomach as if it were dilated ; some- thing she could not describe (after two hours and a half),9.—Pressure in the stomach (after three hours aud a quarter),14.—Pressure as from a stoue in the stomach, with frequent rumbling in the abdomen,11.—Pressure in the stomach, and a feeling as if it were swollen, that extends over the whole abdomen, and also to the chest, so that respiration is difficult (second day i,1.—Pressive pain in the epigastric region, extending towards the spleen, soon followed by slight stitches in the stomach, succeeded by rumbling in the abdomen above the umbilicus,7.—Violent pressure in the pit of the stomach, extending to the back between the shoulders, lasting a quarter of an hour, while walking in the open air (third day),3. Abdomen.—Hypochondria. [330.] Violent twinging in the left hypochondrium, in the regiou of the curvature of the colon (after two hours and a half),8.—Pressure in the hepatic regiou, extending thence into the region of the spleen (after three hours),3.—Pressure in the region of the spleen (after several provings),7.—Pressive pain in the region of the spleen, lasting several minutes (after one hour and a half),8.—Feeling of warmth in the region of the spleen, gradually changing to a pressive pain (after one hour and a half to three hours),7.—Pressive pain in the liver; then also in the splenic region ; afterwards also to the top of the chest (after three to four hours),14.—Slight pressive pain in the hepatic region, that soon occurs in the left hypochondrium as a sticking pain (after a quarter of an hour to three-quarters of an hour),7.—Pain or rather violent pres- sure in the region of the spleen, especially while lying down, for several days,7.—Gnawing sensation in the region of the spleen (after one hour and a half),7.—Pain, at first slight, afterwards acute and gnawing, near the pit of the stomach, extending towards the region of the gall-bladder, relieved by emission of flatus (first and second days),8.— Umbilical. [340.] Griping pain in the umbilical region, that extends down into the bladder (after three hours),7.—Slight cutting in the umbilical region, afterwards also in the left hypochondrium, with emission of flatus (after two hours and a half),8.—General Abdomen. Frequent rumbling in the abdo- men, and emission of flatus (after three to six hours),14.—Audible rumbling or gurgling in the abdomen, usually transient, with or without emission of flatus (in many provers),1.—Emission of flatus (after eight hours),8.—Fre- quent emission of flatus, with dragging in the small of the back (first day),8.—Emission of much flatus (after eight to twelve hours),7.—Profuse emission of flatus, at night (first day),14.—Emission of flatus of a peculiar odor (second day),8.—Frequent pain in the abdomen,12.—[350.] Tension in the abdomen (after two hours and a half),8.—Constrictive or twinging or pressive movement in the abdomen, not exactly painful, at times changing to a painful griping, frequently spreading, at times remaining seated in one place, frequently relieved by emission of flatus or by eructations; some- times with audible rumbling, sometimes with oppression of the heart or chest (in several proversj,1.—Griping in the abdomen, followed by a thin stool, a few times,7.—Transient but acute griping, extending from the small of the back and both hips forward into the abdomen (after two hours),14.— Paroxysmal but not violent griping in the abdomen, at times burning, and especially towards the lower portion (after three hours),3.—Movings and workings in the abdomen, griping, pinching, cutting, or dragging; also audible rumbling and gurgling, with emission of flatus usually (first, sec- ond, and third days), (several provers),1.—Colic in the middle of the abdo- men (second hour;,2.—Iliac Regions. Dragging in the inguinal region, 202 MERCURIALIS. sometimes only a painful aching, at other times changing to a sticking pain, worse while walking, at times extending down into the spermatic cord, sometimes on one, sometimes on both sides (first and second days),8. Rectum and Anus.—A dragging-pressing sensation in the rectum, with pressure and tension in the small of the back (first and second days),8. —Burning and smarting in the anus, with pressure and tension in the small of the back (first to third days),8.—[360.] Dragging or burning in the anus (after two hours),8.—Crawling in the anus,1.—Itching burning in the anus (first to third days),8. Stool.—Diarrhoea. Diarrhoea, with constant colic (third day),11.— Stool somewhat inclined to diarrhoea,8.—Two thin stools, though not actual diarrhoea (four hours and a half and six hours and a half after 6 grains of the extract of the root) ; in another proving, constipation on the same days (after 8 grains of the same preparation),6.—Stool rather thin,7.—Soft stool in the evening, at an unusual time (after thirteen hours),8.—Copious soft stool (twelfth day),8.—A profuse soft stool in the morning, followed by some straining (second day),8.—Constipation. [370.] Constipation, for two days,2. Urinary Organs.—Urethra. Burning in the urethra (after five hours),8.—Some burning in the urethra (after two hours),8.—Prickling burning in the urethra (after two to six hours),8.—Crawling in the urethra and prepuce, with crawling in the anus and tearing and dragging in the small of the back (after six to seven hours),6.—Micturition. Unusual urging to urinate, with increased discharge (after five minutes), (in several provers),7.—Remarkably frequent desire to urinate, with burning during micturition, wherewith very much urine is frequently passed (after four to six hours, and even during the night),11.— Micturition somewhat increased (after eight hours),8.—More frequent micturition than usual (first day),3. Sexual Organs.—Menstruation postponed for three days, after she had taken 6 grains of the extract of the root on the day for it to occur ; two hours after the dose much violent orgasm of blood, great anxiety, so that she nearly fainted, with oppressed respiration, heat over the whole body, especially in the head and chest, breaking out into anxious perspira- tion from time to time, heaviness of the limbs, trembling ; during the next days great swelling and painfulness of the breasts; on the third day vio- lent headache, with faintlike weakness, so that she was obliged to lie down ; menstruation only appeared that night, towards morning, lasted only three days and was scanty, while it usually lasted seven days,14.—[380.] Men- struation, usually lasting three days, lasts only one day, followed by much cramp in the abdomen and headache; the next time it appears eight days later than usual and lasts four days,3.—Menstruation ceases on the fourth day, though it should have continued several days longer,14. Respiratory Organs.—The habitual cough frequently returns and is dry (first day),11—Breath hot, almost burning, so that the lips are almost made sore thereby, for several hours (after one hour),14.—Breathing ster- torous (after half an hour),19.—Difficult breathing, especially on the right side (after a quarter of au hour to one hour),3. Chest.—Pressure and painfulness on the chest,11.—Front, Pressure on the* forepart of the chest (after two hours),9.—Pressive pain in the forepart of the chest, with pressure in the stomach and difficult breathing,3. ■—Sides. Pressive pain in the left side of the chest, with pressure and tension in the left side of the stomach and slight sticking iu the side of the chest (after two hours and a quarter),8.—[390.] Sticking pain in the left MERCURIALIS. 203 side of the chest (after three hours),7.—Wandering tearing in the left side of the chest,8.—Throbbing in the right side of the chest, in the evening on falling asleep (after thirteen hours),9. Heart and Pulse.—Frcecordium. Sensation of orgasm in the region of the heart, with fulness and an anxious sensation in the left chest (after seven hours),8.—Whirling, rushing sensation in the region of the heart, while standing and moving about,3.—A peculiar rushing, throbbing motion in the region of the heart, pit of the stomach, and upper portion of the abdomen, then also a remarkable rolling and throbbing with trem- bling and orgasm in all the veins, without heat; he distinctly feels the beating of the abdominal artery while sitting, with dulness and stupefac- tion of the head, as if the blood mounted violently upward ; pulse accel- erated and full; constant twinging and slight griping in the abdomen, first in the stomach and then extending farther downward in the intestinal canal, caused by the movement of flatus, which is also passed a few times, at times also rumbling; respiration is oppressed and the pit of the stomach tense (after four to seven hours),8.—Constriction in the region of the heart (sixth day),3.—Constrictive oppression in the prsecordial region (after three hours),8.—Heart's Action. Palpitation, with oppression of the chest, as if the chest would be constricted, after stooping (after four hours),12.— Repeated palpitation, with oppression in the prsecordial region,18. Rack.—[400.] Drawing tearing along the right scapula, extending into the upper arm,8.—Tensive dragging in the small of the back, persistent (first and second days),8.—Pressure in the small of the back (after three hours),14.—Pressive and dragging sensation in the small of the back (after three to six hours),8.—Pressive pain iu the left lumbar region and in the posterior portion of the left hypochondrium, in which it extends forward (after three hours),3.—Pressive pain in the small of the back, preceded by pressure upon the rectum (second day),8.—Tearing in the left side of the small of the back, extending into the nates (second day),8.—Tearing and dragging in the small of the back, with crawling in the anus (after six to seven hours),8.—Dragging tearing pain in the small of" the back, when rising from a chair (fourth day),3.—Tearing in the left side of the pelvic region posteriorly (after eight hours),8. Extremities in General.—Objective. [410.] Very tired and prostrated in all the limbs,5.—Weakness in the limbs, in the morning on going out,3.—Subjective. Some stitches, here and there, in the extremi- ties (third day),8.—Tearing in almost all the extremities, at times transient, at times persistent, wandering about,1.—Burning smarting-tearing in the extremities almost in the skin, especially of the hands, fingers, feet, and toes, repeatedly,8. Superior Extremities.—Drawing pain in the arms (first and second days),7.—Arm. Tearing on the anterior surface of the upper arm,8. —Superficial tearing on the anterior and outer portion of the left upper arm, extending down into the joint (fourth day),8.—Tearing posteriorly in the lower portion of the upper arm and in the elbow-joint (fifth day),8.— Wandering tearing in the left upper arm,8.—[420.] Transient tearing in the left upper arm (after nine hours),8.—Slight tearing in the left upper arm (after seven hours),8.—Slight tearing on the inside of the lower por- tion of the upper arm (second day),3.—Constrictive tearing in the left upper arm, externally and posteriorly (fourth day),8.— Drawing-tearing pain extending down the inner and anterior portion of the left upper arm (fourth day),8.—Pressive-tearing pain on the outer portion of the left upper 204 MERCURIALIS. arm, extending from the joint down deep in the bone, in the evening (fourth day),8.—Sticking contractive tearing in the right upper arm, from the inside above the joint (fourth day),8.—A stitch below the left deltoid (fifth day),8.—Elbow. Jerking tearing in the bend of the right arm, ex- tending from the upper arm down into the forearm,8.—Forearm. A pressive pain as if it worked through the skin on the external surface of the forearm, somewhat above the middle, towards the forepart, with a similar simultaneous pain on the outer portion of the left leg, for a short time (second night),3.—[430.] An acute stitch on the inside of the right forearm (after eleven hours),12.—Tensive tearing on the outer anterior por- tion of the forearm, in the region of the ulna, especially in the left (nine- teenth day),8.—Tearing on the inside of the forearm, just below the elbow- joint (after three hours),8.—Tearing along the lower anterior portion of the left ulna (fourth day),8.—Superficial tearing ou the inside of the lower portion of the left forearm (second day),8.—Slight tearing on the extensor surface of the forearm, extending to the wrist,1.—Sticking tearing on the inner anterior portion of the forearm (fourth day),8.—Jerking sticking- tearing in the anterior portion of the margin of the left radius (fifth day),8. —Jerking tearing on the lower margin of the forearm (fifth day),8.— Wrist. Slight drawing pain on the inside of the wrist (after five to six hours),8.—[440.] Some tearing in the right wrist (after eight hours),8.— Tearing in the wrist and right middle finger (after eight hours),2.—Some tearing and stitches in the left wrist and neighboring part of the forearm, in the anterior portion, on moving the hand, less during rest (fifth day),8.— Transient tearing on the back of the left wrist (after seven hours),8.—Violent tearing in the wrist of the hand upon which he is resting, so that he started up; followed by stiffness of the wrist (after ten hours),8.—Tensive tearing on the outer side of the wrist (third day),8.—Tearing on iuside of left wrist, lather drawing (fourth day),8.—Drawing tearing in the outer con- dyles of the wrists (fourth day),7.—Hand. While playing the piano, the left hand is suddenly drawn outward,2.—Tearing along the metacarpal bone of the left thumb (fourth day),8.—[450.] Transient tearing in the back of the left hand (after seven hours),8.—Slight tearing on the back of the right hand (after three hours),8. — Constricting tearing in the ex- tensor tendons of the left hand (after ten hours),8.—Fingers. Twitching in the fingers, especially on the backs; at times with fine stitches (after nine hours),8.—Sticking pain in the tips of the fingers, a few times,7.— Tearing sticking in a small spot on the inner side of the first joint of the right middle finger (tenth day),3.—Slight transient stitches in the left index and middle finger (after two hours),7.—A fine stitch in the tip of the left little fiuger (second day),3.—Two fine stitches in the first phalanx of the right index finger, just above the nail (after three hours),8.—Jerking stitches in the fingers, especially in the tips, frequently,8.—[460.] Tearing on the outer side of the right middle finger (after seven hours),8.—Tearing in the left little and ring fingers (fourth day),8.—Tearing in the inside of the left ring finger (third day),8.—Tearing along the outer side of the right little finger (fourth day),8.—Transient tearing in the ball of the right thumb (after seven hours),8.—Fine tearing on the outer side of the left index finger (fourth day),8.—Slight drawing tearing in the extensor ten- dons of the right middle finger,3.—Transient sharp tearings in the fingers (sixth day),8.—Sticking tearing in the tip of the middle finger (after nine hours),8. Inferior Extremities.—Thigh. A feeling as though the right MERCURIALIS. 205 thigh were torn with a pin, very acute (after two hours),4.—[470.] Draw- ing or pinching-tearing pain on the inner side of the thigh, now iu the bend of the thigh, now farther down (fourth day),8.—Painful dragging in the bend of the left thigh, as if a hernia would occur, in the evening (first day),3.—A persistent, deeply seated stitch in the middle of the right thigh, toward the inner portion (sixth day),8.—Tearing extending from the side of the left pelvis anteriorly down iuto the thigh,2.—Tearing in the left thigh, afterwards in the right knee extending downward (after one hour and a half),4.—Superficial tearing in the left thigh (after five hours),8.— Buruing-tearing pain extending down from the bend of the right thigh (third day),8.—A pressive-tearing pain iu the outer anterior surface of the middle of the left thigh, deeply seated on the bone (third day),8.—Knee. A peculiar long burning stitch on the outer portion of the left knee (fourth day),8.—Tearing in the left patella (tenth day),3.—[480.] Tearing in the left patella, extending upward and downward (sixth day),3.—Tearing on the inner side of the left knee, superficial, in the morning in bed (seventh day),8.—Tearing or a simple pain iu the hollow of the left knee, at one time more in the tendons, at another more in the middle, extending now upward, now downward (fourth day),8.—Violent tearing in the left patella,8. —Tensive tearing in the left knee (fourth day),8.—Jerking tearing in the left patella, while sitting (fourth day),8.—Jerklike tearing and sticking in the left patella, while sitting (fourth day),8.—Leg. Painfulness of the anterior portion of the tibise, while walking, extending up into the knee (sixth day),3.—Sticking-burning pain in the middle of the leg externally on the side of the tibia (third day),8.—Sticking in the middle of the left leg externally near the tibia, extending deeply inward, like a burning, lasting more than a minute (seventh day),8.—[490.] Sticking in the fore- part of the middle of the tibia (seventh day),3.—Sticking in the middle of the left calf, from within outward, lasting nearly a minute (eighth day),8.— Tearing in the posterior and outer portions of the left leg, caused by motion (second day),8.—Tearing on the tendons on the inner side of the left leg, while walking (after seven hours),8.—Tearing in the middle of the outer side of the left tibia (fifth day),8.—Tearing in the forepart of the tibia, while walking, as if the flesh were loose (tenth day),3.—Tearing pain in the muscles on the outer side of the left tibia, while walking (after seven hours),8.—Pressive-tearing pain in the tibise (sixth day),3.—Slight transient tearing in the left calf (after seven hours),8.—Ankle. A few stitches in the left external malleolus (sixth day),8.—[500.] Tearing on the back of the right ankle externally (second day),8.—Tearing on the back of the tarsus externally (second day),8.—Tearing on the inner side of the left internal malleolus (seventh day),3.—Pressive tearing on the outer and anterior portion of the right ankle (after three hours),8.—Foot. Heavi- ness of the feet (even on sixth day),3.—Wandering tearing in the left foot (fourth day),8.—Slight transient tearing in the left foot (after seven hours),8. —Violent pain on the back of the right foot, as if the tendons were pulled (fourth day),8.—Sticking pain on the upper anterior and outer portion of the left foot, while sitting, as if the foot were fixed with a nail (third day),8. —Tearing on the back of the foot, inner side of the foot, and in the heel (after four hours),8.—[510.] Tearing pain on the back of the right foot, that woke him from the sleep caused by the drug, lasting a quarter of an hour (after three hours and a half),7.—Transient tearing on the back of the right foot, in the middle above the toe-joints (fourth day),8.—Drawing- tearing pain on the back of the left foot, extending forward to the toes, 206 MERCURIALIS. recurring several times (after three to nine hours),8.—Burning in the sole (first day),8.—Tearing on the left sole while walking, and almost still worse while sitting (second day),8.—Tearing on the inner side of the left sole (after eight hours),8.—Tearing on the inner side of the posterior portion of the sole and on the inner malleolus (fifth day),8.—Sticking in the left heel (fourth day),8.—Some slight stitches in the left heel (fourth day),8.—Tear- ing externally in the left heel (after eight hours),8.—[520.] Jerking tear- ings in the left heel (fifth day),8.—Sticking tearing in the left heel (third day),8.—Toes. Slight sticking pain in the toes and tips of the toes, on falling asleep, in the evening (after thirteen hours),9.—Jerking sticking in the toes, especially in the tips (third day),8.—A stitch in the great toe (third day),8.—Some stitches in the metacarpal bones of the toes (third day),8.—Tearing in the great toe (after ten hours),8.—Tearing on the back of the joint of the right great toe (fourth day),8.—Tearing pain on the back of the great toe (after nine hours),7.—Sticking tearing in the tips of the toes (tenth day),3.—[530.] Jerking in the toes, especially on the back, at times with fine stitches (after nine hours),8. General Symptoms.—Objective. Indolence, discomfort, and dizziness,8.—So great lethargy of the body that she has no inclination for any kind of work (after half an hour),9.—Tired (after three to six hours),4. —Very tired (after half an hour),4.—Weariness even after half an hour,8. —Weariness, in the afternoon,7.—Weariness; not inclined to thought,7.— Very weary (after one hour),14.—She felt very weak on going out about 9 a.m., with pain in the limbs, while walking,3.—[540.] She was very weak during a walk in the country ; the knees were very painful, and while walking she thought at times that they would give way (third day),3.— Great weakness in the evening; he could scarcely keep awake while stand- ing ; he was in a kind of stupefaction ; became worse on going into a warm room (second day),8.—Great weariness and exhaustion (after two hours and a half),14.—Great exhaustion and weariness, especially in the morning and evening, and after moving about (first to fourth day),3.—Great ex- haustion and weariness, so that she was unable to work, with vertigo; she slept soundly in the evening, on the sofa, at 8 p.m. (after eight hours),9.— Subjective. Feeling of emptiness and weariness in the whole body (after five to six hours),9.—Feeling of great weariness (after one hour and a half),14.—Persistent pain in the muscles on motion,8. Skin.—Eruptions. Eruption of some pimples on the chin (after three days),13.—Some red pimples on the chin (first to sixth day),13.— [550.] Small, scarcely perceptible pimples on the chin, with burning itch- ing ; becoming more prominent from rubbing (tenth day),3.—Some itching on the skin and eruption of some pimples on the side of the abdomen,16.— Violent biting-itching on the chin, aggravated by rubbing, with redness and some vesicles, in the evening (first day),1.—Sensations. Burning and itching in the skin, or a real burning pain jumping about from place to place ; at times, fine sticking or prickling as from hairs, or as from fleas running over the skin ; at times, also single tearings, very frequently (after many provings),8.—Tearing in the skin of the left temple,8.—Itching of the lids (several provers),1.—Itching on the nose externally (third day),3. —Violent itching on the back of the right hand, for an hour, in the even- ing (first day),3.—Burning itching on the right wing of the nose (after three hours),8. Sleep and Dreams.—Sleepiness. Frequent yawning and weari- ness (after one hour and a half to two hours),0.—[560.] Frequent yawning MERCURIALIS. 207 aud sleepiness (after five hours) ; soon afterwards, he was unable to keep awake; remained for two hours in this condition, and then was very weary for several hours (after 8 grains of the extract of the root),7.—Very sleepy (after five hours),4.—Remarkable sleepiuess; he slept two hours in succes- sion (after three hours), till dinner-time, when he could scarcely keep awake; immediately aftenvards he slept nearly four hours, then went into the open air, but even there Was constantly overpowered by sleepiness; at 8 p.m. (after thirteen hours) he was obliged to go to bed, and slept all night till 7 a.m. (after 8 grains of the extract of the root),7.—Dizzy sleepiness (first day),3.—Very drowsy and dizzy,14.—Sleeplessness. Sleep unre- freshing, full of dreams,7.—Sleep restless,7.—Sleep restless, disturbed by frequent waking (third night),1.—She slept well from 10 to 12 o'clock at night, but then woke, and could not fall asleep again on account of uneasi- ness iu the body (second night),3.—Frequent waking (fourth night) and profuse perspiration in the morning,13.—Dreams. [570.] Sleep uneasy, full of dreams; she woke as many as twenty times ; had many dreams of little children and of an ugly horse,14.—Sleep full of dreams, in which she had to do with snakes,1.—Many dreams of wild boars, with frequent wak- ing,3.—Sleep less disturbed by dreams than usual,1. Fever.—Chilliness. Chilliness, even in the forenoon (after three to four hours),13.—Chilliness in the afternoon (after eight hours),13.—Chilli- ness over the whole body for about an hour after dinner, then heat for about an hour,11.—Chilliness for a short time in the evening on going to bed, more heat at night and towards morning ; with violent thirst, espe- , cially in the morning (third night),3.—* Chilliness over the whole body, with heat of the face; she could not get warm, was obliged to lie upon the sofa and cover herself up, then she fell asleep and became warm,, and afterward per- spired (after ten to fourteen hours),3.—Chilliness over the whole body, starting from the right side, especially in the right arm, so that she shiv- ered, with great exhaustion, weakness, weariness, and pains in the limbs, so that she constantly desired to sleep, with painful pressure in the stomach, aggravated by touch, that afterwards extended to the abdomen; pressure upon the chest and difficult respiration; gooseflesh on the right arm, that was chilly, afterwards extending over the whole body; after midnight offensive perspiration on both sides, especially on the arms (second day),3. —[580.] Feeling of coldness (after three hours and a half),8.—Easily becomes cold and chilly, almost as in fever, followed after three-quarters of an hour by heat, with dark-red cheeks (after three hours),14.—Shivering, in the evening (first day),8.—Shivering, in the evening, after taking the drug in the morning, at uoou, and in the evening,7.—Chilliness iu the stom- ach, at 9 p.m., in bed (after a quarter of an hour), extending thence into the right side of the chest and abdomen, to the right arm and right hip, lasting an hour, wherewith it was difficult to draw her breath; about 4 a.m., warmth iu the same parts, followed by profuse perspiration ou the same side of the body, with increased thirst; next morning there was still warmth in the epigastric region and right side of the body, as if perspira- tion would break out, with heat of the face and redness of the cheeks,3.— Feeling of coldness in the face (after half an hour),14.—Heat. She woke frequently, had much heat, and towards morning lay in profuse perspira- tion,13.—Woke several times towards morning tormented by distressing heat, especially in the upper part of the body, so that she was obliged to take off* her night-sacque,1.—Heat of the head,813.—Heat of the head and hands (after four hours),8.—[590.] Heat of the head, with dark redness of 208 MERCURIALIS—MERCURIUS. the cheeks (after four hours),14.—Heat and redness of the cheeks (first day),13.—Great heat of the head and hands; veins of the hands distended, face red, also the feet were very hot (after two provings), (after half an hour to five hours),4.—Warmth and heat of the face repeatedly, lasting several hours,8.—Decided heat of the head, with remarkable redness of the cheeks and whirling in the head ; also frequent burning in the hands (after four to eight hours),6.—Great heat in the head and face with redness (after two to six hours),4.—Great heat in the face, a burning smarting, changing to heat flushing over the back, as if perspiration would break out (after three hours),14.—Burning of the cheeks, in the evening,8.—Violent buruing heat in the head, and afterwards in the whole body, especially in the hands and feet, with distended veins on the hands (after two to six hours and even later),14.—Violent burning and tingling heat iu the head, hands, and feet, and over the whole body (after half an hour to six hours), even on the next morning; on another proving (after two to five hours) a sensation as though coryza were coming on,8.—Sweat. [600.] ^Perspiration over the whole body, from 3 a.m., till towards morning, after good sleep (fourth night),3. Conditions.—Aggravation.—(Morning), On going out, weakness in limbs.—(Evening), Burning in nose, etc.; burning of cheeks.—(Night), While reading, pain in eyes.—(After eating), Nausea.—(Lying down), Pain in region of spleen.—(Motion), Tearing in leg; pain in muscles.—(Read- ing), Pressing above eyes.—(Standing), Dizziness.—( Walking), Tearing in tendons of leg ; tearing in tibia.—( Warm room), Weakness, etc. Amelioration.—(Rest), Tearing, etc., in wrist, etc. MERCURIUS. Hydrargyrum, an elementary body. (Mercurius vivus, Quicksilver.) Preparation for use, Triturations. Authorities.^ 1, A. De Haen, effects on a gilder, Ratio Medendi, p. 229 (Leyden, 1661); 2, Walter Pope, effects on laborers in quicksilver mines in Italy, Philos. Trans., 1665, 1, p. 21; 2 a, Scopoli, effects on workers in the mines in Idria, Venice, 1671; 3, John Paterson Hain, effects on self of handling or being in the same room with the metal or any of its com- pounds, Bonetus, Med. Septendri. Coll., Geneva, 1686, 2, 386; 4, Jussieu, effects on workers in quicksilver mines of Almada, Spain, Mem. del'Acad. Roy. des Sciences, 1719, p. 358 ; 5, Ramazzini, effects on gilders, Op. Med. et Phys. (de morb. artificium), 1719, p. 486; 6, Junchen, general effects in gilders, from Ramazzini; 7, Fernelius, effects in a gilder, from Ramazzini; 8, Forestus, effects in a gilder, from Ramazzini; 9, Borichius, effects in a gilder, from Ramazzini; 10, Fourcroy, effects in a gilder, note to a trans- lation of Ramazzini (from Swediaur, Traite des Mai. Syphil.) ; 11, same, effects on wife of preceding, who also slept in the workroom ; 11 a, Trew, effects in a woman, aged sixty, from silvering mirrors, Act. Phys. Med. 1737; 12, Spens, effect in a woman, aged thirty-six, of rubbing ointment of Merc, into groins and upon some hsemorrhoids, Edin. M. and S. J., 1805; 13, same, effect in a man, of mercurial pill and ointment continued six weeks for bubo; 14, Dietrich, " Mercurial Diseases," general effects (from Hempel, Mat. Med.); 15, Thackrah, effects in gilders, ibid.; 16, Win. Stokes, effects from silvering mirrors, Ryan's Med. J., 5, 520; 17, f These are "pure;" the utmost care has been taken to avoid any complication with disease; especially have the effects of Mercury in syphilitic cases been omitted. MERCURIUS. 209 Kopp, from Hempel, effects in a gilder; 18, Kussmaul, Unters. ueb. d. Con- stitutionellen Mercurialismus, 1861, detailed effects in over one hundred workers in Erlangen; 19, Hermann, effects in workers, from Kussmaul; 20, Keller, effects on workers in Bohemia, from Kussmaul; 21, Bammler, effects on workers, from Kussmaul; 22, same, effect in a woman aged twenty-eight; 23, Kussmaul, op. cit., effects on workers in Furth; 24, Fronmuller, effects on workers, from Kussmaul ; 25, Goetz, effects on workers, from Kussmaul; 26, Ascherson, effect on a man, from Kussmaul; 27, Keyssler, Journeys, Hauover, 1740, effects in workers in mines, from Kussmaul; 28, Weerbeeck du Chateau, effects on workers in Prague, 1814, from Kussmaul; 29, Bayer, Horn's Archiv, 1820, effects in workers, from Kussmaul; 30, Sundelin, effects on workers, from Kussmaul; 31, Mitchell, effects on workers, Lond. Med. and Phys. Jour., 1831, from Kuss- maul ; 32, Raver, effects on workers, Anual. de Therap, 1846, from Kuss- maul ; 33, Canstatt, effects in thirty-four cases among workers, Clin. Ruck. Blatt., 1848, from Kussmaul; 34, Van Berger, Deutsch. Clin. 1850, effects on workers; 35, Passot, effects on workers, Gaz. Med. de Lyon, 1852, from Kussmaul; 36, Koch, effects on workers, Canstatt's Jahrb., 1855; 37, Pleischl, effects on workers, Oest. Zeit. f. Prak. Heilk., 1856; 38, Pet- ters, effects on workers, Prague, Vjhrt., 1856; 39, Aldinger, Iuaug. Diss., Wiirtsburg, 1861, effects in workers; 40, omitted; 41, Sigmund, general eff'ects, Bost. M. and S. J., 18, 362; 42, same, effect in a man, of 22 ounces of crude metal, taken in five days; 43, Burdin, effects on silverers of mir- rors, Diet, des Sciences Med., 54, 276 ; 44, Sehron, effects of carrying Merc. in a leather bag about the neck, Hygea, 11, 514; 45, Abeille Med., 1853, effects in a "silverer;" 46, Edin. M. and S. J., 6, 513, effects of a large quantity (30 tons) stowed on shipboard; 47, Colson, effects on physicians and students from inhaling mercurialized atmosphere in a svphilitic hos- pital, Arch. Gen. de Med., 1826, p. 71; 47 a, same, effects of mercurial inunction for itch, in two women ; 48, R. Bright, effects on a workman ex- posed to vapor of mercury, Rep. of Med. Cases, London, 1831; 49, same, effects in a man and woman from fine particles of triturated Mercury ; 50, same, effects in a gilder; 51, Bateman, effects in two " silverers," Edin. Med. and Surg. J., 8, 376; 52, same, Bost, M. and S. J., 18, 138; 53, Ar- rowsmith, effects on a "water gilder," Lond. Med. Gaz., Apr. 1834; 54, same, another case ; 55, Peyrot, effects on a "silverer," Arch. Gen. de Med., 1834; 56, Ollivier and Roger, effects of vapor of distilling Merc, on two girls aged seven and ten, Ann. d'Hyg., 1841; 57, Grapin, effects in a man of sleeping in a room in which a wooden bowl that had held Mercury had been burnt in a leaky stove, Arch. Gen. de Med., 1845, p. 328; 58, same, effects on wife, aged fifty-six; 59, same, effects on daughter, aged twenty- one ; 60, same, effects on daughter, aged sixteen ; 61, Porter, general effects, Am. J. Med. Sc, 1847, p. 245; 62, effects of fumigating with Merc, a hos- pital ward infested with bugs, Journ. de China. Med., 1849; 63, Lange, effects of ointment in children with lice, Med. Zeit., 1851; 64, Barlow, effects in a gilder, Med. Times and Gaz., 1853; 65, Christison, effects in workmen ; 66, Falconer, effects of a girdle containing Mercury worn about the waist for the cure of itch, Bost. M. and S. J., 18,138 ; 67, Earle, effects in a gilder, Bost. M. and S. J., 7, 274; 68, Oppolzer, effects in a woman employed in making barometers, Oest. Zeit. f. Pr. Heilk., 1857 ; 69, Briche- teau, effects in a gilder, Bull. Gen. de Therap., 1866; 70, Leroy, effects in a woman working in skins that had been treated with Mercury, I'Union Med., 1867; 71, Tilbury Fox, effect of inunction, Lancet, 1867;* 72, Ram- vol. vi.—14 210 MERCURIUS. skill, effects in a silverer, Lancet, 1868; 73, Ferrand, effects in a woman of sleeping in a room where Merc, had been volatilized, I'Union Med., 1868 ; 74, Gueneau de Mussy, effects on a man, aged thirty-seven, of "silver- ing" for two years, Gaz. des'Hop., 1868 ; 75, Vallon, effects in two workers, Schm. Jahrb., 86, 239; 76, Gailleton, general effects, I'Union Med., 1867; 77, same as 74; 78, Concato, effects on workers, Revista Clin., 1868, S. J., 145, 144; 79, Schmitz Inaug. Diss., 1869, effects of silvering; 80, same, another case exposed to vapor of Merc.; 81, Morrison, effects of strongly inhaling from an old vial containing the 4th dec, Month. Hom. Rev., 1875, p. 33; 82, same, effect on Dr. J. B.; 83, Sharp, Essays on Med., p. 725, effects of \ gr. of first or second trit., taken night and morning.f 3Iind.— Emotional. Mind easily agitated,54.—Occasionally his mind seemed to wander,17.—Frightful images at night,18.—Hallucinations day and night,45.—Hallucination of mind, especially at night, with desire to escape,75.—Delirium; his speech was disconnected, and he would not answer questions; this delirium increased to a violent rage, so that the pa- tient was obliged to be confined in a strait-jacket, with rolling of the eye- balls, clonic spasms, discharge of yellow, frothy liquid from the mouth and nose, and rattling in the trachea, followed by trismus and tetanus,78.— Delirium,1837.—^Delirium, like delirium tremens,33.—Nightly delirium,1834. —[10.] ^Muttering delirium,1,1.—Constant weeping (elder),56.—Sadness,2*.— Low-spirited,17.—Spirits depressed,1517.—Anxious,18.—Attacks of frightful anxiety,18.—Great excitability; easily frightened,18.—Great irritability,18— Very irritable disposition,3137.—[20.J When in the state of tremor, his temper became more irritable, and anger, in turn, so increased the trem- bling, that he was obliged to sit down to save himself from falling,40.— Ill-humor,18.—Ill-humored ; the patient was very fretful and peevish ; easily excited,18.—Ill-humor and great irritability,3768.—Fretful mood,18.—Very fretful mood,18.—Intellectual. *Slow in answering questions (after thirty-six years),70.—Thoughts wandering, and impulses whimsical (elder),56. —Intellect affected; when asked to explain any statement, he becomes confused,55.—Weakness of intellect and memory,37.—[30.] Intellect very weak; shows every mark of imbecility; smiles foolishly ; screams constantly without apparent cause; can speak only a few disconnected words; does not seem to understand the simplest questions, yet appears to know her sister with whom she plays, and repeats a few syllables of what the latter has said to her (younger),56.—Loss of intellect and memory; a sort of idiocy, which in a few years becomes permanent,43.—Loss of memory1169.— Complete loss of memory,18.—Memory slightly affected ; forgot the names of persons and places, and was frequently at a loss in endeavoring to rec- ollect the persons to whom he had lent his tools,16.—*Memory weak,18.— Weakness of memory and loss of will power,1S.—Increasing weakness of mem- ory,21.—Very poor memory (after thirty-eight years),70.—Memory very much impaired™.—[40.] Forgetfulness, with impaired intellect,18.—Very forget- ful,18.—Loss of consciousness,69.—Stupor,5 7.—Constant disposition to lie down ; inclined to sopor, coma,17. Head.—Confusion and Vertigo. Confusion of the head,18— Confusion and heaviness of the head,28.— Vertigo,518 21.—Vertigo, even to falling down,18.—Vertigo only in the evening,33.—[50.] Vertigo on ascend- ing or descending steps,28.—Vertigo, with raging headaches,18.—Attacks of f Dr Buchmann's "emanation provings," from holding a sealed vial of Mercury in the hand, Hom. Vierteljahrsschrift, 15, 301, are omitted.—T. F. A. MERCURIUS. 211 vertigo, worse iu the evening; if he was not lying in bed he would suddenly fall down, with flickering before the eyes, sometimes with complete loss of consciousness lasting several minutes ; during these attacks he looked very pale, and sometimes had nausea and vomiting; vertigo occurred even in bed, and once in the morning he became unconscious and fell out of bed,18. —Almost incessant vertigo,69.—Great vertigo,9.—Violent vertigo, so that sometimes he fell down like one intoxicated,18.—Vertigo, frequently very violent,33.—Giddiness,43.—Occasional giddiness,64.—General Head. Such trembling of the head as almost entirely prevented her from falling asleep,1.—[60.] * Constant rotary motion of head, even when lying on the pil- low,5'0.—Congestion of the brain,18.—Fatal apoplexy,43.—Heaviness of the head,18.—Slight pain and heat about head,67.—Headache, 18 2131, etc.—Rose with a headache every morning,17.—Headache, which keeps him awake, with twitching pain in the belly and back,64.—Headache and vertigo, espe- cially violent after a glass of beer,18.—Frequent headache and vertigo,21.— [70.] A great deal of headache,48.—Great headache,21.—Violent head- ache,66.—Violent headache, with a sensation as though he were pulled back- ward,18.—Constant and violent headache, having no fixed seat,69.—Most violent headache,29.—Frightful headache,33.—Fulness, throbbing, and ver- tigo in head (after a few minutes),82.—The headache was usually violent day and night, generally described as a drawing rather than a tearing pain, involving sometimes the forehead, sometimes the occiput,18.—Throb- bing headache, with vertigo,18.—Forehead. [80.] A good deal of pain in forehead,50.—Pain in the left side of the forehead, aggravated by pressure upon the nodal point,18.—Frontal headache, with fulness, soon passing to the occiput, with vertigo (after twenty minutes),81.—Frontal bursting headache (after a few minutest,82.—Bursting frontal headache, lasting sev- eral minutes (third day),81.—Temple. Subacute aching above left temple (second morning),81—External Head. Falling of the hair,182133.— Itching of scalp (after a few minutes),82.—* Prof use falling of the hair,18. Eye.—Objective. Staring eye, with watery obscuration,45.—[90.] Eyes swollen,5.—Eyes sunken, surrounded by blue rings,28.—Eyes sunken, surrounded by brown rings,37 68.—*Eyes inflamed, with swollen inverted tarsi, and very sensitive to light,13.—Blennorrhoea of both eyes,68.—Soft cataract of the left eye (after some years),18.—Keratitis and sclerotitis,18.—Eyes weak,2*. —Eyes weak, bleared,30.—Lids. Eyelids jerked when the lids were closed,24.— Conjunctiva. [100.] * Chronic conjunctivitis, with a fine, rosy red injection around the cornea,19.—Blennorrhoea of both conjunctivse,37.— Pupil. Pupils dilated,55.—Pupils greatly contracted, scarcely reacting at all to the light,79.—(No case of syphilitic iritis, and no case of iritis of any form, has been noticed among the workers),18.— Vision. Diminution of vision,37. —Dimness of vision,182669.— Vision weak; examination with an ophthalmo- scope showed an atheroma of the left arteria centralis retinse,18.—Weak- ness of vision, so that he could with difficulty read No. 7 of the test type,18. —Mist before the eyes; inability to read,18.—[HO.] Sight of left eye con- siderably impaired,16.—Flickering before the eyes,18.—Flickering before the eyes while reading, though the accommodation seems to be unimpaired,80. —Play of colors before the eyes,33. Ear.—Burning in right ear (after a few minutes),82.—Paraplegia of the left ear,19.—Hearing. Remarkable exaggeration of sensibility ; the noise of a horse or carriage made him start to such a degree that several times he would have been run over had he not kept close to the walls or shop- fronts. He was then obliged to stop for fear of falling; he could not ex- 212 MERCURIUS. press the disagreeable sensation which the noise occasioned,10.—Diminished hearing,37.—Difficulty of hearing,2**0.—Difficulty of hearing, with roaring in the right ear,18.—[120.] Deafness,7.—Roaring in the ears,18 28 33.—Violent roaring in the ears,18. Nose.—Objective. Nasal catarrh, with thin discharge; frequently with loss of smell and with hoarseness (after working fourteen days),20.— * Constant nasal catarrh21.—Complete nasal obstruction, right side, soon passing off, at 8 a.m. (second day),82.—Subjective. Congestive fulness and stuffiness in nostrils, especially right side (after a few minutes),82.— Pinching sensation in right ala nasi (after a few miuutes),82.—Irritation of nasal mucous membrane, as from catarrh (after twenty minutes),81. Face. — Objective. Dull-looking countenance (after thirty-eight years),70.—[130.] Stupid expression of face (younger),56.—Cadaverous ap- pearauce,5.—Cadaverous countenance,9.—Yellow, cadaverous face,0.—Ca- chectic complexion,74.—*Face earthy-colored, puffy,44.—Color of the face dirty-greenish,30.—Pale-yellow color of the face,28.—*Sallow,*9.—Counte- nance sallow,48.—[140.] Face pale,18 78; with a look of intoxication,43.— *Face pale and bloated (after thirty-eight years),70.—Looked pale,11.—*Sickly, pale look,21.—Face swollen,31.—Wrinkled face, with a prematurely aged look,74.—Twitching of the facial muscles,34.—Face distorted by twitching of the muscles,37.—Facial muscles slightly affected,55.—Subjective. Pain, especially in the lower jaw,18.—[150.] Tearing pains in the face,18.— Cheeks. In one case the cheeks became thick,33.—Lips. * Deep fissures in the corners of the mouth31.—Trembling about the corners of the mouth, especially when talking,18.— Chin. Lower jaw of right side, after several years, was remarkably thin,18.—* Almost complete inability to move the lower jaw or chew,19.—Unable to masticate (after nine days),59.—Mastication painful and even impossible (second day),58.—Inflammation of the lower jaw progressing to caries, with falling out of the teeth,111.—Atrophy of alveolar process of the lower jaw,18.—[160.] Periostitis of the lower jaw,18.—In one case periostitis of the lower jaw without subsequent necrosis,33.—Necrosis of the jaws,18. Mouth.—Teeth. *Teeth black, loose,45.—Teeth turn yellow and be- come loose,28.—Thick gray coating on the teeth (after working fourteen days),20.—Teeth dirty-gray, loose,68.—Teeth foul,55.—Teeth thickly covered with tartar,21.—*Carious teeth,18.—[170.] *Decay of the teeth ; they be- come loose in succession, and at the age of thirty she had lost six; they fell out at the slightest shock (after six years) ; most of the teeth, especially the molars, were gone; those that remained were blackened, laid bare, loose and carious (after thirty-eight years),70.—*After a time, the teeth decay, become loose, of a grayish color, and fall out,23.—Since going into the works, he has been obliged to have several teeth removed,18.—All the teeth were loose,18. —* Teeth loose, discolored,10.—* Teeth loose; at last drop out,*9.—The teeth, especially the anterior back ones, are loose, and would fall out,20.—* Looseness of the teeth, especially of the molars; they become denuded of the gum and turn black, with nightly pains in the teeth, jaws, and head,23.—Teeth very loose (after ten days),58.—Falling out of teeth,6 21.—[180.] Falling out of the teeth,21.—Loss of nearly all the teeth; gum-boils formed close to their roots, and they soon after dropped out,16.—*All the teeth except the in- cisors have been lost, at least the crowns of the teeth, leaving only the roots, with very red gums, which are very soft*1.—Disagreeable sensation in the teeth,28. —Aching in right lower molar (decayed) at 4.30 p.m. (second day),81.— Violent pain in the teeth (after six years),70.—Aching in left lower molar MERCURIUS. 213 (sound), passing to upper molar (sound), at 6 p.m. (second day),81.—Slight aching in left lower molar tooth (sound), (after two hours and a quarter),81. —* Violent toothache,18.—* Violent toothache, with swelling of the gum and salivary glands,29.—[190.] Toothache (drawing) in left lower molar (sound); (not experienced for several years), (after a few minutes),82.— Gums. Gums much affected,50.—* Gums red, but without yellow coating on free border (eighth day),60.—* Gums red, swollen, and covered with thin white patches, easily removed from a non-ulcerated surface; to the left of and behind the second molar tooth, a red patch which has been covered by a white film. Gums much worn away, and coated of a dirty yellow (after ten days),58.—Gums red, swollen, and covered on their free border with a dirty yellowish-white substance, which extends up to the tooth-cavities. On re- moving this, the subjacent surface is seen to be spongy and bleeding, without ulcerations,57.—*Gums red, and bleeding at the slightest contact, some- times spontaneously (after six years). Of a deeper red, and slightly swollen (after eighteen years). Red, bleeding in spots, but do not seem swollen; small ulcers on them at intervals (after thirty-eight years),70.—*The gum has a bright-red margin,79 —The margin of the gum shows a bluish-gray color and seems inflamed,80.—Gingival line,76.—* Gums swollen and of a livid- red color,18.—[200.] Gum swollen, with a light violet margin,18.—*Gums swollen, separated from the teeth28.—Gums swollen, painful,45.—In 1822, two " eleves externes," at the Venereal Hospital, were affected with a considerable swelling of the gums, which lasted all the time they were em- ployed there. Merely withdrawing from the hospital sufficed to cure the complaint. I myself was troubled in the same way, while serving in the same capacity at the institution. After residing there for about six weeks, my gums swelled so badly that they were very sore, and bled at the least touch. I could not eat bread without pain, and my food was bloody when chewed. Nothing gave entire relief until I left the hospital,47.—* Gums frequently be- come soft and bleeding,69.—*Gums spongy and bleeding,29.—*Gums spongy, and covered with pultaceous exudation1*77.—* Gum very spongy, and partly destroyed,1'0.—* Gums ulcerated,*9.—* Gum ulcerated, loose, spongy, offensive,31. —[210.] ^Suppuration between the teeth and gum18.—Gums somewhat worn away, red, swollen, covered with white films; free edges entirely coated of a yellowish-gray (after nine days),59.—His gums, without much spongi- ness, had been gradually absorbed, and most of his teeth had fallen out; ptyalism had never occurred,-64.—* Atrophy of the gum, especially of the lower anterior portion,18.—* The gum atrophies, especially on the roots of the lower teeth, leaving the necks of the teeth bare,23.—* Gum atrophied and retracted below the alveolar process,18.—*Bleeding from the gums,16.—*Gum bleeds easily,18.— Gum painful,18.—Gums and mastication painful (second day),59. —[220.] *Gums sore,15.—Tongue. *Tongue black, with red edges,31.— Tongue red, swollen,23.—* Tongue not swollen; gray patches on edges, and a thin dirty-yellow coat on upper surface (after nine days),59.—* Tongue pale,32. —* Tongue white,10 31.—* Tongue white, tremulous,18.—* White-coated tongue31. —*Coated tongue, showing the impress of the teeth upon the margin,23. —* Tongue thickly coated,18.—[230.] *Tongue swollen, and its movements difficult (second day),58.—* Tongue much swollen, and difficult to move (after eight days),60.—Tongue much swollen, especially on the left side; its upper surface covered with a dirty-yellowish coating, and with gray patches on its edges; its movements are difficult,57.—* Tongue very much swollen, pain- ful, and covered with foul ulcers, with constant oozing of blood as from a spongy tissue; these ulcers made swallowing very difficult**.—* Tongue so much 214 MERCURIUS. swollen that its movements are difficult and very painful; it is very red, with a dirty-yellow coating on upper surface; shows marks of teeth, and has large gray patches on edges (after eight days),60.—Great swelling of the tongue, especially of the right side, which was covered with superficial ulcers; the swollen portion of the tongue and mouth were hard to touch, the tongue and palate bright-red, extremely painful, submaxillary and cervical glands swollen and sensitive to pressure,18.—Tongue very large, especially on right side ; its edges show gray patches; in front it bears the marks of the teeth; its upper surface presents the dirty-yellow coating characteristic of mer- curial poisoning; its movements are difficult (after ten days),58.—*Trem- bling of the tongue,21 u.—* Constant trembling of tongue,55.—* Great trembling of the tongue,21.—[240.] Tongue looks healthy, and is not coated; but almost as soon as it is put out it begins to vibrate like a pendulum ; at first in small arcs, which rapidly enlarge if the organ is kept protruded (after thirty-eight years),70.—Tongue difficult to move,24.—Tongue cracked, with a dirty-white coating,68—Ulcers on the tongue,18.—Long, pale ulcers on the edges of the tongue near its tip,74 77.—The patches on the edges of the tongue begin to disappear, and the red elevations to show themselves (after twenty days). The ulcers on the edges of the tongue, which are 4z centimetres in length, are cicatrized in their anterior third. The posterior two-thirds of the left ulceration shows a granulated surface 3 millims. in breadth. The right ulceration has a granulated surface rising above the healthy mucous membrane, and about 3 millims. in length (after twenty-two days). The ulcer on the left border of the tongue has cicatrized; a white line marks the boundary of the cicatrix. The ulcer on the right edge of the tongue is not more than 3 millims. in length; it forms a raised granulated surface, with a white border, which cuts it transversely in several places, so as to divide it, as it were, into islets. This granulated surface projects above the white border, which is a true cicatrized edge (after twenty-five days),60. —On the right border of the tongue, instead of the gray patch, a granu- lated surface stands out plainly upon the healthy mucous membrane, which bleeds on the slightest touch, and has the white edging of a true cicatrix. There is a similar appearance on the left border (after sixteen days),58.— Pain in the tongue, with blisters on the margin developing into ulcers,18.— General Mouth. Mucous membrane of the mouth very much affected,21. —Mucous membrane of the palate red, with an ulcer to the left of the uvula,21.—[250.] *The mucous membrane of the palate is intensely red and cedematously swollen,80.—*The mucous membrane assumes a bluish-red ap- pearance in one or more places, and becomes spongy; next day these spots become whitish, and the dissolution of the mucous membrane becomes evident; in a few hours the whitish-gray substance changes to a fetid ichor, flows off, and exhibits an irregular, shaggy, flat ulcer, with an almost spongy base, and sharply indented edges; the ichor is discharged in profuse quantity, the ulcer spreads rapidly in extent, without penetrating into the flesh, and is very painful; if the use of the metal be continued, and the ulcers left to them- selves, they assume a dirty, foul appearance, and become rapidly phage- denic; blood is now discharged from the ulcers, not actively, but oozing out as from a sponge, and evincing a state of great debility; the bottoms of these ulcers often present unequal elevations and depressions, as if it had been corroded by insects ; the breaking out of these sores is often accom- panied by irregular and quick pulse, sleeplessness, restlessness, profuse night-sweats, great nervousness, and impatience from the slightest cause,14. —Copper-colored redness and swelling of the gum and mucous mem- MERCURIUS. 215 brane of the mouth, followed by excoriations of the inner surface of the lips and gums, and moderate salivation (after working fourteen days),20.— Mucous membrane of the mouth livid, with moderate salivation, especially in the morning; gum red, elevated, with a grayish-red margin,21.—*Mu- cous membrane of the mouth pale, ivith numerous erosions,18.—The mucous membrane of the lower lip, especially on the left side, is covered with large yellowish patches, which cannot be detached by the finger-nail. Buccal mucous membrane swollen, red, thickened, and covered on the cheeks, gums, and palate, with white patches which are easily detached from a non-ulcerated surface. The gray patches on the lower lip and inside the cheeks, and on the edge of the tongue, were bordered by a red line (after four days). On removing with a cloth the patches which extended from the lower lip over the inside of the cheeks, the mucous membrane was laid bare, and was seen to be rough and uneven, staining the cloth with a good deal of blood. Severe pain was thus caused (after six days). The gray patches have disappeared, leaving red spots. On the right cheek, near the labial commissure, is a reddish-gray surface, as large as half a dollar, raised above the healthy mucous membrane. The red spots are true granulations, indicating ulceration of the mucous membrane; the gray places are rem- nants of the previous white patches (after thirteen days),57.—Buccal mu- cous membrane swollen aud painful (second day). Mucous membrane of inside cheeks swollen, especially on right side, where is a red patch which has been covered by a white film. The palate also shows some of these films. The mucous membrane of the lower lip presents thinnish white patches, bordered with red (after ten days). The white patches on the lower lip are replaced by a surface covered with small red elevations, having a thin gray coating between them. This granulated surface stands out in bold relief upon the healthy mucous membrane, and leaves blood on the cloth when touched ; contact is very painful (after eleven days),58.— Buccal mucous membrane lining the upper lip presents, near the right commissure, a thick white patch, bordered with red; the inside of lower lip is entirely covered with moderately thick, gray patches, also bordered with red. Mucous lining of cheeks swollen, especially on right side; it, as well as the palate, shows thin white films (after nine days),59.—Palate almost entirely covered by a thin false membrane, which can be removed from a non-ulcerated surface. Buccal mucous membrane partly covered with thin white patches, but in some places there are thick layers which cannot be wholly removed by the nail (after eight days). Patches on inside cheek, bordered with red (after ten days). Patch on right cheek has gone off, aud is replaced by a prominent grayish-red surface; the red points are evi- dently granulations; the gray points are remains of the false membrane (after eleven days). Granulations on the above places in left cheek; more apparent in right cheek (after twelve days). In right cheek a granulated surface, 1 millimetre in breadth and 5 millimetres in length ; around it the mucous membrane is red to the extent of 6 millimetres (after twenty-five days),60.—*Bad odor from the mouth,23 75.—* Mouth extremely offensive,**.— [260.] Fetor from the mouth,80.—*Fetid odor from mouth,74.—Mercurial odor very strong (after eight days),60.—*Odor from the mouth disagreeable, sweetish,68.—Swelling of the gum, lips, and cheeks,2*.—Mucous membrane of the mouth swollen, elevated,21.—Spongy swelling of the mucous mem- brane of the lower lip, with numerous pustules looking like swollen mucous glands; also the mucous membrane of the cheek and upper lip has a pecu- liar spongy appearance,80. — Stomatitis in two-thirds of all the cases, 216 MERCURIUS. sometimes with swelling of the cervical and submaxillary glands; in about one-half of the cases there Were mercurial ulcers in the mouth ; in one case, inflammation of the tongue; in another case, inflammation of the tonsils and formation of an abscess,33.—*Acute stomatitis,13.—"-Vio- lent stomatitis and salivation,18.—[270.] Violent stomatitis; deep mer- curial ulcers on the inner surface of the right cheek descending as far as the tonsil; as the mouth healed she was attacked with fearful tremor, so that she could not leave her bed nor speak a word,18.—Frightful stoma- titis,18.—Soreness and sense of swelling in mouth,13.—Pimples and swelling in mouth (second day),60.—A breaking out, similar to the ulcers iu diph- theritis, upon the right side of the mucous membrane of the mouth and tongue; swelling of the right submaxillary glands, and profuse secretion of fetid saliva,73.—* Ulcers in the mouth,18.—In 1821, MM. F. and B., then students in the Hospital de la Pitie, and attending to the treatment of prostitutes, were both attacked with inflammation of the gums, which could only have arisen from the discharge of their duties in the venereal wards. In M. B.'s case, there were even ulcers in the back of the mouth ; they did not seem to him to be important, and he paid little attention to them until he perceived them to grow worse. He then consulted a distinguished practitioner, who pronounced the disease venereal, and prescribed a course of Mercury. As M. B. had never had syphilis, and had never been even ex- posed to the contagion, he declined to follow this advice. His complaint lasted several months, and disappeared finally after he had left off treating venereal patients. Iu the same year, M. P., another eleve externe at the same hospital, was likewise affected with a swelling of the gums, and also had ulcers on the mouth and back of the mouth, which, as fast as they were cured in one place, reappeared in another. He was finally relieved only by staying at home for some time,47.—Numerous ulcers in mouth,10.— Ulcers on left margin of tongue and on right cheek,18.—Ulcers on the mu- cous membrane of the cheek,18.—[280.] Superficial ulcers in the angle in front of the arch of the palate, sometimes left, sometimes right,18.—Deep ulcers developed on the inner surface of the lips and cheeks, with elevated, eroded margins, with swelling of the tonsils and cervical glands (after working fourteen days),20.—Inner surface of the cheeks deeply ulcerated and inflamed,31.—On the mucous membrane of the lips were small whitish, deep, easily bleeding ulcers, with somewhat elevated margins, and of a livid color,68.—Foul ulcers in mouth, from which a copious and most offensive sanious discharge was constantly dropping,5.—Small pigmented scar on the right side, between the hard and soft palate, with a mercurial ulcer,18. —Saliva. Saliva increased,23 68.—* Salivation,212*28, etc.; (third day),585960. —Slight salivation (after nine days),59.—Long-continued slight degree of salivation,49.—[290.] Moderate degree of salivation,51.—Frequent saliva- tion,16.—An alarming illness broke out among the crews, all of whom were more or less salivated. The surgeons, pursers, and three petty officers, who were nearest the place where it was stowed, felt its effects the most, their heads and tongues having swelled to the most alarming degree. Every rat, mouse, and cockroach on board has been destroyed, and the symptoms of general salivation have appeared in a strong degree,46.—Great saliva- tion,21.—Abundant salivation,57.—Salivation very abundant; almost at its height (after eight days),60.—Profuse salivation,18 3163.—Very violent saliva- tion,21.—Salivation, which caused the loss of all his teeth,'65.—Thirty-nine out of the forty-three patients were attacked with mercurial salivation; in some cases it assumed a severe form,62.—[300.] * Very offensive salivation,31. ■—*Ptyalism; has to spit a great deal (after thirty-eight years),70.—Ptyalism, MERCURIUS. 217 which wasted her to a skeleton,11.—Smoking caused unusually profuse sali- vation,18.—* Bloody saliva,**.—Taste. Bad. taste,78.—Bitter taste,"—Me- tallic taste,5 2129.—^Strong metallic taste (after thirty-eight years),70.—Unable to take soup, on account of a very salt taste which it seemed to have,78.— Speech. [310.] * Speech tremulous21; for years,18.—Speech slow,18.—Speech impeded,69; (second day),58.—Speech greatly impeded,15.—Speech difficult31; (after eight days),60.—* Difficulty in speaking and masticating13.—* Speech difficult on account of the trembling of the mouth and tongue,23.—* The masseter muscles became contracted, so that speech was at times very difficult and almost impossible,19.—Inability to speak plainly,6*1*.—Speech only par- tially intelligible,1.—[320.] Speech scarcely intelligible,1.—Could scarcely speak intelligibly, from the constant state of agitation into which they were thrown the moment they were addressed, or attempted to articulate,49. —*Speech stammering,2818 21, etc.—Stammering (since the tremor began), (after thirty-eight years),70.—Speech stammering and usually very difficult,19. —Speech stammering; at last unintelligible,30.—Stammering, speech slow, difficult; entirely unable to speak ou any excitement,18.—Stammering like a child,1.—Stammered badly,1.—Dreadful stammering,10.—[330.] Articu- lation somewhat indistinct (one),51.—^Difficult articulation, amounting to stammering; he could hardly be understood,1.—Utterance embarrassed, in- distinct, and hurried,55.—*Psellismus (paresis tremens of the organs of speech),18.—Loss of speech,7. Throat.—Chronic angina of the root of the palate, uvula, tonsils, and fauces,23.—Sensation as of a foreign body sticking in the throat, seeming to be dependent upon involuntary contraction of the muscles of the pharynx,79.— Uvula and Tonsils. *Soft palate, and especially the uvula, of a coppery-red color; on the left side, a long superficial ulcer,21.—Ulcers on the right side of the soft palate,21.—* Great swelling of the uvula,18. — [340.] * Uvula elongated and enlarged,18.—Tonsils red,80. — Left tonsil greatly swollen,18.—Tonsils much swollen and red, without patches (after nine days),59.—* Tonsils much enlarged (after eight days),60.—One of the men who escaped the salivation suffered from acute tonsillitis,62.— 'Fauces and Pharynx. Mucous membrane of the fauces red, streaked with mucus,21.—Angina faucium dark red,18.—* Angina of the fauces of a coppery red color,1*.—Chronic angina of the fauces,18.—[350.] Chronic angina of the fauces without ulceration,18.—All the workers not salivated were af- fected with ulcers of the fauces,20.—Constriction and dryness of fauces (after twenty minutes),81.—Circumscribed swelling of the pharyngeal mu- cous membrane,18.—*Mucous membrane of the pharynx swollen in spots18.— Ulcers developed upon the posterior wall of the pharynx (after working a few weeks),20.—Swallowing. Swallowing was convulsive, and often nearly caused suffocation,10.—Great pain from swallowing or speaking,10.— External Throat. Loud bruit de souffle in the veins of the neck, espe- cially in the left side,18.—* Lymphatic glands of the throat hard and rather large, but those on the nape, elbows, and inguinal region not enlarged,18.— [360.] *Submaxillary glands swollen,18.—In some cases the submaxillary glands were swollen without salivation,25.—Submaxillary glands slightly swollen (after nine days),59; (after ten days),58.—Submaxillary glands much swollen, especially left (after eight days),60.—Submaxillary glands slightly engorged,57.—* Cervical glands swollen,21.—Cervical glands swollen, soft,21.—* Cervical glands very much swollen21.—* Cervical glands large, hard,21. —Hard swelling of the cervical and parotid glands,29.—[370.] Right side of the thyroid gland very much enlarged,21.—Great hardness of the parotid 218 MERCURIUS. gland, behind the ramus of the jaw,21.—*The right sublingual glands were as large as hazel nuts, and very hard,18. — Trembling of the sublingual glands,11'. Stomach.—Appetite. Loss of appetite,21"18, etc.—Want of appe- tite,73.—His appetite fell off,15.—No appetite,74.—During the salivation, there was little appetite; when she had no salivation, she had ravenous hunger,18.—Thirst. Thirst,2*.—[380.] Much thirst,13.—Great thirst,18 78.— Urgent thirst,74.—Eructation and Hiccough. Eructations, espe- cially after eating,18.—Violent eructations,18.—Hiccough, that could not be quieted, aggravated by eating, with general weakness,18.—Nausea and Vomiting. Nausea,78.—Distressing nausea,13.—Vomiting,184573.— Vomiting of bile and food, with constipation, coated tongue, and great vertigo,18.—[390.] Frequent vomiting of saliva and bile after eating,18.— Stomach. Digestion disturbed,45.—Difficult digestion,74.—Pain and sen- sation of constriction in the epigastric region,31.—Sensation of tightness and pain in the epigastrium,31.—A contraction of the epigastrium, which increased during a sleepless night, with dyspnoea and hiccough, accom- panied by cough, and followed by vomiting,73.—Pressure in the stomach,21. —Pressure in the stomach and eructations, especially after eating,18. Abdomen.—Hypochondria. Twitching in muscles of right hypo- chondrium (after a few minutes),82.—* Chronic atrophy of the liver, with emaciation and desiccation of the body19.—[400.] One of the men who escaped the salivation suffered from chronic hepatitis,62.—Subacute aching over hepatic region, preceded by acute aching in left wrist and dorsum of hand (second day),81.—General Abdomen. * Abdomen greatly distended by gas,18.—*Abdomen tympanitic2*.—Parietes of the abdomen tense,79.— Abdominal muscles tense,34.—Abdomen somewhat retracted,34.—Pains in the abdominal muscles,17.—Twitching pain in belly,64.—Tearing pains in the abdominal muscles,18.—[410.] Much colic,18.—Flatulent colic, with con- stipation,18.—Hypogastrium and Iliac Region. Griping in lower part of abdomen (after a few minutes),82.—Aching iu right inguinal region (after two hours and a quarter),81. Anus.—Prolapsus aui,18. Stool.—Dlarrhwa. Diarrhoea,374579; in a few cases,33.—Diarrhoea occurred to some simultaneously with the appearance of salivation,62.— Diarrhoea alternating with constipation,18.—Exhausting diarrhoea,28.—Offen- sive diarrhoea,37.—[420.] Diarrhoea thin, very offensive ; at times involun- tary,68.—Involuntary stools,1734.—Stools at first thin and green, but after- wards constipated,25.—Flatulent motion, with softened, orange-yellow faeces (second morning),81.—* Bloody stools,18.—Indolent stools (after two years),18. — Constipation. Stool constipated,80.— Constipation,18 3133, etc.—Consti- pation, with occasional gripings; bowels opened every alternate day,64.— Obstinate constipation,18.—[430.] Bowels inclined to be costive,16.—Bowels rather costive,67.—Bowels would not act, nor could the costiveness iu any way be relieved, and on the second day he died,42. Urinary Organs.—Incontinence of urine,45.—Urine scanty; specific gravity 1022,79.—Urine scanty, dark-yellow, albuminous,18.—Urine thin, frequently passed,30.—Albuminuria with dropsical symptoms; during preg- nancy,18. Sexual Organs.—3Iale. * Total loss of sexual power1*.—Female. Women frequently aborted,20.—[440.] Profuse hsemorrhage from the female genitals,37.—Sudden, profuse hsemorrhage from the genital organs,68.—Very profuse metrorrhagia; once there was menstrual flow for ten weeks,18.— MERCURIUS. 219 Menstruation irregular and scanty,18.—Menstruation irregular, sometimes omitting, sometimes too copious, and too late,18.—Menses scanty,18.—Men- struation scanty, pale, lasting only a few hours,18.—Suppression of menses,47a. Respiratory Organs,—Larynx and Bronchi. Complete picture of laryngeal phthisis, with erosions and ulcers on the posterior wall of the pharynx,19.—One of the men who escaped the salivation suffered from chronic bronchitis,62.— Voice. [450.] Tone of voice altered (after eight days),60.—Voice tremulous, pretty much like that of a person during rigor,54.—Cough. Cough and tightness of the chest,1531.—Cough, with tightness of the chest,31.—Cough, with pain in the left side and left shoul- der,18.—Cough, with profuse perspiration and great prostration, so that she kept her bed for a year,18.—Cough at first dry, afterwards with white frothy expectoration, with emaciation and weakness,18.—Loose cough, which finally was accompanied by such acute pain in the chest that leeches were applied in order to relieve it; the leechbites bled for upwards of twenty-four hours, and the blood seemed very thin,17.—Cough, with expectoration, and so great emaciation that she was thought to have consumption,18.—Fes- pi rat ion. *Fetid breath,10 54 74, etc.; (after thirty-eight years),70.—[460.] Mercurial odor of breath (after nine days),59.—Strong mercurial odor of the breath,57.—While breathing quietly, respiration perfectly normal; but on attempting to take a deep breath, neither inspiration nor expiration was performed in one act, but in three or four jerks,18.—Respiration rapid, ac- companied by a sensation of constriction and by cough,31.—Respiration very rapid,64 78.—Respiration was frequently very weak, with dyspnoea, and even asthmatic attacks,18.—Oppression of respiration, upward from dia- phragm (after twenty minutes),81.—Very short of breath,5.—Dyspnoea,18 28. —Dyspnoea and cough,73.—[470.] Asthma,5.—Finally, became asthmatic; the paroxysms at first occurring with long intermissions, but gradually becoming more frequent; there was a constant rattling, but no cough or expectoration; towards the close of the disease, which lasted eighteen years, she could not walk or bend over, for fear of suffocation; the symp- toms becoming worse, she was confined to her arm-chair for more than a year before death came to her relief,11.—Asphyxia,9. Chest.—Objective. It was remarkable that in deep inspiration the diaphragm seemed scarcely moved,18.—Tremors; after lasting six weeks they were followed by profuse haemorrhage from the lungs at intervals for nearly three months; this disappeared after leaving off' work, but reap- peared on returning to it,36.—The women who work in quicksilver are much more affected than the meu, and a much larger proportion of them die; of the diseases with which the workers die, tuberculosis greatly pre- ponderates, so that it seems settled that mercurialismus frequently passes into tuberculosis of the lungs, and there is no doubt that working in quick- silver produces pulmonary consumption,18.—(One case developed tubercu- losis of the right side of the chest, which progressed while the immediate symptoms of mercurial poisoning passed off),18.—*Emphysema ofthe lungs,31. —Chronic emphysema of the lungs,18.—Subjective. Pains in various parts of the chest, especially on deep inspiration,18.—[480.] Tightness of the chest, and cough,15.—Great tightness of the chest,18.—Constriction of chest; lower lobes (diaphragm?), (after one hour and a half),82.—*Severe constriction of the chest,9.—Constricting pains in various parts of the chest,18. —Sensation of pressure upon the chest,31.—Pressure upon the chest, with- out cough,18.—Oppression of the chest,18.—Lungs dreadfully oppressed,10.— Pain in the left side, aggravated by inspiration,18. 220 MERCURIUS. Heart and Pulse.—Prmcordiam. [490.] Aching pain at apex of heart, extending upwards towards the base (pericardial),81.—Cardiac oppression (after one hour and a half),82.—Heart's Action. Palpita- tion,18.—* Palpitation on the slightest exertion,18.—Palpitation of the heart, with pulse that could not be counted,78.—Frequent palpitation,18.—Palpita- tion violent, irregular,18.—Pulse. Pulse full, tremulous, frequent,17.—On retiring to bed quickened pulse (first night),81.—Pulse quick, weak, and small,16.—[500.] Pulse quick and small, but difficult to be felt, on account of the constant tremor,15.—Pulse small and rapid,31.—Pulse slow,32.—Pulse weak and slow,54.—Pulse slow, 53 and 54,24.—Pulse only 52 to 56 ; heart's impulse very weak,24.—Pulse weak, frequently slow, sometimes rapid and frequent,30.—The pulse was slow, in many cases 50 to 56; in one 60, but showing great and rapid changes, running up to 80 or 100 on the slightest excitement,18.—Pulse very slow in one case of ptyalism and weakness, but without tremors; and very small and slow in a case of tremors without ptyalism ; in other cases, the pulse was increased in frequency,33.—Pulse rather weak,53.—[510.] Pulse small, soft, anaemic,45.—Pulse very soft,64. Neck and Back.—Neck. *Indurated lymphatics in the nape of the neck18.—Boring sensation in right side of neck (after a few minutes),82.— Back. Softening and curvature of the spine,19.—Periosteal aching down spine (after twenty minutes),81.—Twitching pain in back,64.—Dorsal. Sensation of heat and hypersesthesia in upper half of back (after a few minutes),82.—Aching in mid-dorsal region to right of spine (after twenty minutes),81.—Right subscapular aching, becoming also interscapular, last- ing two hours, at 11 a.m. (second day),81.—[520.] Right subscapular ach- ing, extending over hepatic region, on waking (third day),81.—Continuous achings beneath lower angles of scapulse, severe, continuing three-quarters of an hour (after one hour and a half),81.—Continuous aching beneath right scapula (after twenty minutes),81.—Long-continued severe inter- scapular aching (after twenty minutes),81.—Slight tenderness on pressure over the fourth and fifth dorsal vertebrae, but the rest of the spine exhibited no increase of sensibility,16.—Throbbing over left acromion (after a few minutes),82. Extremities in General.—Objective. Caries, once in the elbow, once in the ankle,19.—Loss of power in the limbs was accompanied by a certain hastiness of motion,33.—* Tremor of the limbs19 n , etc.— Trembling of the extremities, especially of the hands, so that the patient cannot hold them still for a moment, indeed, can carry nothing to the mouth,28.—[530.] Tremor of the upper and lower limbs, which became worse when they were spoken to at all severely,56.—Electric irritability was good, but the muscles of both the upper and lowrer extremities did not contract in a tonic manner but tremulously, so that the fingers upon the electrode felt a kind of whirring,80. —*Trembling of the hands and feet, so that the patient was unable to write,17.—* Trembling of the hands, sometimes also of the feet,20.—Periodic trembling of the extremities,24.—* Great trembling of the limbs,18.—Trem- bling of the limbs so great that she could no more use her hands and could not ascend a height alone; she could only talk with difficulty, and some- times could not at all carry the food to her mouth, and was even disturbed in bed by trembling, though it never amounted to convulsions; she could not hold light things in her hands, for the violent trembling would throw them away; but she was able to carry heavy articles,18.—Excessive trem- bling in all the limbs, especially the upper; progressively increasing, until he was unable to work, or to eat, drink, or perform the offices of nature, MERCURIUS. 221 without assistance,1.—A woman had violent tremor of the extremities,24.— Legs trembled moderately; arms violently ; had to be assisted in every- thing, like a child. So much difficulty in walking, that he often fell to the ground on his back, as if from some external force, even while striving to keep himself up by bending forwards,1.—[540.] Quite unable to hold either hand steady for a moment; the muscles are wasted and thin, and always in a state of spasmodic activity; it is with the greatest difficulty that he can manage to feed himself; the affection is not so severe in the legs ; he walks very slowly, and with a tottering gait; he continued, however, to come upstairs without assistance, holding on by the banister all the way; in bed his movements are often sufficient to shake the bed,64.—The principal affection under which he labored was not, as has sometimes been described in these cases, a constant tremor of the limbs and seesaw of the head, such as occur in old paralytic persons, but a sort of rapid convulsive agitation of the limbs (whenever the act of volition was exerted upon the muscles), which moved the extremities quickly in all directions except that which the will prompted. Thus, he could sit on his chair still and nearly unmoved, but the moment he got up and attempted to walk, his legs began to dance, as it were, in spite of himself, and performed very rapid and irregular motions, with so much violence as to compel him to drop on his chair again, or to throw him down. Somewhat similar motions were performed by his arms, if he attempted to use them; so that he was unable to carry anything to his mouth, and the smallest quantity of liquid was immediately dashed out of any vessel from which he made an attempt to drink. He was under the necessity, therefore, of being fed like a child. These spasmodic tremors were greatly increased by any circumstance that agitated his mind, or occasioned any anxiety (one),51.—They thought they were cured, when in about fifteen days after leaving off treatment, they were seized with jactitation of the muscles of the limbs,47*.—Sudden jerk- ing of the extremities, so that he could scarcely walk or eat; the fear of falling induced him to keep his bed,18.—Paralysis of the extremities except of the left arm; afterwards motion returned in the arm but not in the lower extremities,37.—* Weakness of the limbs,18.—Painful prostration in all the limbs (second day),585960.—Subjective. Frequent falling asleep of the arms and legs, especially at night,21.—Sensation of fuzziness and par- alysis in the limbs,18.—* Unusual heaviness of the limbs,28.—[550.] Feeling of heaviness and fuzziness in the limbs,21.—Feeling of heaviness in the ex- tremities, especially feeling very sleepy, especially at night,21.—Pain in the extremities,1718.—Pains in the arms and legs,21.—Pains in the forearms and legs,18.—Slight pain in the joints, especially of the wrists, elbows, knees, and ankles,43.—Great pain and tremor in the limbs,66.—Obstinate and in- tense pain in the limbs for a month,73.—Dull pains in the joints,28.—Returns of aching pains in limbs (second day),81.—[560.] Tearing in the limbs, especially in the arms,18.—Tearing pains in the extremities,1821.—Painful tearings in the hands and feet, worse at night,28.—Violent tearing pains, like rheumatism, in the arms and legs ; increased in bed, so that she was often obliged to leave it,18. Superior Extremities.—Objective. Trembling of the arms,78. —Suddenly seized, after a day of unusually laborious work, with cramps in the fingers, which were shortly followed by a shaking and tremulous motion of both upper extremities' They were slight at first, but gradually increased, so as to become very distressing. This agitation of the muscles continued even during sleep, and was accompanied with a gnawing pain, 222 MERCURIUS. as he expressed it (after two weeks). The symptoms have become still more general, the lower extremities having been affected the previous even- ing, so that, in fact, the whole body appeared in constant motion. Towards the latter part of the day, the tremulous motion of the muscles of the right arm subsided, but the limbs remained almost paralyzed (after three weeks),67. —Entire loss of control of the left upper extremity; all the limbs were more or less affected,79.—The left arm cannot be raised ; the forearm is moved with difficulty, the hand more easily, while the fingers are per- fectly flexible; rightarm similarly affected, but in a less degree; the right hand can be lifted to the chin,55.—Paresis of the right upper extremity, with trembling,21.—Subjective. At times, a disturbance of sensibility in the left arm,79.—[570.] Rheumatic pains in the arms,18.—Rheumatic pains in the left arm,18.—Drawing pains in the arms and hands,37.—Tearing pains in the left arm,21.—Much soreness in the muscles of the arms,64.—Periosteal aching in outer side of left arm, changing to left wrist and forearm, on waking and subsequently (second morning),81.—Forearm. Patients are subject to cramps and paralysis of the extensor muscles of the forearm,76.f —Achings in flexor muscles of left forearm (after two hours and a quar- ter),81.—Periosteal aching down left forearm ; then down right forearm; then in right elbow; then down spine; with varying intensities (after twenty minutes),81.—Constantly repeated, prolonged convulsive movement of both forearms on the radial side, causing flexion of the thumb and fore- finger,55.—[580.] First symptom was weakness of the forearm and pain of the elbows,53.— Wrist. Wrists permanently flexed at a right angle with the forearm, but are easily straightened out,55.—Acute aching in left wrist and dorsum of hand, succeeded by subacute aching over hepatic region (second day),81.—Hand. As soon as they were desired to do anything with their hands, it was evident that they had no power of directing them with decision to the performance of voluntary motion; thus, instead of taking hold of a book or paper presented to them, they caught at it with sudden spasmodic jerks; and whenever at last the paper was seized it was crumpled in the hand,49.—*Tremor of hands,118.—* Trembling of the hands, so that it became impossible to hold anything, with great weakness,3*.—Trem- bling of the hands, at first lasting about a quarter of an hour, and passing off, afterwards becoming more and more frequent, aud lasting a longer time,79.—* Hands trembled so that he could scarcely work,1.—* Constant trem- bling of the hands, so that the patient cannot hold them still for a moment, and every movement is impeded thereby,80.—* Involuntary trembling of the hands,80. —[590.] *He could neither feed nor dress himself1.—* One could not carry a glass of water to the mouth without spilling it; could take neither food nor drink, but had to be fed like a child,2*.—*So paralytic that he could not, with both his hands, carry a glass half full of wine to his mouth without spilling it,2. —* Frequent involuntary jerking of the hands and fingers; the convulsions are greatly aggravated by every exertion19.—A slight loss of power in the hands, which came on at various times, and was generally relieved by the use of ardent spirits,16.—He was in the habit of intoxication; and noticed that when in this state he could hold his glass without spilling, which he could not do when sober,10.—Fingers. Finger nails blue,28.—Trembling of the fingers,18.—The fingers of the left hand became permanently contracted,79. —Sensation of coldness and deadness of the fingers,80. f An important point in the differential diagnosis between this and lead poison- ing, since in this latter the flexor muscles are the ones particularly affected. MERCURIUS. 223 Inferior Extremities.—[600.'] Considerable oedema of lower ex- tremities (while the eruption was going off),12.—Veins of the lower extremi- ties dilated,21.—Varicose veins in the legs,18 21.—Varicose veins of the legs, without ulcers,18.—Saphena vein as large as the thumb,21.—Trembling of the legs, so that he could scarcely stand or walk, with trembling of the hands, so that he could carry nothing to his mouth, and trembling of the tongue,31. —Movements of the lower limbs were performed naturally, but slowly; those of the hip-joint were difficult,55.—Gait in walking uneven and hesi- tating (younger),56.—His walk was hesitating and difficult,77.—Remarkable heaviness of the lower extremities, so that the gait was unsteady, followed by tremors of the hands, and gradually of the whole body,37.—[610.] Stag- gering gait,6.—Patients suffering from mercurial tremors had a gait very similar to those suffering from tabes dorsalis,33.—Unable to stand steadily,49. —* Great weakness of the legs, so that he could scarcely stand,18.—Confined to his chair; unable to walk a step,10.—Bursting sensation in right leg, fol- lowed by periosteal tingling (after a few minutes),82.—Although every muscle of their legs was trembling, they were frequently obliged to stretch them out upon chairs, in order to relieve the severe cramps in those parts,47*. —Periosteal aching in anterior surface of left tibia (second moruing),81.— Pains in the knees at times,18.—Soles of both feet turned inwards and up- wards; the tendon of the tibialis anticus is rigid and prominent; this con- traction is permanent and painless,55.—[620.] Tingling of toes (left foot), (after a few minutes),82. General Symptoms.—Objective. Emaciation,183133.—He was emaciated and cachectic, and looked prematurely old,7 4.—Considerable emaciation (after thirty-eight years),70.—Great emaciation,1821.—Excessive emaciation,18.—Body wasted,15.—Cachectic condition,5.—It is certain that the children of the workers are affected with the mercurial poisoning; although it may be from the poison carried in the clothing,23.—Oue child of a woman-worker was badly nourished, and when a year old had no teeth,23.—[630.] The children of the workers were pale, cachectic, and scrofulous; while, in the same locality, the children of those who did not work at silvering mirrors were usually healthy,20.—The children of the workers are very commonly affected by scrofula, rachitis, and tubercu- losis,39—Her child had the rickets,21.—A daughter, born during her mer- curialismus, was very small, only learned to walk when three years old, and never grew to be more than four feet in height; there was kypho- skoliotic curvature of the spine, the head was drawn to the chest and some- what to the left side; there was very imperfect development of the muscle and bone,18.—This worker had four children by his first wife, who was also employed in the factory; all were sickly; one son died of gangrene of both feet; the three other children and the wife died of consumption ; the second wife and her children also died of consumption; the children of the third wife were healthy, except the one born after she was employed in the works; all three wives died in consumption ; of the first wife's children one was thirty-one years old, the second twelve, and the third three or four years,21. —A child of one of the workers, a year old, had trembling of the arms, moderate stomatitis, and ptyalism ; the child was pale, but well nourished, even fat, and intelligent,23.—Fatal consumption,43.—One woman, who had been healthy and had three healthy children, died of tuberculosis,18.—Chlo- rosis and amenorrhcea, palpitation, weakness, loss of appetite,18.—Chlorosis; skin of the face and mucous membrane pale, white like a corpse, eyes watery, pulse small, rapid, great thirst, palpitation, dyspnoea, pains in the 224 MERCURIUS. head and stomach, oedema of the lower extremities, general weakness, de- pressed mood, blowing sounds in the carotids,35.—[640.] Exostoses, espe- cially on the tibia, seldom on the upper arm or head ; these were accom- panied by swelling aud sensitiveness of the periosteum, especially aggra- vated at night, and by the warmth of the bed and in cold damp weather, thunderstorms, etc.,20.—Periostitis and subsequent necrosis,19.—Among.five hundred patients suffering from caries, necrosis, or exostosis of the bones, there is no case known of it occurring among the workers in Mercury,18.— Syphilis was extremely rare among the workers,20.—Syphilis is extremely rare among the workers in Mercury, especially remarkable since the sexual desire is usually excited ; several physicians who practiced in Furth, where the factories are, and who had a large practice among syphilitics, could not remember a single case of syphilis among the workers,39.—Syphilis is exceedingly rare; but one case was treated by Prof. Thiery, in Brussels; a man, suffering from mercurial poisoning, tremors, salivation, etc., had an indurated chancre with swelling of the inguinal glands, but developed no other symptoms of constitutional syphilis so long as he was under observa- tion ; within thirty years, more than two hundred persons in Erlangen, and four or five times as many in Furth, have been treated for constitutional mercurial poison; and though these cases have increased sexual desire in consequeuce of Mercury, and, without doubt, are not particular about their associations, since among them the belief is universal that Mercury protects them from syphilis, no case has been known to occur. Cazenave has never seen secondary symptoms among the workers,18.—No case of syphilis was ever known to occur among the workers, though they were no more conti- nent than other people,25.—The caries affects the bones and joints that are never or rarely affected by syphilis ; among five hundred and sixty workers in Mercury, there was not a single case of caries of the scalp, tibia, clavicle, or sternum, which parts are especially affected by syphilis,*19.—When the system begins to evince that it is under the control of the medicine, various symptoms are exhibited ; sometimes they are of a mild nature, at others very violent; the mouth sometimes first displays the constitutional affec- tion, but it is most generally preceded by some degree of acceleration of the pulse, a degree of feverish excitement, and various nervous affections. If the ptyalism be suddenly established without much previous admonition, the excitability of the system is very commonly much greater, and general constitutional disorder is evinced, and the soreness of the mouth causes an irritability of the whole frame; considerable absorption of the fatty matter, attended by a great attenuation of the body, is quickly visible, and the stoutest person generally becomes thin and emaciated; the excretions from the various organs are altered in appearance, and, oftentimes, in odor; the alvine evacuations become of a brighter yellow, the urine is higher colored; a peculiar state of the skin, evinced by a very singular fetor, which is quite diagnostic of the mercurialization, and of which it is impos- sible to convey any impression by language. It materially differs from the smell that issues from the body after sweating has been produced by Dover's powder, or that which occurs after some eruptive fevers, or upon mental derangement; it is a peculiar characteristic which occasionally lasts after ptyalism ceases. When the action is very severe upon the mouth, the misery which taking any food produces is enough to prevent the indulgence of the appetite, which is sometimes not at all diminished ; but when the ptyalism has completely ceased, the appetite is of the most ravenous char- acter, which nothing appears to satisfy; then nutrition recommences, the MERCURIUS. 225 depositions of the well-digested secretions in the various parts of the body, which have lately lost their usual quantity of fatty matter, is very rapid, and the frame speedily acquires even a greater bulk than it previously had, and oftentimes the standard of health is more firmly fixed than it was before; but this is not always the case ; some individuals are left in a state of great feebleness, and liable to every shock that would, under ordinary circum- stances, be light. Sometimes local disease has lasted for some time, and even run to a very outrageous extent; ulceratious of the tongue, exfolia- tions of the alveolar process,41.—The first symptom was persistent diarrhoea, which lasted profusely eight days, and ceased after she stopped work; after a year and a half there appeared tremors with loss of appetite and diarrhoea, followed by falling out of the hair; on stopping work and using baths the tremors disappeared in four weeks, and the hair grew again ; after return- ing to work the teeth began to be gray, though she daily scoured them with charcoal; afterwards she was attacked with weakness, vertigo, uneasy sleep with heavy dreams, loss of memory, affections of the mouth, which she treated with alum, and increased decay of the teeth; after a time the tremors reappeared and gradually became worse, as also did the headache and sleepiness; afterwards she had palpitation of the heart and hiccough, at times so violent that she had to be held by several people; after leaving the work she became better, but the tremors did not entirely leave her, and were especially aggravated by any vexation or other emotional excitement; the gums were somewhat atrophied and retracted from the teeth; teeth of a grayish-brown color; copper color of the roof of the palate and uvula; slight tremors of the extremities and of the tongue, especially noticeable in speech; the right posterior cervical gland swollen; rheumatic pains in both upper arms ; profuse perspiration at night and easily becoming chilly; the patient had had two children, the first four weeks too early; the child was weak, and died when a year and a half old,22.—[650.] One day when he was getting better I met him suddenly in the street; he suddenly became very much affected, staggered, could scarcely speak, and nearly fell down; pulse 120, small; respiration rapid, with violent trembling; after keeping quiet for half an hour the trembling disappeared and he was able to speak; pulse 80; complained of great weakness of the limbs and oppression of breath, especially at night,18.—*Breath and whole body smelted foul,11.— ^Peculiar hastiness of all motions,1*.—^Involuntary motions of the head and hands80.—The arms and especially the hands, when kept in a horizontal position, are soon thrown into a constant jerking movement. This is in- dependent of the will, and the patient is not only unable to stop it, but it even becomes more frequent when she tries to restrain it; and slight emo- tional disturbance has the same effect. All manual labor, all prehensile movements of any delicacy, are nearly impossible; she can hardly pick up a needle lying on a table. The lower extremities are similarly affected ; she can scarcely stand; walking is difficult and staggering; she has to support herself every moment (after thirty-eight years),70. — ♦Trem- bling, 2175.—General tremors,18.—* Involuntary tremors, 2*31.—* General in- voluntary tremorf1*-.—*Mercurial tremors affect the muscles which are usually under the control of the will, so that one is never master of his own motions; the affected muscles exhibit normal electrical irritability, but are not able to respond to the will; on attempting to respond the muscles begin to tremble and twitch excessively; they frequently make all sorts of motions, as in chorea, before the desired motion is effected, or are sometimes affected with violent convulsive motions, which also involve neighboring groups of vol. vi.—15 226 MERCURIUS. muscles; these muscles are better able to hold heavy objects than light ones, as for example, a knife or fork cannot be used because they are jerked out of the hand, while a heavy object may be held firmly for a long time; the hands aud arms are first affected, the lower extremities next, while the head becomes affected later and only in violent cases; the general trembling of the body seems to alternate with the stammering of speech; sometimes the speech is very stammering and unintelligible, while the rest of the body is not affected; at other times the whole body trembles, twitches immoder- ately, while the speech though tremulous and interrupted is yet intelligible; sometimes one-half of the body is more affected than the other; sometimes the patients are unable to walk, drink, eat, dress, undress, speak intelligibly, or indeed to utter an articulate sound ; sometimes patients are able to ascend and descend steps, though with difficulty, like patients with tabes dorsalis, but are not able to eat or drink, while in others these conditions are reversed; some are no longer able to drink without assistance because the water is spilled before it reaches the mouth, while they are still able to carry food to the mouth by supporting the arm; one patient was obliged to be held by several people whenever he attempted to drink; sometimes chewing is absolutely impossible; in the convulsive form patients are obliged to be tied in bed to prevent their being thrown out by the convul- sions. At times tremors occur in paroxysms of varying severity and dura- tion ; these paroxysms are brought on by emotional excitement, physical exertion, and sometimes occur without assignable cause. At times the paroxysms resemble the violent shaking of ague. One case presented the following remarkable symptoms: the whole body was tossed to and fro, while every muscle and each group of muscles seemed to be in incessant activity; the head rolled about on the shoulders, jerking backward and forward and from side to side, the eyelids opened and closed, the eyeballs rolled from side to side, the wings of the nose and the corners of the mouth twitched, grimaces distorted the face, the jaw moved backward and for- ward, the upper and lower extremities jerked as a whole and each muscle by itself; the convulsions were even so violent that several strong men were unable to hold the patient; it tossed him to and fro or threw him out of bed. In another case the patient suffered from general tremors with stam- mering, at times amounting to most violent convulsions, in which she screamed loud, and had to be bound, consciousness, however, was not com- pletely lost; the paroxysms seemed to be worse in the evening, and only in very violent cases did the trembling continue during sleep; the tremors usually prevent sleep, or as soon as the patient falls asleep a convulsive shock wakes him, and the tremor begins anew (tetanic spasms have never been observed),18.—[660.] Altogether disabled from work by paralytic tremor and debility,51.—Trembling not only of the limbs but of the whole body, of the tongue when protruded ; speech was stammering,33.—General convulsive tremors; his arms and head trembled even while sitting; speech was tremulous; the tongue trembled when protruded; all the muscles of the body gradually became affected, and all in constant motion; the head, arms, etc., were never quiet for a moment; the eyelids twitched as if affected by chorea; constant twitching of the muscles of the face; sometimes for a moment there were more violent tremors of the right half of the body, amounting to clonic convulsions affecting one or several groups of muscles and certain fibres, as for example, of the pectoralis major, were at times affected by violent shaking; speech difficult, stammering; he spoke only short syllables; it was frequently impossible to pronounce these ; the patient MERCURIUS. 227 was so weak and dizzy that he could not leave the bed,18.—The limbs tot- tered, aud the man, though young, moved like one advanced in years. He could not convey any liquid to his mouth in consequence of the severity and constancy of the tremors. So great was the violence of the trembling of his whole frame that he was nearly thrown out of a bath by it; much of the water was driven over the side of the tub, and it required the force of two men to prevent him from being actually ejected,13.—Tremor, beginning in the hands, and soon becoming general,43.—Trembling of the hands, after- wards of the extremities, and gradually of the whole body,37.—This was his third attack of tremor, the first having occurred seven years ago. Now affected with general tremor, the head being involved as well as the limbs, and the arms so much agitated that he could not cut up his dinner. At first he used to shake most at night. His spirits were greatly depressed by the attack. Felt dreadfully nervous at times, especially during change of weather,72.— The symptoms first experienced were unusual nervousness and trembling of the hands, as well as tremor when standing; and this rapidly increased, so that he was unable to feed himself. At the time I first saw him, he stated that he was infinitely more steady than he had been a few months before, but still he had tremor of every part, and difficulty of speak- ing ; and the more he was questioned about his ailments, the more agitated he became, till he was quite unable to stand, to assist himself, or to speak,48. —* General tremors, with stammering of speech, most violent convulsions at times, during which the patient scarcely ever completely lost consciousness; relieved by tightly binding the body and limbs,37.—Formication, drawing paiu, and a fuzzy feeling in the upper extremities, followed by trembling, first in the upper, then also in the lower extremities, and at last of all the voluntary muscles, so that she could neither stand, walk, speak, nor chew; this trembling was aggravated on every attempt at voluntary motion and by emotional excitement,68.—[670.] General tremor. Almost the whole locomotive apparatus was shaken by regular and spasmodic vibrations, ap- parently caused by alternate muscular relaxation and contraction. The tremor was more marked in the upper than the lowrer limbs, and on the left than on the right side. It became worse when the patient attempted cer- tain movements, especially if of a tonic character; and these became more disordered in proportion as they required precision and voluntary effort. Walking was difficult and hesitating. Eating and dressing without assist- ance, and, a fortiori, legible writing, were impossible. The abnormal mus- cular action extended to the organs of speech, causing a precipitate and indistinct mode of utterance, which did not, however, amount to stammer- ing,74.—The tremor chiefly affected the limbs, especially the thighs, legs, aud forearms. The dorsal and gluteal muscles, and those of the pelvis and shoulder were less affected—those of the upper abdomen, anterior chest, and face, not at all,47*. — When laboring under one of his numerous attacks of convulsive trembling, he was liable to break whatever he touched, and the movements of his legs were so irregular that in going downstairs he was sometimes obliged to jump over two or three steps at once; to avoid this, he was in the habit of crawling backwards, and on his hands; he drank out of a dish, in order to bring the liquid more readily to his mouth, and because a glass would be crushed by the spasmodic clenching of his jaws,43.— 'Tremors, always commencing in the fingers, gradually increasing in violence and extending until the whole body was involved,34.—Trembling of the corners of the mouth, tongue, and hands,23.—Tremor of neck aud hands,6.—Tremors beginning in the hands, especially when attempting to 228 MERCURIUS. hold anything, gradually increasing, attacking the knees, and rarely the neck,30.—Trembling of the extremities and head,43.—Tremors first attack the fingers, arms, and then the knees, extremities, and tongue,31.—*Trem- hling of the hands and tongue,18.—[680.] * Tremor of the hands, so that he could not lift anything, eat, or write; marked tremor of the neck and lower ex- tremities,69.—Trembling, which disabled him from writing, drawing, or working, and even from eating or drinking without assistance,1.—Had to be assisted in everything like a child,1.—Tremors so that she could not drink without assistance,18.—Trembled so badly that he could do no work, and could not go upstairs without great danger of falling ; had to be fed. dressed, and assisted in every other way like a child; could not go out of doors for three months ; and, when the weather became warmer, began to creep rather than walk about the streets,1.—Sudden tremors,18.—Tremors occurred sud- denly and unexpectedly, amounting to frightful convulsions, wdiich throw her out of bed if she did not have tight hold of something; was obliged to be fed; speech entirely lost,18.—The attack is sometimes sudden, at others gradual; with unsteadiness and shaking of the arms and limbs, which prevent walk- ing, speaking, or masticating; for the tremors become frequent, nay, almost constant; every action is performed by starts; if the occupation be con- tinued, sleeplessness, loss of memory, and death terminate the scene; a peculiar brownish hue of the whole body aud dry skin generally accom- pany the disease. In its first attack it may be taken for St. Vitus's dance, in its later stages for delirium tremens,52.—Very great tremors,21.—Violent tremors, so that she was obliged to lie down,18.—[690.] Violent tremors, with jerking of the hands, feet, and head (rats and mice inhabiting the mines became affected with tremors and convulsions, like men),27.—Violent tremor, which at times made it impossible for her to take food or work,18.— Violent trembling, first of the hands, afterwards of the whole body. Shaken by continual spasms; he could not speak, nor could he carry his hand to his mouth without striking himself, he was obliged to be fed,10.—Tremor very violent; especially on any excitement, preventing speech,18.—Such violent general trembling that she was confined to her bed for nine months, when she was frightened out of it by an alarm of fire, which endowed her with momentary strength,1.—A sudden violent attack of tremor, without vertigo, so violent that speech was difficult and he was obliged to keep his bed,18.—Frightful tremors, with inability to speak, take food, etc., accom- panied by sleepiness, with stupefaction, vertigo, starting up, violent head- ache, great weakness of memory, great anxiety, tightness of the chest, roar- ing in the ears, flickering before the eyes, constant motion of the eyeballs, and bends of the limbs,18.—Frightful convulsive tremors, with unintelligible speech, inability to walk, violent attacks of vertigo; the tremors prevented sleep,18.—Trembling at first came on at long intervals ; but finally, after a feverish attack that lasted five days, it became continuous, and so bad that he could neither talk, work, nor eat,1—Tremors in paroxysms almost daily, often several times a day, generally worse in the morning than iu the even- ing ; these paroxysms interfered with his work; they often occurred spon- taneously without known cause, but were especially violent after emotional excitement; the whole body and head trembled violently; he could scarcely stand upon his limbs; it was difficult to speak; he was like a man shaking with the most violent chill, only there was no cyanosis,18.—[700.] Tremors aggravated by emotional excitement,37.—Tremors recurred for years from any emotional excitement,18.—During rest the patient did not tremble, but on the slightest emotional excitement, even when spoken to, there was trem- MERCURIUS. 229 bling of the arms, legs, and head, so that she was obliged to sit down, and the pulse became accelerated,18.—When the women were asked why they did not speak they, almost without exception, answered that the visit frightened them; excitement seemed to cause trembling,23.—Tremor, not constant, but especially noticed when under the influence of surprise or fear,4.—Every attempt at voluntary motion increased the tremors,37.—On every attempt to exercise the voluntary muscles, the tremors take place,83. —In general, so long as he does not attempt the performance of an act of volition, the muscles are not agitated, but on attempting any motion the tremors and jactitation occur,54.—Trembling after standing or walking a long time, disappearing during rest,18.—Tremors, not during rest, but on attempting to make any muscular exertion, except of the neck and face; the tremors lasted as long as the muscles were exercised, wheu they also extended to the groups of muscles not in motion; so the outstretched hand trembled ; especially on stretching out the fingers and on repeated prona- tion and supination of the arm the whole body trembled; the protruded tongue trembled very violently. All the muscles reacted completely to the galvanic current,38.—[710.] While walking and standing, the trembling is not so marked, but as soon as the patient closes the eyes the trembling be- comes much worse, when it is noticed even in the feet,80.—Trembling of the muscles of the head and spine, so that ou account of the general tremors can neither stand nor sit on a chair without danger of falling; the tremors ceased only while asleep in bed,28.—Those suffering from salivation rarely had tremors,2*.—Tremors alternating with violent general convulsions,37—■ Shaking palsy, which lasted all his life,65.—General clonic spasms of all the muscles of the body, ushered in by violent spasmodic pains; the par- oxysm was so violent and accompanied with so much raving that the patient was placed in the delirious ward; after a year, a second similar attack occurred ; the consciousness was never lost, the tongue never bitten; the attacks were preceded by vertigo and confusion of the head,79.—Violent spasmodic affection. The head, arms, and fingers, particularly on the left side, presented a succession of quick, convulsive, jerking motions. The angles of the mouth were retracted, the eyebrows twitching, the head con- stantly thrown back, but the agitation scarcely raised the arms. The nostrils were spasmodically dilated. The sterno-mastoid, trapezius, scaleni, diaphragm, and the abdominal muscles were similarly affected. Their con- tractions were short, rapid, and painful. From the constant hiccough with which the spasms of the diaphragm were attended, and the jerking motion of the tongue, his speech was interrupted and indistinct. He was occasion- ally free from spa.-ms altogether, but whenever he transmitted volition to any part of the muscular system, it became instantly affected. When he endeavored to raise his foot from the ground it quivered and fell quite powerless and useless. Whenever he attempted to carry a vessel to his lips he generally overshot the mark, carrying the vessel towards his ear, nose, or forehead, and spilling its contents on his face or neck, so that it was a common saying among the patients in the ward, that he did not know the way to his mouth. But if a vessel was applied to his lips by another person, he could swallow easily. A sudden blast of cold air, the application of a cold hand to the skin, or the abrupt entrance of any person into the ward brought on an attack of spasms. The muscles of the left hand and left side were affected much more than those of the right. After a few days, the spasms of the left side continued, though much less severe. Those of the purely voluntary muscles of the right ceased, while the spasms 230 MERCURIUS. continued in the respiratory muscles on this side,16.—Irregular and gradu- ally increasing spasmodic action, affecting more particularly the hands, which were in almost constant motion ; the left was most convulsed, and the moment he was spoken to the convulsive action increased. If he at- tempted to make any voluntary exertion, as taking hold of anything, the hand was thrown in every direction with short but violent convulsive catches. When lying quite undisturbed, the motion was often for a time suspended ; he had also a hurried, convulsive, and indistinct mode of articu- lation,50.—Frightful convulsive spasms; inability to speak or leave the bed, with great anxiety and roaring in the ears,18.—Paralysis,5 8.—[720.] All, sooner or later, became paralytic and die hectic,2.—Died with symp- toms of apoplexy, one side and the tongue being paralyzed,1.—Decay of the bodily and mental powers went on unceasingly,17.—^Weakness,182831, etc.— A child born during the mercurial disease was weak, had to be fed because the mother had no milk, and died after seven weeks; this woman after- wards had eleven confinements but only five living children,18.—* Great weakness21.—* General weakness, approaching to palsy,66.—General weakness, at first affecting the left and afterwards the right arm, weariness, with gen- eral tremors increasing very rapidly, so that she was obliged to keep her bed ; this was followed by violent pains and cramps in the right arm that lasted three days, followed by complete paralysis; for this weakness the patient was kept in bed; this was associated with great mental weakness, halluci- nations, delirium, aphonia, and almost complete blindness and loss of hair; her mind returned slowly and gradually, and her right arm regained a por- tion of its former power, but was never strong; after some years the arm was emaciated and at times affected by violent tremors; sensibility was perfectly acute; the slightest touch or the prick of a pin was instantly felt, and followed by reflex motion, and the muscles reacted perfectly to elec- trical stimulus,18.—Sudden attacks of weakness and trembling,2*.—Pro- gressive weakness, until the patient is no longer able to walk,30.—[730.] Weakness that increased so that he was unable to walk about the room alone; was constantly obliged to keep his bed,18—Debility, at first of the lower limbs, afterwards affecting the arms and hands, then becoming gen- eral, and soon succeeded by visible tremor (after eighteen years),70—Much debility,13.—Enfeebled,49.—General exhaustion,18.—Collapse; with swelling of the gum, fetid breath, hiccough, agrypnia, retention of urine,78.—Some were obliged to sit or lie the whole day, and on attempting to stand they fell to the ground,2*.—Attacks of faintness, during which she did not en- tirely lose consciousness, accompanied by a peculiar distressing sensation in the right hypochondriac region (after some years),18.—Three attacks of faintness in one day; the first was caused by starting at something falling to the floor,18.—Restless, noisy (younger),56.—[740.] *A universal uneasi- ness of body, so that he could not remain one moment in the same posture,*2— Subjective. General bodily torpor,5.—General anaesthesia, with a sensa- tion of numbness and fuzziness, especially of the fingers,18.—Cutaneous sen- sibility more obtuse in the limbs than in the trunk, and in the right lower extremity than in the left,55.—Diminution of the sense of touch,18.—The sense of touch became blunted,24.—General state of troublesome excite- ment,43.—Very easily startled,18.—Startled and flurried by slight causes (one),51.—General sense of great debility (one),51.—[759.] Painfulness of the affected parts,57.—All affected parts painful (after nine days),59.—All affected parts very painful (after eight days),60.—*Bone-pains,19 29.—Pain in head aud bowels,42.—Much pain in limbs and loins (one),51.—Severe pain MERCURIUS. 231 all over, worse at night,47'.—Wandering pains,75.—Rheumatic troubles,18. —Rheumatic pains, especially in shoulders and forearms,18.—Drawing in the bones,45.—[760.] Nightly drawing pains iu the head and extremities,20. —Shooting pains and a sense of formication in various parts of the body,16. —Tearing pains in the face, head and neck sometimes accompanied the stomatitis,33.—Young people are more easily affected than old,18. Skin.—Earthy color of skin (after thirty-eight years),70.—Skin pale, soft,30.—Skin pale, dry,21.—The skin on the "back of the hands was thin and glistening,21.—So full of Mercury, that putting a piece of brass in his mouth, or rubbing it in his fingers, it immediately became white like silver, as if he had rubbed Mercury upon it,2.—Very great desquamation of the thickened epidermis of both legs ; the scales are rather red ; under them the skin has a dark-red pigmented look; formerly there had been numer- ous small ulcers on the legs, followed by this desquamation,21.—[770.] Fresh wounds healed very slowly,20.—Eruptions, Dry. Papular erup- tion,76.—Feverish, eruptive exauthem resembling roseola, which began first in the throat and face, and from these parts spread all over the body (five or six days after appearance of other symptoms); in six days it disap- peared without leaving any trace,73.—Papulous exanthema over the whole body, with nightly bone-pains,19.—Maculous, papulous, or even squamous eruptions; the latter especially in old people (on the chest, back, and scalp) ; these eruptions often appeared suddenly, lasted a few weeks and then disappeared, and then again returned,20.—Psoriasis in spots over the whole body,18.f—Urticaria on the genitals and thighs, and in spots on the chest and abdomen, lasting two days,26.—An itching and redness between the fingers, also a swelling of the face, and especially of the inner side of the elbow; with a somewhat altered state of bodily feeling, and a sense of loathing. On one occasion, a letter was brought to me by a countryman, who had carried it in his bosom, next to an undergarment which he had besmeared with mercurial ointment for the destruction of lice. Scarcely had he produced it, before a swelling bigger than a hen's egg appeared on my hand, and my face puffed up and became red and itching,3.—Erup- tions, Moist. *Itis an erythema, upon which vesicles form, and pour out a thinnish, clear fluid. The vesicles are quickly broken, the contents desiccate, and the redness remains for a week or ten days. (It is clearly a local disease, and not a true eczema),11.—Groins and thighs very itchy and painful, with eruption on thighs (after ten days). Very copious red eruption and gen- eral erythema all over the thighs. Eruption slightly elevated above skin and somewhat rough to touch. It extended pretty generally over lower extremities, and had also appeared on arms and hands. In some places, small vesicles (after twelve days). Erythema has extended over arms, and the eruption over greater part of body. An exudation of a serous, yellow- ish fluid has also takfjn place, particularly from the inside of his thighs, groins, and contiguous parts, which, when dry, stiffens his linen (after four- teen days). In a few days, the erythema had extended over the whole skin, which was everywhere very painful, somewhat swelled, and most dis- tressingly itchy, attended with a considerable desquamation of the cuticle. The exudation became more general, frequent, and copious; the smell which issued from him was peculiar and very offensive. Cuticle begius to come off in large portions. The discharge is attended with a most un- f This was ineffectually treated with gray ointment until salivation occurred ; the palms of the hands and soles of the feet were free from the eruption. 232 MERCURIUS. pleasant and peculiar odor. Trunk of body and extremities, particularly feet, considerably swelled (after twenty-two days). Exudation more gen- eral and copious than it has yet been, attended with much itching. Smell from discharge still more offensive (after twenty-three days). Swelling of face so considerable this morning when he awoke, as nearly to close his eyes. The cuticle is falling off in portions of very considerable size, espe- cially from his hands. Feet still more swelled, and of a deeper red color (after twenty-four days). Erythema continues almost general, the pain and itching very distressing, the exudation very profuse, and the fetor exceedingly offensive. Lips and eyelids more swelled ; tarsi and eyes con- siderably inflamed (after twenty-five days). The exudation which had taken place on the forepart of the breast, belly, and extremities, is also coming from his face to-day, which is more swelled, and there is consider- able desquamation from his shoulders and back (after twenty-six days). Copious exudation from the breast. Considerable desquamation from the face (after twenty-seven days). Exudation very general. Desquamation begins to extend to hairy scalp (after twenty-eight days). Back very itchy, as usual before the exudations, which, however, have been rather less frequent for several days; but his skin continues very painful, the fetor very strong, and large portions of the cuticle are falling off (after thirty days). Some swelling in many places where the cuticle had peeled off. The newly formed cuticle cracked during the night, and a considerable exudation succeeded (after thirty-two days). Exudation diminished ; but skin still very painful, and feet and hands much swelled (after thirty-four days). Exudation again more profuse (after thirty-six days). Exudation very profuse (after thirty-eight days). Swelling of hands nearly gone; that of feet continues, and the newly formed cuticle is coming off lower extremities in pretty large portions (after thirty-nine days). Exudation much diminished (after forty-four days). Exudation nearly gone except from back of head; but skin still itching, and very painful, especially when he moves ; feels as if his flesh was cracking in pieces (after forty- seven days). Skin more painful (after forty-eight days). Some exudation for last two days, with restless nights (after fifty days). Less pain and itchiness of skin to-day, but some exudation (after fifty-one days). Some flushing of face, and increased redness of trunk and extremities. Some exudation from different parts (after fifty-two days). Redness of trunk and extremities; pain and itchiness diminished. Exudation more general, and there is a discharge of purulent matter from his hands (after fifty-four days). Exudation chiefly from back (after fifty-six days). State of skin still occasions considerable uneasiness; some exudation from back of head, from which the hair is falling off (after fifty-seven days). Two small tumors, one on left breast towards sternum, the other on lumbar region of same side, which seem to contain a fluid, and are of a darker color than the rest of skin, but are very little painful (after fifty-nine days). Skin much better, itchiness much less troublesome, and smell much less offensive (after sixty days). Feet very tender (after eighty-three days). The soles of the feet continued so tender for many weeks, that he could hardly put them to the ground ; on which account, he remained in the hospital for a considerable time after he was quite well in every other respect,13.—[780.] Whole surface of body hot and itching, with swelling and inflammation of the integuments, most considerable on face and eyelids. These symptoms were preceded and accompanied with alternate cold and hot fits, languor, prostration of strength, loss of appetite, thirst, and watchfulness. She MERCURIUS. 233 continued in this state for fourteen days, when a scarlet eruption appeared over the whole cuticle, particularly on inside of arms, thighs, and legs ; attended with an exudation, which was greatest from the groins and thighs, and with a disagreeable smell. In a few days, the eruption became dry and white; and afterwards the cuticle peeling off, and leaving the cutis very itching and tender, the new cutis became affected in the same way as the former,12.—Eruption of many large sudamina on abdomen, chest, and upper limbs. They first appeared as round, transparent vesicles, varying in diameter from half a line to two lines, and with a red areola. These were filled with a clear liquid, excepting on the abdomen, where it was slightly turbid. Under the lower jaw were shreds of epidermis, caused by the desquamation of some of these vesicles. On the third day, several of the sudamina had dried up, and new ones had appeared; on some portions of the chest and abdomen the desquamation took place in patches, owing to the coalescence of the swellings. On the sixth day, there were more new sudamina; and on the eighth day, thirty-six hours after death, many were still to be seen, containing a transparent liquid, and in all respects similar to the preceding,55.—Erysipelas of the forearm; of the legs,18.— Eczema on the back, appearing in the form of vesicles as large as the head of a pin, with violent itching,18.—Eczema on the back of the foot,18.— Herpes oris,18.—Mercurial sores are not necessarily circular or oval in shape, neither are their edges regularly defined; on the contrary they vary in these particulars, aud assume different forms as they spread ; their edges are often quite ragged, loose, and undermined, and their borders are often marked with a thin, transparent cuticle, like that of a newly formed cica- trix, extending quite around them, and giving them a silvery-white appear- ance ; their bases are not hard, neither are their surfaces covered with the tenaciously adherent lymph so characteristic of venereal; on the contrary the surface of the mercurial ulcer may present every variety of shape and appearance, sloughy at one spot, deeply excavated and rapidly ulcerating at another, with exuberant granulations at a third, and exhibiting a ten- dency to heal at a fotfrth. But the most striking characteristic of the mercurial ulcer is its tendency to spread, and the manner in which it en- larges itself; it generally spreads quickly, and there seems to be no limit to the size it may possibly attain. I have seen one as large as my hand in each groin of the same individual; they are easily distinguished from the venereal, when they assume a herpetic character, and heal in one part whilst spreading in another, which the latter never do. The mercurial ulceration often attacks the cicatrix of a recently healed chancre, and a fresh sore is thus formed,61.—^Several ulcers with whitish-gray bases, bleeding easily, and exuding thin matter,''6.—^Serpiginous ulcers in the skin (after working several years),20.—On the face, eruption consisting of a tetter about the mouth and on the cheeks, with hard and very superficial ulcers,18.— [790.] Erysipelas and gangrene of the lips, with violent fever, thickly coated tongue; the gangrene extended and destroyed also a portion of the right cheek; there developed also on the right temple a gangrenous spot, which on opening discharged offensive gas and pus (the patient died after three weeks with hepatization of the upper portion of the left lung),63.— Ulcer on the foot,19.—Small easily bleeding ulcers, of a dirty-white color, with livid borders, on the lips,37.—Varicose ulcers on the extremities were frequent; indeed it was an exception to find a worker free from them,18.— Sensations. Formication,37.—Fuzzy feeling in the arms and hands,37.— Sleep and Dreams.—Sleepiness. Sleepiness, for eight weeks,18. 234 MERCURIUS. —Sleepiness, with great anxiety,18.—Great sleepiness, but sleep very much interrupted and disturbed by bad dreams,18.—Drowsiness,54.—[800.] Sleep, but half awake, with heavy dreams and fantasies,18.—Sleeplessness. Sleep very imperfect; frequently awoke starting and frightened, and was troubled with incessant unpleasant dreams (one),51.—Sleep bad, with fright- ful dreams,18.—Disturbed sleep,54.—Sleep greatly disturbed,15.— Restless sleep, with frightful dreams,33.—Loss of sleep,47*.—Very little sleep, which is disturbed by dreams and uightmares (after thirty-eight years),70.—^Sleep- lessness,333*31 , etc.; for mouths,18.—Sleeplessness, with hallucinations, heavy dreams, nightmare,18.—[810.] Sleeplessness; or the sleep was frequently interrupted by jerkings, and disturbed by heavy dreams,18.— Sleeplessness ; on falling asleep he fancied that some one called him, started up in fright and became chilly,18.—Obstinate sleeplessness; nights disturbed by night- mare and half-waking dreams,69.—Sleepless night,73.—Night sleepless, espe- cially after midnight,36.—The patient had no rest at night, would stand up, wanted to walk about, saw ghosts, animals which were jumping at her, thought men were on the bed, thought living things were creeping into her mouth and vagina,33.—Starting up in sleep,21.—Dreams. Heavy dreams,18. —Frightful dreams at night,18. Fever.—Chilliness. Skin cold and dry,16 30.—[820.] Whole body cold,78.—Constant chilliness, even in a heated room and in bed,18.—Fre- quent chill and heat,18.—* Those suffering from tremor frequently complained of a sensation of coldness, though without diminished temperature; one person wore a heavy overcoat, even in the hot summer,25.—Heat. Increased temperature,31.—Heat of the skin above the natural standard,15.—Skin hot and dry,31.—Feverish and very uneasy (after twelve days),13.—Fever,1731.— The common erethic fever, or fever of salivation, characterized by quick pulse, hot and dry skin, red gums, swollen tongue, salivation, loss of appe- tite, restlessness, headache, etc.; this may continue as long as the poisonous effects of Mercury continue in the system, for weeks and even months. Another kind of fever is the adynamic mercurial fever, characterized by depression of strength, prsecordial anxiety, frequent sighing, partial or universal trembling, a small quick pulse, a pinched and cadaverous coun- tenance, a sense of coldness; the tongue is seldom furred ; a sudden and violent exertion may sometimes prove fatal,14.—[830.] Hectic fever,44.— Hectic fever and phthisis pulmonalis,30.—(Intermittent fever seems very prevalent among the workers in nearly all the mines and factories, as re- ported by nearly all observers, but whether due to Mercury or local causes is uncertain.—T. F. A.),2a.—One of the men who escaped the salivation suffered from quotidian ague,62.—Sweat. *Sweats,17.—* Profuse sweats at night,21.—Constantly bathed in sweat, though in a state of collapse,78.— Very copious perspiration,3*.—^Profuse perspiration, at night18.—^Profuse offensive perspiration,18.—[840.] Skin dry; easily desquamating,21. Conditions.—Aggravation.—(Morning), On rising, headache ; ach- ing in left arm ; tremors.—(Evening), Vertigo ; tremor.—(Night), Hallu- cinations, etc.; falling asleep of arms, etc.; heaviness in extremities, etc.; tearings in hands, etc.; oppression of breath ; sweats.—(In bed), Tearing in limbs.—(Beer), Headache, etc.—(Closing eyes), Tremors.—(Eating), Eructations; hiccough; vomiting; pressure in stomach.—(Emotional dis- turbance), All symptoms,49; tremor. — (Exertion), Jerking of hands.— (Change of weather), nervous feelings. Amelioration.—(Intoxication of wine), Tremor.—(Rest), Tremor.—■ (Ardent spirits), Loss of power in hands. MERCURIUS BROMATUS. 235 MERCURIUS ACETICUS. Mercurous acetate. Hydrargyrum aceticum oxydulatum. Hg2O.C4H;,03. (It is not certain which acetate was used by Hahnemann. Mercuric ace- tate is in the form of soluble crystals.) Preparation for use, Triturations. Authority. Hahnemann, R. A. M. L., 1, 425. Eye.—(Inflammation of the canthi, with burning-itching pain, morning and evening.) Tliroat.—Dryness of the throat that interrupts speaking, with a bark- ing cough.—Pressive sticking posteriorly in the throat, more when cough- ing than when swallowing. Urinary Organs.— Urethra. * Burning in the urethra when uri- nating and when not.—Cutting in the urethra during the last drops of the urine.—3Ilcturitton. Frequent micturition.—In the morning the urine passes in abundance, but slowly, with straining (stricture of the urethra?). Sexual Organs.—3Iale. Swelling and inflammation of the ante- rior portion of the penis (with burning and fine sticking pains that wake him from sleep at night) ; the pains are aggravated by cold water, relieved by warm.—Constrictive pain in the testicles.—Female. [10.] Internal swelling within the labiae.—(Menstruation four days too early, at the time of the new moon.) Chest.—Pain in the chest as if it were suppurating, as if raw and sore. —A pressure on the sternum, just above the pit of the stomach, with op- pression of breath while standing, also when he is not walking. Extremities in General.—Drawing pains in the limbs and shiv- ering, iu the forenoon, without subsequent heat. Superior Extremities.—Tearing in the hands, so that the knuckles became red and thick. Skin.—Eruption of itching cracking pimples; after scratching they burn like fire.—The margins of the ulcers became very painful. Sleep and, Dreams.—Heavy dreams after midnight, for example, of drowning, robbers trying to kill him, dangers by water and by fire. Fever.—Chill without heat and without thirst, with a sensation as if he were perspiring, at night, especially after midnight.—Much perspiration on moving about. MERCURIUS BROMATUS. 1. Mercurous bromide, HgBr (white, insoluble). " Bromuret." 2. Mercuric bromide, HgBr2 (crystallizable, soluble). "Bromide." Preparation, Triturations. Authorities. 1, Dr. Hoering, Inaug. Diss., 1838, Hygea, 8, 547, effects of £ to 1 grain of Bromide, and of 3 to 4 grains of Bromuret of Mercury; 2, Wernek, from Hoering, effects of \ to 1^ grains of Bromide and 4 to 6 grains of Bromuret; 3, Heimerdinger, Inaug. Diss., from Hygea, 10, 439, effects of ^ of a grain and larger doses of the Bromide of Mercury. Mouth.—Increased salivation,3.— Increased secretion of saliva,1.— Very nauseous taste,1.—Very disgusting metallic taste,3. Throat.—Disagreeable sensation in the pharynx,1.—Very raw, scrap- ing sensation in the pharynx, provoking cough,1. 236 MERCURIUS CORROSIVUS. Stomach. —Eructations,3.—Nausea,12— Vomiting,2.—[10.] Vomiting, with painful effort and most violent griping pain in the abdomen,1.—Vio- lent efforts to vomit and obstinate vomiting of tenacious, aud afterwards of bloody mucus,3.—Violent painful vomiting (after half an hour),2.— Burning pains in the stomach and pharynx,3.—Pressure in the stomach,1. Abdomen.—The abdomen is drawn back to the vertebral column, very sensitive to touch,1.—Griping in the abdomen,1.—Slight pressure and pains in the intestines,2.—Coliclike pains,2.—Most violent colic and painful tenesmus,1. Stool.—[20.] Frequent stools, with colic and rumbling in the bowels,1. —Thin stools repeated four times in a few hours, quite watery,1.—Pasty stools,1.—Several pasty stools,2. Urinary Organs.—Increased secretion of urine,12. Respiratory Organs.—Difficult respiration,1. Chest.—Heaviness in the chest,1. Pulse.—Slow small pulse,1. General Symptoms.—Great weakness,1. Skin.—[30.] A large number of boils on various parts of the body, especially in the left axilla and left arm, where he had rubbed in the drug; they were very painful and would not heal; when one of these boils heals other appear in its place; he had not rest day or night,1. Fever.—Perspiration over the whole body, with great apprehensiveness during the violent pains,1. MERCURIUS CORROSIVUS. Mercuric chloride, HgCl. Hydrargyrum bichloratum corrosivum; Mercurius sublimatus corrosi- vus; Bichloride of Mercury; Corrosive sublimate (oxymuriate of mer- cury). Preparation for use, Triturations or solutions. Authorities. 1, Hahnemann, R. A. M. L., 1, 422; 2, C. Fr. Schwarze, Beob. et Erfahr, Dresden, 1827 (from Hahnemann); (Nos. 3 to 10, prov- ings from Dr. Buchner's Monograph supplement to All. Zeit. f. Horn., Augs- burg, 1849) ; 3, Buchner, took one dose of 2d dil.; 3 a, same, three months later, same dilution, one dose; 3b, same, rubbed into forearm, a solution of \ a grain in Alcohol; 3c, same, rubbed solution of \ a grain into the gums; 3d, same, took a clyster of h a grain in solution ; 4, Dr. Forstner, took of a solution of -^-0 grain in 110 drops of Alcohol, 2 drops first day, 4 drops second day, 7 drops third day, 10 drops fourth day, 15 drops fifth day, 20 drops sixth day, morning and evening, 20 drops eighth day, 5 drops tenth day; 5, Dr. Gerster, took daily doses of 2d dil., for seven days, in- creasing from 5 to 40 drops at a dose; 5a, same, took of a solution of \ grain in 1 drachm of Alcohol, 10 drops first day, 15 drops third day, 20 drops fourth day, 14 drops eighth day ; 6, Kathrina, aged twenty-one, took of same solution, 10 drops first day, 15 drops second day, 20 drops fourth day, 25 drops sixth day ; 7, Dr. Held, took 2d cent, dil.,* 2 drops first, sec- ond, third, sixth, seventh, tenth, eleventh, and twelfth days; 8, Dr. Nusser, took 2d cent, dil., 10 drops first day, 3d dil. by olfaction ninth day; 9, Maria, aged forty-six, effects of a large number of pills, each containing about 2'0th grain ; 10, Dr. Pemerl, took 2d dil., 5 drops first day, 12 drops MERCURIUS CORROSIVUS. 237 second day, 18 drops third day, 25 drops fourth day, 30 drops fifth day, 36 drops eighth day, 30 drops tenth day ; 11, Cloquet, from Buchner, effects of repeated immersion of hands in a coucentrated solution, while preparing anatomical specimens ; 12, Baccius, Prolog, ad lib. de Venen. et Antidotis, Rome, 1506, p. 21 (from Buchner), effects in an infant; 13, Magneti, Bibl. Med.-Pract., 1739 (from Buchner), a child, a year and a half old, took 8 grains; 14, Houlston, poisoning of a woman by a solution, Med. and Phil. Coram., 1779, vol. 6, p. 327 ; 15, Dumonceau et Planchon, effects of a large quantity in a man, Journ. de Med., 1778 (Frank's Mag., 1, 774); 16, Plenck, Toxicol., 1785, p. 263 (from Buchner), effects of clyster containing Merc. corr., in an old woman ; 17, Degner, Act. Nat. Cur., vol. vi, appendix, 1742 (from Buchner), effects of ointment containing Merc, corr., to an in- duration on leg, in a woman, aged forty-seven ; 18, Wedel, Diss, de Merc. dul., p. 22 (from Buchner), effects of 10 grains, in a child, aged two years; 19, Dr. Henry, Edin. Med. and Surg. Journ., 1811, p. 150, took nearly 1 ounce, in hot water; 20, Robertson, Edin. M. and S. Journ., 1812, vol. 8, p. 195, effects of using a solution of 4 grains to an ounce, on an eruption, which began to disappear the fifth day; 21, a girl took 1 drachm in beer, Fothergill's Journ., 1819 (from Buchner); 22, Anderson, effects of appli- cation of a solution of 30 grains to an ounce, for rheumatism in arm, Edin. M. and S. J., 1811; 23, Thomas, a woman (a mouth after parturition) drank a solution of 30 grains to an ounce, that had been prescribed for an eruption, Edin. M. and S. J., vol. 16, p. 510, 1820; 24, Ward, effects of rubbing whole body with an ointment, containing 1 ounce of M. corr., in a man, suffering from the itch, Lond. Med. Gaz., 1829; 24a, same, effects of same, in a brother; 25, Westrumb, a man took nearly 3 drachms dissolved in water, Rust's Mag., 1834 (Frank's Mag., 1, 573); 26, Lowenhardt, a man took nearly an ounce, Med. Zeit. f. Heilk., Preussen,1839, No. 7 (from Buchner) ; 27, Alex. Wood, a man took half a teaspoonful in some whisky, Edin. M. and S. J., 51, 114, 1839; 28, Blacklock, a man took upwards of a drachm dissolved in water, Edin. M. and S. J., 36, p. 92, 1831; 29, omitted ; 30, Stringham, effects of 6 grains in four doses, in a man, with gonorrhoea, Med. and Phys. J., 10, 283; 31, Budd, effects of 1 ounce in a woman, Med. and Phys. J., 18, 347; 32, Evans, effects of £ a drachm in a man, Med. and Phys. J., 3, 535; 33, Kimball, effects of about 3 grs., applied to herpes of scalp, in a girl, aged twelve years, Bost. M. and S. J., 4, 220 ; 34, Meeker, effects of plaster containing about 100 grains, applied to a scirrhous tumor of mamma, Bost. M. and S. J., 39, 18; 35, Masselot, effects of two doses, each of T3g grain, Hempel's Mat. Med. ; 35a, same, repeated; 36, Devergie, effects of an indefinite quantity in a woman, from Hempel; 37, Orfila, eff'ects of a large quantity on a man, Toxicologic; 38, Trousseau and Pidoux, effects of baths of Corros. subl.; 39, omitted ; 40, Provin. Med. J., 1843 (from Buchner), effects of part of a powder con- taining £ a drachm, in a woman; 41, Buchner, effects of pills containing Corros. subl., taken for neuralgia, in a man, A. H. Z., 28, 155; 42, Fris- selle, a woman, aged twenty-six, took 1 drachm in a solution, Bost. M. and S. J., 41, 279, 1849; 43, Guy's Hosp. Rep., N. S., 5, a man took about 1 drachm; 43a, same, a young woman swallowed a little of a solution (in- definite) ; 436, same, similar to last dose, fatal; 44, Vautier, Gaz. Med. de Paris, 1842 (S. J., 39, 22), effects of about 2 grains ; 45, Andrew, effects of about 40 grains, in whisky, L. and Ed. Med. J., Feb. 1845; 46, WTatson, effects of about a drachm, in a man, L. and E. M. J., May, 1844; 47, Percy, effects of 30 grains, in a girl, aged seventeen, Lond. Med. Gaz., 238 MERCURIUS CORROSIVUS. March, 1843; 48, Gaz. des Hop., 1844, effects of application of a solution to thighs and scrotum; 49, Laduit de la Charriere, effects of 10 grammes, in a woman, aged twenty-one, from Tardieu sur I'Empoison, p. 695; 50, Ollivier, effects of about 1.1 gramme, in a woman, aged sixty-two, from Tardieu ; 51, Vigla, effects of 3 or 4 gramme, in a man, Gaz. des Hop., 1859; 52, Prael, effects of an indefinite quantity in an epileptic, Amnions monats., S. J., 31, 33; 53, Deutsch, effects of application of a solution of 6 grains to 6 ounces of water, to an eruption, in a boy, Preus. Ver. Zeit., 1851 (S. J., 72, 31); 54, same, effects of a bath of Corros. subl., for an eruption, in a girl, aged fourteen, S. J. 90, 295; 55, omitted; 56, Butcher, effects of a vaginal injection of more than ^ of a solution of a drachm of Corros. subl., in lime-water, in a woman, aged twenty-five, Dublin Quar. J. of Med. Sci., 1856, vol. 21, p. 242 ; 57, Thomson, effects of 2 drachms, in a man, Lond. and Ed. Med. J., 13, 582; 58, McCready, effects of about 22 grains, in a young woman, N. Y. J. of Med., 1850; 59, Williams, effects of about 30 grains, in a man, Am. J. of Med. Sc, 1851, vol. 21, p. 79 ; 60, Coale, effects of part of 10 grains, in a man, Am. J. Med. Sc, Jan. 1851 ; 61, Roberts, effects of \ a drachm in ■§■ an ounce of mur. tinct. of iron, Med. Times and Gaz., 1859, p. 210 ; 62, Auer, effects of half a spoonful of a solution of 10 grains in an ounce of water, taken for pain in stomach, Bavar. IntelL, 131 (S. J., 109, 291); 63, Haight, took a spoonful of a strong solution, U. S. J. of Horn., 1, p. 7; 64, Robinson, proving in a young woman, of 200th dil. in water, a teaspoonful every third morning, Br. J. of Horn., 25, 324 ; 64a, same, in another case; 65, Ord, effects in a man, from tasting it, Am. J. of Med. Sc, Jl., 1861; 66, Cabot, fatal effects in a woman, aged twenty-five, Bost. M. and S. J., 65, 218 ; 67, De Ricci, effects on two boys, of application of ointment containing 2 drachms, for porrigo, Bost. M. and S. J., 51, 249, from Dubl. Q. Journ.; 68, Skegg, effects of a 5 of an ounce, in a man, Lancet, Feb. 1862 ; 69, Garnsey, effects of a small dose of 1st dec trit., for sore throat, Am. Hom. Obs., 1868, p. 470; 70, Anderseck and Hamberger, effects of an ointment of Corros. subl., in two girls, for an eruption, Vjs. f. ger. Med. (Syd. Soc Yr. Book, 1864, p. 431); 71, Coghlan, effects of 12 grains in whisky, in a stout healthy lad, for gon- orrhoea, Med. Times aud Gaz., 1860, p. 162; 72, Taylor, effects of 2 drachms, in a man, Guy's Hosp. Rep., 1844, p. 24; 73, Lucas, effects of a quantity in vinegar, on a man, Med. Times and Gaz., Sept. 1871 ; 74, Eade, effects of a "small lump," which remained an hour in the stomach, and was then ejected by vomitiug, Lancet, Feb. 1870; 75, Brewer, effects of a strong solution, in a woman, aged twenty, Med. Invest., 7, 160; 76, Ber- ridge, effect of 1600th dil. (Fincke), two doses, Am. J. H. M. M., 8, p. 126; 77, Anderson, effects of 1 drachm, in a girl, aged twenty-eight, Ed. M. and S. J., 14, p. 474; 78, Ogston, effects of 2 drachms, in a man; 79, Taylor, effects of 5 to 10 grains, iu vinegar, Guy's Hosp. Rep., 1864; 80, Hort, effects of a solution (indefinite), in a man, from Tardieu ; 81, Lorenzo Rota, effects of an indefinite amount in a man, Italian Med. Gaz., 1851 (S. J., 74, p. 167); 82 to 85, Valentine, a woman administered to self and children large doses ; 82, girl, aged three ; 83, boy, aged eleven ; 84, the mother; 85, boy, aged eight; 86, girl, aged fourteen, Edin. M. and S. J., 1818, vol, 14, p. 468. Mind.—Emotional. Brain evidently much affected,84. —Deliri- ous,1730; (fifth night),79.—Delirium ; was obliged to be forcibly confined to his bed (fourth day),72.—Completely delirious (after forty minutes),67.— *Bather low-spirited16.—* Greatly depressed (sixth day),79.—Her groaning MERCURIUS CORROSIVUS. 239 alarmed the family (after half an hour),75.—Anxiety,43; (after second day),19.—Increased anxiety, during the night,35.— [10.] Great anxiety ; she dared not stir, as the pain and vomiting were renewed by the least pressure on the stomach (after two hours and a half),49.-—Ill-humor, in the after- noon (thirteenth day),7.—Frequent ill-humor, so that nothing will please him ; alternating with joyfulness,1.—* Very ill-humored all day (third day),7. —Intellectual. Dulness of intellect, though rational when fairly awake (fifth day),63.—When he spoke his thoughts were disconnected, indeed, he could not clearly describe his sensations; he spoke of three kinds of head- ache, remarked upon their disassociation, tried to correct himself, until he was obliged to stop from weariness (second day),3.—Stupid, pale, with dry unsteady eyes,81.—* Weakness of the intellect; he looks at us with wide open eyes, and does not understand us (after two hours),1.—Mind so weak in the evening, that I looked sometimes at the person talking to me without really understanding him (twelfth day),7.—Required to be aroused to give an- swers to questions,61.—[20.] Intellect slightly affected; a little stupor (third day),51.—Lay in half stupor (sixth day),79.—Complete stupor (third day),85. —*Stupor and delirium (which increased till death), (on sixth day),42.—Coma for twenty-four hours (afternoon, second day),86.—*Head much affected, with coma (after twelve hours),83. Head.— Confusion and Vertigo. Confusion of the head, re- lieved by emission of flatus,9.—Confusion, heat, and heaviness of the head (sixth day),20.—Head somewhat confused (eighth day),7.—Several attacks of vertigo,35*.—[30.] Slight vertigo (fourth day),5.—Excessive vertigo (third day),77.—A kind of whirling vertigo, with good vision; almost entire loss of hearing, lasting from half an hour to an hour, especially at 9 p.m., on lying down, seldom during the day, with tearing pains in the occiput,9. —Dizzy whenever he lifted his head from the pillow (after two hours and a half),59.—Giddiness (after six hours and a half ),*1.—General Head. Dulness of the head (fifth day),5; (sixth day),7.—Dulness in the head, espe- cially above the eyebrows (third day),10.—Heaviness of the head (after one bath),38.—Head heavy and confused (second day),3.—Heaviness and dul- ness of the head (fourth day),5.—[40.] Great uneasiness in head,30.—Much pain in the head (third day),61.—Violent pain in head (second day),72.— * Congestion to the head and face, with burning in the cheeks (eleventh day),5. —Headache (after six hours and a half),41.—Frequent headache, espe- cially in the temples,17.—Severe headache (after half an hour),59; (fourth day),24.—Intense headache (seventh day),20.—Headache dull, dizzy,9.—A severe, sudden dull aching pain in forehead and vertex, worse on stooping or shaking head; relieved by applying the cold hand to the forehead (almost directly after second dose); it extended to centre of cerebellum, when it felt like a bone-ache, about 5 p.m. (after five hours and a quarter) ; during tea-time (6.15 p.m.) it suddenly went off; it made him feel rather low- spirited,76.—[50.] *Pain in the head, like a drawing in the periosteum of the skull (eighth day),4.—Pressive feeling in the head,40.—Forehead. Dul- ness in the forehead, with undulating, waving pain in both hemispheres of the brain,3b.—Dulness in the head, in the upper frontal region (fourth day),5.—Dull pain in the right frontal eminence (after four hours;,3.— * Violent headache in the forehead (seventh day),25.—Headache (sticking) in the frontal regiou, lasting an hour, soon (fourth day),6.—Distressing stick- ing pain in the forehead (sixth day),25.—Headache; stitches mingled with pressure above the left eye, aggravated by stooping,1.—Temples. Pains in the temples (eleventh day),7.—[60.] Headache in the temples (seventh 240 MERCURIUS CORROSIVUS. day),7.—Headache confined to the temples, changing to a pressure above the left eye (twelfth day),7.—Violent temporal headache (after two doses),64. —Parictals. Stitches in the head, in the left parietal bone (first day),8. —External Head. Pain the most agonizing at once set in, and before the doctor shoemaker had done rubbing in the second, the first was in tor- ture, screaming that his head was on fire. By the time they reached home their sufferings were so intense that they could be heard screaming from every part of the village,67. Eye.—Objective. Staring look,2.— Eyes red, glistening,25.—Eyes bloodshot and protruding from sockets (after half an hour),65.—Eyes sparkling,15-.—Eyes glistening aud injected (sixth day),25.—[70.] Eyes glis- tening, and in constant motion,37.—Eyes dull and dim, and expressive of agony (after five hours),36.—Inflammation of the eyes, which protrude from their orbits,2.—Subjective. Eyes painful (eleventh day), with some in- jection of the vessels of the conjunctiva ; the pain was pressive burning (twelfth day),7.—Burning in the eyes (eighth day),5\—Burning in the eyes, and on the margins of the lids, as in commencing conjunctivitis (after four hours, first day),5*.—Burning and a sensation of dryness in the eyes (fifth day),5.—A contraction of the corrugator supercilii, with partial strabismus (third day),86.—* Tearing as if in the bone above the left eye, near the root of the nose, and in other parts of the bone (first day),8.—Burning tearing in the upper part of the left upper eyelid (first day),8.—[80.] Itching of the left eye (first day),8.— Conjunctiva. *Redness of the conjunctiva,?16**—Con- junctiva of both lids red and much injected (fifth day),5.—* Conjunctiva in- jected (after half an hour); less so (after three hours and a half),59.— Ball. Pain behind the eyeballs as if they would be forced out,6**.—Itching sticking in the muscles of the right eyeball (eleventh day),10.—Pupil. Pupils dilated,40.—Pupils largely dilated, and insensible to light (second and third days),86.—Pupils contracted,3762; (after four hours),50; (sixth day),2°.—Pupils perhaps slightly more contracted than usual (soon),46.— [90.] Pupils scarcely stimulated by the greatest light,84.—*Pupils insensible to light (second day),85.— Vision. Photophobia, while walking in the sun- light (first day),5\—Objects seem smaller and more distant than usual, for several hours (fourth and fifth days),5; especially letters (first day); re- peated several times during the day, especially after violent yawning (eighth day),5a. Ear.—Ears seemed stopped,9.—Sticking within the left ear (fifth day),8. —Pulsation in the left ear, as if caused by an artery (seventh day),7.— * Violent pulsation in the ears, especially in the left (eleventh day),7.— Hearing. (Frequent roaring and humming in the right ear, which he usually has, very much increased), (fifth day),5.—A whirring in the left gar rhythmical with the pulse,1. Nose. — [100.] ^Excessive coryza,1.—^Frequent nosebleed (eighth day),25.—Constant sensation of dryness posteriorly in the nose, as if in the upper surface of the soft palate, especially in the open air (fourth and fifth days),8. Face.—Objective. Expression of mental exaltation and bodily pain,25. —Face expressive of anxiety,21.—*Countenance denoted exhaustion (ninth day),27.—Countenance exhausted and sunken (eighth day),20.—Lying with his eyes half shut, and with quite a choleraic aspect (after one hour and a half),61.—His aspect is precisely that of a patient attacked by cholera, but who has not yet reached the stage of perfect collapse (after one hour and a MERCURIUS CORROSIVUS. 241 half),59.—Face red (sixth day),25.—[110.] *Face red, puffy, soon,31.— * Countenance flushed (after one hour and a half),41; (third day),42; (seventh day),20.—* Countenance flushed (after one day) ; and fuller than usual (sec- ond day),28.—*Faee rather flushed (after eight hours and a half),74.—Livid- ity of couutenance,43.—Face pale (after four hours),50.—Face pale (tenth day) ; extreme pallor (fifteenth day),51.—Paleness of the face in the night,35. —Face pale, colorless (after five hours),36.—* Countenance pale and anxious (after one hour and a half),45; (second day),79.—[120.] * Countenance pale and anxious and features pinched (after oue hour and a half),73.—Face pale and sunken,53.—Face pale, sunken, with an expression of anxiety,44.—Pale face, with sunken eyes, as in cholera (after two hours and a half) ; yellow, hippocraticcountenance (fourthday); facegreenish (fifthday),49.—Blanched (sixth day),79.—Face blanched, drawn, and singularly fixed in expression (sixth day),79.—Face swelled, much flushed, and covered with cold sweat (after one hour),77.—Face somewhat swollen (fifth day),79.—*Face much swollen (after one hour and a half),65.—Face much swelled, especially the lower part (after four hours),57.—[130.] The face was so much swollen that the patient looked like a monkey,2*.—Face puffy and bright-red,1'3.—Features shrunken (second day),80.—Face rather collapsed and covered with cold perspiration (after half an hour) ; rather less collapsed, free from perspira- tion (after three hours),59.—Distortion of the face,229.—Convulsive motions of the face,81.— Cheeks. Cheeks swelled, shining, and tense (after one hour and a half),41.—Tearing-burning pain extending from the teeth of the upper jaw up to the eye (eleventh day); tearing pain extending from the left eye down into a molar tooth ; burning pain in the mouth (twelfth day),7.—Tearing in the left zygoma (first day),8.—Tearing in the upper jaw, antrum highmorianUm towards the eye, followed by swelling,1.—Lips. [140.] *Lips black,17.—Lips of a deep color (after four hours),57.—Lips dark red, much swollen,25.—Blue lips (after four hours),50.—Blue lips and countenance,75.—Lips and tongue whitish and sunken (after five hours),36. —Lips white, swollen,81.—*Lips swollen and incrusted with a dry secretion (sixth day),79.—Lips greatly swollen,40.—*Lips excessively swollen and tender (after four hours),72.—[150.] * Upper lip swollen (second day),79.— Lower lip considerably swelled (after one hour and a half),41.—*Lower lip considerably swollen and a small blister on the inside of it (second day),72.— The lower lip was very much swollen and so much everted that its margin rested upon the chin,2.—Convulsive motions of the comers of the mouth,53. —*Idps dry, cracked,31.— Chin. *Stiffness of the jaws, immediately; also soreness (ninth day),27.—Pains in the jaws,21.—Sensitiveness of the angle of the left lower jaw to touch (first day),3. Mouth.—Teeth. *Much sordes about teeth (eleventh day),61.—[160.] *Teeth loose,17; (third day),22.—Teeth very loose,21.—Teeth begin to feel loose (fifth day),61.—The first time she attempted to take animal food the teeth appeared to refuse their office; they seemed loose and blunt (after a week or more) ; about this time also bits of dead skin came away from the throat and mouth, resembling the peelings of roasted potatoes; a tooth had been drawn some little time before, and from the vacuity it had left a large piece of the gum came away; from the side of the tongue a portion also separated, of the size of a large pea, leaving a cavity corresponding to its extent; the tongue, gum, and throat continued tender while these sub- stances were coming away,23.—Toothache gradually becoming worse, con- nected with a tearing extending from the infraorbital region down towards vol. vi.—16 242 MERCURIUS CORROSIVUS. the upper jaw (third day),7.f—*Sleep at night disturbed by toothache and by an anxious sensation (third day),7.—Toothache ; it prevented sleep and was associated with disagreeable swelling of the gum, and prostration (seventh day),7.—* Toothache, with swelling of the gum (thirteenth day),7.—Drawing pains in the teeth,30.—Tearing sticking in a back tooth, from which the sticking extends to the ear (first day),8.—G u ms. [170.] * Gums purple (fifth day) ; spongy, ulcerated in several places (sixth day),61.—*Gums red and de- tached from teeth (third day),22.—* Gams red and tender, with some swelling of the glands beneath the jaw (third day),56.—Marked redness of the gums, walls of the mouth, and pharynx, showing intense inflammation. These parts exhaled a nauseating odor (third day),51.—Swelling of the gum about the right molar teeth (twelfth night),7.—* Gams swollen and pale (sixth day),74. —*Gums swollen and spongy (ninth day),27.—Gums swelled, became pain- ful, and were covered with white pellicles (after forty-eight hours),48.— Gums swollen and several of his teeth loose (ninth day),20.—Gums seem slightly swollen (third day),46.—[180.] Gums slightly swollen, red and dis- charging a yellowish pultaceous substance from around the neck of the teeth (third day),51.—Gums excessively swollen and tender (after four hours),72.—* Gums ulcerated and spongy (third day),34.—*The gums bleed easily,3c.—Gums begin to feel sore (third day); gums quite spongy and the teeth loose (fourth day),45.—Gums and teeth became tender (third day),71.—Tongue. * Tongue red, with blackish coat (fifth day),61.—Tongue red and parched (second day),8j.—* Tongue very coated, moist; edges very red (sixth day),61.—Tongue yellow, moist,37.—[190.] * Tongue poster iorly pale, dirty yellow, rather thick, this coating extending forward along the sides of the tongue,9.—* Tongue became covered with a grayish-white crust,*3.—Mucous membrane of the tongue white (second day),79.—* Tongue white and so much swollen that he could not protrude it (after four hours),72.—Tongue coated white,25.—* Tongue coated white in the forepart,posteriorly yellow,9.—Tongue coated with white fur (second day),24.—Thickly coated tongue,62.—Tongue began to swell (second day),32.—* Tongue and lips swollen (soon),72.—[200.] * Tongue swollen, pale yellow, protruding from the tips, which were slightly swollen?2.— Tongue a good deal swollen (after one hour and a half),45.— Tongue considerably swelled (soon),14.—Tongue very much swelled (after four hours),57.— Tongue very much swollen and extremely inflamed,29.—Base of the tongue swollen, covered with a thick white coating,25.—* Could not protrude tongue (after one hour and a half),41.—Tongue moist and white (after two hours),28.—Tongue slimy (after four hours),50.—Tongue nearly natural in aspect, but cool (after half an hour),59.—[210.] Tongue dry (eleventh day),61.—Tongue felt numb, thick, and large,75.—Dry, hot tongue, with red edges,56.—Tongue sore (sixth day),79.—General Mouth. Pointed to his mouth, which was evidently very'sore (sixth day),79.—All the mucous membrane of the mouth very red (after two days),61.—Tongue and mucous membrane of the mouth and throat highly injected and the tonsils covered with a little bloody mucus (after eleven hours),71.—Mucous membrane of the mouth and fauces white and raw,40.—Mouth and fauces white, swollen, and sore,4!a.—Tongue and interior of mouth perfectly white from contact of poison (soon),68.—[220.] * Swelling of the lips, tongue, and throat,2.—Lips and gum swollen, dark red,25.—Mouth much swollen ; lips purple and protruded from the swelling (soon),46.—The internal portion of f This pain had a decided similarity to the painful sensation caused by Urtica urens touching the mucous membrane. MERCURIUS CORROSIVUS. 243 the mouth was so much swollen that he could scarcely speak (after twenty minutes),26.—Inside of lower lip and cheek stretching towards right tonsil, and the tonsil itself are coated with a tough lymphatic exudation, which is a little loose at the edge next the mouth ; beneath this the cuticle is slightly abraded at one or two points (third day),46.—Interior of mouth had a gray sloughing appearance, interspersed with patches of a deep violet color, and the mucous membrane was very much swelled (after four hours),57. —Inflammation of the mouth,15.—'^Severe inflammation of the mouth and gums, with constant discharge of clear water from the same,10.—The inflam- mation and swelling of the mouth and salivary glands increased to a fright- ful degree; the tongue filled the whole mouth,26.—Gradually the inflam- mation extended over the whole mucous membrane of mouth, scars showed themselves on the gums, and on the internal surface of the cheeks ; beneath them the flesh was fungoid and bloody. Afterwards the jaw-bone was de- nuded and considerable hsemorrhage ensued (after forty-eight hours),48.— [230.] Marked swelling of the inside of the cheeks, especially behind the last molars; on the left side is a hardened ganglion, very sensitive to touch, caused by the development at this point of an inflammation involv- ing the cellular tissue (third day),51.—At intervals where the inflammation is highest on the inside of the cheeks are deposits of a pultaceous substance like false membrane (third day),51.—Inflammation of mouth lessening in extent and intensity; the gray coating which still occupies the intervals between the pillars of the velum palati is becoming thinner and loosening (tenth day),51.—* Ulceration of the mouth,*0.—Ulceration of the mucous membrane of the cheeks opposite the ulcerated gums (sixth day),61.—Can- crum oris (youngest),67.—Blood oozing from mouth and nose (fourth day),24. —Strong mercurial fetor (ninth day),27.—A fetid smell of the mouth, which had been noticed for two days, was now more marked, and ulcers existed on the gums and on the inner surface of the lips (sixth day),70.—Constant feeling of mucus in the mouth,26.—[240.] ^Dryness in the mouth,11; (second day),10.—Mouth dry, with perspiration on the skin, in the evening,11.— * Mouth and tongue burning and parched (third day),42.—Burning heat in mouth, quickly spreading to the stomach (after a quarter of an hour),80.— A burning pain on the gum and in the mouth,1.—Burning in the mouth, oesophagus, and stomach,10 40.—Intense burning in the mouth (immediately),75. —* Soreness of the mouth and fauces,*3.—There is no salivation, but he com- plains of soreness of the mouth, and cannot open it wide (second day) ; in the afternoon he can scarcely open his mouth to answer questions (sixth day),79.—Saliva. The salivary secretion is naturally increased owing to the local inflammation and irritation rather than to absorption of the poison (third day),51.—[250.] Accumulation of saliva (fourth day),5*-.— ^Accumulation of tenacious saliva, which was expectorated with difficulty (second day),3.—Accumulation of water in the mouth (soon),6.—Flow of saliva,2.—Constant flow of saliva (soon),46.—There constantly flowed from the mouth aconsiderable quantity of yellowish-colored saliva (after four hours),57. —Saliva flowed copiously (after one hour and a half),41; (after one hour),77. —Salivation,162981.—Incipient salivation (after four hours),72.— Complete salivation (tenth day)20.—[260.] Salivation well characterized (after forty- eight hours),48.—Well-marked salivation, with mercurial fetor (third day),56. —Slight salivation (fifth day),74.— Copious salivation21.—Profuse saliva- tion,13 30 52.—*Ptyalism (first evening),27; (seventh day),51.—Ptyalism com- mencing (third day); complete start of salivation (fourth day),24.—Copious ptyali»m came on, which continued for many days (fifth day),32.—Profuse 244 MERCURIUS CORROSIVUS. ptyalism (second day),77.—Absence of salivation,43.—Taste* [270.] Very peculiar and most disagreeable taste in mouth (immediately),45.—Fatty taste in the mouth (second day),10.—Constant astringent taste in the mouth and accumulation of saliva (sixth day),6.—*Bitter taste in mouth (eighth day),20.—*Taste very bitter in the morning and also slimy; during the day the food has a bitter taste; water has not, but soup has,9.—* Salty taste in the mouth (after two hours),1.—Metallic taste in mouth (after two hours),34; (eighth day),5a.—An intense metallic taste and a strong odor, which almost at once caused nausea (immediately),51.—A constrictive metallic taste (im- mediately), (first day),5*.—Sharp, astringent, metallic taste,25. — [280.] Persistent astringent, styptic, metallic taste iu the mouth (second and third days),5.—Coppery taste (after one hour and a half),41.—For several days she had a taste of copper, as if she had been holding a copper in her mouth,75.—Naseous coppery taste (third day),22.—Speech. Speech dif- ficult, although the tongue was moist and soft, and nothing was to be seen in the throat (fifth day),49.—Loss of speech,75.—Speech failed entirely,26.— Could not speak (soon),77. Throat.—*Great swelling of the throat that threatened suffocation; the swelling extended to the neck head, and tongue; the throat was so much inflamed that the patient could speak with difficulty and could scarcely swallow; on the third day there was still great heat in the mouth and throat, as from a glowing coal; on the fourth day the patient raised some clots of blood and some thin blood, so that the physician thought she might die of haemorrhage; the patient was unable to talk on account of the ulceration of the throat and soft palate, with copious salivation, ivith frequent headache, especially in the temples; on the succeeding days the patient became delirious, was unable to swallow medicine or food; she expectorated daily clots of blood and pieces of membrane from the ulceration of the throat, with excessive prostration and constant salivation; the sloughing extended to the cheeks, gum, palate, and even the maxillary bone were laid bare; the lips became black, the patient sank and died,11.—Great uneasiness in throat,30.—[290.] Pain in the throat, at times in the uvula, not aggravated by swallowing (third to fifth day),8— Pain in the throat, especially after dry bread,9.—A little pain in the throat (after half an hour),59.—Severe pain in throat (after two hours),77.—* Throat very painful and inflamed,21.—*Burning in the throat and stomach (third day),42.—■*Burning sensation in throat (after four hours),50.—* Burning sen- sation in the throat (immediately),79.—Burning heat in throat and stomach, particularly the former (soon),45.—*Burning pain in throat (after one hour and a half),41.—[300.] Burning pain with a feeling of constriction from the throat to the stomach,81.—Burning pain extending from the mouth to the stomach, relieved by a drink of cold water (thirteenth day),7.—Acute burning sensation in the throat while swallowing it,27.—* Painful burning, extending from the mouth to the epigastric region,2.—Severe burning pain in throat (after one hour and a half),45.—* Intense burning in the throat (im- mediately),75.—* Intense burning in the throat and fauces,*2.—* Violent burn- ing in the throat (after one hour),44.—Violent burning in the throat and stomach, soon followed by violent vomiting of mucus and water, with great retching,62.—-^Violent burning pain in the throat and oesophagus, aggra- vated by the slightest external pressure,25.—[310.] Excruciating burning pain in throat and stomach ; when she attempted to take anything more than milk warm it was insufferable (after two hours),77.—Intolerable burn- ing in the throat and upper part of the stomach, which she described as gradually sinking down lower (after three-quarters of an hour),23.—Suffice MERCURIUS CORROSIVUS. 245 it to say, that my throat was but slightly inflamed before I took the dose, but the living fire that was kindled therein after it, the suffocation I ex- perienced, the pain, and long after, the fiery-red appearance of the whole buccal cavity, and that I had to resort to an antidote before I got any comfort, will not tempt me to repeat the dose, and may be a warning to other practitioners,69.—Called out that "he was burned," and threw him- self on a sofa in great pain (immediately),78.—Sensation of constriction in the throat (immediately),37.—Constricted feeling in the throat (soon). The constriction of the pharynx changed to a severe pain, accompanied by an unpleasant tickling, and coming on in paroxysms only a few seconds in duration (second day),51.—* Constriction in the throat, with a burning sensa- tion and difficulty in swallowing (immediately),28.—Considerable tightness and burning sensation in throat and gullet (after half an hour),73.—Throat felt "grown up ;" on examination it appeared very red and swollen, shreds of mucous membrane peeling off; could swallow only a very little fluid (after five hours),61.—Pressure on the throat was painful (after five hours),36. —[320.] Sticking paiu in the upper part of the throat, near the larynx, on empty swallowing, not painful on talking. It was always increased after every dose, and was accompanied by very great hoarseness,9.—Sore- ness of throat (second day),71.—Soreness of throat and fauces (fourth day),31. —Soreness of throat aud inability to swallow (fifth day),79.—Sensation of rawness in- the throat, immediately (seventh and eleventh days); with catarrh (thirteenth day),7.—Rawness in the throat that makes talking but not swallowing difficult,1.—Throat rough ; swallowing difficult (twelfth dayx7.—Beer caused scraping in the throat, and heat and redness of the face,9.— ZTvula and Tonsils. * Uvula swollen and elongated (third day),51.—*Uvula much swollen,66.—[330.] Uvula much swollen and ulcer- ated (second day),61.—The swelling of the uvula and of the pillars of the velum almost stops up the entrance of the pharynx (third day),51.—*Pil- lars of the velum palati swollen and dark-red; in the tonsillary folds, on the edges of the pillars, are seen some soft, grayish excrescences like sloughs or false membranes (third day),51.—Tonsils a good deal swollen (after one hour and a half),45. — Fauces, Pharynx, and (Esophagus. Fauces considerably injected (after half an hour),59.—Fauces inflamed,66. —Fauces much inflamed (after one hour and a half),45.—*A sense of dry- ness in the fauces,56.—Fauces sore (sixth day),79.—Soreness about fauces and mouth (second day),22.—[340.] ^Pharynx dark red, pressure externally ex- cites pain (after three days),28.—* Violent burning pains in the pharynx2'3.— Constriction of muscles of pharynx (second day),34.—-Extreme soreness of pharynx, with difficult deglutition ; when swallowing any liquid, the raw sensation extremely acute,84.—Extreme soreness of pharynx, with complete dysphagia,85.—Scraping roughness posteriorly in pharynx, compelling fre- quent hawking (first day),8.—Pain down oesophagus into stomach (after four hours),72.—Complained exceedingly of pain and sense of constriction along the course of the oesophagus (soon,46.—^Burning sensation in oesoph- agus (second day),34; (fourth day),72.—* Burning heat in oesophagus (after three days),28.—[350.] Sensation of warmth and burning along the whole of the oesophagus (after five hours),36.—Constriction of oesophagus (soon),72.— Acute pain, like a sticking, deep within the chest, and lower down as if in the oesophagus, as though morsels of food remained sticking iu it, which distended the oesophagus and could not descend ; yet food and drink could be swallowed without hindrance; the pain, however, seemed somewhat aggravated by swallowing, as also by eructations of air (sixth day),8.— 246 MERCURIUS CORROSIVUS. Swallowing. *The act of swallowing was attended with a violent spasm of the glottis,19.—Difficult swallowing,52; (after one hour and a half),45.—Difficulty of swallowing, so that at breakfast he could not eat bread, with increase of pain in the lower jaw (second day),3.—Constant difficulty in swallowing (tenth day),51.—Considerable difficulty in swallowing (after two hours and a half ),73.—Swallowing very difficult,25 53; (soon),67; (second day),61.—The act of swallowing gave rise to much paiu (after four hours); much greater difficulty of swallowing (second day),72.—[360.] * The act of swallowing, even of fluids, produces great pain (third day). Great difficulty of swallow- ing (sixth day),74.—*Deglutition so difficult and painful that the least attempt to swallow a drop of liquid caused spasms of the oesophagus and stomach, with vomiting of whitish, slimy, tenacious masses which became mixed with bile if the vomiting continued any length of time (after five hours),36.—Could not swallow, as her throat was drawn together, and sometimes entirely stopped (after ten minutes),77.—Impossible to swallow; the attempt only caused retching and vomiting,26.—Dysphagia,83.—Complete dysphagia,80.—Ex- ternal Throat. Much swelling of the throat,16.—*Throat enormously swollen?2.—The external fauces, particularly on the right side, and also the right side of neck, much tumefied (soon),46.—*All glands of jaw, etc., swelled (third day),33.—[370.] Submaxillary region much swelled (after four hours),57. —*Submaxillary glands enlarged,*33:—* Submaxillary glands enlarged and tender (fifth day),34.— Submaxillary glands swelled considerably (after forty-eight hours),48.—*Salivary glands very much swollen?2. Stomach.—Appetite. Strong propensity to eat Cayenne pepper since her illness,31.—A little less appetite than usual (second day),35.—Ap- petite wanting (twelfth day),7.—No appetite for some hours after a dose,9. —Loss of appetite, in the evening (tenth day),7.—Thirst. [380.] Thirsty (second day),74.—Some thirst, in the evening (tenth day),7.—Thirst and desire for ice (after two days),63.—Considerable thirst,1165.—Considerable thirst, so that she stopped to drink water almost at every ditch (soon),14.— Much thirst (second day),45.—Great thirst (first night),70; (second day),31.— Great thirst, with bad appetite (thirteenth day),7.—* Thirst very great (twelfth day),7.— Urgent thirst (second day),80.—[390.] Thirst so incessant that he asks for milk every two or three minutes, notwithstanding the dis- tress he experiences in getting it down (second day ),28.—Excessive thirst,25 *°82. —Extreme thirst,8*; (after twelve hours),83.—* Thirst intense (soon),4657; (after one hour and a half),59; (after four hours),50; (after five hours),36; (for four days),75.— Violent thirst,52.—Violent thirst; but every attempt to take liquids was followed by retching and vomiting (fifth day),25.— Un- quenchable thirst,2.—Insatiable thirst (after one hour),24.—Burning thirst (sixth day),79.— Great desire for cold water,62.—[400.] * Called for cold water in large quantities,66.—Eructation and Hiccough. Frequent eruc- tations, with nausea and fruitless efforts to vomit; after some time, very violent vomiting, repeated at short intervals; the substances vomited were mucous, thick, and had an extremely sharp metallic taste, and were accom- panied by disagreeable constriction of the throat,11.—Hiccough, at the least movement (fifteenth day),51.—Hiccough with the vomiting (third day),34.—Occasional hiccough (after two days),61.—Troublesome hiccough (fourth day),46.—Hiccough very troublesome (after two hours) ; occurs with great regularity twenty-six times a minute,28.—Hiccough frequently, which the least particle of water increases (fourth day) ; distressing (fifth day),63.—Severe hiccough (seventh day),24.—Several violent fits of hiccough (first night),72.—Nausea and Vomiting. [410.] Nausea,40.—Attacks MERCURIUS CORROSIVUS. 247 of nausea, in the night,35.—Nausea and qualmishness during and after a dose (third day),10.—Nausea and inclination to vomit all day (fifth day),6.— Nausea and retching (after two hours and a half),63.—Nausea, sick stom- ach, and vomiting (after half au hour),33.—So great a sensation of nausea, that she was obliged to go to the door, where she vomited (after twenty- three minutes),45.—Distressing nausea (second day),24.—Violent retching of stomach,30.—*Spasmodic and very painful retching,62.—[420.] The great distress it caused produced ejection of much of it from the stomach,60.— Could not retain what she drank, for any length of time (second day),31.—■ Nothing would remain on the stomach (second day),23.—* Vomiting,21216, etc.; (immediately),27; (soon),4107; (after twenty minutes),77; (after one hour),44.— Nausea and vomiting, with violent spasmodic action of the muscles (after two hours),34.—Retching and vomiting (second day),17.—During the night vomiting came on, with great thirst (first night) ; in one case (sixth day),70. —Occasional vomitings and retchings, which nearly approached convul- sions (after one hour),77.—Frequent attacks of retching and vomiting (after one hour and a half),45.—Vomiting continually (soon),36.—[430.] Constant vomiting and retching,56.—Excessive sickness and retching, followed by incessant vomiting,22.—Violent vomiting,43 52 83.—Violent sickness and vom- iting (soon),32.—Vomiting and retching violently,66.—Violent vomiting and purging,431*.—Vomited all the food and liquid in her stomach (after one or two minutes^,75.—Repeated vomiting, first of food, then of serum (soon),51. ■—Twice a spasmodic vomiting of a serous substance, without any previous nausea,35*.—Retching and vomiting of tenacious mucus,36.—[440.] Copious vomiting of a dark frothy substance, and purging came on in about an hour, and continued at intervals during the night and part of the succeed- ing day,42.—Vomiting a thick, stringy, albuminous-looking substance (soon),68.—Vomiting and purging of a dark grumous matter,42.—Vomits freely a large quantity of dark muddy-looking material mixed with half- digested food (after half an hour),73.—* Vomiting of green matter (after forty-five minutes),67.—Vomiting of bitter green substances, with diarrhoea (soon),37.—^Incessant, green bilious vomiting, soon amounting to four basinfuls (immediately). Continued vomiting, but the contractions of the stomach are less forcible (after seven hours) ; vomiting every quarter of an hour (second day) ; retching continues; vomiting renewed by coughing (third day),49.—Frequent vomiting of a bluish mucus, similar to the blue pill in solution (third day),85.—Large quantities of bilious matters were thrown off the stomach, as well as by stool (after three hours),82.—Vomit- ing of bile continues and occasionally large pieces of curd are brought up with it (after three days),28.—[450.] Vomits largely and incessantly of viscid frothy mucus,85.—Nausea and vomiting of white, frothy, tenacious masses with frightful retching,25.—Vomiting of small pieces of membrane (fourth day),25.—Copious vomiting of matter which resembles pus, and has a saltish taste (twelfth day),31.—Vomiting of pus (after three days), followed by death,12.—Vomited, with much retching, bringing up a bloody-looking fluid,66.—Vomiting a clear fluid like water, mixed with fresh blood,60.—Too much liquid makes him sick; in the evening vomits blood and water, which has the same appearance as that from the bowels (second day),63.— Frequently sick, vomiting a thin, bloody fluid (after eight hours and a half),74.—Vomited freely (soon); during the day he brought up a thick yellow frothy matter, tinged with blood, in small quantities (first day); a slate-colored, semifluid substance (second day); some greenish biliary liquid (fourth day),79.—[460.] Vomiting of bloody mucus,53.—Vomited 248 MERCURIUS CORROSIVUS. (soon), only bloody mucus (after two hours and a half),63.—Retching and vomiting of bloody mucus (eighth day),25.— Vomiting and purging of bloody mucus and membranous flakes,53.—Vomited (after ten minutes); (an emetic was administered, also two eggs) ; he had vomited several times, in all about 6 ounces; the matters appeared to consist of mucus and the egg swallowed, with some dark masses resembling sputa, except in having a dull leaden tinge (after half an hour); vomiting continued, the matters ejected consisting principally of the substances swallowed (eggs, flour, and water), (after one hour and a half); vomited twice, portions of blood were mixed with the matter thrown off; the flaxseed tea (after three hours and a half),59.—Vomiting of a little mucus mixed with blood (after three hours and a half),73.—Vomited and continued retching violently (after three minutes) ; threw up scanty mucus streaked with blood (after eleven hours); water was rejected immediately,71.—Vomiting of mucus, and afterwards of blood,18.—Began to retch (immediately); still retching and bringing up mouthfuls of thick mucus mixed with blood (after two hours),28.—*Streaks of blood in the matter vomited (after half an hour),61.—[470.] Vomited sev- eral times, and brought up a quantity of yellow-colored matter, interspersed with blood,72.—Vomiting at last greenish and bloody, with excessive retch- ing and pain,25.—Vomiting of ingesta and tenacious mucus, afterwards of bile and mixed with blood,21.—Vomiting blood (after half an hour),65.— Incessant vomiting, first of milk (taken to allay thirst, half an hour after the poisoning), then of almost pure blood (after four hours),50.—Vomiting violent and incessant, parting with blood, and coffee-grounds-colored matter,84.—Coffee-grounds-colored vomiting, with coagulated blood (after twelve hours),83.—Vomited some pure blood,66.—Profuse vomiting of blood (soon),31.—Has thrown up a large quantity of blood from stomach (seventh day),24.—[480.] Extremely sick, and discharged the contents of her stom- ach (in less than half an hour) ; the retching, however, continued, and she threw up a considerable quantity of blood ; on the following day, the sick- ness had not abated, though the hsemorrhage had ceased; sickness con- tinued till death, on the sixth day,19.—Occasional vomiting or belching of blood; as she lay on her back, she would raise considerable quantities of blood, mixed with water, by a peculiar action of stomach, without any ex- ertion (fourth day),31.—Considerable quantities of fluid blood occasionally escaped from his mouth without any effort like vomiting (after nine days),27. —*Drink frequently regurgitates through the nose,9.—Stomach. Stomach swelled, and was violently painful, so that she could scarcely speak to be heard (after nine days),14.—Swelling in epigastric region of left side, and a sense of weight and hardness (eleventh day),31.—^Epigastric region some- what distended, very sensitivedo pressure,62.—Pain in the stomach, increasing for some time ; on pressing my hand firmly to the part affected, I felt wind rolling under it (third day),23.—Some pain iu the stomach (after three doses),35.—When asked where the pain was, pointed to the epigastric region (soon), (after one hour),77.—[490.] Pain and heat in the stomach (after three minutes),63.—Immediate pain at the scrobiculus cordis,86.—Suffering much pain in the region of the stomach,60.—* Great pain about the scrobic- ulus cordis (after four days),19.—Great pain, referred to the pit of the stomach, and tenesmus (after two hours),79.—Severe and constant pain in epigastrium, increased on pressure (soon),57.—Violent pain of stomach,22; (soon),31.—Violent pain at scrobiculus cordis,85.—Violent pain in the stom- ach, attended with vomiting and painful retching, which continued with little interval the whole night (seventh day),20.—Violent pain in the epi- MERCURIUS CORROSIVUS. 249 gastric and hepatic regions,25.—[500.] Agonizing pain in stomach and bowels (second day),24.—Frightful pains in the epigastric region (immedi- ately),37.—Violent heat and pain in her stomach, with continued vomiting of everything she took for a week; at some times more violent than at others; always most relieved when after several efforts she had vomited up a small quantity of something which, as she expressed it, tasted like milk which had stood in a brass pan,14.—Burning in the stomach,12 65; (soon),6; lasting half an hour (fourth day)/'1.—Burning and pressure in the stomach, followed by frequent eructations (fifth day),5.—Burning in the pit of the stomach, throat, and mouth,21.—A feeling of burning heat at the stomach,56.—Burning and heat in the stomach, with constrictive pains that extended down into the intestinal canal, with congestion of the heart and anxiety, followed by soft stool,3a.—Burning pain in the stomach (after one hour),44.—Burning pain in stomach and bowels (second day),78.—[510.] Burning pain at pit of stomach, soon followed by copious and frequent bilious vomiting (after five minutes),50.—Burning pain in epigastric region (after eight hours and a half),74.—Burning pain at epigastrium (after half an hour),73.—Slight burning in the stomach (first day),5*.—Great heat or burning of stomach (fourth day),31.— Great burning heat in the epigastric region,15.—Great pain in the stomach and up the oesophagus to the fauces; a burning sensatiou was complained of, as if the parts were on fire (soon),61. —Intense burning in the stomach (immediately),75.—Violent burning sen- sation in the stomach (immediately),23.—Violent burning and horrid distress in the stomach (after five hours),36.—[520.] Painful pinching in the stom- ach (after fourth dose),35.—Griping pain in stomach and bowels (after two hours),34.—Violent griping pain in the stomach, extending through the whole course of the intestinal canal (soon),32.—Pressive sensation in the epigastric region and in the chest,2 29.—Distressing pressure in the stomach (eleventh day),7,—Very painful pressure in the stomach (twelfth day),7.— Violent burning-sticking pains in the epigastric region, which was distended, excessively aggravated by the slightest pressure,25.—Pricking sensation in stomach, like sword-points sticking in it (fifth day),31.—Acute stitches in the epigastric region (after taking soup), (first day),8.—Fine stitches in the pit of the stomach, in the morning (third day),8.—[530.] Awakened from the afternoon nap by very severe pain in the pit of the stomach ; these pains became worse rapidly and were tearing, somewhat relieved by bend- ing up the body, especially involving the region of the stomach, and seem- ing to extend thence over the whole diaphragm; the abdomen was some- what sunken and very painful to pressure in the epigastric region,11.— * Tenderness on pressure of the epigastrium (second day),79.—Slight tender- ness on pressure in epigastrium (after one hour and a half),41.—* Great pain upon pressure over region of stomach (second day),72.—*Stomach very sensitive (twelfth day),7.—*Great sensitiveness in the epigastric region,81. —* Epigastric region very sensitive to touch, and the slightest pressure caused very acute pain,11.—Gentle pressure on pit of stomach gives pain (second day),28.—* Epigastrium painful even from the least pressure (after five hours),36. —Stomach so very irritable that she could hardly bear to be touched with the hand, or even sustain the weight of the bedclothes (fourth day),31.— [540.] Pain much increased by pressure on pit of stomach, also by cough- ing,49.—Sweet apples have a good effect, but sour ones distress,9.—Pains in- creased by drinking (second day),80. Abdomen.—Hypochondria. Sticking as if in the middle of the liver (first day),8.—*Stitches in the hepatic region (second day),8.— JJni- 250 MERCURIUS CORROSIVUS. blllcal and Sides. Feeling of discomfort in the umbilical region (second day),10.—Passed a very bad night, complaining of great pain at the umbilicus (first night),85.—After the first eighteen hours, the pain removed, and became violently fixed at the umbilicus, continuing there eight hours; thence to the back (lumbar region) which continued to her death,84.—Colic to the right of the umbilicus, a kind of griping, after dinner (second day),8.—Pressing-down in front below the umbilicus immediately after a stool, lasting some time,1.—[550.] Colic, cutting below the umbilicus after a moderate use of sour apples, while walking in the open air, and after- wards in the evening becoming very acute, with some desire for stool (fifth day),8.—Itching sticking in the umbilical region (eleventh day),10.—Colic about and above the umbilicus, after eating bread and butter (first day),8. —Colic pains in the umbilical region, followed by three very thin stools with tenesmus,11.—Tenesmus in the umbilical region on pressure (fifth day),79.—A constrictive jerking pain in some muscle-fibres in the umbilical region, in the inner side of the right rectus muscle, lasting several minutes, and afterwards frequently returning (second day),10.—Cutting in the right side of the upper abdomen (sixth day),8. — General Abdomen. ^Swelling of the abdomen,13.—*Abdomen swollen, and generally painful to the slightest touch.53.—Excessive swelling of the abdomen,53.—[560.] Abdomen swelled as large as a woman's in seventh month of pregnancy, very hard; with pains at regular intervals, like labor-pains,31.—^Abdomen distended, painful to pressure,31.—Unusual distension of the abdomen (after twelve hours),1.—Abdomen very much distended, painful,29.— Bloated bowels, in the night,3D.—* Abdomen tumefied and very painful to touch (after one hour),77. —Pain has extended all over abdomen, which is somewhat tympanitic on percussion and exquisitely tender to touch (after two hours and a half),73.— Abdomen contracted, very sensitive to touch,52.—Borborygmi, in the night,35. —Unusually profuse emission of flatus (first day),5a.—[570.] Pain in bowels (after forty-five minutes),67.—Pain and sensitiveness not only of the epigas- trium, but of the whole abdomen (after four hours),50.—Abdomen painful, much distended,2.—Epigastrium and abdomen generally very painful, the uneasiness being somewhat increased on pressure, but without particular tension or enlargement (soon),46.—When asked to point out the seat of pain, he passed his hand over the whole of the upper portion of the abdo- men (after half an hour),59.—Slight pain in abdomen (after four hours),72. ■—Great pain in the bowels,27.—Great pain in the left part of the bowels (third morning); less (fourth morning),63.—Severe pain all over the abdo- men (after two hours),77.—Intense pain over the abdomen (soon),68.—[580.] Very violent pain through the whole intestinal canal,15.—Frightful pains from the pharynx through the whole intestinal tract,37.—Burning sensation in abdomen (after one hour and a half),59.—Sense of distension of abdo- men, her clothes appearing to be all too tight for her (soon) ; abdominal distension and much tenderness on pressure (after one hour and a half),45. —Griping pains in bowels,30.—Griping in the abdomen, at times without distension, relieved by emission of flatus; frequent sudden attacks of weak- ness and confusion of the head,9.—Cutting in the abdomen, with chilliness in the open though warm air (immediately),1.—Pinching sticking in the upper abdomen, as if in the muscles (first day),8.—Severe tormina (third day),24.—Colic (second day),7.—[590.] Colic from the slightest cold, for several weeks,62.—Colic, with desire for stool in the abdomen (after eating potatoes), in the afternoon (third day),8.—Colic, almost daily after eating various things, fruit, especially after potatoes, cherries, etc. (after ten MERCURIUS CORROSIVUS. 251 days),8.—Colic and tenesmus, and six discharges during the night,35.— Passing colic (after third dose),35.—Quite severe colic (second day)',51.— Violent colic,1213.—Violent colic in the region of the ccecum,40.—Violent colic followed by several bilious stools with distressing tenesmus (fourth day),7.—Tenderness over abdomen (second day),61.—[600.] Tender and tympanitic condition of abdomen (fifth day),34.—Some but not much ten- derness on pressure over the abdomen (after eleven hours),71.—Abdomen entirely sore on the slightest pressure (second day),85.—*A peculiar bruised sensation in the abdomen, especially in the coecal region and following the course of the transverse colon; the ccecal region and transverse colon were painful to moderate pressure, as though they had been bruised ; the walls of the abdomen, however, were painless; this pain lasted all the fore- noon, was less acute in the evening, but did not entirely disappear (seventh day) ; bruised sensation in the coecal and mesocolic regions; the painfulness uas increased by moderate pressure (eighth day),4.—Smarting pain all over the bowels (second day),80.—Jerking in the right rectus abdominis muscle (fifth day\10.—Pain, relieved by bending double,49.—Hypogastrium and Iliac Regions. Feeling of apprehension in lower abdomen, not relieved by emission of flatus (third and fourth days),10.—Pain in the lower portion of the abdomen (first day),8.—Slight sticking drawing in the left inguinal region (first day),8.—[610.] A peculiar pressive pain in the right inguinal gland, as if the gland would become swollen ; this sensation con- tinued for an hour, and was relieved after rising in the morning (third day),4.—Tensive-pressive pain in the left inguinal region, with a sensation as if the gland were swollen, at 5 a.m., after waking (seventh day),4. Rectum and Anns.—Rectum. Much pain in rectum (third day),45.—* Burning heat in rectum (after three days),28.—* Constant burning pain in the rectum (second day),25.—* Violent burning in the rectum (eighth day),25.—Sticking-shooting pain in the rectum (fifth day),25.—Stools asso- ciated with the most violent smarting pains in the rectum (second day),25. —Anus. * Oozing of a corrosive ichor from the anus, that excoriated the ex- ternal parts, and rendered them so sore that he could hardly bear clysters to be injected (fifth day),32. — Frequent discharge of blood per anum (fourth day),24.—[620.] Blood passed off freely per anum, and increased daily (third day),33.—^Frequent burning in the anus during stool,9.—Sticking in the anus (after twelve hours),37.—Itching in the anus (sixth day),8.— Urging. Frequent desire for stool, with increased emission of flatus (fourth day),4.—Tormented by constant urging to stool (soon),36.—* Fre- quent ineffectual urging to stool, causing most violent pain (fifth day),25.— ^Tenesmus,2.— * Persistent tenesmus,3d.— * Tenesmus incessant (soon),46-— [630.] Very distressing tenesmus, getting worse and worse; nothing passed but mucus tinged with blood (third day),23. Stool.—Fiarrhwa. Diarrhoea,2; (sixth day), (one case),70.—Diar- rhoea and bloody stools (after forty-five minutes),67.—*Diarrhoea attended with tenesmus ; constant desire to go to stool, the matter evacuated being scanty, chiefly blood and mucus (after eight days),20.—Frequent diarrhoea, with tenesmus and constant desire to go to stool,22.—Bloody diarrhoea (soon),57.—Frequent, offensive, slimy and bloody diarrhoea,26.—Sero-sangui- neous diarrhoea (after two hours),50.—Purging, the dejections consisting mostly of mucus tinged with blood,43.—* Purging of bloody mucus, with con- stant and distressing tenesmus,56.—[640.] Considerable purging of fluid matter, containing a large quantity of blood (after three hours and a half),73.—Much purging, bloody stools (second day),45.—Great purging, 252 MERCURIUS CORROSIVUS. partly blood (soon),68.—Purged violently (after three hours),82.—Violent purging of coagulable lymph, clots of blood, and fine pellucid membrane (after twenty-two hours),83.—Purged eight times in eleven hours (after a quarter of an hour),71.—Violent, repeated, and very offensive discharges per anum,84.—Repeated calls to the vase, in which were voided large pieces of a coagulable lymph, like sheets of boiled maccaroni (after six hours) ; stools changed to a livid, fetid and grumous appearance (second day); dirty grumous, in which was enveloped a lumbricus (third day),85.—Bowels had acted three times; stools quite liquid and dark (after two hours and a half) ; bowels acted twice in the morning, very much blood in the stools; in the afterpart of the day three dark-green stools (second day); four or five times (second night) ; considerable purging during the day (third day); three or four bloody stools (fourth day); stools still bloody (fifth day) ; four or five stools with a little blood (sixth day) ; three or four stools (sev- enth day); much purging (eighth day) ; frequent stools of a yellowish ap- pearance (eleventh day),61.—*Frequent stools, with great tenesmus; the stools werevery offensive and in quick succession25.—[650.] Frequent offensive stools,21.—Frequent bloody stools (third day),24.—* Frequent evacuation oj'a little bloody mucus day and night, with almost cutting colic and intolerable, pain- ful, almost ineffectual pressive forcing and tenesmus1.—^Tenesmus, with fre- quent discharges of a bloody and mucous character (fifth day),34.—Used the bed- pan frequently during the night. The dejections were for the most part fluid, containing apparently blood, mucous membrane, and a thick scum. The dejections and matter vomited resembled each other, and were so peculiar that they were saved,66.—He had had several dejections, consisting of a dark fluid, with some small lumps of dark-green fasces (after half an hour) ; dejec- tions frequent, and several followed each other at intervals of only two or three minutes; they continued to exhibit similar appearances, being almost entirely dark fluid, but several of the last had a quantity of flakes, apparently of mucus mingled with them (after two hours and a half) ; had several small bloody fluid dejections, containing small masses of coagulated albumen, free from fecal odor, but of the fleshy smell, sometimes observed in similar de- jections in cases of cholera (after three hours and a half),59.—Several bil- ious stools in the afternoon, with decided tenesmus (eleventh day),7.—Sev- eral offensive bloody stools, with severe colic and tenesmus (after a dose of Epsom salts), (after three hours),80.—*Evacuation of stool with tenesmus52.— *Alvine evacuation with frequent and violent urging, with tenesmus and violent burning (after five hours),36.—[660.] Brown, very offensive stools,21.—Sev- eral watery stools, with colic (third day),7.—Cutting colic, followed by thin bilious stools, with straining (twelfth day),7.—*Pasty dark-green, blackish, offensive stools (third day),25.—Very offensive, dark pasty stools, with tenes- mus,25.—Bloody stools,431*53; (after twelve hours),37.—Stools mixed with blood,40.—* Stools mixed with blood; with small, hard, frequent pulse (eighth day),25.—Faeces mixed with blood and watery mucus,62.—Small, brown, viscid stool, mixed with a little blood (second and third days); blackish diarrhoea (fourth day) ; frequent, dark, strong-smelling stools (fifth day),49. —[670.] Stool of mucus mixed with blood (after two hours); before this had had two natural evacuations, which were attributed to an aloetic pill taken the preceding evening; complete cholera (second day),28.—Her first stools, commencing after six hours, looked like strong saffron water, then, for four days and nights, her stools were blood and mucus only, passing them every two or three hours, each stool preceded by cold pains, felt low down in the pelvis, and followed by severe tenesmus; in forty-eight hours MERCURIUS CORROSIVUS. 253 after bloody stools ceased she had a natural stool,75.—Green-colored evacu- ations (second day) ; fseces of a dark color, mixed with blood (third day); motions streaked with blood, and once or twice they consisted entirely of blood mixed with mucus (fourth day),72.—Dejections of merely bloody mucus (soon),46.—Bloody stools, with abundance of mucus (first day); a copious stool, and another shortly afterwards, but without blood, at 9 a.m. ; there has been nothing but bloody mucus passed per anum (second day) ; frequent stools, consisting chiefly of mucus and coagula (third day) ; three or four more natural motions (fifth day); motions passed involuntarily, tolerably healthy, though loose, containing little blood (sixth night),79.— Discharge of bloody stools, accompanied by cramps (soon); three stools of tolerable consistence, and of a light color, within the last twenty-four hours (ninth day) ; passed by stool about six pounds of fluid blood, imme- diately before death (fourteenth day),27.—* Tenesmus, ivith at least twenty evacuations in twenty-four hours, consisting of mucus mixed with considerable blood; they were painful, and compelled groaning (second day). Bloody stools less frequent, with less pain (seventh day). No blood in the stools (twelfth day). Liquid stools; yellow after a meal (fifteenth day),51.— Three pasty brown stools about 4 p.m., with rumbling in the bowels(tenth day),7.—Two or three copious stools (after two hours and a half) ; frequent stools, averaging once in ten minutes, with but little fecal matter, which looks like water mixed with blood (second day); frequent dark and offen- sive stools (fourth day); not more than once in three hours (fifth day)63.— Two soft stools in the morning (tenth day),10.—[680.] Two clayey, light- yellow stools (seventh day),5".—Stools and urine passed involuntarily (seventh day),24.—Stools reddish and slimy (fourth day),46.—Passed by stool a large quantity of green and highly bilious-looking fluid (after eight hours and a half),74.—Evacuation of fseces mixed with mucus and dark clotted blood,2.—Stool of thin formed faeces,1.—Soft stool about noon (third day),10.—A thin, soft, yellow, painless stool, with frequent urging, after breakfast; this was followed by continued desire for stool in the abdomen (second day),8.—*Stool of tenacious faeces,1.—Stool remained, for a long time after the proving, hard, though evacuated daily,8.—[690.] Stool harder and more scanty than usual (fifth day),D.—Stool harder, drier, and more scanty than usual, for three days after the proving; after which for three days it was softer and more moist than usual ; after which it returned to its normal condition,5.—Constipation. Constipation during the whole attack; no diarrhoea,81.—Stool never soft; constipation (before taking the pills she had been subject to frequent diarrhoea),9.—When constipated the fseces were dark brown,9.—No stool (second day),10; (fifth day),5; (eighth day),5". Urinary Organs.—Rladder. Apprehension and discomfort in the region of the bladder, as before a stool; while walking (second day),10. —Paiu in bladder (after two hours and a half),61.— Urethra. * Gonor- rhoea, at first thin, afterwards thick; at last with biting pain on urinating, and stitches extending back through the urethra,1.—* Urine burning (tenth day),10. —[700.] ^Burning in the orifice of the urethra (eleventh day),7.—Burning in the urethra, commencing before urinating and continuing violent till the water passed; less while urinating, almost entirely disappearing after urin- ating,9.—Sticking in the forepart of the urethra, with some desire to urin- ate, and very fine stitches in the left testicle; in the evening while walking (sixth day),8.—Burning sticking in the forepart of the urethra, with a feeling of vigor and lightness after coition (sixth day),8.—Stitches in the forepart of the urethra while walking in the open air (sixth day),8.—Fre- 254 MERCURIUS CORROSIVUS. quent stitches in the forepart of the urethra (after ten days),8.—Slight stitches in the forepart of the urethra, and at the same time in the sphincter ani; in the evening (sixth day),8.—Itching in the forepart of the urethra,1. —Violent itching in the orifice of the urethra, which was a biting while urinating, with some stitches through the whole urethra (twelfth day),7.— Micturition. Urging to urinate felt in the urethra, with scanty emis- sion ; afterwards no inclination with a full bladder, but after the evacua- tion of the bladder a feeling of fulness remains (after two hours),3.—[710.] * Micturition frequent; urine passed in drops with much pain (soon),46.— Upwards of one hundred ounces of urine passed in first twelve hours; no other urinary evacuation until the fourth evening, which was very scanty, and continued so until death,33.—Micturition difficult, infrequent,37.—Isch- uria for thirty-six hours,81.— Strangury,2. — Voids a small quantity of water (second day).85.—Very little water passed,61.— Urine. Urine scanty, burning on micturition,40.—Urine scanty, red, with a brick-red sediment (secoud night),3.—Very small portion of urine secreted (after twelve hours)83.—[720.] No urine secreted,82848586.—Suppression of urine,6272; (sixth day),74.—Partial suppression of urine for forty-eight hours,75.—Has not made water yet (third day) ; suppression of urine continues (fifth day),28. —Passed some urine naturally for the first time (third night); suppression of urine continued (sixth night),79.—Total suppression of urine for five days,43.—Complete suppression of urine,24a.—Complete suppression of urine from the commencement (youngest),67.—On the fifth day, the urine having been retained for some hours, a catheter was used ; from one of the patients scarcely any urine was drawn off, from the other a large quantity; the latter passed a very small quantity the next day,70.—No discharge of" urine for twenty-four hours; the catheter was, passed with difficulty on account of the inflammation and swelling of the urethra and bladder; only a few drops of urine were discharged; on the third day there was no urine found in the bladder; the same on the fourth day; soon after which the patient died,21.—[730.] *Bloody urine (after two hours and a half); highly colored with blood (after three hours) ; and during the next six hours the quantity voided was very great, probably not less thau two to three quarts; after this though the desire to pass urine was frequent, the quantity rapidly diminished, and at the expiration of twenty-four hours there was total sup- pression ; on the third evening he had passed none for twenty-four hours. I found on introducing the catheter that there was none secreted ; none was passed for eighty-one hours before his death. (He had been troubled with his kidneys for many years, and once had a severe attack of gravel),63.— *Bloody urine (after eight hours and a half),74.—Urine pale yellow, some- what turbid, with traces of flakes of mucus; after standing it deposits a pale-gray sediment covered with a whitish coat; urine strongly ammoni- acal after standing,9.—Blackish, * albuminous urine,51.—Passed two quarts of pale urine (after two hours and a half); passed a pint and a half of the same kind (after five hours); sp. gr. 1009. Slight turbidity was occa- sioned by heat, but was instantly removed by nitric acid. For several days her urine, contained a considerable quantity of albumen. One specimen presented the following characters : It was turbid, and had a pale-brown color; its odor was urinous; sp. gr. 1028 ; it was abundantly .coagulated by heat as well as by nitric acid,*1.—Urine decidedly acid and quite limpid, without a trace of albumen or sugar (after four hours). * Urine no longer limpid; rather thick, but acid as before; sp. gr. 1016. Flakes of albumen precipitated by heat and nitric acid. Proportion of albumen, according MERCURIUS CORROSIVUS. 255 to Mehn's formula, 24 centigr. to 50 grammes urine; i. e., 4.80 grammes per litre. Under the microscope, the urine presented *granular fatty tubuli, in large numbers, showing on their surface epithelial cells of the tubuli uriniferi, also in a state of granular fatty degeneration,50. Sexual Organs.—3Iale. *Penis and testes swollen enormously (second day),24.—(When touching the os uteri during coition a sensation of a pressive pain followed by pressure),1.—Violent erections, with great sexual desire (sixth day),8.—Violent erections during sleep, continuing after waking; during coition delayed aud very slow emission (second night),8.—[740.] Sticking pain in the right testicle (eighth day),8.—Fine but acute stitches in the middle of the left testicle, continuing the next day (first day),8.—Sexual desire very much diminished (secondary action) ; scarcely ever an erection (after ten days),8.—Female. '"Intense inflam- mation of the vulvaf10.—Vulva in a sloughy state (after death),43*.—Slight hsemorrhage from vagina (second day),49.—Leucorrhoea pale yellow, of a nauseous sweetish odor,1.—Almost immediate local pain of a most severe kind, with a sense of burning heat; urgent forcing downwards, as iu labor; and profuse discharge of mucus as thin as water; on examination, the entrance and lower part of the vagina were found greatly swollen, red, hot, and discharging profusely; on the third day the discharge continued, and was tinged with blood,56.—Alarming increase of catamenia,31. Respiratory Organs.—larynx. Great irritability in the larynx (ninth day),4.— Voice. [750.] Voice hoarse,91853.—Voice rough and hoarse,25.—Almost completeaphonia,62.— Coughand Expectoration. Paroxysms of cough during the night (third day),49.—Frequent attacks of spasmodic cough (fourth day),5*.—Several paroxysms of spasmodic cough (sixth day),6.—The tickling in the throat gave rise to a convulsive cough, with very severe pain—a pharyngeal cough, such as is caused by thrusting the finger into the back of the mouth. The paroxysms of cough were fol- lowed by the expectoration of bloody mucus; then, by a feeling of suffoca- tion, with great anxiety ; they recurred at short intervals (second day),51. —Dry cough,1.—Great inclination in the larynx to cough towards evening; dry cough ; the larynx dry (eighth day),4.—Hollow, dry, fatiguing cough (after two hours),1.—[760.] * Coughed up a considerable quantity of mucus tinged with blood (after eight hours and a half),74.—Spits up thick pellets of mucus mixed with blood (sixth day),79.—Respiration. Breath ex- tremely offensive,21.—Breath fetid (after forty-eight hours),48.—Breath fetid, but the mouth is by no means sore, and there is no ptyalism (sixth day),28. —Breath extremely fetid (eighth day),20.—Mercurial fetor of breath (fifth day),34.—Well-marked mercurial fetor from his breath (third day),71.— Strong mercurial fetor of breath (third day),22 33.—Mercurial fetor of breath very perceptible (eighth day),61.—[770.] Respirations quick and catching (after half an hour),73.—Respiration slow,25; (after five hours),36.—Respi- ration slow, interrupted ; at times, deep and sighing,40.—Respiration uneven, 20 (after four hours); 29, at 8.30 a.m. ; 20, at 5.30 p.m. (second day) ; 18, at 8.30 a.m.; 16, at 5.30 p.m. (third day); 18, in morning; 20, at 7.30 p.m. (fourth day) ; 28 (sixth day); 16, in morning; 20, in evening (seventh day),50.—Inspirations deep and heavy (third day),77.—Breathing labored (sixth day),79.;—Respiration impeded,37.—Difficulty of breathing (seventh day),28.—Respiration deep, difficult,62.—Respiration by the aid of the inter- costal muscles was difficult and irregular,11.—[780.] * Respiration very dif- ficult,26.—Great difficulty in respiration (soon),5766; (after one hour),77.— Oppressed somewhat for breath, and has continual rattling in the throat 256 MERCURIUS CORROSIVUS. (fifth day),63.—Dyspnoea,52 81.—Dyspnoea was a constant symptom from the first attack of vomiting until she was able to retain liquid in the stomach,75. —Dyspnoea increased on account of the excessive swelling of the mouth and throat, so that the physician opened the trachea just below the larynx, which afforded some relief. Chest.—Objective. Rattling in the chest,18.—Sonorous rales in all parts of the chest,66.—Subjective. Sensation of constriction over the whole chest,11.—Oppression of the chest,1.—[790.] *Shooting pains in the chest,*0.—Nightly sticking pain transversely through the whole chest,1.— Itching-sticking pain in the muscles of the right lower costal region (elev- enth day),10.—Stitches internally in the upper part of the left chest on deep breathing (first day),8.—*Frequent stitches shoot through the thorax (eighth day),4.—Frequent tearing pain in the lowest cartilages of the right ribs (first day),8.—Front. Burning pain beneath the sternum (after eight hours and a half),74.—A kind of tearing in the middle of the sternum, after midnight (second night),8.—Sides. * Sticking in the upper part of the right side of the chest deep internally, scarcely aggravated by deep inspiration (fifth day),8.—*Some sticking pain in the lower portion of the right side of the chest (twelfth day),7.—[800.] Frequent dull stitches in the upper part of the left side of the chest, especially on deep breathing (first day),8.—Fine transient stitches through both sides of the thorax, after rising in the morning (seventh day),4.—Burning stitches in the right side of the chest, as if in the muscles (first day),8.—Mammce. *Painful glandular swell- ings about the nipple,1. Heart and Pulse.—Prmcordium. Prsecordial anxiety,15.— Violent pain at the prsecordia,84.—Obstruction and anxiety in the prse- cordia and epigastric region, followed by slight palpitations (after second dose, portion of T3g grain),84.—Heart's Action. The heart-beat had a tremulous, undulating motion,48.—"Bruit de souffle" at the base of the heart (fifteenth day),51.—Palpitation,52; (after third dose),35.—[810.] More frequent palpitations, in the night,35.—Beats of the heart seemed remote and slow (after five hours),36.—Every fifteenth or twentieth beat of heart intermits (after four hours). Heart-sounds dull and intermittent (second day). Heart-beats still intermittent (owing, no doubt, to organic disease, probably mitral insufficiency), (seventh day),50.—Pulse. Small, frequent pulse (second day),80.—Pulse small, contracted, frequent,25.—Pulse small, frequent, and irregular (after one hour and a half),40.—Pulse rather more frequent than usual, but not full (second day),31.—Quick pulse (after sec- ond day),19.—Full and quick pulse (seventh day),20.—Pulse quick and feeble,85.—[820.] Pulse small, quick, tremulous,84; (after eight days),20.— Pulse small, quick, and regular (first day); not to be counted (second day) ; unsteady and feeble (third day),86.—Quick, small, and very indis- tinct pulse at the wrist (first day); barely 50 (second day) ; 64, but small and weak (third day),56.—Pulse very quick and small (second day),22.— Pulse rapid, full,9.—Pulse rapid, small, spasmodic,52.—Pulse rapid, hard, without being particularly large,29.—Pulse small and rapid (after half an hour),73.—Pulse rapid and weak,26.—Pulse very rapid and small (after half an hour) ; could not be felt at the wrist, at the carotids and heart it was 168, feeble, regular (after one hour and a half) ; had returned at wrist, 140, feeble, regular as to frequency, but varying in strength (after three hours and a half),59.—[830.] Pulse feverish after dinner, at 1 p.m. (eighth day),4; (sixth night),4.—Pulse small, feverish,15.—Pulse did not rise above the natural standard, and maintained a good degree of fulness and regu- MERCURIUS CORROSIVUS. 257 larity until a few hours previous to dissolution,42.—Slow and feeble pulse (second day),32.—Pulse feeble and slow (after two hours and a half); 80 (second day) ; more frequent and feeble (fifth day),63.—Pulse 136, very feeble (after eleven hours),71.—Pulse almost imperceptible (after two hours and a half) ; 120 (after seven hours) ; 100 (second day) ; 130, in morning ; 120, in evening (third day),49.—Pulse 126 (second day); 105, small and corded (fifth day),34.—Pulse 120, feeble (after five hours),41.—Pulse 120, and small (soon),46.—[840.] Pulse 120, and feeble (after two hours); up- wards of 100, and feeble (second day) ; 100, soft, and weak (third and fifth days) ; almost imperceptible at the wrist (seventh day),28.—Pulse small, hard, 116, with diminished temperature and moist clammy skin,62.— Pulse 110, and full (second day),24.—Pulse very much depressed (after one hour and a half) ; 100, feeble (after five hours) ; 108 (third day); 108, full (fourth day); 90, in the evening (fifth day); 80 (sixth day); 80, weak (seventh day) ; 92, rather feeble, thready in the evening (eleventh day) ; hardly perceptible (twelfth day),61.—Pulse 96, rather weak (ninth day),27.—Pulse 90, and feeble (fourth day),24.—Pulse 86 (third day); 72 to 76 (seventh day); 84 (tenth day); 88 (fifteenth day),51.—Pulse 70, full, and regular (third day) ; 62 (fourth day),42.—Pulse 70 (second day); 72 (third day); 90 (sixth day),79.—Pulse small, contracted, irregular,11.— [850.] Pulse 128, very feeble and irregular (after one hour); 120 (after two hours); 112, very much corded, and intermitting occasionally (second day),77.—* Pulse intermittent, 89,40.—*Pulse small, intermittent,**.—Pulse 104, small, ^irregular, intermittent (after four hours) ; 80, small, uneven, ^irreg- ular (after seven hours); 68 (after eleven hours); 80, at S.30 a.m.; 100, intermittent, at 5.30 p.m. (second day) ; 84, at 5.30 p.m. (third day) ; 90 (fourth day); 90, intermittent, in morning; 70, %intermittent and uneven, at 6 p.m. (fifth day) ; 90, in morning ; 84, in evening (sixth day) ; 70, still intermittent, in morning; 68, iu evening (seventh day),50.—Pulse full and hard (seventh day),31.—Pulse small, contracted, 100,21.—Pulse small, con- tracted, 120,37.—Pulse feeble (after eight hours and a half),74.—Pulse soft and regular, but feeble (soon),57.—Pulse small, tremulous, and feeble (after twelve hours),83.—[860.] Pulse feeble, laboring in its diastole (second day); less perceptible (third day),85.-—Pulse small and extremely feeble (after one hour and a half),41.—Pulse small and innumerable,82.—Pulse small and scarcely perceptible (after four hours),72.—Pulse scarcely perceptible (soon),68 v\—Pulse small, filiform, scarcely perceptible (after five hours),36. —Almost pulseless,66.—Pulsation imperceptible at the wrist twelve hours before death (after twelve hours),83.—All pulsation left the wrist and ex- treme arterial branches (after twelve hours),84. Neck and Rack.—Tonic cramps involving the neck and back, last- ing several minutes, during which respiration completely stopped,03.— [870.] Tension externally near the left scapula (first day),8.—Tearing in- ternally in the upper part of the left scapula, as if in the bone (first day),8. Extremities in General.—Objective. Hands and feet rather livid, shrunken, and cold (after half an hour),59.—Trembling of the ex- tremities,41; (second day),32.—Trembling of the limbs, especially if he stretched them out,41.—Constant trembling of the extremities,44.—Convul- sive motions of the right upper and lower extremities,53.—Spasmodic con- vulsions of the fingers and toes,56.—Twitching of the limbs,81.—Paralytic stiffness of the extremities (second day),25.—[880.] Extended on her bed, without control over her limbs (after five hours),36.—Complete paralysis of the upper and lower extremities, a few hours before death (sixth day),19.— vol. vi.—17 258 MERCURIUS CORROSIVUS. * Lassitude in the limbs, and trembling when standing up and without moving (after fourth dose),35. — Loss of power and stiffness of the extremities, gradually increasing day by day, with excessive pain on every attempt to change the position, until the patient became completely paralyzed,25.— Subjective. A peculiar feeling of loss of power in'the deltoid muscles, and also in the muscles of the calves and thighs, without special cause (fifth day),10.—Feeling of weakness and shivering in the limbs (after third dose),35.—Numbness of the hands and feet (fifth day), (in one case),70.—A peculiar numbness attendant on the pains in the arms and legs; worse in the evening, better the latter part of the night and during the day,75.— Pain in the extremities (second day),25.—Pains in her limbs and arms, like those felt after long and fatiguing exercise, always worse after sleeping,75. —[890.] Universal pains in the limbs (after two days),19.—Dull pains in the extremities, with general weakness, for five or six weeks,62.—Drawing deep in the limbs, in the bones (seventh day),7.—A kind of tearing in the bones (joints of the fingers, hips, etc), (seventh day),8. Superior Extremities.—Shoulder. Tearing in the left shoulder, frequently (fourth and fifth days),8.—Sensation as though the glands in the left axilla would become swollen; with frequently repeated transient stitches in them (tenth day),4.—Arm. Rheumatic pain (like that peculiar to windy weather) in the right deltoid muscle, while walking (tenth day),10. —Hand. Jerking constrictive pain in the right metacarpus (fifth day),10. —Cramps in his hands (after two hours and a half),61.—Sticking pain in the muscles on the back of the hand, especially in the abductor and ex- tensor of the thumb, and in the extensors of the foot (third day),7.—[900.] Tearing in the left metacarpal bones (during the first days of the proving this tearing had been farther down in the joints of the fingers), (seventh day),8.—Fingers. Fine but very sharp stitches in the tip of the left thumb, in the evening while walking (sixth day),8.—Acute tearing iu the bone of the first joints of the left index and ring fingers, and also in the first joint of the thumb, continuing next day (first day),8. Inferior Extremities.—Objective. *Lower extremities drawn up in bed (fifth day),34.—Spasms of lower extremities (after four hours),72. —Stiffness of the legs,40.—Sticking in the muscles of the lower extremities (eleventh day),7.—Hip. Pressive-sticking pain in the hip-joint and in the knee, during both rest and motion ; also in other extremities, but of less intensity (twelfth day),7.—Rheumatic pains like needle-stitches in the lower extremities (second night),3.—Sticking iu the left hip-joint, from within outwards (first day),8.—[910.] Sticking pain in the hip-joint, during rest and motion,1.—^Sticking pains in the hip-joints during rest, disappearing on motion (tenth day),7.—Shooting stitches in the hip-joint, in the afternoon (fourteenth day),7.—Tearing posteriorly in the right hip-joint, afterwards more to the side and externally (second day),8.—Thigh. Drawing in the thigh-bones (second day),7.—Knee. Knees drawn up (after four hours),72. —leg. Twitching iu various muscular fibres of the calves, inner side of the gastrocnemius muscle (fifth day),10.—The lower leg seems asleep,1; (second day),7.—Numbness and want of feeling in the legs (after three days),28.—Cramps in his legs (after five hours),61.—[920.] Cramp in left leg (after two hours and a half),59.—Drawing pain in the bones of the leg (eighth day),7.—Tearing in the left calf extending inward (first day),8.— Foot. Very unusual weariness of the feet and sleepiness, in the evening (first day),8.—Trembling of the feet (soon),51.—Trembling of the feet on MERCURIUS CORROSIVUS. 259 walking, especially affecting the left side, and mostly in the morning on rising, and in the evening,41. General Symptoms.—Objective. His whole appearance much resembled that of a person in the last stage of typhus fever (after nine days),27.—Though supported throughout the illness with milk, gruel, and chicken-broth, he was more reduced both in bulk and strength than any patient I ever saw, in so short a space of time,32.—"Dorsal decubitus (after four hours),50.—*Lying on his back with his knees bent up (tenth day),61.— [930.] He rolled so incessantly from side to side that it was difficult to distin- guish pulsation, even at heart (after one hour and a half),59.—While leaning heavily upon the left arm, on standing, a moderate trembling of the left arm and whole left half of the body (first day),8.—Convulsions and rigors before death, which occurred on the fifth day,43.—Twitchings,16.—Spasms,33. —General spasms and convulsions,17.—Spasms, first in the toes and feet, and then in the fingers and hands, and afterwards extending up the legs and arms (after two or three hours); a violent spasm attacked the right breast, and shot through to the back, just under the shoulder-blade; the breast became much contracted, and its milk was speedily dried up,23.—Violent spasms (second day),34.—Spasmodic motions of the muscles of the face, arms, and legs; constant cramps in all the extremities,37.—Whole body stiff and painful on the slightest motion (sixth day),25.—[940.] Great weari- ness and suffering in the morning, so that after shaving he was obliged to lie down again in bed and sleep for an hour (second day),3.—Great depres- sion of system (soon),72.—*Great debility (second day),22.—"'Total debility of whole system (second day),32.—Debility seemed particularly alarmiug (after eight days),20.—* Weakness (ninth day),27; without having made any exertion (second day),7.—Great weakness, and violent pains in the feet (after three days),62.— Very weak (second day),71.—Weakness (third day) ; excessive in the whole system, especially in the joints, which with difficulty support the weight of the body (after nearly two weeks),77.—Very weak and exhausted (soon),46; (after half an hour),45.—[950.] General exhaus- tion and weariness,38.—Much exhausted (second day),77; after the spasms,23. —Great exhaustion (second day),34.—Excessive exhaustion,25.—Prostra- tion,43; (fifteenth day),51.—General prostration aud great exhaustion after eating (fifth day),4.—Much prostrated (after eight hours and a half),74.— Quite prostrate (after two hours and a half),63.—Very weak, prostrated,21.— Great prostration,75.—[960.] Lying in a state of great prostration (soon),68. —Extreme prostration and restlessness,431*.—General state of collapse,75.— Faintness,56.—Feeble and faint (second day); extreme general faintness (fourth day),74.—Alarming faintness recurred at short intervals,23.—Faint- ing fits (fifth day),31.—Great prostration ; fainted while being leeched (third day),49.—Great uneasiness of the whole body, so that it was impos- sible to lie quietly in any position, and was obliged to leave the bed; dig- ging and sticking in the left ear in the afternoon, so violent that it made him weep and cry out, lasting three minutes (second day),3.—Restless,79; (after two days),19.—[970.] Constant restlessness and tossing about,15.— Great restlessness (third day),24.—Very restless,85; (soon),36.—Constant toss- ing about,44.— Rolling uneasily about the bed, complaining of severe head- ache, and great pain in stomach (after half an hour),59.—1st. The general symptoms bore no relation to the amount of local disease. After the first few hours, the pulse was moderately full, and not above 90, and the tem- perature not unusual. This might be connected with the state of the blood after the occurrence of the suppression of urine, but it was present previous 260 MERCURIUS CORROSIVUS. to the coming on of the suppression. 2d. The amount of inflammation and ulceration of the large intestines was such as occurs commonly with severe dysentery, and yet the dysenteric symptoms were slight, much slighter, in- deed, than commonly occur in cases of poisoning by this substance. 3d. Suppression of urine continued from Monday until Saturday, the day of her death, and yet the patient retained her senses and was easily roused, exhibiting no signs of cerebral disturbance except slight drowsiness, and some tendency to wandering,58.—Subjective. Extreme sensitiveness of the whole body (fifteenth day),51.—Inclination to lie down (fourth day),5.— Great feeling of weakness (eighth day),61.—"Sinking feeling" (seventh day),61.—[980.] Some malaise (second day),35.—General feeling of malaise (after third dose),35.—Disagreeable sensation in the periosteum of all the bones, like the onset of intermittent fever, with a feeling of heat in the head towards evening (after six hours),1.—Pains over the whole body (fifth day), (in one case),70.—General pains over the whole body, accompanied by stiffness, aggravated by every motion (fourth day),25.—Most acute pain, as severe as the actual cautery (immediately),34.—Most excruciating pain all over body, more especially about abdomen, on which part and on the thighs he had rubbed the largest quantity, aud he felt as if " roasting alive " (after one hour),24.—Sometimes easy, at other times violently racked with pain, seat of which is principally about the scrobiculus cordis and umbili- cus,83.—Intolerable pains,16.—Intolerable pain, so that she ran about the room out of her senses, with loud screams,17.—[990.] Occasional cramps,43. —Fine sticking here and there in the muscles during the day,1.—Stitching in the parenchyma of organs, as in the lungs, liver, and very fine in the testicles (seventh day),8.—Drawing in the arms, and tearing in all the ex- tremities, alternating with convulsive shudderings in the whole body ; with at times loss of consciousness and oppression of the heart,62.—The effects continued more or less for two days,3Sa.—Every motion or change of posi- tion was painful,25.—Acids aggravate,9.—General aggravation from eating fat food,9.—She feels better during rest, easily becomes weak and tired after a little exertion,9.—She feels worse in the open air, especially weak and frequently dizzy; if she then begins to work she feels somewhat better; while at work she feels less weary than before or afterwards,9. Skin.—[1000.] Skin grew more and more livid, until it became every- where of a dusky hue, although the breathing was perfectly free,66.—Gen- eral yellowness of skin (second day),72.—General paleness of the surface (fifteenth day),51.—Surface of body tumefied, with a mercurial erythema spreading over it (fifth day),34.—Eruptions, Fry. Eruption of" many ecchymosed spots over the body and limbs, especially the lumbar region (fifteenth day),51.—Eruption over the whole body of pale-red, elevated, round spots, not sharply defined, disappearing on pressure, itching, looking like rubeola (after three days),62.—Papulous eruptions (lichen), that con- tinue to get worse, so that the baths had to be stopped,38.—Piercing cries followed, and in twenty minutes a brown scar was found on the parts that had been powdered; around was an inflammation of a bright-red color; scar black and dry in centre, and rather humid at circumference (after thirty hours),48.—Round the mouth, for the space of about an inch and a half, there was a rash, such as appears often after arsenical poisoning (eldest),67.—Eruptions, 3Iolst. All the parts which had been rubbed in a state of complete vesication (second day),24.—[1010.] (Painless blisters on the arms and abdomen, in the morning, disappearing during the day),1. —Arm greatly swollen from shoulder to wrist; in many places it was iu a MERCURIUS CORROSIVUS. 261 state of high inflammation, and in several parts covered with numerous and extensive vesications filled with lymph, much resembling the appear- ance that would have been produced by a large blister (second day),22.— Eruptions, Pustular. Several large pustules, of a livid hue, appeared upon the face and breast (fourth day),32.—A burning sensation was imme- diately experienced, aud soon became intolerable; the next morning there was still violent burning and pricking over the whole surface of the skin, which w*as red and inflamed, and that evening presented at many points vesicles, such as show themselves in cases of scalding by hot fluids; these parts of the skin afterwards suppurated,70.—Sensations. Severe ting- ling sensation, similar to that of "being asleep" (third day),23.—Itching burning and fine sticking in various places just under the skin (first day),8. —Itching, changing to sticking and burning in the skin (seventh day),8.— Itching in various places, scalp, legs, etc., frequently changing to fine stick- ing and burning (first day),8.—Itching about the anus, while walking (first day\8.—Itching, changing to a fine sticking, in the middle of the back, as if in the skin (first day),8.—[1020.] Itching between the right great (and second) toes (first day),8. Sleej) and Freanis.—Sleepiness. Inclination to yawn, and fre- quent yawning (fourth day),5.—"Frequent yawning and stretching (fifth day\5; without sleepiness (eighth day),5i.—Drowsiness (fifth day),63.— Rather drowsy (after three hours and a half),73.—Considerable inclination to sleep,38.—Sleepiness all the afternoon (fourth day),5.—Oue fell into a somnolent state, from which she could at first be roused by questioning,70. —Soporous sleep, from which she was occasionally awakened by return of the pain,21.—Sleepiness. Sleep uneasy (sixth night),8.—[1030.] Sleep very light, often awaking in the night, and unable to sleep on account of con- fusion of the head,9.—Restless night (first day),86.—Restless night, with some mild delirium ; she tried to get up (fifth day).—Night restless, dis- turbed by constant waking; sleep for two or three minutes, followed by waking, change of position, tossing about, etc. (first night),3.—Night rest- less ; sleep frequently interrupted by distressing dreams (sixth night),4.— Sleep restless; and for a month her dreams were of falling from high banks, and being let down into deep wells, or trying to get away from some one who was intending to murder her,75.—Sleep for only a few minutes at a time (second night),3.—Did not sleep more than five minutes at a time (first night),79.—Sleep for the first eight nights lasted only till three o'clock,8. ■—Sleep interrupted towards morning,36.—[1040.] Woke about midnight, tossed about the bed for three hours, was unable to sleep (first night),3".— *Night sleepless ; could not lie comfortably upon either side (sixth night),7. —Inability to sleep at night, on account of anxiety (eleventh day),7.— "Starting up suddenly from sleep,*0.—Frequent starting up on falling asleep at night (tenth day),7.—Frequent startings during sleep (second night),77. —Sleep not sound, with frequent starting up in fright (second day),7.— Violent starting while falling asleep, with shuddering in the whole body (after eight hours),1.—No sleep (first night),6177.— Dreams. Sleep dis- turbed by vivid dreams (fifth night),8.—[1050.] Very vivid dreams of re- markable, ludicrous, and disagreeable things, journeyiugs, etc (first night),8. —Voluptuous dreams (second night),8.—Sleep disturbed by frightful dreams; she was hurried in her sleep, by fancying that a horrid-looking figure was at her bedside, presenting a bottle to her (second night),23.— Dreams of fire and death (fourth night),5. Fever.— Chilliness. Surface of body rather cool (tenth day),61.— 262 MERCURIUS CORROSIVUS. Skia cool (after two hours and a half),63.—Skin generally cold,53.—"Cold skin, with very small, intermitting pulse,81.—Skin cold and clammy (after one hour and a half),61.—Skin cold, and covered with sweat (second day),80. —[1060.] "Skin cold,pale, covered with perspiration (after twenty minutes),25. —"Skin cold and dripping with perspiration (after five hours),36.—Surface cold, and covered with a clammy sweat (after half an hour),73.—The whole surface of the body and limbs, with the exception of the abdomen and inside of thighs, was cold, but she complained of feeling hot, aud of a burning pain in lumbar region,66.—Chilliness, especially in the head, in the even- ing (tenth day),7.—Iu the open though warm air, to which she was averse, chilliness, cutting colic, and tenesmus,1.—Chilliness and cutting colic, from the slightest motion, even on rising from a seat,1.—Frequent chilliness at night in bed,9.—Slight chilliness, intermingled with sudden transient heat, towards evening (first day),7.—Attack of chill, lasting a short time (sixth day),6.—[1070.] Creeping chills, in the night,35.—Increase of the coldness of the hands and feet, of the saliva and difficulty of swallowing, so that about 10 a.m. he was obliged to stop work, lie dowru in bed, and wrap his feet in a warm cloth ; this was followed by a shaking chill, after which warmth followed slowly, and with which appeared dulness of the whole head, except in the temporal region ; complete absence of thirst, constant salivation, and inflammation of the skin of the left side of the lower jaw (second day),3.—Frequent shaking chill, often with chattering of the teeth, at various times, especially in the open air, lasting an hour; frequently followed by warm perspiration for a quarter of an hour, with a feeling of relief,9.—Cold (after eleven hours),71.—Sensation of coldness in the night.35. —Sensation of coldness and formication over the whole body, especially along the spine,62.—Great coldness pervaded the whole body (after one hour and a half),45.—Icy coldness towards evening; cold creepings with chilliness over the small of the back, as if a lizard were crawling over it,41. —Almost constant rigors (after four hours),50.—Frequent slight rigors (soon),46.—[1080.] "Shivering during and after swallowing (eighth day),5*. —Cold shiverings (after two doses),64.—Shuddering over the whole body after going to bed in the evening, after which I was unable to sleep on ac- count of heat aud pressure in the chest, with an anxious sensation (twelfth day),7.—Several attacks of shuddering (fourth day),6".—Skin on the abdo- men cold (after five hours),36.—Chilliness on the head,1; all day (third day),7.—Chilliness in the head (after one hour, tenth day),7.—Chilliness only in the head, in the evening before going to sleep (twelfth day),7.— Chilliness of the extremities (after four hours),50.—Sensation of coldness in the left side, mostly after midnight, so that he could not get warm,41.— [1090.] Back and feet cold (second day),79.—"Extremities cold26*0**, etc.— Extremities cold, with sunken face and small, frequent, contracted pulse, 120,25.—Extremities quite cold (soon),72; (after two hours and a half),73.— Coldness of the hands and feet (second day),3.—Hands and feet cold and livid (soon),46.—Feet very cold (second day),72.—Icy cold feet (after two hours),1.—Heat. Great heat,84.—* Great heat of the skin (seventh day),20.— [1100.] Skin intensely hot (after one hour),77.—Skin burning hot, especially on the forehead,37.—Temperature at vagina, 37.2° (after two hours); 37° (after two hours and a quarter); 36.8° (after two hours and a half) ; 38.4° (after four hours) ; 38.7° (after seven hours) ; 38.5° (after eleven hours) ; 37.9°, at 8.30 a.m. ; 38.3°, at 5.30 p.m. (second day); 37.9°, at 8.30 a.m. ; 38.4°, at 5.30 p.m. (third day); 38°, at 1 a.m. ; 38.5°, at 7.30 p.m. (fourth day); 38° (fifth day); 38.5°, in evening (sixth day); 38.3°, in evening MERCURIUS CYANATUS. 263 (seventh day), etc.,50.—Considerable fever (fifth day),31.—Extremely fever- ish (seventh day),20.—Irregular febrile symptoms, with frequent alterna- tions of coldness and great heat,54.—"Is unable to rest in any place at night, on account of a feeling of heat and anxiety1.—Hot on stooping, but becoming cold on rising again,1.—Most insufferable heat and burning (after a few minutes),33.—Steeat. Skin moist,43.—[1110.] Perspiration first in the left axilla, becoming general; waking from sleep at night,41.—Moderate per- spiration at night, frequently on waking,9.—* Proj'use night-sweats for several weeks,62.—Anxious perspiration,18.—Cold perspiration,52.—Often suffers from cold perspiration,9.—Surface bathed with cold perspiration (second day),34. —A cold sweat all over (second dayV2-—Cold sweat all over (after two hours and a half),49.—Skin blanched, and covered with a cold, clammy perspiration (soon),68.—[1120] "Offensive perspiration towards morning (second night),3.—Frequent, transient, and for the most part partial per- spiration of a disagreeable mouldy smell, with violent pain in the temples, inflammation of the mouth and throat and glands ; great prostration, sleepi- ness, and some delirium (after treatment with iodide of potassium there developed, on the sixth day, distinct " roseola typhosa," after which the symptoms of typhus and mercurialismus continued, together with rather violent catarrh of the respiratory mucous membrane, till the patient re- covered, on the twenty-first day),54.—*Profuse perspiration on the fore- head, temples, chest, and hands, in which parts there was a very disagreeable coldness,11.—Forehead covered with sweat in large drops (sixth day),25.— Skin dry, except a cold- perspiration on the forehead (seventh day),25.— Cold sweat on the forehead, in which state he breathed his last (fifth day),63. —"Extremities clammy and cold (after one hour and a half),41.—Skin dry (sixth night),4. Conditions.—Aggravation.—(Evening), Especially at 9 o'clock, on lying down, whereby vertigo, etc.; while walking, stitches in thumb ; after going to bed,shuddering.*—(Night), In bed, chilliness; after midnight, cold- ness in left side; sweat.—(Acids), The symptoms,9.—(Open air), Sensation of dryness in nose; general feelings,9.—( Walking in. open air), Numerous symptoms,8.—(Fat food), Symptoms generally,9.—(Movement), Hiccough; pains over whole body ; chilliness", etc.—(Rest), Sticking in hip-joint.— (After sleep), Pains in limbs.—(Stooping), Headache above eye.—( Walk- ing), mostly in morning, on rising, and in evening, trembling of feet. Amelioration.—(After breakfast), The symptoms,5.—(Emission of flatus), Confusion of head.—(Best), General feelings,9.—(During work), Feeling of weariness. MERCURIUS CYANATUS. Cyanide of mercury, Hg(CN)2. Preparation for use, Solutions. Authorities. 1, Olivier and Kapeler, fatal poisoning by about 23^ grains, Archiv. Gen. de Med., 1825, vol. 9, p. 99 (Bibl. Horn., 1869); 2, L Simon, poisoning of M. X., aged nineteen, by about a teaspoonful of a saturated solution, Bull. d. 1. Soc Mod. Hom.de France, 1863, x, p. 340; 3, Moose, Virchow's Archiv, 1864 (S. J., 125, 174), a student took a solution of 2 grains in beer; 4, Thibert, fatal poisoning by 100 grains, Christison on Poisons, fourth edition, p. 427 (Bibl. Horn., 1869). 311 nd.—Excitement, at night (second day),2.—Night sleepless ; great 264 MERCURIUS CYANATUS. excitement and incessant talking ; is angry with the attendant, and raved furiously (first and third days),2. Head.— Vertigo. Vertigo,3.—Vertigo, on sitting up, with loud ring- ing in the ears, on sitting up in bed (second day),2.—Head. Headache and vertigo, several days,3.—Very severe headache (fourth day),1; at night (second day),2.—Tearing headache, especially in the forepart of the night (eighth day),2. Eye.—Eyes sunken (after eleven hours),2.—Eyes fixed (fourth day),1.— [10.] Conjunctiva injected (fourth day),1.—Pupils greatly dilated.3. Ear.—Ringing in the ears (second day),2. Nose.—Profuse epistaxis, recurring several times a day, for two weeks (after four days),3. Face.—Expression serious (fourth day),1.—Face flushed (fourth day),1. —Face cyanotic,3.—Complexion slightly cyanotic (after eleven hours),2.— Face pale and wan (after eleven hours),2. Mouth.—Teeth. Teeth painful (eleventh day),2.—Gums. [20.] Gums swollen, and covered with a thin, adhesive, whitish coating, above which is a border of bluish-red (third day),2.—Tongue. Tongue pale (after eleven hours) ; with yellow coating at base (after nineteen hours) ; edges of tongue redder, base covered with a gray metallic-looking coat, in morning (second day) ; tongue swollen, red on the edges, and covered by a very adhesive gray coating (third day); tongue again covered with a grayish coating (ninth day); tongue still covered with a grayish coat (thirteenth day),2.—Eight blisters on the left margin of the tongue and on the soft palate, opening and developing into irregular ulcers; these ulcers afterwards form on the right margin of the tongue (fourth day),3.—Gen- eral 3Iouth. Buccal mucous membrane red and injected (third day) ; a round ulcer, with grayish base and upright edges, aud encircled with bright red, on the inside of the right cheek (fourth day) ; the ulcer in the mouth has spread, and is covered by a large gray leathery coating (fifth and sixth days),2.—Inflammation of the whole buccal cavity,4.—The lips, tongue, and inside of cheeks covered with a grayish-white pulp (fourth day),1.—Saliva. Constant and copious flow of saliva, smelling as in mer- curial salivation (fourth day),1.— Ta&te. Bitter taste,3.—Very disagree- able styptic taste in mouth (after eleven hours),2.—Very disagreeable me- tallic taste (ninth day),2. Throat.—[30.] * Great redness of the fauces, with difficulty of swallowing (third day),2.—Redness and injected appearance at the base of the pharynx (after nineteen hours),2.—The mucous lining of the pharynx is red and injected (third day),2.—"A white opalescent coating, resembling the superficial mucous patches of syphilis, on the pillars of the velum palati, and on the tonsils (fourth day),2.—Roughness of throat (after nineteen hours),2.—^Difficult deglutition (after nineteen hours),2.—Salivary glands swollen (fourth day),1. Stomach.—Appetite. Aversion to food (ninth day),2.—Thirst. Thirst,3.—Great thirst (fourth day),1.—[40.] Intense thirst; but drinks are speedily vomited (after eleven hours) ; burning thirst, without vomit- ing of ingesta (after nineteen hours); intense thirst; but he cannot bear soups or hot drinks, which always seem too salt (fifth and sixth days); thirst returned (ninth day),2.— Hiccough. Incessant hiccough, for twenty-four hours (seventh day),2.—No vomiting, but very troublesome hiccough (eighth and ninth days),1.—Nausea and Vomiting. Vio- lent retching from merely thinking of sugared water (after eleven hours),2. —Nausea and vomiting (soon),2.—Drinks a great deal of milk and albu- MERCURIUS CYANATUS. 265 minous water; vomits six times, but much less than he had drank (first night),2.—Constant nausea, with frequent vomiting after drinking (fourth day),1.—Persistent vomiting (after a few minutes),3.—Nausea ; and a little greenish-yellow vomiting, after soup (ninth day),2.—Bilious vomiting twice, with scanty ejecta, but a great deal of retching (first day),2.—[50.] Re- peated vomiting of bloody matter (immediately),1.—Stomach. Burning at the stomach (after nineteen hours),2.—Epigastrium sensitive to pressure (after nineteen hours),2.—Violent irritation of the stomach,4. Abdomen.—Abdomen soft; not painful on pressure (fourth day),1.— Some pain in abdomen; yet it is not swollen, and is but little sensitive (fifth and sixth days),2.—Very severe pains in the whole abdomen (imme- diately),1.—Colic (ninth day),2.—Excessive colic, aggravated by every evacuation,2.—Abdomen slightly painful (on pressure), (after nineteen hours),3.—[60.] Abdomen not swollen ; rather sensitive to pressure (after nineteen hours),2. Rectum and Anns.—Small hseraorrhoidal tumors around the anus, with knobby swelling of the mucous membrane (twentieth day),2.—Pains in the rectum, and around the anus, when sitting (fourteenth and fifteenth days). Pains in the rectum intolerable ; sensitive, light-red swelling around the anus (seventeenth day). No stool; but, on straining, a little clear black blood is discharged (nineteenth day). Hsemorrhage occurred six times, and was profuse (twentieth day). A grayish diphtheritic-looking deposit around the anus, quite similar to that on the inside of the cheeks; the part is also eroded ; it looks exactly like what are called " ulcerated mucous patches" (twenty-first and twenty-third days). Fetid liquid dis- charge from the rectum, having a gangrenous odor, and leaving large black stains on the linen (twenty-fourth day). Gangrenous odor much less ; dis- charge still copious; but more decidedly purulent-looking (twenty-fifth day). Diminished discharge, serous, and almost odorless (twenty-eighth day),2.— Urging. Frequent urging to stool, preceded and accompanied by tenesmus (fourth day),1.—Great desire for stool, with diarrhoea and vomiting (after ten minutes),3. Stool. — Diarrhoea. Frequent diarrhceic stools, preceded by very severe colic (soon). Six bad-smelling diarrhceic stools (first day). Eight offensive, green, slimy stools (first night). Six slimy diarrhceic stools, with a little tenesmus (third day). Diarrhoea (eighth day). A hard, followed by a soft stool; at night, two liquid stools, preceded by severe griping (ninth day). Very copious diarrhoea; twelve stools daily, black, liquid, and highly offensive (eleventh and twelfth days). Eight stools in twenty- four hours; more yellow; one of them somewhat bloody (thirteenth day),2. —Frequent and copious stools (immediately),1.—Thin bloody stools,3.—The stools were mixed with blood, for five days, after which they were mostly pasty, dark-colored and flocculent, then becoming normal; after about two weeks the patient was obstinately constipated,3.—Stools scanty, and mixed with blood (after four days),1.— Constipation. [70.] Constipation (fifth and sixth days),2.—No stools (nnth day),1. Urinary Organs.—3Ilcturition. Micturition somewhat pain- ful (second day),2.—Retention of urine,4; (after four days),1; for twenty- four hours (after eleven hours),2.— Urine. Urine amber-yellow (second day),2.—Complete suppression of urine for five days (the bladder was always completely empty); the secretion of urine then gradually returned; the urine contained at first much albumen, afterwards less, and after two 266 MERCURIUS DULCIS. weeks became perfectly normal (after three days),3.—Urine found in blad- der was highly albuminous,4. Sexual Organs. — Semi-erection of penis (persisting even after death), (fourth day),1.—Dark-blue color of scrotum and penis (persistent after death), (fourth day),1. Respiratory Organs.— Slight cough (fourth day),1.—[80.] Respi- ration free (fourth day),1. Chest.—Chest sounds clear throughout (fourth day),1. Heart and Pulse.—Heart's Action. Violent and abrupt beat- ing of the heart (sixth day),1.—Strong palpitation of the heart, lifting up the hand applied to the chest (fourth day),1.—Heart's impulse and sound weak,3.—Pulse. Pulse weak, 130,3.—Pulse 70 to 76; small but compres- sible (after eleven hours). Pulse 90 ; stronger and more frequent (after nineteen hours). Pulse 70 to 75, weak (eighth day). Pulse weak, but quicker (ninth day). Pulse 100 ; stronger (thirteenth day),2.—Pulse mod- erately frequent, rather slow, but full and hard (fourth day),1.—Pulse small, slow, and contracted (eighth day),1.—The pulse continued to sink constantly for twelve days, until it was only 52, after which it rose during the next week to 104; in the evening of the eighteenth day it was 88; nineteenth day 76, and regular; during the first two weeks it had been irregular and intermitting,3. Extremities in General.—[90.] Slight spasms of the extremities (seventh and eighth days),1. Inferior Extremities.—Severe pain in left calf; the veins of the part form two hard cords, which meet together a little above the popliteal space. The slightest contact is very painful (twenty-fifth day). Leg about same ; it swells when standing (twenty-eighth day),2. General Symptoms.—General appearance as in the first stage of severe epidemic cholera (after eleven hours),2.—Lying on right side, sup- ported oil the arm (fourth day),1.—" General debility (eighth day)1; (ninth day),2.—*Great weakness, so that he cannot stand up (second day),2.— Great weakness and prostration in consequence of frequent bleeding of the nose, for two or three weeks,3.—*Extreme prostration (ninth day),1.—Gen- eral debility during the diarrhoea, and at last he fell to the floor in a swoon,2.—Repeated swoons (ninth day),1.—[100.] Frequent fainting (eighth day),1. Sleep.—Drowsiness, with easy waking (eighth day),1.—Night restless ; no sleep (sixth day),1. Fever.—Icy coldness (soon),2. — Icy coldness of skin (after eleven hours),2.— Skin has recovered warmth (after nineteen hours),2.—Great sen- sation of coldness,3.—Extremities cold, in the evening (eighth day),1.— Extremities very cold,3. — Fever at night, with sleeplessness and severe pains in the head (fourth day),2.—[HO.] "Skin moist and cold (ninth day),2. MERCURIUS DULCIS. Mercurous chloride, HgCl. Calomel. Hydrargyrum chloratum mite. Preparation for use, Triturations. Authorities. 1, Hahnemann, R. A. M. L., 1, 422 ; 2, Spens, effects of "a few powders," in a case of erythema, Ed. M. and S. J., 1805; 3, Hellwig, effects of purgative doses taken for experiment, Obs. Phys. Med., 1680, from Wibmer; 4, Vagnitius, effects of 15 grains in a healthy child, from MERCURIUS DULCIS. 267 Wibmer; 5, Harder, effects of 15 grains, Apiar. Obs., 43, p. 192, from Wibmer; 6, Pierer's Annal., 1827, a woman took 14 drachms (from Wib- mer); 7, omitted; 8, Ascherson, from Kussmaul, effects of 4 grains, in a man ; 9, George, effects of 1 grain at night, and 2 grains next morning, in an infant, Brit. Med. J., 1833, 12, p. 569; 10, Roberts, effects of two tea- spoonfuls of Calomel (at least 1 ounce), in a girl of nineteen, Lond. Med. Gaz., 1838 (Am. J. Med. Sc, 23, p. 199); 11, Crampton, effects of 2 grains, Bost. M. and S. J., 18, 361 (from Trans. Roy. Coll. Phys.); 12, By ford, effects of inunction for a week, in a case of iritis, Am. J. Med. Sc, 1857, vol. 33, p. 314; 13, same, effects of Calomel internally and externally, in a case of violent ophthalmia ; 14, Blair, effects of three doses of 3 grains each, a dose every other day, in a boy aged seven, Ed. M. and S. J., Aug. 1859; 15, Clough, effects in a girl, suffering from an injury to the head, Bost. M. and S. J., 32, 517 ; 16, Strong, case of periodically recurring sali- vation, Bost. M. and S. J., 54, 439 ; 17, omitted ; 18, Dr. D. S. Kimball, in MS., effects of various potencies, 3d to 30th, taken for catarrhal troubles, especially affecting the ear. 3Iind.—Considerably agitated (after two hours),10.—Apprehensive- ness,4. Head.—Some headache (second morning),10.—Slight headache (after five hours),10.—Pain or heaviness across the forehead (second evening),10. Eye.—Gummy secretion on the edges of the eyelids; next day, increase of the eye symptoms, with some smarting and indistinctness of vision, as from matter on the cornea,18.—Slight redness of conjunctiva,14.—Photopho- bia, and dryness of the eyes,18.—Eye symptoms aggravated after exercise and being heated from exercise,18. Ear.—[10.] Itching in the meatus auditorius externus,18.—A few light twinging pains, or shocks, in the left internal ear, awaking me from sleep (seventh night),18.—Sudden fluttering in the left ear for a few minutes,18. Nose.—Dryness and incrustation in the nostrils, worse in the night,18.— Soreness in the right nostril,18. Face.—Face flushed,14.—"Pallid as a corpse (two hours after second dose i,9.—Slight swelling of both cheeks,14.—Exfoliation of lower jaw, and death,11. 31 oath.—Teeth. Looseness of teeth,14.—[20.] The teeth became loose, and several came out,15.—Uneasy sensation on gnashing the teeth (second evening),10.—Gums. Gums spongy,14.— Tongue. Tongue thickly coated (second morning),10.—Tongue covered with a white creamy fur,14.—Tongue had a narrow streak of fur down the centre (after nine hours),10.—Tongue so tumid that speech was entirely gone,14.—Sensation on the tongue as if scalded,18.—General 3Iouth. "The whole inside of the mouth, tongue and all, had a very black appearance, emitting a constant flow of a dark putrid saliva, of intolerable fetor. The greater part of the mouth and tongue mor- tified ; and part of the tongue, the under lip, and part of one side of the face, sloughed off, presenting a most horrid spectacle to behold,15.—'•'In- flammation of the lips and tongue,3.—[30.] Interior of cheeks inflamed and tender; a quantity of bloody puriform matter came away from right cheek,14.—* Whole mouth filled with ulcers,6.—Dryness in the mouth, with thirst,18.—Saliva. "Salivation,11.—Copious salivation (after two days),6.— Violent salivation,5.—Saliva flowed continually, so that his dress was com- pletely soaked,14.—For the last eighteen years, and since the first saliva- tions, she has had regular returns of the salivation without exception, in October and February of each year; it often returns on the same days of 268 MERCURIUS DULCIS. the mouth as at first, sometimes a few days later,16.—Taste. Unpleasant taste in the mouth on first awaking (third morning),18. Throat.—* Excessive ulceration of throat11.—[40.] Difficulty of swallow- ing,1*.—The throat and face became immensely swollen,15. Stomach.—No appetite whatever (second morning),10.—Urgent thirst (after five hours),10.—Slight nausea and faintness, which had not prevented her from partaking of a luncheon of bread and salad, with a little ale (soon),10.—"Vomiting,*9.—Vomited twice after each dose of the mixture (eleven hours and a half),10.—Profuse vomiting and diarrhoea,6.—Vomited the milk and water she had been drinking, without any appearance of Calomel (after six hours),10.—Copious vomiting, immediately; on examin- ing the egesta by letting it stand to settle, and then pouring off the upper part, aud testing the sediment with lime-water, I could detect no traces of Calomel. I now gave her half a tumbler of lime-water, mixed with an equal quantity of warm water, every three or four minutes, and she vomited seven times in the course of the next half hour; everything she had eaten since taking the Calomel came off her stomach; still, however, there were only slight evidences of the Calomel, a few blackish specks here and there,10.—[50.] Weight and pain at the epigastrium, and in the right side (after two hours and a half); relieved after a few minutes by vomiting up a thick ropy stuff, consisting of Calomel, entangled in a quan- tity of mucus,10. Abdomen.—Violent pain in the abdomen,6.—Severe griping pains (after eight hours and a half),10.—Some tenderness of the abdomen (after nine hours),10.—Some slight tenderness of the abdomen on firm pressure (second evening),10. Rectum and Anus.—Teased with a frequent tenesmus (second morning),10.—"Excessive tenesmus (after four days),1'2.—"Burning pain in rectum (after four days),12.—Soreness around the fundament (second morn- ing),10. Stool.—Watery diarrhoea (fourth day),1*.—[60.] "Symptoms thoroughly dysenteric (after four days),12.— Constant disposition to stool; the discharges were small and consisted of mucus and blood, colored with bile, in the evening; about 10 a.m., he had had two large bilious evacuations, suc- ceeded by these small ones; he had to be up every ten minutes, and felt as if it would be a relief to discharge the whole contents of his abdomen (fourth day),12.—Gripings, abdominal fulness, burning pain in the epigas- tric and umbilical regions, followed by copious serous discharges for three or four evacuations in quick succession ; the discharges became gradually less, and iu the course of seven or eight hours were very small, and com- posed of bloody mucus, attended with tenesmus, and excessively frequent attempts to evacuate, and constant desire to do so (after four or five days) ; these symptoms required active treatment for two or three days before they were subdued,13.—Bowels opened four times between 5 and 6 o'clock (after six hours); a quantity of black particles similar to those precipitated from the vomited matters adhered to the vessels,10.—Two dejections of a greenish fluid from the bowels,9.—Has had two stools of a dark-green color, and accompanied with some griping pain (second evening),10.—Bowels have been opened once; the stools watery, green, and small, without any admix- ture of the black matter noticed yesterday (second morning),10.—Passed a stool tinged with blood during the night,14. Urinary Organs.—Urine increased (secondday); diminished (third, fourth, and fifth days),18. MERCURIUS IODATUS FLAVUS. 269 Sexual Organs.—Stinging and itching just back of the corona glandis,18. Respiratory Organs.—[70.] Foul or putrid breath,18.—Fetor of breath so strong that it could be noticed at a considerable distance from the bed,14.—Asthma,3. Pulse.—Pulse quick and hard, but otherwise there was not much fever,14.—Pulse full, hard, and about 90 (after five hours) ; small, hard, 100 (after nine hours),10.—Pulse 90, small and hard (second morning),10. Extremities in General.—Trembling of the hands and feet,4. Inferior Extremities.—Rheumatic stiffness and catching pain in the muscles of legs and knee-joint,18.—Cramps in the legs, at night,18. General Symptoms.—In a convulsive paroxysm, presenting as frightful appearances as ever ushered in the most malignant disease,9.— [80.] Tired and sleepy, at 10 a.m.,18.—Languor (second evening),10.—So much prostration that I was uneasy as to its results (after inunction),12.— Appeared occasionally faiut,9.—Was uneasy,9.—Restlessness of the whole body,\ Skin.—Erythema commencing in the pubic regions and extending like a scarlet redness over the whole body within twenty hours, without pain or fever, lasting two days,8.—It commenced with considerable redness and swelling of the face, and extended only over the face, neck, shoulders, and upper part of back ; terminating in a serous exudation and desquama- tion of the cuticle,2.—Numerous round, deep, eroding ulcers in the mouth and fauces, on the face, genitals, and other parts of the body, with white bases and inflamed, extremely painful margins, with a persistent fever and constant heat, with night-sweats, sinking of strength, tearing pains in the limbs, and trembling,1.—Itching and tingling in the skin, especially of the scalp and face,18. Sleep and Freams.—[90.] Sleepiness, in the morning,18.—Slept during the night, from 3 to 8, and is disposed to sleep at the present time (second morning),10.—Rather unpleasant dreams,18. Fever.—Temperature of the body low (two hours after second dose),9. —Quite disposed to perspire,18. Conditions.—Aggravation.—(Night), Dryness, etc., in nostrils.— (Exercise), Eye symptoms. MERCURIUS IODATUS FLAVUS. Mercurous iodide. Proto-iodide of mercury. Preparation for use, Triturations. Authorities. ' 1, Dr. I. S. P. Lord, proving with the 1st cent, trit., Am. Prover's Union Publication, 1856 (Nos. 2 to 6, proving by Dr. Jas. Blakely, in collections of "New Provings," published by A. J. Tafel, 1866, effects observed from the 1st to the 12th potencies) ; 2, L. J. Blakely, 1st and 2d dec pot.; 3, Miss E. V. Ryan, 2d, 3d, 5th, aud 12th dec pot.; 4, Ernest Wimmer, 2d, 5th, 9th, 12th dec pot.; 5, Miss X., 2d and 3d dec. pot.; 6, Dr. Jas. Blakely, 1st to 6th potencies. Mind.— While in bed, he imagined that a man was in his room who intended to perforate his throat with a gimlet; this idea continued for twenty-four hours,2.—Lively, good-natured, and talkative,6.—He feels very lively, whistles, sings, and is disposed to be decidedly merry and good- 270 MERCURIUS IODATUS FLAVUS. natured (soon after great depression),6.—From noon till 4 p.m. he feels de- pressed ; from 4 to 6 p.m. he is lively and cheerful; from 6 p.m. till morn- ing, all the symptoms are aggravated,6.—A depression of spirits, in conse- quence of anxiety, which he has had for some time, has disappeared since proving the drug, although the cause of the anxiety still exists,2.—While in the open air, he always feels cheerful; in a warm room he is generally dull and depressed,6.—Moodiness,2.—A general disposition todestructiveness; he can scarcely resist the temptation to throw his lamp through the window,2. Head.— Vertigo. Dizzy headache, similar to a rush of blood to the head, followed by a violent pain above the right temple,5.—[10.] A dizzi- ness while reading and when rising from a chair (to which he has been subject) has entirely disappeared,2.—General Head. Dulness of the head, with severe, dull, frontal headache, when awaking at night,6.—Dull, heavy condition of the head, with dull soreness of the bones of the face,6.— The head feels full and heavy (after six hours and three-quarters),6.— Aching all over the head, with wavelike motion of the blood (fifth day),5. —Headache in the morning when rising, lasting over half an hour,5.— Headache, with faintness, while in church (after thirty-eight hours),5.— General headache (after one day and a half),5.—Slight headache all the forenoon,5.—Bad headache all over the head (after twenty-two hours),5.— [20.] Violent headache, especially over the right temple (after eighteen hours),0.—Very violent headache, involving the entire head,5.—Very vio- lent headache, lasting some minutes, over the right half of the frontal and right parietal bones (after nineteen hours and a quarter),5.—Dull head- ache, with soreness of the bones of the face, all the time,6.—Dull headache, on awaking in the morning,6.—When he awakens in the morning he has a dull headache, which continues until he exercises, after which it passes off,6. —Dull headache the entire forenoon,6.—Dull headache, with soreness of the face and nose, the entire evening,6.—Dull headache when awaking at night,1.—When he awakens at night he always has a dull headache,6.— [30.] Dull headache, aggravated by pressure,6.—Dull headache, especially at the right temple, with nausea and feeling as if he would vomit,6.—Dull headache, with dulness of the head, in a warm room,6.—Slight, general, dull headache on awaking (after eleven hours),5.—Severe dull pain over the right half of the frontal and right parietal bones, with pain in the right ear, and dull soreness of the right orbit and right eyeball,6.—Dull, heavy aching pain at the base of the brain, in the throat and nostrils,1.—The entire head feels dull and compressed, aud as if pressed down upon the pillow by a heavy weight (after twelve hours),6.—Dull, pressive headache after din- ner (after three hours and a quarter),6.—Sensation as if the skull were crack- ing (nineteenth day),5.—Sensation in the skull as if it were cracking, con- tinuing the whole afternoon (seventeenth day),5.—[40.] Occasional sharp stitches through the head and face,6.—Increased throbbing pain in the head, more in the forehead (after forty-nine hours and three-quarters),5.— * The headache is always on the top of the head, or on the right side,5.—The severe, lasting pains in the head occur on the right side,6.—The headache is worse in the morning before rising, and for a short time after rising,5.— The headache is worse when she walks about (in the house),5.—The pains in the head and face are relieved during pressure, but are worse after the pressure has been removed,6.—Forehead. In bed at night, very severe headache over the right half of the forehead, with severe pain in the right orbit and eyeball,6.—Dull, heavy pain over the forehead and temples, ex- tending down the sides of the face (after three-quarters of an hour),6.—Dull MERCURIUS IODATUS FLAVUS. 271 frontal headache, especially affecting the left orbit (after half an hour),6. —[50.] "Dull frontal headache, with pain at the root of the nose (after half an hour),6.—Dull frontal headache the entire day, with occasional sharp stitches through the head and face (after two hours and a quarter),6.—Dull frontal headache the entire evening (after three hours and a quarter),6.— Dull frontal headache, with pain in the orbits and root of the nose, when awaking at night,6.—Pressive aching in the frontal region, lasting a short time (after three days),4.—Sudden, severe, and sharp pain in the right side of the forehead, above the right tern pie,6.—Severe shooting pain in the fore- head, superior arch of the right orbit, and root of the nose,6.—Bad head- ache on awaking, in the forehead, as if a sword were run through from the left temple to the right; and, in the occiput, a bruised pain as if from a blow (after ten hours and a half),3.— Temples. Dull pain above the left temple, followed by a beating-throbbing pain in the right temple,3.— Steady, aching pain in the right temple (after three-quarters of an hour),6. —[60.] Dull headache at the right temple,4.—Momentary pressive pain in both temples (after half an hour),6.—Occasional shooting pains iu the temples (after half an hour),6.—Severe, sharp pains in the right temple, at night, in bed,6.—Headache, as if a sword had entered the left temple, pro- ceeding thence to the right temple,3.—Severe, sharp stitches in both tem- ples, while going downstairs,6.— Vertex. Dull, dizzy pains over the top of the head, with inclination to vomit, following immediately after a slight pain at the heart (after ninety-three hours and a half),5.—Headache over the top of the head (after forty-six hours, eighth day),5.—Headache all over the top of the head, proceeding after some time into the forehead,5.— Headache all over the top of the head, with wavelike motion of the blood (after a quarter of an hour, first day),5.—[70.] Slight headache over the top of the head (tenth day),5.—Sharp pain on the top of the head, followed. by a pain in the right hip (after half an hour),5.—Very sharp pain on the top of the head (posterior fontanelle), lasting a long time (after four days and three-quarters),3.—Parletals. Pain in the right side of the head,5.— Pain in the right parietal bone, aggravated by touching the part and by combing the hair (after one hour aud a half),6.—Slight pains in the right side of the head,5.—Violent pain in the left side of the head, near the left temple,5.—Violent pain over the entire right side of the head, extending from the right temple to the nape of the neck, lasting longer than usual (after thirteen hours and a half),5.—Rather violent pain in the right side of the head,5.—Very violent pains in the right side of the head,5.—[80.] Dull pains in the right and left sides of the head, in front of the ears (after half an hour),6.—Dull pains in the entire right side of the head, with stiff- ness in the nape of the neck and a sensation as if the right ear were closed up,6.—Sharp, aching pain in the right side of the head (after three days),5. —Sharp pain in the right side of the head (over the right parietal bone), extending to the neck and right eye (after four days),5.—Several slightly sharp pains in the left side of the head, above the left temple (after two days),5.—Very short, sharp pains in the right side of the head,5.—A violent neuralgic headache, affecting the left side of the head, especially the supe- rior arch of the left orbit and left eyeball, which he had had for two weeks; ceased entirely within an hour after taking the first dose of the drug, and has not since returned,2.—Occiput. Numbness of the occiput and nape of the neck, with stiffness of the neck,6.—Sharp pain in the occiput, after rising in the morning,3.—External Head. Numbness and tingling of the scalp (after twelve hours),6.—[90.] "Itching of the scalp6.—Persistent 272 MERCURIUS IODATUS FLAVUS. itching on the top of the head, at night in bed,6.—Itching on the left side of the vertex, at night in bed,6. Eye.—Orbit. Pain and soreness of the entire right orbit (after half an hour),6.—Pain in the superior arch of the left orbit, with headache, aggravated by noise and talking,6.—Dull pain in the inferior arch of the right orbit,6.—Dull pain in the superior arch of the left orbit, with dull frontal headache,6.—Slightly dull pain in the superior arch of the left orbit and left malar bones, painful when touched,6.—Sharp pain in the superior arch of the left orbit,6.—Sharp pain in the inferior arch of the left orbit and left eyeball, with feeling as if lachrymation would appear,6.—[100.] Sudden, sharp pain in the superior arch of the right orbit, aggravated by stooping (after twenty-two hours),6.—Sharp, lasting pain in the superior arch of the left orbit, as if from a knife,3.—Severely acute pain in the su- perior arch of the right orbit, on rising in the morning,6.— Vision. When lying on his left side black clouds float before the eyes; this never occurs when lying on the right side,6. Ear.—External. Dull pain in front of both ears,6.—Sudden, sharp pain in the external meatus of the right ear,6.—Stinging-throbbing pain in the external (left) ear,6.—3Iiddle. Sensation as if the right ear were closed up, although his hearing remained good,6.—At night, while in bed, dull pain in the internal meatus of the right ear, followed immediately by itching of a small spot on the top of the head,6.—Boring pain in the inter- nal meatus of the right ear,6.—[110.] Sharp, intermittent boring in the in- ternal meatus of the right ear (after one hour and a quarter),6.—Sharp throbbing, boring pain, from within outward, deep in the left ear,6.—Touch- ing the right ear, or introducing the finger, causes a sore pain in the ear, and also aggravates the headache on that side,6. Nose.—A great deal of mucus in the nose, obliging him to constantly clear his nose,6.—Pain at the root of the nose (after twelve hours and a half),6.—Steady, dull pain at the root of the nose,6.—Dull, heavy aching pain in the nostrils,1.—Sharp pain in the septum naris (after four days),5. —Severe shooting pains at the root of the nose,6.—Severe throbbing pain on the right side of the nose, deep in the bone,6.—[120.] The right side of the septum naris and right nostril are very sore and much swollen,6.—For three days a sore painful spot on the left wing of the nose,6. Face.—Soreness of all the bones of the face,6.—''Soreness of the entire face, especially of the bones of the face, with dull frontal headache,6.—Dull soreness of all the bones of the face (this symptom was constant through- out the entire proving),6.—Dull soreness of the whole right side of the face, especially of the right half of the inferior maxillary bone,6.— Cheeks. Dull pains in the left malar and right orbital bones,6.—A slightly dull pain iu the left malar bone, which is painful when touched,6.—Sharp pain in the left cheek, with soreness of the left half of the inferior maxillary bone,6.—A steady sharp pain in the upper portion of the left malar bone, which is painful when pressed,6.—[130.] Sharp throbbing pain in the right cheek, with sharp throbbing pain on the external surface of the right forearm,6.—Dull bruised pain in the right malar bone, radiating into the forehead and right side of the head ; a small spot (at the end of one of the radii) pulsates and burns like fire (after half an hour),6.—lips. Dry- ness of the lips, with burning dryness of the lower lip, and a sensation as if the upper teeth were pressed tightly together,6.— Chin. Deep boring pain in the ramus of the right side of the inferior maxillary bone, extend- ing up to the right orbit,6. MERCURIUS IODATUS FLAVUS. 273 Mouth.—Teeth. Sensation of dryness in the teeth,1.—His teeth (left lower molars) felt so long that he could not eat,6.—Pain in the two left molar teeth, aggravated by bringing them together, with feeling as if the teeth were too long,6.—Disagreeable feeling in the teeth, as if they were very tight in their sockets (after two days and a quarter),6.—Sensation in the upper teeth, as if they were pressed tightly together (third day),6.— Feeling as if the upper teeth were pressed tightly together (tenth day),6.— [140.] Grinding sensation in roots of teeth, with occasional pains in abdo- men (second day),1.—Creeping grinding sensation at the roots of the teeth, with pressing together, and a sensation of soreness deep behind the umbili- cus, at 12 m. (fourth day),1.—Sensation of fulness, grinding, and drawing in the roots of the teeth, with a constant desire to press the teeth together; he had pressed them so hard during sleep that the muscles were lame and tired on awaking,1.—Gums. Gums feel slippery,1.—Tongue. The coating on the tongue presents occasionally a light-brown color,6'.—Tongue thickly coated with a yellowish fur,6.—* The tongue is coated bright yellow, the tip and edges being red,6.—The tongue retained, through the entire proving, a thick, dirty yellow coating,6.—"On rising in the morning, the back part of the tongue is covered with a thick, dirty yellow coating,6. —Tongue coated yellowish-white,3.—[150.] Tongue thickly covered with a yellowish-white coating,6.—*Tongue slightly coated at the back part,6.— "The coating on the tongue is always on the back part; the front of the tongue, with the tip and edges, being clean,6.—The papillse can be promi- nently seen through the coating on the tongue,6.—Small, red, raised eleva- tions on the tongue,3.—Small, raised blisters on the back part of the tongue,6.—Fine bright and red eruption on the roof of the mouth,2.— General 3Ioilth. Dryness of the mouth and throat,6.—Dryness of the mouth and throat, with frequent empty swallowings,6.—Dry and sticky condition of the mouth, gums, and teeth,6.—[160.] Dry, sticky condition of the mouth and lips, with heavy coating on the back part of the tongue,6. —Saliva. An increased flow of saliva, in the morning,1.—Increase of saliva, with a congested feeling at the root of a tooth (from twelfth to thir- teenth day),1. Tliroat.—Objective. Mucus in the throat and in the left tonsil, which he constantly tries to hawk up,6.—"Constant secretion of mucus in the throat, difficult to dislodge and causing retching,6.—Excessive secretion of mucus in the throat,6.—In the morning there is very much mucus in the throat,6.—A great deal of mucus descends through the posterior nares into the throat,6.—Subjective. Sensation of dryness in the throat,1.—Dryness of the throat, with sharp pain above the epiglottis and in the left tonsil when swallowing; also in the left half of the hard palate,6.—[170.] Throat dry and burning, with pain when swallowing,6.—The throat and nose are dry, and feel as if entirely closed up with mucus,6.—Sensation as if a lump were in the throat,6.—"Burning in the throat,6.—Burning in the throat when swallowing the saliva,3.—Burning in the throat, with pain when swal- lowing,3.—For several days the throat has felt swollen,6.—Dull, heavy, aching pain in the throat,1.—Sore throat, with difficulty in swallowing, and frequent empty swallowings,5.—Sore throat, with pain when swallowing the saliva,3.— Uvula and Tonsils. [180.] "Tonsils, uvula, and pharynx are red and congested,6.—Tonsils slightly swollen,3.—The mucous patches on the tonsils and walls of the pharynx are easily detached,6.—"Pain and swelling of the right tonsil,6.—"Slight pain in the right tonsil, with sensation as if it were swollen, and with pain when swallowing,6.—Fauces and vol. vi.—18 274 MERCURIUS IODATUS FLAVUS. Pharynx. Fauces and roof of mouth dry; gums and side of mouth moist,1.—"Theposterior wall of the pharynx is red, irritated, and inflamed, and dotted with patches of mucus and small spots which look ulcerated,6.— Pricking burning in the right side of the pharynx,6.—Swallowing. Empty deglutition,6.—Empty deglutition ; she was obliged to attempt to swallow frequently,3.— External Throat. [190.] Severe burning in the right side of the neck, as if a coal of fire were laid upon it; continuing, but not so severely, for a few minutes,5.—Steady, sharp pain in the right side of the neck, extending over the right side of the head (after two hours),6.— Soreness, with sensation of stiffness (but without stiffness) in the right side of the neck, followed by a slight pain in the internal meatus of the right ear, going through into the throat, and causing dulness in the ear and sen- sation of swelling in the throat, with disposition to swallow frequently,6. Stomach.—Appetite. Desire for acids; it w*as not very great, but stronger than he had ever had before,6.—Frequent want of appetite, with disgust at seeing food,6.—During the proving the appetite was very vari- able; at one time it would be excellent, and at another entirely wanting; sometimes there would be an excellent appetite until sitting down to eat, when, at the sight of food, it would vanish,6.—The smell of food while cooking would sometimes entirely remove the appetite,6.—Thirst. The thirst was principally in the evening,6.—During the proving there was great thirst for water, of which he drank large quantities,6.—Occasionally there was thirst for sour acid drinks,6.—Nausea and Vomiting. [200.] "Nausea,6; (after twenty-three hours),5.—*Nausea, with sensation of disgust at the sight of food (before supper),5.—Nausea, with suffocation about the heart and dizziness (after twenty-five hours),5.—Slight nausea,6. —Sensation of nausea and fainting, with pressure high up in the rectum (fourth day),1.—While at dinner, had an inclination to vomit, and was obliged to cease eating (after sixty-six hours and a half),5.—Inclination to vomit, with dull, dizzy pains over the top of the head, following immedi- ately after a slight pain at the heart (after ninety-three hours and a half),5. —*Strong inclination to vomit (after forty-five hours),5.—Stomach. Weak, empty feeling at the stomach, with slight sensation of nausea (after two hours and a half),6.—Slight pain in the left side of the stomach (twenty- third day),5.—[210.] Burning at the stomach, with pain as if from a blow (first and second days),3.—Several short, rather burning pains in the left side of the stomach (twentieth day),5.—Bruised, burning pain at the stom- ach, more severe than any preceding it (fourth day),3.—Dull, constrictive pains in the stomach ; followed shortly after by aching pains in the right arm and shoulder (after eighty-one hours),5.—Rather severe cramps in the stomach, followed immediately by a pain in the right side of the back,5.— Steady, sharp pain in the stomach, with hardness of the stomach and ab- domen ; the pain is increased by pressure,6.—Sharp, cutting pain in the stomach, with nausea and inclination to vomit; in the morning when wak- ing, and lasting all day,3.—Sudden, sharp, momentary pain in the stomach, as if a knife were driven in,5. Abdomen.—Hypochondria. Pain in the left hypochondrium, with dizziness on awaking in the morning, and lasting all day,3.—Aching pain in the region of the liver ; the pain proceeded from the right side to the left, producing dizziness and nausea,5.—[220.] Slight aching in the left hypochondrium,6.—Two successive, sharp pains in the right hypochondrium, followed by a sharp pain through the stomach, with a sensation as if the pain had turned around,5.—Slightly sharp pain in the right side (hepatic MERCURIUS IODATUS FLAVUS. 275 region),5.—Very sharp pain in the right side, under the floating ribs,5.— Very sharp pain in the left hypochondrium,5.—An excessively acute, stitch- ing pain in the right side below the ribs ; he could not speak with gasping, and had to stand with his hand pressed agaiust his side, by which he ob- tained some relief,6.— Umbilical and Sides. Heat at the umbilicus, as if from a hot coal, worse when inspiring (seventeenth day); returned for a short time (eighteenth day),6.—Constant daily return, at 2 a.m., for sixty-one days, of a heavy, uneasy sensation below the umbilicus, as if full above and empty below, with a kind of pressure towards the anus, and a sensation as if it could not move at all; this was succeeded by a sensation as if a proper acrid loose stool would be discharged, immediately followed by a sensation of faintness and sickness in the hypogastrium, and frequent discharge of flatus, inodorous, without pain ; all these symptoms gradually diminished in violence, and often manifested themselves in a somewhat modified form. (Some thirty years ago, this prover had taken a great deal of Mercury, and also some blue pills, occasionally, some ten years ago),1.— Aching pain in the right side, which proceeded to the left side, producing nausea and dizziness,5.—Severe stitching pain immediately at the umbilicus, with dull, tired feeling in the small of the back, oppression of the chest, dull pain above the right temple, and pain in the right shoulder; worse when using the arm, immediately after lying down, at night,6.—[230.] Sensation of strings of air-bubbles running transversely across the abdo- men below the umbilicus, also a shooting pain, as of a knotted string, down, through, and across, above the umbilicus,1.—General Abdomen. Hardness of the abdomen,6.—The abdomen is hard, as if from incarcerated flatus,6.—Rumbling in the abdomen, with escape of flatus (at night while in bed),6.—Loud rumbling in the bowels (second day),1.—Feeling in the abdomen as if a diarrhoea would come on,6.—Occasional pains in abdomen, with grinding sensation in roots of teeth (twentieth day),1.—Frequent short darting pains in the left side of the abdomen, and an occasional one on the right, running from deep in the pelvis up into the region of the liver,1.— Cutting pain in the abdomen, with great discharge of flatus, followed by a small stool, consisting of hard black fseces, with stinging and burning at the anus (at night),6.—Slight cutting pain in the abdomen, with inclina- tion to stool, but with an evacuation only of wind,6.—[240.] Severe cutting pains iu the abdomen, followed by a small, soft, diarrhceic stool, consisting of thin fseces and froth,6.—Colic pain in the abdomen, with sensation as if an escape of flatus would relieve,6.—Slight colic on awaking,6.—Slight colic paiu in the abdomen, with great discharge of flatus, on awaking in the morning,6.—Severe colic pain in the abdomen,6.—Some pressure in hypogastrium,1. Rectum.—Pressure high up in the rectum, with a sensation of nausea and fainting (fourth day),1. Stool.—Small, soft diarrhoeic stool,6.—Copious, very thin, light-brown stool, accompanied by froth and wind, and preceded by cutting pains in the abdomen,6.—In the morning, thin, light-colored stool,6.—[250.] Emis- sion of exceedingly foul-smelling flatus, followed by immediate inclination to stool, which was small, thin, and very foul-smelling,6.—Copious, soft, dark-brown stool, with soreness at the anus,6.—Copious, soft, dark-brown stool, with burning and stinging at the anus,6.—Slight cutting pain in ab- domen, followed immediately by a copious, soft, yellowish-brown stool (the stools always follow immediately after the colic pains),6.—Copious light- brown stool, consisting first of tolerably compact fseces, then of soft fseces, 276 MERCURIUS IODATUS FLAVUS. and finally of froth,6.—The nightly (natural) stool which he formerly had, has reappeared as a small stool, consisting of hard, black fseces, and with stinging and burning at the anus,6.—"Small stool of very tough fceces, almost of the consistency of putty, requiring great straining for their evacuation,6.— After much exertion aud straining, he passed two small lumps (about the size of white beans), which, on examination, proved to be hard black fseces, covered with white and green mucus (at night),6.—The stools which occur in the daytime are copious, soft, and of a dark or light yellowish-brown color. The stools at night are scanty, hard, and black,6.—A nightly inclination to stool (about 10 p.m.), with small evacuation of fseces, aud with which he has been troubled for months, has disappeared since proving the drug,6. Urinary Organs.—[260.] Slight constant discharge-of mucus from the urethra, with sensation of slight soreness around the glans (seventh day),1.—Increased flow of urine of nearly natural color, and also in a much larger stream than formerly (fifth, seventh, and ninth days),1.—During the entire proving the urine has been copious, and of a dark color,6. Sexual Organs.—Erections, without desire; a thing that never happened before, in the morning,1.—Occasional sharp, shooting stitches in the end of the penis, through the glans,6.—Towards morning, a seminal emission,1.—Seminal emission, of which he knew nothing until morning,6. —Copious semiual emission, preceded by lewd dreams,6. Respiratory Organs.—Slight hacking cough when inspiring,6. Chest.—Several successive violent pains in the chest (after two hours and a half),5.—[270.] Some tightness and pressure on the lungs,1.—Op- pressed feeling in the chest,6.—Several sharp paius in the right chest, from above downward,2.—Sharp, momentary paiu in the left chest, as if from a sword-point,2.—Sharp, quick, momentary pain in the upper portion of the right chest,2.—Soreness iu the chest, as if from a cold (immediately follow- ing S. 288),5.—Front. Sharp pain in the chest, behind the sternum (after forty-five hours),5.—Throbbing pain in the chest, behind the sternum,3.— Sides. Pain in the right side of the chest,5.—Rheumatic pain in the right side of the chest (after seventeen hours),5.—[280.] Dull, continuous pains in the right side of the chest, at night, while in bed,5.—Aching pain in the right side of the chest,5.—Dull, boring pain in the right side of the chest (at the sixth rib),6.—Suddenly darting through the right side, as if from a sword,3.—Sharp pain in the left side of the chest,5.—Sharp pain in the right side of the chest, followed by a slightly sharp pain in the left side,5. —He had several times a sharp pain in the right side of the chest, from above downward,2.—Sharp pains in the left side below the axilla; followed by a double pain on the top of the head,5.—Short, sharp pain in the right side ; a few minutes after the same pain appeared further back (under the arm), with aching in the right side of the chest,5.—Stitch in the left side of the chest (after thirty-six hours),5.—[290.] Stitches in the right side of the chest (after fifteen hours),5;—Sharp stitches, as if from needles, in the left side of the chest, produced by pressure on the stomach,6.—Sharp, throbbing pain in the left side of the chest,5.—The pains in the chest appear on the left side; those which appear on the right side always proceed to the left,5. Heart and Pulse.—Prcecordium. Suffocation about the heart, with nausea and dizziness (after twenty-five hours),5.—Sudden but lasting pain in the left side, about the heart, taking away her breath,5.—Slight pain in the heart, when yawning,5.—Sharp pain about the heart (after three days),5.—Rather sharp pain at the heart,5.—Slight stitching pain at MERCURIUS IODATUS FLAVUS. 277 the heart (after twenty-four hours),5.—Heart's Action. [300.] Sudden spasmodic action of the heart (she thought it had jumped out of its place),5. —I*lllse. Pulse weak, irregular, and laboring, about 80 per minute,6. Neck and Rack.—Neck. Stiffness of the neck,6.—Stiffness of the entire neck, with pain when turning the head (twenty-third day),6.—Stiff- ness and soreness of the neck ; he cannot turn his head without pain (sixth day),5-—Slight, sharp pain in the left side of the neck,5.—Great soreness and stiffness of the neck, with soreness and numbness of the back between the scapulae,6.—Back. Several violent pains in the back (after two hours and a quarter),5.—Aching pain in the back (after three days and a third),5. —Sharp sticking pain in the back returned to-day, but not so severe as before (eighth day),3.—Dorsal. [310.] Dull pain over the left scapula,6. —Sharp pain in the left scapula (after twenty-one hours),5.—Sharp sudden pain in the left shoulder-blade,5.—Sharp cutting pain in the back, between the shoulders; two hours after the same pain appeared lower down (about the last dorsal vertebra), (after two days and a quarter),5.—Sharp cutting pains in the left shoulder-blade, continuing at intervals for three hours and a half, and relieved only by motion,2.—Sharp sticking pain in the back (dorsal region),6.—Excruciatingly sharp sticking pain in the back (dorsal region), causing her to shed tears, and lasting about half an hour (seventh day),3.—Very severe pain, as if bruised, over the entire scapular region,6. —Throbbing pain between the shoulders,5.—Throbbing pain on the right scapula,6.—Lumbar. [320.] Sharp pain in the back (lumbar region),5. —Sharp pain in the small of the back,5. Extremities In General.—Wearied feeling of all the limbs,6.— Tired, wearied feelings in all the limbs,6.—Excessively tired feeling of all the limbs, especially when lying on the left side, relieved by lying on the right side,6.—Heaviness of the limbs, with laziness and drowsiness,6.—Bone- pains; the pains are generally felt deep in the bones,6.—Pain in the right arm and sole of the right foot (after ninety-two hours),5.—Dull, lasting pain iu the right forearm, and simultaneously in the left hip,5. Suj/erlor Extremities.—The right arm is lame and tired after writing,6.—[330.] Slight numbness aud wearied feeling in the right arm, aggravated by writing (while other motion but very rarely produced or aggravated this symptom, it constantly appeared as soon as I began to write, and disappeared when I had finished),6.—Lame numbness of the left shoulder and entire left arm,6.—Dull, heavy feeling in the entire right arm,6.—Pain and numbness of the right arm, with lameness of the right elbow,6.—The right arm, especially in the bend of the elbow, is very pain- ful on rising in the morning, worse from passive motion,6.—Laming, rheu- matic pain in the right arm, aggravated by writing,6.—Severe dull pain in the right arm (deep iu the bones), aggravated by writing,6.—Soreness aud lameness of the left shoulder and arm every night when lying on his left side (previous to proving the drug he always lay on his left side and with- out inconvenience; now he must frequently lie on his right side),6.—The entire right arm is very sore and painful; worse from pressure, rubbing, and passive motion,6.—The pains in the right shoulder, arm, and hand are reproduced and always aggravated by writing,6.—Shoulder. [340.] Lame- ness and stiffness of the right shoulder,6.—Severe pain in the right shoul- der, obliging him to cease writing,6.—Sharp pain iu the right shoulder (after forty-five hours),5.—Sharp pain in the right shoulder, with aching pain in the back,5.—Sharp pain in the right axilla,6.—Sharp pricking pain back of the right shoulder,6.—Arm. Pain in the left arm above the elbow 278 MERCURIUS IODATUS FLAVUS. (after eighty-nine hours),5.—Pain and soreness of the left arm and elbow, in the evening, at night, and in the morning on waking,6.—Sharp boring in the right arm, above the elbow,6.—Elboiv. Pinching pain in the right elbow, lasting a few minutes,4.—[350.] Continual dull paiu in the bend of the right elbow,6.—Slight aching pain in the right elbow,4.—Dull aching in the left elbow (after sixty-five hours and a half ),5.—Sharp stabbing pain in the bend of the right elbow,6.— Forearm. Pain in the left arm (rheumatic), below the elbow, proceeding afterwards into the left thumb,5. —Dull, laming pain of the left forearm and hand,6.—Aching and drawing pain in the bones of left forearm,1.—Dull aching pains in both.forearms (after seventy-five hours),5.— Wrist. Sharp pain in the left wrist, extend- ing (but more severe) into the thumb, followed immediately by a sharp intermittent paiu on the dorsum of the left foot, extending into the third and fourth toes,6.—Sharp aching pain in the radial side of the rightyvrist, aggravated by using the limb, or by twisting the wrist, on awaking in the morning, and continuing all day,6.—Hand. [360.] Weak, numb feeling, with cramplike pains of the right hand,6.—Pain on the back of the right hand (after ninety-one hours),5.—Pain in the right hand, followed by a rheumatic pain above the left elbow (after three days and a quarter),5.— Rheumatic pain in the right hand, at night in bed,5.—Dull pain in the palm of the left hand, with numbness of the fingers and inability to grasp objects (at night while in bed),6.—Rather sharp pain in the palm of the right hand,5.—Throbbing pain in the palm of the left hand, extending up the left arm into the left chest,6.— Fingers. Numbness of the fingers of both hands,6.—Several sharp pains iu the left forefinger,5.—Rather sharp pain in the palmar surface of the right thumb; with slight pain on the top of the head (after seventy-five hours),5.—[370.] Sharp throbbing- sticking pain at the base of the left forefinger, with lameness and stiffness of the whole finger,6.—Sharp prickings, as if from needles, appear simul- taneously in the first joints of the third and fourth fingers of both hands, with stiffness of the fingers; the prickings are aggravated by moving or bending the fingers,6.—Throbbing pain at the base of the left thumb (palmar surface), with paralyzed feeling of the thumb,6. Inferior Extremities.—Weariness of the lower limbs, with dull pains and tingling (after three hours),6.—Rather sharp pain in the right lower limb, extending into the foot (after three days and a half),5.—Tear- ing pain along the anterior surface of the right thigh and leg, from the hip to the middle third of the leg, relieved by pressure and motion; worse when at rest (after half an hour),6.—Passive motion causes a tingling through the entire right lower limb, even to the toes,6.—Hip. Aching pain in the right hip-joint,6.—Thigh. While in bed at night, a severe wearying pain in the anterior and external surfaces of the left thigh (deep in the bone), with a dull pain in the sacral region; the pain lasted a night and a day, and was relieved by motion, stretching, and turning from side to side,2.—A severe pain in the femur and sacral region was relieved only by motion, stretching, and turning from side to side,2.—[380.] Deep boring pain on the external surface of the left thigh, apparently in the femur; the pain is confined to a small spot, is painful and very persistent,6.—The bor- ing pain in the thigh has been very severe aud continuous all day,6.—Sharp pain in the right thigh (after one hour and a half),5.—Sharp pain in the right thigh, followed shortly after by slight pain in the nose,5.—Slightly sharp pain in the right thigh above the knee,5.—The pain is dull, and the thigh feels as if it had been beaten,6.—The pain in the thigh left after last- MERCURIUS IODATUS FLAVUS. 279 ing three hours, but was reproduced by shaking the limb, and was then accompanied by tingling in the right and left legs, feet, and toes, as if they were going to sleep,6.—Knee. Pinching pain in the right knee, lasting a day and a night, followed shortly after by a pain of the same character in the right elbow,4.—Pressing-squeezing paiu in the left knee,4.—Throbbing pain on the internal surface of the right knee, the whole evening,6.— Leg. [390.] Pain on the anterior surface of the right leg, above the ankle,5.'— Four successive pains on the left leg, above the ankle, at intervals of fifteen minutes (after one hour),5.—Heavy laming pains in the calves of both legs, with pain in the left knee-joint,6.—Deep throbbing pain on the external surface of the right leg, apparently in the tibia. The small painful spot on the external surface of the right leg returned after four days,6.—Pinch- ing pain on the posterior surface of the lower third of the right leg,4.— Aching pain on the anterior surface of the left leg,4.—Aching on the inter- nal surface of the left leg, above the ankle, lasting about an hour, followed by aching in the forehead,4.—Severe aching in the right leg on the poste- rior surface, immediately followed by a pinching pain on the posterior sur- face of the right forearm,4.—Sharp pain in the left leg, between the foot and knee,5.—Ankle. Severe laming pains on the posterior surface of both ankles, on awaking in the morning,6.—[400.] Pressing-squeezing pain in the right ankle,4.—Dull pain on the posterior surface of both ankles, in the morning on rising,3.—Sharp boring pain on the anterior surface of the left ankle,6.—Sharp cutting pain in the right ankle (after a quarter of an hour),4.—Foot. Sensation of lameness in the foot (seventh day),1.—Aching on the dorsum of the right foot,4.—Slight lasting pain in the sole of the left foot, followed by a sharp pain in the left chest (after fifty-six hours). Pain in the sole of the left foot (causing faintness), with feeling of faint- ness through the whole body (after ninety-nine hours). Pain in the sole of the left foot, extending through into the large toe and proceeding half way across the dorsum of the foot (after four days and a quarter). Pain in the sole of the left foot (after five days). Moviug the foot relieved the paiu in the sole of the foot,5.—Cramplike pain in the left side of the sole of the left foot, with numbness of the left leg,6.—While in bed at night, a dull, per- sistent, boring pain in the left side of the sole of the left foot (first day); not so severe (sixth day),2.—Sharp pain on the sole of the left foot,4.— Toes. [410.] Pain in the large toe of the left foot,5.—Pain in the large toe of the left foot, with itching on the large toes of both feet,5.—Pain on the dorsum of the large toe of the left foot, with sharp pains in the fingers of the right hand,5.—Slightly sharp pain in the large toe of the right foot,5. —Short sharp pains in the fourth and fifth toes of the right foot,5.—Sharp cutting pain iu the small toe of the left foot, continuing over twelve hours,3. General Symptoms.—Objective. At 4 p.m. he had to lie down (from great weariness); indisposition to sleep, with sleeplessness; he felt better after lying down a short time,6.—"Faintness, with feeling that it would be relieved by lying down,5.—Deadly faintness, with entire loss of muscular power, followed by spasmodic motion (upward aud downward) of the lower jaw, which continued throughout the next day,5.—Subjective. He feels particularly well, and has not an unpleasant symptom,6.—[420.] Indispo- sition to do anything, with desire to lie down and rest,6.—He feels lauguicl and sleepy,6.—Excessively tired feeling of the whole body, after sitting for several hours,6.—Excessively tired feeling of the whole body, especially of the limbs, with indisposition to do anything, and desire to lie down, with dull aching in the forehead and bones of the face,6.—While in church,, she 280 MERCURIUS IODATUS FLAVUS. felt as if she should faint,5.—The pains are steady, dull, throbbing, and boring; also, sudden, sharp, stinging, and pricking,6.—The following symp- toms appeared in rapid succession at night: pain behind the left ear, fol- lowed by a pain in the tips of the fingers of the right hand and a pain on the sole of the right foot near the toes; slight pains in the toes of the left foot, followed by a pain in the back part of the head, then in the forehead, and finally near the right ear; sharp pain in the toes of the right foot; Blight pain about the heart; violent pain in the right side of the head ; pain in the heel of the right foot, followed by a pain above the right temple, and afterwards by a sharp pain in the left side of the neck,5.—Some tight- ness and pressure in the lungs; aching and drawing pain in the bones of left forearm ; some pressure in hypogastrium, midday; same symptoms re- turned at 9 p.m., together with a passage of the bowels,1.—Slight sticking pains in both scapulse, in the right temple, in the right side of the chest, in the left ear, along the outer borders of both hands and both little fingers, within a few minutes after taking the medicine,6.—The pains are felt more on the right side,5.—[430.] The pains are generally felt on the right side,2. —The greater part of his symptoms appear on the right side,4.—The pains in the head, body, and extremities occur oftener and more severely on the right side,6.—Many pains appear on the left side, but they are less severe and lasting,6.—The pains proceed from right to left,6.—She is worse from the time she awakens until noon,3.—"Many symptoms appear at night, while in bed,6.—Passive motion (moving the part while sitting or lying) always aggravates; passive motion renders the pains more perceptible, and repro- duced symptoms which had disappeared,6.—A state of rest seems to favor the action of this remedy, as the symptoms appear during rest and at night, and are worse during rest, whereas they are ameliorated and leave during active motion,6.—Better after rising until noon, and from 4 to 6 p.m.,6.— [440.] However badly he feels, the open air will dissipate all his unpleas- ant symptoms,6.—The action of the remedy is materially influenced by the condition of the mind, and is affected or retarded by care, grief, anxiety, etc. On February 17th I took 6 grs. 2d dec. trit. In the course of the next three days I was in close attendance upon a case (puerperal peritonitis) which excited my sympathies and caused me much anxiety. During this time I did not experience a single symptom, but as soon as my anxiety was relieved, the symptoms appeared as regularly and even more violently than before,6.—The pains which he has at night while lying on his left side are relieved by lying on the right side,6.—The pains are better during pressure, but as soon as the pressure is removed the relief passes away,5.—Steady pressure sometimes relieves the pains,6. Skin.—Eruptions. The chest, stomach, and abdomen are covered with a fine bright-red eruption (consisting of innumerable points but ap- pearing as a universal redness), pitting and disappearing after pressure, but returning when it has been removed,6.—Two painful pimples appear on the second joint of the right thumb and remain several days,6.—A small stinging pimple appeared on the right cheek; shortly after she discovered one in exactly the same position on the left cheek; the latter was more itching than stinging,5.— An itching and burning pimple on the right scapula, near the lower border, which, after scratching, becomes exceed- ingly sore and painful; at night in bed,6.—Pimple on the right side of the septum naris, sore and painful for several days,6.—Sensations. [450.] Itching, without an eruption,6.—Itching, rather increased by scratching,6. —Universal itching, not relieved by scratching,6.—Itching on various parts MERCURIUS IODATUS FLAVUS. 281 of the body,6.—Nightly itching,6.—Persistent itching spots over the whole body, following each other iu rapid succession,6.— Very troublesome itching over the whole body,6.—Very troublesome itching all over the body (in the daytime),6.—Very troublesome itching all over the body (at night),6.—Ex- cessive itching, especially of the chest, abdomen, back, and hips,6.—[460.] The itching in the day and evening is not relieved by scratching; at night, in bed, scratching relieves,6.—The itching is worse at night, and especially while in bed,6.—Pricking pain on the posterior surface of the right thigh, removed by rubbing and scratching,6.—Fine pricking pain in the bend of the left knee-joint, causing him to scratch (at night),6.—Sharp stinging on the back of the right hand,6.—Sharp stinging ou the dorsum of the large toe of the left foot,6.—Itching behind the right ear, at night in bed,6.—Itch- ing on various parts of the right side of the face, at night in bed,6.—Itch- ing on the right buttock, at night in bed,6.—Itching on the sole of the left foot,5.—[470.] A small itching spot on the right cheek, which he has scratched, pulsates and stings as if from needles (after three-quarters of an hour),6.—Persistent itching on the right side of the chest (about the fifth rib); disappears, for a short time, after scratching,6.—Persistent itching on the right side of the neck, at night in bed,6.—Persistent itching on the pos- terior surface of the left elbow (at night),6.—Slight stinging in the left cheek,5.—Pricking itching in the right axilla,6.—Stinging itching on the left scapula, as if jagged with a needle (after six hours),6.—Stinging itch- ing on the external border of the right foot, relieved for a time by scratch- ing, followed by itching on the right leg, above the ankle ; stinging itching on the right knee and afterwards on the left foot, at night in bed,6. Sleep and Dreams. — Sleepiness. Slept well,3.—Slept well last night (second night),2.—[480.] Slept very well after 1 a.m.,6.—Sleep- lessness. Wakefulness till 1 a.m.,6.—Slept well after 1 a.m.; up to that time he had been kept awake by fancies which he could not dispel from his mind (first night),2.—He awakens early in the morning and cannot sleep again,6.—Sleeplessness without restlessness; he lies awake quiet and calm, not being able to sleep,6.—Dreams. He dreamed that he was proving the drug (this was followed by a seminal emission),6.—Dreams that he must urinate ; this was followed by an emission,6.—Frightful dreams and nightmare,5.—Frightful dreams of coffins and of drowning,5.—Night- mare ; she thought that an immense sheet of letter-paper was coming down over her to smother her,5. Fever.—[490.] Occasional general chilliness,5.—Chills, with trembling all over the body (after three days aud a quarter),5.—Burning heat in the nape of the neck and occiput (after five hours and three-quarters),6.—Pro- fuse sweat of genital organs,1. Conditions.—Aggravation.—(Morning), After rising, the symp- toms,5; before, and for a short time after rising, symptoms,6; when rising, headache; on waking, dull headache; before, and for a short time after rising, headache; after rising, pain in occiput; on waking, colic pain in abdomen ; on rising, right arm painful ; on rising, pain in ankles.—(Fore- noon), The symptoms,35.—(Afternoon), After dinner until 4 o'clock, the symptoms,6.—(Evening), The symptoms,26. — (Night), Until 1 o'clock, the symptoms,6; in bed, the symptoms,2; from 6 p.m. till morning, all symptoms; on waking, dulness of head, etc.; on waking, dull headache; in bed, headache over half of forehead, etc.; when waking, dull frontal head- ache, etc.; in bed, pains in temples; in bed, itching on top of head ; when lying on left side, soreness, etc., of left shoulder, etc.; in bed, pain in right 282 MERCURIUS IODATUS RUBER. hand; while in bed, many symptoms; in bed, soreness of pimple; in bed, itching.—(Passive motion), Symptoms generally6.—(Best), Pain along thigh, etc; the symptoms,6.—(Stooping), Paiu in arch of orbit.—(Walking about), In house, headache.—( Warm room), Dull headache.—( Writing), Numbness, etc., in right arm; rheumatic pain in right arm; dull pain in right arm; pains in right shoulder, etc. Amelioration.—(Forenoon,), After rising, until noon, symptoms gen- erally,6.—(Afternoon), From 4 to 6 o'clock, symptoms generally.— (Open air), All symptoms,56; depression of mind.—(During exercise), Always, the symptoms,6.—(Active motion), Walking or riding always relieves; pain in femur, etc.; the symptoms,6.—(During pressure), Pains in head and face; the pains,5. MERCURIUS IODATUS RUBER. Mercuric iodide, Hgl2. Biniodide of mercury (Hydrargyrum biniodatum). Preparation for use, Triturations. Authorities. Amer. Provers' Union, 1856, revised by Dr. Hering in monograph, in which the authorities are noted after the symptoms, proviugs with 1st to 30th dils.; 1, Dr. Armor; 2, Mrs. A.; 3, Dr. Cowley's proving on Mr. Rattner (one symptom); 4, same, on Mr. Kulm (no symptom found) ; 5, Dr. J. R. Coxe, Jr.; 6, same, in a woman ; 7, Dr. Siemers, five provings, a to e; 8, Dr. Pehrson; 9, Dr. Negendank; 10, Drs. Miller and W. E. Payne ; 11, Dr. Raue, from Hering; 12, Rieseberg, ibid.; 13, Honig- berger, ibid., 14, Dr. Robinson, Brit. J. of Horn., 24, 517, effects of 2d dec. dil., in a young woman. Mind.—Great cheerfulness, in the evening after pleasant things had happened (first day),7.—The head is worse; but he is good-humored, even merry (twelfth day),7.—"Low-spirited, and disposed to cry (after four days),14.—Ill-humor about little thiugs, in the morning (second day; not on fourth day, again on fifth day),7.—Ill-humor, and bad taste, on waking in the morning1.—Ill-humor, during toothache,7. Head.— Vertigo. Excessive giddiness; everything seems to reel round her (after four days),14.—General Head. Dulness in the head, occur- ring often in the course of the proving, in the afternoon,7.—Dulness of the head, and slight pressing pain on the left side, like during a coryza (eighth day); relieved by walking in the open air (tenth day),7.—[10.] A drowsy, stolid feeling in the head,10.—Heaviness iu the head, with soreness over the bowels (thirteenth day),10.—Dull, heavy pain in the head (fifth day),10.— Pain in the head, and heat10.—Pain in head ; aud slight pain in throat and left eye (tenth to twelfth day),6.—Pains in the bones of the head, chiefly the occipital (after four days),14.—Fulness in the head (second day),10.—Dull pain iu left half of brain, with the sensation in anus as from piles (fourth day),7.—Every day, some headache,1.—In the morning, headache, disappear- ing with a coryza, which ceases at noon (tenth day),7.—[20.] Headache, worse in the forehead, afternoon, 4 o'clock (seventh day),10.—Headache, particularly in the afternoon and evening; at the same time, a drowsy, stolid feeling in the head (third day),10.—Headache at night, continues in the morning; later only right side, congestion as with a cold ; in the after- noon changing sides (sixth day); next day still more congestive; during the evening on right side only, of unusual continuation till late (seventh MERCURIUS IODATUS RUBER. 283 day); towards morning the same in bed, less after rising (eighth day); better (ninth day),7.—Headache while sitting still, after sleeping during the day (second day),7.—Headache and sticking lips,1.—Headache and sleeplessness,5.—Severe headache all over, 8 p.m. (first day); all day (sec- ond dayy5; the same (eighth day) ; slighter (ninth day),6.—Violent head- ache, with nausea, from morning till 2 p.m. ; returns in the evening, par- ticularly in the forehead (twenty-first day),10.—Pressure in head, and pain in chest (the most on ninth day),6.—Pressive pain iu the head, all day,6.— [30.] Slight pressing pain in the left brain, 6 to 8 p.m. (third and fourth days),7.—Pressing aching inthe head and ear (seventh day),7.—Fore- head. Heavy feeling in the forehead all day, but more severe than the day before, and in the evening he had with it a severe beating throbbing in the right side of the head, from the front part of the head to the vertex,10.—Slight heavy pain right through the forehead up to the vertex, also the same sensation in the outside of the skull (from 2 grains of 2d trit., taken in the evening^,10.—Pain in the forehead (first day),2.—Burning in forehead, 2 p.m. ; eyes burn and are inflamed, till 10 p.m. ; next morn- ing better (fourth day),10.—"Sensation in frontal region as if her head was bound around with a tight cord (after four days),14.—Slight headache in the region of comparison (third day),1.—Dull pressing pain in forehead and left side, 9 p.m. ; drawing and sticking, 10 p.m. (first day),6.—Dull press- ing pain in forehead, most severe in right side, continuing at intervals from 7 to 10 p.m. (second day) ; with sticking pain in the heart, till 9 p.m. (third day) ; slightly, 3 p.m. (fourth day) ; pain in head and heart, same as third day; forehead and heart (sixth day),6.—[40.] Sharp pain in sinciput, over both eyes, at 11 a.m. (first day),0.—Pressing-stitching pain in forehead, throat, left eye, and left cheek (seventh day),6.—Dull, rending, tearing, gnawing pains in forehead; increased during the night, disturbing sleep (third day),12.—Temples. Pain in temple and jaws (seventh day),10.— Vertex. A great heat in the vertex, only objective, all day,8.—"Inthe even- ing, 11 p.m., felt the vertex very hot, and a slight pulsation in it (sixth day),8.—Parletals. Slight heaviness, and in the afternoon slight throb- bing beating from vertex down to the nose, on the right side (sixth day),10. —Headache, left side (first day),7.—On rising, disappearing; headache in the right side of the head,10.—Headache, after awhile one-sided; goes from right to left side (fifth day) ; disappears after dinner,7.—[50.] On waking, pressing headache, left side; disappearing in the evening (eleventh day),7. — Pressing-stitching pain at sides of head, just above the ears, 4 p.m. (fourth day),6.—Occiput. Dull pressure in the cerebellum below the protuberance of the os occipitis; awhile after pressure over the eyes (in- haling the vapor),11.—External Head. Several small pimples on the hairy scalp, without itching; contain some pus, and form crusts (seventh to ninth day),7.—Small pustules on the head (fifteenth and sixteenth days\T.—Outside of skull feeling heavy,10. Eye.—Objective. Eyes inflamed, particularly the right (eighth day),9.—Eves inflamed ; right eye worse ; bright light irritates greatly, so that he keeps it closed (third day),5.—Right eye inflamed, and slight lach- rymation (first day),5.—Eyes much inflamed, and burn (twenty-first day),10. —[60.] Right eye much inflamed, bloodvessels injected (second day) ; both eyes; right eye weeps greatly (fourth day); still inflamed and weep- ing, while both eyes pain (sixth day),6.—After three months he found his right eye much stronger than he ever remembers it to have been ; he can bear a light directly on that eye, without pain or uneasiness, much stronger 284 MERCURIUS IODATUS RUBER. than he ever could before,5.—Subjective. Pains in and over the left eye (second day),5.—Eyes burn, are inflamed, afternoon till evening (fourth day); less inflamed, but weak and hot (ninth and tenth days) ; after the urging to stool and strong itching disappear (thirteenth day) ; this inflam- mation returns (fourteenth day),10.—Pressing or sticking in the eye,6.— Rroic and Orbit. A pain in the left supraorbital bone he had once before reappears (second day),7.—Pressing pain over left eye (fifth and sixth days),'6.—Lids. Eyelids affected by the catarrh (eighth day),7.— Lachrymal Apparatus. Eyes watery, look slightly swollen,2.— Vision. Dimness of sight (first day),1. Ear.—[70.] Increased secretion of the earwax (sixteenth day),7.— Occasionally rheumatic pains iu left ear, as if it would prove a violent and long-continuing otalgia; lasting but a moment, but frequently returning,10. —Earache in right ear, morning in bed (third day),7.—Pressure in ear, with headache,7.—"All night, itching in both ears (third day) ; in the right ear (sixteenth day),7.—Continual itching in the right external auditory passage; with that, the improved hearing continues (tenth day),7.— Hearing. Hearing dull (third, sixth, seventh, eighth, ninth, tenth, twelfth, and fourteenth days),7.—Hearing as usual, dull in the morning (fourth and fifth days),7.—Hearing dull in the morning, returns after going out of doors, 10 a.m.; closing only for moments (fifth, tenth, fifteenth, and sixteenth days),7.—Dull hearing all day; several days (tenth to twelfth day) ; better in the evening (eighteenth morning, nineteenth day),7.—[80.] Hears better with the right ear, and the improved state continues longer while he takes every morning a shower-bath (first day),7.—Hears better with his right ear; disposed to put his finger in this ear to cause a pressure of air on the drum ; at the same time the right nostril runs, more in the evening while drinking tea (third day),7.—The right ear opens, 2 p.m. (eighth and fourteenth days); sudden return of hearing (first and twelfth days),7.—Hearing returns not till evening, after painful jerks in the teeth (fourth day),7.—Sudden return of hearing with the right ear, followed by itching in the meatus externus (fourth day),7.—Hearing improves with the coryza,7.—Hearing improved at noon and afternoon, at 2 o'clock,7.—Sing- ing in the ears, in the evening (tenth day),7. Nose.—Objective. Swelling; hot and inflamed state of right side of nose, with coryza (after four days),14.—Running of nose, with a good deal of sneezing (second day),2.—[90.] In the morning, after a good sleep, a great deal of mucus is discharged from the nose (tenth day),7.—Discharge of much clear phlegm from the nose, aud also more tears, as usual, with- out a cold or coryza (second week),7.—Blowing the nose, some bloody phlegm is discharged (sixth day),7.—Fluent coryza from the right nostril, in the evening,7.—Coryza and dull hearing disappear after getting warm from walking (eighth day),7.—Rumbling coryza in the forenoon, ceases at noon (tenth day); or afternoon, increasing till 11 A.M.; ceased in the even- ing (sixth day),7.—Cold in the head (second, fifth, and eighth days) ; better (ninth day),7.—"Cold in the head and hoarseness (seventh day),7.—The cold in the head disappears in the open air, but returns in the warm room ; with it there is a cough from irritation (ninth day),10.—Subjectlre. Right nostril stopped by a cold (fourth day),7.—[100.] In the morning nose is somewhat stopped, or in the forenoon, 9 to 10 (seventh and tenth days),7.— Nostrils and throat ache, are dry,10.—Irritation of mucous membrane of nose, causing constant snuffing (after half an hour, first day),3.—Tickling MERCURIUS IODATUS RUBER. 285 in the nose, causing him to sneeze (from the trituration),10.—Tickling in the nose, irritating to sneeze (from the vapor),11. Face.—Cheeks. Aching pain in left cheek and left eye, which appears slightly inflamed (sixth day),7; the albuginea considerably inflamed, and some pains (eighth day),6.—Pressing sticking in the cheek,6.—Heavy, dull aching iu the upper jaw, and then in the low*er; mostly on the sides, worse in the right,10.—Lips. *Lips slimy and sticky on waking (fourth day); sticking together, with headache (sixth day)',1.— Chin. He pressed the teeth so much during sleep that the muscles were lame and tired on waking,10.—[110.] Paiu in the jaws and temples (seventh day),10. 3Iouth.—Teeth. During dinner, pain in all the teeth from chewing (eighth day),10.—Hollow teethache, right side (ninth day),7.—Toothache in the right molars (eighth day),7.—Toothache, more on the left side ; hereto- fore more subject to get it ou the right side (third and fourth days) ; both sides (fifth day) ; right side (sixth, eighth, tenth, and fourteenth days),7.— Toothache in right lower jaw, iu a hollow tooth ; afterwards painful jerks in the left (fifteenth day); the same in the afternoon, 5 o'clock (third day),7.—Toothache on the leftside, at night before falling asleep ; unusually ill-humored with it (fourth and fifth days),7.—After the meals, toothache threatening (ninth day),7.—For several hours, acute rending pain in the teeth of the upper and lower jaw, towards the right (eighteenth day),7.— Fine stinging in the teeth, at times (seventh day),1.—[120.] During break- fast, teeth sensitive (eighth day),7.—Painful jerks in the teeth, afternoon, and better hearing,7.—Gum. Redness of gum (first day) ; better (second day),7b.—The gums feel sore, as if he was going to be salivated,10.—The gum of upper jaw, right side, over the second molar tooth, became exces- sively tender to touch, as if an abscess was forming; this tenderness con- tinued for four days; on the sixth day it had entirely disappeared without forming an abscess,10.—Tongue. A small blister on the point of the tongue (second and third days),7.—Tongue constantly dry, with desire to wet the mouth,2.—The tongue and whole buccal cavity seemed sensitive, as if burnt with hot tea,10.—Scalded feeling ou tongue, one hour after break- fast (first, seventh, and twelfth days),7.— General Mouth. Sensation in the mouth as if there were fibres in it (tenth day),7.—[130.] In the middle of the left cheek, soreness inside (second day),7.—In the mouth, on lower lip, a small sore spot (fourth day),10.—Sensation of being burned in the mouth, in the forenoon (fourteenth day),7.—Saliva. Salivation (fifth day),1.—About 12 o'clock at noon, an increase of saliva in the mouth (sixth day),8.—Unusual afflux of saliva from the salivary glands for the first twelve hours, tasteless, after fresh taste; salivation returned later again ; mouth constantly filled with a decided metallic taste,10.—Much saliva in the mouth (fourth day),5.—"Profuse flow of saliva, and aching pains in teeth of lower jaw (after four days),14.—Large collections of water in the mouth (third and fourth days) ; not so much, but obliged to swallow or expectorate (eighth day),1.—Taste. Unusually fresh taste, after an un- usual afflux of saliva,10.—[140.] Taste right, but flabby (sixth day),7.— Pappy taste in the mouth, but a good appetite (fifth and seventh days),7.— Slimy taste on waking (third day),1.—Bad taste on waking (third day),1.— Bitterness of taste (after four days),14.—Iu the evening (after second dose in the morning), metallic taste, and taste of Iodine in the mouth ; the gums feel sore, as if he was going to be salivated,10. Throat.—Objective. Slight superficial ulcers in the throat, in patches, like islands in the ocean,10.—"Phlegm in the throat,1.—"Much 286 MERCURIUS IODATUS RUBER. phlegm in the throat and nose (eighth day) ; hawking it out of the throat (tenth day),7.—Hawking and spitting of a small quantity of white, tough expectoration through the day (second day),1.—Subjective. [150.] "Dis- position to hawk (seventh day); sensation as if a lump in the throat, with a disposition to hawk it out all day; hawked up a hard greenish lump (eighth day),1.—Throat and nostrils dry,7.—Pain in throat, and head, and eye (tenth to twelfth day),6.—Sticking pain in throat (sixth day) ; pressing and sticking (seventh day),6.—On waking, sore throat; feels as if scalded; worse during empty swallowing; all day quite troublesome (sixth day),1.— Sore throat, worse duriug empty deglutition (third, fourth, seventh, and eighth days),1.—Slight sore throat; a disposition to cough (first day) ; quite sore and inflamed, cough frequent, and expectoration more than usual (second day); left tonsil inflamed and swollen, velum elongated, which seems to be the cause of coughing (third day); both tonsils swollen and inflamed, velum the same (fourth day) ; not so much, eyes also better, but headache very severe (fifth day) ; lessening (sixth day),5.—Tonsils. Painful swelling of tonsils and submaxillary glands (after four days),14.—■ Swallowing. Almost constant desire to make an empty deglutition, apparently from a large collection of water in the mouth, aud from a sense of fulness in the throat (third day),1011.—External Throat. Glandular swellings of the neck in scarlatina,10.—[160.] During eructations, pain in region of right parotid gland for two hours; but for twenty-four hours there was soreness to touch of right parotid,10. Stomach.—Appetite. Inclination to have the food more salted (twelfth day),7.— Thirst. Desire to drink but small quantities,2.— Eructation. Eructation, with the desire for stool,8.—He had to belch up wind frequently,8.—Loud and bitter belchings (after four days),14.— Heartburn. Heartburn after dinner (fifteenth day),7.—Nausea. Nausea while passing a diarrhceic stool (after four days),14.—Nausea, with headache,10.—Nausea and sore throat (after half an hour, first day),1.— [170.] A sensation of nausea aud sinking at the stomach, or in the epigas- trium ; with a general sick feeling (thirteenth day),10.—Squeamishness during the meals, several days,7.—Squeamishness of the stomach, with un- easiness and laziness all over the limbs, at the same time with rheumatic pains,10.—Inclination to vomit, and constant strong desire for stool,10.— Stomach. Pain in the stomach, 10 a.m. (fourth day),717c.—Pain on pres- sure at epigastrium (after four days),14. Abdomen.—Hypochondria. Pain in right hypochondrium (yes- terday in the left), with a drawing sensation in the anus as if hsemorrhoids were coming (one hour after the dose), continues somewhat till the sixth day,7.—A heavy, painful feeling in the region of the liver, pancreas, and spleen, which does not continue all the time (thirteenth day),10.—Aching and full feeling in right hypochondrium (third day),10.—At first, transient drawing pains in the left hypochondrium; afterwards a lame sensation there, in the morning (eighth day),7.—[180.] Sprainlike pain in the right hypochondrium, near the pelvis (thirteenth and fourteenth days),7.—Sud- den cutting pain in the region of the liver (fourteenth day),7.—Left waist feels sore on bending (fifth day),6.— Umbilical. Distension of abdomen about the navel, with pain at part on pressure (after four days),14.—Pain around the navel (first day),1.—General Abdomen. Purring or rum- bling in the abdomen (tenth day),7.—Loud rumblings in the bowels (second day),2.—From 6 a.m. till 3 p.m., weakness in the bowels, stomach, and partly extended into the chest; a feeling as if the bowels would be moved; MERCURIUS IODATUS RUBER. 287 during this time, he had to belch up wind frequently (first day),8.—Belly- ache like before a stool, evening (seventh and ninth days),7.—Sensation similar to threatening colic, evening till fully asleep (first day),10.—[190.] Slight soreness all over the bowels; rumbling and soreness all over the bowels, with slight heaviness of the head (thirteenth day),10.—In the morn- ing, after a good night's rest, pain as if sprained in the right pelvic region, towards the back, disappeared while walking (fifth day),7. Rectum and Anus.—Pains in anus, as if hsemorrhoids would appear,7.—Frequent desire to stool, with pain in the abdomen,10.—Motion in abdomen, and urging to stool, without an opening, from 11 o'clock, the whole night through (thirteenth day),10. Stool.—Easier passage, and not so thick as usual (second day) ; with less difficulty than usual (fifth day),8.—Diarrhoea, in the morning,7.—Diar- rhoea, with pain in the abdomen,10.—Pain in the abdomen, with diarrhoea, from 11 p.m., the whole night through (twentieth day),10.—Soft stool (sixth and eighth days) ; four firm stools in twenty-four hours, more at night (tenth day),7.—[200.] Severe griping and colic pains, forcing him to go to stool, followed by a very large, copious, but not loose discharge of rather a light-brownish color; could not make any water at all as long as the dis- charge lasted; after the discharge the urging and desire for an evacuation continued, with irritation and itching in the rectum, all around the sphincter ani, which felt as if it protruded a little. About 11 o'clock he had again severe colic pains, which left him, after a pretty loose, light yellowish brown, somewhat watery discharge, coated with mucus, and of a slight bloody appearance; after the discharge a slight tenesmus existed for awhile, but the colic pains disappeared more and more, and only great soreness of the bowels remained ; after dinner,at 2 p.m., the colic pains again returned, with a thin, loose discharge, and slight tenesmus after- wards ; in the afternoon and evening only a soreness in the bowels,10. Urinary Organs.—Bladder. Ulcers in bladder followed its use,13.—Pressure bearing down on the bladder (third day),7.— Urethra. During a normal stool in the morning, sensation in the urethra as if the urine were hot (fifth day),7*.—Micturition. Frequent desire to urinate; she cannot hold her water for a moment (after four days),14.—"Increased flow of urine (third, fourth, fifth, and sixth days),10.— Urine. Red urine (second and third days),1.— Urine thick and dark on being passed (after four days),14. Sexual Organs.—Towards 2 o'clock, sensitiveness of the right tes- ticle and spermatic cord (third day),7.—Sexual desire, particularly ou going to sleep (fourth, fifth, and eighth days),7.—[210.] Nocturnal emis- sion (second and fourth days) ; towards morning (seventh day),7. Respiratory Organs.— Voice. Voice covered and rough (eighth day),7.—Hoarse and husky, half au hour after getting a little wet in a very light shower, in the evening (fifth day),1.—Hoarse, with the coryza,7.— Cough and Expectoration. Irritation to cough,10.—During day spells of cough (fifth to seventh day),7.—Cough, with sore throat,5.—Cough, with a little loose, wdiitish, slimy expectoration through the day, and ac- companied with slight difficulty of breathing (tenth day) ; cough, with white, thick expectoration; cough became dry in the evening (eleventh day); better afterwards, but prevented him from making another prov- ing,1.—Profuse yellowish expectoration (tenth day),7.— Respiration. Breathing more difficult than usual (ninth day),1.—[220.] Difficulty of breathing, with cough (tenth day),1. 288 MERCURIUS IODATUS RUBER. Chest.—Occasionally pain in chest or heart, most on left side (fifth day),5.— Constriction across the chest (sixth day),5.—Stricture across chest (fourth day); most painful in the left side,5.—Aching pain across chest (tenth to twelfth day),6.—Pressiug pain across the chest (fifth day),5.— Sharp cutting pain in chest, and sticking pain in heart (eighth day),5.— Front. Pressure in the middle of the chest behind the sternum, irritating the cough (from the vapor),11.—Sides. In the afternoon he felt several times a sharp shooting through the right side of the chest, like rheumatism, going dowu the arm,10.—During a walk, sudden sticking iu the muscles of the chest, on the left side, exactly on the spot where two years ago he had the commencement of his acute rheumatism (eighth day),7.—[230.] Sticking pain in the muscles of the ribs, left side, after walking out during thawing weather; 2 and 3 p.m. (ninth day); somewhat, 1 and 2 p.m. (tenth day),7.— Catching pain under right breast oppressing the breathing (after four days),14.—Awoke from a feeling of great soreness in the whole breast, but only a few minutes (fourth day),8. Heart and Pulse. Dull aching pain in heart (tenth to twelfth day),6.—Shooting pain in heart all day (seventh day),6.—Sticking pain in the heart (second day); with pain in head (fourth day) ; sticking pains without headache (fifth day),6.—Pulse accelerated, beating stronger,2. Neck and Back.—Ou waking, stiffness and pain in the neck, in the region of the first or second cervical vertebra, going off in a short time (fourth day),1.—Rheumatic paiu, for a short time, in the muscles of the neck and back of neck (sixth day),7.—An aching and stiffening feeling in right splenius capitis (third day),10.—[240.] Stitching pain along left side of the neck and in heart, continuing until he falls asleep, from 7 to 10.50 (fourth day),6.—Severe pain in back of neck, as if he had been struck, at 7 p.m. (fifth day),6.—Paiu in os coccygis (first, third, and eighth days); like a paiu he had before the proving,7. Extremities in General.—Stiffness of limbs; better after walk- ing (niuth day),7.—Rheumatic pains, now here, now there, generally in limbs, and mostly muscular; alternately in arms and hands, legs and feet; occasionally pains of a similar character in left'ear, as if it would prove a violent aud long-continued otalgia; nevertheless it lasted but a moment at a time, but frequently returned (thirteenth day),10. Superior Extremities.—Rheumatic pains, soreness, and stiffness in the left arm, aggravated by motion, particularly on putting on his coat, and during the middle of the day; the pain is better in the evening, and at night; he could lie on the arm (Lye 3 relieved it),10.—Arm. Rheu- matism in the joint of the left humerus (fifteenth day),7.—Dull, aching, strained sensation iu the middle of the os humeri, as if about to break ; wavering stitches through all the muscles, and sensations as if they were sore; desire to stretch the limbs and body,10.—Forearm. Aching and drawing pain in the bones of the left forearm,10.—Fingers. Synovial in- flammation of the left index,8.—[250.] Pain in the left fingers, in the morn- ing (second day),10.—Jerking in the fingers of left hand in the evening, until he falls asleep (first day),10. Inferior Extremities.—Rheumatic pain in the right knee and hip during the forepart of the day ; disappeared the latter part (nineteenth day),7.—At 8.30 o'clock, when walking, was seized with an acute pain, which suddenly passed through and around the head of the right tibia at the knee-joint, in three or four successive throbs; about five minutes after this paroxysm passed off; it returned in the same form, and with like inten- MERCURIUS IODATUS RUBER. 289 sity; at the same time, pain in the right parotid gland; in half an hour the pain in the knee disappeared ; two throbs of a similar pain were felt in rectus femoris muscle of the left leg, about one-third the distance from the knee upwards, and in about five minutes a similar renewal of the pain in the same place (thirteenth day),10.—Aching pains from hips to ankles, as though she had wralked many miles, felt more particularly in the bones (after four days),14.—In the evening, almost insupportable pain and aching in the lower limbs, better on moving; went off during a walk in the evening (second day),2.—Hip. In the left hip-joint, pain as if sprained, in the evening (ninth day),7.—Knee. Weakness of the knee-joints (first day),1. —Foot. Feet paiu (sixth day); particularly the soles (seventh day),7.— Pain in the ball of the foot and in large toe, ameliorated by walking (tenth day),7.—Toes. [260.] Towards morning pain in the right big toe, like in podagra, but without swelling and redness; disappear after rising (third day); returning (sixth to ninth day),7.—Sore pain between the toes of the right foot (nineteenth day),7. General Symptoms.—Objective. Weariness, nearly all day; a sore pain in left fingers, morning (second day),10.—Great weakness attend- ing rheumatic pains in the forearm and hand,10.—Subjective. From midnight till morning, a very restless feeling, with a constriction in the diaphragm, almost like cramp,10.—Desire to stretch the body and limbs,10. —Feels weary, and a sort of aching as if bruised in the whole body (fourth day),5.—Rheumatic pains, more in the forearm and hand of right side; sensation of great weakness attending the pain (third day),10.—Wearing stitches through all the muscles,10.—The dull tearing-gnawing pains on the third day got in the night so violent that they disturbed his sleep,10. Skin.—Erujrtions. [270.] Skiu on forehead pale-reddish color (first day); turning dirty gray (fifth day); afterwards over and overfull of thefinest wrinkles, peels off in small scales after seven days; numerous small cracks and rhagades in all directions on the forehead (after external applica- tion),12.—Nearly a month after the other symptoms, several days after the twelfth dose, two small pustules appeared in the outer side of the right leg, just below the knee, about two inches distant from each other, slightly itching, sore to touch, with inflamed bases; on the third day after their ap- pearance they scabbed, but matter continued to accumulate under the scab; they were quite sore, and were not healed till thirteen days afterwards; after healing, another sore of the same character appeared in front or a little to the left on the same leg, just below the knee; in three days it healed, and no more appeared,10.—A wen which had existed behind the right ear from infancy, in a young woman of twenty-four, burst open and discharged (nineteenth day after first dose, and eleventh day after last),10.—Sensa- tions. Very strong itching on neck, dorsum of hands, particularly on the fingers of the right hand (thirteenth day),10.—A painful itching on several parts of the skin of the right forearm (ninth to twelfth day),7.—About 3 p.m., a pricking-itching sensation all over the right hand, lasted oue hour (second day) ; followed by itching-pricking feeling at the lower part of the upper arm', all around it, lasted from 3 o'clock, half an hour; the same pricking-itching sensation appeared on the upper part of upper arm, mostly in the arm-pit, and only lasted a few minutes; all this on the right side, at 6 p.m. (third day),8. Sleep and Dreams.—Sleepiness. Very sleepy and drowsy in the evening; at the same time squeamishness of the stomach, with great uneasiness and laziness all over the limbs (fifth day),10.—Deep sleep, after- vol. vi.—19 290 MERCURIUS METHYLENUS. noon, several days in succession,7.—Sleeplessness. Could not sleep well, very restless, headache,5.—Lies awake, 5 to 6.30; sleeps till 8 a.m. (second day),7.—Dreams. [280.] Dreams a great deal (eleventh, twelfth, and thirteenth nights),10.—Foolish dreams (third day),1.—Towards 5 a.m., las- civious dreams; prevented by his will a pollution (third day),7.—Dreams about gunning and farming (seventh day) ; gunning and travelling (elev- enth day),1.—Anxious dreams (second day); about removing and his rela- tions (fourth day),1.—Sleep disturbed by troublesome dreams, such as swimming and wading in water, and pushing through low places, and under a shed; half conscious sleep, with tearfulness; also dreamed of detecting robbers in the night in attempting to enter dwellings (twelfth day),10.— Frightful dreams (after four days),14.—Quarrelsome dreams (seventh day),7. Fever.—Chilliness. Chilly, and aching in the lower limbs, through the forenoon (second day),1.—Chilly at bedtime (first day),2.—[290.] Some- times a chilly feeling, and a creeping sensation all over the skin, and a kind of uneasy sore feeling all over the bowels,10.—Chilly, followed by a flush of heat over the face (first day),2.—Felt often chilly and then again quite warm, although his pulse was natural (second day),10.—Intense shiver- ing, followed by feverishness (after four days),14.—Heat. Flush of heat and a sensation of being tickled over the whole body (fourth day),2.—Felt pretty warm all over, but not feverish; sometimes a slight chilly feeling and creeping over the back,10.—Flushes in the face,'2; flushes of heat aud a tickling sensation in the face,1.—Face hot and hands cold,2.—Sweat. Very copious night-sweats, for more than two weeks,7.—Hot perspiration (after four days),14. Conditions.—Aggravation.—(Morning), Ill-humor; on waking, ill- humor ; on waking, bad taste; dulness of hearing; nose stopped.—(Fore- noon), From 9 to 10 o'clock, nose stopped.—(Noon), Pains in arm.—(After- noon), Dulness in head; headache, etc.; from 6 to 8 o'clock, pressing pain in left brain; sleep.—(Night), Sweat.—(After meals), Toothache.—(Mo- tion), Particularly putting on coat, pains in arm.—(Going to sleep), Sexual desire.—(Empty swallowing), Sore throat. Amelioration.—(Open air), Cold in head.—(Walking in open air), Dulness of head, etc.—(Motion), Pain in lower limbs.—(Walking), Pain iu ball of foot, etc.—(Getting warm from walking), Coryza, etc. MERCURIUS METHYLENUS. Mercuric methide Hg(CH3)2. Authorities. 1, Dr. Geo. N. Edwards, St. Bartholomew's Hosp. Rep., 1865, p. 141, a man (who sometimes had epileptic fits) was engaged in the preparation of Mercuric methide; 2, same, T. S., employed in same busi- ness. Mind.—Moves his arms about apparently without object, and in an idiotic manner; at times is even violent, shrieking out, making loud inco- herent noises, or laughing or crying in an idiotic manner; occasionally makes efforts to get out of bed,2. Head.—Giddiness,2. Eye.—A dark margin around his eyes,2.—Some inflammation of both conjunctiva?, with a muco-purulent discharge,2.—Pupil. Pupils dilated,1. —Pupils dilated, but act equally to light, conjuctiva rather injected, scle- MERCURIUS METHYLENUS. 291 rotics slightly yellow,2.—Pupils dilated at one time, at another contracted,1. — Vision Impairment of sight,1.—Sight slightly impaired,2.—[10.] Dim- ness of vision, pain and redness of the eyes,2. Ear.—Deafness; it is with difficulty that he understands what is said,1. —Lost his hearing,2. Nose.—Power of smell much impaired,2. Face.—Expression very vacant,1. — Countenance pale and sunken; afterwards also dusky; later flushed,1.—Cheeks sometimes flushed, some- times pale,2. Mouth.—Teeth. Teeth and lips dry, covered with sordes,1.—Gums. Gums rather spongy, and of whitish color; lips dry,2.—Gums spongy and swollen,1.—[20.] Gums became sore,1.—Tongue. Soreness of gums and looseness of teeth,2.—Tongue coated and moist,1.—Tongue coated with a yellowish fur,1.—Tongue moist, coated on the dorsum with a white fur, red at tip and edges,2.—Tongue numb,2.—Saliva. He was observed to spit and wipe his mouth very often,2.— Taste. Nasty taste in his mouth, like brass,2.—Taste became imperfect, all things tasting alike,2.— Speech. Powers of speech much impaired,2.—[30.] Makes constant efforts to speak. but only utters incoherent noises,2. Throat.— Swallows with difficulty,2. Stomach.—Refuses to take nourishment, and struggles and becomes furious upon any attempt being made to force him to drink,1.—Nausea and vomiting, the vomited matters being greenish and watery,2. Abdomen.—Some pain in the right hypochondrium on pressure,2. Stool.—Dlarrlura. Passes all his evacuations beneath him,2.— Bowels open, motions dark-colored, fluid, mixed with scybala,1.— Consti- pation. Bowels generally confined,2.—Bowels not opened for five days,2. Urinary Organs.—Urine passed involuntarily,2.—[40.] Urine pale, slightly turbid, acid, sp. gr. 1018, containing a considerable quantity of albumen, and showing renal epithelium and granules under the microscope; afterwards passed in bed and very offensive,1. Respiratory Organs.—Breath offensive,2.—Odor of his breath and body very offensive,1.—Distinct mercurial fetor iu his breath,1.—Breath- ing sometimes seems to cease altogether for a few seconds, and then to be- come quick and stertorous,1. Extremities in General.—Violent movements of his limbs, much increased on tickling his feet,2.—The left wrist is rather rigid, and the left knee almost completely so; he never bends it voluntarily, but it can be slightly bent by using considerable force; later there is no sensation of or motion in the left leg, which is extended, rigid at the knee, and the foot turned slightly inward; sensation is also somewhat impaired in the left hand,1.—He can move his limbs perfectly, but slowly; can grasp only very imperfectly, and takes some time to close his hands; he dragged his legs after him in walking; lost the power of bringing his hands directly to the point that he wishes,2. Superior Extremities.—Fingers drawn together, and stretched out unnaturally,1.—Numbness of the hands,1. General Symptoms.—[50.] Great weakness,1.—Too weak to walk out,2.—So restless and noisy that his hands had to be strapped to the bed- stead ; attempts to start up in bed, and utters incoherent noises at frequent intervals,1.—Sensation less than natural, though he is aware when his hands and feet are touched; the latter feel warm to himself,although they appear cold to others,2. 292 MERCURIUS NITROSUS. Skin.—The skin over the sacrum is red,2. Sleep.—Restless nights,1.—Sometimes sleeps well, but is often restless at night,2. Fever.—Cold hands,1.—Skin generally warm and dry, that of hands and feet cold,2. MERCURIUS NITROSUS. Hydrargyrum oxydulatum nitricum crystallisatum. Neutral nitrate of Mercury Hg(NO)32 + 2Aq. Preparation, Solutions of crystals in water (Liquor Bellostii). Authorities. 1, Orfila (from Bigley's Med. Gaz., 1831), a man took an indefinite quantity with suicidal intent; 2, Brett, Lond. Med. Gaz., 1834, a woman took an indefinite quantity; 3, Edin. Med. and Surg. J., 1835, a man took a solution, quantity indefinite; 4, Guerard, Annal. de Therap., 1846, effects in two women from dyeing their hair with a solution; 5, La- forgue, Lond. Med. Gaz., 1850, p. 1025, effects of applying the acid nitrate to the cervix uteri; 6, Taylor, Guy's Hosp. Rep., 1864, p. 173, effects of working in furs washed with a solution and afterwards dried, fatal; 7, Vidal, Ed. Med. J., 1864, poisoning of a woman, aged twenty-six, by fric- tion on chest and back, with a cloth saturated with a solution; 8, Dubar, Gaz. des Hop., 1867 (S. J., 137, p. 295), effects of application of solution to psoriasis, in a woman aged twenty-two ; 9, Bordier, Gaz. des Hop., 1870, eff cts in a man who worked at preparing skins with the solution. 3lind. —Emotional. Delirious,6.—Extreme anxiety,7.—Intellec- tual. Complains of very poor memory,9.—A marked degree of stupor, approaching to narcotism,2. Head.—Dizziness (sixth day),7.—Headache,4 6. Eye.—Eyes sunk (second day),7.—The pupils, although somewhat di- lated, were to a certain extent obedient to light,2. Ear.—Ringing in ears (sixth day),7. Face.—[10.] Flushed countenance,2.—Face pale, expressive of fright- ful anxiety,1.—Face pale and livid (second day),7.—Features contracted (second day),7.—Lips bluish-red,1. 3Iouthi—Gums. Very characteristic blackish line on free border of gums, which was very well marked around the insertion of the incisor and canine teeth of the lower jaw, but less marked around the molars (third day),7.—Gums swollen and bleeding (third day),7.—Tongue. Tongue furred,6.—Tongue and lips tumid, parched, and painful,2.—Cannot protrude his tongue very well,6.—General 3Iouth. [20.] Buccal mucous mem- brane red and tumefied (third day),7.—Inflammation of the mucous mem- brane of mouth (after a few days),5.—Strong mercurial fetor,2.—Violent pain in the mouth and throat,1.—Saliva. Ptyalism,2.—Salivation,8.— Profuse salivation (third day),3.—Salivated for about three months, when he first began this occupation ; but his gums have not been tender,6.— Taste. Coppery taste in mouth,2. Throat.—Sore throat,8.—[30.] Fauces and internal mouth red and painful,2.—A good deal of dryness, soreness, and redness of the fauces,2. Stomach.—Eructation and Hiccough. A good deal of eruc- tation and frothy discharge from the mouth, with occasional vomiting; the first portion of fluid voided from her stomach after admission contained a red powder, which, after a few minutes, subsided to the bottom of the MERCURIUS NITROSUS. 293 vessel, afterwards vomited mucus,2.—Constant hiccough,1.—Nausea and Vomiting. Nausea (second day),7.—Vomiting,1; (after two hours),5.— Vomiting of glairy and tenacious matter (fourth day),7.—Several attacks of bilious vomiting, during the night,7.—Vomiting of bilious matter streaked with blood (third day),7.—Stomach. Pain in the stomach and vomit- ing,8.—[40.] Extreme epigastric pains (second day),7.—Considerable pain on pressure over the region of the stomach and abdomen generally,2. Abdomen.—Pain in the hypogastrium (after two hours),5. Rectum.—Tenesmus (after two hours),5. Stool.—Diarrhoea. Severe diarrhoea, with colic (sixth day),7.— Frequent stools (after tw*o hours),5.—Bowels moved several times, without pain or admixture with blood,2.—Bloody stools, with collapse, followed by death,8.— Constipation. Constipation (second day),7.—Bowels costive,6. Urinary Organs.—[50.j Some pain on voiding urine,2.—Urine high-colored, sp. gr. 1025, contains no albumen or sugar; passed involun- tarily,6.—Suppression of urine (second day),7.—Suppression of urine for five days ; urea was found in the blood drawn from the arm,3.—During the suppression of urine large quantities of water were taken and he had no symptoms of coma,3. Sexual Organs.—Marked diminution of sexual power,9. Respiratory Organs.—Voice feeble and almost suppressed (sec- ond day),7. Heart and Pulse.—The heart-sound scaunot be distinctly heard in consequence of the continuous spasmodic movements of the muscles of his chest,6.—Pulse frequent, small, and weak,2.—Pulse small, frequent, thready (second day),7.—[60.] Pulse 140, small and thready (sixth day),7.—Pulse small, regular, 120,1.—Pulse exceedingly small and thready,2. Extremities in General.—Considerable tremor of upper and lower limbs, causing great difficulty in prehensile movements and in walk- ing,9.—About twelve months ago he found he could not hold his hand steady enough to shave himself, and he soon after lost complete control over his limbs; by degrees he lost control over his muscles when stauding or walking about, and three or four months back, first began to have slight twitchings when in bed ; on admission to the hospital he managed to walk pretty well with a little assistance; but when standing could not control his limbs, which trembled considerably, and even when in bed they had the same tremulous motion; spasms more violent towards evening,6.—Feels sore all over his limbs where they come in contact with the bed; they look quite red and inflamed.6. Infi-rior Extremities.—Suffers much from cramps in lower ex- tremities,2. General Symptoms.—Objective. Naturally of a robust con- stitution, his complexion, the discoloration of his mucous surfaces, and the flabbiness of his tissues, indicated a decided cachectic condition,9.—Sub- sultus tendinum, so that the muscles seemed to jump under the skin like a mouse under a cloth,4.—Tremor began after he had followed his trade with apparent impunity for seven years,9.—[70.] Tremors, so that they were no longer able to stand, walk, nor feed themselves,4.—Some general weakness, the first three years,6.—Extreme weakness (sixth day),7.—Very much ex- hausted (after four years),6.—State of prostration,7.—Frequent fainting (second day),7,—Subjective. General indisposition (after two hours),5.— Pain (after two hours),5.—Excessive pains, so that he rolled about the ground and called for a knife to kill himself,1. 294 MERCURIUS PRECIPITATUS ALBUS. SJilu.—On left side of chest, and in a space of the size of two hands, a large eschar of a brownish-red color swelled and projecting above the healthy parts. Behind, and on a level with the left scapula, was a second eschar about the size of the hand ; the skin, acutely inflamed, was of a bright red color, had an ecchymosed appearance, and scattered over it were yellow-brown patches; from this downwards towards the right haunch pro- ceeded a similar tract about half an inch broad, occasioned by a portion of the liquid having flowed down below the limit of the part rubbed,7. Sleep.—[80.] No sleep for several nights (after four years),6. Fever.—Chilliness. Skin cold (second day),7.—Cold clammy con- dition of the surface of the body, especially of the extremities,2.—Violent chill, lasting half an hour (after one hour),3.—Extremities cold and cya- nosed (third day),1.—Heat. Hot skin,2.—Fever (after two hours),5.— Sweat. Skin perspires profusely,6. Conditions.—Aggravation.—(Towards evening), Spasm of extremi- ties. MERCURIUS PRECIPITATUS ALBUS. Hydrargyrum amido-bichloratum. H. ammonio-muriaticum. Ammonium chloride of mercury. Formula (variable) HgCl + HgNH2 or 2NH4ClHgCl2. Preparation for use, Triturations. Authorities. 1, Giles, poisoning of a young woman by about ? a drachm, Lancet, July, 1857 ; 2, Greenhow, a woman, aged thirty, took a " penny- worth," Med. Times and Gaz., 1863; 3, Graham, a man, aged thirty-five, took more than 2 drachms, Brit. Med. J., April, 1869. Face.—Face much flushed,2.—Great swelling of face (second day),1. Mouth.— Great swelling of gums (second day),1. — Tongue much coated,2.—Tongue covered with thick greenish fur (after ten hours),3.— Salivation (second day),1. Stomach.—Thirst urgent,2.— Considerable nausea,2.— Became very sick, and continued so (immediately),1.—[10.] Vomited violently (after half an hour),2.—Vomited much ; the last matter vomited consisted of clear deeply blood-stained fluid (first day) ; frequent slight vomiting (sec- ond day),3.—Much pain at stomach,1. Abdomen.—After half an hour began to feel pain in the epigastrium, which gradually spread over the whole abdomen,2.— Great pain in abdo- men (soon); continuing after taking any even liquid food, for more than a week,3.—Constant griping (first and second days),3.—Whole abdomen painful on pressure,2. Stool. — One copious evacuation from bowels, containing mucous shreds in some quantities, and a good deal of dark blood (first day). Numerous scanty evacuations with a very large intermixture of blood. This con- tinued until sixty hours after taking the poison. One very copious motion, consisting apparently of almost pure bile, the passage of which caused a great scaldiug of the anus (second day). This occurred again after the lapse of another forty-eight hours, the evacuations in the interim contain- ing bile, and apparently scarcely any blood,3. Respiratory Organs.—Breath very offensive (after ten hours),3. —Respiration 24,2. Pulse.—[20.] Pulse 88, moderately full,2. MERCURIUS PRECIPITATUS RUBER. 295 General Symptoms.—Slight subsultus,2.—Almost in a state of collapse (after ten hours),3. Sleep).—Lies in a drowsy, semi-comatose state,2. Fever.—Cold, clammy skin, and much congestion of the cutaneous vessels (after ten hours),3.—General surface of the body perspiriug,2. MERCURIUS PRECIPITATUS RUBER. Hydrargyrum oxydatum rubrum. Mercurous oxide, HgO. Red oxide of mercury or red precipitate. Preparation for use, Triturations. Authorities. 1, Hahnemann, R. A. M. L., 1 ; 2, Bartholin, Epist. Men., 1657, from Wibmer, effects of external application ; 3, Langius, op. omnia., I, from Wibmer, external application ; 4, Hoffmann, Med. Rat. Syst., II, from Wibmer, internal administrations; 5, Ploucquet, Comment. Med., 1787, from Wibmer, internal use; 6, Devergie, from Orfila, a young girl took a large dose; 7, Eislet, (Est. Jahrb., 1833 (Frank's Mag., 1, 771), proving on self, took £, £, 1, and afterwards 2 grains, morning and even- ing ; 7a, same, subsequently took 3 grains, night and morning, increasing by 1 grain till he took 6 grains at a dose ; 8, Brown, poisoning of a girl, aged sixteen, by 30 grains, Assoc. Med. J., October 27, 1854; 9, Prince, poisoning of a woman, by 2 scruples, Lancet, Nov. 1859 ; 10, same, effects of over 2 drachms; 11, Vogler, Busch, and Outerport, Neu Zeit., 1845, from Roth, M. M.; 12, Schwarz, Hufel. J., 1822, from Roth; 13, Keibel, Hufel. J., 1825, from Roth; 14, Romanus, Petersh. Abhandl., 1825, from Roth. 3Iiud.—Apprehension,4. Eye.—Fierce, intent look (third day),12.—Chemosis (fifth day),12.— (This proving caused a marked improvement, followed by cure of blepha- ritis, which had lasted for many years),7*. Face.—Remarkable redness of the face and eyes (third day),12.— Dropsical condition of face,10.—Cheeks and lips enormously swollen,10. 3Iouth.—Gums. Inflamed gums,12.—Tongue. Tongue enormously swollen, and protruding for about an inch,10.— [10.] Two holes in the tongue,12.—General Mouth. The inside of the mouth is coated with a substance like decayed cheese,12.—Ulcers on the buccal mucous membrane,11. —The whole of the anterior portion of the mucous membrane of the cheeks, gums, and under surface of the tongue sloughed away, and four teeth were lost duriug the operation of syringing. As the parts healed, the jaws be- came completely closed, owing to the loss of substance and contraction of the cicatrices, so that all nourishment had to be drawn through the teeth. The tongue also became reduced, and firmly adherent to the floor of the mouth and cheeks. The latter adhesions were afterwards divided by inci- sion, but all power of protruding the organ is lost,10.—Very powerful mer- curial fetor of mouth,10.—Burning in mouth and throat; the pains in the mouth prevent sleep (fourth day),12.—Burning paiu on the inner surface of the lip, the mucous membrane of which was much swollen and covered with mercurial ulcers,78.—Mouth sore (second day) ; very sore ; flakes of epithelium separated (third day),8.—A remarkable itching sensation over the whole mouth, without salivation,7*.—Saliva. Salivation,3; (fifth day),8. —[20.] Slight salivation,9.—Profuse salivation,11.—Most violent salivation. 296 MERCURIUS SOLUBILIS. Blood and saliva of the most fetid odor flowed constantly from mouth, and this state of things continued for a month, in spite of treatment,10. Throat.—Throat inflamed (second day),8.—Burning sensation, like hot ashes, on swallowing the powder,8. Stomach. — Thirst. Unquenchable thirst,1214. — Nausea and Vomiting. Nausea,71112.—Vomiting,5612; (after fifteen minutes), took place five times in three hours,8.—Vomiting, with cutting in the abdomen,13. —Violent vomiting,411.—[30.] Obstinate vomiting, ending in throwing up bloody mucus,14.—Blood brought up by vomiting,10.—Two vomitings of blackish blood (third day),12.—Bloody vomiting, followed by diarrhoea,12.— Very abundant bloody vomiting, followed by syncope,12.—Stomach. Pains in the stomach and in the entire abdomen12.—Pain at pit of stomach (after two hours and a quarter),8.—Violent pains in the stomach,6.—Most agonizing pain in stomach, with burning heat and nausea,10; (after half an hour),9.—Burning in the stomach,7. Abdomen.—[40.] Occasional pain in left hypochondrium (third day),8.—The abdomen is distended aud painful to contact,12.—Abdomen hard, retracted,6.—Pains over the whole abdomen,6.—Agonizing abdominal pains,12.—Griping colic,4.—Painful colic,7.—Violent colic,5 n.—Agonizing colic,14.—Extreme sensitiveness of the abdomen, lasting some time after the attack,6. Rectum.—[50.] Constant urging to stool,13.—Constant urging to stool, which gradually became worse, and spread over the whole intestinal canal, with a constant sensation in the anus as of a glowing hot iron moving up and down,7.—Most excessive tenesmus, with scanty discharge of blood, with cutting-burning pains,7. Stool.—Excessive diarrhoea,4.—Very violent diarrhoea,6.—Bloody diar- rhoea,11.—Frequent purging,1.—Frequent stools, consisting mainly of blood, accompanied by violent cramps,10.—Involuntary greenish and offensive stools,14. Respiratory Organs. The larynx is inflamed and swollen even on its outside,12.—Offensive breath,7*.—(Paroxysms of suffocation at night on lying down and while falling asleep; he was obliged to jump up sud- denly, when it always disappeared),1. Chest.—Oppression of the chest,12. Heart and Pulse.—(Violent palpitation that seemed as if it would burst the chest),1.—Small, hard puke,12. Extremities in General.—Involuntary spasmodic contraction of the extremities continued for some time,6. Inferior Extremities.—Painful cramps in the lower extremities,6. General Symptoms.—General trembling (third day),12.—Trem- ors,25.—Convulsions,'2.—Cramps of the internal organs,4. Fever.—Skin cold, covered with perspiration,6.—Cold sweat,5. MERCURIUS SOLUBILIS. Mercurius solubilis, Hahnemanni. Hydrargyrum oxydulatum nigrum (Ammonio-nitricum) NXUSHg-X) + 2NH3. # Precipitated black oxide of Mercury, with varying (according to tem- perature) amounts of Nitric acid and Ammonia. Preparation for use, Triturations. MERCURIUS SOLUBILIS. 297 Authorities (Nos. 1 to 9 from Hahnemann, B. A. M. L., 1). 1, Hahne- mann; 2, Gross; 3, Gutmann; 4, Fr. H—n ; 5, Hartmann; 6, Hornburg; 7, Langhammer; 8, Rummel; 9, Stapf; 10, Knorre, effects of 2 grs. of 1st trit., A. H. Z., 6, 35; 11, Henderson, Homoeopathy represented fairly (Br. J. of Hom. 12, 421), an old lady took 6th dil. every four hours for a swell- ing on nose; 12, Robinson, Br. J. of Horn., 24, 516, a middle-aged woman took 30th dil. every third morning; 13, same, a young woman took 200th dil. every second morning; 14, same, a young woman took 30th dil. every third morning; 15, same, a young woman took a sixth part of a drop of 5th dil. four times a day; 16, same, a middle-aged woman took 30th dil. every two hours; 17, Dr. Oscar Gross, Deutsch Archiv, 1869 (Am. Obs., 7, 420), effect of subcutaneous injections; 18, Berridge, effects observed by Dr. Croker, from 12th dil., in a man and woman, Med. Invest. N. S., 1, page 101. 311 nd.—Emotional. Delirium ; she uncovers herself at night, pulls the straw about, and scolds; during the day she jumps up high both in the open air and in the house (like a wanton, unrestrained person) ; she talks and scolds a great deal to herself, does not recognize her nearest relatives, spits a great deal and rubs it over the floor with her feet, then partly licks it up; she also frequently licks up cowdung and mud; she puts small stones into her mouth without swallowing them, and complains that they cut her intestines; she passes many clots of blood with the stool; she does violence to no one, but violently resists any one who attempts to touch her; she obeys no one, does not come to her meals, though she usually takes her food and drink irregularly through the day; she looks very pale and hag- gard, and seems much weaker than before,4.—He was foolish, played tricks, and made a fool of himself with senseless stuff; in the evening he made a fire in the stove (during the hot summer), laid swords across each other, placed lights in one corner of the room, boots in another, and all the time was fully in earnest; wherewith he was completely indifferent to warmth and cold; but his head was confused and heavy,1.—He talked senselessly; for example, "See, you have killed a fly on your hand, and just now you forbade me to do it" (which was not so),1.—"He believes that he is losing his reason, thinks that he is dying, with illusions of fantasy; for example, sees water running where there is none (in the morning),1.—He believed that he was enduring iufernal torments, without being able to explain himself,1. —Longing for home,3.— Was extremely averse to everything, even to music,1.—Almost involuntary weeping, followed by relief,1.—While indulg- ing his foolish fancy, he was, however, inclined to weep, and when this paroxysm passed over he was very much exhausted,1.—[10.] Great serious- ness, with much indifference, all day; he was very much offended if others laughed over a trifle, and yet was extremely indifferent to everything that took place about him,7.—Restless, despondent mood; anxiety without par- ticular thoughts,1.—Much wretchedness and dejection of spirits, with diar- rhoea,12.—He wished to die, was averse to everything; indifferent even to the dearest objects,6.—"Anxiety,1.—Anxiety, which seems as though it would drive him far away, as though he had committed a crime, or as though a misfortune were impending,1.—"Anxiety and apprehension in the blood; did not know what to do; it seemed as though he had committed a crime ; without heat; also with a feeling as though he had not control over his senses, all day,1.—She was constantly anxious and apprehensive; then a sudden affection of the pit of the stomach ; her hands began to perspire and her face became hot,1.—During menstruation, anxiety so that she does not 298 MERCURIUS SOLUBILIS. know what to do,1.—Much anxiety, and orgasm of blood, at night, with sticking in the bloodvessels,1.—[20.] As soon as she eats, she is attacked with great anxiety, with perspiration on the head and forehead, which seem to her icy cold; she is obliged to go into the open air before the per- spiration ceased, with want of breath, and sticking in the right side just below the ribs,4.—Anxiety, as if he had committed a crime,6.—A feeling as though he had done wrong, with loss of ideas,1.—Very fearful, even to starting up, in the evening,4.—Extreme fright from slight cause; the whole body trembled; she seemed paralyzed; an excessive glowing heat mounted into the right cheek, which immediately became swollen and bluish-red, and so remained for two hours; she was so affected that she could not again get quiet; all the limbs seemed bruised; violent shaking chills, tot- tering of the knees, so that she was obliged to lie down,1.—He had no courage to live,4.—Was much discontented with himself and his condition, without cause,3.—Irritability and ill-humor,12.—Irritable, vexatious, active mood,1.—Ill-humor, associated with anxiety, all day; he constantly thought something disagreeable would happen,7.—[30.] Fretful and peevish all day; he imagined that all his efforts would at last miscarry,7.—Fretful all day; very much out of sorts and discontented with himself; he had no desire to talk or joke.7.—Very peevish and intolerant, easily vexed, very sus- picious,1—Morose all day; extremely taciturn and serious,7.—"Morose and mistrustful all day; he treated his associates almost insultingly, and looked upon everybody as his worst enemy1.—Fighting, quarrelsome mood,1.— Quarrels with everything; would above all have everything right; quar- relsome,1.—While taking a walk, he has a strong inclination to pinch the noses of the strangers he meets,1.—Rather indifferent mood,2.—Ex- tremely indifferent,1.—L40.] Cared for nothing, and was indifferent to everything,1.—He was indifferent to everything in the world ; had no de- sire to eat, and yet, when he ate, relished his food and took as much as usual,1.—Intellectual. *Hurried and rapid talking,4.—No desire for earnest work,3.—Talking was irksome; could not read ; the head was con- fused ; could work at nothing, and fell asleep while sitting,1.—Dull and sleepy during the day,1.—It affects acuteness of thought, makes him dizzy; he does not hear what is spoken, does not comprehend what he is reading, and easily makes mistakes in talking,1.—Thought is very weak; it is ex- tremely difficult to collect his thoughts, and he makes wrong answers to questions (that he himself notices),1.—He is unable to calculate; cannot put his mind on anything,4.—Thoughts entirely vanish,4.—[50.] At times, thought disappears for several minutes,4.—Distraction of mind ; while he was at work at anything, something else constantly came into his mind; thoughts constantly thronged upon each other, from time to time (for sev- eral days),3.—Loss of consciousness and speech ; she seems to sleep, but is pulseless, with the usual warmth of the body and with the perfect look of a corpse; after an hour consciousness and some sound of the voice returned; she tried to speak but could not; only after twelve hours did speech re- turn,4.—He does not know where he is,4. Head.—Confusion and Vertigo. Confusion and dulness of the head,4.—*Confusion of the head, in the morning on waking,1.—Some con- fusion of the head, in the morning on rising ; a dull headache,1.—Confusion of the head and a feeling as after night-watching, in the morning after rising, disappearing in the open air,1.—Confusion and heaviness of the head in the house, even while sitting and lying,1.—Vertigo in the head during the day,1.—[60.] Vertigo, even to falling down,4.—Vertigo on turning MERCURIUS SOLUBILIS. 299 around suddenly; everything whirled around with him,9.—Vertigo in the house, so that he was obliged to steady himself while walking, in order to prevent falling,1.—Vertigo and staggering if he goes from the open air into the house,4.— On rising after sitting bent over, he had vertigo for the first moment,1.—Vertigo more while sitting than while standing; it became dim and black before the eyes, especially towards evening,1.—Vertigo ; a whirl- ing in the bead while sitting at the writing-desk, as if he were intoxicated; he stood up aud walked about the room like one reeling, then broke into anxious heat, with uausea, which, however, did not amount to vomiting; with some headache; for three days in succession, at noon and in the after- noon,1.—On walking in the open air, vertigo with nausea, and a sensation as if a worm rose from the chest into the throat,4.—Vertigo, cold hands, with febrile shivering, followed by dulness of the head,1.—Violent vertigo while standing, on bending the head forward,7.—[70.] A kind of vertigo; while lying it seems as though he were waving lengthwise,4.—She is dizzy even while sitting,1.—Dizzy and weary when walking in the open air; in the house only heaviness of head (after forty-eight hours),3.—Sensation of whirling in the forehead,9.—After eating she feels intoxicated ; heat and redness mount to the face, which becomes swollen,1.—If she lay upon the back there were whirling and qualmishness ^disappearing on lying on the side,1.—General Head. Au uneasy painful sensation in the head in the evening, lasting till going to sleep; loud reading disturbed him, one was obliged to read in an undertone; relieved by sitting up and resting the head on something,1.—* Weakness in the head., like a dulness, and as if there were a vibrating in the forehead and a turning about in a circle1.—The head is heavy and seems affected and confused by a dull pain,1.—Heat and pain over the whole head,4.—[80.] Burning in the head,1.—Fulness of the brain, as if the head would burst,1.—Headache like a fulness and dizziness in the brain,\—Pain in the head, like a violent circular tension, in a line not more than three fingers broad, seeming to encircle the head just above the eyes and ears,1.—Headache, a pressure outward,1.—The head hurts, as if it would be pressed asunder,1.—Headache, as if the brain would be forced asunder,1.—Constrictive headache; the head seems screwed in, now in the sinciput, now in the occiput, now in the left side, with watering of the eyes,4.—Headache in the evening, as if the brain were bound by a band and constricted,1.—"Head felt bound around as with a cord; it feels heavy and swollen13.—[90.] Pressive headache, as if the head were very tightly bound,1.—Headache with every nausea,1.—Headache in the evening; a painful confused feeling in the anterior and upper portion of the head, with ill-humor,4.—"Headache, as if just beneath the scalp, as if it were too heavy and tight in the brain,1.—Violent headache, as if the upper part of the head would fall to pieces, and a pressure as if everything would press down to the nose,1.—A drawing from the palate into the brain, where it pains very much, as if everything were bruised ; in the morning, after lying in an uncomfortable position in bed,9.—Headache, like a tearing slow stitch, aud like a bruised sensation,1.—Stitches through the whole head,1.—Tear- ing in the skull, especially in the frontal bone,1.—A constant violent tear- ing pain extending from the occiput to the forehead, where it is a pressure,6. —[100.] Rebounding shocks in the brain, especially on motion and stoop- ing,1.—Forehead. Dulness above the nose, with whirling and blackness before the eyes, on rising after eating; worse in a warm room ; relieved by the open air,1.—Headache on stooping, like a digging, and like a heavi- ness in the forehead,1.—Drawing digging in the anterior portion of the 300 MERCURIUS SOLUBILIS. head,3.—"Headache; a pressure in the forehead and a pain in the bone be- neath the eyebrow, even on touch1.—Pressive pain in the right side of the forehead,3.—Pressive headache from within outward at the forehead, mostly while lying; relief from pressure with the palm of the hand (after forty- one hours),3.—Tensive-pressive pain in the forehead ; relieved by holding the palm of the hand upon it,3.—Sticking headache in the forehead (imme- diately),1.—Stitches in the forehead while walking in the open air,4.—[HO.] Intermitting-boring stitches in the left side of the forehead, very painful (while sitting),7.—Tearing stitches in the left frontal region, while sitting, with shivering chilliness over the whole body; cold hands, hot cheeks, and lukewarm forehead, without thirst,7.—Painful tearing stitches in the left side of the forehead (while standing),7.—Tearing pain externally in the forehead, in every position,7.—Tearing headache in the sinciput, extending to the crown,1.—Waving and throbbing in the whole sinciput,4.—Tem- ples. Burning in the left temple,3.—Violent drawing in the right temple (fifth day),8.—Jerking drawing and pinching in the right temple, in the occiput, extending down to the nape of the neck,8.—"Pressive pain in the left temple,3.—Farietals. [120.] Headache, a pressure outward in the parietal bones,1.—Occiput. Pressive headache in the occiput,1.—Pain in the upper part of the occipital bone,1.—Boring pain in the occiput,1.—Tear- ing headache in the lower portion of the occiput,1.—External Head. Falling of the hair, without headache,4.—Dry eruption over the whole head that pains all over when touched,4.—"Moist eruption on the scalp that eats away the hair, with sensitive pressure, especially in the sore places,*.—Itching eruption on the head, compelling scratching,4.—Small elevated, firmly seated scabs between the hairs,4.—[130.] Much scurf on the scalp, which itches and burns after scratching,4.—Burning and itching on the scalp,4.— Burning and itching on the forehead and head,4.—A burning pain in the scalp, above the left side of the forehead, disappearing after touch,3.—Tear- ing paiu in the head externally,1.—*The whole external head is painful to touch,1.—A sensation beneath the scalp as if it were suppurating, when touched with the palm of the hand,3.—Shivering over the scalp that makes the hair bristle, or that makes the scalp contract and seem to tremble,2.— Itching biting on the scalp and nape of the neck,4.—Itching on the scalp day and night,4. Eye.—Objective. [140.] Bluish-red rings around the eyes, especially beneath them,4.—Many red vessels became visible in the white of the eye,4. —An inflamed swelling in the region of the lachrymal bone,1.—Inflam- mation of both eyes, with burning-biting pain, worse in the open air,4.— *The eyes were forcibly drawn together, as if long deprived of sleep, while sitting, standing, and walking,4.—Weakness of the eyes,4.—Subjective. Eyes hot, a kind of dry heat,13.—"Heat, redness, and pressure in both eyes*. —"Heat in the eyes, and lachrymation*.—"Burning in the eyes,*.—[150.] "Burning and biting in the eyes, as from horseradish*.—Burning in the eyes, as after reading very much at night; one eye was red,1.—Pressure in the eyes*.—Pressure as from sand in both eyes,4.—Pressure in the eyes on mov- ing them ; they are even sore when touched,1.—Sticking in the eyes,4.—A sticking pain in the left eye, for several minutes (after seven days),8.— Brow. Burning sensation in the right superciliary ridge,3.—Lids. The upper lid is thick and red, like a stye,1.—Great swelling, redness, and con- striction of the lids, which were very sensitive to touch,4.—[160.] The left lower lid was greatly swollen, especially towards the external canthus, with burning pain, for five days, and much lachrymation; preceded by much MERCURIUS SOLUBILIS. 301 sneezing, for three days,4.—"Eyelids agglutinated, in the morning,1.—"He is unable to open the eyes well, as if the eyeballs were agglutinated (to the lids),*. —Twitching and jerking in the lids,4.—Constant twitching of the lower lid,1.—Burning in the right upper and lower lids,3.—"A sensation as of a cutting substance beneath tlie left upper lid,3.—-Lachrymal Apparatus. "The eye was full of tears,1.— Watering of both eyes, in the morning,4.— Watering of the eyes and lachrymation,4.—[170.] Lachrymation in the open air,1.—Very profuse lachrymation of the right eye,4.—Ball. Itching of the eytbalh*.—Pupil, *Pupils dilated (after one hour),7.— Vision. "If she attempts to look at anything she cannot distinctly recognize it, and then the eyes are almost always involuntarily drawn together; the more she tries to restrain the contraction the less able is she to prevent it; she is obliged to lie down and close the eyes,4.—*A fog before one or both eyes,4.—"Dimness of vision of both eyes,*.—Amaurotic dimness of the left eye, gradually increasing, lasting ten minutes,1.—Amaurotic blindness of the leit eye without pain, for several minutes, while walking in the open air,1.—Vision completely vanishes for five minutes ; a similar attack occurs every half hour, and for five minutes he is completely deprived of vision,4.— [180.] "The eyes cannot tolerate the firelight or daylight,4.—*Firelight blinds the eyes very much, in the evening,4.—(The letters seem to move, while reading, in the evening),1.—Pointed objects (for example, an awl) seem to have double points,4.—Illusion of vision ; it seems as though a straw were hanging before both eyes,4.—Black points before the eyes,4.—A black point before the eyes, which constantly seems to move downward before him,4.— Things like black insects or flies constantly float before the vision,11.—Every- thing seemed green and black before the eyes; the room whirled around in a circle ; he was obliged to lie down (while eating),4.—Sparks of fire before the eyes,4.—[190.] Fiery points before the vision, tending upwards towards the clouds, especially in the afternoon,4. Ear.—External. *The ear was inflamed internally and externally, with pain partly cramplike, partly sticking, and a feeling as if stopped by swelling,8.—*Moisture runs from both ears,4.—*Thin earwax runs from both ears,4.—"Matter flows from both ears; in the forepart of the right ear is a sac of matter, which when touched discharges through the ear; with pains in the whole right half of the head and face, so that she was unable to lie upon that side*.—Yellow matter is discharged from the left ear,4.—*Bloody and offensive matter flows from the right ear, with tearing pain,4.—Blood oozes from the left ear, in the morning,4.—The left ear is painful as if in- flamed, also the meatus,8.—The lobule of the ear is very painful for eight days, red and hot; two days afterwards, a pimple appears on the lobule, and lasts twelve weeks,4.—[200.] Burning pain in the cartilage of the left ear,3.—Pulling and jerking behind the left ear, that prevents sleep; the spot is sore to touch,4.—Aliddle. * The ears seem stopped, with roaring in them,1.—Several times daily in the inner right and left ear, a sensation as if cold water were running out, suddenly appearing, and after a few min- utes disappearing; between the attacks there was great itching in both ears,4.—Violent pain in the ear, as if something were forcing its way out,8. —Twinging iu the ear,1.—Twinging aud pulling in the ears,1.—"Sticking and burning deep in both ears, worse in the left,*.—Pressive-sticking pains in the ears ; the warmer she became in bed, the colder and more moist did the ear become, until at last it seemed as if ice were in it,1.—Stitches within the ear on stooping,1.—[210.] Tearing deep within the left ear, on the ap- pearance of the menses,4.—"Both ears are internally sore and denuded, the 302 MERCURIUS SOLUBILIS. right worse,4.—Hearing. Fluttering and crawling in the left ear,4.— Difficulty of hearing in both ears,4.—He can hear scarcely anything, and yet every sound re-echoes loudly in the ear,8.—Fluttering before the left ear,4.—Humming as of wasps in the left ear (after five minutes),4.—Ring- ing in the ears, as from various high-sounding glasses, especially in the evening,4.—* Various kinds of ringing in the ears, worse in the evening, for several days,4.—"Boariag in the ears*.—[220.] Roaring in the ears, in the morning,1.—Roaring in both ears, when lying in bed,4.—Roaring in the ear, as if something had been stuffed into it,1.—Roaring and humming in the ears, as if something were sticking in them,1.—Roaring in the ears, with difficult hearing in both ears,4.—Roaring before the left ear,4.—"Pulse- like roaring in the ears,1.—Whizzing before the ears, as if he would faint,1. Nose.—Objective. The whole nose, especially the left side, is swollen, very red and shiny, with itching, especially within the nostrils,4.—Tip of the nose red, swollen, inflamed, and itching,1.—[230.] Swelling of the left wing of the nose, as in severe fluent coryza,7.—Swelling and cracking of the septum of the nose,4.—Inflamed swelling of the nose,1.—The nose is scaly internally, and bleeds on cleaning it,8.—*An offensive odor from the nose as in violent coryza,4.—Much moisture drops from the nose without her having coryza, the whole day,4.—*Acrid matter flows from the nose, having the odor of old cheese*.—"Coryza, lasting two days,4.—"Coryza, with much sneezing,*.—Nosebleed of varying severity,1.—[240.] *Nosebleed during sleep,4.—Bleeding from the left nostril; the blood clotted on dropping, so that it remained hanging in a string from the nose,4.—Profuse bleeding from the nose1*.—"Profuse nosebleed during cough*.—Sneezing (after five minutes),4.—Frequent sneezing,4.—Frequent sneezing, without fluent coryza,1. —Very frequent sneezing, especially in the morning,1.—Almost constant sneezing for three days, followed by great swelling of the left lower lid, especially towards the external canthus, with burning pain and lachryma- tion, lasting five days,4.—She was obliged to sneeze once daily for twelve days in succession,4.—[250.] One very violent sneeze (immediately),1.— Want of air through the nose,4—Subjective. Distension at the root of the nose,4.—Tension transversely across the nose,4.—A pressure downward in the nose, as if something heavy were bound upon it,6.—*The nasal bone is painful when taken hold of,4.—Crawling and gnawing sensation in the skin of the root of the nose,4. Face.—"Paleness, with coldness; together with heaviness, indolence, and sleepiness,4.—Red spots in the face,4.—Features sunken and elongated, eyes dim and obscured, face white and earthy,6.—[260.] The right side of the face, especially beneath the eye, swollen and hot,4.—Cheeks. Press- ive pain from within outward, in both zygomata,3.—Dull stitches in the left superior maxillary bone, near the eye,4.—Some sharp stitches occurring every five minutes in the zygoma (also in the chest, knee, and outer con- dyle of the elbow), more in the forenoon and walking,1.—Great swelling of the left cheek,4.—Tearing in the left cheek and in the whole ear,1.— Tearing in the right masseter muscle,2.—Lips. "Internal swelling of the upper lip,1.—Great swelling of the upper lip and lower part of the cheek, soft but very red, in which holes an inch deep (as if excavated) penetrate, looking very livid, with grayish-yellow matter, with discharge of only watery yellow moisture; they had a somewhat offensive odor, and bled when touched, but only on the margins,4.—"Soft, red swelling of the upper lip, that internally separates from the gum, where it looks shaggy; on its inner and outer surface deep suppurating sores form with sticking pain, at times with MERCURIUS SOLUBILIS. 303 itching*.—[270.] A crab in the corner of the mouth,4.—Cracking and smarting in the corner of the mouth,4.—*Corner of the mouth ulcerated and painfully sore,1.—Distortion of the mouth to one side, about 3 a.m., with dyspnoea,4.— "Dryness of the lips*.—Pain in the corners of the mouth, as if they had been cut,4.—* The lips are painful when touched with the finger, as if burning and fiery, as from stinging nettles,9.—Roughness and dryness of the lower lip, as from cold raw air (after seven hours),7.— Chill. The muscles between the lower lip and chin were visibly and spontaneously contracted and drawn,1.—Almost complete immobility of the jaws, so that he could scarcely open the mouth ; yet with the most violent pain,4.— [280.] "He cannot separate the jaws*.—She is unable to separate the jaws ; with tensive pain in the right side of the hyoid bone; bitter taste to all food (except milk, which has a good taste) ; tearing and difficulty of hear- ing in the right ear; loud emission of much very offensive flatus, and moist eruption on the head,4.—"Tension in the articulation of the jaw, on opening the mouth,1.—"Tearing in the lower jaw, toward evening,1. 3Iouth.—Teeth. The teeth become blackish-gray, black,4.—She grates the teeth at night in sleep, and bites them together so violently that it is very painful, and she is awakened by the pain,1.—^Looseness of the teeth, which are very painful when touched by the tongue,6.—Weakness of the teeth,1.—*A feeling as if all the teeth were loose,9.—On moving the mouth, sensation as if the teeth were loose, especially the lower front teeth,7.—[290.] "The front teeth feel as if out of their sockets,1.—Pain in the incisors,1.—Pain in the anterior incisors, on drawing cold air into the mouth, or taking cold or warm drinks, lasting only as long as he does this,1. —Pain in the front teeth ; on drawing air into the mouth there is painful shooting in the teeth,1.—Toothache as from blunt teeth,1.—*Violent tooth- ache at night, and as it disappears great chilliness over the whole body,1. —Drawing toothache even in the anterior teeth, in the morning,1.—Tooth- ache, like violent stitches,1.—Frightful stitches in a tooth, in the evening,1. —Tearing in the roots of all the teeth the whole day,1.—[300.] Tearing toothache after midnight, and especially in the morning,1.—Tearing tooth- ache, that shoots into the ears, especially at night, on account of which he cannot remain in bed, is obliged to sit up all night,1.—Pain in the teeth, especially after eating, as if they were being corroded,2.—Frightful tearing in the teeth, especially aggravated by eating; the teeth begin to be loose,2. —*Jerking toothache, especially at night,1.—^Toothache, a pulselike jerking from the teeth of the lower jaw into the ear, and from the upper jaw into the head, with painfulness of the gum from 9 p.m. on; only re- lieved by lying down and going to sleep,1.—* The upper margin of the gum is jagged, white, and ulcerated,1.—"The gum is swollen, and separates from the teeth,1.—"Swelling of the gum every night,1.—"Swelling of the gum at night; better during the day,1.—[310.] Transient swelling of the gum, only in the morning,1.—* The gum was very much swollen, very painful and re- tracted,6.—Painless swelling of the gum, for several days,7.—"Painful swell- ing of the gum,1.—"The gum separates and is loosened from the teeth*.—The gum was separated from the teeth, and looked discolored and white at the tip,2.—Suppurating gum,1.—^Bleeding of the gum from the slightest touch, for fifty-six days,*.—Burning pain in the gum at night, always on falling asleep, that wakes him,1.—Tearing in various places in the gum; it is sore and swollen,2.—[320.] A fine tearing in the gums, which were spongy, bleeding, and loosened from the teeth, as also in the roots of the de- nuded teeth, almost all day, and in the morning on rising; sometimes re- 304 MERCURIUS SOLUBILIS. lieved in the evening on smoking tobacco,2.—*The gum was painful when touched and on chewing, especially hard food,9.—Burning-throbbing pain in the gum, which is aggravated in the afternoon, relieved by lying down and disappearing in the night,1.—Itching on the gum,4.— Tongue. "Tongue thickly coated,6.—"Tongue coated white, as if covered with fur, espe- cially in the morning,*.—"Tongue coated white, with whitish swollen gums that bleed when touched,7.—"Swelling of the tongue,1.—^Swelling of the tongue that was coated white,1.—Tongue swollen ; hollow externally ; suppurating,4.—[330.] *Tongue swollen, and so soft on the margin that it showed the imprint of the teeth in scallops, which looked ulcerated,4.— "Tongue greatly swollen, coated white,1.—"Great swelling of the tongue,*.— The anterior half of the tongue was so hard that it made a sound when struck with the finger-nail, and was quite dry,4.—A fissure lengthwise on the tongue, in which there is sticking as with pins,1.—Tongue insensible and fuzzy,4.—Pain like needle-stitches in the tip of the tongue,1.—The tongue was sore and stiff, at the right side of the hyoid bone (sixth day),8. —The tongue was very sensitive to the open air, which caused a strange feeling,4.—The tongue is painful with burning pain, as if cracked,1.—[340.] "Extremely painful, ulcerated margin of the swollen, tongue,1.—Very rough tongue,4.—Crawling on the tongue,1.—General 3Iouth. A bluish color of the mouth internally, especially of the inside of the cheeks,4.— A whitish-blue spot on the inner surface of the lips,4.—"Orifice of the excre- tory duct of the salivary gland between the last teeth, swollen, white, ulcerated, and extremely painful1.—0.013 repeated from day to day produce mercurial stomatitis, with superficial or deep ulcerations, ribbon-like ulcers on the borders of the tongue in the form of a half moon, erosions on the free edge of the gums, and small cryptiform losses of substance on the cheeks; the lighter manifestations appear on the third and fourth day, the severer ones up to the ninth day,17.—The mouth began to be affected, and as well- marked an instance of mercurial stomatitis, with loosening of the teeth, purple margins of the gums, salivation, and fetor set in, as I have ever witnessed (after two days),11.!—*Aphthae in the mouth,1.—"A kind of aphtha, in the mouth*.—[350.] *Blisters in the mouth,4.—Round, elevated, white blisters on the inner surface of the cheeks, from which the skin was loosened, with burning pain,6.—Ulcers and sores in the mouth, with violent burning-biting pain, especially in the evening,4.—Ulceration of the cheek, internally,1.—Painful ulcers on the inner surface of the lower lip, opposite the incisors,1.—* Very offensive odor from the mouth, more noticed by others at a distance than by the patient himself*.—Constant dryness of the mouth,1.— "Dryness of the palate, as if caused by heat,1.—*Pain and swelling of the salivary glands,1.—Burning in the mouth, at night,1.—[360.] Stitches in the palate posteriorly,1.—"The whole mouth was sore,9.—Roughness of the hard palate, with biting soreness when touched with the tongue, as if the palate were sore,7.—Saliva. "Much ecptysis*.—* Constant ecptysis,9.— "Accumulation of soapy saliva that was often rather slimy and drawn out in long strings,6.—Accumulation of very acrid saliva,2.—Discharge of very slimy saliva,9.—Discharge of profuse, tenacious, offensive saliva, especially at certain hours in the night and evening,1.—Taste. "Sweetish taste in the mouth,6.—[370.] *Sweetish taste in the mouth, and an illusive sensation as f She was so susceptible of the action of Mercury that she had once been sali- vated by sleeping in the same bed as her daughter, when under a course of Mercury. —J. R. R. MERCURIUS SOLUBILIS. 305 if the body were made up of sweets,1.—Sweetish taste on the tip of the tongue,8. — Sweetness in the throat, together with qualmishness,1.—"Slimy taste in the mouth,1.—"Bad taste in the mouth, mostly in the morning,4.—Foul, very disagreeable taste in the throat,1.—A feculent, putrid taste in the mouth, and a salty taste to the saliva,1.—Sourish taste in the mouth,4.—Sour taste in the mouth, in the morning, fasting, that disappears after eating,1.—Sour taste in the mouth, during and between meals,4.—[380.] Bitterness in the mouth, in the morning,1.—Bitterness on the lips and tongue, during and between meals,4.—Food does not taste bitter, but there is bitterness in the mouth before and after it,1.—Bitterness in the mouth, especially between the meals, and when she has eaten and drunk nothing,1.—Special bitterness in the mouth, after drinking coffee,1.—Constant bitterness in the mouth, with sour eructations from bread,1.—Great bitterness in the mouth, in the morning,1.—Metallic taste in the mouth, almost causing vomiting,6.—0.015 Merc sol. produces in the course of a quarter of an hour a clear metallic taste on the tongue, and somewhat increased secretion of saliva 0.025 pro- duces it in a shorter time and more severely ; smaller doses are perceived by only very sensitive subjects,17.—"Salty taste in the mouth,1.—[390.] Salty taste on the tongue for several days,*.—* Very salty taste on the lips*.—Taste as of matter in the throat,1.—"Taste as of bad eggs in the mouth, as soon as he moves the tongue, and then involuntary swallowing,1.—The tasteless black oxide began to have an indescribable taste, then a remarkably offensive (metallic, earthy, clayey, soapy, decayed, sourish taste), and at last became intolerable,1.—Taste of the food not nauseating, yet as in intermittent fever,1.—Slimy and salty taste to all food aud drink, even water,4.—*Bread tastes sweet,4.—Rye bread has a bitter taste,4.—Butter has a disagreeable taste,1.—[400.] Hop beer has a sour taste,1.—Loss of taste of all food, with loss of appetite,1.—Speech. Loss of speech and consciousness for twelve hours,4.—Loss of speech and voice; she heard everything, but could answer only by signs and gestures, and though at the same time she desired to make the vocal organs act, yet she was unable to utter a single letter; she made not the slightest sound ; with sunken face and weeping about her condition ; she could not sleep and felt very weak; yet she desired all kinds of food and then beer; stool aud urine natural,4.f Throat.—Objective. Much mucus passed through the posterior nares into the throat; he was obliged to hawk it up,1.—Blood rises into the throat and comes out of the mouth, without vomiting or cough,4.—Sub- jective. *Throat constantly dry; it hurt as if too tight posteriorly; a pressure in it if he swallowed, yet he was constantly obliged to swallow, because the mouth was always full of water,1.—The forepart of the throat was very slimy and the posterior part very dry,1.—A sensation as if some- thing were in the throat which he must swallow,9.—A sensation as of a worm rising into the throat, so that he was constantly obliged to swallow; it disappeared, without, however, a feeling of anything gliding down- ward,4.—[410.] "Heat rises to the throat*.—* Great heat rises to the throat,1.— A glowing hot vapor rises from the abdomen into the throat after a mod- erate meal, whereby the throat is constantly painful, causing violent thirst,1. —Pain in the throat on swallowing, with hoarseness,4.—"Pain in the throat, as from dryness,1.—Pain in the back of the throat, as from excessive dry- f This condition lasted three days, but was almost completely removed by Hyos- cyamus; so that on the fourth day she could speak anything with a natural voice, though not without difficulty.—Hahnemann. vol. vi.—20 306 MERCURIUS SOLUBILIS. ness,1.—"Pain in the throat, as if an apple-core were sticking in it,1.—Pain in the throat like a pressure,1.—*Stitches posteriorly in the throat, that even penetrate to the ear, on swallowing,1.—*Sore throat; a sensation as if some- thing were sticking in the throat,1.—[420.] Dry sore throat, with wheezing at the chest (after fifth to sixth day),15.—Fine sticking sore throat, as if a needle were sticking in the pharynx,1.— Uvula and Tonsils. Great elongation and swelling of the uvula,4.—*Suppuration of the tonsils, with sharp sticking pain in the fauces when swallowing,1.—"Sticking pain in the tonsils on swallowing,1.—Pharynx and (Esophagus. "Such dry- ness in the pharynx that he was constantly obliged to swallow,1.—A sensation of soreness in the pharynx, in the right side of the throat, even when not swallowing,1.—Constant pressive pain in the oesophagus, in the region of the larynx, more violent while eating, causing a sensation as if she was obliged to swallow over a piece of raw flesh, with burning pain there,5.— A paroxysmal pressive pain in the oesophagus, as if an ulcer would form,1. —Swallowing. Difficult swallowing; she could force things down only with great difficulty, and strong pressure,6.—[430.] "She is unable to swal- low liquid below the region of the larynx; it returns through the nose?.—Ex- ternul Throat. Swelling and buruing-pressing pain in the (right) par- otid gland, disappearing in the cold and returning in the warmth ; if he applies wool to it he is constantly inclined to cough,1.—Pain beneath the lower jaw,1.—On blowing the nose, pain in the side of the neck; also in- ternally in the pharynx a pressive and swollen sensation,9.—Pain in the cervical and parotid glands ; the jaws are swollen, and cannot be moved on account of the pain,1.—Sticking pain in the cervical glands,1. Stomach.—Appetite. Excessive appetite and hunger, wherewith he could eat scarcely anything, because everything was tasteless ; without having any bad taste,4.—Appetite less, but much hunger,1.—"Ravenous hunger; she feels that it is not a genuine hunger (after one hour),4.—Very transient ravenous hunger, soon after a full meal (immediately),4.—[440.] Wild ravenous hunger (after half an hour aud one hour),4.—Constant greediness, wherewith he constantly becomes weaker,4.—Loss of appetite, especially in the morning,9.—"Complete loss of appetite,1.—No longing for food, but when set before him it is relished,1.—He is immediately satisfied if he eats only a few morsels,1.—The smell of food is more agreeable than eating,1.—No desire for warm food, only for cold, *bread and butter, etc.,1. —Aversion to sweets,1.—Sensation as if he had eaten something sweet that caused aversion and consequent nausea,1.—[450.] Aversion to meat, aud afterwards vomiting,4.—Extreme aversion to meat,1.—Aversion to beef; does not relish it,1.—"Aversion to butter,1.—Aversion to coffee,1.—"No desire for wine or brandy, to which he was }>reviously accustomed,9.—Til irst. Greater desire to drink than to eat,1.—He has no desire for dry food, but takes liquids willingly,9.—Greater thirst than hunger, with constant chilliness,1. —He constantly wished to drink,4.—[460.] Thirst during the day,1.— "Much thirst*.—"Much thirst day and night*.—^Extremely violent thirst,4. —Thirst for water (towards evening),4.—Thirst for cold drinks, especially fresh water,7.—Very great thirst for ice-cold water,4.—Eructation and Hiccough. Eructations soon after dinner, with offensive exhalation from the mouth,4.—Eructations not loud,4.—Constant eructations of air,1.—[470.] Eructations while eating, so that the eructated liquid comes into the mouth (ninth day),8.—Eructations frequently, without taste, at times with a sour taste,1.—Eructations of a bitter taste and offensive odor,1.—Eructations of bitter water,1.—Bilious eructations, in the afternoon,1.—Eructations as of MERCURIUS SOLUBILIS. 307 freshly baked bread,1.—Hiccough like eructations during dinner (ninth day),8.—Gulpings after eating aud drinking,1.—At times a liquid, acrid like brandy, not like an acid, rises into the throat,1.—Hiccough,4.—[480.] Fre- quent hiccough,7.—Frequent hiccough, especially in the forenoon,1.—Violent hiccough after eating,1.—Hiccough was very distressing and painful, as if he had been burnt low down in the throat, or had swallowed boiling oil,1. —Heartburn. Heartburn,1.—A rancid scraping heartburn after a simple supper (first day),8.—Nausea and Vomiting. Nausea,3; aggravated after eating,1.—He became nauseated, and had many eructa- tions, with diarrhoea,1.—Nausea, quite high up in the throat and not in the stomach, so that he was unable to vomit (especially after eating),1.—• Nausea in the epigastric region (immediately), and afterwards a bruised pain in the right side just above the hip, which is aggravated by motion and touch,4.—[490.] Nausea in the pit of the stomach, followed by eruc- tation ; the eructation at times takes away the breath,5.—Nausea and shiv- ering all day,1.—He was so nauseated and qualmish that hearing and sight vanished,1.—Great nausea in the chest, where he feels a cutting pressure; he feels as if he would vomit, and has no rest in any position, because great anxiety drives him hither and thither,2.—The usual smoking causes qualm- ish nausea in the chest, at times extending from the pit of the stomach to the pit of the throat, with pressure and cutting,2.—Constant qualmish nausea, with pressive cutting in the chest and dull stitches here and there (towards the sides of the chest); cutting in the abdomen and cutting pressure in the pit of the stomach,2.— Qualmishness in the morning, heaviness of the lower extremities, weakness and sleepiness,1.—Qualmish- ness immediately after eating, with perfectly good appetite and taste,1. —Qualmishness, bordering upon nausea, while urinating,1.— Qualmish- ness, accompanied with vertigo obscuring vision, and flushing heat,1.— [500.] Inclination to vomit while coughing,1.—"Much water collects in the mouth at 1 a.m., together with nausea, that wakes her and obliges her to vomit; a very bitter substance is expelled*.—Violent bitter vomiting of mucus,4.— Stomach. On bending forward, digestion is immediately impeded,1.— Violent pain in the stomach, as after violent vomiting,1.—Burning, extend- ing at first towards the oesophagus, afterwards in the abdomen,1.—Burning pain in the pit of the stomach (immediately),1.—The stomach is full and constricted,1.—Fulness and tension in the pit of the stomach, restricting respiration, with diminished appetite,1.—Griping in the pit of the stomach, followed by a soft stool, and afterwards still griping and rumbling in the abdomen, in the evening,1.—[510.] He is uuable to tolerate the most easily digestible food; even a little bread lies in the stomach and drags it down- ward, though he is very hungry; if he eats a little more he becomes ill- humored, so that he can scarcely endure it,1.—If one eats a little, the stomach is drawn down for two hours and there is a kind of cramp in it,1. —A pressure in the pit of the stomach, with nausea, after eating,1.—While sitting, the food lies like a stone in the pit of the stomach, as if collected into a ball,1.—Bread lies heavy on the stomach,1.—A constrictive tearing in the pit of the stomach that afterwards extends into the chest,4.—Acute soreness in the stomach, especially on deep breathing and on touch,1.—A pain like a scarification in the pit of the stomach,1.—Ulcerative pain in the stomach and abdomen.1. Abdomen.—Hypochondria. A pushing, pressing-out pain in the region of the liver,1.—[520.] * Violent stitches in the hepatic region, on ac- count of which he could not breathe nor eructate1.—He feels the violent beat- ing of an artery; it can be seen through the clothes, on the right side near 308 MERCURIUS SOLUBILIS. to and on a line with the pit of the stomach,2.— Umbilical and Sides. Burning about the umbilicus,4.—A deeply seated tensive pain above the umbilicus, relieved by eating,4.—A painful pressure on the right side of the abdomen, even in the morning in bed,1.—General Abdomen. "Dis- tension of the abdomen,1.—"Painful inflation of abdomen,1*.—" Abdomen hard, distended,4.—Rumbling in the abdomen always after drinking,1.—Rum- bling and gurgling in the abdomen previous to every stool (second day),6. —[530.] Frequent emission of flatus,1.—Profuse emission of flatus,7.—In- describable pains in the abdomeu, disappearing only while lying,1.—While walking in the open air, a sensation in the abdomen as though he had taken cold,1.—A sensation in the intestines as if they were too loose; while walking they were shaken, as if they had no firmness,1.—Pain in the abdo- men as if the intestines were relaxed, while walking,1.—Burning in the abdomen,4.—Tormented by flatulence for an hour in the evening before lying down in bed, and always on passing urine; the abdomen is very much distended, followed by emission of odorless flatus,5.—Griping in the abdomen,1.—Griping in the abdomen woke her at midnight, two nights in succession, and lasted an hour,4.—[540.] At first redness and heat of the cheeks, followed by burning-griping pains in the upper abdomen,1.—Much dragging, anxiety, and trembling in the whole abdomen before the diar- rhcea-like stool; after the stool bitter scraping eructations and some heart- burn,1.—Pressure in the abdomen (immediately),1.—"Pressure in the abdo- men, as from a stone,1.—* Violent pressure in the right side of the abdomen, as if the intestines would be twisted out,1.—Pressive pain in the abdomen, rising to the throat, as if a crust of bread were scraping in the pharynx, and as if heartburn and eructations would occur,1.—Twisting and cutting about the abdomen, with a sensation of qualmishness,1.—Cutting in the abdomen on urinating,4.—Cutting or rather tearing in the abdomen, which was externally cold to touch, at night,1.—Cutting pain in the upper abdo- men,1.—[550.] "Colic, as from taking cold,1.—Colic and much loud emis- sion of flatus,4.—He is attacked with colic if he takes hold of anything cold (for example, a piece of cold wood),4.—"He cannot sleep on the right side, for the intestines are sore as if pressed,1.—A bubbling in the abdomen, or abdominal muscles, rhythmical with the pulse, after eating,1.—Rumbling sensation in the bowels,14.—Hypogastrium and Iliac Regions. Pressive-tensive pain iu the lower abdomen ; aggravated by pressing on it, disappearing on expiration ; while walking it becomes worse, especially on ascending steps, it becomes a kind of cutting pain,3.—Painful contraction in the lower abdomen,4.—A sensation in the lower abdomen, just above the genitals, as if something very heavy pressed downward towards the geni- tals, for forty-eight hours; with pulling pains in both thighs, as if the muscles and tendons were too short,4.—Shooting diarrhceic feeling in lower bowels,13.—[560.] Cutting in the lower abdomen in the evening, with pres- sive pain in the upper abdomen, which compels him to loosen the clothes about that region (after twenty-four hours),1.—A boring stitch vertically from the middle of the lower abdomen out through the anus,3.—Cutting stitches, as with a knife, very low down in the lower abdomen, from the right to the left side, worse while walking than while sitting and standing; together with a painful straining for stool, without the slightest discharge, lasting four days,4.—*Swelling of the inguinal glands, with circumscribed redness, not very painful, except on pressure and long walking,1.—* The in- guinal glands become swollen, red, and inflamed, and painful when touched and on much walking1.—"Swelling of the inguinal glands (bubo), at first with cir- MERCURIUS SOLUBILIS. 309 cumscribed redness, painfid on walking and on pressure, then red, elevated, and inflamed; he could neither stand nor walk without great pain; was obliged to lie down,1.—"Bubo*.—Tension in the left inguinal region,5.—Pain as from swelling of the inguinal glands (first day),8.—Drawing pain in the groins and testicles,1.—[570.] "Pressive-boring pain in the right groin, while lying and walking (after twelve hours),3.—Pressive pain in the left groin (after thirty hours),3.—Pressive paiu in the inguinal glands from time to time,1.—Stitches in Poupart's ligament (and heels), towards evening,1.— Pain like needle-stitches iu the right groin, on the ilium,3.—Acute stitches in the left groin, aggravated by inspiration,2.—Acute, rhythmical, sharp stitches in the anterior inferior spine of the left ilium (after twenty-four hours),2.—Violent, large knife-like stitches in the right inguinal region, which always made him start up,4.—Crawling in the inguinal glands,1 Feetum and Anus.—Objective. A hsemorrhoid protrudes, and is painful during stool; also, sticking when touched,1.—[580.] Discharge of blood from the rectum, while urinating,4.—Ascarides crawl out of the rectum (after half an hour),4.—Subjective. Burning in the anus,1.— Burning in the anus always after a stool,1.—"Burning pain in the anus with soft stools,1.—Sensation of griping iu the anus, as in diarrhoea, with each emission of flatus,7.—Sharp stitches in the anus, that make him start,2. —Soreness of the anus (tenth day),8.—Itching in the anus, as from thread- worms,1.—Boring stitch in the perineum, while walking and sitting,3.— Urging. [590.] Ineffectual desire for stool, in the morning,1.—"Ineffec- tual pressure to stool, with protruding haemorrhoids, which are painfully sore,1. —^Ineffectual urging to stool every moment, with tenesmus in the rec- tum,4.—Much urging, that often drives him suddenly to stool,1.—Anxious dragging to stool, always preceded aud accompanied by nausea and pres- sure in the temples,1. Stool.—Fiarrhwa. Diarrhoea, in evening, at night,4.—Diarrhoea, with much wretchedness and dejection of spirits12.—Burning diarrhoea,1.— "Diarrhoea, with cutting and pressure in rectum1.—*Green diarrhoea, with violent griping and cutting9.—[600.] *Diarrhcea of green mucus, with burning and protusion of the anus,1.—"Diarrhoea, with streaks of blood*.— Diarrhoea, with much blood, for several days, followed by a hard stool with blood,4.—"The evening air causes colic and diarrhoea1.—He is frequently unable to evacuate the stool quickly enough ; if he neglects, it passes in- voluntarily, though only pasty,4.—Yellow diarrhoea-like stools, without sensation, twice daily for several days,4.—"During the day, several burning- biting stools, causing distress in the anus, but without much being evacuated,6. —Stool, after griping and twisting in the abdomen (tenth day),8.—Stool, after some cutting colic (second day),8.—"Soft, brownish, easy stool, which floats on the water,1.—[610.] Pasty stool, with mucus,4.—* Whitish-gray stool*. —Stool sulphur-yellow,4.—* Green, slimy, acrid stools, that excoriate the anus,1. —Stool dark-green, bilious, frothy,1.—Stools of dark-green mucus, preceded by pressure as from a ball in the rectum,1.—Red slimy stool (after a few hours),1.—Stool of a sour odor,1.—"Bloody stools, with a painful acrid sen- sation in the anus,1.—"Small evacuations of blood, with colic and tenesmus,1.— [620.] Tenacious stool,1.—"Much dragging to stool, with a scanty evacuation (third day),8.—"Constant desire for stool, but only a little is evacuated, with a griping in the abdomen,9.—Stool evacuated in small pieces like sheep-duug,1. —Hard stool,4.—Evacuation of a few hard fseces, with pressure (twenty- fourth day),7.—Frequent urging to stool, followed by an evacuation of a few large hard fseces, with great exertion, at long intervals,2.—Discharge 310 MERCURIUS SOLUBILIS. of mucus with the stool, with but little fseces, four or five times,4.—Dis- charge of blood after an evacuation of fseces,4.—Discharge of clotted blood, mixed with the fceces, but without any straining (after five to six days),15.— [630.] Mucus and blood on the fseces, which, however, were not hard,4.— "Evacuation of several large roundworms*.—Constipation. "Constipa- tion, with catarrhal fever for several days, hypochondriac prostration, and aversion to all food, except beer,1.—Stool only at night,4.—Stool only once every three days (after fourteen days),6.—Very hard stool, which could not be evacuated for a long time, with excessive pains iu the anus,4. Urinary Organs.— Urethra. "Swelling of the forepart of the ure- thra, with suppuration between the glans and prepuce, which is red and hot to touch, and very painful when walking and on touching; together with a raging pain in the forehead, and a rough itchlike eruption on the hands, espe- cially in the region of the first joint of the thumb, more on the upper surface, itching very much at night*. — Gonorrhoea,1.— *Greenish painless gonor- rhoea, especially at night,1.—Discharge of blood from the urethra,4.— [640.] *Burning in the urethra, when not urinating?.—"Burning in the urethra, on commencing to urinate,*.—"Burning while urinating,1*.—While urinating, at first a burning, then a biting pain,1.—Burning in the (male urethra) during coition (seventh day),8.—Cutting when beginning to uri- nate (tenth day),8.—Cutting during micturition, in the morning (eighth day),8.—Biting-cutting pain in the whole urethra, while urinating, espe- cially towards the end, even to the last drops ; therewith he cannot urinate quickly enough, and some passes involuntarily,4.—A dull sticking in the urethra (after a few times),1.—A drawing sticking in the urethra, when not urinating,1.—[650.] Stitches in the forepart of the urethra, when not urin- ating,1.—Stitches in the urethra, extending towards the abdomen, towards evening,1.—Biting in the female urethra, while urinating,4.—A throbbing rather than a sticking in the urethra,1.—Bubbling, like a sticking, in the urethra,1.—3Ilcturition. "Frequentpressure to urinate (after a nocturnal emission),1.—"Frequent urging to urinate, with scanty discharge (after two hours),7.—"Urging to urinate, so that he was obliged to urinate at least every hour, day and night, with a violent burning in the urethra on beginning to urinate,*.—^Constant desire to urinate; indeed, every ten minutes ; but only a little passed,1.—Constant urging to urinate, but none passes,4.— [660.] She was obliged to rise three times at night to urinate, and passed much urine each time,1.—She was obliged to rise to urinate, at 4 a.m.,1.— He woke every night about 4 o'clock, and was obliged to urinate,1.—* When he feels a desire to urinate he is obliged to hurry, otherwise he cannot retain it,1*.— Pressure after micturition,1.— Frequent micturition, even several times at night,1.—"Frequent and profuse micturition (third day),8.—"Mictu- rition excessive, much too frequent*.—"Much too frequent micturition, with burning-biting pain*.—"Far more urine was passed than water had been drunk*.—[670.] He passes very little urine, and it seems to be mixed with blood,1.—Unusually weak stream of urine,4.— Urine. Urine passed at first clear, but afterwards white, as if mixed with chalk, and soon followed by pain ; a burning sensation in the urethra after even touching the penis,1. —* Urine reddish, becoming thick on standing, and causing cutting when passed,1.—Red and brown urine,4.—Urine fiery red ; seldom discharged,1.— Urine dark-red, seeming to be mixed with blood,1.—Brownish-red urine,4.— * Urine dark*.—* Very dark urine for several weeks,8.—[680.] The urine has a sour odor,1.—Urine acrid,4.—Urine with a flocculent white cloud,1.— * Urine extremely turbid, immediately on passing, and depositing a sediment,1. MERCURIUS SOLUBILIS. 311 —The urine looks as if mixed with meal, with a thick sediment,1.—Large pieces of white fibres and flakes pass after the urine, without pain,1.— Pieces of hardened mucus, like pieces of flesh, pass with the urine,1. Sexual Organs.—3Iale. "Swelling of the prepuce and inflamed red- ness of its inner surface, with painful sensitiveness,1.—Swelling of the pre- puce, with burning, biting, and redness; tearing and smarting on its inner surface, but externally a red fine eruption,4.—* Great swelling of the prepuce, as if it were distended with air or water to a blister*.—[690.] Inflammation of the prepuce, with burning pains in it,4.—* Vesicles on the forepart and sides of the glans penis; they eat deeply in and spread; several small white blisters, which also ooze fluid but soon disappear6.—The glans penis is very cold and shrivelled (after three hours),1.—Incomplete erections, with tension of the pubic region, seeming to be caused by much flatulence,5.—Painful erecr tions,1.—Falling asleep (deadness) of the penis, lasting a quarter of an hour,4.—Burning about the glans penis, in the evening, followed by blisters ou the inner surface of the prepuce, which become ulcers (soon healing of themselves),1.—Tearing-sticking pain in the forepart of the glans penis, extending through the whole penis back to the anus, also at times in the groins,5.—Itching sticking in the glans penis, if it is pressed,1.—Itching sticking in the glans penis, after urinating,1.—[700.] Spasmodic tearing pain beginning between the testicles, extending into the penis, and causing decided itching inthe ulcers,5.—Soreness between the genitals and thighs,1. —A crawling on the frseuum of the glands, and on the scrotum,1.—Itching on the glans penis,1.—Voluptuous itching on and in the prepuce, compel- ling scratching,7.—Voluptuous tickling itching on the forepart of the glans penis, provoking scratching (after nine hours),7.—Sticking itching on the frsenum preputii,4.—Crawling itching on the glans penis,3.—Violent stitches in the scrotum,1.—A drawing in the spermatic cord, paroxysmal,1.—[710.] "Feeling of coldness in the testicles, in the afternoon and evening, for fourteen days*.—A pressive drawing in the testicles, though a drawing rather than a pressure,1.—Drawing pain in the testicles and groins,1.—The swollen tes- ticles are sensitive to air, not painful, before the emission of flatus,5.— Emission, without a voluptuous dream,7.—Emission during the midday nap, followed by buruing pain in the orifice of the urethra while urinating,1.— Nightly emission,1.—Nightly emission mixed with blood,1.— Female. In- ternal inflamed swelling of the vagina, as if it were raw and sore,1.—Great prolapsus of the vagina,4.—[720.] Nodes on the labia.4.—Coition unusually easy, with certain receptivity and conception,4.—Discharge of flakes of mucus and pus as large as hazelnuts from the vagina,4.—Leucorrhoea, w*ith a biting sensation,1.—"Leucorrhoea, especially from 8 to 10 p.m. ; it does not drop, looks greenish, and causes a biting in the forepart of the genitals, so that she is obliged to scratch much, especially in the evening and night, with violent burning after scratching,4.—Bland leucorrhoea,4.— "Corrosive leucorrhoea,1.—Purulent leucorrhoea,1.—Pressure in the genitals, whereupon she was obliged to urinate much,1.—Menstruation too profuse, accompanied by colic,1.—[730.] Menorrhagia for three weeks,4.—Discharge of blood renewed six days after menstruation,4.—Discharge of blood from an old woman whose menstruation had ceased eleven years before,4.— Menses suppressed,4. Fespiratory Organs.—Cough and Expectoration. (Cough wakes him about 2 or 3 a.m.),1.—* Violent cough, for several nights, caused by an irritation which seemed to come from the stomach ; it occurred while awake and during sleep, but did not oblige him to rise,1.—Hacking cough,1. 312 MERCURIUS SOLUBILIS. —Most violent racking paroxysm of cough every other evening, as he was about to fall asleep; it seemed as though the chest and head would burst, lasting half an hour; the cough was followed by excessive stretching,1.— "Dry cough*.—"Cough which sounds and feels as if everything in the chest were dry; with pain in the chest and small of the back*.—[740.] "Short, dry, fatiguing cough, caused by tickling beneath the upper portion of the chest, which was especially excited by talking, so that scarcely a word could be uttered,1.—Cough, with expectoration of blood,4.—Cough, with expectora- tion,*.—"Salty expectoration,*.—Expectoration of bitter, tenacious mucus,1. —Bloody expectoration, while working,4.—Bloody expectoration, while walking in the open air,4.—He expectorated over a pound of blood in three hours, while lying down in the forenoon,4.—Respiration. Wheezing at the chest, with dry sore throat (after five to six days),15.—Difficult respira- tion, as from want of air, in the morning,4.—[750.] "Shortness of breath; suffocation1.—"Shortness of breath on going upstairs,1.—Shortness of breath, while walking, as if he could not inspire sufficient air,1.—While coughing, it seemed as though he would lose his breath,1.—Dyspnoea after eating,4.— If he lay upon the left side in bed (in the evening) he was attacked with dyspnoea, and was obliged to breathe very deeply, when, however, he ex- perienced an intolerable pain in the left inguinal region,2. Chest.—Twitching in the right pectoral muscles (after twenty-four hours),3.—Anxiety about the chest, a kind of dyspnoea,9.—Burning sensa- tion in the chest, extending up to the throat,4.—Pressure in the left chest, that prevents deep inspiration,4.—[760.] A pressure extending from the left side of the pit of the stomach to the thyroid cartilage, where there is a most severe pain, on moderately rapid walking,4.—Pressive pain in the right thorax if he holds his breath, but disappearing during inspiration and expiration,3.—The chest is painful, as if oppressed,4.—Constricting stitches in the upper and anterior portion of the chest, extending through to the back on breathing,1.—Some stitches iu the chest, on stooping,1.— *Stitches in the right chest, on sneezing and coughing,4.—Dull stitches in the right thorax, lasting several minutes, only on expiration, while lying and stooping,3.—"Some sharp stitches (each lasting five minutes) in the chest (in the knee, zygoma, and external condyle of the elbow), generally in the forenoon, and when walking,1.—Five or six sharp stitches in the left chest, when breathing and when not,1.—Frightful tearing in the pectoral muscles, near the left shoulder,2.—[770.] "A sore pain in the chest1.—Pain as from a blow in the upper part of the chest, in the evening,4.—Front. An anx- iety beneath the sternum ; he was obliged to take a deep breath,1.—Tight- ness in the region of the sternum,1.—Tensive pain about the forepart of the chest, impeding respiration (while sitting), lasting several days,7.—A pressive pain in the side of the sternum, that extended through the back, even during rest, but worse while walking, in the evening; afterwards the spot was painful as if bruised,1.—*A stitch inthe anterior and upper por- tion of the chest, extending through to the back, only on sneezing and coughing, not when breathing; it constricts the chest,1.—Violent bruised pain across the forepart of the chest; he did not know how he should sit or move in order to be free from it,7.—Sides. Burning in the left side below the last rib,4.—A painful sensation, as from a swelling, in the left side beneath the last ribs,4.—[780.] A pinching and tension in the left side just below the ribs, a sensation that, although not very painful, seems to endanger life; he has great dyspnoea, and he dares not move, for on the slightest motion, for example, of the arm, or on speaking a single word, it seems as MERCURIUS SOLUBILIS. 313 if the soul would leave the body (after one hour),4.—Sticking in the left side,4.—A stitch as if with a knife, in the side beneath the left short ribs, on every inspiration,2.—Bruised pain in the left side of the chest, when touched,4.—3Iamma\ "Unnatural swelling of the female mammae, espe- cially of the nipples, which were also harder than usual,*.—Pain in both mammse,4.—A jerklike griping beneath the mammse, after eating,4.—Peri- odic pain in the mammse, as if there would be a suppuration,4. Heart and Pulse.—Heart's Action. Palpitation,1.— Palpi- tation on walking,1.—[790.] Pulse. Rapid, violent beating of every pulse,1.—Double rapidity of the pulse,1.—Pulse slow, weak,7. Neck and Back.—Neck. Neck swollen and so stiff that he could hardly turn it,6.—Stiffness in the nape of the neck, and sticking in it on moving it,4.—Painful stiffness of the neck, so that he was unable to turn the head, with a feeling of heaviness in it,4.—Rheumatism in the nape of the neck, like a pressure, even during rest; mostly on bending the head backward,1.—Fack. Burning hot sensation all over the back,4.—Fine and coarse stitches in the muscles of the back, while walking,4.—"Pain in the back as if bruised,1 *.—[800.] Bruised pain on the left side of the back, as from much stooping, on motion, especially in the open air, for several days,7.—For sal. Violent pain between the shoulders at the point where the neck joins the back, on turning the head, or if when lying he turns the rest of the body; if he raises up somewhat, it becomes so violent that he has to clench his teeth,4.—Burning between the shoulders extending down the back,1.—A pinching pain in the scapula, on motion, after midnight in bed,1.—Twitching in the right scapula,3.—Sharp needle-like stitches in the spine between the scapulae,2.—Tearing in the scapulae,1.—Bruised pain with sticking and tension in the left scapula, so violent on turning the head that he cried and screamed (in the morning, immediately after waking\4.— A painless throbbing in the scapula that ends iu a trembling,1.— Lumbar. Pain in the small of the back, relieved while sitting,1.—[810.] Griping in the small of the back, especially when standing, relieved by walking,14.— Sticking pain in the small of the back and thighs, with unsteadiness in the small of the back, knees, and feet,4.—* Sticking in the small of the back, on breathing as usual (after one hour),4.—A cutting tearing above the region of the left kidney,2.—"Pain in the small of the back, as if bruised1.— Bruised pain in the small of the back, especially while sitting (for several days),7.—Sacral. Fine stitches on the right side of the sacrum, near the false spinal processes,2.—Tearing pain in the coccyx, relieved by pressure upon the abdomen,4.—Pain in the sacrum, as from a hard uncomfortable bed,1.—Sharp stitches posteriorly on the right ilium (after two hours),2. Extremities in General.—Objective. [820.] Trembling of all the limbs, after a chill,1.—"Involuntary jerking in the limbs*.—Constant uneasiness of all the limbs in the evening, as if there were a jerking in them, as after a long walk; he cannot keep them still,1.—(Cracking of all the joints),1.—Rigidity of all the limbs, so that he could not raise them in the slightest degree for hours, though they could easily be moved by others,4. —^Weakness and weariness in all the limbs,4.—Subjective. Goutlike pain in the joints with swelling of them,1.—Drawing pains in the limbs, especially at night,1.—"Drawing and tearing in all his limbs,1.—All the limbs are painful, as if dislocated, more while sitting,1.—[830.] Almost uninterrupted pain in the joints, as from a dislocation, consisting of a com- pression and crushing, which did not allow him to remain quiet in any place, so that while sitting and lying he moved the limbs and was obliged 314 MERCURIUS SOLUBILIS. to turn and twist in every direction,1.—Tearing here and there in the limbs, more in the muscles, very greatly aggravated by pressure,2.—"Tearing and jerking here and there in the limbs,9.—Soreness about the nails of the fingers and t >es, with itching,4.—Bruised sensation in the limbs, weakness in the thighs,1.—Attacks of painless throbbing in the joints,1. Sui»erlor Extremities,—Objective. The right arm was shaken and thrown about, all night,4.—Jerking of all the muscles of the right arm,8.—Crackiug in the shoulder and elbow-joints,1.—Subjective. The right arm and hand seem asleep, relieved by motion,4.—[840.] The left arm seems heavy on raising it high up, and pains as if sprained,4.—Cannot let the arm lie long in any place, there arises an intolerant weary pain in it; he is obliged to alternately flex and extend it, though it is better when extended,1.—Tearing on inner surface of right arm,2.—Shoulder. Tear- ing in the right shoulder-joint, bones of the upper arm, and in the wrists (in the knee and hip-joints and in the thigh-bones),1.—The left shoulder was decidedly higher than the right, without, however, any increase of size of the side, with pain in it, that even woke him from sleep, especially felt on motion,4.—The shoulders and upper arm seem to be asleep, in the morn- ing, in bed,4.—Burning pain on the right shoulder up to the nape of the neck, while sitting,4.—Pain in the shoulders like a pressing down,1.— Frightful stitches in the shoulder-joint, in the evening,1.—Jerking rather than throbbing in the shoulder-joints once every quarter of an hour,1.— A I'm. [850.] Crushing pain in the humeri,1.—A jerking tearing in both upper arms; afterwards the flesh was sore to touch,1.—Elbow. Large red, hot swelling on the left elbow, extending down to the hand, with ex- treme burning and tearing, also with a pain as from the crawling of ants (after six hours),4.—Burning in the elbow-joints,4.—Stitches iu the elbows,4. —Some sharp stitches, each lasting five minutes, in the external condyle of the elbow (also in the zygoma, chest, and external condyle of the knee), more in the forenoon and while walking,1.—Slow tearing stitch in the elbow-joint,1.—Tearing in the elbow-joints,1,—Forearm. Pain as from fatigue in the bones of the forearms (and tibise), but not when touched,1.— Burning on both arms, so that everything falls from the hands, and he must let the arms sink down,4.—[860.] Dull sticking cramplike pain on the inner portion of the right forearm, iu all positions (after three hours),7. —Dull sticking cramplike pain in the periosteum of the inner side of the right forearm (while walking),7.—Dull sticking cramplike pain in the muscles of the outer portion of the left forearm, iu all positions,7.— Wrist. The left wrist was swollen and painful when tightly seized and on motion,4. —Painful stiffness of the right wrist,4.—Loss of power and paralysis of the left wrist, with cracking and sticking in it,4.—Cracking sticking and power- lessness in the wrist,4.—Attacks of painless throbbing in the wrists,1.— Hand. The hands and fingers easily become rigid while at work, with cramplike pains (seventh day),8.—Considerable swelling of the left hand,4. —[870.] The hands seem stiff and rigid,8.—Pain in the left hand (in the bones) on stretching it out; ou closing it a pressure as if paralyzed and stiff,8. —Tension in the whole hand,4.—Violent cramplike pain in the left hand, especially in the fingers (on moving the hand),7.—A burrowing pain in the ball of the right hand on the outer side below the little finger ; worse during rest,3.—Drawing paiu in the hands, with coldness of fingers,4.— Fingers. Painful swelling of the first knuckles of the fingers,4.—"Scaling off and exfoli- ation of the finger-nails*.—Cramplike contraction of the fingers and hands; they become flexed,1.—"The fingers of both hands become flexed, especially MERCURIUS SOLUBILIS. 315 the thumb, so that it is completely drawn inward, as in epilepsy; without assist- ance he is unable, with great exertion, to open the fingers farther than about two-thirds; with trembling of the hands,4.—[880.] The thumb becomes drawn to the index finger (of the left hand, which, while sitting, in the afternoon was held horizontally); the thumb and index finger remained tightly compressed together for several minutes, as by a violent cramp ; to- gether with fine sticking in the thumb; afterwards the thumb moved in- voluntarily from the index finger, from which before it could not be sepa- rated by great force,4.—Painful cramp in the fingers and hands; at first they are extended so that he can hardly flex them, but after flexing them, a cramp firmly draws the fingers inward,1.—Visible jerking iu the tendons of the fingers (toes and tendo Achillis), in the evening, with violent shaking chill that even tossed him into the air,1.—Deadness of the fingers,4.—The fingers fall asleep in the morning, afterwards there is a tickling in them and then a tearing, extending half way up the forearm,4.—Dull sticking cramplike pain in the left index finger,7.—Pressive pain in the middle joint of the middle finger, on flexing it,1.—Tearing here and there in the finger-joints,2.—A burning jerking beneath the thumbnail while writing,1. Inferior Extremities.—Objective. Shining transparent swell- ing of both thighs and legs,4.—[890.] Trembling of the lower extremities while walking,4.—Fine trembling of the lower extremities, while walking, especially worse about the knee and iu the inguinal region,4.—Involuntary jerking of the lower extremities,4.—Involuntary twitching, and a kind of spasmodic adduction of legs and thighs,1*.—The lower extremities were moved forward against his will,4.—"Giving way of the lower extremities*.—Sub- jective. The lower extremities seem stiff on walking,1.—* Weariness and uneasiness in the legs, in the evening,1.—"She could scarcely drag her limbs because they were so heavy*.—Drawing and heaviness in the lower extremi- ties,1.—[900.] Tearing-drawing pain from the heel to the nates, only pos- teriorly, rather more severe at night; he was unable to walk because the knees gave way, and so sank down,4.—Much sticking iu the lower extremity on stepping hard, as if it were too short,1.—Stitches in the thighs and legs on motion,1.—Hip. Sticking in the right hip-joint, while walking,4.— Tearing in the hip-joint (at night?), in the knee aud femur (right shoulder- joint, wrist, and humerus),1.—Thigh. Hard glandular swelling in upper part of left thigh, which afterwards suppurated,1''.—Weariness, with tearing- drawing pain in both thighs, after midnight in bed ; on standing after rising from bed, pain extending from the inguinal region to the knee, as if the flesh on the anterior portion of the thigh had been beaten loose,4.— Great weariness above the knees while walking,1.—Frequent lameness of the thigh as if fallen asleep,1.—Feeling as if the hamstrings were too short,1. —[910.] "Burning in the nates,*.—Tensive pain in the right thigh (while sitting),3.—While dozing at night, without being asleep, violent tensive pain on the posterior portion of the left thigh, in the nates, extending as far as the hollow of the knee (worse along the crease that divides the nates from the thigh), most relieved when lying upon the back with something under the thigh that supported it; when sitting in a chair, she dared not rest upon the posterior portion of the thigh on account of the aggravation of the pain; periodically worse,4.—Cramp in the lower portion of the thigh, just above the hollow of the knee,4.—Cramplike pain in the tendons on the outside of the thigh near the knee (while sitting),7.—Boring pain in the right gluteal muscles (while sitting),3.—Drawing pain in the thigh, extend- ing down the lower leg,1.—A painful dragging-down pressure in the thighs, 316 MERCURIUS SOLUBILIS. situated deeper than the muscles,1.—Stitchlike tearing in the muscles of the right thigh in every position,7.—"Soreness between the thighs and geni- tals,1.—[920.] Pain in the right thigh as if bruised, especially aggravated by taking hold of it or by walking,14.—Pain in the sinews of left thigh, which are sore to the touch,12.—Knee. Weakness in the knees and ankles, worse while standing, as if the tendons had lost their power aud steadi- ness,1.— "Excessive weakness and giving way of the knees,9.— Both knees seem too large and thick, and he feels a jerking in them, lasting thirty-six hours,4.—A simple pain in the right knee, as if it were stiff (first day),8.— A sticking in the kuee-joint, when walking in the open air,1.—Some sharp stitches, each lasting five minutes, in the outer condyle of the knee, not in the joint (also in the zygoma, chest, and outer condyle of the elbow), more in the forenoon while walking,1.—Slow tearing stitch in the right knee while sitting and walking,1.—Tearing in the knee-joint,1.—[930.] The knee-joint is painful, as if broken, while lying,4.—Attacks of painless throb- bing in the knee-joints,1.—leg. Excessive development of one calf,4.— Swelling of both lower legs,4.—Unusually great swelling of one leg,4.— CEdema of both legs and feet,4.—A hard elevation that looks red and shiny, with tensive pain on the right tibia,4.—Long depressions, deep fossse in the calves,4.—Visible twitching of the tendo Achillis and tendons of the toes in the evening, with a violent shaking chill, that tosses him into the air,1.—The calf was spasmodically contracted, and a large knot formed,1. —[940.] A boring pain in the tibia,1.—Drawing pain on the inner side of the left leg above the calf,2.—Spasmodic drawing up of the lower legs; they remained drawn up all night, though he wished to stretch them out,4. —Sensation of stiffness in the left leg, extending into the hollow of the knee,4.—Pain in the tendo Achillis while walking,1.—Painful cramp in the right calf,4.—Dull sticking, cramplike pain, almost like a tearing, in the periosteum of the anterior portion of the left tibia (while standing), (sec- ond day),7.—*^1 drawing pain in the tibiae1.—"Pressing pain in the perios- teum of the right tibia, almost like a cramp (while standing),7.—Sticking in the calves, when walking in the open air,1.—[950.] Stitches from the ex- ternal malleolus to the hollow of the knee,1.—Paroxysmal tearing from the great toe up above the knee,1.—Stitchlike tearing in the muscles of the right leg (while walking in the open air),7.—"Pain in the tibia? (and bones of the forearm), as from fatigue, not on touch,1.—Ankle. Great swelling of the right ankle, with sticking pain in it, especially on walking and in the evening,4.—Pain in the right tarsal joints, as if sprained (fourth day),8. —A painful slow drawing in the ankle, below the external malleolus ; also noticed in the hollow of the foot; when it began it was like a sticking aud griping,1.—Violent pressure beneath the ankle-bones and in the upper part of the bend of the ankle, when walking, so that he is obliged to remain standing,4.—Tearing in the malleoli, extending to the back of the foot, with swelling about it,1.—Foot. Weakness of the feet; they will not be moved; the difficulty is very low down about the tarsal joints,9.—[960] "Swelling of the backs of the feet*.—Dull sticking, cramplike pain in the sole of the right foot, near the heel, noticed only while sitting,7.—Burrowing pain in the sole of the right foot, while standing,7.—Great swelling of the heels, so that he could scarcely step upon the toes, with violent burning and biting in the whole foot; even in bed the pain was so great that he was obliged to rise,4.—Stitches in the heels (and groins), in the evening,1.—Tearing pain in the left heel, like a pain from a sprain (while sitting),7.—Toes. Swelling of all the toes,4.—Swelling of three toes, at one time appearing, MERCURIUS SOLUBILIS. 317 at another disappearing, with pain at night,4.—Cramplike contraction of the toes, at night,1.—Burning pain beneath the left great toe (during rest), (after twenty-five hours),3.—[970.] Boring pain iu the tip of the third toe, during rest and motion,3.—Itching stitch at the roots of the two last left toes (during rest),3. General Symptoms.—Objective. Stretching at night during the frequent wakings,1.—"Paroxysmaltrembling,1.—"Jerkings,*.—"Lassitude, and a feeling as though lead were in the veins, more while sitting,1.— * Weary, especially while sitting, as if all his limbs would fall from him,1.— *Great weariness,1.—While sitting, was not at all weak, but very much so on walking in the least, so that the upper and lower extremities ached very much, as if he had walked a longdistance,1.—Weakness, less while walk- ing than while standing,1.—[980.] * Weakness, with depression of spirits,1.— He became quite weak, tremulous, and dizzy, while washing his feet,8.— "Great weakness; he could scarcely proceed,6.—Is attacked with great weak- ness every afternoon about 5 or 6 o'clock,1.—Great weakness, in the even- ing,1.—Very weak from slight motion,1.—After slight effort, great exhaus- tion, weakness, trembling, sensation of heat (uinth day),8.—*He was very much exhausted after a stool, accompanied by much griping,1.—"Prostra- tion, with an inexpressible sick feeling of body and mind, obliging him to lie down,1.—Paroxysms as if internally prostrated in mind and body,1.—[990.] She rubs the temples and cheeks with both hands, and becomes faint,4.— Faintness, with tolerably good pulse, lasting ten hours,4.—Transient faint- ness that passes into a sleep, lasting five minutes ; previous to the faintness there was a rising of something sweet in the chest,4.—A kind of faintness, during which, however, he was conscious, mostly while lying; wherewith he gasped for breath, with weakness and indolence in all his limbs,4.— Uneasiness; he had no rest in any place; could neither stand nor lie, and seemed delirious, or as though he had committed a great crime,1.—"Towards evening, an uneasiness that did not permit him to remain in any place ; he could not remain sitting two minutes; he was forced to change; also he was unable to remain lying on account of the jerking in the limbs, they became heavy, and he was obliged to rise; also at night he kept constantly rising ; with jerking of the head and throwing about of the arms duriug sleep,1.— He had no rest; was obliged to go hither and thither, and could nowhere remain quiet,4.—"No rest in any place, constantly anxious,6.—"Extreme rest- lessness all night, beginning about 8 p.m., and lasting till morning; at one time he stood up because he had no rest while lying, then he lay down because walking was intolerable, and so he had no rest,9.—An almost irre- sistible desire to take a distant journey,3.—Subjective. [1000.] As soon as she sits down, all parts of the body immediately fall asleep, the thighs and legs, the upper and forearms, together with the hands; also, though in less degree, the abdomen, back, and chest, so that she was scarcely sensible of anything; everything seems numb and dead ; on motion there is crawl- ing in the part moved, like that uoticed on falling asleep of any part,4.— Falling asleep of the head, both arms, and both thighs, while lying down,4. —Feels sick all over, without any pain; is weak, disinclined to everything, and fretful,1.—Inexpressible sensation of internal, intolerable sickness, wherewith he was taciturn, and would not leave the bed,1.—All covering, the clothes and bedcovers, seem too heavy,4.—Cramp in several parts of the body, on motion,1.—All the bones ache while sitting, lying, walking, or standing,4.—Sticking pains in the small of the back and lower extremities, when touched ; he seems to have no steadiness or power in the small of the 318 MERCURIUS SOLUBILIS. back and legs, from the knees to the soles of the feet,4.—"Stitches in the last right rib, and in the inguinal region, with tightness of breath on inspira- tion, while walking in the open air,1.—Very fine short needle-like stitches in several parts of the body, for two or three minutes in the same place, in rapid succession, as if in the bone (after eight hours),1.—[1010.] Tearing in various parts of the body,2.—Tearing pain in the hands, back, sides of the chest, with internal headache,1.—Violent bruised pain over the whole body, especially in the thighs ; it seems as though he had been beaten to a jelly, for several days,1.—"Jerking pain in affected parts1.—Is obliged to lie down in the forenoon, on account of jerking and heaviness in the thighs and excessive perspiration over the whole body and on the face,4.—During the perspiration, in the morning, thirst, nausea, amounting even to vomit- ing, and incessant immoderate palpitation,1.—Yawning and pain in the small of the back, for a quarter of an hour, followed by rigid extension of the upper and lower extremities, with clenched thumbs, followed by weakness,4.—While sitting, low down, there comes a heat in the pit of the stomach, and a blackness before the eyes, disappearing on standing up,1.— The symptoms are more numerous on the left side of the body,4.—The evening air distressed him,1.—[1020.] *As soon as he went to bed in the evening, the pains recommenced and banished sleep,1.—"Just after falling asleep, the pains became more violent, and he awoke,1.—Not weak in the morning, though affected by the slightest walking,1.—"He feels better while walking than while lying or sitting*. Skin.—"Jaundice, with biting itching over the abdomen,1.—Scaling of the backs of the hands,4.—Small cracks on the finger-joints, that ulcerate somewhat,4.—Deep cracks in the hands, like cuts (chapped hands),4.—Deep cracks in the fingers, the bases of which are sore and bleeding,4.—Deep cracklike cuts, in the fingers, especially on the inner side,4.—[1030.] A deep crack like a cut between the thumb and index finger, bleeding and painful,4.—Eruptions, Fry. *Eruption commencing upon the fore- arms and chest, and gradually extending over the whole body (except the face and posterior surface of the upper and lower extremities); it begins as small scattered red spots as large as peas, gradually enlarging in a cir- cular form; these spots gradually run together and become continuous; the color is at first light-red, afterwards either scarlet or bluish-red, darker on the margin and lighter in the centre; as the spots enlarge,the skin in their centre becomes healthy; they are slightly elevated, rough and dry, and covered with small whitish scales, which are continually rubbed off by the clothes, and redevelop, so that in the evening the clothes look as if sprinkled with meal; the tetter is worse in the axillse, bends of the elbows, inguinal regions, and hollows of the knees, burning and paining continually, and when first making their appearance accompanied by some fever; the affected portions of the skin are swollen, red, extremely sensitive to the contact of the clothes; the use of the arms is impeded; sleep wanting or very restless ; itching on the contact of cold air when undressing; itching disappearing in the warmth of the bed ; violent burning after contact, rubbing, washing, or taking wine; the axillary and inguinal glands swollen and painful; in some places, as for example, in the inguinal region, small superficial moist ulcers develop on the tetter, which after some days become covered with yellow scabs, and heal; tearing pains in the joints, especially the elbows and knees, in the evening; on the palms of the hands, small transparent vesicles with- out sensation ; the eruption lasts between two and three months,10.—Erup- tion of red elevated spots, with itching-sticking pain,1.—Swollen spots upon MERCURIUS SOLUBILIS. 319 which gray flat scabs develop, without previous moisture; after these ap- pear, the swelling and pain disappear,4.—Dry, elevated, burning-itching tetter over the whole body, especially on the lower extremities, arms, wrists and hands, even between the fingers,4.—An eruption of small, red, not in- flamed elevated spots, the tips of which become white, scaly, and itch, burning after scratching; on the left arm, especially on the elbow,4.— Eruption of itching rash on the forearm,1.—Nettlerash eruption, which becomes a red spot, after two days,1.—Intolerable itching all over the body, afterwards assuming the appearance of nettlerash (after several doses),16.— Itching eruption on the lower extremities, especially on the inner surface of the thigh,4.—[1040.] A papular eruption, with biting pain when touched, beneath the red of the lower lip and farther towards the corner of the mouth,1.—Pimples on the pudenda,1.—Itching that became pleasant from scratching, on the inner sides of the thighs, after which some pimples ap- peared,4.—A large pimple beneath the skin of the left cheek (tenth day),8. —Eruption of small pimples on the inner side of the thigh,4.—Pimples on the lobule of the ear, from which it was immovable; only at first painful, and lasting four weeks (after thirty-four days),4.—A red pimple on the back of the hand, with a burning sensation on its appearance,1.—A red pimple with a white tip on the nates, with sticking pain,1.—Eruptions, 3Iotst. A tetter which burns when touched,1.—" Very small transparent vesicles, containing water, appear in various parts of the body, in the morning before daybreak,1.—[1050.] "Itching pimples and watery vesicles over the arms and different parts of the body,12.—Burning, corroding, itching, and moist pimples, of a scaly look, like a small tetter, on the lobule of the right ear, that compels scratching,7.—Eruption on the lower extremities, genitals, and hollows of the knees, throat, and abdomen ; it is red, sore, moist, itch- ing, moderately elevated, and in several places looking like a fatty kind of itch,4.—An eruption on both thighs, which itched, and after scratching oozed a burning water, as if one had poured brandy into a wound, in the evening (following the heat of the head and on the back of the foot) ; after the itching, moderate perspiration on the abdomen and thighs, all without thirst,1.—Very painful blisters on the nose,1.—Vesicles full of water on the inner side of the wrist,4.—*Several small red vesicles on the end of the glans penis under the prepuce, that after four days become ulcers and dis- charge a yellow-white matter of a strong odor, staining the shirt; afterwards the large ulcers bleed, and when touched there is a pain affecting the whole body; they are round, the margins everted like raw meat and their bases covered with a caseous coat,6.—Tetter on the right forearm, becoming round, with desquamation, causing voluptuous itching, and lasting eighteen days (after six hours),4.—Tetter on the posterior portion of the thigh, with desquamation of the epidermis when scratched, and with pain always on scratching, lasting thirty days (after five weeks),4.—A rough, partly red, partly white, tetter-like spot in the skin of the left zygoma,7.—[1060.] Large, red, round, scaly tetter, with burning pain, an inch in diameter, on the forearm and wrist,*.—Eruptions, Pustular. "Small round points, that gradually become round ulcerating spots, and at last scurfy, especially on the thighs and legs*. — Ulcers three lines in diameter, developing from small very itching pimples, healing after eight to fourteen days, and fol- lowed by desquamation of the skin round about,4.—Eruption on the upper lip, more on the margin, with a yellow crust, and biting-burning pain,1.— An eruption with yellow scabs, elevated a quarter of an inch, almost pain- less, below the skin,4.—Pustules on the upper and lower extremities, with 320 MERCURIUS SOLUBILIS. itching,4.—A pustule as large as a pea, filled with matter, on the chin,1.—■ Itchlike, itching eruption on the abdomen and thighs,4.—Pocklike eruption just above the anus, with a pressive pain, worse while sitting,4.—Small boils in the left groin, and burning during micturition,4.—[1070.] A boil on the upper part of the left thigh, painful when walking and when taken hold of,4.—Several suppurating sores arising from small pimples that itch very much, on the left leg, remaining open from eight to ten days; on healing, the skin around about desquamates,4.—Pimples and ulcers on the scapulae and abdomen,4.—Red ulcers as large as millet-seeds on the right side of the chin, not painful to touch,7.—Red suppurating ulcers on the left side of the chin, not painful (third day),7.—(In so-called dropsical patients, the swelling disappears very rapidly, and instead there appear offensive rapidly decomposing ulcers on the thighs),*.—Corrosive itching ulcer on the external portion of the right thigh, that compels scratching,7.—^Bleeding of an ulcer that had previously existed,1.—Sensations. "Itching that becomes pleas- ant on scratching*.—* Violent itching on all parts of the body, so that she is obliged to scratch a great deal at times at night, with bright redness and heat of the face,4.—[1080.] "Intolerable sticking itching, here and there, over the body, as from fleabites, in the evening (seventh day),8.—Burning in the skin on the left side of the forehead,3.—Burning in the skin of tiie cheek, in front of the chin,3.—Drawing pain on the anterior surface of the left thigh,2. —Sticking and itching in the skin of the thigh, that woke him, about 3 A.M.,1.—Biting pain in the back, especially while sitting,4.—Crawling as from the creeping of a large insect, from the right knee up in front as far as the middle of the thigh,4.—Violent tickling in the palm of the left hand, that compels scratching (after six hours),7.—Fine tickling in the palm of the right hand, that provokes scratching (after five hours),7.—Itching on the forehead,4.—[1090.] Itching on the pubis above the penis (after two hours),3.—Itching of the right testicle,3.—Itching of the pudenda,1.—Itch- ing on the back, in the evening in bed,4.—Itching ou the right scapula, on the back,3.—Itching ou the sacrum, while walking,3.—Itching on the joints, as from the itch, day and night; worse in the evening, though without visible eruption,4.—Itching on the left elbow,4.—Itching on the lower limbs, in the evening,1.—Itching on the thighs,1.—[1100.] Itching on the legs,4.— Itching between the toes, mostly in the afternoon and evening,4.—Obstinate itching of the pudenda, shortly before menstruation,1.—Violent itching on the right side of the nose; he was obliged to rub it,1.—(A burning itching and a heat over the whole back, mostly while walking in the open air),1.— A sticking itching in the abdomen, iu the eveniug a burning after scratch- ing, on the skin no eruption is seen,1.—Sticking itching in the sacrum, while walking,3.—Tickling sticking itching on the inner side of the first phalanx of the right thumb, obliging scratching,7.—Corroding itching on the backs of the hands, in the evening in bed, disappearing after scratch- ing, but soon returning,2.—Tickling itching on the left side of the back that compels scratching,7. Sleep and Freams.—Sleepiness. [1110.] Yawning,4.—Fre- quent yawning, as if he had not slept enough,7.—Much yawning,4.—Much yawning before dinner and supper,1.—At first sleepiness, afterwards loss of sleep,1.—Sleepiness (while sitting) that immediately disappeared on walk- ing,7.—Sleepiness, interrupted by starting up in fright, palpitation, and at- tacks of fantasies (for example, as if he dreaded an epileptic attack),1.— Great sleepiness during the day,4.—Great inclination to sleep,4.—Too much inclined to sleep; far too much and too sound sleep,4.—[1120.] She could MERCURIUS SOLUBILIS. 321 never keep awake; even in the afternoon, about 3 o'clock, her eyes closed forciblv, so that for two or three hours she was obliged, against her will, to sleep,4.—She fell into an irresistible sleep while standing,1.—"Too much and too sound sleep*. — Much sleep during the day, and loss of sleep at night,4. —Too much sleep by day and night,4.—He sleeps unusually long, for twelve hours, and would have slept longer, if he had not been awakened,5. —Sleeping at night with open mouth without snoring, with frequent toss- ing about the bed, as if he could find no rest (after twenty-three hours),7. —Sleep; but if he woke everything iu the head turned around; sleep was more distressing than refreshing,1.—He sleeps every moment day and night, and also wakes every moment, so that he has no natural sleep and no natural waking,4.—Sleeplessness. Falling asleep late,4.—[1130.] He was unable to fall asleep for two hours in the evening,1.—It was a long time before he could fall asleep in the evening,1.—Could fall asleep only late and with difficulty at night,1.—He did not sleep before midnight, and woke very early, while it was yet dark, with some perspiration,1.—He tossed about until after midnight (1 o'clock), and could not fall asleep,1.—Could not sleep before 1 o'clock at night, on account of wakefulness,1.—Sleepless- ness and wakefulness at night, till 3 o'clock, and then, before falling asleep, perspiration (from 2 to 3 o'clock),1.—Could sleep only towards morning,4. —Extreme loss of power and constant sleepiness, yet he was unable to fall asleep,1.—"He could not fall asleep, tossed about without knowing why, and in the morning was unable to rise on account of lassitude,1.—[1140.] Unable to fall asleep in the evening, on account of frightful fancies,6.—He woke every night from 2 to 4,1.—She is unable to sleep soundly after midnight, and during the night feels a violent tensive pain in the left lower extremity,4.— He woke at night unusually easy,4.—He woke very early, and could not fall asleep again, without anything unusual being the matter,1.—"Frequent waking, as from wakefulness (after twenty-two hours),7.—Frequent waking from sleep, as though he had slept enough, with much tossing about in bed,7. —Frequent waking from sleep, as from fright,7.—The sleep at night was only like a dizziness; tossing about as if the bed distressed him, and con- stantly kept w*aking,.—He woke every quarter of an hour at night, and did not dream,1.— [1150.] He spent most of' the night in waking and dreaming,1. —Had almost no sleep, dreaded to fall asleep,1.—Restless night, full of heat; he thought while half awake that he heard thieves breaking in,1.— Uneasy sleep,4.—Very uneasy sleep, with frequent waking,7.—Constant dozing, but no real sound sleep,4.—Sleeplessness, with excessive restlessness, anxiety, and a bad feeling,4.—About 11 o'clock she woke from sleep as from fright, and cried aloud with tears for several minutes before she could collect her senses and become quiet again (after two hours),4.—Fr earns. Many fantasies in sleep,4.—Many dreams,4.—[1160.] Vivid dreams, which he cannot recollect,3 7.—Vivid agreeable and disagreeable dreams,7.—Vivid dreams of the business of the day (when well he never dreamed),5.—Nu- merous historic dreams at night,1.—She dreamed of people standing before the window, and thereupon woke; she could not persuade herself that they were not there,4.—Pleasant dreams after midnight,1.*}*—Amorous dreams, with erections, without an emission (second night),3.—Anxious dreams (for example, of swallowing a needle), which, however, did not quite wake her,4. —Anxious dreams, with palpitation, from which he could not wake,1.— Dreams causing anxiety, of being bitten by a dog, of rebellion, after mid- f Perhaps the curative effect after a previous opposite condition.—Hahnemann. vol. vi.—21 322 MERCURIUS SOLUBILIS. night,3.—[1170.] Frightful dreams at night, as if he were falling from a height,1.—Frightful dreams of shooting,1.—A frightful dream, in which he started up and thought he was not in his owu house, sat up in bed and talked about a far-distant village,6.—Restless nights, dreams of robbers,1.— Dream of a flood,1.—She frequently started up in sleep, for she tossed the arms around,4.—On falling asleep she started up as from great fright, which caused a shooting in the teeth, and a hard stitch through the knee, with shivering,1.—Anxiety iu sleep soon after falling asleep before midnight; started up in fright and was anxious until he was awake,1.—During sleep, groaning, moaning, and mumbling, with very rapid respiration and cold- ness of the hands (but not of the feet), (after two hours),1. Fever.— Chilliness. Chilliness in the morning, with heat towards noon,1.—[1180.] Chilliness in bed, in the morning on waking,1.—Chilliness in the evening iu bed, lasting till midnight, followed by heat with excessive thirst,1.—Chilliness and shivering in the morning, immediately on rising,1. —Chilliness towards evening; the more he tried to get warm by the stove the more chilly he became,1.—Chilliness iu the evening after lying down in bed,1.—Chilliness under the skin over the whole body for half an hour in the evening in bed,1.—Chilliness more in the forepart of the night, followed by alternations of chill and heat,1.—Chilliness all over at 9 p.m. and through the night; with micturition every hour and involuntary jerkings, tossing and jerking of the head, arms, and lower extremities while lying and slum- bering,4.—Chilliness on going into the open air,1.—Chilliness in the morn- ing and evening in bed,1.—[1190.] Chilliness before every stool,1.—Chilli- ness and dragging before the diarrhoea-like stool, and during the chilliness flushes of heat,1.— Chilliness while at stool, ceasing after the evacuation (after five to six days),15.—Chilliness after the midday nap,1.—Chilliness from one diarrhoea-like stool to another; but during the stool there is a flushing of heat, especially in the face,1.—Chilliness ail over, with icy-cold hands,1.— Chilliness, as if dashed with cold water,1.—Chilliness over the whole body, with heat of the face,1.—Feverishness, with considerable chilliness,1,2.—Chilli- ness internally, with heat of the face and burning sensation in the cheeks,1. —[1200.] "He was chilly on going into the open air,*.—He was more chilly in the open air than in the house, although there was an equal degree of warmth,4.—Is chilly only during the griping in the abdomen,1.—Iuternal chill, even in the morning in bed,1.—Internal chill over the whole body in the forenoon,1.—He was chilly, and had cold creepings, but mostly over the hands, with dry heat behind the ears,4.—During the griping in the abdo- men, creeping chill and shivering,1.—Coldness, and a sensation of coldness and chilliness and shivering, with blueness of the body all day ; therewith she was obliged to bend forward,4.—After the nightly emission, he was cold all over in the morning after rising, but not weak,1.—Shivering over the whole body, without heat or thirst, in every position,7.—[1210.] Shiverings in the mornings in bed,1.—Shivering in the evening in bed for half an hour, without subsequent heat,1.—Shivering before every stool,1.—Shivering from above downward, on the slightest motion, between the parox3*sms of heat,1. —Shivering, mingled with frequent flushes of heat,1.—Cold shivering all over, with chattering of teeth like ague, though they were near the equa- tor (soon),18.—Chilliness over the whole body, morning and evening; it made him shake all through,9.—Violent shaking on account of chilliness, in the evening in bed; she could not get warm,6.—Violent shaking chill in the evening tossed him up in bed (together with twitching in the tendo Achillis and flexor communis digitorum pedis),1.—Chilliness and alterua- MERCURIUS SOLUBILIS. 323 tions of heat in the head and face,1.—[1220.] Chilliness in the abdomen,1. —Chilliness over the back, with heat iu the lobules of both ears,8.—Chilli- ness in all the limbs, like a violent catarrhal fever; was obliged to lie down,1.—Violent chill extending from the nose and eyes to the occiput, with tearing paiu externally, before midnight, while lying in bed,4.—*Con- stant cold hands and feet,6.—Coldness of both thighs,4.—Cold feet in the evening, iu bed, after lying down,1.—A sensation in the soles of the feet as if they were put in cold water, simultaneously with a sensation of burning in them,4.—Icy cold hands,1.—Heat. All parts of the body seem to him very warm in the cold raw air, for four days (immediately),4.—[1230.] He became affected by a slight effort, and became hot, with great ebullition of the blood (fifth day),8.—Paroxysms of heat, with great anxiety, as from compression in the chest, without thirst, alternating with a sensation of coldness over the whole body, and great prostration,1.—Alternating sensa- tion of heat and chilliness; not perceptible to external touch,1.—Constant mingling of heat and chilliness; chilliness when not in bed, heat in bed, with excessive thirst for milk at night (he drank three quarts of milk in one night),9.—Febrile attacks, especially at night,1.—Frequent paroxysms of fever consisting of general flushes of heat and frequent recurring chilliness and shivering (especially over the face, back, chest, and arms),1.—Fever; at first heat and redness of the face, and a sensation of heat over the whole body, especially in the palms of the hands, without externally perceptible warmth, then alternations of internal chilliness, which obliged him to lie down; a shaking chill eveu lasting into the night, and even with this shaking chill a sensation of heat in the palms, with icy coldness of the tips of the fingers,1.—Heat of the head and face from time to time,9.—Heat and a sensation of heat in the face, with paleness,1.—At one time heat of the face, at another shivering,1.—[1240.] If he sits for some time he is attacked with heat of the cheeks and head, with redness of the face, without thirst,9. —Heat and redness of the left cheek, with perspiration on the palms of the hauds, after midnight; subsequently diarrhoea and aversion to food,1.— (Burning in the soles of the feet in the evening),1.—Sweat. *Very much inclined to perspire day and night, though more at night,4.—Perspiration during the day, with nausea,1.—Perspiration every evening an hour and a half after lying down,1.—-^Perspiration on every motion,1.—"Perspiration immediately on drinking something warm,1.—Perspiration, that causes a burning sensation in the skin,4.—"He was constantly in a slight perspiration while walking,1.—[1250.] Profuse perspiration in the morning,1.—"Profuse perspiration, in the evening in bed; he falls asleep while perspiring1.—*Pro- fuse perspiration at night,1.—"Profuse perspiration all night, from evening till morning*.—"Profuse perspiration while walking,1.—YnnsuaMy profuse perspiration that has a sour and offensive odor, and makes the fingers look softened, spongy, and wrinkled, like a washerwoman's,4.—* Excessive perspi- ration at night,*.—" Very prof use fatty and oily perspiration at night, that makes the linen stiff or starched, aud yellowish,4.—" Offensive perspiration several nights in succession *. — *Profuse offensive perspiration, soaking through the bedclothes,6.—[1260.] Sour offensive perspiration, and if she puts a limb out of bed, there immediately results a most violent tearing,1. —Peculiar sour-smelling sweat; her fingers became all shrivelled, and a cold damp bedewed her feet (after five to six days),15.—* The linen was stained saffron yellow by the imperceptible exhalations from the body; a yellow that could not be removed by washing*.—Partial perspiration; he_ perspires at night in various places while other parts are dry; the perspiring spots are 324 MERCURIUS SULFOCYANATUS. not over six inches large, but the perspiration is very profuse; the head and the whole face are dry,4.—Perspiration on the forehead immediately on walking in the open air,1.—Perspiration on the face and chest,4.—Perspi- ration on the palms and soles,1.—At night he woke aud perspired only on the legs, from the knees to the ankles, not on the thighs or soles of the feet; if he uncovered the feet the perspiration immediately stepped,2.—Profuse perspiration ou the genitals and neighboring parts, while walking,1.—"Pro- fuse cold perspiration on the face, though the rest of the body is dry,*.—[1270.] Cold anxious sweat of the face, with extreme discomfort, for a quarter of an hour, followed by a diarrhoea-like stool,1.—Cold sweaty feet towards morning,1. Conditions.—Aggravation.—(Morning), Confusion of head, etc.; sneezing; swelling of gum; tongue coated white; bad taste in mouth; loss of appetite ; perspiration.—(Forenoon), Stitches in zygoma; hiccough.— (Afternoon), Towards evening, dimness, etc., before eyes; points before vision; throbbing in gum; about 5 or 6 o'clock, weakness.—(Evening), Ringing in ears; colic, etc; weariuess, etc., in legs; sticking in ankle; stitches in heels ; weakness ; itching on joints an hour and a half after lying down; perspiration.—(Night), Anxiety, etc ; toothache; swelling of gum ; on falling asleep, burning in gum; burning in mouth; cutting in abdo- men; greenish gonorrhoea; drawing in limbs; febrile attacks; perspira- tion; fatty perspiration; offensive perspiration.—(Midnight), Griping in abdomen.—(Open air), Inflammation of eyes; chilliness.—(Walking in open air), Dozing, etc ; sensation in abdomen ; bloody expectoration ; pain in sternum ; sticking in knee-joint; sticking in calves ; stitches in ribs, etc.— (Drinking), Rumbling in abdomen.—(Eating), Pain in teeth; hiccough; nausea; immediately, qualmishness; dyspnoea. — (Indoors), Vertigo.—■ (Lying), Faintness.—(Motion), Especially in open air, pain ou side of back; pain in shoulder.—(Best), Pain in ball of hands.—(Rising after eat- ing), Worse in warm room, relieved by open air; dulness above nose, etc. —(Sitting), Vertigo; bruised pain in small of back; dislocated pain in limbs; burning in shoulder; pain insole; lassitude; weariness; biting in back.—(Standing), Griping in small of back ; burning in sole.—( Walking), Stitches in zygoma; especially on ascending steps, pain in lower abdomen; palpitation; stitches in muscles of back; stitches in condyle of knee; stick- ing in ankle; weariness; itching in sacrum; perspiration. Amelioration.—(Night), Throbbing in gum.—(Eating), Pain above umbilicus.—(Lying down), Toothache; pain in abdomen.—(Sitting), Pain in small of back.—(Walking), Griping in small of back; weakness; per- spiration ; general feelings,4; sleepiness. MERCURIUS SULFOCYANATUS. Sulphocyanide of mercury, CyHg2S2 (Pharaoh's serpents). Authorities. 1, Dr. Peters, L'Union Med., 1865, 110, p. 525 (S. J., 128, 294), a boy ate one "serpent;" 2, Syri, Bull, de Therap., 81, p. 567, 1866 (S. J., 133, p. 161), a man took a whole " serpent" in water. 31ind.—Excessive anxiety,2. Head.—Vertigo on attempting to rise,2. Face.—Paleness and great weakness, with cold skin and frequent shivering,1. 3Iouth. — Constant salivation,2. — Disgusting metallic taste in the mouth,1. MERCURIUS SULFURICUS. 325 Throat.—Extreme redness of the fauces, with a white membrane on the tonsils,2.—Most violent burning in the fauces,2.—Heat and constriction in the oesophagus, with difficulty of swallowing and burning in the epigas- tric region, with nausea,1. Stomach.—Vomiting,2.—[10.] Epigastric region painful to pressure,2. Stool.— Bloody stools,2. Respiratory Organs.—Voice rough and hoarse,2.—Tenacious ex- pectoration (after four days),2. Pulse.—Pulse full, 54, and intermitting every three beats (second day),2. St interior Extremities.—Pain in the shoulder-joint,2. General Symptoms.—General prostration for some days,2. MERCURIUS SULFURICUS. Mercuric sulphate (in part) SO^Hg2HgO. Hydrargyrum oxydatum sub-sulfuricum. Praecipitatum flavum. Turpeth mineral. Preparation, Triturations. Authorities. 1, Neidhard, Dr. Hamilton Ring, took two powders, each containing 2 grains of the 3d trit., at a week's interval, same symptoms after each; la, took 2d trit., in same way, Appendix, N. A. Journ. of Horn., p. 281 ; 2, Dr. J. C. Raymond, took'3d trit. first and fifth days, 2d trit. twelfth and seventeenth days, ibid.; 3, Dr. J. P. Dake, proving, took 5 grains of 3d trit., N. A. J. of Horn., 3, 180; 4, same, took 2 grains of 2d trit.; 5, same, repeated ; 6, Berridge, proving, Dr. Croker took repeated doses of ^ to 1 grain, crude, two or three times a day, for a week, then the 1st (1 to 30) trit., M. Hom. Rev., 14, 108; 7, Letheby, poisoning of boy, aged sixteen, by 1 drachm, Lond. Med. Gaz., 1847 ; 8, Lowndes, effect of about 1 drachm, taken for scabies, Med. Times and Gaz., 1863; 9, Taylor, fatal case, Guy's Hosp. Rep., 1864. 3Iind.—Emotional. Delirium at times (after two nights),3.—De- pression of spirits (first day),4.—Intellectual. Increased clearness and vivacity of mind, in evening (first day),1.—Dulness and sleepiness (first day',5.—Dulness and chilliness (second day),2. Head.—Much confusion in head, lasting several hours (after one hour),la.—Unusually comfortable feeling in head, in evening (first day),1.— Fulness in head, and occasional shooting pains (first day),3.—Headache (after seven days),9.—[10.] Soreness all through the head after breakfast, and on moving about (second day),4.—Sensation of heaviness and soreness through the head (second day),5.—Dull pain in forehead (second day),2.— Pain iu head under coronal suture, on waking in morning; duriug fore- noon, it was confined to right frontal region ; pains dull, extending deep into brain, and very unpleasant when exercising ; passed off in afternoon (third day),*.—Sharp pain in right parietal protuberance; darting pains in other parts of the head (first day),4.—Violent itching of hairy scalp, throughout the proving,2. Eye.—Oppression over eyes, continuing for several hours (after one hour),11. Nose.—Sneezing (second day),5.—Fluent coryza (second day),5. 326 MERCURIUS SULFURICUS. Face.—Pale anxious countenance (after ten minutes),9; (after one hour),7. Mouth.—[20] Gums and palate dark-bluish colored (third day\9-— Gums. Gums of a deep bluish tint, with ulcerated margins,7.—Gums beginning to be sore (third day),8.—Tongue. Tongue tinged down the middle with a greenish-yellow color,8.—Tongue thickly coated white, in- clining to yellow at base; papillae enlarged, and their red points project through the coating on tongue (eighth day),2.—Tongue moist, swollen (third day) ; furred, swollen, but moist (sixth day); covered with dry, black fur (ninth day),9.—Dryness of tongue and fauces (first day),3.—Soreness, as from scalding, on tip of tongue (fifth day),3.—Soreness on tip of tongue cured in eight or ten hours (second day),5.—General Mouth. Lips, gums, palate, and fauces, look dry and black (eighth day),9.—[30.] Tongue and inside of mouth red and inflamed, feeling raw (second day),9.—Lips, gums, fauces, mouth, and tongue swollen (second day),9.—Dryness in mouth and fauces (first day),5.—Burning sensation of mouth and throat (imme- diately),7.—Soreness in the mouth and throat; and the saliva ran continu- ally from his mouth,9.—Saliva. Slight salivation (third day),8.—Spat more than usual (third day) ; profuse salivation,7.— Taste. Pasty insipid taste in mouth (eighth day),2.—Bad taste in mouth after rising (second day),4.—Brassy metallic taste,6. Throat.—[40.] Pain in the throat,8.—Sense of heat and constriction in throat (after one hour),7.—Burning sensation in the throat (immediately),8. —Scalding pain in throat, chest, and stomach (after ten minutes),7.—Fau- ces. Fauces rather inflamed,8.—Dryness and slight excoriation of the fauces (second day),5. Stomach.—Appetite. Some diminution of appetite, for several days,1.—No appetite for dinner (first day) ; and for several days appetite considerably less than usual,1*.—Eructations. Acidity of stomach, but being rather inclined to this, I do not rely upon it as a drug-symptom ; took medicine for it, and closed the proving (second day),5.—Nausea and Vomiting. Sick feeling not passing off soon, nor easily removed by food,6.—[50.] Constant sickness (after one hour),7.—Very sick ; vom- iting of ingesta (after ten minutes),7.—Vomiting (soon),8.—Violent yellow vomiting, every ten minutes (after ten minutes),9.—Stomach so irritable that nothing would remain on it an instant (second day),7.—Stomach. The digestion was impeded, till at last, after supper, a most distressing feeling all night, that unless the stomach were relieved a fit would ensue; eructated at intervals small portions of food ; at one time vomiting with relief; took an emetic of Ipecac, in morning, which relieved the pain, but a total inability for food remained, a kind of consciousness that food would not be digested ; next day, after excessive sweat at night, the above symp- toms of pain, indigestion, and of the fseces gradually subsided from day to day,6.—Pain in the epigastrium,8.—Complains of pain in the epigastrium and abdomen,9.—Weight in the epigastric region (second day),4.—Stomach somewhat tender on pressure (second day),7. Abdomen.— Umbilical. [60.] Pains in umbilical region, after re- tiring (first day),5.—Awoke at 1 a.m., with severe pains along duodenum and down into umbilical region ; they became so intolerable that I took Nux vom., became easier, and fell asleep; waking again at 5, found the pains not so severe, accompanied by soreness across the abdomen ; took Nux vom., and closed the proving (third day),4.—General Abdomen. Much griped,8.—Soreness in inguinal glands (second day),3. MERCURIUS SULFURICUS. 327 Anns.—Anus sore (third day),9. Stool.—Looseness of bowels (second day),3; with some pain (second day),5.—Bowels much relaxed (second day),7.—Constant purging (after one hour),7.—"Much purged,8.—* Violent purging (after ten minutes) ; rice- water motions, some yellow9.—[70.] Brown loose motions (after three days),9. —Stools softer, and voided earlier in morning than usual (3d trit. i,2.— Fseces paler than usual, at last becoming gray,6.—Hard, scanty, aud de- layed stool (2d trit.),2. Urinary Organs.—Desire to urinate not as frequent as usual; great urging, with inability to void the usual quantity, late in the afternoon (second day),4.—Not able to urinate freely as usual (second day),5.—Urine increased in quantity (3d trit.),2.—* Urine scanty and scalding, but clear (after six hours),9. Sexual Organs.—Involuntary emission and lascivious dreams (first night\5. Respiratory Organs.—Raised considerable mucus from larynx and trachea (second day),4.—[80.] Larynx and trachea free from mucus; generally collected there in the morning (second day),3.—Sensation of heat in the larynx (first day),3.—Sensation of roughness in the larynx, after breakfast (second day),5.—Occasional hoarseness (second day),5.—Unusual expectoration of mucus (second day),5. — Mercurial fetor of the breath (second day),7; (third day),7. False.—Pulse 90 (usually 75), (second day); 94 (seventh day); 70 (eighth day),2.—Pulse 90, tremulous (after twelve and twenty-four hours); 85, regular (after forty-eight hours); 90, softer (after sixty hours); 90 (fourth and fifth days) ; 86 (sixth day) ; 90 at 10 a.m., 86 at 6 p.m., 80 at 12 p.m. (seventh dav); 84 at 10 a.m.; 80, soft, at 12 p.m. (eighth day); 84 at 10 a.m., 90 at 2 p.m., 96 at 8 p.m., 100 at 12 p.m. (ninth d;iy); 110 at 10 a.m., 120 at 3 p.m., 125 at 12 p.m. (tenth day); 130, tremulous, and irregular (eleventh day),9.—Pulse slow and small (after ten minutes),9.— Pulse regular, but small and weak,8. Extremities in General.—[90.] Tormented by pain and cramps in limbs, at night,7.—After four weeks, the pains that remain are in the limbs, especially the legs, causing a weak wearied feeling, and pain and stiffness in right knee, especially when stepping down a step; for a few days, a bloated hot feeling in feet, like rheumatic gout; and for two days, a slight swelling and painfulness on inner side of left ankle, as if a boil were likely to form there; a tendency for the feet to become inflamed, as if likely to be blistered by the boots when walking; the boots seem tighter than usual; this tenderness caused by the boots, when walking, seems at the soles, especially about toes, especially the outer two toes; it is rather of a burning character; for two days the tarso-metatarsal joint of right big toe seemed inclined to inflame, as if rheumatic gout would set in,6.— Violent beating in left arm, commencing above the elbow in the course of the brachial nerve, and extending along radial nerve to wrist, followed by pain similar to that produced by a blow upon the arm below insertion of deltoid muscle; the pain affected, principally, the radial side of the fore- arm, the thumb, and index finger, at 8.30 a.m. (second day),2.—Numbness of forearm and hand, also of right hand (second day),2. Superior Extremities.—Shooting paius in wrists and along meta- carpal bones (first day),4. Inferior Extremities.—Pain and lameness of knees, noticed par- 328 METHYLENUM BICHLORATUM. ticularly when walking (thirteenth day),2.—Aching in calf of right leg (first day),4.—-Numbness in hollow of right foot (first day),4. General Symj)toms.—Sense of considerable weakness, continuing for several hours (after one hour),11.—Uneasiness, late in the afternoon (second day),4.—[100.] Restless,9.—Pains all over, especially in the lower part of back and limbs,6. Sleep and Frearns.—Sleepiness. Frequent yawning (second day),46.—Sleepiness, in the afternoon (fourth day),3.—Unusual sleepiness, in the afternoon (third day),3.—Exceedingly sleepy, at the hour of rising (second day),4.—Sleeplessness. Restless night, with dreams and de- lirium (after two nights),9.—Passed a wakeful and restless night (first day) ; wakefulness after midnight (third day) ; wakefulness, and dreams after midnight (sixth day) ; passed a restless night (eighth day),2.—Freums. Dreams of travelling amid many perplexities (first night),5.—Lascivious dreams, and involuntary emission (first night),5.—[HO.] Vivid dreams of fires, exerting himself to extinguish them ; viewing a person hung, aud another cut up, seeing the blood and mangled remains (first night); vivid dreams of fire (eighth day),2. Fever.—Ch illiness. "Skin cold and clammy (after ten minutes),9.— Felt cold (after one hour),7.—Chills, late in the afternoon (second day),4.— Chills from 12 M. to 1.30 p.m. (seventh day) ; chills, with nausea, from 10 A.m. to 2 p.m. (ninth day); slight chill (eleventh day); chills slighter (fif- teenth day); chills every other day (eighteenth to twenty-fifth day),2.— Creeping chills ascending the back ; when they reached the neck a general 6hudder ensued (second day),2.—Icy coldness of hands; blueness of nails (second day),2.—Heat. Slight febrile sensations (second day),2.—Slight fever (second day),7.—Burning in face and ears (second day),2.—Sweat. [120.] "Excessive sweat, at night,6. Important note by Dr. Lippe.—Merc. sulf. is as important in hydro- thorax as Arsenic. Has cured several cases ; one was reported by Ad. Lippe, and another case by Dr. C. Miller (Montreal). Perfect recoveries after very profuse watery diarrhoea.—*Stools loose, watery, causing severe burning and soreness of the anus.—*Very profuse watery evacuations (re- lieving dyspnoea).—*Great dyspnoea ; has to sit; cannot lie down ; breath- ing quick and short.—*Buining in chest.—* Oedematous swelling of the legs. METHYLENUM BICHLORATUM. Methylene bichloride, CH2C12. (Chloroform is Methylene trichloride.) Authorities. 1, Dr. Richardson, Med. Times and Gaz., 1868, effects of inhalation ; 2, Dr. Burroughs, Br. Med. J., 1870, p. 515; 3, Bost. M. and S. J., 1870, fatal case; 4, Gaine, Med. Times and Gaz., 1871, p. 232. The ansesthesia having been carried very deeply, the tongue of the patient was retracted into the throat, and after pulling it forward there was a free secretion of saliva, followed by an eructation, and about a des- sertspoonful of fluid from the mouth ; this might have been excited by the irritation communicated to the throat in pulling up the tongue, or it might have been from the ansesthetic (in one case),1.—Bilious vomiting (in one METHYL-ETHYL ETHER. 329 case, ten hours after operation for vesico-vaginal fistula),1.—Anaesthesia in half a minute,2.—Anaesthesia in less than half a minute,2.—The shortest time iu which anaesthesia was produced was twenty seconds, in a child ; the longest two minutes and a half, in a man, aged twenty-four; the shortest time which it was maintained was forty seconds, the longest thirty-five minutes,4.—In each case, the transition from the first to the third degree of narcotism was very brief; when the anaesthesia, which was complete in an average of five minutes, was well established, it was easily prolonged for six, aud even seven minutes, without readministering the vapor, and when recovery began to show itself, very brief read ministration quickly reproduced the insensibility ; the period of narcotism averaged from thirty- five to forty-five minutes; in one case after the operation, the patient con- tinued twenty-seven minues in unbroken sleep, and then awoke with entire consciousness; in one case it allowed the lady to drop to sleep precisely as in natural sleep, and to wake with all her senses aroused as after natural slumber,1.—After two or three convulsive gasps, the patient expired,3. METHYL-ETHYL ETHER. Methylene ether, C3H80. Authorities. Effects of inhalation. 1, Dr. Brookhouse, Br. Med. J., 1873, seven cases; 2, Dr. Burroughs, Br. Med. J., 1870, three cases. The excitement was very slight,1.—All the cases were very troublesome, screaming and restless,2.—Pupils medium sized and fixed,1.—Pupils con- tracted,1.—Face suffused and purple; capillary congestion was marked,1.— Face flushed,1.—Fae-e flushed ; the lips purple,1.—Became very blue, but recovered very rapidly,2.—Face pale,1.—Subsequently sick,1.—Very slight sickness,1.—Very sick, subsequently,1.—Respiration slow and feeble,1.— Pulse 120, before administration (he was nervous and frightened) ; it fell 16 per minute during insensibility,1.—Pulse 104, before the operation ; it fell to 78 during the inhalation, and was unsatisfactory in quality,1.—Pulse before the operation 96; it fell to 68, and was small and weak,1.—Pulse before the operation 84; fell to 60 during the anaesthesia, and became inter- mittent,1.—Pulse fell away quickly, 14 beats per minute; he was allowed to recover, when the pulse rose 20 ; was put under a second time without any alteration of pulse,1.—Anaesthesia in a minute and a half; the time of operation three minutes; recovery in five minutes,1.—Anaesthesia in two minutes; recovery quick,1.—Anaesthesia produced in two minutes; the time of operation was six minutes; she recovered in four minutes,1.—Anaesthesia was produced in three minutes; the time of operation was two minutes; the time of recovery was four minutes,1.—Anaesthesia in three minutes ; under its influence three or four minutes, when he was allowed to recover; he was put under a second time; the time of recovery was four minutes,1.— Anaesthesia in five minutes; under its influence eight minutes,1.—Anaes- thesia in eight or ten minutes ; operation in five minutes ; recovery quick,1. —Incomplete anaesthesia,2.—None became perfectly anaesthetized,2.—No complete anaesthesia after two minutes and a half had elapsed,2.—Insensible for a few seconds,2.—During partial unconsciousness, manifested feelings of a sensuous character,1. 330 MEZEREUM. MEZEREUM. Daphne mezereum, Linn. Natural order, Thymelacese. Common names, Mezereon, (G.) Seidel-bast, (Fr.) Le bois geutil. Preparation, tincture of the bark of root and stem. Authorities. (Nos. 1 to 26, from Hahnemann, Chr. Kn.) 1, Hahne- mann ; 2, Franz ; 3, Caspari ; 4, v. Gersdarff; 5, Gross ; 6, Hartlaub ; 7, Htn.; 8, Riickert; 9, Schonke; 10, Teuthorn ; 11, H. ;f 12, W.; 13, Lange, Domest. Brunovic (not accessible, Hughes); 14, Acta Helvetia (from berries swallowed bv a boy, after mastication, Hughes); 15, Hoff- mann, Ephem. Nat. Cur. Cent., 5, 6 (from berries in a man, after mastica- tion, Hughes) ; 16, Home Clin. Exper., p. 466 (effects of decoction when given for nodes, etc., Hughes); 17, Gazette Salutaire, 1761, Dec. (not ac- cessible, Hughes'); 18, Gmelin, Pflanzen-Gefte (p. 168 of ed. of 1777, gen- eral statement, Hughes); 19, Russel, in Med. Bemerk, vol. 3 (observations on a syphilitic subject, who was taking decoctions for nodes, Hughes); 20, Widef, Min. Nat. Cur. Dec. II, ann. 2 (p. 323, from a purgative dose, Hughes) ; 21, Linnaeus, flor. suec. (p. 128 of ed. of 1755, from 12 grs. of powdered root in a girl, Hughes) ; 22, Ritter, Nov. Act., N. C. Ill, App. (p. 234, from berries, Hughes); 23, Haller, C. Vicat, Mat. Med. (vol. 1, general statement, Hughes); 24, Vekas-crift for Lakare, III, p. 58 (from berries in a man, Hughes) ; 25, Bergius, M. M. (p. 305, from too long ex- ternal application as exutory, Hughes); 26, "Mr." Meyer (?), (symptom 600 in Hahnemann) ; (Nos. 27 to 34, Hartlaub's provings, Hom. Vjs., 8, 1); 27, Hartlaub, effects of chewing fresh bark, twigs, and flowers, of express- ing juice, of smelling and tasting of the tinctures, and of getting tincture on hands; 27a, same, the next year chewed bark and inhaled various preparations; 28, R. W., a girl, aged twenty-six, effects of cutting and bruising the plant and inhaling tincture; 29, effects in a woman exposed to the exhalations; 30, Dr. Link, took 1st dec. dil. in water, repeated doses ; 30 a, same, took of a mixture of 2 drops of tincture in 2 oz. of water, a teaspoonful fi»*st and secoud morning; 30 6, same, repeated same, and also took from 2 to 5 drops of tinct. in water; 31, a woman, aged thirty- two, took repeated doses of 1st dil. in water; 31 a, same, took 10 drops of 7th dil., first and second days ;t 32, Dr. Riickert, proving in a girl, aged twenty, took 12 drops of 30th dil. daily, for several days ;§ 33, a girl, aged seventeen, took 30th dil. daily, for six days ;|| 34, Dr. Speer, in a man, aged twenty, suffering from caries of the bone (?) though in good health, except a slight swelling of the ankle, took 1st dil. daily, increasing by 5 drops from 10 to 40 drops; (Nos. 35 to 38, experiments of Dr. Theile on himself and on his friends, Inaug. Diss., 1838, A. H. Z., 14, 105;; 35, f These symptoms, by Hering, are revised and supplemented in Vjs. fr. Horn., 8, p. 43. J This prover is subject to frequent attacks of great weakness, with facial neu- ralgia. \ Is subject to chronic inflammation of the conjunctiva, with photophobia and pains on exerting the eyes. || Is subject to rush of blood to head and chest, with cold hands and feet, and chilliness; frequent stitches in chest below heart, and loss of breath on walking rapidly ; menstruates every four to five weeks, preceded by colic; inclined to con- stipation. MEZEREUM. 331 "Pr.," aged twenty-two, took 6 drops of tinct., and after fourteen days 18 drops, after which he observed symptoms for twelve days; 36, "Ed.," aged twenty-three, took 1 drop first day, 3 drops second and fourth days, and after a mouth took 4 drops first and second days, and 12 drops eighth day ; 37, " Gr." took one dose of 5 drops of tinct., and had symptoms for eight days; 38, "Te." took repeated doses of tinct., up to 24 drops at a dose; 39, Dr. Lembke, N. Z. f. H. Kl., 13, 35, took 1st (J-0-) dil. for five weeks, repeated doses of 2 to 30 drops, afterward the tincture for a week, 3 to 15 drop doses, proving with the tinct. repeated after ten days ; 40, Dr. Watzke took 4 drops of tinct. on sugar, A. H. Z., 74, 46 ; 40 a, same, subsequently took 5 drops in water; 41, Dr. Etterlin (from Watzke) took 3 drops tinct. (first day), 4 drops (second day), 6 drops (third day), 10 drops (fifth day); 41 a, same, two weeks later took one dose of 14 drops; 41 b, same, after- ward took 20 drops; 41 c, same, afterward took 21 drops ; 42, Dr. Wiirstl (from Watzke), took tinct. for eighteen days, 10 to 15 drop doses, 43, Dr. Wahle (through Dr. Dunham), Am. Horn. Rev., 2, 164; 44. Dr. Gerstel, Article Mezereum, World's Congress of Hom. Physicians, 1876, took, at various times, 1st, 3d, and 7th dec. dil., and once some tincture, effects on skin only published; 45, Blatin (from Hempel's Mat. Med.), a man took some of a decoction of the root; 46 to 48, Dr. Griere, Lancet, 1837, three children ate some berries ; 49, Squire, Pharm. Journ., 1841, effects of inner bark ; 49 a, same, effect of inhaling vapor from a decoction of the root; 50, Pluskal, Frank's Mag., 1, 775, effects in a girl, of fourteen, of rubbing the leaves on cheeks and adjacent parts ; 51, same, effects in a man, of 30 ber- ries for obstinate constipation ; 52, Hahnemann's lesser writings (M. H. R., 13, 281), effects of continued use of Mezereum. 31ind.—Emotional. Delirium,50.—No rest when alone; he desires company,11.—"Inclined to weep (second day),31. — Weeping for fourteen days,1.—Mood depressed (second day),27.—Low-spirited,50.—Sad (second day\31.—Very sad ; every trifle affects him disagreeably; indifferent to the whole world ; has no desire for anything; disinclined to work,1.—*Hypo- chondriac and despondent; takes no pleasure in anything; everything seems to him dead, and nothing makes a vivid impression upon his mind,2.—[10.] Great discontent with himself and his surroundings for several weeks ; after which again mental equilibrium and perfect contentment,11.—Anxiety (sev- enteenth day),42.—Anxiety in the evening, with trembling of the limbs and of the whole body,1.—Great anxiety (after one hour, third day ,42.—Indif- ferent to everything; he could scarcely compel himself to note the symp- toms beyond brief annotations (as in sea-sickness),27.—Indifferent, but not ill-humored (second day),30b.—Unusually indifferent and disinclined to talk (third and fourth days),30b.—Great anxiety, with violent palpitation, at noon before eating; she was obliged to lie down and was unable to keep up,1.—Most violent attacks of anxiety, weeping, palpitation, coldness over the whole body, and such weakness and weariness in all the limbs that she could scarcely walk about the room ; in the evening (fourth day),31.—Ap- prehensiveness and uneasiness in the left side of the chest, about the heart (first day),30a.—[20.] Apprehensiveness in the pit of the stomach, as though expecting something disagreeable,3.—Easily frightened, followed by palpi- tation of the heart (third day),27*.—Ill-humor,41a.—Very irritable mood ; very averse to everything; desire to run away (third day),27*.—Great peevishness and sensitiveness,11.—Fretfulness,36.—Fretful mood,37.—Fretful mood, disinclination to work,35.—Sensitive, fretful mood,4.—Constantly fret- ful and peevish,5.—[30.] He has only disagreeable and fretful thoughts,1.— 332 MEZEREUM. Extreme fretfulness after sleep,1.—"Is inclined to get angry with others about trifling and perfectly harmless things; everything vexes him, and he wants to say all kinds of annoying and vexatious things,11.—Violent outbreak of anger about trifles, which he soon regrets,5.—Inclined to reproach others,6.—In- clined to quarrel,3.—Intellectual. Quiet and contemplative; weary of life, and longing for death,1.—Feeling of great mental and emotional quiet (hitherto there had been the opposite condition of mind), (first day),30.— It becomes difficult for him to make a resolution,11.—Disinclined to work (second day),31.—[40.] He does not work with his usual freedom of mind; his thoughts vanish, and he is obliged to make a great effort to collect his ideas, in order not to dwell upon other things,3.—Thought difficult, with pressive dulness of the head (fourth day),27.—"Thought is difficult; he takes no interest, while reading or listening; whatever happens affects him less than usual; mental dulness,11.—* Very much distracted; he is unable to dwell long upon any subject; his thoughts carry him away,1.—Feels as though much intoxicated; speaks without reflection, though really good-humored and generally lively (first day),6.—While she was talking with some one, her thoughts vanished,5.—He is unable to properly comprehend anything; can- not reflect upon anything; cannot repeat a single thing from memory; his thoughts vanish as often as he begins to think of anything, and there comes a confusion, with pressure in the sinciput,2.—He looked out of the window for hours without thought, and without knowing what he was looking at,1911.—"He was unable to recollect what had very recently occurred; every intercurrent remark of others disturbed and confused his ideas,b.—He awoke as if stupefied after a sound sleep,1. Head.—Confusion and Vertigo. [50.] Confusion of the head,36. —Confusion of the head, in the frontal region (first day),301.—Confusion and a feeling of pressure over the whole head, especially above the eyes,8.— Head seems confused towards evening (first day),42.—Dizzy confusion of the head, with difficult thought,4.—Vertigo,13416; (after a quarter of an hour),35, etc.—Vertigo; he would fall to the left side,12.—Vertigo, with flickering before the eyes; could not walk straight,1.—Faintlike vertigo,1. —Dizziness, with contracted pupils,3.—[60.] Dulness, dizziness, whirling in the head, so that he did not know what he was doing,9.—Head giddy and dull,51.—Sensation of intoxication in the head (first day),30\—"Sensa- tion over the whole head as if intoxicated (third day),30.—General Head. Dulness of the head (second and fifth days),41; better after eating,11.—Dul- ness of the head; reading was difficult, and he was obliged to read it over repeatedly iu order to understand,6.—"Dulness of the head, as if intoxicated; not the least disturbed by work, indeed relieved thereby^.—Dulness of the head all day, with pressure in the temples,8.—Duluess and heaviness in the head,12.—Dulness of the head, so that he frequently did not know what he wanted,6.—[70.] Dulness of the sinciput and occiput, like a dull stupefac- tion ; in the evening,4.—Whole head dull and heavy (second day),27.— "His head feels dull, as if intoxicated, and as if he had been up all night; as after excessive emissions,6.—Numb sensation in the head,12.—Heaviness of the head (seventh day),42.—Heaviness of the head ; inclination to support it (second day),31\—Sensation of heaviness in the head without real paiu or vertigo,42.—Throbbing and pressure behind the right ear, changing into the most violent pain in the whole head, forehead, nose, and teeth, aggra- vated on the slightest motion of the head, for several hours,1.—"Pain in the bones of the skull, mostly aggravated by touch,1.—Headache in the nape of the neck, extending to the forehead,1.—[80.] Headache seemed dull at MEZEREUM. 333 times (after nine days),42.—Boring in various parts of the head,39.—Boring in the cranial bones,39.—Boring in various places in the cranial bones,39.— Boring and pressure in the cranial bones,39.—Frequent boring in several parts of the head,39.—Very frequent boring and drawing in the cranial and 4 frontal bones,39.—Violent "boring in the bones of the skull,39.—Very violent boring in the cranial bones, especially on the vertex, in shocklike parox- ysms,39.—Drawing in the cranial bones,39.—[90.] Transient pressive pains here and there in the head (fourth day),27.—Pressive headache, with fre- quent shivering,8.—Slight pressive headache, especially in the forehead and sinciput, worse in a warm room, near a warm stove (first day),2'.—Pressive headache, very acute, as if everything would fall out at the forehead (after eight hours),12.—A burrowing pressive headache, superficially in the mid- dle of the forehead first day),6.—Stupefying pressive pain through the right hemisphere of the brain, extending from the occiput to the fore- head,7.t—Headache just beneath the skull, as if the brain pressed hard against the bones,12.—Very acute boring pressive headache on the right side of the top of the head, afterwards also in the left side of the forehead, and afterwards external to and above the right eye; this paiu could be com- pared to the driving of a plug into the head (third day),27.—Sticking pain in the left half of the brain,12.—Tearing pains in the head,39.—[100.] Tear- ing and pressure in the cranial bones on waking at night, and also on waking and rising in the morning,39.—* Very violent headache; the head was so affected that it was painful on the slightest touch (after a slight vexation), in the afternoon (first day),31.—Headache all the afternoon on suddeuly moving the head, as if the brain were shaken,8.—Headache, as if the brain, hang- ing loose in the skull, hit against the bone here and there on moving the head (eighth to twelfth day),38.—Sudden headache, with inclination to close the eyes, discomfort in the stomach, and vertigo (second day),31.— Headache on waking in morning,39; in afternoon (second day); increased towards evening,42; worse in open air,10.—"Headache after moving about and talking much, especially in the temples, and on both sides of the vertex,11.^ —Headache relieved by stooping low,1.—Forehead. Pain in the forehead (second day),31*.—Pain in the right frontal eminence, for several hours,9.— [110.] Headache in the frontal and temporal regions,41*.—Frontal headache in the afternoon (second day),30.—Constant compressive griping headache, extending from the temples into the forehead and nose,10.—Boring in the forehead,39.—Boring in the forehead, especially in the left side,39.—Boring in various places iu the frontal bones,39.—Boring and pressure in the fore- head,39.—Boring and tearing in the left side of the forehead, extending to- wards the temples, frequently repeated, and afterwards extending to the occiput,39.—Boring pain in the left half of the forehead,35.—Boring pain in the left side of the forehead,39.—[120.] Violent persistent boring in the left side of the forehead,39.—Boring-drawing pains in the frontal bones,39.—Bor- ing-drawing pains iu the left side of the forehead aud temples,39.—Pressure in the forehead in the morning, as if the brain thereby became too hard, with inability to collect his senses,2.—Pressure and pressing beneath the frontal bone, extending into the nasal bone,12.—Constant pressure and drawing in the forehead on waking in the morning,39.—Violent pressing- asuuder pre.-sure in the whole forepart of the head, gradually appearing and disappearing,7.—* Headache, extending from the root of the nose into the f Corrected by Hering, I. c. % Authority corrected by Dr. Hiring. See Hom. Vjschft., 8, p. 43. 334 MEZEREUM. forehead, as if everything would press asunder, with pain in the temples when touched, with great heat and perspiration on the head, with chilliness and cold- ness in the rest of the body, in the morning,1.—Pressive pain transversely through the forepart of the head,12.—Pressive pain on the right frontal eminence,7.—[130.] Dull, intolerably pressing pains in the forehead,50.— Pressive headache in the upper part of the forehead, not in the lower part over the eyes (after one hour),27.—Sticking headache above the right eye- brow (after half an hour),37.—Tearing-sticking headache in the left frontal eminence,4.—A long dull stitch in the left side of the upper part of the forehead, in the moruing in bed,4.—Tearing pains in the forehead,39; (third day),30" ; iu morning, while sitting,39.—Tearing in the right side of the fore- head, and in the head,39.—Tearing in the forepart of the forehead, with jerking stitches,4.—Pressive tearing in the forehead,4.—Fine acute tearing through the head, from one temple to the other, frequently recurring, but very transient,30.—[140.] On pressing ou the frontal bone, it pains and draws down to the feet,11.—A pressive throbbing in the forehead,1.—Tem- ples. Headache in the temporal and frontal regions,410.—Headache in the temporal and frontal regions and above the eyes (filth day),41.—Headache in the temporal and supraorbital regions,4115.—Compression in the temples from both sides after violent motion ; thereby he forgot the word he was just about to speak, and could hardly collect his thoughts,4.—A pinching sensation in the temples and forehead, with pressure on the eyes and jaws, as before a violent coryza,4.—Boring pains in the temples,39.—Boring in the temples, especially in the right,39.—Boring-drawing pains in the temples,39. —[150.] Acute pressure in the left temple, as if the head were pressed in- ward, extending to above the orbits, while sitting reading; apparently re- lieved by motion,6.— Pressive pain in the temporal region (after two hours),38.—Pressive pain from within outward in the left temple112.—Stitches and fine tearing in the left temple (second day),31.—Tearing pain in the left temple, while sitting iu the evening before going to bed (fourth day),27. ** — Vertex. Sticking headache in the vertex and forehead,1.—Stitches on the vertex, extending down to the forehead, with great heat of the face,32. —Constant very sharp stitch near the vertex,4.—Parietals. Violent boriug in the cranial bones of the right side,39.—Dull headache in the left parietal bone, relieved by pressure, aggravated on removing the pressure,3. —[160.] Dull drawing in the head, above the right ear; was transient but very acute, and seemed to be in the bones (first day),30.—Pressive pain beneath the left parietal bone,6,—Pressive headache in the right parietal region, as though the brain were pressing against the bone; the pain was aggravated by inclining the head to the right; this pain frequently re- turned, aud was the most constant symptom even after eight weeks,36.f— Acute drawing-pressive pain in the lower portion of the right parietal bone, above the ear, somewhat posteriorly, as if violent headache would occur (first day). Pain in the parietal bone, returned at night and on going out (which he was obliged to do, to visit a patient), and was very much noticed on every step (first night),30.—Tearing in the cranial bones of the right side,33.—Tearing in the left side of the head, several times,39.—Rheumatic pains in the left side of the head, a kind of tearing as if broken ; afterwards f The editor states that this headache still continued after two months, and at times was so extremely violent that he thought inflammation of the brain would ensue, and that he would require medical aid; the headache seemed to have a re- mittent type. MEZEREUM. 335 a similar pain on the top of the head, and also continuing in the left ear (first day),27a.—Pain in the right parietal bone, with a sensation as if it were suppurating, aud as if the bone must be painful to pressure, on mov- ing, which was not the case; pain aggravated by walking (first day),30.— Occiput. Sensation of heaviness iu the whole occiput,11.—"Boring in the bones of the occiput?9.—[170.] Acute drawing pain in the right side of the occiput,30.—Pressive pain in the occiput, especially on entering the house from the open air,12.—Pressive pain in the occiput and nape of the neck, on moving the head,4.—Dull pressure from within outward in the left side of the occiput, in the evening,6.—Sharp pressive pain and tension in the left side of the occiput,4.—Tearing pains in the occiput,39.—Tearing back and forth in the bones of the occiput,39.—Pressive sore pain in the occiput,4.— A tearing throbbing in one spot in the occiput above the nape of the neck,4. —External Head. "Dry scurf on the scalp,6.—[180.] The scurf on the scalp was whiter, more profuse and dryer than usual,11.")"—*The head is covered with a thick, leather-like crust, under which thick and white pus collects here and there, and the hair is glued together,43.—* On the head, great elevated white scabs, under which ichor collects in quantity, and which begins to be offensive and to breed vermin,*3.—"The scabs on the head look chalky, and extend to the eyebrows and to the nape of the neck,*3.—Twitch- ing in the scalp near the right side of the vertex; it ceased for a short time when touched,11.—The hair was very much inclined to bristle,3.—The hair of the head hangs soft (fourth day),27.—The long hairs were trouble- some to him ; they seemed rough ; after some weeks the hair seems to be- come curly, and to grow more rapidly,11.—Scalp hot; was obliged to scratch it,11.—"The scalp on both sides of the vertex was painful to touch11.— [190.] The hair was painful to touch, as if sore,4.—Violent biting on the head, as from lice, only transiently relieved by scratching, and always recurring in another place ; in the evening,5.—Itching on the vertex and occiput, pro- voking scratching,6.—Fine sticking itching on the head, removed by scratching,6. Eye. — Objective. Eyes dull ; the pupils slightly dilated, and con- tracted sluggishly on the approach of a lighted candle; when allowed to fall asleep her eyes were turned up (after six hours),48.—Brown rings around the eyes, especially about the iuuer canthus; with yellowish color of the face, and at times hot circumscribed redness of the cheeks, duriug the proving,*7.—Stares at one spot (second day),311.—He stares in front of him without thought,11.—He constantly stares vacantly, with a morose expres- sion, and is very peevish,10.—A peculiar painless twitching in the left ex- ternal canthus, greatly interfering with the use of the eyes, lastiug several hours (soon), (first day),31.—[200.] Twitching in the exterual canthus re- turns after preceding doses,31.—Symptoms of catarrh in the eyes aud nose, with increased thirst, febrile warmth of the skin, and accelerated pulse (second day),27.—Subjective. The canthi feel agglutinated, obliging her to rub them (second day),31'.—The eyes were painful, in the evening, while reading by the light; he could not see as clearly as usual,6.—Heat in the eyes; the lids are painful (sixth day),33.—"Eyes hot, inflamed, on rising in the morning; the conjunctiva of the ball very much injected, dirty red, especially in the vicinity of the external canthus; most in the left eye; with pressive pain, and a sensation of dryness (fourth day),27.—Pressure in the eyes (second day),27.—Pressure in the eyes, as if the balls were too large; he was fre- f Revised by Hering, I. c. 336 MEZEREUM. quently obliged to wink,12.—Pressure and tearing on and in the eyes, espe- cially in the orbits,4.—"Much pressure in the eyes, with a sensation of dry- ness, as if the conjunctiva of the lids were very much inflamed (first day),27.— [210.] "Smarting in the eyes, compelling to rub them,**.—Biting in the eyes (while expressing the juice),27"; (soon),270.—Biting in the canthi, especially the inner,4.—Itching of the right eye (first day),30.—Itching in the right external canthus, and agglutination as from mucus, very disagreeable, obliging him to wipe and rub without relief (first day),30.—Violent itching of the left inner canthus (fifth day),27*.—Brow and Orbit. Pain in the middle of the right eyebrow (after half an hour),7a.—Burning aud itching in the left eyebrow,39.—Boring in the region of the eyebrows,39.— Violent boring above the left eye and in the nasal bone,39.—[220.] Boring- drawing pains above the eyes, especially on the left side,39.—Pressive pain about the left eye,3 u.—Tearing above the eyes,39.—Lids. Some agglutina- tion of the external canthi of the eyes, with pressure and itching; with somewhat fluent coryza, and some lachrymation through the day (second day),27.—^Obstinate jerking of the muscle of the left upper lid, for eight weeks*.—"Twitching of the left upper lid (first day),30*; (second day),3'1.— The eyes frequently close while writing,3.—"Inclination to close the eyes (second day),31*.—"Inclination to blink the eyes (second day),31.—Sleepiness in the eyes (second day),30a.— [230.] Burning-prickling stitches on the margins of the lower lids,5.—Biting in the margins of the lids,39.—"Itching biting on the margin of the lids and skin near the nose,69.—Itching on the margins of the lower lids,12.—Lachrymal Aptparatus. "Lachryma- tion, with biting in the eyes (after a quarter of an hour),27a.—Fall. Pres- sure upon the eyeballs, with heat in the eyes,11.—Pressive pain in the eye- ball (first and second days),27a.—Pressive pain in the eyeballs, as if they were too large,36.—Pressive pain in the eyeballs and lids, especially in the light,38.—Violeut pressive pain in the whole right eyeball, at noon, on closing the eyes (seventh day),27.—Pupil. [240.] Pupils dilated (after one hour),10.—Pupil dilated and vision obstructed,51.—Pupils contracted,1. — Vision. Far-sighted,1.—More short-sighted than usual,11.—Caunot see well till towards 4 p.m. ; the lashes seem too long (fourth day),33.—Numer- ous black poiuts before the eyes on rising after stooping (sixth day),27*.— Muscse volitantes, in a dreamy way (second day),31*.—Sparks of fire in front of the eyes,1.—White glistening spots before the eyes,35.—[250.] Flickering before the eyes (fifth day),41. Ear.—External. Painful swelling of the right external meatus, especially of the lower and posterior portion (sixth day)27*.—Sensation as if the right external meatus were wide open, and air were in it, aggravated by yawuing ; somewhat relieved by boring the finger into it (first day),27.— *A sensation as though air were distending the right external meatus, and as though roaring in the ears would occur; afterwards in the left meatus, associated with a stopped sensation in the ear (third day),27.—Feeling of air and of distension in the right external meatus, in the evening (first day),27. —Tension behind the left ear, with tearing in alternating jerks,4.—Boring pains behind the right ear,39.—Twinging pain, and a swollen sensation in the external meatus of the left ear, in the evening (first day),27a.—Pressure above the right ear,39.—Dull pressive pains above the right ear, as if super- ficially in the bone or skin, extending to the upper margin of the concha, gradually increasing, then decreasing ; it seemed as though the upper ear was painful to pressure, which, however, was uot the case, in the evening (second day),30.—3Ilddle. [260.] Sensation of air in the ears, first in MEZEREUM. 337 the right, then in the left, also twinging pain, more violent and persistent iu the right ear (second day),27.—A peculiar sensation in the ear, that seemed to her stretched wide open, and the air seemed to penetrate, un- pleasantly cold, in the evening (third day),31.—Very disagreeable persistent sensation of dilatation in the right ear, and of coldness, as if the drum were directly exposed to the cold air, in a very short meatus, with desire to bore the fingers into the ear, which, however, makes no difference ; the sensation at last disappears of itself,30.—Sensation as if wind were blowing in the right ear (soon), (first day),27.—Sensation as though the left ear were stopped, though hearing was good,3.—Momentary pain in or ou the ear,30.—Earache and painful drawing in the left ear,412.—(Twinging pain in one ear), (soon),27.—Twinging pains in the right ear (first day),30.— Sticking in the ears, especially in the left, very transient, but constantly returning (second day),31.—[270.] Sticking in the left ear (third day),30.— Stitches in the ears and teeth, at times (second day),33.—Pain in the right ear, deep in the external meatus or still deeper (a stitch) ; on putting the finger into the ear, the external meatus seems more open than the other, or as if relaxed (fourth morning),27.—Itching stitch within the right ear,4.— Tearing deep within the left ear,4.—Itching in the right ear, relieved by rubbing,12.—Hearing. Difficult hearing,1; (after nine days),42.—Sudden humming or roaring in the right ear (sixth day),27*.—In the left ear, a sound as of a distant mill, while lying down; a very distant beat, disap- pearing on rising (second day),30*.—Sound of bells in the right ear, while yawning (first day),27.—[280.] Ringing in the ears (after nine days),42.— Ringing in the ears, with great sleepiness,6.—Ringing in the right ear, in the morning, on rising (third day),27a.—Loud ringing in the left ear, in the morning, after dressing (after twenty-two hours),3.—Constant rushing noises in the ears (ninth day),33. Nose.—Objective. The nose seems thicker and shiny,11.—"The ex- ternal margin of the right nostril was very much inflamed, swollen and very painful (fifth day),27.—Constant jerking at the root of the nose, even vis- ible,301*.—Sneezing a few times, in the forenoon (second day),27.—Sneezing, with sore pain in the chest,312.—[290.] Frequent sneezing (fifth day),38.— Frequent sneezing, and fluent coryza*12.—Some violent sneezing, whereby granular mucus flies out of the fauces,11.—Continual, violent, and painful sneezing,50.—Some thin discharge from the nose (first day),27.—"Discharge of yellow, thin, at times bloody, water from the nose, which causes a soreness and a burning pain,1.—Discharge of mucus from the nose (after a quarter of an hour),27*.—The nasal mucus is increased and harder than usual; with great noise on blowing the nose; without coryza,11.—"Nasal catarrh, with discharge of thin mucus, makes the nostrils sore, and is sometimes streaked with blood,38.—Stopped catarrh,1.—[300.] Coryza, with sore pain within the right nostril,12.—Violent coryza (ninth day),33.—Very violent coryza, but not fluent (eighth day),33.—Fluent coryza (fourth day),27; (ninth day),33.— Somewhat fluent coryza, together with stopped coryza, in the evening; the right nostril is completely stopped by scabs, and very painful (fifth day),27. —Excessive, violent, fluent coryza (after forty-eight hours),1.—Bloody coryza, with very tenacious nasal mucus,1.—Stopped coryza (tenth day),33. —Stopped coryza; the right nostril was very scabby (first day),27.—Slight nosebleed (seventh day),41.—[310.] Bleeding of the right nostril, in the evening before going to sleep; blood brick-red (first day),27.—Trickling of blood from the right nostril (soon), (first day),27.—Complete closing of the nostrils,50.—Subjective. Ineffectual inclination to sneeze1.—"Almost con- vol. vi.—2*2 338 MEZEREUM. stant dryness of the nose, with diminished smell,512.—Biting, dry sensation, and crawling, in the left nostril, with stoppage of the right, and vice versa,4.—Burning in the nose,39.—Burning in the wings of the nose,39.— Burning near the wings of the nose,39.—Burning near the right side of the nose,39.—[320.] Violent persistent burning and biting on the back of the nose, extending towards the left side, at 8 p.m.,39.—Boring in the nasal bones,39.—Boring and drawing pains iu the nasal bones and neighboring parts of both sides,39.—Drawing pains in the nasal bones,39.—Drawing piins in both sides of the nose,39.—Drawing pains about the nose,39.—Tearing pains in the nasal bones,39.—Tearing pains near the left side of the nose,39. —The nose was raw and sore, internally,1.—Biting, like mustard, in the nose,11.—Smell. [330.] Very disagreeable, peculiar odor in the nose, like warm offensive exhalations, in the evening (third day),3Cb.—"Diminished smell, with almost constant dryness of the nose,6 u. Face.—Objective. Very suffering expression (fourth day),31.—He looks extremely ill-humored, pale, suffering, and prostrated,5.—The face and forehead are red and hot, with great restlessness and peevishness,43.— Gray, earthy complexion,43.—Face pale, sunken, with a suffering expres- sion,5.—Paleness of the face, decided collapse of the face and extremities,35. —Remarkable paleness of the face (fourth day),31.—The whole right side of the face was somewhat puffed; frequently great heat in the face; with this the eyes were more than usually painful (after three days),32.—[340.] Countenance sunken and ghastly (after six hours),48.—Face shrunken and cold,51.—Subjective. "Sudden very violent pain in the face duriug sleep, similar to an old faceache, waking her up, but soon disappearing, and not further disturbing sleep (first night),31.—Burning pains and swelling of the face, more particularly of the nose, eyelids, and forepart of- the head ; speedily terminating iu the formation of confluent blisters,50.—Tearing in the face below the left eye,39.—Woke towards midnight, with violent pain in the face, almost as severe as the real faceache, with which she usually suffered, with the difference that the tearing is not on one side but on both sides of the face ; wherewith she felt very ill, and had a violent pain in the right side of the head, in the evening (second day),31.—* Constant violent tearing in the face, in the morning (third day),31.—Fine tearing in the face, amounting to a very acute pain (second day),31.—"Constant fine tearing in the left side of the face, and in the teeth, after the morning walk (second day),31. — Cheelcs. "Frequent jerking and twitching in the right zygomatic muscles,39. —[350.] * Violent, frequent distressing jerking of the muscles in the middle of the right cheek for eight weeks*.—Burning in the right cheek,39.—Burning in the left cheek,39.— Burning and boring in the left cheek,39.—Violent burning in the right cheek,39.—Dull cramplike pain and tearing in the right cheek-bone,4.—"Boring in the bones of the upper jaw,39.—Boring pains about the left side of the upper jaw,39.—Boring in the bones of the upper and lower jaws,39.—Cheeks painful to pressure, externally, and painfully swollen (second day),27a.—Lips, [330.] "Swelling of the upper lip, for several days,32.—Swelling of the upper lip below the left nostril, with burn- ing pain,1.—The lower lip thick, dry, cracked, scaly, and painful,11/}*—"The lips stick together,3'1.—"Lips dry (secoud day),27a.—"Lips very dry and scaly externally, and very painful, in the evening, sore, burning; especially along the boundary between the internal and external portions (third day),27".— Burning in the upper lip,39.—Burning in the red of the lower lip, especially •j- Revised by Hering. I. c. MEZEREUM. 339 on closing the mouth, as if it would crack; for the most part only in the evening, or at least worse then,5.—Burning in the right corner of the mouth, as if the skin were cracked, in the evening,2.—Hot, burning feeling on the upper lip,12.—[370.] Constant burning in the upper lip and below the left eye,39.—Fine needle-like stitches in the upper lip by the right corner of the mouth (first day),30.—Sore pain and inflamed redness of the red of the lower lip, with burning when touched, relieved by moistening with saliva or by drinking, worse iu the evening, lasting two days,5.—Pricking in the lips as if a blister would develop (third day),31.— Chin. Boring in the sides of the lower jaw,39.—Boring pains in the left lower jaw,39.—Drawing from the right mastoid process down deep into the lower jaw, as far as the teeth,5.—Tearing pains in the lower jaw,39.—Drawing-tearing pains in the left lower jaw and in the teeth (second day),3Cb. 3Ioufh.—Teeth. Offensive mucus on the teeth,11.—[380.] Carious odor of the mucus on the lower incisors,38.—"The hollow teeth decay very rapidly,21:—The hollow teeth constantly became sharper, and decayed rapidly (third day),27.—The hollow teeth are very much eaten away, quite down to the gum (seventh day),27.—The teeth seem too long and icy cold, in the afternoon (fourth day),31.—The teeth of the left side seem too long,11. —The hollow teeth seem very sharp (the remedy has a very marked action upon the hollow teeth), (sixth day),27*.—"Sensation as though the teeth were dull and too long39.—Upper incisors painfully dull (second day),27.—"A feeling of bluntness in the teeth,6.—[390.] Bluntness of the teeth, as from acids, at night,11.—*Bluntness of the teeth ; they feel elongated, especially those ou the left side, with boring and sticking paius in them, though he had never suffered from toothache before,34.—Pain in a carious tooth, in the morning,35.—"Pain in a hollow tooth, in the evening (fourth day),27.— Pain iu the last back tooth of the left side of the lower jaw, as if it should be pulled out,12.—"Much toothache (second day),27*.—"Toothachein a hollow tooth30.—A simple toothache, a seated paiu in a hollow back tooth,6.— Boring and sticking in one or another tooth, though more on the right side, sometimes changing into painful sticking in the right cheek-bone; there- with, the right side of the head was so affected that even to touch the hair was painful, with uneasiness, extreme fretfulness, and aversion to every- thing,8.—Fine drawing in the left upper teeth,3*.—[400.] Drawing pain in the left teeth, as if it would become a tearing, soon disappearing (after one hour),30.—Toothache, drawing, burning, and sticking in upper back tooth (which, since taking the drug, has become holloiv with remarkable rapidity), all day, especially in the evening, for several weeks,4.—Transient drawings in the'teeth of the right lower jaw, like incipient tearing (second day),30.— Violent cutting in the hollow teeth, like a soreness, in the morning while half awake, also after waking the pain in the teeth continued, especially on biting; also recurring the next night, and waking from sleep (relieved by Nux vomica),6.—Pressive sticking pain in the left upper back teeth,12. —Sharp stitches in the roots of the right and left lower incisors,4.—Teeth very sensitive on pressing them together, especially the upper incisors (sec- ond day),27.—Teeth very sensitive, in the morning on rising, especially on pressing them together, particularly the front teeth (second morning),27.— Teeth, especially the upper incisors, have a very painful sensation on press- ing them together, in the morning on rising (fifth day),27.—"Teeth very painful on biting upon them or from the fresh air, as if they were too long, with drawing pains, lasting all day, though worse here and therein different teeth, especially worse in the left upper teeth, and in the upper incisors 340 MEZEREUM. (second day),27*.—[410.] * The teeth are painful when touched with the tongue (fourth day),31.—Painful jerking in the upper incisors,4.—Toothache in the left upper jaw, especially in the broken teeth, a jerking pain with a pale swelling; bleeding and suppurating of the gum ; the cheek externally be- came very painful to touch (she frequently suffered from toothache, espe- cially after taking cold, but this time there was no special cause),28.—Acute jerking pains in the last right back teeth, in the afternoon (second day),27a. __Tearing jerking extending from a right upper hollow back tooth into the temple,4.—'Gums. The gum back of the upper front teeth became swollen like a blister; subsequently a swelling formed which involved the forepart of the hard palate, therewith the upper incisors were painfully blunted, in the evening (first day),27.—The gum bleeds very easily (second day),27*.— Drawing iu the alveolar processes of the left upper jaw (second day),30.— Tongue. Tongue and mouth still red and inflamed (fourth day),27*.— Tongue somewhat coated (fifth day),41.—[420.] Tongue coated whitish- yellow,4.—Tongue coated whitish,3.—Tongue coated white (second morn- ing),27.—Tongue swollen and red, with a white coating (third day),27.— Tongue swollen, thick, especially at the tip, with a thick white coating (almost like that of Mercury), and prominent papillse, each one of which looked red on a white ground; the tip of the tongue was very red (denuded of epithelium), in the middle of the tongue was a deep fissure (second day),27*.—Tongue thick, with large elevated papillse, especially on the fore- part, no longer white, but clean and very red (third day),27a.—Burning painful blisters on the tongue and gums,1.—On moving the tongue, a sen- sation on the forepart as if it were soft, like butter,2.—Feeling of heat and a dry rawness in the forepart of the tongue,3.—"Burning on the tongue, ex- tending to the stomach,1*.—[430.] Burning and boring in the tip of the tongue,39.—A biting burning on the tongue, as after pepper (soon), (imme- diately),27.—The tongue and hard palate feel burnt (second morning),27.— Sensation as if the tongue were burnt, the tip sore, the tongue coated white (second day),27.—Tip of the tongue continues painful, as if burnt (fifth day),27.—Fine sticking pain on the tongue (after half an hour),1.—Biting on the tongue posteriorly,4.—Violent biting and burning on the tongue (immediately),39.—Violent itching of the tongue and lips (immediately),39. —General 3Iouth. The anterior part of the lips, gum, and tongue were quite deuuded of epithelium (second day),27.—[440.] Wherever the bark touched the mouth when chewing it the mucous membrane became denuded (the inner surface of the lips and anterior portion of the gum), also the whole mouth was very painful (second day),27a.—Small white blisters like ulcers within the corner of the mouth and ou the right cheek, without pain,12.—Heat in the mouth and throat,41*.—Highly acrid, creating in the mouth and fauces a burning sensation,49.—Burning in the mouth, not exactly in the places where the bark (when chewed) touched the mouth, but more particularly in the pharynx, relieved or dissipated by inspiration, returning violently on expiration (after a few minutes),27*.—"Burning in the mouth, extending to the stomach,9.—"Burning in the whole mouth, some- what relieved by eating; frequently returning for a short time, in the after- noon (first day),35.—"The burning in the tongue extended over the whole mouth, especially over the hard palate, together with great dryness of the hard palate, especially of the posterior portion, and iu the upper portion of the pharynx (soon) 27.—^Burning in the forepart of the mouth and on the tongue, with accumulation of saliva (soon),276.—"Burning of the lips and tongue, no longer like pepper, but as if quite sore, though the skin was MEZEREUM. 341 still uninjured, at 5 p.m. (first day),27.—[450.] *Violent burning in the mouth,10.—Violent burning in the posterior portion of the palate and uvula, lastiug two hours, until dinner (immediately),40.—The burning in the palate and throat was somewhat relieved after eating, except the persistent sensa- tion as though the parts had been burnt with hot soup, which continued all the afternoon and even next morning; during the next day there was a sensation of rawness, roughness, and dryness, which continued very trouble- some for several days, and was especially annoying, in the morning after waking,40.—The biting burning extended over the lips, especially they be- came dry and swollen (after one hour),27.—"Scraping, burning, peppery sensation on the palate and in the fauces (soon after the tincture),30*.—Per- sistent peppery burning in the mouth soon after the tincture (second day),30b. —"Scraping and burning in the palate and fauces,1.—Biting and burning in the mouth, with spitting of much watery saliva (from the bark, not from the flowers), (soon),27.—Biting on the lips and tongue, not immediately, but coming on gradually in about half an hour or an hour; it became a violeut burning, like pepper, on the forepart of the tongue, and still more on the lips, internally and externally, wherever the tincture had touched,27. —Prickling on the posterior portion of the palate and at the base of the tongue; this with a feeling of warmth gradually increased, with dryness of the tongue, that after a time amounted to a real heat and burning; this sen- sation involved only the posterior portion of the palate and tongue ; the anterior portion remained normal; at first the sensatiou was thought to be the effect of the Alcohol, but the burning became so violent that it seemed as though he must have chewed several pepper-seeds; during the next hour -he frequently endeavored to relieve this heat and burning by small quan- tities of water; as long as the water was held in the mouth there was a slight remission of the burning, but after the water was swallowed the burning returned as violent as ever; after another half hour, he took a cup of white coffee with relish ; after this, the symptoms became worse and more extended, and then the heat and burning involved the tip of the tongue, inside of the lips, cheeks, and gums; at the same time there was increased transpiration of the skin, especially of the face, without previous heat,42.—Saliva. [460.] Increased secretion of saliva (immediately),40.— Increased secretion of saliva, and subsequently an alkaline salty taste, with a metallic, offensive odor from the mouth,36.—Increased salivation, with a sweetish taste,37.—Increased salivation, of a salty taste,38.—Some accumu- lation of saliva,410.—Accumulation of water (watery saliva) in the mouth,29. —Much spitting of saliva and hawking of mucus; the mucus loosening easily (soon),27.—Much saliva constantly in the mouth, and constant spit- ting of water,11.—Dryness of the mouth, especially the tongue, in the morning on waking (second day),27.—Taste. Taste somewhat tart, with roughness in the mouth,41".—[470.] Catarrhal taste on the tongue,1.—Nau- seous taste posteriorly in the fauces, as if from hollow teeth, and a percep- tion of au odor exactly similar to it, far back in the nose,11. (?)|—Fiery taste in the mouth always after eating, for several days,8.—Bitter taste in the mouth, and nausea, all day,1.—Very bitter taste and accumulation of water in the mouth, which relieved the scrapihg burning,7.—Flat sourish taste in the mouth, with natural taste to food,10.—Sweetish-salty taste in the mouth, especially after becoming somewhat heated,4.—Sourish-salty taste in the mouth,32.—Peppery taste on the tongue,1.—Taste diminished; tongue as if f Kevised by Hering, I. c. 342 MEZEREUM. burnt (soon),27.—[480.] Taste almost completely lost; the usual cow's milk has a smoky taste (second day),27a.—Beer has a bitter taste,1.—Tobacco tastes like straw,6.—Speech. Speech difficult and less fluent than usual; at one time, as if the breath or saliva were wanting; at another, as if the tongue were too thick,11. Throat.—Object ire. Mucus in the throat for several days, making singing difficult; she could not utter a pure tone,32.—Secretion of mucus posteriorly through the choanse, extending down into the air-passages, aud causing hawking, with lachrymation (soon),27.—Easy hawking of granular transparent mucus,11.—Subjective. "Sensation as if the throat were full of mucus; she was frequently obliged to expectorate, but the sensation continued,32. —Pains in the throat (third day),41.—"Burning in the throat3; (altera quarter of an hour),41*.—[490.] ^Burning in the throat and pharynx,9.— Burning paiu from the throat to the stomach,51.—"Burning in the throat, with irritation to hacking cough in the larynx, like a dryness; anxious oppres- sion of the breath, and loosening of scanty mucus on coughing,6.— Burning and scraping in the throat, tongue, and palate (immediately),41.—Cooling burn- ing in throat under tongue, extending to stomach, as after peppermint drops,9.—"Constriction in the throat and stomach,*03:—Pressive pain in the throat on swallowing, as if the palate-bones were separated,12.—Soreness and rawness posteriorly in the throat, even on inspiration; though mostly felt on swallowing,1.—Sore throat on swallowing, like a pressure from a plug,12. —Pressive sore throat, worse when not swallowing,1.—[500.] Scraping in the throat (second day),3131a; soon after tincture,30b; after bread and butter, in evening (third day),31.—Scraping in the throat, palate, pharynx, and tongue, which increased for an hour, then continued for an hour and a half; associated with heat and a hot breath (after ten minutes),*11*.—Constant scraping and burning in the throat for two hours,30.—Disagreeable scraping in the throat that at times provokes'cough, not relieved by hawking, and becoming worse after eating, lasting till about 9 p.m. (first day),31.— Fauces, Pharynx, and (Esophagus. "Disagreeable dryness in the fauces, and an irritation causing a dry, fatiguing cough,™.—*Heat and scraping in the fauces,41'.—"Burning in the fauces, as if he had swallowed pepper,12.—Burning in the fauces, pharynx, and stomach, was relieved even by swallowing food; as were also the anxiety and sensation of diarrhoea,11.— Burning and pain in the fauces, extending to the corners of the mouth and lips, where the epidermis desquamated,38.—Long-continued burning in the fauces, after every dose,39.—[510.] flight drawing and tickling in the fauces and pharynx posteriorly,4.—"Soreness and rawness in the fauces, and on the palate,1.—A feeling of soreness iu the fauces, on inhaling the open air,2.—Scraping in the fauces (soon),30.—"Scraping in the fauces with tena- cious mucus, which he is obliged to loosen by hawking, with burning in the pharynx,6.—Scraping in the fauces posteriorly, with accumulation of saliva in the mouth, and constant inclination to relieve the pepper-like burning- scraping sensation by swallowing saliva (after half an hour),30.—"Scraping and a burning sensation in the upper part of the fauces posteriorly, soon after a dose; disappearing after drinking milk and eating bacon,11.—"Scraping and biting posteriorly in the fauces and pharynx, as in violent coryza, worse ou empty swallowing,4.—"Constant scraping and burning in the fauces and warmth in the stomach (immediately),39.—"Rawness of the fauces (even after twenty-four hours),1.—[520.] Inflammation of the pharynx,17.—After talking, the posterior portion of the pharynx feels very much affected,11.— "Burning pain in the pharynx, for several hours, aggravated by inspira- MEZEREUM. 343 tion,36.—"Constant burning in the pharynx and oesophagus (immediately),6.— "Violent burning in the pharynx,lb.—A biting burning gradually extending from the pharynx over the whole mouth and outer margins of the lips; in the evening there was pain in the pharynx on swallowing, as if swollen or sore, or like a scraping; afterwards, severe sticking in the pharynx on empty swallowing; this condition became very violent and general; swal- lowing was very painful, especially to the uvula and arches of the palate (first day),2'*.—Tensive pain on empty swallowing, as from a sore throat, on the left side of the pharynx,3. — Constriction and tightness in the pharynx,1.—Feeling of constriction in the pharynx, with crawling, not preventing eating,4.—The. pharynx seems constricted ; morsels of food cause pressure on swallowing,4.—[530.] Pressive pain in the pharynx, as soon as he swallows only a morsel, aud sudden shuddering, seeming to start from the pit of the stomach, with nausea and shaking of the head and chest,3.— Violent pressive pain posteriorly on the pharynx when not swallowing; at times only on one side,4.—Rawness and burning pain in the pharynx, aggravated by expiration with open mouth (after a few minutes),35.—Burn- ing, extending up the oesophagus (immediately),37.—Burning in the whole lining of the oesophagus and stomach ; with some individuals, this burning sensation continues only a few hours, while others feel it as long as two days,49.—Burning in the oesophagus if he swallows water,35.—Swallowing difficult; with a feeling as if a foreign body were sticking* in the pharynx; for several days (after seven days),36.—External Throat. Swollen glands as large as one or two peas, somewhat painful to pressure on the margin of the ramus of the lower jaw, below the left ear, in the evening (first day),27.—Sticking pains in the submaxillary glands,1. Stomach.—Appetite. Incessant hunger, with a sensation of empti- ness in the stomach,37.—[540.] "Great hunger and appetite,*noon and even- ing,*.—Sensation of hunger in the stomach, with rumbling in the abdomen, at 6 a.m. ; at noon aud in the evening, the appetite was again diminished; in the morning he felt very sick at the stomach after eating, especially after fat food (third day),27*.—Violent sensation of hunger recurring at in- tervals, with accumulation of water in the mouth (immediately),3.—Con- stant longing for food,36.—Though without real appetite and hunger, yet constant desire to eat and take somethiug into the stomach, whereby he has less pain,11.—Unusual desire for bacou,11.—Diminished appetite (first evening and second day),27*.—Very little appetite; he is soon satisfied (seventh day)27.—Remarkably little appetite, so that he ate very little (fifth day),27.—"Loss of appetite,*'3; (second day),41.—[550.] Loss of appetite, as from too much mucus in the throat,1.—Neither hunger nor thirst,41*.—On eating, he does not relish the first morsels; meat is so repulsive to him that he will not eat it,1.—Aversion to meat,1.—Aversion to meat, though in other respects the appetite is undisturbed,35.—Thirst. Increased thirst (soon\27.—Increased thirst, though he was cool; in the forenoon (second day),27.—Increased thirst during the chilliness (second day),27.—Increased thirst for fresh water (first day),27.—Much thirst in the evening, with great dryness of the mouth, momentarily relieved by drinking,5.—[580.] Thirst very urgent (after seven hours),48.—Excessive thirst (first to fourth day),35. —Extreme thirst,51.—Asked feebly for cold water (after six hours),48.— Loss of thirst (immediately); next day, great desire to drink, without dry- ness of the mouth or really excessive thirst,1.— Eructation and Hic- cough. Eructations (after half an hour),27ft41a 4'b; immediately,27.—Eruc- tations from drinking cold water,4.—Eructations, with uprisings of liquid, 344 MEZEREUM. which, however, do not reach the mouth (first day)30a.—Frequent eructa- tions, without taste,42.—Frequent eructations and ineffectual efforts to eruc- tate, while the burning in the throat continued, only momentarily relieved by a swallow of cold water,30.—[570.] Empty eructations (third day),42.— Empty eructations, with burning and anxious sweat,n.(?)f—Repeated empty eructations (first day),27.—Tasteless eructations,37.—Frequent empty and tasteless eructations,*16.—Eructations of gas and acrid fluid,9.—Eructations in two paroxysms; first a shock having a hiccough-like forcing out of gas,11.—Eructations tasting of the meat; sour and scraping (seventh day),27. —Many sour, rancid eructations after supper, with very distressing pressure in the stomach (third day),27*.—Gulping, with a clean taste of the food aud drink that had been taken,11—[580.] Violent, almost painful, hiccough last- ing a few minutes (after two hours)30.—Nausea and Vomiting. Nausea*5616;\ immediately,27411*; worse in house (fifth day)41.—Nausea and eructations (after a quarter of an hour),35.—Nausea, with empty eructa- tions (seventeenth day),42.—Nausea, with pain in the stomach, as from over- distension,3.—"Nausea in the throat (third day),30.—"Feeling of nausea in the throat, like the first effect of an emetic (first day),30a.—Increased nausea in the throat, as if it would amount to vomiting, followed by nausea and the sensation of intoxication ; increased while walking (first day)30*.— Very disagreeable sensation of nausea in the throat, as if she would vomit, without disturbances in the stomach or mouth (taste perfectly normal); the nausea disappeared after eating (soon), (first day),31a.—Frequent nausea in the afternoon,1.—[590.] Slight nausea and pressure in the epigastric region,38. —Qualmish nausea in the afternoon, disappearing on eating,12.—Qualmish nausea, with shuddering and shivering over the whole body, and accumu- lation of water in the mouth, so that he could not sufficiently spit it out,9. —Violent qualmish nausea while walking, with burning heat in the fore- head,3.—Nausea, amounting even to qualmishness (immediately),37.—Shud- dering nausea (soon),27.— Qualmishness,40.—He woke at night with qualm- ishness,1.—Great qualmishness, with efforts to vomit, and rising of water from the stomach to the mouth ; relieved by motion,9.—Excessive vomit- ing daily, for six weeks,20.—[600.] Violent vomiting,18; (soon),46.—Fre- quent and violent vomiting,51.—* Vomits beer (which has a bitter taste), but not water,1.—The vomited matter is sour or bitter,43.—Easy vomiting of green bitter mucus, with great confusion of the head, and throbbing pain in the right frontal eminence, lasting several hours,9.—Bloody (fatal) vomiting,21.§—Stomach. Inflammation of the stomach,17.—Twitching of the muscles of the pit of the stomach, and transient jerks in its vicinity,45. —A sensation of too long fasting; the stomach hangs down,11.—A sensa- tion in the stomach and lower portion of the pharynx after long fasting, though without longing for food ; after eating the sensation was immedi- ately relieved, but returned after a few hours,11.—[610.] Stomach easily disordered from eating a little too much, or from fat (fifth day),27a.—Great feeling of satiety and indigestion, as if undigested food were lying in the stomach, after a light breakfast, with a very uneasy sensation over the whole abdomen, that at the same time makes him depressed and indifferent (second day),27.—Great pain in the stomach and chest after eating (second (day),33.—Warmth in the stomach (immediately),41'.—Sensation of heat in f Interrogation mark inserted by Hering, I. c. X A frequent effect. — Hughes. \ The original is " purpuream evomit animam."—Hughes. MEZEREUM. 345 the stomach, frequently,39.—"Burning in the stomach,91114.f—Burning and pressure in the pit of the stomach on pressing upon it,9.—Burning and pressure in the stomach, extending transversely at intervals, aggravated by pressure,11.4:—Fulness in the stomach, and pressure after eating (seventh day),27.—Stomach very much affected ; much tensive and spasmodic pain, especially before eating, for several weeks,11.—[620.] Pulling tensive pain in the pit of the stomach on inspiration, as if a portion of the diaphragm had become adherent,12.—Contraction in the stomach,40.—Pain in the stom- ach, as if the arteries were beating against the abdominal muscles as far up as the prsecordial region,3.—Violent pains in the stomach and intestines, accompanied by a stinging-burning sensation in the skin, restlessness, loss of appetite, intense fever, and irregular actions of the tendons,45.—Dull pain in the stomach, lasting a long time (immediately),39.—Pressure in the stomach,39.—Pressure in the stomach, not aggravated by eating,39.—Pres- sure in the stomach, as from fulness, after eating,1.—Pressure in the stom- ach after eating, aud long afterwards a sensation as of undigested food in the stomach,11.—Pressure in the stomach after eating cooked fruit at noon (sixth day),27.—[630.] Pain iu the stomach and chest; pressure and stick- ing in the stomach ; after dinner (first day),33.—Pressure in the pit of the stomach,4141b; (seventeenth day),42.—Pressure in the pit of the stomach, in the evening, aggravated by paroxysms,4. — Pressure in the epigastric region,48; (after a quarter of an hour),41*; (third day),41.—Persistent pres- sure in the stomach,39.—Very uncomfortable pressure in the stomach and abdomen (fourth day),27*.—Dull pressure in the stomach for a long time at night,39.—Dull pressure in the stomach, lasting two hours, with nausea, and much saliva in the mouth,39. Abdomen.—Hypochondria. Dull pain beneath the left ribs, as from incarcerated flatus, aggravated by pressure, followed by eructations that afford relief,4.—"Dull pain in the, region of the spleen, in the left side of the chest; very acute ; momentarily aggravated by deep inspiration, at times over the whole of the region of the false ribs (after one hour),30.—> [640.] "Stitches in the left side, in the region of the short ribs,39.— Umbili- cal and Sides. Twisting griping in the umbilical region, disappearing on emission of flatus,7.—Painful griping flatulence becomes incarcerated in both sides of the abdomen,7.—Twisting pain about the umbilicus, with nausea and a sensation as if diarrhoea would come on, or like a faintness (after a few hours),27.—Dull stitches in the right flank, from within o u- ward, frequently repeated,4.—Colic pain iu a small spot in the right side of the abdomen, as if a piece of intestine were incarcerated ; after dinner,12.— General Abdomen. Distension of the abdomen,35.—Distension of the abdomen, with griping and emission of much flatus,3.—Painful distension of the abdomen, with short, anxious respiration, so that he was obliged to loosen the clothes; with eructations, rumbling in the abdomen, difficult loud emission of flatus, chilliness, shivering, and excessive yawning, in the evening (first day),6.—The vomiting and purging were soon succeeded by considerable tympanitic distension of the abdomen,47.—[650.] Abdomen much sunken, so that one could reach far under the sternum, which seemed to stand out very prominently while lying down ; during the proving,27.— Abdomen hard (after twenty-four hours),1.—Inflammation of the intes- tines,17.—Flatulence,41".—Great flatulence (first day),42.—"Loud flatulence in the abdomen, and loud emissions of it (first day),27.—Rumbling in the f 11 added by Hering, I, e. X Revised by Hering, I. c. 346 MEZEREUM. abdomen during and after eating,38.—Rumbling and noises in the abdomen, sometimes with more, sometimes with less flatulence,469.—Audible rum- bling in the abdomen, with a feeling of hunger or hiccough-like eructations (second day),27.—Loud rumbling in the abdomen, and loud emission of flatus without odor (first day),27.—[660.] Flatus constantly passes, but in a short and interrupted manner,512.—"Much short, very offensive flatus; espe- cially before the stools11.—Emission of flatus, after violent colic pains in the small intestines,12.—Frequent emission of flatus, always with a little soft stool (second day),27.—Emission of offensive flatus; he was once obliged to take care that no soft stool passed with it (second day),27*.— Emission of very offensive flatus for several days after the proving,27.—Feeling as if the intestines and stomach were empty, and swashed about on walking; in the morning, after sufficient breakfast,3.—A sensation of diarrhoea, extending to the rectum, followed by creeping shivering over the whole body, and the sensation disappears,11.—Heaviness in the abdomen, with anxiety,1.— A simple pain in the abdomen,1.—[670.] Pain in the abdomen, in order to relieve which he was obliged to rise and stretch,1.—Chronic pains in the abdomen,22.*}*—"Burning and a sensation of heat in the abdomen (soon),69.— Feeling as if the whole abdomen were full of flatulence,4.—Coliclike pains, as if the intestines were seized, one by one, and constricted,12.— Compression in the abdomen, and a sensation as of a weight in it,1.—Griping in the upper abdominal region,911.—Griping and drawing in the abdomen, espe- cially about the umbilicus,6.—Griping colic, spasmodically increasing and decreasing at short intervals; a pressive-sticking pain low down in the lower abdomen, starting from the middle of the abdomen, at times extend- ing into the left side, with hard tension of the abdomen, transiently re- lieved by the emission of flatus, with weakness of the body, especially of the lower extremities, with frequent paroxysms of aggravation, when it is intolerable,4.—Pressure at night in the hard tense abdomen, aggravated by every position except lying on the back, with distress for breath, and rapid pulse,4.—[680.] General pressure over the whole upper abdomen, with ten- sion day and night,4.—Painful pressure in the abdomen woke him at night after very vivid dreams, with an anxious sensation as if the abdomen would become rigid, hard, and adherent to the chest, though there is a moving about in it as of flatus that frees itself,4.—Pressive pain in the abdomen with anxiety, so that he did not know what to do,1—Painful twisting in the abdo- men before the accustomed stool; the stool was pasty and copious; afterwards colic continued, and pressure in the anus as if more would follow (first day),6. —Cutting and twisting in the abdomen,33.—A pressive cutting in the abdo- men,always toward evening,4.—Tearing stitches in the right half of the upper abdomen, followed by pressure,4.—Tearing pain in the abdomen,1.—Colic for a month,23.—Colic, in the morning, in bed, as from cold, wet weather,12.— [690.] Colic, apparently after taking cold in the night uuder light covers, at last preceded by chilliness in the abdomen, with a very offensive evacu- ation, at first pasty, nodular, and brown, afterwards a thin trickling evacu- ation, with much dragging iu the rectum (fourth day),30b.—Violent colic,51; for two days,24.—Pressive colic on walking iu the open air after eating; followed by perspiration and anxiety, as if he were struggling with death; relieved by eructations,1.—Cutting colic below the umbilical region, for several days,11.—A sensation as if bubbles of air formed in the upper abdo- men between the pit of the stomach and navel,3.—Painful movings about ■j- Add " with burning in the throat and diarrhoea."—Hughes. MEZEREUM. 347 in the abdomen, as if diarrhoea would occur,5.— Hypogastrium and Iliac Feglons. Pressive pain, extending towards the abdominal ring:, frequently,35.—Sticking pain in the hypogastrium, extending to the ilium,12. —Constaut dull sticking in the left side of the lower abdomen, aggravated by pressure and by walking,4.—Frequent dull stitches low down in the ab- domen, especially just above the penis,4.—[700.] Pressing asunder in the right inguinal ring on urinating; disappearing on bending up the knee, returning on becoming erect,3.—Dull sticking pain in the right insruinal region, followed by tearing,4.—Violent stitches in the left side above the crest of the ilium, more towards the back, that take away the breath,12.— Sudden pain in the left groin like a pressure upon a sore spot, worse on expiration and on bending over,5.—Drawing pain in the inguinal glands,1. Rectum and Anus.—Drawing pain in the rectum and anu«,27.— "Stitches in the rectum,39.— After the stool, the anus is constricted around the protruded rectum, which is then incarcerated, sore, and painful to touch,2.—Pain in the anus and anterior portion of the penis (sixth dav\27. —Pinching in the anus and left side near the anus, in the lower extremi- ties, and on the scrotum, in the evening (first day),27.—[710.1 Sticking and drawing in the anus, extending upward (sixth day),27.—A stitch in the anus,27.—"A biting sore pain in the anus on walking, and a burninq in the rectum,8.—Crawling in the anus, as from ascarides, before and after the stool (fourth day),27.—Itching in the anus,27.—Itching in the anus, like a tenesmus (first to fourth day),38.—"Much itching about the anus, several times during the day, and also in the evening before going to sleep ''fourth dav),27a. —Acute tenesmus, tearing and drawing iu the anus aud perineum, and extending thence through the whole urethra,4. Stool.—Flarrhoea. Frequent diarrhoea (fourth and fifth davsy30i\ —*Constant diarrhoea, with intolerable pains in the abdomen,12.—F720.] Excessive diarrhoea,15.—Violent hypercatharsis (soon),46.—Diarrhoea-like stools, preceded by anxiety in the pit of the stomach,2.—Almost uninter- rupted pituitous stools, mixed wilh blood, and causing excruciating: pains,51. —Small, soft, frequent stools,1.—Stools several times a day, thoug-h very scanty,2.—Five thin stools, preceded by pain in the umbilical region, and by straining (second day),39.—Stool rather hard, in the morning*, at short intervals, and only after sitting a long time; immediately after eating, other pasty evacuations at short intervals, and in the eveninor, repeated desire as in diarrhoea, and urging, that, however, repeatedly disanpeared after the emission of flatus, but at last resulted in a small stool, that was first natural and then pasty, during the evacuation of which the urging was very much increased, after which it immediately ceased,5.—Stool tena- cious, daily, but scanty,4.—Stool thin for the first two days, afterwards soft; at times several stools a day ; after about a month the stools became harder and more infrequent, sometimes omitting a day,39.—[730.] Evacuation of stool easy (first day),30.*}*—The evacuation of the bowels is very speedily accomplished, followed by a sensation of great relief,11.—After urging, there is passed a copious pasty stool at short intervals in quick succession with- out any trouble, immediately followed by tenesmus iu the anus, as in diar- rhoea (after half an hour),5.—Stool copious, very brown, hard, somewhat nodular (fifth day),27.—Excessive urging to stool, a very scanty, soft evac- uation, effected only with difficulty and much pressure, followed by a dis- f For a long time the evacuations had been difficult, with an almost constant painful sensation in the rectum, which was very similar to tenesmus. 348 MEZEREUM. tressing sore sensation in the rectum, in the afternoon (after 5 drops of the tincture),30b.—Stool very early in the morning, soft, brown, of a sour odor (second morning),27.—Stool for the first time in the evening before going to sleep, copious, soft, as if fermented and not completely digested, color brown, passing into grayish-yellow, of a very offensive, sourish odor (sec- ond day),27a.—A second "stool in the evening, before going to sleep, but un- satisfactory and hard (third day),27*.—Stool (after thirty-three hours) copi- ous, soft, very offensive, scarcely formed, less fermented than previously (fourth day),27".—Second stool in the evening, soft, dark, indeed grayish and black, with loud fermentation and rumbling movements in the abdo- men during and after the stool (second day),27.—[740.] Stool very much fermented, neither soft nor quite consistent; in part dark, in part yellow- ish, with undigested portions, and with very offensive odor (third day),27.— Stool thick, pasty, smeary, preceded by sudden violent pressure, and fol- lowed by biting in the anus,11.*}*—Stool scanty, very soft (second morning),27. —Stools scanty and clay-colored, being remarkably devoid of bile (after nine hours),48.—Stool very dark, nodular, though not very hard, with great pressure,27.—Stool hard, slow, in the evening, accompanied by great pres- sure,5.—Stool yellowish-brown, somewhat streaked with blood (fifth to sixth day),27.—Stool very unsatisfactory, with some bright blood,39.—Discharge of much bright blood during and after the stool, without pain or straining,30. —Discharge of thin bright blood during and after a stool,39. — [750.] Evacuation of thin dark blood, with a thin stool, without pain or haemor- rhoids,39.—"Small white shining grains in the brown faeces,2.— Constipa- tion. "Constipation (after eight days),11.—No stool (sixth day),27*.—No stool (first and second days) ; stool for the first time in three days and a half, dark brown, nodular, evacuated with much pressure, but without much pain, in the evening (third day),27. Urinary Organs.—Kidneys and Bladder. Sticking in the kidney, and pain as if torn,43.—A pinching sensation in the bladder,4.— Urethra. Discharge of mucus from the urethra,1.—Discharge of watery mucus from the urethra, on moving about,1.—Discharge of tenacious trans- parent liquid from the orifice of the urethra before urinating, in the fore- noon (ninth day),35.— [760.] (Blennorrhoea, with dark-red inflammation of the inner surface of the prepuce, with violent itching, without swelling, and with a sore sensation in the evening, and tearing and drawing in the glans penis), (after three weeks),4.—"Burning urine,1.—Some biting burning in the forepart of the urethra, near the close of micturition (during stool), (fifth day),27*.—Slight drawing in the urethra,39.—Acute drawing and cut- ting-drawing pain in the forepart of the urethra, and neck of the bladder, while walking in the open air (third day),27.—Some cutting in the orifice of the urethra,39.—Pain (cutting) in the forepart of the urethra after mic- turition,27.—Violent cutting in the orifice of the urethra after urinating,39. —Sticking in the orifice of the urethra and frequent desire to urinate,39.— A constant sticking painful sensation in the urethra, in the evening,1.— [770.] Sticking-crawling pain in the urethra, and emission of some fluid,1. —Sore pain in the urethra, sometimes when touched, sometimes when urin- ating,1.—Itching sore sensation in the urethra, aggravated by pressure,4.— Slight itching in the urethra, while urinating,37.—Micturition. Rose to urinate towards morning (second night),27.—Woke with desire to urinate very early, towards morning (first night),27.—Frequent desire to urinate, ■j- Kevised by Hering, I. c. MEZEREUM. 349 immediately after urinating,39.—Urgent desire to urinate (third day),27*.— Urgent desire to urinate, several times during the forenoon (second day),27*. —Very urgent desire to urinate (fourth morning),27.—[780.] Very urgent desire to urinate after waking aud rising, for several mornings (that had existed before taking the Mezereum), disappeared during the proving,27. —Frequent micturition,1.—Frequent emission of much watery urine, in the forenoon (third day),27.—Emission of urine more indolent than usual, iu the morning after rising (second dayY7*.—"After urinating, a few drops of blood are passed,1.—Had not voidedurine (sixth hour),48.— Urine. Urine dark,51.—Urine somewhat red (seventeenth day),*2.—Urine dark wine- yellow, becoming turbid after an hour; later, floating flocculi and a reddish sediment,".*}-—Urine copious, pale,41c.—[790.] Profuse pale urine, even at night (third to eighth day),38.—Urine pale, evacuated only once or twice a day (usually six to eight times), (first to fourth day),35.—Secretion of urine scanty (second morning),27.—Urine scanty, in the "morning, with increased thirst (third day),27.—Urine scanty, dark-colored, hot when passed, of a strong odor', in the morning (second day),27*.—Urine much more scanty than usual, even after drinking much,11.—Urine very scanty, with slight desire (second dayy27.—Burning and red urine,50.—* Urine hot, with a red- dish sediment,12.—Bloody urine,1. Sexual Organs.—Male. [800.] Swelling of the penis, with in- creased warmth (second day),27.—Frequent erectious during the day,6.— Persistent violent erections, with yawning and sleepiness, in the evening (first day),27.—(Transient pain in the forepart of the penis), (after half an hour),27*.—Frequent acute pain in the glans penis,27.—Burning in the re- gion of the glans penis while urinating,1.—Fine pricking stitches inthe penis and tip of the glans penis3*56.—Tearing and jerking tearing in the glans penis,4.—Jerklike tearing in the penis, with a wavelike pain above, in the right side of the abdomen,4.—Sticking jerking on the back of the penis,6. —[810.] Itching internally on the prepuce, in the evening (third day),27.— Very acute itching on the inner surface of the prepuce, after urinating (fourth day),27.—"Itching in the glans penis,1.—Testicles painful to pres- sure,38.— Pressive-drawing pains in the spermatic cords, frequently,38.— Painless swelling of the left side of the scrotum,6.—A pressive stitch on the right side of the scrotum,12.—Excessive sexual excitement after an emission, with crawling over the whole body, as from excessive lascivious- ness (after three weeks),4.—Female. Mucous discharge from the vagina,1. —Leucorrhoea like the white of an egg,1.—[820.] "Menses too frequent,X and lasting too long,43. Respiratory Organs.—larynx and Trachea. The larynx seems too tight, on deep inspiration he hears and feels the air pass through the larynx ; in general, he is conscious that " he has a larynx," u.—In the larynx, a tickling as if with a feather, which causes coughing,43.—Inflam- mation of the trachea, with violent burning pain between the hyoid bone and thyroid cartilage, somewhat relieved by eating (sixth to ninth day),36. —Pain in the trachea, in the morning (seventh day),33.—Sensation as though the trachea were closed while breathing (second day),33.— Voice. Voice altered, trembling,51.—Voice rough, husky (soon),27.—"Hoarseness (fifth day),1; (eighth day),33.—Hoarseness as far down as the pit of the throat,1.—[830.] "Hoarseness, with cough and rawness in the chest (seventh f Corrected by Hering, I. c. J And too profuse.0—Lippe. 350 MEZEREUM. day),33.— Cough and Expectoration. Nightly cough, especially after midnight,1.—Sleep frequently interrupted by cough and colic (seventh day),33.—* When he has eaten anything, he must cough until he vomits,*3.— Cough after walking (fifth day),33.—Cough, with retching and scratching, or scraping in the pit of the throat, as if something sweet lay there which could not be coughed up,43.—Moderate cough, between 6 and 7 a.m., at no other time,43.—Violent uninterrupted cough for some hours, causing vomit- ing (after one hour),1.—Dry cough,39.—Dry cough day aud night, with emaciation and loss of strength, and tensive pains across the thorax,43.— [840.] Dry cough, with retching amounting to vomiting, in the afternoon and towards evening,1.—Dry cough, with scraping in the lower portion of the sternum, and sticking in the right frontal eminence,9.—Cough caused by an irritation low down in the chest, and which does not abate until vomiting and discharge of watery saliva results,1.—"Violent inclination to cough, in the evening in bed, and in the morning, lower down in the trachea than can be reached by the cough; hence its violence and the impossibility to loosen anything by coughing,1.—Much dry cough, at night,39.'—Frequent short dry cough, caused by tickling in the larynx, both day and night; on one day the cough was especially distressing, during which the symptoms in the limbs were less noticed,39.—Constant inclination to cough, preceded by rattling in the chest on breathing, and a sore pain on coughing any- thing loose (tenth day),33.—Cough, at first dry, with a feeling of soreness beneath the sternum, and a distressing headache; subsequently, profuse expectoration of mucus,38.—Much expectoration of mucus (first day),32.— Some streaks of blood in the expectoration, iu the morning (second day),27. —[850.] Expectoration somewhat bloody, in the morning (fourth day),27. —Bloody expectoration, in the afternoon and night, with moderate cough and restless sleep, with heavy frightful dreams,1.—Respiration. A kind of whistling in the nose on inspiration (immediately),11.—Respiration slow (after six days),48.—Inclination to take a deep breath (second day),31*. —Respiration full, not free, not so easy as usual,11.—Respiration short, difficult,51.—Great irritation, and it was difficult to carry on respiration,491*. —Slow difficult respiration, with anxiety; is uuable to inspire sufficient air, and thiuks he must suffocate,2.—Tightness of breath because the chest seems to be constricted from both sides,6.—[860.] While talking, he easily loses his breath in the middle of his speech, and is obliged to begin again,11. —While washing his hands, he filled his mouth with water and stooped forward; he then lost his breath, so that he was obliged to let the water run out of his mouth,11.—Dyspnoea, for several hours,1.—Paroxysmal dyspnoea, as if something heavy were lying upon the chest,1. Chest.—The exhalation from the lungs is offensive, like bad cheese,1.— A contraction of the diaphragm beneath the ribs, at times,1.—The chest feels affected and weak, especially the left side of the forepart, whence the bloody expectoration usually seems to come (it only occurs from special cause, from drugs, taking cold, etc.); this is located in the region of the fourth and fifth ribs, about four inches from the sternum (fifth day),27.— Anxiety in the chest,3.—Pain in the chest when coughing anything loose (ninth day),33.—Pain in the middle of the chest, extending up to the throat, on holding the head up (seventh day),33.—[870.] Pains in the pectoral and dorsal muscles of the right side, in the evening,39.—Tightness of the chest, better while standing, often intolerable while sitting, relieved by becoming erect, better toward eveuiug, worse again after supper (first day),33.—On inspiration, a sensation as if the chest and trachea were too tight, not ag- MEZEREUM. 351 gravated by running or going up stairs,11.—On deep inspiration, a feeling as if it was too tight in the region of the third and fourth ribs,12.—The chest feels very tight on stooping and while sitting; he is obliged to loosen the clothes; respiration slow and short,1*.*}*—Tensive pains across the thorax, with dry cough day and night, emaciation and loss of strength,43.—Tension in the pectoral muscles, on stretching out the arms,1.—Sensation as if the chest were constricted (second day),31*.—Cramplike constrictive pain across the lower pectoral muscles, lower portion of the back, and upper arms, while walking in the open air,1.—Pressive constrictive pain in the back part of the chest on becoming erect, very much aggravated by deep inspi- ration, and then extending through the whole lower portion of the chest; on bending forward, the pain is scarcely noticed, but appears like a kind of rheumatism on moving the arms, while bending far backward,7.—[880.] Tensive pressure in various parts of the chest,12.—Pain in the chest on stooping; a pressive pain in the middle of the chest (tenth day),33.— Press- ive pain within the chest, a dull pressure in a small spot, at first towards the right, then towards the left side,4.—Oppression of the chest (second day)31* ; with palpitation,1.—Oppression in the chest, as from the heart, with long deep respiration (first day),30*.—Oppression and anxiety iu the chest, especially about the heart, with very deep and frequent respiration (second day),30*.—Chest feels oppressed and constricted (second day),31.— Sticking pain in the chest, shooting to the right side after coughing (sev- enth day),33.—Sticking pains iu the chest, commencing beneath the left breast and shooting through the breast out between the shoulders, occur- ring on or aggravated by inspiration and making respiration difficult (fifth day),31.—Sticking bone-pain in the clavicle,1.—[890.] Violent sticking in the pectoral muscles on inspiration, while sitting, and also in the left side, beneath the short ribs, near the spine,39.—Fine sticking pain in the chest,1. —A stitch deep in the chest on laughing,6.— Stitches in the chest on respi- ration (second day),31.—Violent stitches in the chest,1.—Violent intermit- ting stitches in the chest, more toward the right side, that scarcely permit breathing,4.—Acute tearing pain in the right clavicle and neighboring parts of the neck (second day),30.—Sore feeling in the chest (seventh day),33. —Rawness and scraping in the chest and throat, on coughing and breath- ing, it seems as though something would be loosened, but it is not; con- stant inclination to cough (sixth day),33.—Front. Sore burning on the bone of the sternum, in a small spot on the right side, near the pit of the stomach,14.—[900.] A pressive burning behind the ensiform cartilage, recurring at intervals,7.—"Constricting and contracting pains transversely across the forepart of the chest, not very deeply seated, accompanied by and alternating with the same sensations across the back, in the region of the scapulae (soon after cutting the bark),27.—A cramplike pressure in a small spot on both sides of the sternum, while sitting, disappearing on walking,6. —Pressive pain in the forepart of the left chest, in the region of the fourth rib, in the evening (first day),27.—Sharp pain in a small spot in the anterior wall of the chest and region of the heart (second day),30*.—Tearing pain transversely across the forepart of the chest (after a few hours),27.—Sides. Pain in the sides of the chest on deep inspiration, as if the lungs were adherent and could not be freely distended,1.—Jerking twitching iu the right side of the chest, by the lower ribs, afterwards below, on the lower portion of the right scapula, in the evening (fourth day),27*.—Pressive pain f Kevised by Hering, I. c. 352 MEZEREUM. in the left side of the chest,35.—Sticking in the right side of the thorax,43. —[910.] Sticking beneath the right axilla, between the ribs,39.—Fine stick- ing pain in the right side of the chest, mostly ou breathing (after nine days),1.—Violent sticking pain in the right side of the region of the last ribs, especially on deep breathing, so that she held the hand over the spot for a long time,28.—Stitches in the left side of the chest, below the clavicle, at rhythmical intervals, extending deep into the chest; soon followed by a dull aching, aggravated by every inspiration, and recurring several days (third day),5.—Dull stitch in the left side of the chest, back of the heart, apparently in the lung (first day),27.—Jerking in the left side of the chest, transient and painful like electric shocks,5.—Mam nice. Sudden burning pain between the mammse,5.—Pressure in the region of the left nipple,4.— Constant stitches beneath the left breast (second day),31*.—A sudden acute stitch from within outward, in the right mamma,5. Heart and Pulse.—Preecordi am. [920.] Cramps about the heart,29.—Dull sticking pains in the prsecordial region, apparently in the intercostal muscles, with acute stitches when coughing and sneezing, most troublesome and most noticed in the eveniug on falling asleep, and in the morning after waking, lasting twelve to fourteen days (after two days),40.— A dull stitch beneath the prsecordial region on deep breathing,11.—Heart's Action. Acceleration of the heart's action (seventeenth day),42.—Irreg- ular beating of the heart, afterwards repeated at night, on waking, while lying on the back,39.—A peculiar rubbing sound in the prsecordial region, in the same spot where the pain had been noticed in the previous proving; the sound was distinctly heard by himself, less noticed while moving about, especially in the evening after lying down, and indeed while lying on the left side, and on taking a deep breath ; associated with a sensation as though the chest were too tight, and sufficient air could not be inspired ; this rubbing sound lasted two or three weeks, with an indescribable sensa- tion of heaviness and of an impediment in the region of the heart,40*.— Pulse. Pulse somewhat accelerated, in the forenoon (second day),27*.— Unusually accelerated pulse, 90, in the evening (first day),27.—Pulse accel- erated by 20 beats, towards evening, with increased warmth of the body and general excitement,4.—Pulse more rapid after eating, and a feeling as if the heart were beating near the stomach on the left side, twitching of the eyelids, unusually distinct vision, with a sensation as if he were looking through concave glasses, aud a kind of swimming before the eyes,3.—[930.] Pulse frequent, irregular, hard, and cordlike,51.—Feverish pulse,50.—Pulse rather slow (third day),27.—"Pulse intermittent, full, tense, hard,18.^—Pulse 44, very compressible, and occasionally intermitting (after six hours),48.— Pulse somewhat harder than usual, not accelerated,41'.—Pulse hard, though not accelerated (fifth day),41. Neck and Rack.—Neck. Stiff pain in the nape of the neck, and ex- ternal cervical muscles3 n.—"Stiff pain in the right side of the nape of the neck and throat, mostly on mofa'cm,6.—Rheumatic pain in the nape of the neck, throat, and occiput,4.—[940.] Tearing on the left side of the neck, extend- ing into the left ear and near the clavicle,4.—Rack. Pains in the dorsal and lumbar muscles,39.—Transient pain in the left side of the back,30.— Tensive constrictive pain in the back, extending down to the small of the back,9.—Sticking pain, extending from the left side of the back through the chest, on inspiration,12.—Sudden sharp stitches near the spine, extend- | Not found.—Hughes. MEZEREUM. 353 ing through the chest into the left costal cartilage, in the evening,5.—Tear- ing in the left side of the back, in the morning,39.—Tearing jerkings on the left side of the neck,45.—Dull pulsating pain in the back, very near the middle spine,4.—For sal. Paiu beneath the angle of the left scapula (third day),30.—[950.] Trausient pains beneath the left shoulder, very acute, in the evening (second day),31.—Rheumatism in the left scapula and nape of the neck, aggravated by turning to the opposite side (sixth day),30b. —"Rheumatic pain in the right scapula, in the morning after rising (fourth day),27a.—* Rheumatic pains in the muscles of the scapulae, like a tension, and as if swollen, making motion difficult (soon),27.—A tensive rheumatic pain on the right scapula (third day),27.—Boriug pains in the dorsal vertebrae, while sitting,39.—Frequent boring in the dorsal vertebrae,39.—Drawing pains in the dorsal muscles,39.—Drawing pain in the left scapula,39.—Drawing pain beneath the left scapula (first day),30b— [960.] Drawing and pressive pains in the dorsal muscles,39.—Frequent drawing in the dorsal muscles,39. —Pressure on the scapulse,39.—Pressure in the right scapula,39.—Pressive pains in the dorsal muscles,39.—Sticking pains in the scapula, especially in the afternoon, for several days,38.—A burning stitch and violent muscular jerkings below the left scapula,4.—Dull stitch in the back near the right scapula, impeding respiration, most felt on motion,2.—Dull drawing stitches between the shoulders, extending downward, less on moving the part,5.— Tearing on the right side of the scapula,4.—[970.] Transient tearing pain in the tip of the left scapula,30.—lumbar. Pain in the small of the back, extending over all parts of the body (after forty-four hours),1.—Pain in the small of the back, worse while walking than during rest,9.—Pains in the right side of the small of the back,12.—Drawing in the lumbar muscles,39.—Frequent drawing pains in the lumbar muscles,39.—Violent drawing pain near the left side of the small of the back,4.—A pressive- sticking pain in the outer portion of the right side of the lumbar vertebrae, aggravated by motion,12.—Tearing pains in the lumbar muscles,39.—Cutting tearing very low down on both sides of the small of the back,4. Extremities in General.—Objective. [980.] "Trembling of the extremities (seventh day),42.—Unsteadiness of the joints, as if they would give way,12. — Weakness of the extremities,411*. — Great weakness of the extremities,9.—Subjective. Heaviness in all the limbs, on motion,11.— Heaviness in the limbs; he dreads motion, and cannot make up his mind to anything,2.—Heaviness and a bruised sensation in all the limbs, as in sup- pressed catarrh (after ninety-six hours),1.—Hands and feet constantly fall- ing asleep (fifth day),31.—"Pains in the periosteum of the long bones, espe- cially the tibice, worse at night and in bed; at this time the least touch is intol- erable,*3.—Boring and drawing pains in the toes, knees, forearms,39.—[990.] Very frequent violent boring in the knees, tibise, wrists, and behind the ears, while walking and sitting, lasting all day,39.—Constant boring pains in the wrists, ankles, and right shoulder, worse during rest,39.—Drawing- boring pain in the arms, knees, cranial bones, bones of the feet and ankles, especially above the ankle and above the wrist, returned an hour after a new dose,39.—Drawing and a weary sensation in the joints, especially of the knees, ankles, and wrists,1—Drawdng pain in the muscles of the limbs,39.— Drawing pains in various places in the soft parts of the upper and lower extremities,39.—Drawing in the flesh of the upper and lower extremities,. and in the fingers and toes,39.—Drawing and pressive pains in various places in the limbs, especially in the bones of the feet, hands, fingers,39.— Painful drawing in the shoulders and knees,39.—Drawing iu all the joints-,, vol. vi.—23 354 MEZEREUM. as if they were dislocated (second day),31*.—[1000.] Drawing and tearing in the long bones of both the upper and lower extremities, associated with chilliness, shivering, and great sensitiveness to external air, so that he was unable to go out of the house, in spite of a warm temperature,34.—Paralytic drawing pains in various parts of the hands and lower extremities,12.— Pressure in the wrists and ankles,39.—Pressure and boring in the left upper arm, right thumb-joint, left ankle, and right temple, after waking in the morning,39.— Tearing in the fingers and toes,39. — Drawing-tearing pain below the right knee, towards the outer portion ; also in the metacarpal bone of the left thumb and in the last phalanx of the right fourth finger; also in the right wrist, at the articulation of the metacarpal bone of the index finger, as if it had been injured by being grasped (second day),27*.— All the joints pain as if beaten or weary,12. Superior Extremities.—Shoulder. Painless cracking in the left shoulder-joint, with a paralyzed feeling in the upper arm, on raising the arm, and a tearing in the elbow-joint ou bending it, iu the evening in bed,6.—"Pain inthe right shoulder-joint39.—Pain in the left shoulder, in the night,39.—[1010.] Constant paiu in the right shoulder-joint, lasting a long time, alike during rest and motion, but sometimes worse while the joint is quiet,39.—Paralytic pain in the right shoulder-joint, with pressive pain in the bones of the shoulder (immediately),12.—Pain in the shoulder-joint, as if the head of the humerus were too large for the capsule of the joint,12.— Burning in the right acromion, in the afternoon (second day),27.—Dull pain and jerking in the shoulder, as if he had carried a heavy weight,5.— Boring pains in the shoulders,39.—Boring in the shoulders, in the morning in bed,39.—Boring in the left shoulder,39.—Boring pain in the right shoul- der,39.—Boring pain in the left shoulder and wrist-joint, while walking,39.— [1020.] Boring in the shoulder-joint,39.—Violent boring pain in the left shoulder, worse during rest, relieved by moving the joint,39.—Tension in the right shoulder, and drawing in the left,4.—Pinching and boring on the lower side of the right shoulder-joint,4.—Pressure in the shoulders,39.— Violent, painful, paralytic pressure on the right shoulder (acromion), while sitting quietly in the evening ; he wished to let the arm hang down, though then the pain was aggravated by the weight of the arm,27.—A pressive pain on the margin of the shoulder-joint,4.—Burning-pressive pain on the right shoulder, afterwards also on the left, behind the acromion, in the evening (first day),157.—A sprained sensation in one spot on the top of the shoulder, at the point where the scapula unites with the clavicle, on moving the right arm (second day),27.—Constant burning stitches on the right shoulder,6.—[1030.] Tearing pains in the shoulders,39.—Tearing pains in the left shoulder (third day),30b.—Tearing in the right shoulder (third day),3°b.—Pain in the shoulder-joint as if it would be torn asunder, with throbbing, burrowing, and tearing, in the evening, aggravated by motion,110. —A sore sensation in the right axilla,*5.—Arm. Weakness and lassitude in the arms, when writing,3.—Left arm feels completely out of joint, almost as if paralyzed (second day),31*.—A weary pain in the arms, especially in the shoulder-joint,1.—Dull pain in the lower portion of the upper arm,5.— Drawing in the arms,39.—[1040.] Drawing in the upper arm,4.—Paralytic pressive pain in the left upper arm, extending into the elbow-joint, aggra- vated by bending the arm outward,12.—Sticking-pressive pain, from time to time, in the left humerus,12.—Tearing pains iu the arms,39.—Tearing pains deep in both arms, as if in the bones,35.—Tearing pains in the muscles of the left upper arm,39.—Bruised feeling in the arm,1.—Bruised pain in MEZEREUM. 355 both upper arms and shoulders,12.—Bruised pain in the upper arms when touched,1.—The upper arm pains as from a blow, with heaviuess and draw- ing downward in the bones,5.—[1050.] Frequent jerking in the left upper arm, worse when touched,1.—Tearing jerks in the right arm and fingers,5.— Elbow. A tensive paralytic sensation in the elbow-joint on raising the arm, a sticking pain on straightening it out,1.—Boring in the left elbow- joint,39.—Rheumatic drawing aud tension iu the region of the right elbow,4. — Pressive drawing in the elbow, extending to the fingers,4.—Violent and persistent pressure and drawing in the right elbow-joint, worse while the joint is at rest, relieved for a moment by motion,39.—Tearing in the elbow aud forearm,4.—Tearing pains in the elbows,39.—Tearing pains in the right elbow,39.—Forearm. [1060.] Pains in the periosteum of the right radius, aggravated by pressure,12.—Constrictive pain in the muscles of the forearm, during and after walking in the open air,1.—Drawing pains in the soft parts of the forearm,39.—Violent and persistent drawing and pressure in the right forearm,39.—Violent pressure in the lower portion of the left fore- arm,39.—Tearing and sticking in the left forearm and fingers, in the morn- ing,6.—Violent tearing in the left ulua,4.—Drawing tearing in the right forearm, close to the wrist,7.—Drawing-tearing pain in the forearm about the left wrist (first day),30b.—Pain as from a blow on the ulua, by the elbow (third day),30.— Wrist. [1070.] Great weakness in the wrists (first day),30*. —Paralytic sensation in the right wrist, during rest and motion (first day),6.—Burning about both external condyles of the wrists, in different circumscribed spots, after working with the hands in cold water, lasting half a day (eighth day),11.—Pressive-burning pain in the bones of the left wrist, in the morning after rising,7.—Boring in the wrists,39.—Boring pains in the wrists and fingers,39.—Drawing pain in the wrists,39.—Drawing pains in the wrists and fingers,39.—Drawing pain in the left wrist,12.—Pressure iu the left wrist,39.—[1080.] Pressure .and drawing in the right wrist and finger-joints,39.—Paralytic pain as from dislocation, in the wrist and whole right arm, more in the muscles, only on motion (immediately),6.—Tearing in the left wrist,4 30b 39.—Drawing-tearing pain in the right wrist (first day),30a. —Hand. The veins on the hands are distended, the skin soft and pliant, in the afternoon and evening,11.—Swelling of the hand, with crawling in it as if asleep,1.—Swelling and heat of the hand and arm, with muscular jerks and prickings in it,1.—Swelling of the back of the hand, with bruised pain in the metacarpal bones and little finger,1.—Trembling of the hands (third day),42; towards evening*.—Trembling of the right hand, with loss of power in the tips of the fingers, so that she could hold nothing firmly (second and third days) ; violent trembliug of the right hand, in the after- noon (fourth day),31.—[1090.] Trembling of the left hand (second day),3la. —Loss of power in the hand, so decided that she could do nothing with it; writing was the most difficult (fourth day),31.—The hands were quite dead on waking from the afternoon nap (fourth day),31.—Paralytic and pressive pain in the right metacarpal bones,12.—Very violent boring in the palm of the left hand,39.—Violent pressure in the whole hand, causing weakness, with a feeling as if it were swelling,1.—Violent jerking stitches on the back of the hand, between the metacarpal bones of two fingers (first day),30b.— Fine slow jerking stitches in the left hand,5.—Tearing on the back of the left hand, and between the knuckles of the fingers,4.—Dull wavelike tear- ing in the back of the left hand,*.—Fingers. [1100.] "Extraordinary paralysis of.the flexors of the fingers (third to fifth day),35.—Paralytic pains in the bones of the thumb, extending from behind forward,12.—Boring 356 MEZEREUM. pains iu the fingers and finger-joints,39. — Tearing boring in the third phalanx of the right middle finger,7.—Frequent drawing in the fingers,39.— Frequent drawing in the fingers and shoulders,39.—Pressure in the fingers,39. —Sharp cutting, as with a sharp knife, in the flesh, on the anterior surface of the last phalanx of the right thumb, repeated several times, very acute, compelling me to look at it (first day),30b.—Fine needle stitches in the tip of the thumb, especially noticed on taking hold of anything,4.—Tearing pains in the fingers,39.—[1110.] Tearing in the left index finger, in the evening in bed,6.—Tearing and biting burning on the inner margin of the left index and middle fingers,4.—A sore pain beneath the nail of the right thumb, especially noticed on pressure,4.—Painful jerking and grumbling in the bones of the fiagers, at intervals,5. Inferior Extremities.—Objective. Involuntary jerking of the whole right leg, towards the inner side, a pulling and twisting, at 3 p.m. (while sitting and writing), (first day),27.—The lower extremities became tired easily (first day),42.—Weariness and uneasiness in the lower extremi- ties; was obliged to move them from place to place,12.—Subjective. Uneasiness in the right lower extremity, so that he was constantly obliged to stretch it out and draw it up, in the evening, in bed (second day),6.— Pains in the lower extremity, with a feeling of coldness and falling asleep of it, in the evening (third day),31.—Pain in the bones of the thigh and leg,1. —[1120.] Rheumatic tension and drawing above the knees, and in the legs,4.—Tearing pains in the thighs and tibise,36.—Hip. Boring in the hip-joints,39.—Boring in the right hip-joint,39.—Violent boring in the left trochanter,39.—A feeling as if sprained in the right hip-joint, on the outer portion of the leg, in the region of the trochanter major, while walking,27. —Tearing and tensive pressure above and in the right hip,4.—"Jerking pain in the hip-joint, extending down to the knee,512.—Thigh. Excessive weakness above the knees, especially on going upstairs, and also while walking upon a level (first day),30b.—Boring in the thighs,39.— [1130.] Drawing in the upper portion of the femur and in the nates, with colic,4.— Drawing in the muscles and skin of the thighs,39.—Tearing in the right nates,4.—Wavelike drawing pain, extending down the whole thigh, which leaves behind a painful weakness that impedes walking,5.—Pressure in the muscles of the thighs,39.—Pressure in the gluteal muscles, in the morning, in bed,12.—Pressure in the muscles of the left thigh, extending into the knee,39.—Sudden dull pain on attempting to walk, as after a sprain, below the right nates, and afterwards on every step, recurring for several days,5.— Sticking and burning in the flesh of the thigh, frequently repeated,39.— Sharp pressive pain externally above the left knee, disappearing on pres- sure, but immediately appearing on the inner malleolus,12.—[ll40.] Tear- ing in the thin part of the right thigh,4.—Tearing in the right, and draw- ing in the middle of the left, thigh,4.—Tearing, with sticking in the upper portion of the right thigh ; and at the same time in the right half of the lower abdomen,4.—Tearing pains above the right, afterwards above the left knee, while walking,39.—Paralytic tearing in the thigh, very high up on the outer portion, while standing,6.—Burning sore pain on the posterior portion of the right thigh, as from a fresh bruise,5.—Long-lasting bruised pain on the inner side of the thigh, when walking rapidly,12.—Dull jerking in the lower portion of the thigh and in the left patella, while standing,5.— Muscular jerkings in the left thigh, as if bubbles of air were forming,4.— Enee. There appears a movable, hardish swelling above the left knee,11. —[1150.] Cracking in the right knee while walking after sitting, in the MEZEREUM. 357 evening (first day),27.—Stiffness in the tendons of the left popliteus,2.— Unusual weariness in the knees ; they are even painful (third day),30.— Weakness of the knees,41*.—After rising from bed was unable to use the right leg in walking, as if the knee-joint were too weak (perhaps also the hip), (third day),27a.—Unusual weakness and weariness in the knees (third day),30.— Excessive weakness of the knees (second day),30*.— Excessive weakness in the knees; especially while sitting, not while standing and walking (first day),30*.—Pain below the left knee, while standing and walk- ing ; in the evening (first day),27.—Rheumatic pain in the right knee on stepping, in the morning after rising; soon afterwards sticking pain in the right foot, back of the third and fourth toes; afterwards also in the left metatarsus (second morning),27.—[1160.] Tension in the left knee-joint and thigh, as if he had walked too much,12.—Boring in the knees,39.—Boring and pressure in the knees,39.—Boring paius in the knees while sitting,39.— Much boring in the knees,39.—Violent drawing pains in the knees and legs while sitting, with a sensation of prostration and fatigue,39.—Boring-draw- ing pains in the knees,39.—Pressure in the knees,39.—Very great pressure in the knees while sitting,39.—Violent pressure in the knees during rest,39.— [1170.] Pain as from a sprain in the left knee, especially in the inner side, in the evening (second day),30.—Sprained sensation below the left patella, while walking, in the eveuiug (first day),27.—Sudden sharp pain between the articular surfaces of the left knee joint, so that it seemed as though he would fall down, on getting into a cold bath in the morning (third day),30. —Sudden dull stitch in the right knee that begins to ache in a short time,5. —Tearing pain in the knee,30"39.—Tearing pains in the left knee,39.—Vio- lent tearing in the right popliteus, extending up into the thigh,4.—Pain in the right knee, in the outer and anterior portion, near the patella, as from a blow (first and second days),30*.—Sudden acute pain in the knee, as after a blow, or as from a bruise,0.—Very disagreeable pain iu the hollow of the right knee, as if bruised and lame, every motion is painful, though it feels worse while sitting (second day),31*.—[1180.] Acute jerking in the left knee, while sitting,5—Leg. Some swelling of the left leg, which was somewhat varicose,41*.—The left lower leg, as far down as the malleolus, was always somewhat swollen in the evening for several days,41.—The left leg became somewhat swollen from long standing, especially towards eveuing,41b.— Weariness in the legs,39; (seventh day),33.—Frequent falling asleep of the leg and foot (fourth day),31.—Drawing pains in the legs,39.—Violent draw- ing in both legs while standing,39.—Rheumatic drawing in the lower por- tion of the right leg, extending into the ankle,4.—Tearing pains in the lower legs,39.—[1190.] Tearing in the leg, especially about the malleolus,4. —Violent pain in the tibia, even while walking,39.—Burning in the left tibia,39.—Pinching in the lower portion of the right tibia,4.—Boring paius in the tibise, especially iu the left, even while walking,39.—Bering iu the left tibia on waking at night,39.—Much boring in the tibise, especially in the left,39.—Violent boring pain in the tibise,39.—Pressive pain in the right tibia, frequently recurring,112.—Slow, jerking, needle-like stitches in the right tibia,5.—[1200.] Tearing pains in the left tibia,39.—Frequent tearing pains in the tibise,39.—The tearing pains in the tibise were the most acute and fre- quent of all the symptoms,39.—Paralytic tearing in the lower portion of the tibia, in the evening, in bed,6.—* Violent pain in the tibia, as if beaten, or as if the periosteum were torn off, after midnight, disturbing sleep, with chilli- ness penetrating the whole body, and constant violent thirst,1.—A dull pain in the leg, as if the tibia were broken in the middle, on every step,5.—Slow 358 MEZEREUM. jerking in the lower portion of the left tibia,5.—Dull jerking and painful drawing in the middle of the tibia,7.—Transient sticking jerking in the upper part of the left tibia while sitting with the knee bent,5.—Hard swell- ing of the calf, on walking in the open air, with burning pain,1.—[1210.] Burning in the left calf,39.—Boring in the calves,39.— Drawing in the calves,39.—Drawings and muscular jerkings iu the lower portion of the calf,4.—Jerking drawing in the calf, very transient but very frequent (after one hour),1.—Tearing pains in the calves,39.—Ankle. The ankle-joints are weak and painful, as if they would break, when stepping upon them to run,11.—Paralytic weakness of the outer side of the ankle, while walking in the open air (first day),6.—Cramplike and dislocating pain around the left external malleolus,12.—Boring pains in the ankles,39.—[1220.] Boring in the ankle-joints,39.—Boring and pressure in the left ankle,39.—Boring in the bones of the left ankle and toes,39.—Violent boring in the ankles and bones of the feet, while walking,39.—Violent boring in the malleoli of the ankles and bones of the feet,39.—Violent boring above the ankle,39.—Pain- ful stretching and pulling beneath the left inner malleolus, extending into the sole,12.—Twitching about the right external malleolus,12.—Pressure above the ankle,39.—Pressive pain about the left external malleolus, disap- pearing during rest,12.—[1230.] Tearing in the ankles,39.—Bruised pain in the ankle during rest,12.—Foot. Feet fall asleep (second day),31*.—"Vio- lent pain in the bones of the feet,39.—Violent pain in the right metatarsus, as if in the bones, on attempting to stand, after a nap over his work from 10 to 11 p.m., from which he woke quite senseless; therewith the pulse was accelerated (first day),27.—A hot or burning pain, as from glowing coals, on the right foot, frequently and momentarily recurring,1.—Boring in the bones of the feet,39.—Pressure in the right foot,39.—Pressure in the bones of the feet and toes,39.—(Sticking and crawling in the feet),11.—[1240.] Great pain in the right foot; violent sticking in it, especially in the toes, in the afternoon (fourth day),31.—Tearing in the right side of the left foot, extend- ing towards the sole and heel,4.—Fiery red inflammation of the knuckles of the left foot extends over the calf and instep, and hard tubercles form in the cellular tissue, which itch on the slightest touch, and violent burn- ing pains ensue,43.—Boring pains in the back of the foot,39.—Tearing ou the back of the right foot,4.—Drawing pain in the sole of the right foot when stepping upou it (sixth day),27.—Burning like fire in the ball of the left foot, with stitches, more while standing than while walking (fourth day),5.—Boring in the sole of the right foot,39.—Pressive pain in the pro- cess of the right os calcis,35.—Tearing in both heels, and in the right tendo Achillis,4.—Toes. [1250.] When walking, the toes ache, as from hard, tight boots,11.—Boring in the left toes,39.—Drawing in the toes,39.—Draw- ing and pressure in the left toes,39.—Tearing drawing through the right great toe (soon),27.—Twitching in the knuckle of the right great toe, like muscular jerkings, or like the bursting of bubbles,4.—Pain in the right great toe, like a dislocation (second day),27*.—Pain as if sprained in the left great toe, while walking, with cold feet (second day),27.—Sticking in the tips of the left toes,39.—Violent persistent sticking, as from a needle, in the tip of the left great toe,39.—[1260.] Stitches in the tip of the left great toe,39.—Rhythmical burning—prickling stitches in the tip of the left great toe,5.—Tearing pains in the toes,39.—Tearing in the right toes,39.—Tearing in the left middle toe,4.—Tearing in the last phalanx of the left great toe, and in the right side of the left sole,4.— Violent tearing in the ball of the left little toe, extending thence to the sole,46.—Sore pain between the toes; the MEZEREUM. 359 epidermis becomes whitish and shrivelled, like an empty vesicle (fourth day),30*.—Pain like a bruise, sometimes a grumbling, in the tip of the left middle toe,5.—The toes are painful even on walking a little, as from the pressure of hard boots,5.—[1270.] Painful nervous-like jerkings in the great toe, in the morning, in bed,5. General Symptoms.—Objective. All the flesh seemed to soften and waste during the proving.27.—Emaciation and loss of strength, with tensive pains across the thorax, and dry cough day aud night,43.—Activity and desire to work (second day),30.—Tremulous condition, as after too much wine (first day),30*.—Irregular actions of the tendons,40.—Stretching (first day),30*.—Indolence,41*.—Indolent, phlegmatic and weary in the ex- tremities ; walking is not agreeable to him,6.—Indolent, not inclined to do any work; likes to be completely inactive; is indifferent to everything:; is obliged to force himself to take up his business (second day),27.—[1280.] Great indolence and weakness after a deep sleep,35.—Unusual indolence; every word is an effort (second day),30*.—Very lazy; no desire to work; with constant yawning,8.—Gradually became listless, languid, and drowsy, and exhibited other signs of approaching narcotism; after six hours she was lying on her back, her countenance sunk and ghastly,48.—Weariness (seventeenth day),42.—Great weariness (second day),31.—Great weariness. was obliged to sleep for an hour (fourth day),31.—Great weariness, with heaviness and dulness of head (ninth day),33.—Very weary, sick, and irri- table (second day),31.—Very weary and unusually sick (soon),30*.—[1290J So weary in the afternoon that she was obliged to lie down and sleep four hours; with agreeable dreams (with constant faceache, which frequently aroused, but never quite awoke her), (fourth day),31.—Extremely weary in the morning on rising, but not afterwards during the day (fifth day),27a.— Extreme weariness and anxiety (seventh day),42.—Overpowering weariness, without being able to sleep, in the evening (second day),31.—Unusual sink- ing of strength,14.—Weakness, relieved after a short nap (second day),30*. —Great weakness, as in faintness (after a few minutes),27*.—Great weak- ness, with inclination to sleep (third day),31.—Great weakness while walk- ing,8.—Weakness, exhaustion,1.—[1300.] General exhaustion, with great inclination to sleep, at least to lie outstretched (second day),31.—Debili- tated, low-spirited, and listless, to such an extent that she almost seemed imbecile,50.—Very much worn out and pale all day, as though he had not slept enough,6.—"Restlessness,45.—Unusual restlessness (seventh day),42.— Great restlessness and peevishness, with redness aud heat of the face and forehead,43.—Subjective. Sensitiveness to cold air,3*.—Sensitiveness to cold water while washing, in the morning; and also in the teeth, while drinking (second morning),27.—On washing, in the morning, the water seemed too cold (as after taking cold); he was also very averse to cold air, especially sensitive on the head, even noticed once while sitting in the house, as if cold air were blowing on his head (second day),27*.—Great desire for walking in the open air (soou), and soon after dread of the open air,11.—[1310.] While walking, he is inclined to go with the upper part of the body bent forward, to hurry and to sing, though everything is per- formed with difficulty and constraint,11.*}-—Inclination to stretch,37.—Un- usual desire for rest, in the afternoon (second day),42.—Inclined to be in- dolent (second day),31*.—Falls asleep late, and after a short nap wakes shortly before midnight, with a sensation as of diminished sensibility of all f Eevised by Hering, I. c. 360 MEZEREUM. the extremities, even of the penis and abdomen,4.—"Feeling of great light- ness of the body1.—Uncomfortable feeling in the whole body,, with yawning and stretching, pain in the abdomen and eructations,8.—General uncom- fortable feeling; better towards noon (seventh day),33.—* General sick feel- ing,*1*; (second day),27.—General indescribable sick feeling; on going into a close room this amounted almost to nausea, which disappeared on going into the open air (first day),41.—[1320.] Very sick and weary (second day),31a.—Pains in the tibise and other parts of the body, even while walk- ing,39.—The parts affected feel, on being touched, as if swollen, which is not the case,43.—Violent boring in the ankles, especially in the left, and in the left side of the forehead,39.—Transient drawing or jerking here and there, after which a constant aching remains,5.—Drawing pain through the whole left side of the body, with a sensation of falling asleep, especially acute in the hand and foot,4.—Wandering-drawing pains in the lumbar region and occiput, also in the shoulders, in the flesh of the thighs, and in various parts of the head,39.—General oppression, without seated pain (third day),42.—Stitches in various parts of the body, especially in the left chest, in the evening (third day),31.—Momentary stitches over the whole body (fourth day),31.—[1330.] Slight stitches in various parts of the body side, shoulder, arm, fingers ; soon disappearing (first day),31.—"Hot jerking stitches in various parts of the body,12.—Tearing pains in different parts of the body, while sitting,39.—Crawling and some stitches in various parts of the body (second day),31'.—Incessant shifting of the pains, which, however, are much inclined to return to the original spot,39.—In general, the left half of the body seems more affected than the right,39.—(The effects of wine seem to be increased by Mezereum),30.—Symptoms not affected by rest or motion,39.—Wine and coffee do not seem to affect the action of the drug,6. Skin.—Objective. Roughness of the skin, with here and there des- quamation,35.—[1340.] The epidermis peeled off,50.—Desquamation of the skin of the whole body,15.—"The usual liver spots on the chest and arms be- came very dark, with much desquamation (fifth day),27.—Great suggillation on the back of the right hand, above the index finger, without cause from pressure or blow ; it is an irregular spot, about an inch in diameter, bright- colored, without any pain ; together with violent itching on this hard but not on the suggillated place, especially on the wrist, so that he was obliged to rub it until it was sore (second morning),27.—A fresh wound (on the knee) becomes inflamed, burns very much, with sharp stitches from time to time extending into the leg,5.—The habitual "liver spots" seemed to desquamate more than usual (second day),27.—Eruptions, Fry. Blotches break out over the whole body,43.—Itching eruption over the whole body, like fleabites, disappearing after three days, remaining for a long time only on the head, and becoming scurfy,34.—"Red itching rash eruption on the arms, head, and over the whole body, partly isolated, partly in spots; very distressing,25.*}*—"Eruption on both lips, outside of the red, with violent fluent coryza,1.—[1350.] Eruption of red spots on the chest, like fleabites, with violent burning and inclination to scratch ; the burning re- mains for several days after the disappearance of the spots,8.—Brownish rash on the chest, arms, and thighs (fifth day),35.—"Violently itching rash on the nape of the neck,1.— Violent itching rash on the nape of the neck, back, and thighs, always worse and gnawing after scratching, and sticking as from needles1.—Elevations as large as peas on the skin of the right forearm, with f Omit "and obstinate."—Hughes. MEZEREUM. 361 violent itching, becoming hard after scratching,11.—Small elevations on the skin, preceded by itching, about the scapulae and on the right nates, with biting pain when touched, soon opening on rubbing, and discharging some blood (third day),6.—A few pimples on the chest (second day),27.—Some elevated pimples on the lower extremities, with sticking pain when touched (after one hour),12.—Small red pimples on the forehead, that only at times itch, but are not painful,11.—A smooth red pimple on the right side of the neck, painfully sore to touch, becoming flat under the skin after a few days, and so remaining for several weeks,4.— Eruptions, 3Ioist. [1360.] *The skin of the face is of a deep inflammatory redness, and the eruption is "fat" and moist (impetigo),4*3.—Heat blisters on the ball of the right hand, lasting several days,12.—Vesicles full of clear serum on the back of the nose; the skin beneath the ruptured vesicle was in- flamed, followed by the formation of a brown scab,35.—"Burning vesicles, surrounded by a red areola, on the sides of the fingers, rather in the skin than elevated above it; they dry up and either leave a bright-red spot, or the epidermis desquamates in round scales,38.—*Vesicles appear around the ulcers, itching violently and burning like fire; after eight days these vesicles dry up, leaving scabs, the tearing off of which causes great pain and retards the healing,*3.—Erujdions, Pustular. Eruption of red pus- tules on the outer portion of the arms and lower extremities, with tickling burning, only on undressing,1.—A small pustule on the lower portion of the left side of the chin, in the beard (second day),27.—Small painless pustules, like millet seeds, on the forehead, at the margin of the scalp,11.—Burning, red, rashlike pustules on the thighs,38.—"The ichor from the scratched face excoriates other parts,*3.—[1370.] "The whole skin is covered with elevated white scabs,*3.—Eruption pale red, itching after scratching; the scabs are adherent and depressed in the centre,43.—*The child scratches the face continually; it becomes covered with blood; in the night the child scratches its face so that the bed is covered with blood in the morning; and the face is covered with a scab which the child keeps constantly tearing off anew, and on the spots thus left raw, large ("fat") pustules form,43.—Between the glutei, four large scabs, surrounded by dark redness, and ou hardened bases,43.—Posterior surfaces of both wrists, iu the region of the radius, have been scratched sore, with violent itching, and there form small, dry, very superficial dark-brown scabs, scarcely a line in diameter; the itching has ceased (fifth day),27.—"A honey-like scab around the mouth,*3. —Small comedones were easily scratched out of the nose and cheeks, but others formed in their places,11.—Boils on the face,1.—A boil on the left arm,1.—-"Cutaneous ulcers form over the bony protuberances,11.— [1380.] "[Ulcers on the upper lip, extending to the nosel,19.f—Eruption on the wrists, which appeared after violent itching, healed after about three weeks ; while scratching there were no distinct pimples; after scratching there formed several small superficial dark-brown scabs, a line in diameter; these at last became quite white and scaly, and seemed conical; the ulcers when healed had a brownish color, as large as the scab, surrounded by a brownish areola,27.—A pimple on the left lower portion of the chin became a small ulcer, with a thin oily discharge and very painful (fifth day),27.—*TJlcers covered with thick, whitish-yellow scabs, under which thick yellow pus collects,43.—Papular, ulcerating eruption (on the finger-jointsy itching mostly in the evening,1.—Around the ulcers, fiery-red areola, shining like a mirror,43.—Linen or charpie sticks to the ulcers; when it is torn away f "Bracket."—Hughes. 362 MEZEREUM. they bleed,43.—Subjective. A slight cut pains excessively for a long time (fourth day),27.—Burning in the skin in different parts, especially the nape of the neck,39.—In the ulcers, burning paiu, in the evening, in bed,43. —[1390.] Stinging-burning sensation in the skin,45.—Drawing-sticking pain in the margin of an ulcer,1.—Stitches, especially in the evening, in a previously existing ulcer,1.—Fine, at times itching, stitches here and there in the skin, especially in the evening, in bed,6.—Burning-stinging sensa- tion, as from the stings of insects, in various parts of the body (first day),30. —Violent gnawing and throbbing in a bruised wound,5.—Throbbing around the ulcer, and, encircling it, a bright-red areola, with burning pain,43.— Itching over the whole body, very obstinate, lasting several days,1.—Itch- ing on several parts of the body, especially the scrotum and margins of the nostrils ; in the evening (third day),27a.—"Itching, as from vermin, on the head and over the whole body, after scratching, soon recurring in another place,5.— [1400.] Itching as from fleas, mostly in small spots, after some time dis- appearing, and appearing in other places, especially in the evening, less during the day, scarcely at all at night,5.—Itching and burning here and there, with increased warmth of the body, in the evening,4.—Itching, with redness, about an ulcer,12.—Itching and pain about an ulcer on the slightest touch,12.—Oft-recurring severe itching, compelling to scratch, now here, now there, ou almost all parts of the body, and very soon after taking the drug; especially on the scalp above the forehead, in one or the other eye- brow, also under the eye; and especially a persistent, oft-recurring itching oh the external ear, and in the left concha. The itching often extended over the whole body ; I felt it simultaneously on back, abdomen, and scalp, impelling to scratch, and relieved by scratching. I could perceive no dif- ference iu the time of day. At times it was a burning itching, or a tick- ling, as from insects, on the chin, the shoulder, the clavicle, the right thorax, along the lower ribs, and the back; also, the thumb and right middle finger. The later the itching began, the greater the inclination to scratch,44. —Extremely distressing itching of a wound, even after it is closed,35.— Extremely violent itching in almost every part of the skin, now in the throat, now on the chest, extremities, obliging scratching, after which it changes to another part, especially towards evening, for several weeks,36.— Intolerable itching over the whole body, which did not allow him an hour's sleep; the itching increased every hour,52.—Sensation of a cobweb, or a draft of cool air, in the beard on the left side of the face (third day),30.— Burning in the skin of the forehead,39.—[1410.] Burning in the skin of the right temple, extending to the right cheek,39.—Burning in the skin of the cheek,39.—Burning in the skin of the right cheek,39.—Burning in the skin on the inner surface of the upper arm,39.—Burning in the skin iu various parts of the leg,39.—Burning of the skin of the nates,4.—Burning in the skin on the inner side of the right thigh, and on the scrotum, with slight itching,39.—Burning in the skin of the right tibia,39.—Burning in the skin of the left calf,39.—Burning and sticking in the skin of the inner side of the left upper arm,39.—[1420.] Burning and sticking in the skin of the axilla,39. —Violent burning in the skin of the left cheek, as from a hot substance,39. —Violent and persistent burning in the skin of the right cheek, as if some- thing hot were applied to it,39.—Violent persistent burning in the skin of the right cheek, aud in the tip and septum of the nose,39.—Constant violent burning in the skin of the nose, above the tip and towards the wings,39.— Sticking in the skin of the left side of the forehead,39.—Sticking pain in a scar on the tip of the right middle finger, in which nothing had been felt MEZEREUM. 363 for two years,38.—Frequent sticking and burning in the skin of the right cheek, and on the back of the nose, where it was associated with boring,39. —Sticking, as with a needle, in several places in the skin of the palm of the left hand and tips of the fingers,39.—Violent stitching and burning itch- ing on the outer aspect of the right shoulder, as if in the flesh, as though an eruption would appear there,44.—[1430.] Burning stitches in the skin, now inthe arm, now in the lower extremity (first day),30.—Prickling and biting in the axilla, recurring violently after scratching,5.—Constant burn- ing prickling on the left scapula and shoulder,5.—Crawling in the foot,1.— Sensation of formication in the great toes, recurring every night, and dis- turbing sleep; once also a similar sensation in the fingers, as if starting from the surface of the bones, lasting eight days,36.—Itching in the eye- brows,11.—Itching in the beard, on the left side (first day),30.—Itching on the small of the back, chest, throat, and neck, with sore pain and soreness after scratching,11.—Itching and burning in the arms and legs, and on scratching, violent stickings as with needles,43.—Itching on the backs of the hands, especially on the right, so that he was obliged to scratch until it was sore (first day),27.—[1440.] Itching in the hollow of the right knee,43. —Itching on the inner side of the right calf, so that he must scratch it, after which it smarts,12.—Itching on the inner side of the calf, not relieved by scratching, and not ceasing until it is scratched bloody, followed by burning; after twelve hours swelling of the calf, and a bloody scab on the spot that had been scratched, beneath which was yellowish matter, and bruised pain,312.—Violent itching on the margin of the left side of the lower lip (soon),27.—Violent itching posteriorly on the margin of the lower jaw (fifth and following days),11.—Violent itching on the legs, so that he was obliged to scratch, in the evening, on going to bed ; it became very painful in an unusual manner, and continued so the next day (first day),27*. —Woke at night with violent itching of the legs; after scratching, the parts were very painful (second night),27.—Very violent itching in the hollows of the knees and vicinity, so that I rubbed until it was sore, in the evening, before going to sleep, indeed before undressing (third day),27*.— Constant acute itching behind the ears; after much scratching small pim- ples appear that are scratched sore and painful; lasting several weeks,11. —Burning itching and tension on the posterior surface of the lobule of the left ear; on scratching, the epidermis desquamates in scales half an inch in diameter,36.—[1450.] Burning itching appeared on the nape of the neck, and on the calves,38. SI eei) and Fr earns.—Sleepiness. Yawning,411-; (second morn- ing),27.—Yawning and stretching, in the forenoon (second day\27a.— Great yawning and stretching (immediately),6.—Excessive yawning and stretching of the limbs (third day),27*.—Sleepiness (after a quarter of an hour),41c.— Sleepiness during the day,1.—Sleepiness, while sitting and reading,4"-.— Sleepy very early in the evening ; while at work, the eyes involuntarily closed, and the lower extremities involuntarily jerked, at least the right leg, in the evening (first day),27.—Unusually sleepy, with dulness of the head, iu the evening (first day),30*.—[1460.] Very sleepy after supper (third day),27*.—Very sleepy, so that he fell asleep, in the evening (first day),27.— Very sleepy, fell asleep while reading, in the evening,27.—Very sleepy, with much yawning, could scarcely keep his painful eyes open, in the evening (first day),27.—"Irresistible sleepiness,21 .f—Irresistible sleepiness, | From debility0.—Lippe. 364 MEZEREUM. five hours before the usual time,2.—Irresistible sleepiness after dinner, with very painful pressure in the eyes; the conjunctiva of the lids especially is very much inflamed,27.—Necessity to sleep (seventeenth day),42.—Sleep more prolonged than usual (second night),27.—Sleeplessness. Difficulty in falling asleep, in the evening, without special symptoms; at night, he slept longer than usual (third night),27.— [1470.] Difficulty in falling asleep, on going to bed at night; he woke several times during the night with pains in the bones, especially in the left wrist and knees (first night),27. —Difficulty in falling asleep, in the evening ; he only slept and became warm after midnight or towards morning ; previous to this he was con- stantly waking on account of great flow of ideas, and was always chilly; towards morning he became naturally warm, without sweat or heat (first night),27.—He could not fall asleep before 3 a.m., on account of great wake- fulness,8.—Sleep restless, unrefreshing,1.—Sleep restless, full of dreams,37.— Sleep restless, disturbed by confused dreams,1.—Sleep very restless, and disturbed by anxious dreams (second night),31.—Night disturbed by fre- quent waking and pain in the face (fourth day),31.—Frequent waking at night, with violent erections and sexual excitement,27.—Woke at 2 a.m., an unusual time, fell asleep again and woke at 5 a.m., with an emission, scanty and thin (second day),271.—[1480.] Frequent waking after midnight till towards morning; he then lay upon the back with open mouth, dry tongue, tensive pain and heaviness in the occiput,11.—Woke at 3 a.m., with a feeling of great heaviness in all the limbs and head ; was unable to fall asleep for • a long time, and then was tormented by anxious dreams,4.—He woke at 2 a.m., after vivid dreams, and could not fall asleep again for a long time, on account of excessive irritability,3.—Frequent starting up in sleep,5.— Rose early in the morning, satisfied with a little sleep (second day),27.— Freams. Sleep dreamy, restless, disturbed by formication in the fingers,36. —Sleep full of dreams,1.—Many unremembered dreams (second night),27a. —Unremembered dreams,12.—Numerous vivid and unremembered dreams (first night),127. — [1490.] Very vivid unremembered dream (first night),27a. —Many very clearly remembered dreams, towards morning,11.!—Vivid dream, with starting up as if he were falling from a height,12.—Very vivid dreams, before midnight, anxious ; after midnight, ludicrous,4.— Woke at night from a very vivid dream ; could with difficulty collect his thoughts and find that he had only been dreaming, afterwards he fell asleep (sixth night),27.—Voluptuous dream, and a sensation as if he had had an emission,4.—Many dreams of the most varied character; he was journey- ing but did not know where he was; could not recollect the names of the places where he was or wished to go; the character of the dreams was especially uneasy, with complete confusion of ideas (first night),27.—Fright- ful dreams,1.—Dream that his back was covered with warts and excres- cences,12.—Nightmare after midnight, and after waking falling asleep of the limbs, and powerlessness of the hands,4. Fever.—Chilliness. [1500.] Chilliness (second day)27; (first even- ing),278 ; especially toward evening,35.—Chilliness and shivering, towards evening,36.—Chilliness, in the forenoon, with cold hands and feet, and some- what accelerated pulse; the skin, at least of the hands, seemed dead and shrivelled, as if they had been in the cold a long time, aud as if they would desquamate (second day),27.—Chilliness out of bed; heat in bed,1.—Chilli- ness, on motion,1.—Chilliness and coldness over the whole body, with asth- f Revised by Hering, I. c. MEZEREUM. 365 mafic constriction and oppression of the chest, before and behind,1.—Chilli- ness in a warm room, with sleepiness,4.—Cold hands, with chilliness all over, without shivering, with dryness of the mouth posteriorly, and accu- mulation of saliva anteriorly, without desire for drinks, lasting two hours,10. —Chilliness, as if she were repeatedly dashed with cold water, especially over the arms, abdomen, hips, and feet, with yawning, lachrymation, and perfect warmth of the face and hands,5.—"Constant chilliness,31.—[1510.] "Great chilliness over the whole body,9.—Great chilliness, with very cold hands, at 9 a.m.,39.—Great chilliness, in the morning (second day),27.—Very chilly all day, fretful aud uncomfortable, sick and suffering, as before a severe illness; therewith some appetite, though discomfort after the slightest food, only tolerable in the open air,5.—Internal chilliness,5.—Before and after the stool shivering chilliness, prostration, and great sensitiveness to the cold open air,11.—Shaking chill,9.—Shaking chill, could not get warm all day (fourth day),31.—Constant shaking chill (fourth day),31.—Febrile chill, with thirst for cold water,1.—[1520.] He became cold in the night, although he went to bed warm in the evening, was cold also in the morn- ing and during the day (third day),27.— Quite cold externally for thirty-six hours, with great thirst, without longing for warmth, without dreading the open air, and without subsequent heat,1.—Shivering, in the evening,38.—Shivering over the whole body, after the stool,1.—Occasional shiverings, transient, but frequently returning (second day),31.—Frequent shivering over the whole body, and also in different parts, down the left leg, in the evening (third day),27\—Frequent shivering over the whole body, with gooseflesh and icy-cold hands and feet, in a warm room,7.—Constant shivering, in the forenoon (third day),31.—Very disagreeable sensation of shivering (third day),42.—Creeping shiveriug over the whole body, with yawning and great warmth of the body, in a very warm room,27.—[1530.] Shuddering of the whole body, while awake and asleep,36.—Violent shuddering of the body during sleep, so that he even bit his tongue,1.—Chilliness over the abdomen aud arms, with dilated pupils (after thirty-five hours),1.—Chilliness over the back, with cold hands, at 8.30 a.m.,39.—Chilliness and coldness in the arms and legs,1.—An uuusual chilliness in the hollow of the left knee, in the afternoon (second day),31.—Much chilliness in the back,39.—Forehead cool, moist (third day),42.—Extremities cold,51.—Coldness of the arms and legs, without a feeling of chilliness,26.—[1540.] Hands and feet cold, like those of a dead person,9.—Cold hands, at 4.30 p.m.,39.—Sensation of cold- ness and perspiration on the legs, followed by heat all over, mostly in the head,1.—Cold feet, that, however, became warm in bed,9.—Coldness of the whole foot; the foot frequently falls asleep, iu the afternoon (second day),31. —Hands extremely cold (first day); both hands cold (second day) ; hands very cold, for some time (third day),27.—Cold creepings on both sides of the upper arms, over the back and feet, with yawning,5.—Shivering over the back and arms,1.—Shivering and shuddering in the back, chest, and upper abdomen,12.—The right hand becomes cold while writing, the left warm, in a warm room (second day),27.—Heat. [1550.] Increased warmth over the whole body,9.—Increased warmth of the body towards evening; was less sensitive to cold air (first day),27.—Feels too warm, in the evening, with creepings of cold shivers, especially in the back and down the lower extremities, in the evening (first day),27.—General intolerable heat, with breaking out of sweat (first evening),27*.—Intense fever,45.— Violent hot fever,1*15.—Typhoid fever, which lasted twelve weeks (after a few weeks) ; she remained quite feeble, and finally died with hectic fever,50.—Increased 366 MEZEREUM—MILLEFOLIUM. warmth and pulsation in the right shoulder,35.—Unusual warmth of the hands, with coldness of the feet and legs as far as the knees, and acceler- ated pulse (third day),27.—The face was hot and sweaty, iu the house in the evening,11.—[1560.] Great heat and warmth through the whole hand and arm, even perceptible to touch,1.—Sweat. Increased transpiration of the skin (seventeenth day),42.—Perspiration (second night),27.—Some per- spiration, towards morning (first night),27*.—Excessive perspiration (first night),27.—Skin dripping with cold perspiration,51.—Cold moist feet, while sitting in a warm room,4. Conditions.—Aggravation. — (Morning), After waking, rawness, etc., in palate, etc.; between 6 and 7 o'clock, cough; in bed, boring in shoulders; after rising, pain iu bones of wrist; in bed, pressure in gluteal muscles; chilliness.—(Afternoon). Nausea; towards evening, cutting in abdomen; sticking in scapulae; itching; towards evening, chilliness.— (Evening), General feeling,11; burning in lip; pains in lip; toothache in back teeth ; in bed, cracking in shoulder-joint; in bed, tearing in tibia; in bed, burning in ulcers; in bed, stitches iu skin; itching; shivering; warmth.—(Night), Pressure in abdomen ; especially after midnight, cough ; iu bed, pain in long bones; pain in shoulder; formication in great toes; perspiration.—(Walking in open air), Pain across pectoral muscles, etc.; pain in muscles of forearm.—(After eating), Fiery taste; scraping in throat; cough.—(In house), Pain in occiput; nausea.—(Motion), Pain in nape of neck; pain in lumbar vertebrae; pain in shoulder-joint; pain in wrist, etc.; chilliness.—(Rest), The pains,39; boring in wrists, etc.; boring in shoulder; pressure, etc., in elbow-joint; pressure in knees; pain about malleolus; pain in ankle.—(Sitting), Tightness of chest; weakness in knees; pain in hollow of knee; jerking in knee; tearing in different parts.—(After sleep), Fretfulness.—(After supper), Tightness of chest.—(After waking), Pains always experienced,39.—(Walking), Pain in parietal bone; nausea in throat, etc.; cough ; pain in small of back; boring in shoulder, etc.—( Warm room), Pressive headache. Amelioration.—{Afternoon), Towards evening, tightness of chest.— (Night), No pains,39.—( Walking in cool open air), General feelings,11.—(In bed), Pains less frequent,39.—{Eating), Burning in mouth ; nausea iu throat; pain in larynx.—(Motion), Pressure in temple; qualmishness.—(Standing), Tightness of chest.—( Work), Dulness of head. MILLEFOLIUM. Achillea millefolium, L. Natural order, Compositse. Common names, Yarrow, Milfoil ;(G.), Schaafgabe; (Fr.), la mille-feuille. Preparation, Tincture of the plant. Authorities. 1, Nenning, Hartlaub and Trink's Annalen, 4, p. 344; 2, Schrefer, ibid.; 2a, Schreter, additional symptoms communicated to Dr. Hering, in Amer. Arzneipriifn.; 3, Mure, Pathogen. Bresil., p. 363; 4, Keil, Zeit. f. Horn. Kl., 3, 140 (1854), effects of repeated doses of 1 to 4 cupfuls of an infusion of the herb ; 5, Hering, effects of 5 drops of tincture, Amer. Arzneipriifn.; 6, Raue, 5 drops of tincture, in evening, repeated after a few hours, the next morning, and on the fourth and fifth days, and the 1st dil. on the fifteenth day, ibid.; 7, " O," from Hering, effect of 3 drops of tincture; 8, Berens, from Hering, effect of 8 drops of tincture; 9, Linnseus, MILLEFOLIUM. 367 Flor. Suec, p. 299, from Hering; 10, Tabernamontanus, from Hering; 11, Koschwitz, from Hering; 12, Ettiniiller, ibid.; 13, Hahnemann, Apotheker-lexicon, ibid.; 14, Richler, ibid.; 15, Chomel, ibid.; 16, Simon Pauli, from Roth's Mat. Med. 3Ilnd.—Everything that happens inopportunely after dinner, and in the evening, when he wishes to take his rest, makes him violent and irri- table,5.—Great aversion to all work,5.—It constantly seems to him as though he had forgotten something ; he does not know what he is doing or wishes to do ; his head is dull aud confused, especially in the evening ; worse after wine or coffee, for several weeks,5.—Stupefaction, vertigo, intoxication,9. Head.— Vertigo. Vertigo, even to falling to the right side and back- ward, on every slight motion when walking, but not on violent motion; with nausea, especially when stooping, not at all while lying down, with unchanged color of the face (relieved after Tartar emetic),8.—General Head. Rush of blood to the head, without headache, in the evening in bed (third day),4.—Coffee causes rush of blood to the head, with pains here and there in the limbs,5.—Rush of blood to the head on stooping, relieved on rising (after one hour),1.—A feeling as if all the blood mounted to the head,2.—[10.] Streaming through the head like gusts of wind, and a feel- ing as if flames were issuing from the upper part of the right side of the head, by paroxysms, at night,6.—Fulness in the head, after a sound sleep, in the afternoon,4.—Dull sensation in the head, after eating,4.—Dull head- ache, mostly in the occiput, throughout the day,4.—Headache coming and going at intervals, lasting from a quarter to half an hour,4.—Headache on stooping (second day),4.—Confused headache, towards noon (third day),.4 —Confused headache, more in the occiput, and extending towards the left shoulder, towards evening (second day),6.—Fine stitches in the brain (third day),4.—Beating in the arteries of the head, with accelerated pulse,4.— [20.] Painful beating in the head (after one hour),2.—Some throbbing in the arteries of the head and face ; the pulse was accelerated, full, and strong (a quarter of an hour after 4 cupfuls of the infusion),4.—Jumping head- ache (second day); less severe (third day),3.—Forebead. Sensation of constriction iu the skin of the forehead,4.—Feeling as though a band were drawn across the forehead, on drawing up the skin of the forehead,7.— Headache in the left side of the forehead (first day),5.—Tearing in the left frontal eminence (after four hours),1.— Vertex. Dull headache in the vertex (first day),4.—A stitch in the upper part of the vertex, very tran- sient (after three hours),1.—Parletals. Painful tension in the upper part of the right parietal bone (after one hour and a half),1.—[30.] A peculiar sensation in the right side of the head as if screwed in, very pain- ful (after three hours),1.—Tearing sticking iu the whole right side of the head (after one hour and a half),1.—A dull stitch in the left parietal bone, and at the same time a blow on the opposite side, and after half a minute a stitch in the same place (after one hour),1.—A fine stitch in the right side of the head (after one hour),1.—Fine stitches in the left side of the head, lasting a few seconds (second day),4.—Violent, painful tearing in the upper part of the right parietal bone (after half an hour),1.—Occiput, Awoke with headache in the occiput (fourth day),6.—Transient drawing in the occiput, after eating,4.—Sticking in the left side of the occiput (after four hours),1.—A painful stitch in the right side of the occiput (after oue hour and a half),1.—External Head. [40.] His long hair becomes unusually entangled very frequently, in spite of cutting it shorter, for two weeks,5. 368 MILLEFOLIUM. Eye.—Burning eyes (second day),3.—Sticking pains in the eyes, press- ing inwards as far as the root of the nose and sides of the forehead, in the evening on reading (second day),2*.—Crawling iu the left inner canthus, as from a fine feather (after one hour and a half),1.—Rrow. The hair of the eyebrows falls out, but not the hair of the head (first week),5.—Lids. The eyes are agglutinated, in the morning (fourth day),1.—Jerking with tension in the left upper lid (after two hours and a half),1.— Vision. It causes a clear bright vision,10.—Sensation of a fog before the eyes, at a distance, but not near to (after three hours),1. Ear.—Sensation of stoppage in the ears,4.—[50.] The ears seem stopped after dinner, and all the afternoon,6.—Frequent pains in the right ear; not an earache, but a sensation as of something boring in the ear (second week),5.—Drawing pain in the left ear, and a feeling as though a liquid were running from it,7.—Some fine stitches iu the left ear (after one hour and a half),1.—Crawling in the left ear, relieved by boring in with the finger (after one hour and a half),1.—Itching in the right ear, not entirely relieved by boring in with the finger (after three hours),1.—Hearing. Frequent ringing in the right ear, without cause (first and second weeks),0. —A sound as from a bat in the left ear, so that she started up in fright; afterwards when laughing a sensation as if cold air passed out of the ear (after four hours),1. Nose.—*It causes nosebleed,13. — The fresh herb put into the nose causes bleeding,11.—[60.] The root causes nosebleed,12.—If a leaf be put into the nose, the blood follows after a short time,10. Face.—Redness of the face, without sensation of internal heat (after three hours and a half),1.—Tearing in the left side of the face, extending to the temple, frequently in the evening (fourth day),1.—Lips. Chapped lips (third day),3.—Fine sticking in the upper lip (after one hour and a half),1.—Chin. Tearing in the right side of the lower jaw, that extends now towards the ear, and now into the teeth (after one hour and a half),1. —Violent tearing, extending from the right articulation of the lower jaw to the top of the head (after one hour and a half),1.—Painful, fine jerking in the left side of the lower jaw (after one hour),1. 3Iouth.—Teeth. Toothache,13.—[70.] Pain in the last lower back teeth of the left side (immediately),5.—Tongue. Tongue coated and swollen (second day),3.—A contractive sensation in the forepart of the tongue, with burning (after a quarter of an hour),1.—General 3Iouth. A pimple on the left side of the inner surface, of the lower lip, with a pressing and sore pain, in the evening (second day) ; in the morning there was a superficial ulcer still covered with white epithelium, slightly painful; it disappeared next day,5.—Dryness in the mouth,4; (third day),3.—A fine sticking in the palate, and a sensation as if cut to pieces (after three hours and a half),1. Throat.—Pain in the left side of the throat on swallowing, after 4 p.m.; on repeating the dose the alcohol caused burning in the same spot, which is painful ou empty swallowing,6.—Sore throat, every evening from 9 to 10,6.—Sore throat, during and after swallowing,6.—Rawness in the throat, that lasts a long time (soon),1.—[80.] Dull sticking pains, very acute, shooting back and forth on the right side of the pharynx, near the larynx, as if internal and towards the anterior portion of the throat, ex- tending backwards, towards evening (first day),5. Stomach.—Appetite. Increased sensation of hunger (third day, also previously),1.—Thirst. Thirst,4; (third day),3.—Eructation and MILLEFOLIUM. 369 Hiccough. Eructations,6.—Empty eructations (immediately),1.—Empty eructation a few times after eating soup,1.—Hiccough (after two hours),1.— Stomach. A sensation as if the stomach were coated with an astringent earth (after one hour),2.—Pains in the stomach as from fasting, in the morning after waking (fourth day),1.—Burning in the stomach, extending up into the chest (after three-quarters of an hour),1.—[90.] Burning in the stomach on bending the body together, worse towards the right hypo- chondrium, where it became a drawing and burning pain (after one hour),1. —Feeling of fulness in the stomach, lasting a long time (soon),1.—Cramp in the stomach, with a sensation as if a liquid were in it, that extended from the stomach into the intestines towards the anus (after two hours),2.— Stomachache (third day),3.—Burning in the stomach and abdomen,1.— Pressure in the stomach, as from a plug (second day),2a.—Painful gnawing and griping in the stomach, as from hunger (fourth day),1. Abdomen.—Hypochondria. An indefinite sensation in the left hypochondrium, soon afterwards also in the pit of the stomach,4.—Violent pinching, first in the left hypochondrium, afterwards in both sides as far as the heart, with anxiety, disappearing after rising from a seat (after two hours),1.—Sticking pressure in the left hypochondrium (third day),4.— Umbilical and Sides. [100.] A pain, as from incarcerated flatus, in a spot as large as a hazelnut, somewhat to the left of the navel; immedi- ately afterwards, movement in the abdomen, extending downward, without emission of flatus (after two minutes),6.—A dull stitch in the left side of the abdomen, so violent that it made her start up, while eating,1.—Gen- eral Abdomen. Flatulent distension of the abdomen, and frequent emission of flatus, in the afternoon (second day),1.—Frequent emission of offensive flatus, all day (fourth day),1.—Very offensive flatus, especially in the afternoon and evening, for a week,5.—Flatuleut colic,6.—Fine stitches in the crest of the left ilium (after two hours and a half),1. Stool.—Flarrlicea. Rumbling and cutting in the abdomen, followed by two attacks of diarrhoea, with subsequent tenesmus (third day),1.—Two stools in the forenoon, and two in the evening (fifth day),6.—Stool very soft, succeeded by some smarting (third day),1.—[110.] Stool rather soft than hard (fourth day after a new dose),1.—The whitish grayish-green soft stool became yellowish-brown, and was repeated in the afternoon (second day); stool occurred in the forenoon instead of in the afternoon (third and fourth days) ; small soft stools, in the forenoon instead of in the after- noon, and two stools daily for a week, afterwards a hard stool in the morn- ing,5.— Constipation. Stool omitted (third and fourth days),6. Urinary Organs.—3Ilcturitlon. Constant desire to urinate, urine very copious' (third day),1.—Urine frequently voided, red and scanty (second day),3.— Urine. Urine darker-colored than usual,4.—"It causes hcematuria,13. Sexual Organs.—Vie has known women produce abortion by the decoction of this plant,16.—Leucorrhoea,13.—Some leucorrhoea (third day),1. —[120.] Anomalies of menstruation, sometimes too scanty, sometimes too profuse,'4.—It causes suppression of the menses, if used too long for hsemor- rhoidal flux,13. Respiratory Organs.—Secretion of mucus in the larynx (soon), (first day),4.—Cough and vomiting (third day),3.—Cough with frothy ex- pectoration (third day),3.—Oppression ; dyspnoea (second day),3. Chest.—Some fulness in the chest,4.—Jerking sticking in the left false ribs (after four hours),2.—Stitches in the chest (second day),3.—Coarse vol. vi.—24 370 MILLEFOLIUM. stitches in the lowest right ribs (after two hours and a half),1.—[130.] Painful coarse stitches in the left chest, beneath the arm, without affecting respiration (after four hours),1.—A jerking stitch in left false rib (after four hours),1.—Bruised sensation in the chest (third day),4.—Sticking sen- sation in the right side of the chest, beneath the fourth rib,4.—Transient stitches in the right side of the chest (second day),4.—Transient dull stitches in the left side of the chest (second day),4. Pulse.—Pulse accelerated (soon), (third day),4.—Pulse frequent, in the evening in bed (third day),4. Rack.—Frequent, though not very painful, drawings in the back (third day),1.—For sal. Sticking-drawing pain just beneath the left scapula, while sitting, lasting several seconds (third day),4.—[140.] Stitches between the scapulae,4.—A violent stitch in the middle of the left scapula (after three hours),1.—A fine stitch in the left scapula during inspiration, while standing; after stretching, and again bending the body together, a violent stitch in the right scapula (after three hours),1.—Lumbar. Stitches in the small of the back (after three hours),1.—Slight transient stitches in the right lumbar region, near the spine,4. Extremities in General.—Malaise in all the limbs (third day),3. Superior Extremities.—Frequent attacks, as if the left arm would fall asleep (first week),5.—Falling asleep, prickling in the left arm, in the forenoon (second day),5.—Bone-pains in the left arm (after one hour),5.—Shoulder. Sticking and burning in the left shoulder, towards the forepart (after four hours),1.—[150.] A stitch in the left shoulder (after four hours),1.—Arm. Violent sticking pressure in the upper part of the right upper arm, after 9 a.m. (second day),5.—Elbow. Sticking and burning externally in the right elbow (after two hours aud a half),1.— Forearm. Pains above the left wrist (third day),5.—Two stitches in succession on the inner surface of the right forearm, followed by itching that disappears after scratching (after four hours),1.—Hand. A fine stitch on the outer margin of the right hand, above the little finger (after two hours),1.—Pressive-throbbing pains in the metacarpal bone of the left index finger and thumb, iu the evening (fourth day),5.—Fingers. Burn- ing and a sensation as of a fleabite on the inner surface of the right little finger (after three hours and a half),1.—Suppurating pain beneath the nail of the right thumb, afterwards of the left, as if bruised (tenth day); en- tirely disappearing (eleventh day),6. Inferior Extremities.—Thigh. Tearing and pressure in the left nates, during rest and motion, though worse while walking, in the fore- noon (third day),1.—[160.] The right nates is painful, as if he had fallen upon it, in the evening (thirteenth day), and in the morning (fourteenth day); worse from pressure, and making tense the gluteal muscles, worse on the right side, at the insertion of the gluteus major into the sacrum (fourteenth day),6.—Knee. Violent pain above the left knee, while sit- ting, at 11 p.m. (first day),5.—A fine stitch in the bend of the left knee (after two hours),1.—Tearing in the right knee,2 \—The tendons in the hollow of the right knee became painful as the tendo Achillis had been, only in a less degree (first day),5.—Leg. Drawing in the legs, while lying down,6.—Drawing in the left tibia, lasting several seconds (third day),4.— Tearing extending downward in the right tibia, while walking in the after- noon (second day),1.—The right tendo Achillis is painful as after a blow or sprain ; very acute and persistent; increasing and decreasing at inter- vals; not while walking or ascending steps, lasting all day (after one MILLEFOLIUM. 371 hour),5.—Ankle. Violent pains in the right external malleolus, at 3 p.m., disappearing in the evening (first day),5.—Foot. [170.] Sensation as though the left foot would fall asleep, not disappearing on rising (after three hours),1.—Frequent falling asleep of the right foot, while sitting, not disappearing on rising after dinner,1.—Violent pains in the whole of the right foot, as if in the bones (first day),5.—Intermitting throbbing-pressive pains in the left foot, in the joints of the last toes, and in the metatarsus (fourth day),5.—Crawling in the forepart of the right foot, as from falling asleep (after three hours),1. General Symptoms.—Objective. Congestion to the head, face, lungs, heart, etc.,10.—It causes hsemorrhage,13.—Stretching followed by a comfortable feeling, in the forenoon,7.—Prostration (third day),3.—Sub- jective. No desire to do anything, without feeling sick,6.—[180.] While lying in bed asleep before midnight, a paroxysm as though a frightful gust of wind seized him and raised him upward in bed (extending from the chest to the head, with a feeling as though a storm were howling through the head and out of the right side of the upper part of the head like a flame) ; therewith the right arm seemed paralyzed ; after this attack he thought in sleep that he was awake, and dreaded a second similar attack ; but when this occurred with redoubled violence, and made him cry out, as he supposed, he woke (twenty-fifth day),6.—General oppression and uneasi- ness,4.—Slow coarse stitches or throbbing pains, always near the bone and not far from the joints, mostly on the left side, and more in the hands and feet, for several weeks,5.—(The symptoms were not aggravated but rather relieved by a glass of wine),4. Skin.—Itching and itching pimples on the back (after seven days),1.— A raw sensation, as from a coarse brush, on the inner surface of the left forearm, in a spot as large as the hand,1.—Itching on both shoulders,6. Sleep.—Yawning, at noon, while riding in the open air,5.—Yawning and stretching as if she had not slept enough (after two hours and a half),1. —Very excessive yawning, without fatigue, especially in the evening (first week),5.—[190.] Sleepy ; she yawns from time to time (after three-quarters of an hour),1.—Slept longer than usual, and was very sleepy for a week,5. —He fell asleep only after 3 a.m. (third day),2. Fever.—Sensation of increased warmth, especially in the face,4.—Fever, with rigors, internal and external heat, for four hours (second day),3.—Hot fever (third day),3.—Sensation of increased heat in the face, as if the blood rushed to the head; even in the eyes and nose there was a feeling as if con- gested with blood (first day),4.—Hot feet and hands (third day),3. Conditions.—Aggravation.—(Evening), Head dull, etc.; from 9 to 10 o'clock, sore throat.—(Night), Streaming through head, etc.—(Coffee), Confusion of mind, etc.; rush of blood to head, etc.—(After eating), Dull sensation in head ; drawing in occiput.—(Slight motion), When walking, vertigo.—(Stooping), Nausea; relieved by rising, rush of blood to head; headache.—(Walking), Tearing, etc., in nates; tearing in tibia.—(Wine), Confusion of mind, etc. Amelioration.—(Ascending steps), Pain in tendo Achillis.—(Wine), The symptoms,4.—( Walking), Pain in tendo Achillis. 372 MIMOSA. MIMOSA. Mimosa humilis, Willd. Natural order, Leguminosse. Preparation, Tincture of the leaves. Authority. Mure, Pathogen. Bresil., p. 146. Mind.—Indolent indifference (second day). Head.—Vertigo (second day).—Sense of heat within the head (second ^ay),—The head seems larger than usual (second day).—Headache, with weakness of the stomach (first day).—Pain in the sides of the head (third day). JZye.—Inflammation of the eyes (first day).—Inflammation of the left eye (fourth day).—Itching of the eyes (third day).—[10.] Dimness of vision (third day).—Halo like a rainbow around the candle (second day). Ear.—Whizzing in the ears (tenth day). Nose.—Sneezing (first day).—Coryza, and discharge from the nose (first day). 3iouth.—Bleeding of the gums (fifth day).—Salivation (first day). Stomach.—Stomachache after breakfast (first and second days). Abdomen.—Flatulence (eighth day).—Flatulence, with borborygmi (first day).—[20.] Flatulent colic, in the evening (second day). Stool..—Diarrhoea (third, eighth, and tenth days).—Frequent stools, with colic (second day).—Easy stools (fourth day).—Constipation (first day)- Sexual Organs.—Inflammatory swelling of the scrotum (third day). Respiratory Organs.—Dry cough in the morning (second day). —Difficult breathing (second day).—Want of breath (fourth day). Rack.—Violent lancinations in the back, as from a penknife (fifth day). Extremities in General.—[30.] Lancinatioas in the legs and hands (first day).—Acute lancinations, now in the arm, now in the leg (fifth day). Superior Extremities.—Twitching of the arm, extending to the chest (first day).—Numbness of the arm and right hand, ceasing on move- ment (fourth day).—Inflammatory swelling of the left hand (sixth day).— Numbness of the hands (second day). Inferior Extremities.—Trembling of the legs (first day).—Smart- ing pain in the legs, with paralysis of the knee (first day).—Stiffness of the bends of the knees (second day).—Swelling of the left ankle, with redness, tension, and lancination (fourth day). General Symptoms.—[40.] Prostration (first day).—Pressure at the nape of the neck and the right temple (third day). Skin.—Pimples on the left leg (first day).—A pimply excrescenc, as large as an almond, on the right leg, with pain and itching; another on the instep (second day).—Pimply excrescence on the tendo Achillis (third day).—The excrescences on the legs disappear, and similar ones come out on the left arm (fourth day).—The pimples disappear (fifth day). Sleep.—Yawning (first and second days).—Drowsiness (first day) ; in evening (second day).—Drowsy in the evening, with frequent waking at night (fifth day).—[50.] Frequent waking at night (second day). Fever.—Horripilation (first and sixth days). MITCHELLA. 373 MITCHELLA. Mitchella repens, L. Natural order, Rubiacese. Common name, Partridge-berry. Preparation, Tincture of whole plant. Authorities. 1, Dr. T. C. Duncan, proving with repeated doses of 10 to 100 drops of tincture, U. S. M. aud S. J., 1, p. 252; 2, Dr. P. H. Hale, a woman took teaspoonful doses of tinct. three times a day for three weeks, Hale's New Remedies, 2d ed., p. 714. Mind.—Emotional. Depression of mind ; sighing (after two hours, seventh day),1.—Great depression of spirits (after five hours and a half, seventh day),1.—Spirits begin to revive, at 1 p.m. (eighth day),1.—Light and buoyant in spirits, although the weather is gloomy and rainy (ninth day),1.—Intellectual. Awoke from a most refreshing sleep, brain clear; feel light and buoyant in spirits, much better than usual (second morning); brain feels dull, and mind stupid, in morning (third day); brain still dull (fourth morning) ; brain feels very dull, at 7.30 a.m. (fifth day); brain feels lighter, but still far from being clear, in morniug (sixth day) ; mind very dull, brain very dull, canuot concentrate thought; could not keep mind on subject in hand; whole perceptive faculties very dull (after first dose, sixth day); brain very dull (after two hours, seventh day) ; continued dulness of anterior lobes of brain (after three hours and a half, seventh day) ; totally unable to attend to any regular duties (after thirteen hours and a half, seventh day) ; great dulness of brain, with feeling of fulness, at 9.30 a.m. (eighth day); brain feels somewhat lighter, can think better, at 1 p.m. (eighth day),1.—Memory poor (after eleven hours and a half, seventh day),1.—Forgetfulness (seventh day),1.—Very forgetful (after thir- teen hours aud a half, seventh day),1. Head.—Whole head feels bad at 11 a.m. (after first dose, sixth day),1. —[10.] Headache ; whole brain feels dull, especially the cerebellum, in the morning (sixth day),1.—Headache continuous (after thirteen hours and a half, seventh day),1.—Awoke with a very severe headache, in the morning (eighth day),1.—Head feels as if being relieved of great pressure from with- out, most of which has been upon the anterior lobes, at 10 p.m. (eighth day),1.—Forehead. Feeling of fulness of frontal region (after two hours, seventh day),1.—Anterior lobes of brain seem dull and heavy (three hours and a half after first dose, fifth day),1.—Great frontal headache, lasting thirty minutes (eleventh day),1.—Severe frontal headache for two hours, just behind the superciliary ridges, at 10 p.m. (eighth day),1.— Vertex. Burn- ing in coronal region on inside of skull, at 11 a.m. (after first dose, sixth day),1.— Parletals. Throbbing pain on right side of head, in region of "sublimity" (after three hours and a half, seventh day),1.—[20.] Spot on right side' of head, "sublimity" region, about the size of a silver dollar, feels as if electricity was passing through there (after eleven hours aud a half, seventh day),1.—Occiput. Dull, heavy aching in cerebellum (after one hour, seventh day),1.—Throbbing in occipital region, on inside of skull, at 11 a.m. (after first dose, sixth day),1.—External Head. Scalp feels hot, at 1 p.m. (eighth day),1.—Scalp sore to touch, especially over region of benevolence, at 10 p.m. (eighth day),1. Eye.—Eyes feel dull and heavy, at 11 a.m. (after first dose, sixth day); eyes feel weak, at 11 p.m. (after first dose, sixth day); eyes feel dull and 374 MITCHELLA. weak (after two hours, seventh day); eyes feel dull, heavy, and filled with tears (after three hours and a half, seventh day); eyes feel heavy and dull, in the morning (eighth day),1. Ear.—Burning of the pinna of the left ear, at 11.10 a.m. (after first dose, sixth day),1.—Dull aching pain in right ear, at 1 p.m. (eighth day),1. Face.—Rush of blood to the face; nose feels as though it would bleed (after two hours, seventh day),1. Mouth.—Sharp shooting pain in an upper molar tooth, left side (after three hours and a half, seventh day),1.—[30.] Burning in tongue (after two hours, seventh day),1.—Pricking sensation in tongue, back portion, in the centre (after second dose, fifth day),1. Throat.—Tonsils Deglutition difficult; tonsils enlarged, especi- ally left one; it is not congested ; do not feel them, except when swallow- ing, in the morning (sixth day),1.—Fauces. Fauces feel dry and slightly irritated (two hours and a half after first dose, second day); fauces again dry (after second dose, third day); a good deal of irritation of the fauces (after first dose, fourth day); fauces still dry and irritable, at 7.30 a.m. (fifth day),1.—Swallowing. Difficult deglutition, due to a constriction of the pharynx (two hours after third dose, fifth day),1.—Deglutition dif- ficult, at 11 a.m. (after first dose, sixth day),1.—Some slight difficulty in deglutition (ninth day),1.—External Throat. Some enlargement of the left submaxillary gland (after three hours and a half, seventh day),1. Stomach.—Appetite. The appetite is not so good (third morning),1. —Appetite not so good as usual, in the morning, returning at 1 p.m. (eighth day),1.—Thirst. [40.] Thirst (fifth day),1.—Eructation. Eructatious (after first dose, fourth day); with hiccough (after thirteen hours and a half, seventh day),1.'—Acid eructations, at 11 a.m. (after first dose, sixth day),1.—Nausea. Nausea (sixth and seventh days),1.—Slight nausea (seventh and eighth days),1.—Stomach. Burning in stomach, which ex- tends along the oesophagus its whole length (sixth and seventh days),1.— Dull pain in epigastrium, at 1 p.m. (after first dose, sixth day),1. Abdomen.—Objective. Rumbling in bowels; expulsion of flatus; feel as if going to have diarrhoea (ninth day),1.—Much flatus in the intes- tines (third and fourth days),1.—Expulsion of flatus, in the morning (third day),1.— Subjective. [50.] Whole alimentary tract feels cold ; transverse colon tender under pressure (three hours after second dose, fifth day),1.— Abdomen feels distended, as if with flatus, especially the transverse colon, in the morning (third day),1.—Griping pain in bowels (eighth day); in colon (seventh day), in small intestines (ninth day),1.—Dull pain in the bowels, in transverse and ascending colon, at 11 a.m. (after first dose, sixth day),1. Rectum.—Urging to stool (eighth day),1.—Urging to stool, expulsion of flatus (three hours and a half after first dose, fifth day),1. Stool.—Flarrhoea. Evacuation of quite thin stools; not strictly diarrhoea, but just such stools as generally usher in an attack of diarrhoea (three hours after second dose, fifth day),1.—Evacuation from bowels, at 7.30 a.m. ; stool quite soluble (fifth day),1.—Stool, which was quite soluble, at 9 a.m. (eighth day),1.—Stool at 9.30 a.m., expelled with difficulty ; much flatus (after first dose, fourth day),1.—Constipation. [60.] Bowels costive (ninth day); at 9 a.m. (third day),1.—Bowels costive, fseces small in amount and expelled with difficulty, tenesmus, at 8.30 a.m. (seventh day),1. MITCHELLA. 375 Urinary Organs.—Kidneys and Bladder. Heat in kidneys (after three hours and a half, seventh day),1.—Dull pain over the region of kidneys, and apparently in those organs, at 11 a.m. (after first dose, sixth day),1.—Uneasiness at neck of bladder, urging to urinate, at 11 a.m. (after first dose, sixth day),1.—Great burning sensation at neck of bladder, at 11.10 a.m. (after first dose, sixth day),1.— Urethra. The urethra and neck of the bladder were swollen and irritated (after three weeks),2.— Urine. The renal secretion was notably increased (after three weeks),2. —Voided 9 ounces of urine between 9.30 a.m. and 1 p.m. ; it seems to be much darker iu color than usual ; had voided 12 ounces more at 6 p.m.; 6 ounces more at 11 p.m. (fourth day) ; urging to urinate, voided lp ounces of high-colored urine in the morning; 42 ounces in the last twenty-four hours ; recent urine, sp. gr. 1040; after standing in a cool place for three hours, sp. gr. 1038, color deep-yellow; a very strong acid reaction; sedi- ment white, flocculent, and large in amouut; readily responds to the tests for uric acid, and chloride of sodium ; the sp. gr. of the urine voided during the last twenty-four hours, ending at 1 p.m., and taken from the top of the vessel, was 1024 ; this would give us 1010.142 grains of solid matter (the whole amount of urine being 42 ounces), but this not the tr^e sp. gr. nor the true amount of solid matter, as there was more than £ ounce of sedi- ment at the bottom of the vessel, which responded readily to the tests for uric acid; I think that 1038 is the more accurate sp. gr.; we would now have, according to Golding Bird, 1688.642 grs. of solid matter passed iu the last twenty-four hours, 5 ounces; sp. gr. 1031, at 10 p.m. (fifth day); urine of last evening, which stood in the test-tube, 1040 sp. gr.; recent urine, sp. gr. 1032, in the morning; 19 ounces in the last twenty-four hours, sp. gr. of recent urine, 1024 ; mean sp. gr. for last twenty-four hours, 1036, at 1 p.m. ; 8 ounces at 6 p.m. ; 4 ounces more, sp. gr. 1028, at 11 p.m. (sixth day); 6 ounces, sp. gr. 1032; last night's urine after standing in the test-tube, 1038, some sediment, in the morning; 23 ounces, mean sp. gr. 1030, in last twenty-four hours, at 1 p.m.; 8 ounces, sp. gr. 1034, at 9 p.m. (seventh day) ; 9 ounces, sp. gr. 1030, acid reaction, in the morn- ing; 29 ounces, mean sp. gr. 1032, within last twenty-four hours; sp. gr. of recent, 1032, at 1 p.m. ; 7 ounces, sp. gr. 1030, at 6 p.m.; afterwards, at 10 p.m., 3 ounces more, sp. gr. 1034 (eighth day); 7 ounces, sp. gr. 1022, in the morning; 24 ounces, mean sp. gr. 1028, in last twenty-four hours, at 1 p.m. (ninth day); mean sp. gr. 1024 (tenth day) ; natural (eleventh day). 376 MITCHELLA. Weather. Urine. Time. Amount of drug taken. Barometer at noon. Thermometer Amount Mean Solid matter sp. gr. in grains. Mild. 1st day, 20 drops. 29 60 48° I began to note the urine at 1 p.m. Mild. on the fourth day. 2d day, 40 drops. 29.70 46 The fortv-two ounces is the result Mild. of the first 24 hours' observation. 3d day, 20 drops. 29 52 Mild. 29.76 Mild. 29.75 54 4th day, 20 drops. 46 5th day, 110 drops. 44 42 1038 1638.652 Growing cold. 6th day, 100 drops. 29.94 Snowed. 43 19 1036 722.266 7th day, 100 drops. 29.72 Gloomy and rainy. 34 23 1030 734.408 8th day, None. 29.50 Gloomy and rainy. 37 29 1032 976.227 9th day, None. 29.08 Very cold. 36 24 1028 704.112 10th day, None. 29.42 Mild. 36 30 1024 721.530 llth day, None. 29.06 41 35 1022 802.130 Normal 30 to 40 1017 500 to 700" Sexual Organs.—Male. Pain, drawing in the right testicle, at 1 p.m. (after first dose, sixth day),1.— Female. [70.] The uterus became irritated, and the seat of severe pain ; examination revealed an engorged condition of the cervix uteri; it appeared dark-red and swollen (after three weeks),2. Respiratory Organs.—Much mucus in the bronchi (eighth day),1. —Dry, hacking cough, in the morning (eighth day),1.—Breathing hurried, at 11 a.m. (after first dose, sixth day),1.—Breathing difficult, at 11 a.m. (after first dose, sixth day),1. Heart and Pulse.—Uneasy feeling at heart, as if its contractions were interfered with, at 1 p.m. (after first dose, sixth day),1.—Burning pains over region of heart, with a feeling as if its action was being inter- fered with ; beats, at times, slow and regular, then quick and hurried, at 9.30 a.m. (eighth day),1.—Pulse 80, in the morning, and at noon (fifth day); 72, at times labored, then quick and hurried (after first dose, sixth day); 80 (after two hours, seventh day); 80, after walking about, 72, when quiet, at 1 p.m. (eighth day); 76 (ninth day),1. Neck and Rack.—Back feels very weak (third day),1.—Pain in the back, running down through the muscles of the limbs; these were aching pains (after one hour, seventh day),1.— For sal. [80.] Dull pain between the shoulders (after second dose, fifth day),1.—Slight transient aching pains in the trapezius muscles (three hours after second dose, fifth day),1.—Dull aching pain in the trapezii, at 11.10 a.m. (after first dose, sixth day),1.— Muscles between shoulders somewhat sore (ninth day),1.—Lumbar. Uneasiness in region of kidneys (three hours after second dose, fifth day); dull aching pain in back, over region of kidneys, in the morning (sixth day); dull pain in lumbar region, in the morning (sixth day); burning in muscles of lumbar region for ten minutes (after one hour, seventh day); dull, aching pain in lumbar region (eighth day),1. MITCHELLA. 377 Extremities in General.—All muscles of extremities feel sore (after first dose, fourth day),1. Superior Extremities.—Dull aching pain in right shoulder, at 1 p.m. (eighth day),1.—Burning in phalanges of right hand (after three hours and a half, seventh day),1.—Burning sensation in right abductor minimi digiti muscle (after eleven hours and a half, seventh day),1.—Dull pain in the anterior surface of left fourth phalanges, seemingly in the ten- don of the flexor profundus digitorum (after two hours, seventh day),1. Inferior Extremities.—[90.] Feel an unsteadiness in walking, as if I would fall over to the right side ; it passes away after walking some distance, in the morning (eighth day),1.—Some little pain in the large muscles of inferior extremities and back, such as quadratus femoris, gas- trocnemii, solei, latissimus dorsi, trapezii, and in the ligamentum patellse and tendo Achillis (tenth and eleventh days),1.—Great aching pain in the inferior extremities, especially in tendons and ligaments about the knee- joints (after three hours and a half, seventh day),1.—Muscles of inferior extremities and both shoulders very sore, at 10 p.m. (eighth day),1.—Hip. Dull aching pain in right hip-joint (after thirteen hours and a half, seventh day),1.—Knee. Great pain in knee-joints, seems to be in the tendons and ligaments; it is with great difficulty that I can ascend stairs; somewhat relieved by motion (after thirteen hours and a half, seventh day); knee- joints very stiff, in the morning (eighth day); great pain in the knee- joints, at 1 p.m. (eighth day),1.—Leg. Burning sensation in the left gas- trocnemii (after thirteen hours and a half, seventh day),1.—Dull aching pain in gastrocnemii (after two hours, seventh day),1. General Symptoms.—Lassitude (fifth and seventh days),1.—Great lassitude, general malaise (three hours after second dose, fifth day),1.— [100.] General malaise, relieved, to a great extent, by a shock of electricity, at 11 p.m. (after first dose, sixth day),1.—Feel tired and sore, especially in the muscles, in the morning (fifth day) ; muscles of entire body seem sore, especially of inferior extremities (three hours after second dose, fifth day); all the muscles of the body feel tired, especially the flexors and extensors of the inferior extremities, in the morning (sixth day) ; whole muscles of body sore, especially the bellies of the quadratus femoris, adductoris, gas- trocnemii, and other muscles of the inferior extremities, at 11 A.M. (after first dose, sixth day) ; feel sore all over (after thirteen hours and a half, sev- enth day); feel rather sore and stiff* all over body, especially in the joints of the inferior extremities, in the morning (eighth day) ; pains of joints and ligaments moved up into the bellies of the muscles, at 1 p.m. (eighth day) ; feel much better when walking, in morning (eighth day),1. Sleep and Fr earns.—Sleepiness. Yawning and stretching, at 11 and 11.10 a.m. (after first dose, sixth day),1.—Drowsy, at 11 p.m. (after first dose, sixth day),1.—Dull and drowsy, can drop to sleep at any mo- ment (after thirteen hours and a half, seventh day),1.—Sleep more refresh- ing than the night previous; think it due to the shock of electricity (sixth night),1.—Sleeplessness. Slept but poorly (fourth night),1.—Sleep very unrefreshing (third night),1.—Awoke in a fright, felt as if I had been up all night (sixth morning),1—Slept very poorly, had troublesome, frightful dreams (second night),1. Fever.—[110.] Chill over whole body, with flashes of heat, very sen- sitive to cold air (after thirteen hours and a half, seventh day),1. Conditions.—Aggravation.—(Morning), Soreness of muscles, etc. Amelioration.—( Walking), General feelings. 378 MOMORDICA—MORPHINUM. MOMORDICA. Momordica balsamina, Linn. Natural order, Cucurbitacese. (Common iu gardens.) Authority. A. Mercier, M.D., proving by Mrs. Mercier, with 24 drops of the tincture, Western J. of Horn., 1, p. 42. Head.—Feeling dizziness, great lightness in the head ; sensation as if the whole contents of the head had greatly diminished in weight; slight headache. Eye.—Sensation of occasional mist or cloud passing before the eyes. Face.—Face at times red, but generally very pale. Stomach.—Slight sickness at stomach. Abdomen.—Griping, general colic pains, starting from the back and spreading over whole abdomen ; forcing pains, resembling labor pains, in the hypogastric regions. Stool.—Two or three healthy stools for several days. Sexual Organs.—[10.] Painful and too profuse menses, but lasting only the regular length of time; labor pains during menses, followed by gushes of blood ; white, light mucous discharge between the interval of the menses. Pulse.—Pulse quick and weak. Rack.—Pains in the small of the back at the time of the menses, some- times very acute, beginning at the sacrum and coming towards the front of the pelvis. General Symptoms.—General feeling of weakness and sometimes of faintness. MORPHINUM. Morphia, an alkaloid from opium, C17H19N03. Including the various salts, to which reference is made in the list of authorities. Preparation, Triturations, or solutions in alcohol. Authorities. 1, Sertiirner (the discoverer of M.), took ^ a grain, repeated after half an hour, and again after a quarter of an hour, Annali Univerz. di Med., xxvii (Buchuer's Toxicologic, 1827, p. 201); 2, Bally, experi- mental effect of moderate doses, and also of 2 grains of sulf. or acet., Med. du l'Acad. Roy. de Med. a Paris (from Wibmer) ; 3, Charvet, ex- periments on himself, with 1 grain of acetate, Wirkung des Op., p. 176 (Wibmer); 4, same, a man aged thirty-six, took 6 grains of acetate at one dose; 5, same, another took 6 grains of the acetate; 6, Chevallier, Rev. Med., 1824, took \ grain of the acetate (Wibmer) ; 6 a, same, took next day, ^ grain ; 6 6, same, took, the following day, \ grain ; 6 c, same, took, the following day, 1 grain ; 7, Wibmer, took \ grain of the acetate, repeated after one hour and a half; 7 a, same, took \ grain of M., repeated after one hour and a half; 8, Beraudi (experiments on several healthy persons, Horn's Archiv, 1829, from Wibmer), a man named Allinio took g- grain of the acetate, pulse before the dose 66; 8 a, same man, subse- quently took \ grain; 86, same man, took 1 grain; 9, Beraudi on Crispo, aged twenty-one, effects of j;. grain of acetate ; 9 a, same man, took i grain; 96, same man, took £ grain ; 10, Beraudi on Rabuni, aged nineteen, effects MORPHINUM. 379 of A, grain of the acetate; 10a, same, man, effects of £ grain ; 106, same man, £ grain; 11, Beraudi on himself, effects of 4; grain of acetate; 11a, same, % grain ; 116, same, 1 grain ; 12, Beraudi on Sella, effects of 4- grain of acetate; 13, Bonnet and Trousseau, Bull. Gen. de Therap., 32"(Wib- mer), general effects of the salts ; 14, Ronander, Hecker's Annal. de Med., 1834 (Wibmer), effects of \ to 1 grain of acetate; 15, Tully, Bost. M. and S. J., 1832, effects of 4/ grain of the sulphate, on himself; 16, same, effects of \ grain of the sulphate for pain in the stomach ; 17, Bonjean, a man took 55 grains at once, Schm. Jahrb., 52, 156; 18, Leissier. effects of 33 to 36 grains of acetate, in a man, Journ. de Conn. Med., 1838 (A. H. Z., 18, 288) ; 19, Anderson, effects of \ grain of sulphate, repeated in two hours, in a woman suffering from sleeplessness, Am. J. Med. Sc, 1848; 20, Anderson, effects of 2 ounces of a solution of the muriate during thirty- six^ hours, in a patient suffering from delirium tremens, Month. J. Med. Sc, 1854 ; 21, Shearman, effects of 3 grains in a woman, Med. Times and Gaz., 1857; 22, Kreisig, effects of a solution in a girl aged sixteen, Inaug. Diss. (S. J., 93, 175) ; 23, Salviat, effects of 2 grammes, in a man aged thirty, Union Med. d. 1. Giroude, 1859 (from Tardieu, Empoison.); 24, Rodgers, effects of 1 grain in a man, suffering from neuralgia of face (post-mortem showed kidneys diseased), Lancet, 1861; 25, Zepuder, effects of y'^-th grain of the acetate in a child, eleven weeks old, Wien Med. Halle, 1861 (A. H. Z., Mbl., 3, 49); 26 and 27, omitted; 28, Dr. A. M. Cushing, provings, Mass. Hom. Med. Soc. Trans., vol. 3, p. 569, effects of 100 drops of 3d dil., even- ing first and second days, 1 drachm evening third day, 14- drachms evening fourth day; 29; Alexander, Wien Med. Presse, 1865 (S.J. 128, p. 294), effects of 4, grain, iu a child ; 30, Am. Hom. Obs., 1864, p. 169, effects of H grain of M., by mistake for quinine, for a slight indigestion; 31, Maschka, fatal effects of large doses, Prag. Vjs., 1867 (A. H. Z., Mbl., 16, p. 57); 32, omitted; 33, Brain, effects of injections of i grain of acetate, in a woman aged thirty-five, for pain in a tooth, Med. Times and Gaz., 1868; 34, Reyher, poisoning by M., Deutsch Arch. f. Clin. Med., 4, 602; 35, Pfister, effects of a solution, S. J., 15, p. 16 ; 36, Verdi, effects of 15 grains in a woman, Ohio M. and S. Rep., 3, 156 ; 37, Cattell, symptoms of muri- ate, Br. J. of Horn., 11, 337 ; 38, Goodno, effects of a solution of acetate (3 grains to 1 ounce), teaspoonful doses for dvsmenorrhcea, Am. J. H. M. M., 4, 60 ; 39, Tellar, effects of injection of y'Jth grain, A. H. Z., 83, p. 40; 40, Gross, effects of injections of muriate, in a girl aged twenty, suffering from chronic neuritis, Am. Horn. Obs., 1870, p. 420; 41, Model, effects of twelve doses of \ grain of acetate, for sleeplessness, ^Erzt. Iutell. Bl., 1871 (A. H. Z., Mbl., 25, p. 2); 42, Oliver, effects in one case, Practitioner, 1871, p. 79; 43, Ferris, effects of a solution of muriate, for a cough and diarrhea, Br. Med. J., 1871 ; 44, Schroff, Lehrbuch der Pharm., p. 515, general effects of small doses; 44a, same, larger doses, 14 to 36 milli- grammes; 446, same, doses up to 7 centigrammes; 45, Tardieu, poisoning by 2 grammes, Sur. I'Empoison., 1058; 46, Martin, effects of injection of muriate, Gaz. des Hop., 1874; 47, Trask, effects of 6 or 7 grains of the sulphate on self, and 2 grains to daughter, and 3 grains to another young lady, N. Y. Med. J., 1874; 48, Schweig, effects of 7 grains of sulphate, in a healthy man, N. Y. Med. J., 1874 ; 49, Dr. Helen J. Underwood, effects of as much as could be put on a sixpence, in a girl, threatened with chorea, Med. Invest., 1875, p. 282; 50, C. B. Gatchell, effect of injecting £ grain into his own arm, dose repeated after fifteen minutes, Med. Invest., 1875, p. 244; (51 to 59 Harley's experiments, Old Veg. Neurotics) 51, Michael, 380 MORPHINUM. aged forty-eight, "strong but disabled by sciatica," effects of injection of k grain of the acetate; 52, John L., aged fifty-four, with facial neuralgia, effects of £ grain of the acetate ; 53, Samuel M., aged forty-nine, with facial neuralgia, effects of injections of 4/ grain of acetate, afterwards \ grain, and again \ grain; 54, John W., aged thirty-three, with lumbar neuralgia, injected \ grain, and some weeks afterward A; grain ; 55, Charles V., aged thirty-two, chronic lumbago, injected % grain of acetate ; 56, Mary B., aged forty-six, lame from sciatica, injected j? grain of the acetate; 57, Mrs. N., aged forty, neuralgia in right shoulder, injected 4 grain Morph. acetate ; 58, Mrs. E. W., aged thirty-four, four months pregnant, hysterical and neuralgic, effects of T*^ grain of the acetate, afterward of the j1^ grain ; 59, Miss L., aged thirty-seven, effects of A, grain, on alternate morn- ings ; 60, Berridge, effect of injection of A, grain, N. Am. J., 1872, p. 102; 61, Levinstein, effects of injections of M., 22 to 30 grains daily, for neu- ralgia, Berl. Kl. Woch., 1877; 62, same, effects on a woman of as much as 15 grains daily, injections for chronic rheumatic symptoms; 63, same, effects in a man, with rheumatism, of 4; to 1 gramme injections daily; 64, same, in a man, injections of 1 to 1 £ gramme daily (commenced its use in syphilitic "iritis") ; 65, Berridge, "a man took Morph. acet. nine days after a proving of Cannabis indiea," Hahn. Month., 3, 462 ; 66, Fiedler, general effects, Schmidt's Jahrb., 172, 236 ; 67, same, fatal case, after stopping habitual use of M., in a woman; 68, same, effects of stopping habitual use, in a man, thirty-five years old; 69, same, another case re- ported by Kapf; 70, Roberts, effects of subcutaneous injection, in a man, Med. Times and Gaz., 1868 ; 71, Anstie, effects of 3 grains injected into rectum of a man, suffering from fistula, Med. Times and Gaz., 1863, p. 134; 72, Anstie, effects of prolonged use of M. in small (£ grain daily) doses in a lady, suffering from sciatica, Practitioner, 1871, p. 153; 73, Levin- stein, Die Morphium-sucht, eine Monographic, Berlin, 1877, general effects."}* f The delirium of Morphine intoxication consists of a series of symptoms that possess nearly all the characteristics of alcoholic delirium. From my observation two forms of Morphine delirium may be distinguished, the acute and chronic. The chronic develops during the course of Morphine intoxication, continues during the period of abstinence, and runs its course without excitement. The acute form appears as a consequence of the withdrawal of the drug, and breaks out with violent symptoms. In the chronic form the depression is variable; most of the patients exhibit a certain joyfulness, only for a short time interrupted by anxiety; in some individuals during the day the mood is depressed, in the evening there is some ex- citement, and at times illusions of the senses. Trembling of the hands and twitch- ings of the muscles are constant forms of the disease. In spite of the alternations the patients are perfectly lucid and self-possessed. They are able to ward off for a longer or shorter time their depressed or excited moods, and they can mingle with society. The acute delirium tremens of Morphine develops in the course of six to twelve hours after the withdrawal of the drug. The patients at first become excited and restless, run constantly about the room, weep and cry, and at last become delir- ious, under the action of painful sensations and hallucinations. The attacks, which last only a few hours, are followed by a quiet stage, during which the patients have hallucinations which involve all the organs of sense except that of taste. They see brilliantly colored birds, hear voices, have a sensation of sitting in wet, and perceive the most various odors. These illusions are associated with a hypochondriac mood ; the patient thinks he will die ; thinks he has seen his own burial; seems to see persons by him constantly growing larger and larger, etc. ; also frequently talks with himself and with absent people. Tremor of the hands increases, and is asso- ciated with muscular twitches, nystagmus, and trembling of the whole body. At the commencement of the acute delirium, the voice and speech became changed. This delirium tremens of Morphine must not be confounded with the condition of MORPHINUM. 381 311 nd.—Emotional. Conscious of a certain amouut of stimulating influence upon the brain; a sensation not. unlike the early physiological effects of Quinine (almost immediately),47.—General condition of excite- ment ; the patient seems exceedingly lively and wide awake, with a certain uneasiness, unsteadiness, and haste, and glistening of the eyes,66.--Great excitement, without sleepiness,4.—Violent cerebral excitement, so that the patient had to be isolated,67.—Delirium,62; (after two hours),43.—Halluci- nations for many days,37.—Hallucination and delirium,66.—There is great similarity in the intoxication of Morphine and that of alcohol; but the delirium of alcohol is more joyous; that of Morphine is almost gloomy and melancholy,66.—[10.] When she tried to describe her symptoms, and ask for an explanation from her friends, she could not for her tears and sobs, which she could not repress,49.—(Since she has used it she enjoys a great deal of calm happiness, her mind is active and clear, though her emotions are still very easily excited),72.—Low-spirited (after two hours, eighteen minutes),51.—Complete melancholy, so that he desired to commit suicide,68.—Some patients sit in mute despair, casting about for some oppor- tunity to free themselves from their suffering,73.—Some individuals endure their troubles with resignation ; they remain quietly in bed, scarcely speak- ing a word, others, but very few, pass the time in a soporous condition; others have no rest at all, get out of bed, anxiously run about the room, howl and cry; they either gradually become quiet or rarely their excite- ment increases,73.—Auxious condition, with hallucinations and illusions of almost all the organs of sense, seeming to comprise the whole, somewhat excitement that occurs during the period of abstinence, especially after the exhibition of Chloral hydrate; if the patient, during the first two to four days of abstinence, is given a dose of 3 or 4 grammes for sleeplessness, the individual is seized a few hours after the dose with a high degree of excitement; he has to rise in bed, leaves it and runs around the room weeping, laughing, singing, crying, and knocking against doors and windows, throwing over the furniture, and at last becomes aggres- sive to those about him ; he becomes quiet only towards morning, and has a very transient sleep, from which he wakes without remembrance of the occurrences of the night, or he can recall them only with difficulty. The differential diagnosis between the delirium tremens of Morphine and other forms of delirium, is only difficult when the physician is ignorant of the cause, and when the patient is in the later stage of Morphine intoxication (when there is tremor, sleeplessness, some dis- turbances of speech, restlessness, anxiety, mental illusions), then it is almost iden- tical with chronic alcoholism. Moreover, it is not easy to recognize when the person intoxicated by Morphine has been in the habit of partaking freely of alcoholic drinks, and has communicated only the latter fact to the physician. The acute delirium tremens of Morphine may be distinguished from the acute delirium tremens potatorum, by the following: 1st Delirium potatorum occurs spontaneously, or after tremors, or during the progress of acute diseases; the acute delirium of Morphine occurs only during the partial or total abstinence from Morphine. 2d. In the height of delirium potatorum the delirium mostly disappears, while in the delirium of Morphine it increases. 3d. Alcoholic drinks, which are frequently craved by the patient, mostly aggra- vate the paroxysm, never arrest or obliterate it. The Morphine patient longs for Morphine, and is for a time quieted by a large dose of it. 4th. Delirium potatorum continues for days or weeks, while the duration of the delirium tremens of Morphine rarely exceeds forty-eight hours. 5th. The delirium potatorum ends in a collapse, which is frequently fatal; in the delirium tremens of Morphine there is no collapse. The delirium of Morphine can scarcely be confounded with that of lead (delirium saturninum), since in the latter the lead line on the gum, extensor paralysis, and the alternating conditions of ex- citement and stupefaction are sufficiently distinctive. 382 MORPHINUM. analogous to that caused by alcohol,73.—A few hours after the last injection the patient begins to feel uncomfortable and restless, and becomes exceed- ingly depressed ; slight paroxysms of cough, with a condition of anxiety,73. —Anxiety,68.—Internal anxiety and restlessness,66.—[20.] Felt strangely, a kind of terror overpowering her (before half an hour),49.—The patient cried out with an expression of great alarm (immediately),42.—Ill-humor,66. —Intellectual. There is a certain similarity in Morphine poisoning and cerebral paralysis, especially as regards the motor symptoms ; the essential difference consists in that Morphine poisoning has complete consciousness of the condition and memory, and the ability to concentrate the mind is unimpaired, at least as long as there is not a condition of actual mania,66. —Flow of ideas became more rapid and pleasant,60.—While engaged in undressing my mind was very active, but seemingly without control of the will; thoughts followed each other in quick succession, and the mind jumped rapidly from one subject to another; the condition seemed to be analogous to that which exists when a dream, seeming to involve days and weeks, will be known to occupy but a few seconds or minutes of time,50.— The clearness of mind and the memory suffered very greatly,69.—Dulness of mind,6b.—Impossible to study or fix mind on any one subject (second morning),50.—[30.] She seemed incapable of thinking, or recognizing any one in the room (after four hours),36.—For an hour after rising, in talking, would have to stop in the midst of the simplest sentence to think what word to say next (second morning),50.—Loss of consciousness,5.—Flagella- tion, pinching, etc., failed to elicit signs of cognition,48.—Stupefaction,2 5 t4a; (after twenty minutes),9.—Stupefaction, bordering on faintness,1.—In a half comatose state (after eight hours),27.—Complete comatose insensibility (after two hours),23.—Profound coma,20; (after nine hours and a half),71. Head.—Confusion and Vertigo. After a nap, the head con- tinued dull and confused for some time, as from a disordered stomach ; he then took a swallow of vinegar, after which the nausea and headache in- creased, aud after eating, the heaviness and stupefaction of the head in- creased, so that he was obliged to lie down,7.—[40.] Vertigo,21417, etc.— Much vertigo, on rising (second morning),*8.—Excessive vertigo,35.—Violent vertigo,39.—Disagreeable vertigo and nausea (after six hours),15.—Spells of dizziness and loss of sight, all day (third day),28.—Frequent dizzy spells, with momentary loss of sight (second day),28.—Felt giddy, and walked cautiously (after two hours and a half),51.—Some giddiness and drowsiness (fifty minutes after 4; grain),54.—Giddy and drowsy (one hour after T'7th grain) ; giddiness and drowsiness passed off (two hours after J^-th grain),58. —[50.] Giddiness and somnolency (after ten minutes); complained of being very giddy, and said that everything was turning round (after one hour),56.—Slight giddiness,55.—Felt a little giddy (after one hour and twenty minutes),51.—Felt " dreadfully tipsy" (after forty minutes),57.— General Head. Head drawn backward,5.—Congestion of the head,68. —Began to feel light-headed and sleepy (one hour and a quarter after \ grain),54.—Dulness of the head,35.—Dulness and heat of the head,44b. —Dulness of the head, for several days,7\—[60.] Some dulness of the head, with difficult thought (after half an hour),7*.—General dulness of the head (after one hour),7.—Dulness iu the head, especially in the frontal region (after ten minutes),7.—Heaviness of the head,314; (after first day, | grain),50; (after fifty minutes),9.—Head heavy, hot,7.—Head heavy, with a tensive sensation in it, like a pressing asunder at both parietal bones; this sensation made thinking and writing difficult,7.—Something shot to the MORPHINUM. 383 head like lightning, the instant the injection took place,42.—Pain in the head (after seven hours),43.—Dull pain in the head, with stupefaction,1.— Head painful on waking, disappearing on moving about,6.—[70.] Head- ache,2 14 64, etc.—Headache, on waking from sleep,60.—Headache, after eat- ing,116.—Headache, more on the right side than on the left, lasting half an hour, leaving behind a painful sensation,6.—Sudden headache,44.—Violent headache,60 ; (after half an hour),6*6b 8b — Intense cephalalgia,37.—Tensive sensation in the head, as if the skull were too small for the brain ; read- ing, writing, or thinking were very difficult; was obliged to stop at times (after half an hour),7*.—Pressive headache, with inclination to sleep (after two hours and a half),7.—Pressive headache, with inclination to sleep; reading and thinking increased the headache (after two hours and a half),7. —[80.] Throbbing like a pulse; the head threatened to burst,68.—Fore- head. Heaviness in the frontal region,81"; (after one hour and a half),8. —Pain in the frontal region (after half an hour),8.—Pains in the frontal region, on waking from sleep,96; (after two hours and a half ),8b.—Violent pain in the forehead (after half an hour),8a.—Violent pain in the right side of the forehead (second morning),8b.—Violent pain in the forehead, as if the frontal bone would press outward,39.—Dull pain in the frontal region, especially of the right side,lla.—Dull frontal headache, in the morning (fifth day),28.—Throbbing pain in the forehead (after fifty min- utes),8.—Temples. [90.] Right temporal artery beating full and" quick (after one hour and a half),60.—Parletals. Pain in the right side of the head (immediately),11*.—Intolerable pain in the right side of the head (after thirty-five minutes),11.—Occiput. Pain in the occiput (after fifty minutes),11. Eye.—Objective. Eyes staring,25.—Eyes staring, and unaffected by light (after two hours),26.—Glistening eyes (after fifty minutes),9.—Eyes very glistening (after one hour),8.—Eyes sparkling,11*.—Eyes injected,11617; (one hour after 4; grain),53.—[100.] Membranes of eyes much injected (half an hour after A; grain),53.—Cornea injected (after half an hour);6*.— Eyes sunken, especially the right,6.—Eyes sunken, half open, not turned upward, but staring straight ahead, with the axes of vision parallel,41.— Eyes fixed, and insensible to light (after two hours),23.—The eyes are fre- quently lustreless, having a look of weakness, exhaustion, and fear, becom- ing after a new injection lively, fiery, or like those of a person in delirium,73. —*The look becomes unsteady,66.—Subjective. Pain over and at side of left eye all day, with some pain in left ear (fifth day),28.—Eyes early in the course were hot and lame; bits of ice were laid on them with relief,49. —Eyes felt small, too small for sockets (second morning),50.—Rrow and Orbit. [110.] Pressure above the eyes (after fifty minutes),11.—^Paresis of the recti interni,61.—Feeling of fulness in the orbits (after one hour),3.— Lids. Lids bluish, drooping,13.—"Slight ptosis,6*.—Upper lids paralyzed,17. — Conjunctiva. "Conjunctiva injected,9*11*; (after fifty minutes),811.— The conjunctivae of both eyeballs were very red, much injected, especially the subconjunctival tissue, with a rosy red circle in the anterior ciliary region, like that frequently seen in iritis,41.—Lachrymal Apparatus. Eyes suffused (ten minutes after A; grain),53.—Rail. The eyes looked as though they would protrude from their orbits,81*.—[120.] Eyeballs promi- nent (immediately),42.—Eyes protruding from their orbits,68; (after two hours),43.—Convulsive motions of the eyeballs,17.—Eyes convulsively turned upward and outward,17.—Eyes rigid, turned upward,29.—Diverging strabis- mus of both eyes,23.—Pupil. Pupils dilated,44 44b; (immediately),86; (after 384 MORPHINUM. twenty minutes),8*99a; (after half an hour),669610b; (after fifty minutes),11— Pupils continued dilated through the night (first night),9*.—Pupils some- what dilated (soon),6.—Pupils greatly dilated (after twenty minutes),8.— [130.] Pupils greatly dilated, even on looking at the sun (soon),11*.—Con- traction of pupils,21314, etc.; (after eight hours),27; (second day),23.—Pupils contracted, insensible,2225.—Pupils contracted habitually,66.— Very slight contraction of pupil observable during two or three hours after the injec- tion,72.—Strongly contracted pupils (after nine hours and a half) ; and in- sensible to light (after eleven hours and a half),71.—Pupil very much con- tracted (after four hours),36.—Pupils very much contracted ; would not respond to light (second morning),50.—Pupils very much contracted, not being as large as a pin's head, and she saw red and black spots floating before the eyes (after four hours),43.—Pupils extremely contracted, insen- sible,1834.—[140.] Pupil of a minimum size; eyes imperfectly closed,48.— Pupils contracted to mere points,20.—Pupils contracted to such a degree as is only seen after large doses of Calabar; the pupils, indeed, showed but a minute point, and were entirely insensible,41.—Pupils, unequal,62.—Pupils at light y, aside, barely \ (before the injection); at light \", aside i (after one hour) ; at light \", aside 4" (after two hours),56.—Pupils |" (before the experiment); yy (after two hours and a half),52.—Pupils T^ (before the injection) ; y^ (after forty minutes),57.—Pupils /g-" at the light, \" towards the dark side of the room (before the injection) ; T'2 at light, from the light i (three-quarters of au hour and two hours after y-th graiu),58.—Pupils at light Ty, sideways Ay at dark side of room £ (before the injection); T'^, sideways; y"T at dark side of room; \ (after thirty minutes and four hours),55.—Pupils TV diameter at light, towards the dark side of the room dilating to i" (before the experiment); dilate from -^ to i (after thirty minutes, aud after two hours and eighteen minutes),51.—[150.] Pupils at light 4/', sideways i (before the injection) ; T\" (two hours after £ graiu); y1^ (thirty minutes after i grain) ; T'2" (three-quarters of an hour after \ grain") ; T'T (two hours and a quarter after \ grain) ; y'^, sideways A, (ten minutes after A_ grain) ; T\, sideways y'^ (one hour after A; grain) ; y1^, side- ways i (three hours after h graiu),*1.—Pupil £" (before the experiments); 4" (one hour and a half after \ grain) ; \ (three hours after \ grain) ; con- tinued to read the newspapers for one hour and a quarter after the injec- tion of j grain; i; vision for near and distant objects unimpaired; in reading the newspapers he could detect no change in his vision, and he clearly discerned an inconspicuous lightning conductor, a rod of the thick- ness of the little finger, by the side of a chimney-pot, at a distance of about seventy yards (one hour and a quarter after \ grain),54.— Vision. " Weak- ness of vision,2 u.—"Sight impaired and feeble31.—The eyes formerly only moderately far-sighted, became very hypermetropic,69. — "Vision at times seemed obscured by a fogy.—Could not see (after two hours),43.—Vision distorted and impaired,18.—She can only distinguish one vertical half of the objects before her (as one eye, one arm, etc.),37.—Double vision and dimin- ished range of accommodation are frequently observed ; the pupils are usually contracted, often unequally, seldom dilated,73.— [160.] Double vision, disappeared at the end of a week, but the inequality of the pupils remained during the whole time she was under treatment; sometimes one, sometimes the other, pupil being dilated,62.—"Double vision and disturbance of accommodation, often accompanied by lachrymation,13. Ear.—Some pain in left ear, with pain over and at side of left eye all MORPHINUM. 385 day (fifth day),2*.—Ringing in the ears (after one hour),3.—Surring of the ears/0.—Tinnitus aurium,37.—Roaring iu the ears,44*. Nose.—Sneezing,6264.—Paroxysms of sneezing,63.—[170.] Peculiar tick- ling sensation in the nose, oesophagus, and larynx, as when one has to sneeze, felt after every injection,40.—Coryza,73. Face.—Looked very heavy (after forty minutes),57.—Appeared very wild (after nine hours),1'*.—Wild, confused expression after sleep/0.—Coun- tenance looked haggard and eyes watery, like one who had been dissipating (second morning),50.— Face flushed (after two hours),23.— Face slightly flushed,5458.—Face intensely flushed (after a few minutes); followed by vomiting, and then a dead faint and struggling for breath, the pulse scarcely perceptible,70.—Her face was reddened,62.—[180.] Face red (soon),1. —Face and lips red (after half an hour),64.—Face red, lips pale,86.—Face red, puffy,9*.—Face red, puffy, lips livid (after fifty minutes),8.—The usually pale face became red, Avith drops of perspiration on it (after thirty-five minutes),11.—Face very red (immediately),42.—Intense but evanescent red- ness of the face,40.—The face became red, almost cyanotic,68.—Face almost livid (after one hour),11. — [190.] Bluish look,5. — Face of a dark-blue color,34.—Face cyanotic,48.—Face and extremities cyanotic,31.—The face became violet,17.—Pale face,18.—Face and lips pale (after fifteen minutes),33. —Face pale and anxious (one hour and three-quarters after y1^- grain),58.— Face pale and sunken,66.—Pale and cold, for four hours (after two hours),57. —[200.] Very pale, with contracted and painful expression of the face (after four hours),36.—Face swollen,116; (after two hours),43.—Face very much swollen (immediately),12.—Face somewhat puffy,'5.— Cheeks. Cheeks red,22.—Circumscribed redness of the cheeks (after fifty minutes),9. —Lips. Lips discolored (after nine hours),24.—Lips livid,8*2529; (after eleven hours and a half),71.—Lips pale,Ua.— Chill. Mouth rigidly closed,34. —[210.] Mouth closed, the jaws pressed together as in tetanus,41.—Muscles of the jaw strongly contracted, so that the mouth could scarcely be opened at all (after eleven hours and a half),71.—Teeth clenched, so that he could not be made to swallow a drop (after two hours),23.—Slight trismus,31.— Mouth and eyes wide open,29.—Feeling as if the teeth of both sides of mouth were cleuched,65.—Feeling that teeth in both sides of mouth were clenched (after two hours); had a similar feeling from Cannabis iudica, but at no other time,60. 31outb.—Tongue. Dry brown tongue,37.—Reduess of the tongue,10*116; (after twenty minutes),8* 9l, etc.—Tip aud margins of the tongue red,10.— [220.] Tip of the tongue red, palate scarlet-red, somewhat painful,86.— Tongue red on the margin, violet in the middle,6.—Tongue red at the tip and margins, and violet iu the middle,11*.—Tongue livid,41.—Tongue pale (second morning),6b.—Tougue foul (second morning),43.—Tongue clean and moist (before the injection); moist, a slight whitish fur, indented (after two hours),56.—Tongue heavy, pale (after fifteen minutes),11.—Tongue dry, with thick dirty mucus,35.—Anterior part of the tongue dryish (three hours aud a half after A; grain),53.—[230.] (The tongue symptoms, for which Quinine was prescribed, a thickened feeling, and inability to articulate distinctly, disappeared entirely),49.—General 3Iouth. Some mucus in the mouth,5.—Dryness of the mouth and throat,13.—Mouth dry, in the morning, and after eating (fifth day),28.—Mouth and fauces dry, after sleeping,71.—Mouth pasty,661.—The mucous membraneof the mouth is usually dry, the patient complains of thirst, nausea, vomiting, aversion to meat, vol. vi.—25 386 MORPHINUM. loss of appetite. The tongue at times trembles on extending it. The stool is almost always retarded, diarrhoea is seldom,73.—Saliva. Discharge of watery saliva from the mouth,29. — Taste. Perverted taste,62.—Mouth bitter, sticky (second day),86.—Speech. [240.] Made a strange noise in his mouth (after nine hours),24.—Speech hasty,66.—Disturbances of speech, for example, stammering,73.—Speech embarrassed and feeble,37.—Muscles of tongue so much affected that articulation was almost impossible (after fourth dose),19. Throat.—Dryness and constriction in the throat (after half an hour),6*. —Pain and obstruction (?) in the posterior portion of the throat (second morning),11*.— Irritation in the throat,1*.— Peculiar sensation about the fauces (almost immediately),47.—Fauces and Pharynx. Burning in the posterior portion of the fauces (after five minutes),91.—[250.] Paralysis of the pharynx,35.—Muscles of fauces and glottis so much affected that deglutition was almost impossible (after fourth dose),19.—Swallowing. Complained that he could not swallow,17.—External Throat. Jugular veins swollen.34.—Violent pulsations in the cervical and temporal arteries,25. Stomach.—Appetite. Diminished appetite,64.—Loss of appetite,6668; (second day),3.—Complete loss of appetite,69.—Entire aversion to food (second day),30.— Thirst. Thirst,13. —[260.] Much thirst,64.—Great thirst,81; (after one hour),8.—Burning thirst,66 6c; (second day),23.—Eruc- tation and Hiccough. Eructations and vomiting for two days,446.— Frequent eructations and nausea, with uprisings of some acid mucus,7*.— Violent eructations,446.—Hiccough,62; lasting three-quarters of an hour,12.— Long-continuing singultus (frequently),40.—Nausea and Vomiting. Nausea,lla; (after four minutes),9; (after a quarter of an hour),6, etc.— Nausea and eructations (after two hours and a half),7.—[270.] Distressed with nausea, faintness, and constant retchings, with alternate flushes of heat and cold, for five hours (after two hours),56.—Nausea and inclination to vomit (after four hours),8.—Awakened from slumber by nausea and in- clination to vomit,3.—Nausea and inclination to vomit soon after eating,8'1. —Constant nausea (after four hours),11.—Slight nausea, with increased warmth of the face,7.—A little nausea (at first); gone (after one hour and twenty minutes),51; (between five and six hours after injection),55.—Sick and faint,5758.—Slight sickness (after seven hours),43.—Very sick, after a large quantity of warm water (after two hours),43.—[280.] Very sickish and drowsy (after two hours),56.—On rising in morning my stomach gave way and I was forced to throw myself on the bed to keep from vomiting; felt perfectly well in bed, but it was not till 4 p.m. that the stomach would suffer the head to remain erect (second day),30.—Inclination to vomit,60; (after a quarter of au hour),96.—Vomiting,64 70; rarely,40.—Vomiting half an hour after fresh milk (second morning),5.—Nausea and vomiting,14; (after a few doses),28; (after two hours),116.—Retching and vomiting,62; for six hours (after A; gr.),58.—Vomiting for three days,2.—Obstinate vomiting,2. —Vomiting and diarrhoea,73.—[290.] Had suffered constant nausea, and vomited twice (after two hours); continued in this state for four hours; did not recover from tendency to nausea for a week,57.—Vomiting of coffee,39.—Became nauseated and vomited a small amount of frothy liquid (after four hours),49.—Vomiting of green matter,lla.—Nausea and qualm- ishness ; and, after some hours, actual vomiting of a sour, bright-green fluid, followed by transient relief of the nausea,7*.—Vomiting of bile,67.— Stomach. Irregular digestion,66.—Dyspepsia,62.—Paiu in stomach,14; im- mediately,86; for three days,116; aggravated by taking food,11.—Pains in MORPHINUM. 387 the stomach, umbilicus, and bladder, in the evening (first day),11.—[300.] Pain in the pit of the stomach,8610b ; immediately,91111; (after five minutes),8; (after two hours),9.—Pain iu the epigastric region,1116; (second day),23.— Pain in the epigastric region, and afterwards about the umbilicus, and then about the loins,12.—Painful sensation in the pit of the stomach, extending as far down as the bladder (immediately),11.—Painful sensation in the stomach, navel, and bladder,11*.—Violent pain in the pit of the stomach (after four hours),8.—Violent pain in the pit of the stomach, or in the in- testines,2.—Violent pain in the pit of the stomach, and in the bladder, waking from sleep (after four hours),11.—Violent pain in the stomach after eating, so that he had to go to bed,116.—Feeling of constriction and pres- sure in the stomach,446.—[310.] Awoke with cramp in epigastrium, as if clenched by a hand (fourth day),28.—Coliclike pains in the stomach,66.— Crawling in the stomach,446. Abdomen.— Umbilical. Pain in the umbilical region,5; (after four hours),' u.—Violent pain in the umbilical region,96.—General Ab- domen. Moderate meteorismus,31.—Rumbling in the abdomen (after twenty minutes),9.—Frequent rumbling in the abdomen (after half an hourj,7a.—Pain in the bowels (after half an hour),43.—Acute pain in the abdomen, and along the spinal column, on every inspiration,66.—[320.] Colic,1445; relieved by turning on back, in morning (fifth day),28.—Awoke with severe colic (third day),28. Stool.—Diarrhoea. Diarrhoea,626*, etc.; (second morning),11; sec- ond and following days,llb; (evening, first day),11.—The acetate generally produced diarrhoea,13.—Watery diarrhoea (after two hours),9; (second morn- ing),81-.—Bowels had acted loosely twice (after two hours),57.—Two painful stools (second day),86.—Desire for stool for two hours, then small stool with great straining, in the morning ; soft, loose stool at 2 p.m., with horrid tenesmus, straining, and burning in the rectum, almost causing frenzy (fifth day),28.—Copious evacuations of the bowels,5.— Constipation. Consti- pation,2 318, etc.; (second day),23; (third day),30.—[330.] Morphia always caused constipation,13.—Constipation for a long time,4.—Constipation often followed by diarrhoea,14.—Retention of stool,446.—Almost complete stoppage of the evacuation of stool and urine,69.—No stool, contrary to habit (second morning); but at 2 o'clock there occurred a very indolent evacuation of a little faeces, with painful urging,7. Urlnarg Organs.—Rladder. Paresis of the bladder,61.—Slight paresis of the bladder,62.—Pain in the region of the bladder (after one hour;,8.—Pain in the bladder,86; (after two hours),9.—3Ilcturltlon. [340.] Emission of scanty urine, with great urging (after four hours),11.— Passed very little urine, with great difficulty (first night),43.—Ineffectual efforts to urinate (after seven hours); he succeeded in urinating (nine hours later),3.—Constant desire to urinate, and inability to do so for twelve hours,446.—Complete ischuria,18.—Strangury is often caused,13.—Retention of urine,2.— Urine. Urine high-colored and scanty,66.—Urine scanty,25.— Diminished secretion of urine,14.—[350.] Frequently the secretion is di- minished, though at times it is increased,13.—Suppression of urine (second day),23.—Suppression of urine and fseces,35.—Complete suppression of urine,4. —Urine turbid and slimy,66.—The urine yielded albumen, without struc- tural elements,64.—Passed Jix urine, sp. gr. 1010.4 (on rising, before injec- tion) ; Jxviiiss. urine, alkaline, sp. gr. 1008.8 (after two hours) ; 3 vij, freely acid, sp. gr. 1009.2 (after four hours),55.—The kidneys excrete albuminous urine, in severe cases. The evacuation of urine is often difficult, and th& 388 MORPHINUM. amount frequently scanty; the specific gravity varies within the most ex- treme limits; I have found urine of 1004 to 1038 ; generally the urine at first has the highest specific gravity ; towards the end of the cure the specific gravity diminishes; naturally this varies according to the amount of urine passed. The urine of nearly all suffering from Morphine intoxication re- duces an alkaline solution of Cuprum sulphate without precipitating it as an oxide, at the same time the urine usually turns the polarization ray to the left,73.—Urine acid, sp. gr. 1022, about ^ij in the hour (before the in- jection) ; during two hours aud a quarter, ^iv of bright acid urine, sp. gr. 1029, was secreted (after \ gr.); £ij pale acid urine, sp. gr. 1009.2, in the hour (before \ gr.) ; gvss. of bright acid urine, sp. gr. 1022.0, during the three hours (after \ gr.),53.—At first the specific gravity of the urine, although the quantity was only moderate, was 1000; and in three weeks it rose to 1014; during about three weeks the quantity of albumen was very abundant; it then slowly diminished, and disappeared in the fourth month; no formed elements were found,61.—[360.] The specific gravity of the urine varied from 1007 to 1012; the urine reduced alkaline solution of Sulphate of copper, turned the plane of polarization to the left, and showed a remarkable amount of albumen; microscopical examination, dur- ing the first fourteen days of her stay in the hospital, detected waxy cylin- ders and white blood-corpuscles; five weeks later, there were only a few traces of albumen,62.—The specific gravity of the urine varied from 1026 to 1035; sugar was tested for, but was not found; albumen was distinctly present, but in small quantities; no structural elements were present; after the albumen had disappeared for some days, it was again observed for a short time,63.—The urinary organs are generally more affected in men than in women,13.—Urine diabetic, possessing reducing and levogyrating prop- erties, in cases of chronic poisoning; this fact had already been established, but its occurrence in acute poisoning now noticed, is new,73.—Albumen is frequently found in the urine in cases of Morphine intoxication, both dur- ing the continued use of Morphine and the period of abstinence. This albumen, which appears during the long-continued use of Morphine, either as a transient symptom that occurs irregularly, often lasting only a few days, or as a constant symptom that only disappears after weeks or months following the total withdrawal of the drug. Albumen is much more fre- quently found during the period of abstinence than during the contiuued use of Morphine, as observed in nearly all cases; it makes its appearance in three to six days after the beginning of the abstinence, and disappears in two to four days. It varies from the slightest turbidity to a flocculent sediment. Before I had observed cases of the latter character, I had con- sidered the slight turbidity as accidental, dependent upon a slight catar- rhal condition of the uro-genital organs; the presence of the deposit leaves no doubt that we have here to deal with pathological changes in the uro- poietic system. In the chemical action of the urine, all the reagents (Nitric acid, Acetic acid, Carbolic acid, Potassium ferrocyanide, and So- dium sulphate) promptly indicate albumen. In some cases the action of Nitric acid was noteworthy, and called to mind the case of Bence Jones and his acid albuminate. When the Nitric acid was used freely, and the urine heated, no albumen was precipitated while hot, but after the urine became cold, and it was again dissolved by heat,73. Sexual Organs.—Male. Impoteucy; the testimony of all men suffering from Morphine intoxication is uniform in that their sexual power is affected by the drug. Sometimes the sexual excitement, voluptuous MORPHINUM. 389 sensations, and in part erections are incomplete, less energetic, and of shorter duration, or they do not occur at all. So in this case all grades may be found, from simple sexual weakness to complete impotency. The great majority refrain from sexual intercourse, either from lack of interest or from inability, owing to the fact that erections are incomplete or want- ing altogether. Unmarried men become impotent sooner than married men. In many men the first effect of Morphine is excitement of the sexual sphere, afterwards the usual paralysis. Many unmarried men make use of this fact to smother their sexual desires when they become aroused dur- ing the interval free from Morphine. The question arises whether there may not be other causes than that of Morphine for the impotency. The condition of depression which is induced in many persons might be sup- posed to be a psychical impotency, but there are also cases in which there was a condition of eutropia, and also still others upon whose emotional nature Morphine has no influence whatever, that are more or less impotent. Whether the power of erection ceases sooner, or since the emissions are not of a frequent occurrence the function of the seminiferous organs ceases sooner, is uncertain from want of sufficient data. The testimony of men is usually not clear; many dislike to speak of their impotency ; many healthy men are, indeed, unaware of this condition, or pass it over lightly, or are silent about it. In the register of the Morphine poisonings in Maison de Sante, it is found that the wives of none of the men who had injected large doses of Morphine have had a normal pregnancy during the last two years, although they were young women, and, previous to the use of Morphine by their husbands, had had children every year,73.—Impotence,61.—H& had become impotent since he used Morphia,64.—Pain in the genitals and urinary organs, especially in the right spermatic cord (after one hour and a half),8.—Diminished sexual desire,6668.—Female. [370.] Amenorrhoea. In all the women treated by me for Morphine intoxication, menstruation had been irregular, or suppressed for months or years. These women varied in age from twenty-five to thirty-five, and had used subcutaneous injections of Morphine for a long time. The symptoms noticed at the com- mencement and during the course of the amenorrhoea, such as headache, vertigo, disinclination to work, loss of appetite, vomiting, constipation, pal- pitation, hysterical attacks, etc., coincide with those of Morphine intoxica- tion, so that it is often difficult to distinguish whether they are caused by the toxication of Morphine, or are the consequence of the amenorrhoea. I have never observed swelling of the breasts or vicarious haemorrhages in my cases. The amenorrhoea of Morphine is gradually developed from dys- menorrhoea, or it occurs suddenly. Conception has never been noticed in amenorrhceic women, while some of the women have been repeatedly preg- nant previous to the use of Morphine. Therefore, it seems probable that the cessation of menstruation is dependent upon anomalies of the ovaries, in that they seem inactive. According to Pfliiger's theory, in the amenor- rhoea of Morphine, the growth of the cells of the ovaries ceases from one period to another, and in consequence, the irritability that is transmitted by the ovarian cells and causes, on the one hand, bursting of the Graafian follicles, and on the other, determines the reflex condition of congestion of the sexual organs, is wanting. As a consequence, Morphine affects the ovaries as it does other secretory glands, namely, it renders them unable to perform their functions. It is most probable that menstruation ceases because ovulation ceases, and this also explains the sterility. The suppo- sition that Morphine injection causes the arrest of the function of the organs 390 MORPHINUM. of generation is justified by the fact that, after the cessation of Morphine, these organs recover their activity. The sexual desire is at first increased by the habitual use of Morphine, but after the graver symptoms of poison- ing have been developed it almost entirely disappears, as in men. It is also noteworthy that women who have suffered from fluor albus, are gen- erally free from it during the prolonged use of Morphine; this reappears only "after the withdrawal of the drug, often with laborlike pains. Women suffering from Morphine intoxication, in whom menstruation continues normal, may conceive; but I have noticed that the pregnancy runs a nor- mal course only when the women use small doses; they abort from large doses,73.—Menstruation too early,66.—Menstruation generally more profuse and too early,13. Respiratory Organs.—Slight rattling of mucus in the trachea,31. — Voice. More or less hoarseness,15.—Frequently hoarseness when speak- ing for any length of time, whereas her voice is usually extremely clear,40. —Speech indistinct (inaudible), (soon, after fifteen minutes),33.—Respi- ration. Breathing loud and rattling (after eleven hours and a half),71. —Respiration stertorous,34.—Breathing stertorous, amounting to no more than 4 or 5 per minute,20.—[380.] Respirations increased, with acute pains in the chest,66.—Respiration IS, 20 (before the injection); 15, regular (three-quarters of an hour after £ gr.); 16, regular (ten minutes after I gr.) ; 14, regular (three hours and a half after I gr.),53.—Respiration 9 and 10 all day (second day),30.—Respiration rattling, slow, 8 to the minute,29. —Respiration very superficial, occurring only every twelve or fifteen sec- onds,41.—Respiration short and irregular,35.—Respiratiou irregular, with frequent sighs (one hour and three-quarters after A; gr.),58.—Respiration indescribable, thoracic respiration being apparently entirely suspended,48. —Respiration difficult,68; (after five minutes),8; (after fifteen minutes),11. —Respiration slow and difficult (after four hours),36.—[390/] Slight diffi- culty in breathing (after third dose) ; respiration greatly obstructed (after fourth dose),19.—Very difficult respiration,5.—Struggling for breath,70. Chest.—Tightness of the chest and difficulty in breathing, and she asked to be raised, saying she felt as if she were dying (after fifteen min- utes),33.—Great pain in the chest, and could not take a long breath (after half an hour); pain principally in the middle of the sternum, the breath- ing was short aud quick, and she sighed often (after four hours),43.—Felt very ill, with " an indescribable sensation, worse to bear than any pain," behind the lower half of the sternum (after one hour),57. Heart and Pulse.—Heart's Action. Palpitations,4066.—Violent throbbing in the heart and carotids,35.^The beat of the heart could not be felt; with the ear could be indistinctly heard only at times,41.—Congestions of the head, palpitations of the heart, with tense pulse; the latter often suddenly disappears and gives place to a scarcely perceptible, thready, slow, and intermittent pulse, that marks the beginning of a serious collapse ; increased reflex irritability; the patient has frequent attacks of sneezing and vawniug; he starts up in fright if one approaches him; touch of the skin causes cramp and twitchings,73.— Pulse. flOO.] Pulse full and slightly accelerated (after two hours),23.—Pulse strong and frequent,37.— The pulse in severe cases is small, at times tense or thready. In some cases oppression of respiration and palpitation are observed,73. — Pulse strong, rapid,66; (after half an hour),6*.—Pulse small aud rapid,6667.—Pulse small, contracted, rapid,18.—Pulse scarcely perceptible, rapid, weak, flut- tering, about 140 or 150,41.—Pulse feverish,11*.—The pulse at first sinks, MORPHINUM. 391 and then rises several beats,44*.—Pulse 79 (after twenty minutes),9.—[410.] Pulse ranging from 140 to 160, extremelv non-resistant, feeble, fluttering,48. —Pulse 63 (before taking); 108 (after half an hour),10.—Pulse 66 (before taking) ; 94 (after twenty minutes),8.—Pulse rose from 68 to 78 (imme- diately) ; to 8* (after one hour),86.—Pulse rose from 84 to 94 (after half an hour),96.—Pulse rose from 61 to 86 (after a few minutes),11*.—Pulse rose from 66 to 82 (after half an hour) ; to 90 (after one hour and a half),106. —Pulse 60 (before taking) ; 80 (after half an hour),11".—Pulse 65 (before taking); 68 and irregular (after twenty-five minutes),9*.—Pulse 66 (before taking) ; 80 (after half an hour),8*.—[420.] Pulse 80 (before injections) ; accelerated 6 beats (three-quarters of an hour and one hour after t\ grain); 80, regular, of good volume and power (two hours after ^-g grain) ; weaker (three-quarters of an hour after Ty grain) ; feeble, decreased 4 beats (one hour and three-quarters after Ty grain) ; very small, weak, intermittent, accelerated 6 beats (three hours and a half after T^- grain),58.—Pulse 74, of fair volume and power (before the experiment) ; 70, a little fuller and stronger (two hours after ^ grain) ; accelerated 6 beats, unchanged in volume and power, intermitted thrice in two minutes (thirty minutes after i grain) ; accelerated 8 beats (three-quarters of an hour after 4; grain); accelerated only 1 beat, of diminished volume (one hour after A; grain); decreased 8 beats, and of less volume and power than before the injection (two hours and a quarter after % grain); accelerated 16 beats (ten minutes after A; grain); accelerated 20 beats, increased in power (half an hour after A grain) ; attained its maximum acceleration of 26 beats, strong and reg- ular, and of good volume; a pulse indicative of strong stimulation (one hour after A; grain) ; the maximum acceleration remained unchanged (two hours after A; grain); fallen from 100 to 96, and had nearly returned to its original volume and power (three hours after A; grain) ; 94, still a little fuller and stronger (three hours and a half after -§• grain),53.—Diminished rapidity of the pulse (immediately),44.—Pulse excessively weak, and rather slow,20.—The pulse sinks during the first hour several beats,44b.—Pulse lowered 4 to 8 beats, but only in healthy subjects, or those laboring under simple neuralgic complaints (after half an hour),46.—Pulse about 60 (after four hours),43.—Normal pulse 60 ; all day was 49 and 50 (second day),30.— Pulse 65, regular (before taking) ; 90 (after twenty-five minutes) ; 80 (after forty minutes); 62 (after three hours),3.—Pulse 75 (before taking); 72 (after a quarter of an hour); 75 (after three-quarters of an hour) ; 68 (after one hour and a half) ; 66 (after two hours) ; 70 (after three hours),7. —[430.] Pulse 80 (before the injection); increased in volume and power, evidently under the influence of strong stimulation (after one hour) ; 74, regular, of the same volume and power as before the injection (after two hours),56.—Pulse 74, regular, good volume and power (before the experi- ment); reduced 19 beats, being now 55, unchanged in volume and power (after two hours and a half),52.—Pulse 100 (before the injection) ; decreased 4 beats, regular (after one hour) ; decreased 30 beats, feeble, and slightly irregular (after two hours),57.—Pulse 76 (before the injection); decreased 16 beats, regular, of unchanged volume and power (after one hour and a half); decreased 20 beats (after two hours); decreased 22 beats, being now 54, regular, and of good volume and power (after four hours),55.— Pulse 78 (before the experiments); decreased 4 beats (fifty minutes after £ grain); decreased 10 beats, unchanged in volume and power (one hour and a half after \ grain); 60, decreased 16 beats, of normal volume and power (three hours after \ grain) ; decreased 4 beats, unchanged in volume 392 MORPHINUM. and power (one hour and a quarter after \ grain),54.—Pulse irregular (soon, after fifteen minutes) ; afterwards not to be felt,33.—Pulse slow, full, inter- mitting,6.—Pulse small, contracted, intermitting,5.—Pulse hard,35.—Pulse greatly contracted,5.—[440.] Pulse exceedingly weak (after eleven hours and a half),71.—Pulse small,29.—Pulse very small (after four hours),36.— Pulse extremely small (immediately),42.—Pulse scarcely perceptible,70*.— Very great diminution in the streugth of the pulse, and a considerably reduced arterial tension,46.—The increase or diminution in arterial tension does not take place in accordance with the quantity injected, and the largest dose only prolongs the lowering effect,46.—Tracing almost a straight line, representing the maximum effect on the arterial tension, which there- after began to increase (half an hour after 1 centigramme) ; marked in- crease iu the swell corresponding to the arterial diastole; but the smaller prominence, caused by dicrotism, is not yet visible (one hour and ten minutes after 1 centigramme); tracing returned to normal outline (two hours aud ten minutes after 1 centigramme),46. Neck and Rack.—Stiff neck (second morning),43.—Great pain in the back (after two hours),43.—[450.] Pains extending along the spine,6*.— Pain and twitchings all down her spine (after four hours),43.—Weakness of the loins, for several days,7*. Extremities in General.—Objective. Tremor of the hands,73. —Trembling of the limbs,61.—Trembling of the limbs, and general oppres- sion,67.—Twitching of the limbs,1.—Her fingers were involuntarily con- tracted and extended ; she experienced some uneasiness about the elbows and knees (after third dose) ; the muscles of the hands and feet became rigidly contracted; the legs were drawn upon the thighs, and they upon the abdomen; the arms were alternately flexed, extended, and then con- tracted across the thorax (after fourth dose); in fact, the spasmodic action of all the voluntary muscles was so great as to simulate a geuuine case of traumatic tetanus; alcohol, ammonia, coffee, cold and hot ablutions, and constant frictions were resorted to with no effect; the spasmodic action commenced at 2 p.m., and continued till 5.30 p.m.,19.—Slight stiffness or heaviness of the limbs (after one hour),7.—Limbs paralyzed (after two hours),23.—[460.] Limbs weak,6*.—Weakness and some trembling of the limbs,71.—Weakness of the joints,11*.—Subjective. Her arms and legs felt as if they were alive, and as if they were going to jump up (after twenty hours),43.—Feeling of great weariness, in the limbs, with inclina- tion of the right lids to close; great longing for rest (after one hour),7*.— Abuormal sensations in the extremities associated with salivation,73.— Heaviness of the limbs,17; (after half an hour),71.—Pains in the joints,86 66. —Violent pain in the joints,66. Superior Extremities.—Stiffness and pain iu the arms, after sleep,b.—[470.] Heaviness of arms (after first \ grain),50.—A peculiar drawing, almost painful sensation in the wrist,446. — Trembling of the hands,63.—Hands somewhat tremulous, after sleeping,7*.—Slight trembling and unsteadiness of the hands, while writing,7.—Fingers numb, and both thumbs firmly drawn into the palms of the hands,33.* Inferior Extremities. — Gait insecure and tottering,66. — Gait irregular; staggered like a drunken man (second morning),50.—Her legs were twitched up, and she begged that they might be held, as she could not keep them quiet, and said it felt as if there were worms in them (after four hours),43.—A few twitches of left leg (after one hour),60.—[480.] Legs MORPHINUM. 393 swollen, so that he could not put on boots (second day),45.—Cramps of the several muscles,61. General Symptoms.—Objective. Emaciation,69.—He lost about 15 pounds of body weight,63.—General cachexia,66.—Trembling,68.—Whole body trembles,66.—Twitching of the muscles,56269.—Twitching of the mus- cles of the face and limbs, at times,7.—Both sides of her mouth were twitching; the arms were bent and moved backwards and forwards con- vulsively ; the motions soon ceased but returned (after two hours),43.— [490.] Jerking in the whole body,68.—Violent jerking in the arms, head, and especially in the face,3.—Convulsive motions,2; (second day),23.—Con- vulsive and tetanic spasms,25.—Convulsions,66.—Convulsions of the extremi- ties and face, with partial opisthotonos; convulsions renewed by tickling or pressure upon the skin, without any loss of consciousness,21.—Partial opisthotonos (after two hours),43.—Eclampsia,37.—Drawing and stiffness of the muscles,66.—Patient rigid, absolutely immovable; extremities exhibited no flexibility whatever, and the transient contraction seemed like rigor mortis; indeed, it was with difficulty that the joints could be moved,41.— [500.] Muscular system very much relaxed (after four hours),36.—The sensory nerves had almost ceased to act, and the motor portion w*as also materially affected by the drug (after four hours),36.—Phrenic and pueu- mogastric nerves considerably narcotized (after four hours),36. — Great weariness (after thirty six hours),23.— Weakness,18b 14, etc. — Mental and physical weakness and laxity,66.—Weakness of the limbs, small of the back, neck, and joints (after twenty-five minutes),9*.—Great weakness,12.— Great weakness of the body, so that he could with difficulty get into bed,39. —Almost unable to walk, for four hours (after two hours) ; did not recover from weakness for a week,57.—[510.] Could not get up, in morning (second day),45. — Prostration,1418 66, etc. — General prostration,6.—Weakness and general prostration,60.—Muscular prostration complete,48.—Sudden prostra- tion ; she had not strength to stand up,49.—Fell suddenly to the ground, as if struck by lightning (after a quarter of an hour),23.—General weakness and loss of power,73.—Some spasms of the facial muscles took place, and she fell back to all appearance dead ; face blauched, pulse not to be felt, and respiration not to be perceived ; insensibility continued about three minutes,33. —Insensible (after nine hours),24; (after nine hours and a half),71.—[520] Collapse; on the second or third day after the withdrawal of Morphine there occurs in consequence of the previous slight nutrition diarrhoea, sleep- lessness, and yawning, a condition of weakness in almost all patients, the pulse becomes small, the face sunken, the patients cannot leave the bed, and have an expression of complete exhaustion ; this simple collapse is not dangerous; it either disappears as soon as the patient begins to take regular nourishment or it passes into a more serious form ; this latter commences often with alteration of the voice and articulation ; the patients are hoarse, they stammer or hesitate in speech ; the facial muscles jerk, the tremor of the hands increases ; sometimes this serious collapse appears suddenly, even at a time when the results of abstinence, as vomiting and diarrhoea, seem to have subsided, and when it is least expected. Even while the patients are sitting in bed busy with their surroundings they fall back uncon- scious, and can at first be awakened only by most energetic means; the face becomes sunken or deathly pale, the nose pointed, eyes turned upward and sunken, respiration difficult, sighing, and slow, pulse percep- tible only at the heart, or the face becomes deeply red, the eyes shining, pulse 44 and 40, and after a transient nausea and a deathly sensation the pa- 394 MORPHINUM. tient becomes again unconscious; when raised up the head sinks forward on the chest. No response can be obtained either by shouting or irritating the skin ; this condition lasting from fifteen minutes to nearly an hour is repeated three or four times at short intervals in twenty-four hours, during which the patient remains only partly conscious, or consciousness returns completely, or the patient may die with symptoms of paralysis of the brain,73.—She retired at 8 p.m., feeling as she said " quite drunk;" in about one hour after she was found perfectly insensible; she was lying upon her back, her eyes open, a delicate flush in the cheeks, and the lower extremities paralyzed, very cold, and doughy ; the extremities were violently pinched, pricked with needles, even after consciousness returned, but with no result; consciousness partly returned in an hour, when the right arm and leg were paralyzed, with violent trembling or shaking ; Nux 200 relieved (after a few* doses),38.—The patient was found to be apoplectic, unconscious, with stertorous respiration and bluish congestion of the face,35.— Faintness, nausea, and constant retchings, with alternate flushes of heat and cold, for five hours (after two hours),56.—Two attacks of faintness, with dilated pupils (second morning),86.—Faint and almost ready to drop (after two hours and eighteen minutes) ; recovered in about half an hour after taking a cup of tea, but still felt poorly and sleepy,51.—So much faintness and nausea as to confine her to the bed for the remainder of the day, which was for seven or eight hours (after three hours),16.—Dead faint,70.—Fainted several times, so that she was thought to be dead (after two hours),43.— When rising suddenly from stool, he fainted and was soon dead (after three days),20.— [530.] Restlessness,1418 62 66.— General hyperesthesia,66.— Sub- jective. Increase of reflex irritability,68.—Relex irritability appeared to be entirely gone; the finger, and subsequently a feather, applied to the fauces and upper portion of the oesophagus, failed to call forth any reflex action whatever,48.—(She has comparative, though not complete, immunity from pain),72.—At first, an agreeable sensation,3.—A sort of pleasant weari- ness,60.—Walked three miles, felt very weak going along (after two hours and eighteen minutes),51.—Had felt faint, tremulous, and sick for fifteen minutes (three-quarters of an hour after y^ grain),58.—Heaviness of the whole body,446.—[540.] An indescribable sensation of sickness and discom- fort, and a condition bordering on delirium,69.—The nervous system in general is affected; uneasiness, sleeplessness, hallucinations, alternating moods, hyperesthesia, neuralgia, parsesthesia, trembling of the hands, and increased reflex irritability, and other symptoms of this kind occur,73.— Towards 3 o'clock in the afternoon (about two hours before the usual time for injection), the beneficial influence of the Morphia has usually given way, not (save exceptionally) to positive pain, but to the indescribable sense of depression which Niemeyer's patients so graphically represented to him by the phrase " katzenjammer;" this feeling disappears almost im- mediately after the injection,72.—Very ill after the return of sensibility,33. —Oppression,66.—Neuralgia,62.—Neuralgia in various parts of the body, forehead, occiput, and stomach,73.—" Sore all over" (second morning),43.— Sensation as if the flesh were trembling on the bones,49.—Crawling and trembling in the tips of the fingers and in the whole body,68.—[550.] After the severe symptoms of the period of abstinence have disappeared, and the patients seem to be convalescent, the whole of the symptoms suddenly break out again ; this renewed outbreak has, however, no further influence on the course of the case, and generally lasts only one or two days ; in this patient, the relapse was severe, it lasted thirty-six hours,62.—Distinct in- MORPHINUM. 395 tervals of two or three minutes between the paroxysms of pain and con- vulsions,43. Skin.—Objective. Skin deathly pale,29.—The skin lost its elasticity,69. —Eruption over the whole body (second morning),9*.—Eruptions of red pimples,66.—Numerous dark bluish spots on the back and thigh,35.—Erup- tion over the face and large portion of the body (second day),96.—Erup- tion in the eighth intercostal space, which, except for the absence of pain, resembled herpes zoster,61.—The skin loses its turgescence, color, and ten- sion. ^ The subcutaneous cellular tissue atrophies (though, in some cases, especially in women, it contains fat). The face is mostly pale, ashy gray, seldom deep.red, sometimes of a normal color; the perspiration is usually much more profuse than normal, exanthema is very seldom observed. In- flammation of the sebaceous glands, zoster, affecting especially the chin, cheeks, intercostal spaces, occurs from time to time, disappearing and re- turning, or in some cases persistent. At the point of injection of Morphine abscesses form and infiltrate in the skin, sometimes of a very large size. The patient complains of coldness or even chilliness,73.—[560.] Arms and legs covered with red pimples,66.—Subjective. Biting in the skin ; this biting is sometimes accompanied by small round elevations,2.—Crawling, tickling, and itching over the whole body,68.—Formications,62.—Formica- tion all over (second day),23.—Itching in the skin,141866; (after thirty-five minutes),11; (after half an hour),8.—Soon wakened by an itching sensation over the whole body, which induced vigorous and constant scratching ; this sensation was felt in every part of the body, from the crown of the head to the soles of the feet; head itched as though innumerable insects were crawling through my hair; face felt as though covered with cobwebs, which I would try to wipe off; bottom of feet felt as if I had chilblains; the legs, arras, abdomen, chest, and back, all itched as though beiug tickled with feathers, and I was kept busy scratching from head to feet; this lasted till morning, and I should be afraid to say how many times I raked over my entire body with my ten finger-nails; I think that after giving myself a thorough going over, I would drop asleep, but soon be awakened by the itching, and have to scratch more vigorously than ever. I expected to find my body covered with blotches, but my skin was as white and smooth as ever; at intervals all next day and evening, feel here and there, on body, slight itching ; and if I were on the sand-beach of Carolina would think it suggested fleas,50.—Constant itching, especially in the face, fre- quently obliging him to scratch,7l.—Violent itching over the whole body, in the evening (first day),7.—Sometimes it produces a troublesome itching of the skin, which in some cases is universal, but in others confined to the nose, neck, loins, and inside of the thighs,15.—[570.] Disagreeable itching on the skin, especially on the anus (after half an hour),6*.—" Tingling" or prickling sensation in the extremities (soon after third dose),19.—Tingling in feet (after first £ grain),50. Sleep and Dreams.— Sleepiness. Yawning,6264.— Inclination to sleep (after five minutes),8.—Sleepiness,9; (after half an hour),8.—Occa- sionally slight excess of sleepiness, making it rather difficult for the patient to rouse herself in the morning,72.—So sleepy that it was with much diffi- culty that I was able to reach my room and undress (soon after second injection),50.—Heaviness and sleepiness throughout the day,59.—Continued heavy and sleepy (after one hour and twenty minutes),51.—[580.] Drowsi- ness (after fifteen minutes); since then sleep (after thirty minutes); had continued drowsy and still remained so (after two hours and eighteen 396 MORPHINUM. minutes); slept about two hours (later),51.—Drowsiness (fifteen minutes after T'? gr.) ; felt drowsy and giddy (after one hour); the drowsiness and giddiness now passed oft1 (two hours after T\ gr.); had napped for twenty minutes (one hour and three-quarters after Ty gr.); slept half an hour more (three hours and a half after y'^ gr.) ; drowsiness continued for a short time, after walking home,58.—Occasional drowsiness (second day),30. — Some drowsiness and giddiness (fifty minutes after i gr.); sleepy and light- headed (one hour and a quarter after i gr.); dozed and had some sound sleep (from one hour and a half to three hours after } gr.); slept soundly for half an hour, and was now very sleepy and giddy (one hour and a quarter after \ gr.),54.—Drowsiness gone off (after oue hour),57.—Somno- lency ; he fell asleep and had a short nap (half an hour after \ gr.) ; som- nolency had continued and he still felt a little sleepy (two hours after \ gr.) ; great somnolency (fifteen minutes after \ gr.); somnolency continued (two hours and a quarter after \ gr.); at no time so great that he could not prevent sleep, and when he gave way to it, he passed into a gentle slumber from which a slight noise awoke him (after \ gr.); began to feel very sleepy (ten minutes after \ gr.) ; unchanged (two hours after \ gr.) ; less, but continued very sleepy (three hours after \ gr.); had slept through- out comfortably and a little more soundly than in ordinary sleep; was not conscious of dreaming, but muttered a good deal (three hours and a half after \ gr.) ; a little sleepiness during the next forty-eight hours,53.—Som- nolency and giddiness (after ten minutes); then fell asleep for three- quarters of an hour; Had felt very drowsy and sickish (after two hours),56. —Great somnolency (after fifteen minutes); had continued very drowsy, and slept at intervals (after two hours and a half) ; walked home, and con- tinued sleepy for two or three hours,52.—Light slumber, during which he was conscious of jerking in the limbs, lasting ten minutes (after two hours and a half),7.-—He lay in a half waking, half stupid condition, but with perfect ability to think of different things, though at the same time he was busy with confused fantasies; during this slumber the limbs lay as if stiff and immovable, and could only be moved by great exertion of the will,7*. —[590.] During the first night the patient slept, and did not wake in the morning,41.—Fell asleep (after four hours); his wife could not succeed in wakiug him until after five hours more,24.—Almost constant sleep for five hours and a half (after one hour), in which he dreamed different things, heard everything that was going on about him, and was almost always con- scious of his condition,3.—Long, quiet sleep,60.—Quiet sleep, lasting five hours, after waking from which he had headache on the right side,6*.— Sound sleep, lasting five hours, from which he awoke with a dull sensation in the forehead (after ten hours),8.—Deep sleep, at times interrupted by convulsive cramps,25.—Sleep profound and calm, and with pleasant dreams,37. —Heavy sleep, with red cheeks,11*.—Sopor,18.—Sleeplessness. [600.] No disposition to sleep; slept only an hour next night,43.—Most of the Morphine patients sleep too little,66.—Unable to sleep till about 2 o'clock in the morning, though the sleep obtained during the remainder of the night has seemed to refresh me as much as if I had slept the whole time,15. —Uneasy sleep, with frequent starting up, lasting six hours,6.-—Sleep un- soundand frequently interrupted by lively imagining; became wakeful early in the morning,30.—Fell into a troubled, delirious sleep, from which she awoke in a few moments, feeling that she had slept weeks ; this kind of sleeping and waking was repeated all day,49.—Sleeplessness,14 62 68.—Sleep- lessness, followed by sopor,18.—Night, restless,5; (first night),11.—Restless MORPHINUM. 3d7 sleep, with frequent starting up,66.—[610.] Sleep restless, with fever and headache, and itching on the skin (first night)/6.—Sleep restless, inter- rupted; lasting three hours (after one hour)/1.—Very restless all night; no sleep/5.—Dreams. Frightful dreams/. Fever.—Chilliness. Skin cool; the feet warm,34.—Surface rapidly becoming cold (after niue hours and a half ),71.—The skin of the whole body was somewhat livid, especially the lips and nails, and, with the ex- tremities which were covered, it was very cold, and covered with cold, clammy perspiration/1.—Cold and pale, for four hours (after two hours),57. —Generally cold and tremulous (one hour and three-quarters after yL gr.),58.—Skin icy cold,29.—[620.] Diminished temperature (immediately)/4. —Temperature lowered from a quarter to half a degree (after half an hour)/6.—Temperature at first falls and afterwards rises/4*.—Chilliness/2. —Chills creeping over her, especially from the hips to the knees, and back again to hips/9.—Violent shudderings/.—Rigors,64.—The warmth of the face diminished, and it became paler than usual; with general weakness (consequence of nausea), (after two hours),7.—Extremities cool,35.—Head, face, and hands cool (two hours and a quarter after \ gr.),53.—[630.] Ex- tremities cold (after fifteen or twenty minutes),32.—Extremities cold, nails blue (after four hours),36.—All the extremities and hands cold and livid/7. —Hands and feet became cold (after third dose)/9.—Lower extremities cold,5.—Heat. Skin hot and dry,37.—Burning heat of the skin (after half an hour),8*.—Temperature rises T2T° (Centigrade)/46.—General diffusion of warmth throughout the body (one hour after A; gr.),53.—General increase of warmth, especially in the face (after half an hour)/*.—[640.] Heat over the whole body, at night/8.— Heat aud itching over the whole body/2.— Alternate flushes of heat and cold, with nausea, faintness, and constant retchings, for five hours (after two hours),56.—Fever,61.—The intermittent fever of morphiuism, which assumed first a tertian and then a quotidian character,61.—The intermittent fever of Morphine intoxication seems to depend upon a peculiar neuropathic predisposition, since many persons develop no paroxysms of intermittent fever in spite of large doses and long- continued use of Morphine. No other cause, however, can be assigned for the development of the intermittent than the use of the Morphine, for patients are attacked by it who live in regions free from malaria, and similar symptoms are not observed in other members of the family who have been living under the same conditions. Mild and severe forms of the intermittent fever of Morphine may be distinguished. Both have, in com- mon with malarial fever, beside the rhythmical type, the fact, first, that the paroxysms apparently disappear after Chinin., though in spite of the continued exhibition of the latter, they sooner or later reappear; second, they are benefited by change of locality, and are brought on again by any imprudence (a voyage on the water, errors of diet). The characteristics of intermittent fever of Morphine, are those of malarial fever, chilliness, amounting to a shaking chill, headache, oppression, heat, and sweat. They are distinguished in the fact that after abstinence from Morphine, the paroxysms of fever, though they had existed for a long time, disappeared without treatment; in some cases the intermittent fever appears like a febris arthritica; there occur, at indefinite times, attacks with chilliness, heat, and sweat. These attacks are repeated three to six times, at increas- ing intervals, and then generally no longer recur. Usually the intermit- tent of Morphine has a tertian or sometimes a quotidian type; it is some- times anticipating, sometimes postponing; the attacks last from four to ten 398 MORPHIN UM—MOSCHUS. hours, followed by a normal condition ; the paroxysms are only exception- ally relieved by withdrawal of Morphine. In such cases the patient com- plains that, at the time when the fever usually occurs, he feels uncomfort- able, especially that he is exhausted. With the febrile paroxysms are associated neuralgia in various nerve-areas, supraorbital, intercostal, and cardiac pains; the temperature rises in all cases and varies from 38.5° to 40° (C). The spleen is usually enlarged. After the paroxysm, a sedi- ment is noticed in the urine. In the more violent form of Morphine inter- mittent, delirium occurs during the height of the fever; iu this delirium the patient cannot be kept in bed, and is excited even to raving. Great exhaustion and prostration follow the fever, and continue into the apyrexia/3. —Tertian intermittent fever, with delirium during the paroxysms; this fever was a puzzle to the then physician, as malarious diseases do not occur in the district, and treatment with quinine was without effect; it was inter- mittent fever from morphinism,62.—The lower extremities had a somewhat higher temperature than the portions that are usually uncovered, though the temperature of these was far below the normal/1.—Warmth in the face (after three-quarters of an hour),7.—Head hotter than usual/*.—[650.] A little heat and flushing of the face,55.—Face and head hot and flushed (one hour after A; gr.),53.—Cheeks hot and flushed; scalp a little less so (half an hour after A; gr.),53.—Cheeks and forehead hot and flushed, hands hot, "felt hot all over" (after one hour),56.—Sweat. Skin very moist/8.— Sweats,61.—Perspiration,5.—General perspiration,66.—Perspiration over the whole body, with increased warmth aud redness; more frequently in men than in women,13.—Excessive sweating,64.—[660.] Copious perspiration,9; all over (after twenty minutes),8.—Profuse sweats,62 67; (second day),23.— General profuse perspiration (after five minutes)/1.—Profuse perspiration, so that he changed his clothes nineteen times in one night/.—Bathed in perspiration (after two hours)/3.—Exhausting sweats,69.—Cold sweat,66.— Broke out into a cold perspiration, on walking three miles (after two hours and eighteen minutes)/1.—Cold perspiration over the bo'dy (after fifty minutes),9.—Clammy sweat over the whole body/7.—[670.] Skin dry, itch- ing (first night)/1.—Colliquative sweats, with deep redness of the face,73.— Face covered with perspiration (after one hour),86.—Upper part of the body covered with a viscid perspiration,5. — Cold sweat on the back (second morning),86. Conditions.—Aggravation.—(Morning), On waking, disappearing on moving about; head painful.—(After eating), Heaviness, etc., of head ; pain in stomach.—(After sleep).—Stiffness in arms ; hands tremulous. MOSCHUS. Moschus moschiferus, L. Class, Mammalia; Order, Ungulata; Family, Bovidae; Tribe, Moschina. Common name, Musk deer. Preparations, Trituration of the inspissated secretion contained in the preputial follicles. Authorities. (Nos. 1 to 35 from Hahnemann, with annotations by Dr. Hughes); 1, Hahnemann, R. A. M. L., 1, 316; 2, Fr. H—n ; 3, Gross; 4, Stapf; 5, Th. Bartholin, Epist. Med. Cent., II, p. 87 (observation, odor) ; 6, Boeclr., Adnot. ad Hermauni Cynos. Mat. Med., p. 10 (general state- ment, odor); 7, Boerhaave, de Morb. Nerv., p. 744 (general statement, MOSCHUS. 399 odor); 8, Rob. Boyle, de insig. effl. effic, cap. 6 (observation, odor); 9, H. J. N. Cranz, Mat. Med., I, p. "252 (general statement) ; 10, Cartheuser, Ferndam, Mat. Med., p. 380 (observation); 11, Lor. Crellius, in Baldinger's Mag., VII, p. 656 (there are only 571 pages iu this volume, Hughes) ; 12, Cullen, Mat. Med., II, p. 644 (eff'ects of large doses) ; 13, Fuller, Pharm. Extemp., p. 392 (general statement, odor) ; 14, J. A. Hemann, Med. Auf- siitze, Berlin, 1778 (not accessible); 15, Fr. Hoffmann, Med. Rat. Sys., Ill, p. 92 (general statement of effects of odor of suaveoleutia) ; 16, Loeseke, Mat. Med., p. 521) (general statement); 17, Mead, Monit. Med., p. 123 (observation); 18, F. 0. Medicus, Samml. v. Beob. a. d. Arzn., II, p. 605, 618 (observation) ; 19, Mercurialis de compos. Med., I, cap. 15 (effect of inhalation, p. 259) ; 20, Morgenstern (not Morgenbesser), in Nova Acta Nat. Cur., IV, 1770 (symptoms cured by M.), omitted, T. F. A.; 21, Pelargus, Obs., II, p. 492 (Moschus in a pessary, "Mutterzapfchen," Hahnemann), (not accessible, Hughes); 22, Pederit, Pharm. Rat. (p. 266, general statement) ; 23, Reil, Erkenntniss u. kur. d. Fieb., IV, p. 174 (nothing about M. in this place); 24, Riedlin, Lin. Med., p. 856 (obs. of effects of a " medicine containing musk aud ambergris "); 25, Rolfiuck, Epit. Meth. cogn. et curand. m. Cap. de Cap. dol. (observation, odor); 26, Sanctorius, Comment, in Artem. Med. Gal., § 71 (observation, odor) ; 27, Lucas Schroeck, Hist. Moschi, Aug. Vindel., 1682 (statements and obser- vations); 28, Sennert, Med. pr. lib., 4, p. 125 (observation, odor); 29, Jac. Sylvius, Meth. Med. comp. et. simpl., I, Cap. de Animal, (observation, odor) ; 30, Bl. L. Tralles, de Moschi laudibus et abusu limit, in Medela, Morb. Vratisl., 1783, 8 (observations) ; 31, Vogel, Hist. Mat. Med., p. 356 (observations); 32, Wall, in Philos. Trans, (vol. xliii, p. 213, effect of 16 grains of powder in convulsive disorders); 33, G. W. Wedel, Amoen. Mat. Med., p. 198 (statement as to effect of " suaveolentia, moschata, et vola- tilia," generally); 34, Weikard, Med. Pract. Handb., Heilbronn uud Rothenb., 1798, 1799 (observation) ; 35, Rob. Whytt, Schriften, p. 504 (statement), (36 to 41 Jorg's provings, from his jNIaterilen, proviugs of Kueschke, Jorg, and Martinis, with Moschus triturated with Magnesia, omitted) ; 36, Guntz, took one dose of 5 grains; 37, Otto, took 2 grains, triturated with sugar first day, 4 grains second day, 6 graius third day, 8 grains fourth day, 10 grains fifth day; 38, Siebenhaar, took repeated doses of 2 grains to A; scruple; 39, Mrs. C. H., took repeated doses of 3 to 6 grains; 40, Miss T. H., took 3 and 6 grains, repeated ; 41, Theo. Jorg, took 3 aud 6 grains, repeated (Nos. 42 to 46 from Hromoda, Journ. f. Hom. Arznm., 1, p. 99); 42, effects of making 1st trit., in a man aged fifty-two; 43, same, in a woman, aged forty-five ; 44, same, in another man ; 45, general effects, observed while making the triturations; 46, symptoms ob- served from the 6th dil.; 47, Sundelin, Horn's Archiv., 1824 (Wibmer), effects of 20 grains, swallowed in the morning; 48, Robinson, proving in a young " female " (woman ?), from 200th dil., every second morning, effect after three doses, Br. J. of Horn., 25, 323; 49, Berridge, effects of 4 drops of M. (preparation not stated, T. F. A.), every night, afterward reduced to 3, 2, and 1, and also of injection per vaginam of same, N. Y. J. of Horn., 2, 308 ; 50, same, effects of 30 drops of 6th dil., in Miss----, Am. Obs., 1875, p. 307 ; 50 a, same, effects of 3d trit., in same person ; 51, same, Miss ----, took 1st trit.; 51a, same, effects of 6th dil., in same person ; 52, same, Mrs.----, took 2d dil.; 53, same, Miss----, took 3 drops of 2d dil. in water; 54, same, Dr. B., himself, took 30 drops of 6th dil. Mind.—Emotional. Excitement similar to that which is caused 400 MOSCHUS. by wine; with increased frequency, fulness, and softness of the pulse, con- tinuing two hours (after a few minutes)/7.—Sudden loss of his senses ; in this condition he thought that his fingers and toes were cut off; against which he remonstrated with such rapid and confused speech that nothing could be gathered from it/6.—He began to rave, spoke very low, as though afraid of disturbing some one; saying pst, pst, pst, then began to sigh deeply, and to play with the buttons of his waistcoast, as though taking them off and putting them on ; this lasted ten or eleven minutes, and then consciousness returned (after half an hour)/4.—It made her feel quiet and self-possessed ; no fear of anything, is usually nervous and timid,52.—Very good-humored, although annoyed he was unable to say anything, yet it seemed to him as though he should be angry (after two hours)/J.—Low spirits,511.—Anxiety, as if something were about to happen,51.—Great anx- iety,10, f—Mood very anxious/2.—[10.] Very anxious; she always started up in fright if any one opened the door, and her body trembled visibly (after three hours)/6.—He was extremely anxious about death ; after trit- urating three minutes, he began to say, " This is my death," became deathly pale, and in ten minutes fell down in a faint (speedily restored by Cam- phor)/5.—She spoke of nothing but that she must die (from triturating ten minutes)/5.—Fretful mood (first hour)/.—She is very fretful, yet would weep every moment/6.—Very peevish ; he sprang up, wild with anger, and did not know* what to do with himself from rage, until he struck a vessel that stood near him, when he became better (after five hours and a half)/6. —Very violent anger; she would not be quieted by anything, but continued to rave until the mouth was quite dry, lips blue, eyes staring, and face deathly pale, when she fell to the ground (after ten minutes)/5.—While sitting unemployed, and then again restless and running about, he scolded at every one he saw, and seemed to be afraid of only me (after five hours)/6. —Intellectual. He sits in thought, talks aloud to himself, but indis- tinctly ; strikes with his hands, then suddenly cries out " ah, ah !" (after thirteen minutes)/5.—She sits in thought, strikes her hands together, makes various gestures, so that others fear she will lose her reason, disappearing in half an hour (after twenty four hours)/5.—[20.] Dulness of mind, with diminished memory/5.—Stupid feeling in head (after ten minutes),50.—A stupid feeling in forehead (after fifteen minutes),53.—Distraction of mind that prevented work,31.—No memory, though he answered every question ; if a former question was repeated he gave a confused answer, as though thinking of something else/2.—Memory suddenly vanished, with a pressive sensation upon the vertex/5.—So forgetful that he did not know what had just hap- pened ; this was repeated daily, but disappeared after three days (after twelve hours),45.—Stupor of the brain,30.—Half stupefied; she was taken into the open air (after five minutes) where she recovered her senses (after ten minutes)/3.—A stupefaction with vertigo, so that he was obliged to sit down, and while sitting, felt as though he would fall, and therefore held on to a chair (after two hours)/6;—[30.] A kind of stupefaction, and all the objects in the room seemed large black figures, which would spriug upon him/4.—A kind of dizzy stupefaction, so that he thought he could not see or hear, yet he saw aud heard everything/5.—Loss of mind for whole hours; on coming to his senses, he complained of sticking in the joints of the fingers (after twelve hours)/6.—Coma,30. Head.—Confusion and Vertigo. Head confused, and almost f Omit Hoffman.—Hughes. MOSCHUS. 401 dizzy,39.—Confusion Oi" the head, as in intoxication,30.—Confusion of the head; the upper part seems tense, though without pain,3.—Vertigo/9.— Sensation of vertigo in the head/.|—Vertigo amounting even to loss of consciousness (after ten miuutes)/5.—[40.] Slight dulness iu the head, amounting to vertigo,39.—Vertigo on stooping, that disappears on rising (after five hours)/6.—Vertigo, with a sensation as though whirling violently, so that he even felt the air on his face/5.—Vertigo, with nausea, so that she was obliged to lie down ; with desire for black coffee (after thirty hours),2.—Vertigo, nausea, and vomiting, at the same moment/5.—Vertigo, with a kind of nausea; associated with a pressive, somewhat throbbing, headache, over the whole posterior portion of the head, with some draw- ings, as with a thread (extending into the spine, as far down as the first lumbar vertebra)/4.—Vertigo, with sudden faiutness/5. — Vertigo, with great rush of blood to the head, lasting two hours; better in the open air (during the first five minutes)/5.—A kind of vertigo on moving the lids relieved in the open air (after two hours)/6.—Vertigo, as though she were. standing very high, aud would fall/5.—[50.] Vertigo, so that she thought that she fell from a height/5.—Vertigo, as if intoxicated ; he was unable to walk alone/2.—Vertigo, so that he could not walk alone; he reeled from side to side in the room (after three hours)/6.—Vertigo, as if all objects were moving (after ten minutes)/5.—Vertigo, as if intoxicated ; everything that she looked at seemed to move (after ten minutes)/3.—Vertigo, as if everything were turning in a circle, at first very slowly, then faster and faster; at last it seemed as though she were floating in the air, then she became stupefied, and in this stupefaction it seemed as though she fell from a great height, and she lost her consciousness (after ten minutes)/3.—Ver- tigo, like a whirling, that soon disappears (after five hours)/6.—Vertigo, as if intoxicated, so that he was obliged to steady himself to prevent falling/5. —Sudden vertigo, with dimness before the eyes, so that he could make no movement whatever (after six hours)/6.—Dizziness of the head, like ver- tigo, with pressure upon the crowu/5.—[60.] Sensation of dizziness, with general discomfort (after three hours)/6.—Turning in the forehead and before the eyes, aggravated on stooping (after a few minutes)/.—Gen- eral Head. It affects the head,9.—The blood mounts to the head,26.— Rush of blood to the head,38; with heaviness/6.—Rush of blood to the head, with staring eyes, and cramp in the mouth, so that he was unable to answer the question, " How are you?" though he understood perfectly (after five minutes) ; he continued the trituration, and in seven minutes he began to speak, but his words came so rapidly and so run together, that it was impossible to record what he said; neither could his confused talk be in- terrupted ; from that time to ten minutes, he was deathly pale, and the perspiration was dripping from his face and hair/2.—Dulness in the head, with stupefying pressure in the brain,3.—Slight dulness of the head,37.— Heaviness of the head,230; (after four minutes)/3.—Heaviness of the head, amounting to real pain in the forehead,40.—[70.] Heaviness and pressure in the head (second day),39.—Slight heaviness of the head/1.—Head heavy and confused,40.—Painfulness of the head on violent motion, as, for ex- ample, ascending steps (after four hours)/.—Headache/02527.—Headache, with drawing in the right ear (after twenty-four hours)/6.—Headache, with nausea and vomiting/5.—Slight headache/7.—Violent headache,8.—Raging f From 2 grains of the powder.—Hahnemann. vol. vi.—26 402 MOSCHUS. headache; he cried out violently, " My head!" and held his head with his hands/Vf—[80.] Stupefying headache, that made him close his eyes/5.— Headache, as if the brain would fall out/6.—Feeling of fulness iu the head (after half an hour)/.—Headache, as if the head were tightly laced (after three hours)/5.—Sensitive dull pain in the whole head, especially in the evening (after twenty-four hours)/6.—A kind of aching iji the head, ex- tending deep into the brain (after thirty one hours)/6.—The whole head hurts; a drawing, here and there, as far as the nape of the neck, where it is a tension, better in the open air, much worse in the house (after one hour)/.—Painful drawing in the head, from the occiput to the ears, and from the ears into the teeth, more on the right side (after three hours)/.— Spasmodic drawing through the whole head/.—A pressive pain deep in the brain/5.—[90.] Pressive pain over the whole head (after two days)/6.— Pressive headache, internally in the brain/3.—Pressive headache, with coldness as from cold applications to the head (after three days)/6.—Ten- sive pressive headache, with a sensation as if something in the brain were moving/5.—A kind of complication of pressive and boring headache, at one time through the whole head, at another behind the ears, at another in the forehead, at another in the vertex, and then in the occiput/'.— General pressure on the head and upper part of the forehead,3.—Head- ache as though a weight were lying upon it, somewhat aggravated by motion/2.—Headache as if a heavy weight were lying upon the whole upper part of the head, relieved by moving about in the air (after two hours)/6.—Headache, as if half of the skull were cut through, better in tfie open air/5.—Tearing pain in the right half of the head/5.—[100.] Pressive sticking pain in the forehead (after thirty-six hours)/6.—Fore- head. Slight pain in the forehead, alternating with pain in the occiput/1. —Compressive headache in a small spot just above the root of the nose, causing dulness (after one hour)/.—Slight aching in forehead, with sleepi- ness, in the afternoon (second day),50.—Pressure in the frontal region/9.— Distressing pressure in the frontal region, aggravated by moving about,39. —Pressive pain in the forehead, extending down between the eyebrows to the nose and into both cheeks/6.—Pressive pain in the forehead, with a red spot upon it (after four days)/5.—Pressive headache in the frontal region, extending down into the eyes and nose/1.—Slight pressive headache in the region of the forehead,36.— [HO.] Slight sticking in the forehead/.— Temples. Slight sudden drawing in the temples,3.—Transient drawing pressure in the right temple,3.—Pressive pain in the right temple (after five hours)/6.— Vertex. Creeping on top of brain,51.—Occiput. Pres- sive painful seusation in the cerebellum (after forty-two hours)/6.—Throb- bing and beating headache in the occiput (after three days)/5.—Headache as from something beating in the occiput, thence the pain spread and ex- tended to the forehead (after one hour)/5.—ExterualHead. The whole head was as painful as a sore, aggravated by touch/4.—Headache exter- nally, as if the whole scalp were sore, aggravated by touch (after four days)/6.—[120.] Itching, here and there, iu the scalp, disappearing after scratching,3. Eye.—Objective. Eyes staring, very glistening, quite prominent; with loss of senses, so that he could not answer questions, although he heard everything/5.—Stiffness of the eyes (after four minutes)/3.—Eyes f In a boy aged five year.*, from coming unexpectedly into a room where Moschus was being triturated, speedily relieved by Camphor. MOSCHUS. 403 stiff, protruding from their orbits/4.—Subjective. Pressure in both eyes, as from sand/4.—An irritation in both external canthi, relieved by rubbing (after sixteen hours)/6.—Biting in the eyes, as from smoke, with lachry- mation (immediately, from the odor)/.—Itching in the eyes, so that she was obliged to rub them (after half an hour)/.— Brow and Orbit. Stupefying pressure on the left eyebrow,3.—A sensation above the margin of the orbits, as if a dull instrument were pressed into the brain,3.—Lids. [130.] The upper lids seem swolleu, with a pressive sensation in them (after thirteen hours)/5.—Lachrymal Apparatus. Lachrymation of the left eye, as if she were weeping/3.—Profuse lachrymation of the left eye, with pressure,46.—Rail. Distortion of both eyes, outward/2.— Vision. Eyes dim, with a pressive pain in the inner canthus (after twenty-two hours)/6.—Eyes dim; pupils dilated (after teu minutes)/3.—Dimness before the eyes/.—Sudden dimness before the eyes, so that she thought she would become blind/5.—A dizzy unsteadiness before the eyes on the least motion of the head, as if something moved rapidly up and down (immediately, even from the odor)/.|—Black points a few times before the eyes/4.— [140.] Loss of vision, with contracted pupils (after nine minutes),43. Ear.—External. Discharge of much wax from the left ear (second day),40.—As many as three drops of wax flowed from the right ear, only at night (fourth day)/5.—Pressive pain in the left concha, as if the ear had been pressed against the head, during the first twenty-four hours,45.— 3Ilddle. Flutteriug in the left ear, as if a flea were in it (after five hours),46.—Sudden, very transient rushing into the ear, as from the flutter- ing of a large bird, now iu the right, now in the left side (after sixty hours),3.—Rushing in both ears, as in faintness (after three hours)/6.— Sensation as though a gentle wind were blowing, in the left ear (after two hours)/6. — Violent rushing in both ears, as from a violent wind/2.— Hearing. Difficult hearing; one was obliged to speak loud to make him understand/5.—[150.] Constant cracking in both ears, for two days (after four hours)/6.—Crackling in the right ear, with a disagreeable sen- sation, for which she has no expression (after twenty-three hours)/6.— Rustling in the left ear and a sensation as though a flea were in it/3.—A frightful sound in the right ear, like the firing of a cannon; some drops of blood came from the ear/5. Nose.—Objective. Severe fits of sneezing/8.—Sneezing always on triturating Moschus, together with a pressive pain in the middle of the nasal bones, during the first five minutes/5.—Sneezing several times every day, with tickling in the nose, followed by burning (after eight hours)/6.— Violent sneezing; the nose previously stopped by dry catarrh became sud- denly free after a copious clearing out/.—Frequent very violent sneezing, always with discharge of a few drops of blood (after twenty-four hours)/5. —Very profuse fluent coryza, with a peculiar burning, alternately iu the right and left nostril/3.—[160.] Bleeding from the nose,6 27.—Momentary nosebleed (from the odor)/9.—Subjective. Sensation as of the crawling of an insect in the tip of the nose, which he frequently tried to wipe away without effect, until it disappeared of itself (after twenty-eight hours),3.— Violent tickling in the nose, which changed to burning/4. Face.—Objective. Redness of the face, without perspiration (after two days),45.—Paleness of the face (after four minutes)/3; with perspira- f From triturating 2 grains with sugar and water, and white taken in three doses in two days.—Hahnemann. 404 MOSCHUS. tion/5.—Face earthy pale (after two hours)/6.—The facial muscles became very much drawn, so that he could not be recognized/4.—Subjective. Teusiou in the facial muscles, as though too short/6.—Redness of the right cheek, without heat, and paleness of the left cheek, with a sensation of heat in it (after thirty hours)/5.— Cheeks. [170.] Transient cooling burning on the right zygoma (after twenty-eight hours)/.-!-Transient pres- sure on the left zygoma, frequently recurring,3.—Lips. Upper lip swollen/4. —(bin. Moving the lower jaw, as though chewing/2. 3Iouth.—Bad odor from the mouth from whatever he ate, only milk had a tolerable taste (after second day)/5.—Dryness of the mouth and throat,39.—Mouth dry, with little thirst/4.—The mouth became very dry/4. —Great dryness of the mouth/3.—Saliva. Mouth half open, from which white mucus ran profusely/4.—Taste. [180.] Flat taste in mouth, lasting some time (after five minutes),54.—Bitter taste, in the moruing on waking (after four days)/6.—Nasty bitter taste,*B.—Food has very little taste (after three hours)/6.—Complete loss of taste, milk had no taste/. Throat.—Dryness in the throat (second day)/9.—A scraping sensation rising into the throat, like heartburn, with some nausea, as in waterbrash,3. —Burning in the pharynx, as from a coal of fire/4.—Dryness of the oesoph- agus/1 ; without thirst/9. Stomach.—Appetite. Aversion to all food ; when food is set before him, he is attacked with nausea, and if it is not taken away he actually vomits/4.—Thirst. [190.] Much thirst for beer, which usually she seldom drank/3.—Longing for brandy, which at other times he never drank/4.— No thirst, either during the shivering or afterwards,3.—Eructation. Eructations/8 41.—Eructations, with hot saliva in the mouth/5.—Frequent eructations,3637.—Violent eructations, with nausea (after three-quarters of an hour),45.—Eructations of air, associated with uprisings of tasteless fluid into the mouth,3.—Repeated, violent, audible eructations of air,3.—Many eructations, all smelling of Moschus/3.—[200.] Violent eructations, tasting of Moschus (after half an hour)/5.—Eructations, leaving a taste as of garlic, during the first five minutes/5.—Nausea and Vomiting. A kind of nausea (after four minutes)/3.—Paroxysms of nausea, for six days in suc- cession,2.—She was obliged to lie down in bed two afternoons, on account of nausea and headache/.—Nausea seemed to come into the pit of the stomach ; wherewith the navel was drawn inward with a cramplike sensa- tion,2.—Nausea without vomiting; she desired to vomit, but could not/3.— Qualmishness, all day (after half an hour)/5.—Qualmishness in the morn- ing (after twenty-two hours), and in the evening (after nine hours)/.— Qualmish always after eating (after three hotirs and three-quarters)/6.— [210.] Great but ineffectual efforts to vomit, on rising in the morning (after thirty:two hours)/5.—He was obliged to vomit in the forenoon, for several days, whether he had eaten anythiug or not/5.—Vomiting, with constant pressure in the stomach and distension of the epigastric region (third day)/5.—Vomiting, with a burning pain on the whole sternum, extend ng from below upward (after two hours and three-quarters)/6.—Vomiting, with a tensive pain across the whole chest, somewhat better on pressing together (after twenty-eight hours)/6.—Vomiting, with heaviness upon the chest, just as though a weight were lying upon it, though respiration was free (after one hour and three-quarters)/6.—Violent vomiting (after three minutes)/5.—Vomiting in the morning immediately on rising; he vomits everything that he has eaten (first day)/6.—Nausea, immediately, with vomiting of food that had just been taken, with violent eructations (after MOSCHUS. 405 thirty-one hours)/5.—Vomiting of mucus, three times in succession/2.— Stomach. [220.] A painful sensation, as if something hard were lying in the stomach, greatly increased by drinking/4.—Feeling of fulness in the epigastric region, aggravated even by a moderate meal (after three hours)/. —Tensive sensation in the epigastric region, as though he had eaten too much/6.—Everything about the pit of the stomach seemed too tight, with a biting, burning, sore sensation ; always after dinner, three days in suc- cession,2.—Aching in and above the pit of the stomach (in the chest), especially ou inspiration, associated with anxiety in the chest (after six hours),3.—Pressure in the epigastric region, followed by eructations/9.— Pressure in the epigastric region, with some qualmishness, increasing for an hour; pressing not forward but backward, towards the spine/9.—Pres- sure in the pit of the stomach/1.—Pressure, with cramplike pain in the pit of the stomach/6.—Some pressure in the stomach, followed by eructations of a strong odor/2.—[230.] Some pressure near the left side of the pit of the stomach,3.—Tensive pressure in the epigastric region, with some pain- fulness iu the abdomen; the tensive pressure involved the whole abdomen after half an hour (after oue hour and a half)/.—Pressive pain in the pit of the stomach, somewhat relieved by stooping/5.—A kind of oppression above the stomach, not a pressure/3.—A kind of throbbing in the epigas- tric region (after two hours)/6. Abdomen.—Hypochondria. Swollen tension and jerking in both hypochondria (after a quarter of an hour)/6.—Very violent stitches in the region of the liver, aggravated by every inspiration/6.—Itching, fine stitch in the right side of the abdomen, beneath the short ribs; the itching continued even after the sticking, aud obliged rubbing,3.— Umbilical and Sides. Violent constrictive pain in the umbilical region, so that it formed a deep fossa (after three hours)/6.—Jerklike clawing above the um- bilicus, that took away her breath/.—[240.] A pressive sensation in the umbilicus, and a burning on the chest (after five minutes)/6.—Some vio- lent stitches in the umbilical region, deep internally, especially on inspira- tion (after half an hour)/.—Simple aching in the right side of the abdo- men, below the umbilicus,3.— Forcing downward in the left side of the abdomen, with constipation (after six hours)/5.—General Abdomen. Distension of the abdomen, with urgent but ineffectual desire for stool/4.— Trembling of the whole abdomen, with excessive clammy perspiration all over/4.—Rumbling in the abdomen, with emission of flatus, having the same odor as the eructations/2.—Loud, incessant rumbling in the abdomen, without flatulent symptoms; it disappeared after eating, and indeed while eating,3.—Emission of much flatus of a horrible odor, like a kind of garlic/3. —The abdomen seemed too tight, without pain; with anxiety, so that she could not undertake any work, nor remain in any place, but was obliged to run about; she ran to several of her acquaintances, but remained only a few minutes anywhere (immediately)/.—[250.] Griping in the abdomen, so that he cried out; somewhat relieved by crouching together (after two hours and a half)/5.—Griping pain in the abdomen, with dragging aud pressure upon the bladder; relieved by pressing the fist upon it (after thirty-six hours)/6.—Violent dragging in the abdomen obliges him to go to stool, but he can accomplish nothing (after four days)/6.—Pressure in the abdomen, as before menstruation (after three-quarters of an hour)/6.— Pressive pain in the abdomen, as if everything would burst out (after five hours)/5.—Fine stitches, with rumbling, iu the abdomen, and anxiety through the whole body (after twenty-four hours)/6. 406 MOSCHUS. Anus.—Violent stitches iu the anus, that also extend to the bladder,4*. —Crawling in the anus, relieved by rubbing,2. Stool.—Diarrhoea. Diarrhoea at night, passing while asleep (after thirty hours),54.—Diarrhoea, mostly at night, with violent urging, and pres- sive pain in the anus/5.—[260.] Diarrhoea, with most violent colic (after three days)/5.—Profuse diarrhoea, with retraction of the stomach/3.—Diar- rhoea-like stool; three or four thin stools a day, always mixed with faeces/6. —Violent rumbling and urging to stool, which at first was hard, after- wards soft, at last followed by a natural stool (after twenty-four hours)/5. —Urging to an evacuation of stool and flatus; the stool was natural, pre- ceded by easy emission of flatus, which, however, did not accompany the stool,3.—The stool looks as though he had taken Sepia (after three days)/5. —Constipation. "Constipation, for several days/. — Constipation throughout the whole time of triturating; relieved as soon as he drank coffee/5. Urinary Organs.—Much burning in the urethra, especially with erections (after eleven hours)/6.—* Urine clear as water, and very copious,*3. —[270.] Urine scanty, and thick as yeast/4.—The urine smelled strongly of musk, even the next day/7. Sexual Organs.—Male. A small and retracted penis, in an octo- genarian, suddenly attains its former size,34.f—A robust man, forty-six years old, who had been unable to have coition for four years (resulting from a cold), and for which everything that he had tried had been unavail- ing, became perfectly healthy when triturating Moschus, and has remained so for now two years/5.—It seems to excite sexual desire,3.—Excited sexual desire/231.—Sexual desire, while triturating; great relaxation for an hour afterwards (every day)/5.—Sexual desire, with two involuntary emissions (third day)/5.—Greatly excited sexual desire in both sexes, with intoler- able tickling (after seventeen hours)/5.—Desire for coition, with tensive pain in the penis (after fifteen hours)/6.—[280.] Great desire for coition, and after satisfaction, nausea and vomiting (after three hours)/5.—Painful emissions, without erections (fifth day)/6.— Female. Drawing and drag- ging towards the genitals; feeling as if the menses would appear (after nine and twenty-two hours)/.—Menstruation very irregular for three months/8. —It brings on the menses (even the odor),531.—It promotes menstruation,27. —Menstruation, which had occurred two weeks previous, reappeared next day,43.—Menses, that had occurred eleven days previously, returned (after eighteen hours)/6.—Menstruation six days too early, and very profuse (after five days)/.—Menstruation six days too early, with drawing pain low down iu the abdomen, never before experienced (after five hours)/5.— [290.] The menses, that had disappeared for a year, returned always on triturating, and lasted a few hours, when they disappeared ; in a woman, aged forty-eight (after fifteen minutes)/5.— Sexual desire excited in a woman, sixty years old, who, in her whole life before, had never had such a sensation (after three hours)/3. Respiratory Organs.—Larynx, Trachea*, and Rronchl. Very tenacious mucus in the chest, without cough, which seemed to take away her breath, because she could not clear it away; somewhat relieved by drinking/3.—A feeling as of sulphur vapor in the larynx, with constric- tion of the trachea (immediately)/.—"A sudden sensation in the upper part of the larynx, as if it closed upon the breath; almost as if he had inspired sul- •j- Original revised by Hughes. MOSCHUS. 407 phur vapor/.—On inspiration, which was quite free, he had a sensation almost as if he had previously inspired sulphur vapor,3.— Cough. Severe dry cough,^ worse in the morning, and pain under left breast on coughing,48. —Respiration. Breath smelled strongly of musk, even the next day/7. —Short respiration, with stitches in the right side, better during rest, though not entirely ceasing (after four days)/6.—Oppression of breathing,51. —[300.] Oppressed respiration; she was obliged to take a deep breath/. —Difficult respiration, with violent sticking in the chest, so that he could take only very short breaths (after three minutes)/5. Chest. The chest is very much affected; it is painful generally, with violent dry cough (after one hour and three-quarters)/6.—Fuluess of the chest,30.—Tightness of the chest, so that he was obliged to take a deeper breath than usual/1.—Compression of the chest,30.!—Suffocative constric- tion in the chest/3.—"A kind of cramp in the lung, beginning with an incli- nation to cough, gradually increasing and making him perfectly desperate; during the first twenty-four hours, passing off in five minutes/6.4;—Pressure in the chest, very frequently stopping his breath, for five days in succession (after four hours and a half)/5.—Pressure upon the chest, so that he was unable to lie down ; he thought that he would suffocate, and gasped for air (after twelve hours),45.—[310.] Pressive pain on the chest, now on the left, now on the right side, now extending through the chest into the spine, without entirely leaving the chest (after thirty-two hours)/6.—Stitches in the chest, with a red, puffy face, dilated pupils, dry, bright-red tongue, and excessive thirst (after three days)/5.—Dull intermitting stitches in the left half of the chest (after twenty-eight hours),3.— Gnawing pain in the chest, with a sense of suffocation *8.—Sides. Pinching in the left side, beneath the short ribs, on deep inspiration,3.—Itching pinching in the side, by the short ribs,3.—Sticking in the right side, extending down into the hepatic region,46.—Intermitting, dull stitches in the left side, on the short ribs,3.— Violent, sharp, transient stitches, almost like fine pinchings, in the right side, beneath the short ribs, that oblige rubbing,3.—Maninice. A pres- sive pain in the left breast, as though the pain would force itself through the nipple (after thirty-five hours),48. Heart and Pulse.—[320.] "Palpitation, as from anxious expecta- tion (after four hours)/.—Pulse more rapid than usual,39.—The pulse is less full and much more rapid, 72 to 88 (after six hours),3.—Pulse 6 to 8 beats more rapid than usual/9.—Increased frequency, fulness, and softness of the pulse, with excitement similar to that which is caused by wine, con- tinuing two hours (after a few minutes)/7.—Pulse fuller, 4 or 5 beats slower than usual/1. Neck and Rack.—Neck. Violent pains in the nape of the neck, so that he was unable to turn the head (after three hours)/0.—Drawing pain from the second cervical vertebra as far as the right shoulder (after thirty-four hours)/5.—Pressure in the nape of the neck (after four minutes)/3. —Drawing pressure in one cervical muscle,3.—[330.] Sticking pain, now f Connected with fulness, S. 303.—Huohks. j Once, in the last death agony of a boy six years old, I noticed this symptom 6itnilar to Moschus ; I gave thi> remedy, and, though it seemed to have a good efleet yet I could promise myself no result? from it, and so left the patient after a quarter of an hour; the father afterwards told me that half an hour after my departure the boy seemed better, and the improvement lasted two hours, when the attack re- turn! d, but in a less violent degree, and the boy died; (might not a second dose have eaved the patient?)—(Hromada.) 408 MOSCHUS. in the neck, now in both shoulders (after fifteen hours)/6.—Pain in the muscles of the neck, as if they were torn from their upper and lower attach- ments (second day)/6.—Rack. Drawing paius in the spine, which extend into the hip-joint, and there become so violent that he cries out (after four hours and a half)/5.—Violent drawing pain in the back, which feels drawn tense, as before menstruation/.—Intermitting dull stitches in the left side of the spine, iu the middle of the trunk,3.—Partly jerking, partly drawing pains in the spine, that become firmly seated, mostly in the upper part of both thighs, and so impede walking (first day)/5.—Acute pressure in the left side of the sacrum, above the coccyx, as if caused by a dull instru- ment/. Extremities in General.—Involuntary throwing about of the hands and feet, in which he feels violent pains (after five hours)/5.—Stiff- ness of the limbs, with desire to urinate/2.—A kind of stiffness of the hands and feet/3.—[340.] Aching pains in upper and lower limbs,*9. Superior Extremities.—Jerking in the right arm, with a cramp- like pain and falling asleep of the fingers (after thirty-one hours)/6.— Jerking pain from the right shoulder-joint to the thumb/3.—Shoulder. Tearing-sticking pain in the left shoulder, that causes heaviness in the whole upper portion of the arm, so that its motion is impeded (after twenty- eight hours)/5.—Arm. Pressive pain in the muscles of the upper arms, extending from the shoulder-joints to the elbows/6.— Forearm. Draw- ing and sticking in the left forearm, extending from the wrist into the elbow-joint, in the evening in bed after lying down, preventing falling asleep; she was obliged to put it out of bed and move it up and down to relieve the pain, lasting half an hour (after six hours)/.—Paralytic draw- ing in the right forearm, just above the wrist,3.—Pinching pressure on the inferior surface of the left forearm, near the elbow/.—Cutting paius in the right forearm, followed by burning (after eight hours)/5.—Hand. Swell- ing of the hands, with a stinging pain (after thirty minutes)/5.—[350.] Her right hand, in which she held the pestle of the mortar, became stiff, the fingers of the same hand were quite rigidly outstretched,43.—Cramp- like drawing in the hands and fingers, as if a cramp (rigid spasm) would occur/.—Rather dull stitches in the left hand,3.— Fingers. Involuntary motion of the fingers, as if he were picking something, or counting with the fingers (after one hour)/6.—Paralytic jerking in the left thumb/.— Stiffness in the fingers of the right hand, lasting two days (after seventeen hours)/6.—Complete stiffness of the fingers of the right hand/2.—An in- ternal simple pain in the last phalanx of the left index finger; it makes the finger tremble (immediately)/.—A kind of cooling burning in the last joint of the right index finger,3.—Paralytic drawing in the left thumb, as if a cramplike spasm would occur,3.—[360.] Complained of sticking in finger-joints (on coming to his senses, after loss of mind), (after twelve hours)/d. Inferior Extremities.—Uneasiness in the left leg, so that he was obliged at one time to draw it up, at another to stretch it out; a paralytic (rigid) sensation that obliged him to move the leg at intervals, to get a moment's relief,3.—He was obliged to move the lower extremities constantly while sitting, otherwise they seemed very weak and he experienced an un- easiness in them, as after a long journey on foot/.—When he draws the feet backward while sitting, he experiences a buzzing sensation in the legs, and in part also in the thighs, as if they had been fatigued by a long journey, or would fall asleep,3.—A paralytic pain (painful faintness), ex- MOSCHUS. 409 tending down through the left leg, as if it would become rigid, while sit- ting,3.—Painful sensation in the thighs and legs (for which she had no expression), only somewhat relieved by motion, but not at all by walking (after five hours)/6.—If he keeps the lower extremities still while sitting, they threaten to fall asleep; a tingling sensation,3.—A numb pain in the joints of the lower extremities, with unusual distraction of mind (after twenty-five minutes)/5.—Painful stitches, here and there, in the thighs and legs, as if he had been beaten (after eight hours)/6.—Hip. Pain in the hips, as if the muscles were pinched (as with pincers), (after twenty-one hours)/6.—[370.] Pressive pain in the hips, so that he was obliged "to lie down/6.— Thigh. Pain as if both thighs were dislocated, so that she was unable to get out of bed (after seven hours)/5.—Paralytic jerking in the inner side of the left thigh/.—Dull pain, associated with drawing in the gluteal muscles, that extended forward into the groins/5.—Simple pressure, with a feeling of weakness in the outer side of the left thigh, not far from the knee,3.—Sudden pressure on the inner side of the left thigh/.—Pinch- ing dull pressure in the flesh of the right thigh, on its posterior surface, more towards the outer portion,3.—Pain in the right thigh, as if the flesh were beaten to a jelly (after ten hours)/5.—Knee. While walking, he experiences no weakness, but when he sits down he immediately feels a paralytic weakness in the knees, as from great exhaustion and prostration,3. —Pain in the right knee, so that he could not tolerate the bed/6.—[380.] Dull pain in boues of left knee, afterwards extending up to hip, and down to great toe, still only in the bones; ease by lying on the painful side (after two or three days) ; this ceased a few days after leaving off the medicine ; on resuming it, three weeks later (3 drops per vaginam, and 1 by mouth), the same symptoms returned, exactly as before, only on the right side in- stead of the left/9.—Compressive pain in the hollows of the knees, as though the tendons were too short (after two hours)/6.—Sharp pinching above the right knee,3.—Leg. An intolerable cramplike pain extending downward in the tibia, so that she cried out, with perspiration over the whole body (after thirty-three hours)/5.—Drawing pain extending from the hollow of the knee to the calf (after twenty-three hours)/5.—Pains in the calves, so that he could not touch them hard, and when touched they felt cold on the outer side (third day)/6.—Ankle. Pain in the ankles, as if sprained, with striking in the four first toes of the left foot (after four- teen minutes)/5.—Transient stitches in both ankles, extending from within outward, with dread of walking (after seven hours)/3.—Foot. Drawing pains in all the joints of the feet, with a sensation in the muscles (flesh) as if they were strongly pressed against the bones/5.—Toes. Pain like a burning, or a pain in the toes of both feet, as if they were squeezed by short boots (after sixteen hours)/5.—[390.] A pinching in the right little toe, as if it had been stepped upon,3.—Burning pressure in the tips of the right toes,3.—Pain as if sprained, in the right great toe, aggravated by motion/6.—Jerking pains in the nails of the two first toes, as if they would suppurate, so that he could not bear anything to touch them, and could only walk barefooted upon the heel (after three days)/6. General Symptoms.—Objective. Slight acceleration of the cir- culation,38.—[It greatly increases the movement of the blood],22, f—Haemor- rhages,22.];—She lost her equilibrium (after nine minutes)/3.—"Very nerv- f In disease, " morbi materias, presertim exanthemata, versus corporis periphe- riam ducit."—Hughes. J Original is " sanguinis profluria pellit."—Hughes. 410 MOSCHUS. ows/u.—* Tremulousness of the whole body (second day)/9.—[400.] Trembling aud beating over the whole body, with acceleration of the pulse,39.—[Con- vulsions]/5^—Most violent convulsions in women and hypochondriacal men/.4;—[Stiffness of body]/8.§—Weariness, so great that he was not in a condition to move,46.—She became exceedingly busy, but had scarcely begun to put things in order, when they fell from her hands from weakness (after eighteen hours),46.—General prostration, with pressive pain over the whole body, especially in the joints (after two hours and a quarter)/6.—Great prostration of the whole body, with lachrymation/6.—"Faintness,101317 21.||— Faintness, followed by headache,27.—Subjective. [410.] As he went into the open, not cold, air, it seemed cold, and he sought the stove (after one hour and a half)/.—She thought that she became faint, then suddenly called out, "I am falling," but remained sitting quietly, during the first five minutes/5.—It seems at times as though the senses would vanish, with general stupefying pressure in the brain, like a compression,3.—Did not know what was the matter, though at times he was attacked by a certain discomfort, a slight faintness, that immediately disappeared,3.—Very sick, so that he was obliged to remain in bed all day (after two days)/6.—A painful sensation over the whole body, with a kind of shivering, yet he was warm to touch (after two days)/6.—He walked about, but soon sat down, put his hands to his head and complained of violent pains, without telling where it hurt him/6.—He complained of intense pain, and when asked where, began to complain more violently than ever, but did not answer the question (after three-quarters of an hour)/5.—[Hypochondriacs become affected by the drugl/3.^"— Hysterical troubles, in persons subject to them,272829.ff—[420.] [Hysterical complaints, even in a man],24.4;4;—Unusual drawing pains on the occurrence of menstruation (after two days)/6.— Bruised pain over the whole body/.—Prickling in all the muscles/4.— Jerking pain in all parts of the body, especially at night, waking him from sleep (after four hours),4*. Skin.—Objective. Scaling of the lips (after half an hour)/6.— Eruption of pimples, with burning heat in face,iS.—Three or four pimples, with great irritation iu various parts of the body (after two hours)/6.— Blue spots over the whole abdomen, and on the thighs/3.—Two small red spots, like fleabites, in the forehead, above both eyebrows/3.—[430.] Erup- tion within the cartilage of the right ear, very annoying, so that it pro- voked scratching, with irritation ; burning after scratching (after half an hour)/5.—Small pimples, with burning iu the face,45.—Small pimples on the back of the right foot, that are very irritable and burn violently after scratching (after nine hours)/6.—Some red pimples tipped with pus on the upper lids (after six hours)/5.—Subjective. Pricking in body; and " fidgets," preventing sleep/1.—Tingling all over body,51*.—Itching, twing- ing, and fine needle-like stitches, in various parts of the body, obliging rub- bing/.— (A violent, intolerable burning in a venereal tetter, which usually heals without trouble)/.—Itching fine sticking on the anterior surface of the thigh, obliging rubbing/.—An irritation between the toes of both feet, so that she was obliged to scratch till the blood came (after three hours f Corrected by Hughes. % Revised by Hughes. § In a case of mania.—Hughks. Symptoms revised by Hughes. || Omit Hoffmann.—Hughes. *fl Bracketed by Hughes. ft Revised by Hughes. XX Moschus was mixed with Ambra.—Hahnemann. Revised by Hughes. MOSCHUS. 411 and three-quarters)/6.—[440.] An irritation on the left upper arm, so that she was obliged to scratch till the blood came, before which it did not cease, but as soon as the blood came the irritation ceased, and burning set in ; small pimples, here and there, with irritation ; they disappear after scratching (after four hours)/6.—A frightful irritation between the shoul- ders, so that he had to rub against the wall (after twenty-three minutes)/5. —A kind of itching on the posterior portion of both ears that provokes scratching (after two hours and a half)/6.—Sharp itching on the outer side of the left tibia, towards the calf, disappearing on rubbing,3. Sleefi and Dreams.—Sleepiness. Frequent yawning and sleepi- ness,40.—Sleepiness, with yawning, when not actively employed, ever since taking (sixth day),50.—Sleepiness, with frequently recurring yawning (sec- ond day)/9.—Sleepiness, with frequent and deep yawning 39.—Sleepiness, stupid feeling iu head (after ten minutes^,50.—Sleepiness, with slight aching in forehead, in the afternoon (second day),50.—[450.] Very sleepy, though on lying down he was unable to sleep; while walking in the open air, he could scarcely keep his eyes open on account of sleepiness (after five min- utesy45.—Sleep/2.—Fell sound asleep while triturating (after five minutes)/5. —Very sound sleep; when awakened he spoke quite connectedly, with open eyes, yet in the morning remembered nothing of it (after sixteen minutesV5.—Sleeplessness. Night restless ; he dreamed incessantly ; dreams full of strife and effort; he was unable to lie long in one spot, for the part upon which he lay became painful, as if sprained or broken (after twenty-four hours),3.—Sleep very uneasy ; she woke every half hour, and was obliged to throw off the covering; she felt too hot, yet did not perspire (after forty-five minutes)/5.—Inability to sleep,501.—No sleep all night, though there were moments in which she lost consciousness; on recovering from this condition, which was neither sleeping nor waking, she was very much exhausted (after fifteen hours)/5.—Feeling as though she had not slept sufficiently,40.—Dreams. Night full of vivid, slanderous dreams, wherein everything seemed to conspire against him, and from which he woke very much excited (after forty-eight hours),3. Fever.— Chilliness. [460.] Paroxysms of slight chilliness over body (after thirty-five minutes),54.—Sensation as though cool air were sud- denly blowing upon him, especially on uncovered parts, chiefly on the hands,3.—Coldness of the whole body (after four minutes)/3.—She com- plained of coldness all day, in a temperature of 62° F./6.—Feeling of cold- ness; she wants to be near the fire always,*8.—Feeling of coldness, mostly in the spine, with a drawing pain/6.—Sensation of external coldness, with a sensation of internal burning in the same spot (after six hours)/5.—Shiv- ering over the whole body, from the slightest contact of air, so that he was obliged to get into bed, where only he was able to get warm,46.—Slight shivering on the scalp, whence it extended over the whole body (immedi- ately)/.—Shivering over the whole body, and yet he could get no rest in the house on account of flushes of heat; he was obliged to go into the open air, where he felt better (third day)/5.—[470.]. Alternations of shivering and heat all day, with prostration, so that he was obliged to lie down (after eight hours)/5.—A feeling of coldness in the upper and lower extremities, rather external than internal, but not perceptible to the fingers (after five minutes)/5.—Feeling of coldness from the soles of the feet to the knees/3. —A sudden cool sensation on the left tibia,3.—Heat. Greatly increased warmth of the whole body, with profuse perspiration, and increased activity (immediately)/.—Heat/6 27 35.—On getting into bed, at 9 p.m., burning over 412 MOSCHUS—MUREX. the whole body (the^ight side seemed hotter), with a feeling of heat, dry- ness, and scraping in the throat, and moderate thirst; the bed was intol- erable; she was obliged to lie uncovered, with sticking headache in the forehead, dizziness before the eyes, bruised feeling iu the whole body; sleepless, restless, she tossed about, experienced a jerklike grasping above the umbilicus, and dragging towards the genitals, with extreme ill-humor; the attack lasted an hour (after nine hours)/.—After the shivering, a com- fortable feeling of natural warmth through the whole body (after ten min- utes), after this agreeable warmth, shivering crept again from the head down through the body (after fifteen minutes),3.—While the hands seemed to him naturally warm, the left felt very warm, the right cold, to the face they both seemed cool (after two hours)/.—Heat of the face, with dimness before the eyes/.—[480.] Face very hot, without being red (after twenty- eight hours)/6.—The head was very hot, and the whole posterior portion perspired profusely/3.—Burning heat in face, with eruption of pimples*8.— Sweat. Perspiration/222; without heat,23.—Slight perspiration, every morning/.—Slight cutaneous transpiration, continuing two hours (after a few minutes)/7.—A universal breathing sweat,32.f—Cutaneous exhalations sraelled strougly of musk, even the next day/7.—Much perspiratiou ou the forehead/4. Conditions.—Aggravation.—(Morning), On waking, bitter taste; dry cough; perspiration.—(Forenoon), Vomiting.—(Evening), Dull paiu in head.—(Night), Diarrhoea; jerking paiu in body.—(After dinner), Tight- ness about pit of stomach.—(After eating), Qualmishness.—(Motion), Head- ache, as from a weight; pressure iu frontal region; pain in great toe.— ( Violent motion), Painfulness of head.—(Stooping), Turning in forehead, etc. Amelioration. — (Open air), All symptoms from triturating-/2; vertigo; drawing in head; cutting headiche; feverish symptoms.—(Mov- ing about in air), Headache as from a weight.—(Coffee), Constipation.— (Motion), Sensation in thighs, etc.—(Rest), Stitches in side.—(Stooping), Pressive pain in pit of stomach. MUREX. Murex purpurea. C/a.ss, Mollusca. (Gasteropoda.) Family, Muricidae. Preparation, Triturations of the desiccated liquid (contained in a sac near the neck of the animal). Authorities. 1, Proving by Dr. Petroz, Rev. de la Mat. Med. Horn., 3, 9 (1841), in a woman aged forty-six (suffering from leucorrhoea, and uterine pain during the menstrual period), with the 6th dil., every evening; 2, same, in a woman aged thirty-eight (suffering from leucorrhoea); 3, same, in a woman aged thirty-niue (suffering from bloody leucorrhoea) ; 4, Dr. C. Hering, Am. Hom. Rev., 4, p. 406, effects of 200th dil., in a woman aged thirty-eight, mostly recovered from a long-continued prolapsus uteri; 5, same, in a lady aged thirty, " had been subject for five years to almost constant pain in her right hip, but for the last eight months had been so well that I had not been in attendance upou her." 3Iind.—Emotional. Dislike to conversation (after twelve hours)/. f Revised by Hughes. MUREX. 413 —Great depression of spirits ; it seemed to her that she was hopelessly ill/.—Deep sadness (after twelve hours)/.—It made me miserable ; I was so low-spirited that I gave up everything; I had no strength left,5.—Fits of anguish, of fear and dread, during the day, for several days/.—Intel- lectual. Thoughts confused (after twelve hours)/.—Loss of memory; can scarcely ever find words to express myself,3. Head.—Confusion. Confusion of the head (eighth day),3.—Head confused and a little heavy, since noon (second day),3.—General Head. [10.] Heaviness of the head, which is not wearisome (second day),2.— Heaviness of the head, with dizziness (seventh day),3.—Momentary heavi- ness of the head, during the day (third day)/.—Headache on waking, which ceases on getting up (second day),2.—Headache on waking, going off about 10 o'clock (fourth day)/.—Headache, more on right side than on the left (ninth day)/.—Headache with pain, lasting about an hour, in the evening (sixth day),2.—Constriction in the head, from time to time, on each side above the ears (third day),2.—Forehead. Headache in front of the forehead, in evening (seventh day)2.—Temples. Pains in the left temple, coming and going, during the day (second day),2.—[20.] Severe pain above right temple, at about 3 o'clock (fourth day),3.—Frequent transient sharp pain in right temple (ninth day)/.—Occiput. Pain in occiput, towards noon (first day)/.—Tightness in the occiput, towards the close of the day ; I involuntarily raise my hand to the part affected, when the tightness passes from left to right; I raise the hand of the opposite side to that which is the seat of the pain ; I bend my head backward because it seems to me that this motion relaxes the nerves of the occiput and of the neck (second and third days)/.—Sharp but transient pains above the cerebellum, at 2 o'clock and at 4 o'clock (first day),3. Ear.—Buzzing in the ears, with increased heaviness of the head, at 2.30 p.m., relieved about 4 o'clock (second day),3. Face.—Burning in right cheek, at 5 o'clock (third day); in left cheek (sixth day),2. Stomach.—Appetite. Appetite pretty good, in the morning, but not at dinner (fourth day),2.—Hunger during the day (fourth and sixth days),2.—Stomach. Sinking of the stomach/.—[30.] My stomach seemed gone,5. Abdomen.—Painful tension in right hypochondrium, in evening (third day)/-—Enlargement of the bowels/.—Distress iu abdomen, resembling that felt at the approach of the menses, although it is still two weeks too early for them (eighth day)/.—Passed a good night, but awoke frequently, and every time with quite severe pains, such as attend the menses; anguish (ninth day),3.—Severe pain in left side of abdomen, at 6 o'clock, it was acute and extended over the whole abdomen ; not equally intense, but felt in various places, like a sharp stitch ; the left side of the abdomen re- mained sore the whole evening (second day); painful spots less sensitive, but still occasionally felt, some lancinations (third day)/.—A violent lan- cination, twice, in the left side of the abdomen, downwards; it ascended vertically, and lasted one minute, in evening (third day),2.—Pretty severe colic (fourth day),2.—Flatulent colic, in evening (seventh day),2.—Great sensitiveness of the bowels, with sharp pains running up from the groin to the socket of the right hip/. Stool.—[40.] Stool difficult, maronnee, requiring an enema of tepid water (third day)/.—Very constipated ; no stool for five days (seventh day),2. 414 MUREX. Urinary Organs.— Urethra. Discharge of a little bloody mucus, after micturition (seventh day)/.—Micturition. Constant desire to urinate, during the day (second day)/.—In the night, awoke with a start and a violent urging to urinate ; urinated very copiously (seventh day),3. — Urine. Uriue deposits a white sediment (seventh day)/. Sexual Organs.—"A distinct feeling of the womb*.—Sensation of dryness and constriction in uterus (fourth day)/.—* Acute pain in the right side of the uterus, which crossed the entire body, and extended upwards to the left breast (after twelve hours)/.—Some lancinations in the womb (fifth day)/.f—[50 ] (Pain iu uterus, as if wounded by a cut- ting instrument), (ninth day)/.|—Sensation of heaviness and of dilatation in the labia majora, in morning (seventh day)/.—Very scanty, but green- ish leucorrhoea, in the morning (seventh day),2.—(Leucorrhoea less, but always mixed with blood (first day); scanty, and not mixed with blood (second day); scanty, but thicker, not mixed with blood (third day); this morning, on going to stool, the blood reappeared, and up to 1 o'clock blood was mixed with the leucorrhoea. Iu evening, on going to stool, blood flowed copiously, this day but little leucorrhoea (fourth day); no blood to- day, but little leucorrhoea (fifth aud sixth days). No blood nor leucorrhoea during night, a good deal during the day), (seventh day). When urinat- ing during day, blood appeared slightly, scarcely any leucorrhoea, but very thick and yellow (eighth day). (No more blood in the leucorrhoea, and on going to stool, scarcely any leucorrhoea), (ninth day),3.—(Leucorrhoea dis- appeared entirely), (first day),2.—(No leucorrhoea since first spoonful), (third day)/.—Menses set in profusely, in evening (eighth day)/.—* Violent sexual desire; an excitement that her will and reason could hardly control (fifth day)/. Respiratory Organs.—Voice changed ; hoarseness (third day)/. —[60.] Coughed several times, in morning, before breakfast (first days),2. —Dry, infrequent cough (third day)/.—Wheezing in the chest, when breathing, in evening (seventh day)/.—Dyspnoea (third day)/. Chest.—Raw, burning sensation, and bruised pain in chest, in evening (second day)/.—Pungent burning pain under the left false ribs, towards the vertebral column, all day, in paroxysms (third day)/.—Sensation as of the creeping of a snake over the entire region of the short ribs, upon the left side/.—Pains in the left breast (third and fourth days)/.—Pains in the breasts (third and fourth days)/; for two days (fourth day); breasts very painful, and in bed sharp and painful stitches in them (sixth day); less painful (ninth day)/. Heart and Pulse.—Palpitation of the heart, at 6 p.m. (second day)/.—[70.] Pulse 80, in evening (second day),1. Neck and Rack.—Throbbing of the cervical arteries, at 6 p.m. (second day)/.—Loins painful, in evening (second day)/.—Pains in loins and hips greater since taking the medicine (fourth day),3. Superior Extremities.—Pains in arms below the elbow (first day),2. Inferior Extremities.—Hip. Hips painful (fifth day)/.—Pains in the hips and loins, with a decided heat above the thighs, persistent (second day); heat of thighs has disappeared, but that of hips still con- tinues, even when not lying down (third day),3.—An intolerable creeping f Pulsation in the neck of the uterus.0—Lippe. X This sensation has been habitual during the menstrual period, for many years. MUREX—MURIATICUM ACIDUM. 415 pain in my right hip kept me from getting my ease in any position,5.— Thigh. A little pain in thighs (fourth day)/.— Pains under left thigh, on rising, very sensible on touching the part, they lasted all day (fifth day),3. —[80.] Pain below thigh less severe, but part always sensitive to touch (sixth day),3.—Pain only in thighs, always below, and about the middle, in evening (eighth day)/.—Knee. The legs give way, and she is obliged to remain seated (after twelve hours)/.—Pains in knees, in evening (second day)/.—Leg. Pains iu legs and knees (ninth day)/.—Occasional pains in the legs, during the day (third day),2. General Symptoms.—Little disposition to work (second day)/.— Labor is irksome (eighth day)/.—Extreme lassitude (ninth day)/.—Ex- cessive weariness, in evening (second day)/.—[90.] Debility of the whole muscular system/.—Extreme feebleness of voluntary motions (after twelve hours)/.—Very severe pains in breasts, loins, and thighs (eighth day),3.— Pains worse when sitting than when walking; and those which I cease to feel while stirring about, return almost immediately on sitting still,3.— Feels well on waking, in morning (fourth day)/. Sleep and Dreams.—Sleepiness. Sleepiness, in evening (second day)/.—Sleepiness aud sadness (third day)/.—Very great sleepiness, at 9 o'clock (third day),2.—Drowsiness (eighth day)/.—Great drowsiuess, at 3 p.m. (second day)/.—Dreams, [100.] Troubled dreams (fourth day),2. —Troubled dreams ; awoke with a start, in fear (seventh day),2.—Sleep, with troubled dreams ; I fled from a stormy sea, and found myself again in a meadow with water (third day),2. Fever.—Heat of haud, in evening (second day)/. Conditions.—Aggravation.—(Morning), On waking, headache; be- fore breakfast, cough.—(Sitting), The pains/. MURIATICUM ACIDUM. Acidum hydrochloratum (HC1). Preparation, Dilutions with pure water. Authorities. (Nos. 1 to 20 from Hahnemann, Chron. Krank-n.). 1, Hahnemann ; 2, Gutrnann ; 3, Haynel; 4, Hartmann ; 5, Langhammer ; 6, Ng.; 7, Rummel; 8, Stapf; 9, Wisliceuus ; 10, in Sammlung f. Prakt. Aerzte, xv, 3 (Phil. Trans., 80, 425, from 20 drops of " dephlogisticated marine acid," Hughes); 11, Du Menil, from Sachse, in Hufel. Journ. (not obtainable, Hughes) ; 12, Hufel. Journ. (xviii, 4, 45, 46, from fumigations of Mur. ac. in typhus patients, Hughes); 13, Humboldt, fiber die Reizbar- keit der Faser (experiments on animals, Hughes); 14, Letocha, iu Hufel. Journ. (not found, Hughes) ; 15, Ramazzini (ch. 28 of Bayle's transl., effects of vapor on workers in salt, Hughes); 16, Schaekel, no reference given ; 17, Schmidt-Miiller (not obtainable, Hughes); 18, Sammlung f. Prakt. Aerzte (not obtainable, Hughes); 19, Theiuer, in Annal. d. Heilk, 1811, April (not obtainable, Hughes); 20, Westrumb, bei Sachse; 21, Ferriar, Med. Hist, and Reflections ( Wibmer), effects of small doses; 22, same, effects of large doses; 23, Keil, Zeit. f. Hom. Kl., 3, p. 149, effects of inhaling the fumes; 24, Toothaker, Bost. Med. and Surg. Journ., 1836, p. 270, effects of about an ounce in oue dose; 25, omitted ; 26, Tardieu, sur l'Empoisonne- ment, p. 246, effects of " a vialful" in a woman ; 27, Paul, from Tardieu, effects of about a quarter of a wineglassful in a young woman ; 28, Allen, Pharm. Journ., 9, 284, 1850, effects of about an ounce in a young woman; 416 MURIATICUM ACIDUM. 29, Ann. d'Hyg., 1852 (S. J., 78, 23), effects of 65 grammes in a young woman ; 30, Collas, Tardieu sur I'Empoisonnement, effects of 60 grammes in a man ; 31, Budd, effects of about half an ounce in a man, Lancet, 1859, p. 59; 32, Johnson, Br. Med. Journ., 1871, 221, effects of a teaspoonful in a girl of fifteen ; 33, Kohler, Inaug. Diss., Berlin, 1873, effects of one ounce in a man. 311 nd.— Emotional. Easily excited/.—Joyous, trustful mood (after several hours), (curative effect),5.—Sad mood,2.—Sad, quiet, and discon- tented with his lot/.—Sad ; absorbed in herself, as if there were no life in her, during the menses,6.—During the menses she is sad, taciturn, as if she had no life,6.—Despondent, ill-humored, and peevish about everything/.— Anxiety, with cold perspiration on the face/.—Attack of anxiety at 8 p.m., with fuluess of the abdomen, as if it would burst; perspiration runs from the head, the arms fall down, and she becomes weak, as if paralyzed/.— [10.] Anxious thoughtfulness; he cannot free himself from the slightest trouble (immediately),5.—Inclination to start up in fright/.—"Very irrita- ble, and inclined to anger and peevishness,1.—* Peevish, fretful mood,1.—Very fretful/.—The brightness of his disposition constantly diminished, until in the evening he became very fretful/.—Obstinate, fretful ; he is unwilling to take up any work; in the evening,6.—Contented with nothing; every- thing vexes her, with great prostration ; in the afternoon in the open air,6. —Morose mood,1.—Abrupt in speech, morose, quiet, staring in front of him (after four hours and three days),2.—Intellectual. [20.] While at work, thoughts of events that had just happened forced themselves upon him, and were very vivid in his niind/.—Deep reflection, and quiet absorption in himself, as if something disagreeable were impending, though with desire to work,5.—Disinclination for mental work (after three days),2. Head.— Vertigo. Vertigo suddenly in the open air; objects turned about with her (second day),6.—Vertigo in the head, with tearing in the vertex, and a sensation as if' the hair were drawn up (sixth day),6.—Vertigo and stupefaction,22.— Whirling in the open air, and unsteadiness while walk- ing2.—Whirling in the head ; worse in the house, with dimness of vision/. —General Head. Sitting up in bed, with head forcibly twisted back- wards, without spasms (after twelve hours),30.—Feeling as though the brain were loose while carrying a heavy weight,6.—[30.] A burning sensation in the head, especially in the forehead, in the morning ou stooping,6.—Pressive- tensive headache, extending from the occipital bone through the brain to the forehead/.—Headache at 5 a.m., waking her from sleep, followed by violent stitches above the right ear,6.—Headache, from walking in the open air/.—Dull headache, as before coryza (after one hour and a half),23.— Pressure from the middle of the brain out to the left side of the forehead/. —Headache, as before coryza, pressing towards the eyes, disappearing while lying down, after frequent sneezing/.—Pressive heaviness in the head in the morning after rising, aggravated by great exertion of vision, until ob- jects became confused before the eyes, with reeling and sleepiness/.—Stick- ing headache/.—A stitch in the head on blowing the nose/.—[40.] Violent stitches in the upper part of the head and in the forehead, from noon till going to sleep/.—Piercing stitch extending into the head, after rising from stooping, after dinner,6.—Headache in the morning, as if the brain were torn and beaten, as in pernicious fever/.—Forehead. Dulness in the head, in the forehead,8.—Pain in the forehead, afterwards involving the whole head,6.—Pressive pain in the forepart of the head, in the brain, ag- gravated by moving the eyes,2.—Stupefying, pressive pain in the forehead, MURIATICUM ACIDUM. 417 in every position, aggravated by touch,5.—Pressive headache from within outward in the forehead and temples,9.—Heaviness in the forehead, pressing down upon the eyes, with dulness, disappearing upon pressing upon it,6.— Headache in the forehead and occiput, aggravated on rising in bed, espe- cially that iu the forehead/.—[50.] Stitches in the forehead, extending to the temples, aggravated by stooping and by pressure,8.—Long, frequently repeated stitches in both frontal eminences, extending towards the middle/. —Tearing headache in the forehead/.—Sudden shocks of tearing and pres- sure in the forehead, extending to the right orbit (after five hours)/.— Temples. Tensive pain in the right temple/.—Pressive pain in the left temple/.—Dull, pressive cutting posteriorly on the mastoid process, with pain like a suppuration when touched/.—A stitch in the head above the left temple (after one hour),6.—Sticklike tearing in the right temple (while standing), disappearing on touch and when yawning,5.—Pulsation in the right temporal artery while lying upon it/.— Vertex. [60.] Boring pain in the vertex, extending from the cranial bones into the brain/.—Violent tearing in the vertex, at times with a sensation as if the hair were drawn up (sixth day),6.—Jerking pain in the vertex several times in the evening,6. —Sides. Pressure in the left side of the head/.—Stitches in the right parietal bone, and afterwards violent tearing in the right lobule and about the ear,6.— Tearing in the right parietal, bone, at times with stitches extend- ing to the forehead, at times into the margin of the orbit; at times, also, with tickling in the left ear, and burning in the concha,6.—Occiput. Heaviness in the occiput, as if the head would sink backwards, as from weakness of the cervical muscles/.—Heavy sensation in the occiput, with drawing stitches in it, extending towards the nape of the neck ; swelling of the cervical glands, that are painful to touch, aud heaviness and dizziness of the head, with dimness of the eyes/.—Pain iu the left occipital protu- berance, from walking in a raw wind/.—Tension and sticking in the occiput, in the evening,6.—[70.] Violent tearing and sticking in the occiput/.— Shocklike, paroxysmal tearing in the side of the occiput, extending into the forehead/.—External Head. A feeliug on the scalp as from bristling of the hair after a fright,2.—Burning pain on the scalp above the temples/. —Tension of the skin of the left side of the head/.—Ulcerative pain exter- nally in both temples and in the forehead,6.—Violent itching on the vertex, so that he must scratch the skin off; not relieved by scratching,6. Eye.—The eyes easily become inflamed/.—Burning in the eyes, and they are agglutinated, in the morning,6.—Burning in the eyes, in the morn- iug, while washing them,6.—[80.] Burning and pressure in the eyes, as after exerting vision in the evening,6.—Pulling in the left eye, beginning in the occipital protuberance, without pain, but causing stitchiug in the upper lid (after four hours)/.—Sticking from within outward iu the eyes, which are red/.—An itching stitch in the right external canthus during rest,2.—Cor- rosive biting in the left external canthus in the evening/.—Itching-biting in the right inner canthus, not relieved by rubbing,6.—Itching in the eyes/. —Brow and Orbit. Burning, pressive pain externally above the left eye/.—Fine tearing iu the margin of the orbit/.—Lids. Swelling aud redness of the upper and lower lids, without paiu,2.—[90.] Agglutination of the eyes in the morning,6.—Jerking through the upper lid towards the zygoma, as from a thread drawn through (immediately),9.—Dull. Cutting in the right eyeball during rest/.—Pupil. Pupils greatly dilated (after eleven and fifteen hours)/.—Pupils contracted (after one to three hours)/. —Pupils now dilated, now contracted, at intervals of four or five hours/.— VOL. vi.—27 418 MURIATICUM ACIDUM. Vision. Great sensitiveness of the eyes to the light,6.—Flickering before the eyes, and hemiopia, during which one vertical half of an object seems cut off from the other/. Ear.__External. Drawing pressure in the antitragus, pressure upon which causes pain, extending into the ear/.— Tearing in the right outer ear (first day),6.—[100.] Tearing in the lobule of the left ear,6.—Drawing-tear- ing behind the ears, slowly extending towards the nape of the neck, and there causing a painful stiffness of the neck on moving it/.— Pain in /he lobule of the ear when touched, as if it would become ulcerated/.—3Iid- dle. Heat, first in the left, then also in the right ear, as if a vapor would issue from it; followed by redness and swelling of the back of the hand, with wrinkling like a smarting, with lachrymation of the eyes and dimin- ished smell and hearing; afterwards, redness and burning of the face, last- ing four hours,6.—Constant pinching deep within the right ear; at times with violent stitches extending behind the ear, where it is then painful to touch (after eight hours)/.—Jerking-pinching deep within the left ear; after frequent recurrence of cramplike earache/.—Paiu in the right ear, like a rhythmical pressure from within ou'wird, with sensitiveness of the external ear to touch,6.—An itching stitch in the left ear, disappearing on boring into the ear/.—Tearing in the left ear, frequently repeated (fourth day)/.—Tearing in the left ear like earache/.—[110.] Pain in the left ear, as from an ulcer, aggravated by boring in with the finger/.—Gnawing pain in the right ear, in the evening,6.—Itching in the left ear (after two hours),6. — Hearing. Hearing more acute than usual (secondary effect)/.— Very sensitive to noise,1.—The earwax becomes dry, the hearing diminished ; after a few days there is a sudden noise in the ear, and he hears better and more easily/.—The ticking of a watch is heard better than the souud of the voice/. —Chirping in the ear at night/.—Roaring in the head/.—Roaring and whistling in the right ear (first day)/.—[120.] Frequent ringing, whistliug, and roaring in the ear (fifth day)/.—Singing in the ear, frequeut aud long lasting (third day),9.—Whistling in the ear/. Nose.—Objective. Constant inclination to sneeze, with itching and tickling in the nose/9.—Frequent sneezing,1.—Much sneezing, without coryza, in the afternoon aud eveuing,6.—Discharge of water from the nose, with violent sneezing/3.—Much discharge of mucus from the nose,6.—Coryza/ 18. —Coryza, with acrid, corroding water,6.—[130.] Coryza, with discharge of thick mucus,9.—Very persistent nosebleed (after one hour)/.—Subjec- tive. Sensation of coryza, with distressing dryness of the nose/.—Stoppage of the uose, like a stopped catarrh/.—Stopped sensation in the upper part of the nose, and a feeling as if dry, though with profuse discharge of mucus, lasting a long time (after two days)/.—Sticking pain in the nostrils, as if they would become ulcerated (second day)/.—Mucous membrane irritated, as in coryza,23. Face.—Objective. Heightened color of the face/1.—Face pale (after one hour)/2.—Subjective. Cramplike pain in the face near the left ar- ticulation of the jaw; ou pressing upon it, a sticking extending into the ear/. — Cheeks. [140.] Cheeks glowing red, while walking in the open air, without thirst/.—Drawing in the jaws/3.—Tearing in the left upper jaw, just below the orbit, as if in the bone/.— Ltjis. Lower lip swollen ; it feels heavy aud burning, especially when touched,6.—"Margins of the lips raw, and the skin dry and cracked,6.—"Burning on the lips, lasting a long time (after ten days),6.—Burning tension in the right side of the upper lip/.— MURIATICUM ACIDUM. 419 Chin. Tingling sensation in the left side of the lower jaw, that extends as a disagreeable crawling into the corresponding teeth,2. 3Iouth.—Teeth. Teeth perfectly clean, aud remarkably white (second day),27.—Toothache, with pain in the cheek-bones, ears, and temples; re- lieved by warmth and wrapping up/.—[150.] Boring in the roots of the teeth of the left side of the lower jaw, as if the teeth would be pushed out,6. —Pressing-asunder pain in a lower incisor; relieved by pressing the jaws together/.—Cold drink painfully penetrates the diseased teeth/.—Tearing in the right upper teeth, and in the zygoma,6.—Tearing in a right upper back tooth, with sore pain in the gums,6.—Throbbing toothache in the left lower jaw, aggravated by cold drinks, two mornings in succession,6.—Fre- quent jerking in the teeth, with burning in the gum (fourth day)/.—A kind of itching in the teeth; one must bite the teeth tightly together/3.—Gums. The gum easily becomes inflamed/.—Swelling of the gum/; in morning, lastiug till noon/.—[160.] Gums swollen, red, and covered in some places with thin films of a dead white (second day)/7.— Tongue. * Tongue thick, darkened, and, with almost the whole of the m.outh aud fauces, covered by a grayish-white membrane,33.—The tongue wastes away/4.—Coating on dorsal surface of tongue, like coagulated albumen, while the borders were red and raw (second day)/7.—"Painful blisters on the tongue, with burning,1*.—Red, burning blister ou the tip of the tongue,6.—Deep ulcers ou the tongue, with black bases and everted edges/4.—The tongue is heavy and seems too long, so that he can scarcely move it, especially when talking, with great dryness of the mouth and fauces/.—Violent burning of the tongue, pharynx, and (esophagus, as far as the stomach, with excessive pain (immediately).29.—■ The tongue became sore and bluish/4.—General 3Iouth. [170.] "Red- ness of imide of cheeks, and of the arch of the palate (second day)/7.—"Mu- cous lining of the lips inflamed, red., and painful, stripped of epithelium to a considerable extent, and dotted with whitish points (second day)/7.—Mucous membrane of the mouth and fauces uniformly of a white or ash-gray color (after one hour)/2.—The inside of the lips, tongue, and fauces were whitened and abraded (after three-quarters of an hour)/1.—A paiuful pimple on both sides of the palate/.—Adherent mucus posteriorly in the mouth/.—Dryness of the mouth, in the morning, so that she could scarcely talk,6.—Burning sensation and severe paiu in mouth and throat (immediately)/7.—Immedi- ately, violent burning of the mouth, fauces, and stomach, which continued to some extent for several hours/4.—Sore burning ou the palate in the even- ing, and at night (eighth day),6.—[180.] Mouth slimy in the morning after rising, disappearing after breakfast (second day),9.—A sticky sensation in the mouth, as of tasteless mucus,6.—Pain and smarting of the lips, mouth, and throat (after nine hours),27.—"Rawness and soreness in a small spot on the mucous membrane of the palate,1.—Saliva. Increased secretion of sa- liva,23.—Considerable salivation (second day)/7.—Profuse flow of saliva into the mouth, that seems to come from the throat,6.—Mouth constantly full of water,6.—Taste. Bitter taste in the morning after waking, with a white-coated tongue (eighth day),6.—Bad taste in the throat, as of rancid fat/.—[190.] Astringent and bad taste in the mouth, as of bad eggs, with accumulation of saliva/.—Beer tastes as sweet as honey, and causes nausea/. Throat.—Objective. "Mucous lining of the throat red and swollen (second day)/6.—"Diffused deep redness of the velum palati and throat (sec- ond day)/7.—* Grayish-white deposits on the mucous membrane of the throat, succeeded by ulcers (second day)/6.—* Well-defined dead-white patches, vary- ing in size, over the velum and pillars of the palate, the tonsils, and posterior 420 MURIATICUM ACIDUM. portion of the pharynx, so precisely similar to the false membrane in diphthe- ritic angina, that if we had not known their cause, we might have been doubtful as to their real character. (I have now before me a case of pharyngeal diph- theria, and can perceive no difference between the false membranes which characterize it and the appearance above described), (second day)/7.—Ac- cumulation in the throat of mucus that he is obliged to swallow,6.—Sub- jective. Dryness of the throat, with burning in the chest,6.—Sensation as if a hard substance rose from the chest to the throat, where it caused tick- ling, aud provoked a dry cough, while sitting,6.—Burning pain in the throat and pit of the stomach (after three-quarters of an hour)/1.—[200.] Great sensitiveness of the left side of the throat (immediately)/3.—Rawness and hoarseness in the throat, with a sore sensation in the chest (first day)/.— Rawness and buruing in the throat, like heartburn, with cough,6.—Scraping and rawness in the throat, and some cough, with a sore pain in the chest, without hoarseness, in the evening and morning/.— Uvula and Ton- sils. * (Edema of the uvula (second day)/7.—* Tonsils swollen (second day)/6. —Fauces, Pliarynx, and (E^ojdiagus. "Fauces swollen, and she was unable to swallow, the attempt producing violent spasm and choking31.— "Fauces much swollen and white (second day)/1.—Swelling behind base of tongue, formed by the epiglottis and the oedematous arytseus-epiglottic folds (second day)/7.—Pain in lower portion of pharynx, in the epigastrium and in the abdomen (second day)/6.—[210.] Violent pain in the pharynx, with difficulty of swallowing/3.—Rawness and smarting in the pharynx, night and morning, even when not swallowing/.—Sharp scraping in the pharynx/. —Sharp pains in the oesophagus, making deglutition difficult (after six weeks),28.—Sivallowing. Difficult deglutition (second day)/6.—Inability to swallow (after nine hours)/7.—Very painful deglutition (second day),27. —It seemed as though the food would not go down properly, and oppressed her (at noon)/. Stomach.—Appetite. Ravenous hunger/5.—Complete loss of appe- tite for all food, with a natural taste, and without nausea/.—[220.] "No appetite; eructations always after eating/.—Aversion to food ; he wishes to eat nothing; with much yawning,6.—Neither hunger nor appetite; aversion to eating, because almost everything tastes sweet/.—Aversion to meat/.— Thirst. Much thirst (after one hour)/2.—Intense thirst (after six weeks),26. —Violent thirst/5.—Eructations and Hiccough. Eructations/.— Frequent eructations of a bad taste (sixth and seventh days)/.—Constant eructations/.—[230.] Empty eructations and colic, at night/.—Very bitter eructations, frequently (fourth day),6.—Uprisings of a sour fluid from the stomach,6. — Incessant hiccough (after six weeks),26.—Violent hiccough, before and after dinner (third day),6. — Nausea and Vomiting. Nausea, with many eructations, on waking, for two nights/.—Qualmish- ness and nausea in the epigastric region/.—Qualmishness and distension of the abdomen, in the morning, in bed after waking, relieved by emission of flatus after rising,1.—She frequently retched, without bringing up any- thing/1.—Almost constant retching (second day)/7.—[240.] Great inclina- tion to vomit/.—Vomiting (immediately)/2; (first night, second day)/6.— Nausea and vomiting/2.—Vomited immediately/1.—Violent vomiting for nearly an hour (immediately)/3.—Vomiting of food/.—Vomited a portion of the acid and the milk given as an antidote (soon) ; nausea and con- stant vomiting (after nine hours)/7.—Copious vomiting of stiff, glairy mucus (after five hours)/5.—Vomiting of bloody frothy liquid/9.—Vomited freely; the matters vomited had an alkaline reaction; after some milk had MURIATICUM ACIDUM. 421 been given, she vomited some brown matter, streaked with blood, and con- taining small shreds of mucous membrane,31.—[250.] Vomiting of a dark substance, resembling coffee-grounds, every time after eating or drinking (after six weeks)/6.—Repeated and very copious vomiting of a substance which bubbled up ou the ground (immediately),30.—Stomach. Inflam- mation of the alimentary canal (secoud day)/631.—Epigastric regiou hard, tense, and very sensitive,33.—Feeliug of emptiness in the stomach, at in- tervals/.—Feeling of emptiness in the epigastric region, especially in the oesophagus, not relieved by eating, with rumbling in the bowels,9.—Epigastric region painful (after twelve hours),30.—Pain at pit of stomach, increased by vomiting and pressure (second day)/7.—Great pain in her stomach,28.— Intense pain aud tenderness over the epigastrium/1.—[260.] Agreeable warmth in the stomach/1.—Heat and burning in the stomach, lasting a long time,6.—Burning and throbbing in a small spot near the left side of the pit of the stomach,6.—Fulness of the stomach, though he had eaten nothing/.—Constrictive sensation in the stomach,10.—Painful sensation of retraction in the stomach, in a small spot, after dinner/.—Pressure in the stomach, as if it were too full, with ineffectual attempts at eructations/.— Frequent violent pressure in the stomach,1. Abdomen—Hypochondria. Violent pain in hypochondria (sec- ond day)/3.—Burning and bruised pain in the right hypochondrium (fourth day),6.—[270.] Tension and sore pain in the right hypochondriac region, extending now upward, now downward, while sitting/.—Burning tension in a small spot in the right hypochondrium/.—Pressive pinching beneath the left short ribs, not affected by respiration/.—Stitches in the left side beneath the ribs/.—A stitch in the right hypochondriac region, followed by burning, relieved by pressure, but soon again appearing not far from the same place, in the evening (third day)/.—A violent stitch in the left hypochondriac region on stooping, so that she started up in fright,6.— Umbilical and Sides. Griping beneath the umbilicus,followed by a hard stool (twelfth day),6.—Violent griping in the umbilical region, with a sensation of emptiness; it extends into the pit of the stomach, and there causes oppression/.—Griping extending from the umbilical region to both sides, very violent, with rumbling/.—Fine griping in the abdominal mus- cles, in and below the umbilical region,9.—[280.] Violent jerklike griping externally in a small spot in the left side of the abdomen, more violent on every inspiration/.—Constant sticking pain as from needles, about the umbilicus/.—General Abdomen. Distension of the abdomen, fol- lowed by profuse emission of flatus,6.—Abdomen distended, tense, torment- ing her all day/.—Great distension of the abdomen, in the evening, disap- pearing after lying down,6.—Abdomen large as far as the stomach ; it is very distressing to her/.—Constant fermentation in the abdomen, some- times firmly seated low down in the abdomen, with whistling noises/.— Rumbling in the abdomen/.—Rumbling ana Jull pain in the abdomen, during and after eating/.—Rumbling in the abdomen, as from emptiness, while sitting,5.—[290.] Rumbling and gurgling in the abdomen,8.—Profuse emission of offensive flatus (first day),6.—Feeling of emptiness iu the abdo- men, with rumbling (after one hour)/.—Painful empty sensation in the abdomen, in the morning, after the usual stool (fifth day)/.—Disagreeable auxious sensation in the whole abdomen, relieved by emission of flatus, and entirely relieved by a stool/.—Pains in abdomen (after six weeks),26. —Severe pains in bowels (first night)/6.—Feeling of fulness in the abdo- men, with distension, after a moderate meal,8.—Contractive sensation in 422 MURIATICUM ACIDUM. the intestines, with dull pain,10.—Griping, here and there, in the abdomen, without sensation of flatulence (fourth day)/.—[300.] Griping in the abdomen several times a day, followed by uuusually profuse emissions of verv offensive flatus/.— Colicky griping in the abdomen, on motion, and emission of flatus/.—Cutting griping in the abdomen, while standing and walking, disappearing while sitting/.—Violent cutting griping, extending from the rectum to the upper abdomen, followed by desire for stool, that was somewhat softer than usual/.—Pressive pain in the distended abdo- men, and shooting into the body on every step,8.—Cutting pain through the middle of the abdomen, beneath the umbilicus/.—Violent cutting in the abdomen, while sitting, standing, and walking/.—Colic, in the morn- ing in bed/.—Iliac Regions. Sticking pains, as from needles, in the abdominal ring,2.—Dull stitches in the right inguinal region, during din- ner/.—[310.] Burning stitch in the left groin (after eleven hours),2.— Burning stitch iu the right groin, in the evening/. Rectum and Anus.—Rectum. "Prolapsus of the rectum as if everted, while urinating,1.—Inactivity of the rectum ; he is able with great pressure to discharge only a portion of the stool/.—Sticking pain in the rectum/.—*Smarting in the rectum and anus, with a soft stool/.—An US. *Swollen haemorrhoids in the anus, with burning sore pain/.—^Swollen, blue haemorrhoids in the anus, with pain on pressure/.—*Burning in the anus, after an ordinary stool/.—Pressure in the anus,1.—[320.] Cutting in the anus duriug the evacuation of a soft stool,6.—Burning stitches in the anus/.—Itching in the anus, with sore paiu and crawling sticking/.—Much itching and tickling in the anus (second day)/.—Violent itching in the rectum, as from threadworms/. Stool.—Diarrhoea. Colic and diarrhoea/2.—Fecal diarrhoea (after ten hours)/.—Stool soft (first three days),6.—Diarrhoea four times (after the first hard stool), with tenesmus, and with rumbling and gurgling in the abdomen (fourth day),6.—"Diarrhoea, followed by violent burning in the anus, in the evening, and next morning (after six days),6.—[330.] Diar- rhoea-like stool, with smarting in the rectum/.—"A thin watery stool passed unnoticed while urinating, without previous straining/.—Thin stool, after eating/.—Soft stool, with emission of flatus, contractive burning and stick- ing in the rectum, and a sensation as though the stool and flatus went back/.—Stool, with cutting and qualmishness in the abdomen, as from taking cold ; after the stool he felt better (after twenty-four hours),9.— Great desire for stool, in the morning, yet the evacuation is difficult/.— Stool in small pieces, with pressure (third day)/.—Stool hard (fourth day)/. —Stool at one time hard, at another soft/.—Blood with the stool, for sev- eral mornings/.—[340.] Profuse discharge of blood with the stool/.—Hard, difficult stool, in morning, softer in afternoon (sixth day),6.—Constipa- tion. Constipation/3. Urinary Organs.—Rladder. Weakness of the bladder/8.— Urethra. Cutting very far back in the urethra, while urinating during stool/.—Sticking biting in the orifice of the urethra, immediately after urinating,5.—Micturition. Urging to urinate; tenesmus in the bladder, with desire to urinate; almost nothing passes, though that which passes is without pain/.—Desire to urinate, yet he is obliged to wait awhile before the urine passes/.—"Frequent desire to urinate, and emission of much urine,1. —Frequent desire to urinate, and discharge of a greater quantity of urine than of the drink taken/.—[350.] Frequent desire to urinate, with scanty discharge (after seventy-two hours)/.—She was frequently obliged to rise MURIATICUM ACIDUM. 423 at night to urinate, though she passed but little at a time, and without pain,6.—Constant desire to urinate, with scanty but frequent discharge of urine, and tenesmus after micturition/.—Frequent micturition, with urging and profuse emission/.—Frequent copious micturition, though she drank little (fourth day),6.—Unusually profuse discharge of watery urine/.—Passed about 500 grammes of urine, which was found to contain Muriatic acid (after nineteen hours),30.—Frequent involuntary micturition/8.—Passes her urine iu bed/1.—Emission of urine slow, as though the bladder had no power to expel it,9.— Urine. [360.] Increased urine,21.—Urine visibly increased and pale yellow (first and second days\6.—Urine increased in quantity, and pale like water (after one day)/.—Diminished urine, with burning (first day),6.—The urine is turbid, white like milk, when passed/. Sexual Organs.—3Iafe. Erections, in the morning in bed (second day \6.—Frequent though weak erections (fourth day),6.—Feeling of weak- ness in the genitals, no erections whatever, and relaxed flabby penis (after twenty-four hours),9.—The prepuce easily becomes inflamed/.—Pain on the margin of the prepuce, as if torn or wounded/.—[370.] Boring tension extending from the right testicle to the middle of the penis,2.—A violent burning stitch in the posterior portion of the penis/.—Increased sexual desire (primary effect),6.—Sensation as if an emission would occur woke him iu the morning; afterwards, with a slight erection, emission of a watery, frothy liquid, without odor, followed by a long-continuing erection, with tensive pain in the penis,8.— Female. Leucorrhoea (tenth and elev- enth days),6.—Distress in the genitals, as before menstruation/.—Sticking pain in the vagina/.—Menses ten days too early, with colic/.—Menses six days too early, without other trouble,6. Respiratory Organs.— larynx. Epiglottis swollen, white, and corroded (after six hours ,32.— Voice. 1380.] Voice thick and inarticu- late/1.—Hoarseness, for eight days/1.—Unusual catarrhal hoarseness/7.— Cough and Expectoration. Inclination to cough, with sticking griping in the throat, followed by increased secretion of mucus, that at last collects in masses/3.—Violeut cough, at 3 A.M., with nausea and vomiting of bile/.—Violent cough, as if it would burst out the sternum, from dinner till towards evening, especially on talking, laughing, and yawning, with pains as if sore and bruised/.—Tickling in the throat, causing a short hacking cough (fifth day)/.—Violent hooping-cough, followed by audible rumbling, extending downward in the chest/.—Dry cough, with exertion, day and night (after six days)/.—Frequeut dry cough, from tickling in the chest (fourth day),6.—[390.] Short, dry, hacking cough, with buruiug in the throat/.—Loose cough, with some expectoration of mucus, in the evening and morning (sixth and seventh days)/.—Cough, with bloody expectoration,20.—Respiration. Expiration of white fumes,29.—Sigh- ing/2.— Respiration frequent, and sighing (after twelve hours),30.— He snores loudly before midnight, and tosses about, but then can be easily awakened/.—She breathed with snoring, occasionally stridulous noise, as if there was some obstruction in the larynx/1.—Deep respiration, with groaning/2.—Difficult, wheezing inspiration ; expiration easy (second day)/7. —[400.] Much difficulty in breathing; moist rales could be heard all over the chest (after three or four hours)/2.—Suffocating sensation (imme- diately),24. Chest.—Burning in the right chest externally, also in a small spot in the middle of the sternum, with a feeling internally as if something were sticking into it, afterwards only a sticking in the same place,6.—Pinching 424 MURIATICUM ACIDUM. tension beneath the short ribs, frequently obliging deep inspiration, and disappearing after emission of flatus/.—Pressive pinching in the chest, without tightness of breath/. — Tensive boring in the chest, persistent during inspiration and expiration,2/—Asthmatic pressure upon the chest, in paroxysms/.—Oppression transversely across the chest, in the evening, while walking and sitting/.—Painful oppression of the chest, especially on the right side/.—-Sticking pain in the chest, on violent motion, and on breathing/.—[410.] Stitches as from needles in the right true ribs, on expiration, while sitting,5.—Slow broad stitches extending upward in the sides of the chest externally/.—A boring stitch in the right intercostal muscles, not affecting respiration, while sitting/.—A tensive jerking stitch extending from the left false ribs to the right ribs/.—Sore pain and cutting in the chest, also with inclination to cough,6.—Scraping in the chest, with cough and expectoration of mucus,6.—Front. Tensive pain on the ster- num that prevents breathing, as if it came from the stomach, with pain in the spot, even on touch/.—Violent pressure in the sternum above the pit of the stomach, extending up to the chest, in the evening/.—Cutting thrusts internally in the middle of the sternum, with dull pressure poste- riorly in the thorax, general oppression of the chest, and tightness of breath, by paroxysms all day,9.—Stitches beneath the sternum, just above the pit of the stomach,8.—Sides. [420.] Pressive pinching in the right side of the chest, always aggravated by inspiration/.—Pressure and bruised pain in the left side of the chest/.—Sticking pressure in the right side of the chest, beneath the nipple, gradually increasing and decreasing/.— Pressive pain on the right side of the chest that constantly became more violent, not affected by breathing/.—Pressive pain in the left side of the chest posteriorly, close to the spine, on inspiration/.—Stitches between two true ribs of the left side, on expiration/.—Dull stitch in the left side of the chest, with cough, in the evening/.—Sharp stitches in the left side of the chest, on the lowest true ribs, not affecting respiration,9.—J!ZVfJ>**>*«?. Drawing sensation in the right breast beneath the nipple, extending towards the neck/.—Violent stitches in the right nipple/.—[430.] Fine burning stitches externally beneath the left mamma,6. Heart and Pulse.—Priecordlum. Sticking in the prsecordial region, so that she could only become erect with difficulty, with arrest of breathing, disappearing on rubbing (seventh day)/.—Stitches deep in the praecordial region, extending to the axilla and back, with sticking in the thigh, extending down to the knee, while sitting, disappearing on rising, in the evening/.—Fine stitches below the praecordial region, extending thence into the left costal region, with tearing behind the left ear/.—Heart's Action. Beating of the heart so violent during the fever at night, that he felt it in the face/.—Pulse. Acceleration of the pulse,21.—"Pulse rapid and feeble (after three-quarters of an hour)/1.—"Pulse very small and fre- quent (after twelve days),30.—Pulse 130, *very feeble (first day); 120 (second day)/1.—Pulse varying between 96 and 120/3.—[440.] Pulse 84, and pretty full (after over one hour)/2.—Every third pulse intermits/. Neck and Back.—Neck. The posterior cervical glands are swollen, with tensive pain on turning the head,6.— Hack. Burning, extending from the coccyx up the back, as if beneath the skin*(fourth day),6.—Pres- sure upon the spine, while walking iu the open air, disappearing while standing and sitting,5.—Pressure in the middle and left side of the back, as from much stooping/.—Pressive pain in the middle of the back, while standing and sitting, as from long stooping,5.—Backache, as from a sprain, MURIATICUM ACIDUM. 425 in the back and scapulae; after continued writing, with the back bent over/.—Violent sticking in the left side of the back, so that she dared not move, although it was relieved by moving/.—Painful stitches in the left side of the back, while sitting/.— Dorsal. [450.] Drawing tensive pain alternately between the scapulae and in the lowest short ribs, not affecting respiration/.—Sticking in the scapulae/.—Sharp stitches, with fine drawing and a feeling of heat, in the scapulae,9.—Violent stitches in the lower por- tion of the right scapulae, beneath the axilla,6.—Fine pressive stitches ou the lower margin of the right scapula/.—Lumbar. Frequent sticking in the small of the back, on rising from stooping (fourth dav)/.—A start- ling burning stitch in the sacrum,6.— Fine drawing tearing extending from the middle of the sacrum towards the lumbar vertebrae/. Extremities in General.—Jerking in all the limbs/.—So great weakness of the extremities that frequently while walking he was obliged to stand still/.—[460.] Great paiu in her arms and legs/8.—Violent cramps and contractions of the muscles of her upper and lower extremities,28.— Tearing in both upper arms and calves (second day),6.—Bruised pain in all the joints/. Superior Extremities.—Anxiety and uneasiness in the upper extremities, as if in the veius, in the evening, with a joyous mood , it seemed like a heaviness of the arms; he was constantly obliged to move them, to- gether with uneasiness of the whole body, except of the feet; heat so that he was obliged to uncover himself, but without thirst/.—The arms are very heavy, aud seem full of lead on raising them/.—Painful tearings, extend- ing from the middle of the upper and forearm towards each other (fourth day)/.—Shoulder. A weary paiu in the right shoulder-joint, more during motion than during rest/.—Pressure on the shoulders/.—Pain as from a sprain in the left shoulder, during rest, with a sensation on raising the arm as if it would crack in the joint,6.—1470.] Sticking on the right shoulder, that soon changes to twinging,6.—Burning stitches in the left shoulder, in the evening,6.—Tearing in the right shoulder, with pain when touched,6.—Throbbing in the right shoulder, with paralytic pain in it,6.— Violent pains in the linea axillaris,33.—Arm. Pulselike, intermitting, violent twitching of single muscle fibres in the right upper arm,3.—Para- lytic pain in the middle of the right upper arm, extending down to the elbow,6.—Burning sensation in the posterior muscles of the left upper arm, close to the elbow/.—Cramp in the upper arm, on exerting the arm/.— Drawing in the left upper arm/.—[480.] Drawing tearing in the right upper arm, on writing while sitting, disappearing on moving about and stretching out the upper arm/.—Elbow. Frequent drawing tension in the elbow-joint3.—Cutting in the bend of the elbow, aggravated by flexion, relieved by extension of the arm,9.—Dull tearing just above the elbow and wrist, worse during rest,9.—Sticking tearing in the tip of the right elbow/. — Forearm. Burning pain externally on the right forearm,2.—Cramp- like paiu in the forearm, on flexing the arm/.—Cramplike heavy sensation in the forearm, close to the wrist/.—Drawing tearing in the posterior muscles of the left forearm, extending into the fingers/.—Cutting in the right forearm, below the elbow (immediately),9.—[490.] Cutting tearing in the posterior muscles of the right forearm, returning in paroxysms/.— A bruised pain, or a feeling as after a blow on the inner side of the right forearm, worse during rest,2.—Hand. Cramp in the palm of the left hand, disappearing on moving the hand/.—Drawing pain in the left hand/. —Goutlike tearing on the outer side of the hand, above the knuckle of the 426 MURIATICUM ACIDUM. little finger/.—Fingers. Swelling and redness of the tips of the fingers, with burning pain/.—Stiffness of the last two fingers of the left hand, at night/. — Numbness, coldness, and deadness of both middle fingers, at night/.—Cramplike pain in the ball of the right thumb, while writing, disappearing on moving/.—Sticking pain, as from needles, in the tip of the left index finger, only when touched,2.—[500.] Drawing tearing, extending from the middle joint of the left fourth finger to the metacarpal bone, dis- appearing on bending the finger, but recurring violently immediately after stretching it, while at rest/.—Cutting teariug in the ball of the left little finger/. Inferior Extremities.—Great weakness of the lower extremities, so that they would scarcely support her, and often gave way/.— Hip. Cutting griping iu the right hip, only while sitting/.—Thigh. Weakness of the thighs, causing a tottering gait23.—Twitching of muscle-fibres, now in the right, now in the left thigh,3.—The muscles of the thighs are pain- ful/.—Painful cramp in the muscles of the left thigh, while lying in bed/. —Spasmodic drawing pain extending down the left thigh, only while sit- ting/.—A stitchlike pressure in the muscles of the left thigh, only while sitting,5.—[510.] Drawing pressive-sticking pain in the muscles of the left thigh, close to the groin, while sitting,5.—Violent burning stitches on the outer side of the right thigh, while walking and sitting,3.—Tearing in the left thigh, and in the tibiae, while sitting/.—Spasmodic constrictive teariug in the anterior muscles of the left thigh/.—Sticking tearing in the right femur, while walking/.—Knee. Swelling of the knees/.—Twitching near the right patella/.—The left knee is stiff on rising from sitting/.—Tensive pain in the left knee/.—Burning-sticking pain in the right knee, exter- nally/.—[520.] Tearing in the knee-joints, so violent in the right that it seems as though it would be torn out, while sitting/.—Tearing in the hollow of the knee, and in the calf, more at night, and more while sitting than while walking/.—Tearing in the bend of the knee, extending into the hip, on rising from sitting, with stitches at times in the left knee-joint, aggra- vated by bending it and by walking, relieved by stretching it and while sitting/.—Sticking tearing in the right knee if the left leg lies over the right/.—Bruised pain in the right knee, only while walking and asceuding steps/.—Leg. Paiuful tension in the leg, near the hollow of the knee, in the left calf, while sitting/.—Tearing in the lower portion of the right tibia, extending downward, while sitting/.—Frequent tearing in both tibiae extending into the knees, better while sitting/.—Pressive pain in the left calf, during rest and motion/.—Sticking cutting in the right calf, while sitting/.—l530.] Drawing and tension in the tendo Achillis, while walk- ing, so that the foot seems paralyzed, and walking is impeded/.—Slow large stitches in the tendo Achillis, partly from without inward, partly transversely through it, even disturbing sleep at night, occurring in par- oxysms, and preventing walking/.—Ankle. Sore pain below the left external malleolus, during rest, lasting all night, aggravated by touch and by lying upon it/.— Foot. Pain in the left foot, as if a cloth were tightly bound about it/.—Drawing stitches on the back of the right foot, while standing, disappearing while walking, but recurring while sitting/.—Con- stant pressive stitches on the back of the left foot, worse during rest/.— Cutting, cramplike pain in the hollow of the right sole/.—On ascending a mountain, pain in the left sole, as from spraining the foot, extending from the sole to the thigh,6.—A pressive sticking on the inner margin of the right sole, while sitting, disappearing on walking and standing/.—Tearing MURIATICUM ACIDUM. 427 in the right sole, in the heel, while spinning, also (after several clays) while sitting/.— [540.] Burrowing twitching in the ball of the right foot, during rest,2.— Toes. Swelling and redness of the tips of the toes, with burning pain/.—Violent tearing in the right great toe, while spinning,6.—A sore pain, and a swolleu sensation in the left little toe,6.—Most violent throb- bing pain in the three middle toes of the left foot, during rest,2. General Symptoms.—Objective. Oxygenated Muriatic acid re- stores the irritability of the muscle fibres that have been destroyed by alco- hol or opium/3.f—General emaciation (after six weeks)/6.—Increased ac- tivity/1.—The first impression was so great as almost to excite general spasms,24.—Indolence, with stretching, in the forenoon,6.—[550.] Relaxed and indolent, although not wearied by walking/.—Weariness, especially of the lower extremities, in the morning/.—Just able to walk with support (after one hour),32.—Very much reduced in strength, and unable to stand without assistance,*8.—Weakness while walking and standing, so that he fell asleep while sitting,5.—Great weakness immediately after eating, that became distressing towards evening/.—Much exhausted (after three-quar- ters of an hour)/1.—*Prostration (after nine hours)/7.—Great prostration and weakness, in the evening, after walking,6.—Great prostration, weakness, and sleepiness, with dimness of vision ; she fell asleep at the table,6.—[560.] Fainted almost immediately, and three hours afterwards could give no in- formation of what had occurred/8.—Restlessness,12.—Subjective. Gen- eral comfortable sensation/1.— He is unwilling or unable to move; it is irk- some to do anything, so he wishes only to sit still the whole time/.—Feeling of weakness in the whole body/.—Feeling of weakness, and difficulty in collecting the ideas, at night, in bed,1.—Pain in the periosteum of all the bones, as in intermittent fever/.—Relapse on the forty-fourth day; tem- perature and pulse rose, with bloody vomiting; the patient complained of stitches in the back, especially on the right side below the twelfth rib, about three inches external to the spinous process; abdomen sunken, doughy; left hypochondrium more distended than the right; dulness across the whole upper portion of the abdomen ; pulse weak in relation to impulse of the heart; rubbing sound in the low*er margin of the diaphragm, in the region of the apex of the heart, extending as far up as the axilla, synchronous with respiration; urine albuminous; sp. gr. 1021; violent pains in the lower portion of the back, followed by death in a week/3. Skin.—Objective. Small spots on the face, lips, and throat,33.—A sore place on each side of the mouth ; these marks, narrow, curving up to- wards the cheek from each labial commissure, aud forming, when the mouth was closed, a sort of crescent with the horns turned upward, looked exactly as if made by the edge of a drinking-glass (second day)/7.—Eruptions, Fry. Nodes, like peas, or larger, on the forearms and elbows, with violent itching and burning,6.—[570.] Eruption on the hand, that itches very much on becoming warm in bed/.—Eruption of pimples about the lips, that within a day and night ran together into a scab/7.—Pimples itching violently, just behind and below the left tragus, that in spite of rubbing continued to itch violently, with smarting pain/.—Papular eruption on the forehead, that within a day and night became confluent and covered with a scab/7.—Pap- ular eruption on the concha, that within a day and night ran together into a scab/7.—Papular eruption on the back of the hands and fingers, that within a day and night ran together into a scab/7.—Red, tensive pimples •j- The author is speaking of local applications.—Hughes. 428 MURIATICUM ACIDUM. on the right side of the neck,6.—Eruptions, 3Ioist. A vesicle on the right side of the lower jaw, with pain when touched,6.—A vesicle on the left side of the upper lip,6.—Two yellow, burning blisters, as large as peas, on the left side of the lower lip/.—[580.] Round, raw, itching tetter on the inner portion of the thighs/.—Eruptions, Pustular. Pustules on the forehead and temples, without sensation,5.—Pustules iu the red of the lower lip/.—Pustules on the upper lip, close to the corner of the mouth, with pain, as from suppuration, when touched, and tension on moving the lips/.—A boil on the right temple/.—Small boils on the back, with sticking pain when touched/.—Many painful ulcers in the skin, that troubled him while sitting and lying/6.—The ulcers are very offensive, though covered with a scab/.—The employes in the salt works suffer from unhealthy ulcers on the legs, and become dropsical and cachectic/5.t—Subjective. Itching and biting on the back, shoulders, also over the whole body, mostly in the even- ing after lying down ; not relieved by scratching,6.—[590.] Sticking itching here and there in the body, disappearing on scratching, in the evening/.— Tickling, fine sticking itching over the body, only transiently relieved by rubbing/.—Feeling of deadness, and falling asleep of the forehead,1.—Burn- ing more about the ulcer than in it; after walking there is throbbing in it, like a pulse/.—Sticking here and there in the skin, at times with burning (on the right scapula),6.—Sticking pain, as from needles, in the skin of the lower portion of the abdomen/.—An itching stitch in the ball of the right great toe during rest,2.—A persistent itching stitch in the right gluteal mus- cles, that continued to itch violently after rubbing/.—Constant itching stitch on the back of the left foot; worse during rest/.—Crawling in the fingers of the right hand, as if asleep,6.—[600.] Tickling in the ball of the left heel, disappearing on rubbing,6.—Itching on the scrotum, that greatly pro- vokes scratching; not relieved thereby/.—Itching on the sole of the left foot while walking and during rest/.—Much itching about the scrotum/.— Much itching of the thighs/.—Much itching on the calves/.—Violeut itch- ing on the tip of the nose, that returns afler scratching,6.—Voluptuous itch- ing and sticking tickling in the palms of the hands, obliging scratching/.— Burning itching in the knees, malleoli, aud toes on falling asleep/.—Burn- ing, voluptuous itching on the perineum, close to the anus, with desire to scratch, not immediately relieved thereby,5. Sleep and Freams.—Sleepiness. [610.] Sleepiness, with yawn- ing, in the morning (second day)/.—Very sleepy in the afternoon (fourth day)/.—Great desire to sleep all day/.—Sleep oppresses him while at work ; he closes his eyes/.—While sitting, the eyes close from weakness; while standing and moving about, she is wide awake,5.—Sleeplessness. He does not get readily to sleep, and his sleep is light, yet he does not wake up easily (after three hours)/.—Restless night; without any particular cause she cannot get to sleep, and in the morning is sleepy (after two hours),6.— Restless night; she woke every quarter of an hour with pain, sometimes in one spot, sometimes in another (fourth day)/.—Restless night; she is kept awake by headache in the vertex and left temple,6.—Sleepless at night, on account of great orgasm of blood and heat, with sweat/.—[620.] Sleep rest- less, frequently interrupted by vivid, anxious dreams; with copious perspi- ration all over, except on the head, during sleep/.—Sleepless before mid- night/.—Sleepless after midnight/.—Frequent waking at night,1.—Frequent f From inhaling the muriatic vapor given off by the decomposition of the mu- riate of magnesia in the process of boiling the crude material.—Hahnemann. MURIATICUM ACIDUM. 429 waking, with tossing about iu bed/.—He woke before midnight very wide awake, and was unable to fall asleep afterwards (fourth day)/.—He always woke at 4 a.m., and could not fall asleep again/.—Starting up after falling asleep on acccount of uneasiness of the body, mostly in the extremities; dreams that cause anxiety, sorrow, or joy/.—On waking at night, he always finds himself lying on the back/.—He'slides down iu bed, and groans and moans in sleep/.— F reams. [630.] Unremembered dreams.5.—Happy dreams of home/.—Voluptuous dreams (first three days),6.—Anxious dreams at night,1.—Anxious, vivid dreams/.—Restless, vivid dreams, full of solici- tude and frights; with erections, without emissions/.— Anxious, frightful, vivid dreams,2.—Dream that she had lice, which made her very much ashamed (seventh day)/.—Dream of the death of her mother "(fourth night)/.—She talks loud in sleep (before midnight), but cannot be under- stood, and knows nothing of it in the morning/.—[640.] She tosses about before midnight; often talks aloud in sleep, in a joyous tone, but frequently groans/.—She raves in her sleep as soon as she has been asleep a little while/. Fever—Chilliness. Skin cold (after three-quarters of an hour)/1; (after twelve hours),30.—Chilliness in the morning in bed and after rising, so that he was obliged to remain by the stove all the forenoon,6.— Chilliness in the evening, with burning in the face and dryness of the mouth,1.—Chilli- ness in the evening, with thirst; perspiration after lying down; she was even obliged to rise at night to drink (eighth day)/.—Chilliness from 6 to 7 p.m., with icy coldness on the back, so that it was difficult to get warm (seventh day),6.—Chilliness over the whole body at 8 p.m., with external warmth lasting three-quarters of an hour, without subsequent heat,6.—Woke before midnight on account of chilliness, aud could not get warm ; the parts on which he was lying were less chilly; afterwards he became very warm and perspired (third night)/.—Chilliness, with gooseflesh, without shaking or thirst/.—[650.] Chilliness, with thirst (fourth day),6.—Chilliness, with thirst, without subsequent heat/.—Coldness/.—Coldness, even perceptible externally, so that he could not get warm all day, even on walking/.— Coldness at night, so that she could not get warm ; tossed about the bed,9. —He shivered if the room was not very warm/.—Febrile shivering over the whole body, with hot cheeks and cold hands, without thirst,5.—Febrile shivering over the whole body, with shaking chill, yawning, and stretching of the limbs, without thirst or subsequent heat/.—Febrile shivering over the whole body (with slight fluent coryza); yawning, cold, dead tips of the fingers, blue nails, and weak, slow pulse, without thirst or subsequent heat/. —Extremities rather cold (after one hour),32.—[660.] "Extremities quite cold,31.—Complained of extreme cold in her lower extremities, which to the touch were quite warm/8.—Heat. Sensation of heat and actual heat of the body, especially of the palms and soles, without redness of the face, per- spiration, thirst, or dryness of the mouth, with some inclination to uncover himself/.—Burning iu the soles of the feet while sitting, aggravated by put- ting the feet to the ground,6.—Burning heat of the whole head, and of the hands, with cold feet, without thirst, previous to which he could scarcely keep awake (on account of great sleepiness during the day)/.—Slow fever (after six weeks)/6.—Sweat. Skin clammy (second day)/1.—Night-sweat/. —Perspiration in the evening on falling asleep, and not afterwards/.—Per- spiration before midnight, in dreams full of difficulties, followed by good sleep till morning, without perspiration/.—[670.] Perspiration before mid- night, with dry cough/.—Slight sweat over the whole body iu the morning/. 430 MURIATICUM ACIDUM—MURURE. —Profuse sweat on the head and back, every second or fourth evening, last- ing three-quarters of an hour/.—After lying in bed for one to two hours in the evening, there is first cold perspiration of the feet before they become warm/. Conditions.—Aggravation.—(Morning), On stooping, burning in head; after rising, heaviness in head, etc.; tearing headache; while wash- ing them, burning in eyes; dryness of mouth; after rising, mouth slimy; after waking, bitter taste, etc.; in bed, after waking, qualmishness, etc.; in bed, colic; hard stool; weariness.—(Afternoon), In opeu air, discontent, etc.—(Evening), Jerking in vertex; tension, etc., in occiput; biting in can- thus; gnawing in ear; distension of abdomen; stitch in groin; stitches in shoulder; itching, etc., of back, etc.; chilliness; on falling asleep, perspi- ration; every second or fourth day, sweat on head, etc.—(Night), Chirp- ing in ear; eructations, etc.; on waking, nausea, etc.; stiffness of fingers; tearing in hollow of knee, etc.; in bed, feeling of weakness, etc.; before midnight, perspiration. — (Open air), Vertigo. — (Walking in open air), Headache; pressure upon spine. — (Cold drink), Toothache. — (Eating), Eructations.—(Indoors), Whirling in head,etc.—(Motion),Vain iu shoulder- joint.— (Rest), Stitch in canthus; cutting in eyeball; pain in shoulder; tearing above elbow; bruised paiu in forearm ; pain below malleolus; stitches on back of foot; twitching in ball of foot; throbbing in toes; stitch in ball of toe.—(Sitting), Tension, etc., in hypochondriac region ; rumbling in abdomen; stitches in praecordial region, etc.; stitches in back; griping in hip; drawing down thigh; pressure in muscles of thigh; stick- ing in muscles of thigh; tearing in thigh, etc.; tearing in knee-joint; tear- iug in hollow of knee, etc.; tension in leg; tearing in tibia; cutting in calf; stitches in back of foot; sticking in margin of sole; tearing in sole. —(Walking), Tearing in femur; bruised pain in knee.—( Writing), While sitting, tearing in upper arm ; pain in ball of thumb. Amelioration.—(Lying down), After frequent sneezing, headache ; distension of abdomen.—(Sitting), Griping in abdomen ; tearing in tibia. MURURE. A resin, employed along the Amazon as an antisyphilitic. Authority. Mure, Pathogen. Bresil., p. 290. 311 nd.—Exaltation of ideas. Head.—Heaviness of the head.—Pains in the head, recurring on the third and fourth days.—Papular eruption on the occiput (fourteenth day). Eye.—Inflamed eyes.—Burning in the eyes. Ear.—Pain in the left ear (first day). Face.—Swelling of the face, as in elephantiasis Graecorum. Mouth.—Toothache for four days.—[10.] Pain in an old cicatrix on the left side of the tongue.—Prickings on the tongue.—Profuse flow of saliva. Stomach.—Little appetite.—Loathing of food ; loss of appetite.— Vomiting (sixteenth day). Stool.—Stool easier.—Urging to stool, with soft evacuation. Urinary Organs.—Blennorrhoeal discharge.—Yellow and putrid urine. Extremities in General.—{20.] Numbness of the limbs. MURURE—MUSA—MYGALE. 431 Superior Extremities.—Numbness of the left arm.—Pain on the left shoulder, hindering respiration when walking. Inferior Extremities.—Severe pain in the thighs.—Sciatic pain. —Cracking sensation iu the tibia. Skin.—Spot on the instep painful in the middle and insensible at the circumference.—Eruption on the legs.—Small, painless pimple, which after awhile breaks and suppurates, with smarting.—Pustular eruption on the penis.—[30.] Ulcers on the legs. Sleep.—Drowsy day and night.—Constant restlessness during sleep. Fever.—Void hands. MUSA. Musa sapientium, L. Natural order, Palmae. Common name, Banana. Preparation, Tincture of the flowers. Authority. Dr. Jenner, Month. Hom. Rev., 9, 545, "Fragmentary Prov- ings of Australian Plants." Head.—Dull, heavy frontal headache. Mouth and Throat.—Dry, rough, and extremely astringent taste and feel ling in the mouth, tougue, and fauces, but afterwards an increased flow of saliva. Stomach and Abdomen.—Rumbling in stomach and bowels, with expulsion of flatus. Rectum and Anus.—Improvement and ultimate cure of profusely bleeding haemorrhoids (a case which had resisted every kind of treatment), (curative effect). Stool.—Costiveness (in a person of very regular habits), with feeling of fulness about the anus. Urinary Organs.—Discharge of large quantities of mucus with the urine, attended with dull, aching pain iu the region of the bladder. MYGALE. " Mygale Lasiodora Cubana." A large, black, Cuban spider. Preparation, Tincture prepared by putting the live insect into alcohol. Authorities. Dr. John G. Houard, Hahn. Month., 1869, vol. 5, p. 8; 1, proving by a young lady, 10 drops (tincture ?) first day, 20 drops second and third days ; 2, effects of bite on instep, of " Mygale avicularia," in a man, Am. Hom. Rev., 5, 81. 3Iind.—At 8 p.m., he became delirious, talked about his business, and was restless during the whole night,2.—Felt sad all day (third day)/.— Despondency, with anxious expression,2.—Fear of death,2. Face.—Face flushed/. Mouth.—Tongue dry and parched (third day)/.—Tongue dry and coated brown/. Stomach.—Aversion to food, no appetite whatever, at dinner-time ; took no food till tea-time, then only a cup of tea aud a small piece of bread; felt better after eating (second day)/.—Excessive thirst/.—[10.] Nausea, 432 MYGALE—MYRICA. with strong palpitation of the heart, dimness of sight, and general weak- ness (after twenty minutes, second day); nausea and palpitation of the heart returned with greater force (third day)/. Urinary Organs. — Increased discharge of urine, with stinging pain in the urethra; the urine during the day was burning and hot, it seemed scalding (fourth day)/. Respiratory Organs.—Difficult breathing/. Pulse.—Pulse 130/. Fack.—Pain in the back, extending around to the front (third day)/. Inferior Extremities.—Local inflammation very extensive, reach- ing from the foot as high up as the knee, leaving a large violet spot, which changed in a few hours to a greenish color (after thirty minutes),2.—Pul- sating, stinging pain in the foot,2. General Symjdoms.—Tremulousness over the whole body, in the evening (third day)/.—Great prostration (third day)/.—The symptoms lasted for three days, with more or less intensity, and gradually passed off/. Sleep.—[20.] Restless all night, with ridiculous dreams (third day)/. Fever.—Severe chill, which lasted thirty minutes (after two hours); then fever set in, with trembling of the whole body/. MYRICA. Myrica cerifera, L. Natural order, Myricaceae. Common names, Bayberry, Wax-myrtle. Preparation, Tincture of the bark of the root. Authorities. (Nos. 1 to 7, provings of the Mass. Hom. Med. Soc, 1864, Transactions, 2, p. 397.) 1, Dr. H. L. Chase, took 5 drops of extract; 2, Dr. Chs. Cullis, took 10 drops ; 2a, same, second proving; 3, same, Miss E., aged thirty, took repeated doses of 10 drops, each (9 p.m. first day, 7 a.m. second day, 7 and 11 a.m., third day); 4, same, Mrs. H., aged thirty- one, took 10 drops, first and second days, and four days later 11 drops at 11 a.m., and 10 drops at 7 p.m.; 5, Dr. Conrad Wesselhoeft, dissolved 10 grains of extract in 1 ounce of alcohol, took 5 drops, first and second days; 5 a, same, took 10 drops of tincture at 11 a.m. aud 10 p.m. first day, 15 drops at 7 a.m., and 25 drops at 10 p.m., second day ; 6, Dr. F. H. Krebs, took 5 drops of tincture at 11 a.m. and 4 p.m. first day, 5 drops at noon second day; 6a, same, repeated three months later; 7, Dr. J. E. Linnell, took repeated daily doses of tincture, 5 to 120 drops, for ten days ;*(* 8, Dr. L. Walker, Hale's New Remedies, 2d ed., p. 728, from Inaug. Thesis, 1865-6, took 1st dec. djl., repeated doses, 10 to 60 drops for three days, theu tincture repeated, doses 20 to 140 drops for four days; 8a, same, took powdered bark, repeated doses of 5 to 160 grains, for eight days; 9, Dr. Wm. Sharp, M. Horn. Rev., 20, p. 749, proving of 1st dil., by a friend, and of 1 drop of tincture, night and morning, for eight days, by self. Mind.—Emotional. A pleasant exhilaration (half an hour after second dose); followed by au excited state of the nervous system, pre- cluding sleep for several hours; this was accompanied by a restlessness f Subject to occasional rheumatic and neuralgic pains, and at this time suffering from influenza. MYRICA. 433 which required a frequent change of position (eighth day)/.—A pleasant exhilaration, succeeded by depression and pressure about the head (ninth day)/.—Depression of spirits (one hour after first dose, third day)/ ; lasting three or four days (second morning)/*.—Great depression of mind, irri- table, do not want to speak or be spoken to/.—Great and unusual depres- sion of spirits, all the morning (second day),2.—Miserable dejected feeling all day (tenth day); (fourteenth day),8a.— Great despondency, at 11a.m. (second day)/*.—Feels gloomy, terribly depressed; this depression of spirits continued for three days, and to such an extent that it was impossible to write ; did not care about anything or for any friends ; was perfectly wretched, beyond description/.—Awoke in a gloomy state of mind, an unusual condition for him; felt very irritable, and had a constant desire to find fault; everything went wrong; looked upon this world as a place not fit to live in any longer ; considered himself better than the rest, in the morning; felt very low-spirited ; condemned himself for various imaginary faults; complete hypochondria, in the afternoon (second day),6.—[10.] Felt irritable, easily provoked (after half an hour, fourth and fifth days)/.— Irritable, worried by little things ; everything seemed to go wrong, in the morning (tenth day),7.—Exceedingly irritable; the slightest thing fretted and irritated him ; ungovernable petulaucy (sixth day)/.—Intellectual. Loss of energy (sixth day)/.—Deficient concentration of the mind on any subject (after five hours and a half, seventh day)/1.—Confusion of intel- lect; could not concentrate his thoughts (one hour after first dose, third day)/.—Dulness of intellect (sixth day)/.—Felt dull and drowsy, for the last two hours (five hours aud twenty minutes after first dose, fifth day),8.— Semi-stupor, attended with pain all through the head, quite severe in the temples, with throbbing in the superficial veins (after four hours, seventh day)/.—Drowsy stupor, very difficult to keep the mind concentrated on any one thing long at a time (after sixteen hours and a half, seventh day)/*. —[20.] Drowsy stupor, all the forenoon ; could not keep the mind on the subject of the lectures (eighth day)/1.—A kind of drowsy stupor, at 12.50 p.m., continuing through the day (eighth day),8. Head.— Vertigo. Vertigo, with dulness and drowsiness much of the time during lectures, all the forenoon (tenth day)/.—Slight vertigo (sixth day)/.—Dizziness and rush of blood to the head and face, on stooping (premonitory symptoms of headache with him), (after two hours, second day)/*.—General dizziness, all the morning, with feverish acceleration of the pulse, attaining its height about 4 o'clock (second day)/.—Slight dizzi- ness, with nausea (after first dose, second day)/.—Slight dizziness, with repeated yawning, almost immediately (first day)/.—Light-headedness and nausea (a few minutes after first dose, seventh and eighth days),7.— General Head. Dulness of the head (sixth morning)/.—[30.] Dul- ness and heaviness of the head and eyes (fifteenth day)/\—Dull, drowsy sensation of the head, hardly to he called a pain, on waking (eighth morn- ing)/'.—Heaviness of head (one hour after first dose, third day)/.—Empty feeling in the head (soon), (second day)/*.—Pain all through the head, quite severe in the temples, with throbbing in the superficial veins, attended with a semi stupor (after four hours, seventh day)/.—Slight pain in the head (after fifteen hours, sixth day)/*.—Fulness about the head, with bad, indescribable taste in the mouth (third morning)/.—Awoke with dull pain in head and eyes (ninth day)/a.—Dull pains in the head and back, on waking (fourth day),8*.—Dull heavy paius all through the head, most severe°in the frontis and through the temples, at 7 a.m. (seventh day),8.— vol. vi.—28 434 MYRICA. [40.] Head has ached all day, at 10 p.m. (second day)/.—Slight headache (soon, and second morning;/1; on waking (seventh morning)/*.—Awoke with severe headache, better after rising and washing with cold water (eleventh day)/.—Head ached severely, particularly over the left eye, at 11 a.m. (second day),'*'".—Heavy headache followed the severe nausea (after five minutes, second day),4.—Dull aching pain all through the head and in the neck (seven hours and a half after first dose, sixth day),8.—Dull, grinding headache (forty minutes after first dose, sixth day)/.—Pressure alike in all parts of the head (after half an hour, fourth day)/.—Pressure, with dull pain in the head, worse in the right temple (one hour after first dose, sixth day)/.—Pressure about the head, with ringing in the ears (tenth day) ; the pressure increased very much, causing confusion of thought, and giving rise to a staggering gait (eleventh day); less so (twelfth day)/.— [50.] Heaviness and pressure in the head (after second dose, third day)/. —Headache, with severe pressure (seventh night)/.—Bruised feeling in head (seventh morning)/.—Throbbing of arteries in the head (sixth day)/. —Throbbing in the superficial veius of the head, on waking (ninth morn- ing)/.—Pain in head, worse when stooping or moving about, in the morn- ing (fourth day)/.—Forehead. Awoke about daylight, with severe pain in the frontis and temples (tenth day)/.—Dull pain in the frontis and temples (after five hours and a half, seventh day),8*.—Awoke with dull pain in the frontis and temples (third morning),8*; continuing through the day (eighth day)/.—Awoke with dull pain in the frontis and temple, and in small of back; head feels better, in afternoon (fifth and sixth days),8".—m [60.] Dull pain in the forehead and eyes, all the evening (fifth day)/.— Dull heavy pain through the front portion of the head, worst in the left temporal region (five hours and twenty minutes after first dose, fifth day;/.—Awoke with dull heavy pain in the frontis and through the tem- ples (fourth, sixth, and ninth days)/.—Dull, aching pain in the front part of the head and through the temples, in the forenoon (eighth day)/'.— Frontal headache (one hour after first dose, third day)/.—Quite severe frontal headache, in the afternoon (ninth day)/.—Severe headache just over the eyes, increased by motion, at 8.30 a.m. (second morning)/a.—Dull headache in the forehead, on waking in the morning (second day),2.— Awoke this morning with pressive frontal headache (fifth day)/.—Awoke with dull pressure in the forehead, with headache and feeling as though he had not slept enough, at 6.30 a.m. (second day)/.—[70.] Pressure and dull pain in forehead and vertex, with throbbing synchronous with the pulse (after one hour, first day)/.—Dull, oppressive headache in the right side of forehead, at the juncture of parietal and frontal bones, with fulness in the head, in the afternoon and evening, until bedtime (second day)/a.— Sharp pain on left side of forehead (after five hours)/. — Temples. Numb feeling in right temple; felt as if some hard substance were strongly pressed against the part (after first dose, eighth day)/.— Vertex. Draw- ing sensation in the crown of the head (soon), (second day),5*.—Strange sen- sation in the top of the head, like foam rising in anything fomenting; this was very clear and perceptible, and lasted teu minutes, and then gradually subsided (after forty minutes, second day)/.—Parletals. Severe pain in head on both sides, near temples, which settled into a heavy grinding feel- ing in top of head (soon), (first day)/.—Occlpat. Heaviness in back of head (immediately after second dose, third day)/.—Pain in the back part of the head on the right side (after five minutes, first day)/.—Pain in the MYRICA. 435 occiput (after two hours, second day),6.—External Head. [80.] Scalp feels sore to the touch, on waking (eighth morning),8*. Eye.—Eyes congested and yellow (ninth day)/*.—Dulness and heavi- ness of the eves and head (fifteenth day)/\—Eyes feel dull and heavy, in the forenoon (eighth day)/*.—Eyes feel heavy and dull (after sixteen hours and a half, seventh day)/1.—Eyes feel heavy and weak, on waking (eighth morning)/1.—Hot feeling in the eyes (after second dose, second day)/.— Eyes burned and tired easily on reading (after niue hours, fourth day),7.— Eves feel swollen and with a yellowish tint, in the morning (tenth day)/.— Awoke with dull pain in eyes and head (ninth day),8*.—[90.] Sharp pain in left eye, at 9 a.m. (second day),2*.—Left eye sore, and looked inflamed (third morning)/a.—Both eyes quite sore, at 8 a.m. (second morning)/*.— Smarting iu eyes (after half an hour, fourth day)/.—Smarting in the eyes followed evanescent itching, like fleabites (a few minutes after first dose, second day)/.—Smarting, with dryness in both eyes, and feeling of sand in them, making it difficult to close the lids (after one hour, first day)/.— Smarting in left eye (after five hours)/.—Rrow. Dull, heavy feeling over the eyes, soon followed by a stricture across the nose (after fifteen min- utes)/.—Dull pain in right eyebrow (after half an hour, first day)/.— Lids. Eyelids heavy and swollen (secoud morning)/*.—[100.] Fulness in eyelid of left eye, approaching to soreness (after a few minutes, second day)/.—Quivering sensation in left upper lid (after half an hour, first day)/. — Conjunctiva. Conjunctiva congested and yellow (fifteenth day)/1.—Smarting sensation in conjunctiva of left eye, followed by an aching pain iu right eyeball (after half an hour, first day)/. Ear.—Paiu in back of left ear (after five miuutes, first day)/.—Ring- ing in the ears (sixth and seventh days)/.—Ringing in the ears, with pressure about the head (tenth day)/.—Ringing noise in left ear (after first dose, second day)/. Nose.—Objective. Nasal organs affected very much like catarrh (ninth day),8*.—An attack of coryza obliged him to omit the medicine (after two days)/1.—[HO.] A severe attack of coryza appeared towards night, and the miserable feelings in general prevented the taking of any more medicine (second day)/.—Subjective. Pressure in the nose (imme- diately after second dose, third day)/.—Very severe pressing pain in left side of' the nose, lasting about ten minutes, then shifting to left axilla, where it was sharp and lancinating (after four hours)/. Face.—Face and neck yellow (fifteenth day); complete jaundice aspect (seventeenth day)/a.—Burning most of the day in the face, as one experi- ences in a cool day on coming into a warm room (first day)/.—Burning about face and head, especially after being out in the open air (October 20th), (five hours after first dose, third day)/.—Fulness about face and head, with throbbing (after second dose, second day)/.—Feeling of pressure in both malar bones (after half an hour, first day)/.—Sharp darting pain in articulation of jaw, right side, all day/. 31 outh.—Tongue. Tongue furred (ninth day)/*.—[120.] Thick, yellow coat upon tongue (fifth and sixth days)/.—Tongue thickly coated, a dirty white or yellowish color (sixteenth day),8*.—3Iouth. The wdiole buccal cavity, including the roof of the mouth, was coated with an adhe- sive coating, exceeding difficult to detach (eleventh day) ; less in degree (twelfth day)/.—Dryness of mouth and fauces (after half an hour, fourth day),7.—Taste. Sweetish taste about the palate, for half an hour (first day)/.—Bad taste (sixth morning),7; (ninth and sixteenth days)/1.—Bad, 436 MYRICA. indescribable taste in the mouth, with fulness about the head (third morn- ing)/.—Foul taste (eleventh day); less so (twelfth day)/.—Bitter, nause- ous sensation in fauces, with slight heat and burning in stomach (immedi- ately), (second day)/*.—Bitter, nauseous taste to the tincture (first day)/a. Throat.—Objective. [130.] Stringy mucus in the throat, detached with difficulty (after sixteen hours and a half, seventh day)/*.—Throat and nasal organs filled with an offensive, tenacious mucus, detached with difficulty (sixteenth day)/*.—Subjective. Dryness of throat (after first dose, second day)/.—Constricted feeling in the throat; throat feels swollen inside, in the morning (fifth, sixth, and seventh days)/'.—An aching, ex- cruciating feeling in posterior nares, as if a fresh cold had been taken (after first dose, second day)/.—Semi-lancinating pain in the right side of the throat, near the tonsil, in the afternoon (ninth day)/.—Throat sore, sensation of a foreign substince requiring it to be frequently cleared ; deg- lutition rather painful (fourth day)/4.—Throat sore and rough, with fre- quent and difficult deglutition (after thirteen hours and a half, eighth day),8*. —Slight soreness in the throat, on waking, and continuing through the day (third day)/a. — Roughness of the throat (ninth day)/a. — [140.] Roughness of the throat, requiring it to be constantly cleared (after fifteen hours, sixth day)/*.—Throat rough and constricted (after seven hours, sixth day)/*.—Dry, sore feeling in pharynx, as when one has taken cold, succeeded by difficult deglutition (after half an hour, first day)/.—Constant need to swallow, from sense of constriction iu the throat (after five hours and a half, seventh day)/*. Stomach.—Appetite. Increased appetite (five hours and twenty minutes after first dose, fifth day); constant hunger, yet a sensation of fulness, as if I had just eaten a hearty meal, although nothing has been taken into my stomach for five hours (ten hours and a half after first dose, fifth day); craving hunger; fulness of the stomach and abdomen (thirteen hours and three-quarters after first dose, sixth day) ; sensation of hunger and fulness in the stomach and abdomen, with rumbling of bowels, in the morning (sixth day); constant, craving appetite, with sensation of fulness inthe stomach and abdomen (seventh day)/.—Feel hungry; fulness in stomach and abdomen, on waking (fourth morning) ; craving hunger; ful- ness in the stomach and abdomen, as after a hearty meal, at 5 p.m. (before eating); continuing at 11 p.m. (fifth day); after eating (sixth day)/*.— Appetite had been fair since commencing the proving, but not as keen as usual (fourth day)/.—Appetite not so good as usual, but enjoyed a hearty meal, at 6 p.m. (after seven hours, first day),5*.—Indifferent appetite (fifth day),7.—Appetite poor, iu the morhing (seventh day)/1.—[150.] Appetite for breakfast considerably impaired (third day)/.—Appetite very much impaired (eleventh and twelfth days)/.—No appetite (ninth day)/*.—No appetite; took no breakfast this morning (fifteenth day)/\—No desire for food (tenth day)/\—No desire for food, but rather a loathing; strong desire for acids; ate very little breakfast, per force (sixteenth day)/*.— Eructation. Empty eructation (after second dose, second and third days)/.—Frequent eructation of flatus from the stomach (after sixteen hours and a half, seventh day); in the forenoon (eighth day); relieving the pressure in the stomach for a short time only (fifteenth day)/*.—Acidity of stomach, at 8.30 a.m. (second morning)/*.—Heartburn, with an increase of saliva, which had to be frequently expectorated (after two hours, second day),6.—Nausea. [160.] Nausea (after half an hour, first day)/ ; (second morning)/*; (third day)/, etc.—Nausea, with slight dizziness (after first MYRICA. 437 dose, second day)/.—Nausea and light-headedness (a few minutes after first dose, seventh and eighth days)/.—Nausea and gagging, without being able to vomit (soon), (sixth day)/*.—Slight nausea (ten minutes after first dose, sixth day)/; (after two hours) ; less marked (second day)/.—Slight feeling of nausea in stomach, for half an hour (first day)/.—Severe nausea (after five minutes, second day), which was followed by heavy headache/. —Stomach. Stomach and upper part of the abdomen distended, in the forenoon (eighth day),8*.—Strange sensation in stomach, not any nausea (ten minutes after second dose, sixth day)/.—Weak, sinking feeling, and pressure iu the epigastrium, sometimes approaching nausea (after half an hour); increasing after breakfast, and lasting very perceptibly all day, and passing off towards evening, after rapid walking (second day)/.—[170.] Dinner caused distress (second day)/.—Pain in the regiou of the stomach (after two hours, first day); less marked (second dav)/.—Severe pain in stomach (one hour after second dose, third day)/.—Slight heat and burn- ing in stomach, with bitter, nauseous sensation in fauces, immediately ; the heat and burning soon changed into painful griping pressure from left epi- gastric region, in a straight line to left of navel (second day)/*.—Feeling of fulness in digestive organs, as though food was being slowly digested (after nine hours, fourth day)/.—Fulness in the stomach and bowels; craving hunger, in the morning, and at 6.20 p.m. (eleventh day),8.—Ful- uess in the stomach and abdomen ; appetite poor, in the morning (seventh day),8*.—Fulness and pressure in the stomach (after five hours and a half, seventh day)/*.—Unpleasant fulness in the stomach and upper abdomen (five hours and twenty minutes after first dose, fifth and tenth days),8.— Severe griping pains about the stomach, followed by empty eructations (after one hour and a half, tenth day)/.—[180.] Dull pain in the stomach (sixth day)/.—Slight colicky pressure in stomach, which would hardly have been noticed, had not attention been drawn to it previously in the proving (third day)/*.—Slight stinging and pressure in epigastrium, while walking (ten minutes after first dose, first day)/*. Abdomen.—Hi/pochondria. Dull pain in the hepatic region (fifteenth day)/*.— Umbilical. Pain in umbilical region, immediately after breakfast (third day)/.—Dull, heavy pain in umbilical region (after second dose, third day)/.—Slight griping pain in regiou of umbilicus, with rumbling (after second dose, second day)/.— General Abdomen. Constant unusual rumbling in the abdomen, above the navel (three hours after first dose, first day)/*.—Flatulency (after second dose, third day)/.— Excessive flatulence, with frequent rumbling, as if diarrhoea would set in, urging to stool, with no other result than the expulsion of a great amount of flatus, iu the afternoon (seventh and eighth days)/.—[190.] Frequent passing of wind, very offensive (two small, sweet pears, eaten in the fore- noon, may have caused the flatus; pears always do with him, but always odorless and painless), (three hours after first dose, first day),5*.—Constant passing of stinking flatus while walking (three hours after 6rst dose, first day)/*.—Weak, faintish feeling about the bowels, as when one has diar- rhoea (tenth day)/.—Felt, through the forenoon, as though diarrhoea would occur; weakness about the bowels, with urging and pressing, without stool (third day)/.—Frequent sensation as of approaching diarrhoea, but without stool, in the afternoon and evening; only slight costive discharge in the evening (first day)/*.—Occasional pains iu the bowels during the afternoon and evening (eighth day)/*.—Severe pain in bowels (half an hour after first dose, third day)/.—Severe griping pains in the bowels during the 438 MYRICA. night (first night)/a.—Griping colicky pains continued at intervals all the afternoou (first day)/*.—Coliclike pain in umbilical region, in a small spot, with accumulation of flatus, one hour after dinner (three hours after first dose, first day)/*.—[200.] Grumbling pain in the bowels, continued all the afternoon (second day)/. Stool.—Flarrhopa. Bowels loose (eleventh day); two or three loose stools (twelfth day)/.—Loose stool, accompanied with pain and tenesmus, after dinner (second day)/.—Loose stool, with paiu and tenesmus, at 6.30 a.m. (second day),2*.—Soft, mushy stool, at 9 a.m. (ninth day)/*.—Soft, papescent stool, copious, attended with teuesmus and cramplike sensation in the umbilical region (after three hours, fourth day)/.—Soft stool, with effort, in the morning (tenth day)/.—Stool lighter-colored, at 9 a.m. (twelfth day),8.—Loose, light-colored stool, at 6 a.m. (seventh day)/*.— During the time my bowels have been rather more active than usual, and the color of the excreta much lighter, i. e., of a lighter brighter yellow thau usual,9.—[210.] Stool natural, only too light-colored, at 8.30 a.m. (eleventh day),8.—Stool nearly of natural consistency, but lighter-colored than usual, at 9 a.m. (tenth day).8.—Stool rather light-colored, but of natural consist- ency, at 8.30 a.m. (fifth day) ; at 9 a.m. (sixth day)/*.—Bowels torpid ; soft, mushy stool, of a light clay-color (sixteenth day)/*.— Constipa- tion. Constipation (sixth morning)/.—Some constipation (third morn- ing)/*.—No stool (eighth day)/*.—No stool for forty-eight hours, a very unusual occurrence (fourth morning)/.—Stool about 11 a.m., being fifty hours since last stool (four hours after first dose, seventh day)/. Urinary Organs.—3Iicturltion. Copious flow of limpid urine (tenth day)/.—[220.] Difficulty in urinating; the bladder seemed to lack contractive expelling power (eighth night)/.— Urine. Increase of urine during the last three days (seventh day)/.—Urine a light amber color and normal in quantity (before the proving); passed 31 ounces high-colored urine duriug the last twenty-four hours, sp. gr. 1020 (ninth day); 43 ounces during last twenty-four hours, color nearly normal (tenth day); 36 ouuces, color nearly normal, sp. gr. 1013, a light-colored sediment after standing (the first that has been observed), (eleventh day); 37 ouuces, during the last, twenty-four hours, sp. gr. 1028, considerable light-colored sedimeut after standing (twelfth day); 23 ouuces, during last twenty-four hours, sp. gr. 1031, considerable light brownish colored sediment, after standing (thirteenth day); 47 ounces, during last twenty-four hours, sp. gr. 1024, no sediment discovered (fourteenth day); 24 ounces, sp. gr. 1035 (fifteenth day); 22 ounces, during last twenty-four hours, sp. gr. 1029 (sixteenth day); passed 40 ounces during the last twenty-four hours, sp. gr. 1022 (seventeenth day); 33 ouuces to-day, sp. gr. 1025 (eighteenth day); 33 ounces, sp. gr. 1021 (nineteenth day)/.—Passed 27 ounces of amber-colored urine during the last twenty-five hours, sp. gr. 1028, at 11 p.m. (first day); 28 ounces, during last twenty-four hours, sp. gr. 1028 (second day); 24 ounces, a little darker than usual, sp. gr. 1030 (third day); 27 ounces, dark-colored urine, sp. gr. 1024 (fourth day); 30 ounces, rather darker than usual, sp. gr. 1023 (fifth day); 31 ounces, dark-colored, a pinkish-brown sediment at the bottom of the vessel after standing, sp. gr. 1024 (sixth day); 21 ounces, high colored, sp. gr. 1030 (seventh day) ; 20 ouuces, high-colored, sp. gr. 1032 (eighth day) ; 19 ounces, very high-col- ored and frothy, containing considerable pinkish-brown sediment, sp. gr. 1031 (ninth day); 34; ounces, very high-colored, it looks like strong beer, with a large amount of froth of a yellowish tint, sp. gr. 1032, in the morn- MYRICA. 439 ing (tenth day) ; very scanty, high-colored, and frothy, during the last four days (fifteenth day) ; 19 ounces, beer-colored and frothy, sp. gr. 1026 (six- teenth day); 15 ounces, very high-colored, sp. gr. 1031 (seventeenth day); 18 ounces, same general appearance as before, sp. gr. 1027 (eighteenth day)/1. Sexual Organs.—Entire loss of sexual desire; a constant symptom through the proving (after three days)/*. Respiratory Organs.—Smarting in larynx and trachea (after one hour, first day)/.—A tickling cough, which had troubled him on lying down at night, was entirely relieved (second morning)/.—Offensive breath (eleventh day) ; less so (twelfth day)/. Chest.—When lying upon left side in bed, had a feeling of constric- tion in chest, with increase of the impulse of the heart, so that its pulsa- tions were audible (first night)/.—Pain in left lung, at 8 p.m. (second day )/*. —[230.] Dull pain in right lung, middle lobe, lasting a few minutes (after half an hour, first day)/.—A sharp pain once (lasting but a few minutes) in the chest, in the region of the heart (tenth day)/.—Slight pain in left side (immediately after second dose, third day)/. Heart and Pulse.—Prceeordlum. Stinging, cramplike sensa- tion in the left portion of praecordial region, and under the ribs, immedi- ately (after first dose, first day)/*.—Heart's Action. Increase of the impulse of the heart, so that its pulsations were audible, together with a feeling of constriction in chest, when lying upon left side in bed (first night)/.—Impulse of heart's action increased, but number of pulsations diminished to 60 per minute (ordiuary pulse, 75 to 80), (after second dose, second day)/.—Pulse, Pulse 76 aud full, at 11 p.m. (third day) ; 63, small and feeble, on waking, normal (after six hours, fourth day) ; 80, one hour after eating, at 8.30 a.m. ; 76, at 5 p.m., before eating; 71, at 11 p.m. (fifth day); 71 after eating (after seven hours) ; 72 (after fifteen hours, sixth day) ; 60, on waking ; 70, before eating (after five hours and a half) ; 76 (after sixteen hours and a half, seventh day); 66, at 9 a.m., after eating ; 67, before eating (after three hours aud fifty minutes); 72 (after thirteen hours and a half, eighth day); 70, at 11 p.m. (ninth day)/*.—Pulse 54, in the morning; 75 (before eating), (four hours aud a half after first dose) ; 71, full and soft (five hours and ten minutes after third dose, second day); 51, feeble and irregular, in the moruing ; 65 (before eating), (three hours and a third after first dose); 59 (five hours and ten minutes after third dose, fourth day) ; 60, in the morning ; 65 (one hour after eating, six hours and a half after first dose) ; 70, full and strong (ten hours and a half after first dose) ; 72, full and strong (fifteen hours and a half after first dose, fifth day); 56 and feeble, in the morning; 71 (one hour after first dose); 70 (thirteen hours and forty minutes after first dose, sixth day) ; 52, in the morning; 75 (after four hours); 66 (before eating), (after six hours); 62 (fifteen hours and a half, seveuth day) ; 72, at 7.30 a.m. ; 62, before eating; 70, at 11.30 p.m. (eighth day); 78, on waking in the morning; 76 (before eating), at 6 p.m.; 65, at 11 p.m. (ninth day); 71 (before eating), in the morning; 56 (before eating), in the afternoon; 61, at 11 p.m. (tenth day); 54 (before eating); 71 (after eating), in the morning; 61 (before eating), at 12.50; 68 (before eating), at 6.20; 60, at 11 p.m. (eleventh day); 59 (before eating), in morning; 82, at 4.30; 66, at 11 p.m. (twelfth day); normal (thirteenth day); 76 (half an hour after eating), in the morning; normal, at 10.50 P.M. (fourteenth day); 68, at 11.40 p.m. (fifteenth day)/. Neck and Rack.—Neck. Pain and stiffness in the neck, especially 440 MYRICA. in the nape, at 7 a.m. (seventh day)/.—Pain in back of neck, at 2 p.m. (second day)/*.—[240.] Dull pain iu the muscles of the neck and in the frontis and through the temples, at 12.50 p.m., continuing through the day (eighth day),8.—Rack. Pain in the back (seveuth and eighth nights)/; at 11 p.m. (ninth day)/; (fifteenth day)/*.—Pain iu back, with lassitude (third morning)/.—Dull pain in the back (after seven and fifteen hours, sixth day)/.*—Awoke with dull pains in the back and head (fourth morn- ing)/1.—Dull aching pain in the back, in the forenoon (eighth day),8.— Dragging pain in the back, in the evening (eighth day),'1.—Dull dragging pains in the back, on waking (seventh morning)/*.—Bruised pain in the back, aud feeling as if a severe illness had seized him (fifth day\7.— Forsal. Pain under the left scapula, at 11 p.m. (ninth day)/.—[250.] Dull pain under both shoulder-blades (after three hours, second day)/.— Lumbar. Pain in back, in the lumbar region (one hour after second dose, second day)/.—Slight aching pain in lumbar region, with general chilliness, when going out of doors (after first dose, second day)/.—Dull aching pain in lumbar region (after five hours)/.—Dull pain iu the small of the back (tenth day),8.—Awoke with dull pain in the small of the back and in the frontis and temples, same pain in back, in the afternoon (fifth and sixth days)/*.—Dull heavy pain in the small of the back (ninth day)/*.—Dull aching pain in the small of the back (after forty minutes, second day)/1.—Dragging-aching pain in the small of the back, on waking, and continuing until afternoon (third morning)/\—Dragging pain in the small of the back, on waking (eighth morning)/*.—[260.] Dull dragging pain in the small of the back, quite severe at times (after six hours, sev- enth day); same as yesterday, only more persistent, on waking (eighth morning); constant, dull dragging pain in the small of the back, but not very severe, at 12.50 p.m., and continuing through the day (eighth day),8. —Three or four sharp plunging paius in the region of the left kidney (soon, after second dose, third day)/. Extremities in General.—Dull pain in all the extremities, at 7 a.m. (seventh day)/.—Aching pain in the upper and lower extremities (seven hours and a half after first dose, sixth day)/. Superior Extremities.—Right arm felt lame and heavy, particu- larly about the wrist-joint (five hours after first dose, seventh and eighth days),7.—Severe pain in left shoulder-blade and arm, extending to end of little finger (after half an hour, first day)/.—Tearing pain iu the left arm, principally between the shoulder and elbow-joints, and sometimes extend- ing to the forearm, with a darting pain in the middle and ring fingers (after two hours and two days)/.—Sharp and lancinating pain in left axilla (after four hours)/.—Pain in the left arm, between shoulder and elbow, at 8.45 a.m. (second morning),21.—Pain in third and little finger of right hand, at 9 a.m. (second morning)/1. Inferior Extremities.—Thigh. [270.] Hard, drawing pain in the muscles above the knee (seveuth night)/.—Sharp, shooting pain in right thigh, then in left thigh, followed by a dull pain in left shoulder (after one hour, first day),3.—The pains about the limbs had all centred in the muscular part above the knees; a continual soreness existed, with occasional darting pains (twelve hours after first dose, seventh and eighth days)/.— Knee. Several times during the last two days have felt a sharp piercing pain at the inner side of the left knee-joint, but passing off so quickly I have not thought it worthy of much notice (sixth day)/.—Leg. Trembling and aching in the calves of the legs, so that walking is unpleasant (more pain MYRICA. 441 in left)/.—Pain from the knees down, with coldness of the lower extremi- ties, at 12 50 p.m. (eleventh day)/.—Severe pain midway between the knee and ankle, a little outside of the outer edges of the tibia; it was a con- tractive pain, with soreness to the touch, and worse on motion ; it occa- sionally changed to a burning pain (one hour after first dose, seventh and eighth days)/.—Soreness and pain in left tendo Achillis ; worse upon pres- sure, and when in motion (after second dose, third day)/.—Quivering sen- sation in the calf of the left leg, with a severe chill (after first dose, eighth day),1.— loot. Pain in hollow of right foot (after three hours and a half, second day)/.—[280.] Burning in the soles of the feet (first night)/.— Bruised pain in the heel of the left foot (one hour after first dose, third day)/. General Symptoms.—Muscular lameness and soreness had become quite general, affecting chiefly, however, the lower limbs, in the afternoon (seventh and eighth days)/.—No inclination to move, at 9 a.m. (second day)/*.—General languor and depression of spirits (five hours after first dose, third day)/.—Lassitude, with pain in back (third morning)/.—A good deal of lassitude; weak, sick feeling; every kind of exertion was irksome, and required a special effort (after three hours, fourth and fifth days)/.—Iucreased debility, can hardly keep around (eighteenth day\8.— Feeling a little tired (after second dose, second day)/.—Awoke feeling tired, as if I had been laboring hard (eighth morning)/*.—[290.] General feeling of lassitude, with soreness of muscles of both thighs, as if he had taken cold, though there were no other indications of it (five hours after first dose, seventh and eighth days)/.—General malaise, and feeling of unfitness for duty (one hour after first dose, third dayy7.—Feel sick, de- bilitated all over (fifteenth day)/*.—Constant miserable, sick feeliug all over (seventeenth day),8".—Shifting pains (one hour after first dose, third day)/.—Aching in the limbs and all over the body, like that preceding ague, at 10 p.m. (sixteenth day)/*.—Some of the symptoms lasted for four weeks/.—Symptoms were increased by the warmth of the bed, disturbing the sleep (first night)/. Skin.—Object fee. Whole surface of the body presents a yellowish tint (sixteenth day),8*.—Several pimples appeared in different parts, one quite painful on the nose (sixteenth day)/.—Subjective. [300.] Per- sistent itching in different parts, worst near the point of insertion of deltoid muscle in both arms (first day)/.—Frequent itching and stinging sensa- tions in right side of face, like the bite of a small insect, followed by simi- lar sensations in neck, shoulder, forearm, aud right leg, at a spot midway from knee to ankle (first day); the same evanescent itching, like fleabites, in a few minutes, followed by smarting of the eyes (after first dose) ; same itching in different localities (ten minutes after second dose, second day); the itching of the face gave way to a creeping sensation, as of insects (after second dose, second day)/. Sleep.—Sleepiness. Repeated yawning (after second dose, second day)/.—Repeated yawning, with slight dizziness, almost immediately (first day)/.—Drowsiness followed the sensation in the head, like foam rising in anything fomenting (after forty minutes, second day)/.—Have had drow- siness, attended with vertigo, most of the time through the day, at 6 p.m. (ninth day),8.—Drowsy and stupid, except when walking in the open air, in the evening (fifth day)/.—Drowsy and dull, attended with vertigo much of the time during lectures, all the forenoon, but not much pain iu head 442 MYRICA. (tenth day)/.—Drowsy while sitting in lecture-room, in the afternoon; felt better in the open air (twelfth day),8.—Drowsiness, and soon fell sound asleep in my chair (forty minutes after first dose); sound asleep in my chair, and obliged to retire to bed (ten minutes after second dose, sixth day)/.—[310.] Slept well all night (fourteenth night),8; (second night)/*. —Rested well through the night (first night)/.—Slept very well all night (first night)/*; (seventh and tenth nights),8.—Slept quietly all night (elev- enth night)/.—Slept soundly through the night (ninth night)/.—Slept sound, more so than usual, and until after 7 a.m. (an hour later than usual), (sixth morning)/.—Sleeplessness. Had a restless night (ninth night)/*.—Restless night, slept but little (sixteenth night)/*.—Passed a restless night, tossing about (first night),2.—Had a restless night; consider- able dreaming, but cannot recollect anything particularly about the sub- ject dreamed of (sixth night),8.—[320.] Had a restless night until 2 o'clock, then slept until 7 a.m. (eighth night)/*.—Restless towards morning (six- teenth night)/.—Frequent waking; unable to sleep after 5 A.M., though he had a strong desire to do so (sixth night)/.—Rested tolerably well the early part of the night; frequent waking occurred towards morning, with a feel- ing of insufficient sleep (seventh night)/.—Slept very soundly until towards morning, when sleep was interrupted by frequent wakings; felt dissatisfied with the amount of sleep, desiring more (fourth morning)/.—Awoke from an unrefreshing sleep, with an exacerbation of all the symptoms (sixteenth morning)/1.—Freams. Sleep disturbed by dreams (fifth and eighth nights)/.—Sleep was disturbed during the night by bad dreams, and broken by frequent wakings; did not feel that sleep had refreshed him (second night)/.—Sleep was very much disturbed by ugly dreams; at one time, the prover's head was attacked, singly and successively, by enormous bugs, which he felt obliged to kill, oue after the other, with difficulty (fourth night)/.—Amorous dreams and emission of semen, an unusual occurrence, not having been subject to a like circumstance within my recol- lection (third night)/. Fever.—Chilliness. [330.] Feel chilly when out in the air, at 10 p.m. (sixteenth day)/*.—General chilliness when going out of doors, with slight aching pain iu lumbar region (after first dose, second day)/.—Severe chill, with a quivering sensation in the calf of the left leg (after first dose, eighth day)/.—Feeling of coldness (after half an hour, first day)/.—Cold chills running over the top of head, with tightening of scalp (ten minutes after first dose, sixth day)/.—Coldness of the lower extremities, with pain from the knees down, at 12.50 p.m. (eleventh day),8.—Heat. Feeling of feverishness; yet the pulse was 60 (five hours after first dose, third day)/. —Excited, feverish feeling, alternating with chilliness (one hour after sec- ond dose, second day)/.—Sensation of warmth along the whole spine, espe- cially between the shoulder-blades, followed by a slight chill and a gentle perspiration, mostly perceptible over the dorsal vertebrae (after seven min- utes)/.—Face hot and flushed, at 8 a.m. (second morning),2.—[340.] Face and head felt hot (after nine hours, fourth day)/. Conditions.— Aggravation.—(Morning), Irritability; on waking, headache; constriction iu throat.—(Motion), Pain in head; headache above eyes.—( Warmth of head), The symptoms/. Amelioration.—(Afternoon), Pain in forehead, etc.—(Open air), General feelings,8; drowsiness, etc.—(After breakfast), General feelings/. MYRISTICA. 443 MYRISTICA. Myristica sebifera, Swartz. Natural order, Myristicaceae. Common name (Brazilian), Ucuuba. • Preparation, Trituration of the red, acrid, and very poisonous gum ob- tained by incising the bark. Authority. Mure, Pathogen. Bresil., p. 354. Mind.—He is indifferent and careless about his business (second day). —Inability to concentrate the thoughts, although important business has to be transacted (fifth day).— Since 4 p.m. he cannot fix his mind upon anything; he is much vexed by a song which keeps running in his head, and which he cannot get rid of (third day). Head.—Vertigo from right to left, on waking in the morning (first day).—Dizziness, in the morning (second day).—Head feels heavy (fourth day).—Pain in the frontal emineuce, at noon (fifth day).—Pain with sensa- tion of pressure from within outward, in the right frontal eminence; this pain intermits now and then, and is less in the open air (first day). Face.—Face very red (second day). 3Iouth.—[10.] Tongue white aud cracked (fourth day).—The whole mouth is painful (third day).—The whole buccal cavity, the tonsils, and the upper part of the pharynx, are painful aud sensitive to contact; every mouthful seems to wound these parts, when chewed or swallowed (second day).—Palate insensible, with loss of taste (fourth day).—Bitter mouth (fourth day).—Strong taste of copper in the mouth, which excites spitting of blood, for twenty minutes (third day). Till oat.—Burning sensation at the bottom of the throat (second day). —Constriction of the isthmus of the pharynx; this pain increases progres- sively (first day).—Difficulty in swallowing the saliva (first day).—Swal- lowing the saliva is easier and less painful (second day). Stomach.—[20.] Thirst (second day). Abdomen.—Sensation as if a foreign body, as large as a walnut, had lodged deep in the left inguinal region, all the forenoon (second day). Stool.—Stools mixed with yellow mucus (fourth day). Urinary Organs.—Less frequent micturition (second day).—Has not urinated since 5 p.m. on the previous day (third day).—He usually drinks two glasses of water on going to bed, and urinates immediately after; this evening he drinks, but does not urinate (second day).—The urine is scanty and discharged less frequently, although he drinks much ; it is of a reddish-yellow color (second day). Chest.—Hard pressure, during the night, on both sides of the chest, but it does not affect respiration (fourth day). Neck.—Pinching in the right side of the neck (second day). Superior Extremities.—The hands are stiff, as if from squeezing something for a long time (second day).—[30.] Pain in the left hand (second day).—The pain in the hands is worse when they touch each other (second day).—Formication on the left thumb-joint (second dny).—Paiu in the finger-nails, with swelling of the phalanges (first day). Inferior Extremities.—Pinching pain in the right calf (first day). Skin.—Two pimples on the left cheek; they disappear in an hour (third day). Sleep and Freams.—Cannot get to sleep, iu the evening in bed 444 NABALUS. (second day).—Restless sleep, with dreams about business quite foreign to his daily life; then about disputes (fourth day).—Very restless sleep (fifth day).—Sleep much disturbed ; he dreams of violent wrangling (third day). —[40.] Violent starting during sleep (fifth day).—Unconnected dreams about houses being built, beginning at the upper stories (second day). NABALUS. Nabalus albus var. serpentarius, Gray. Nabalus serpentarius, Hook. (Praenanthes serpentaria, Pursh.) Natural order, Compositae. Common names, White lettuce, Rattlesnake root. Preparation, Tincture of the whole plant. Authority. Dr. M. E. Lazarus, N. Am. J. of Horn., 4, 352, provings in a married woman aged nineteen, with the 1st and 3d dils. 3/lnd.—Depression of spirits, not deep, but quite remarkable during both provings, in the evening; giving place to a prompt decided reaction into increased cheerfulness and buoyancy duriug the interval between the two provings ; not so as yet after the second proving, with the first dilution, when melancholy has continued for a fortnight after discontinuing the drug.—Vague and sinister presentiments, in the mornings.—Irritability of temper, complained of in the evenings. Head.—Sensation of tipsiness comes and goes often, during the first day of either proving.—Frontal paius, deepseated, behind the right eye- ball and over the eye, for about five minutes, on the second evening, in either proving, sharp, called neuralgic.—Headache in frontal and vertical regions, with irritability, and in connection with persistent irritations of the throat, eyelids, and skin, and with constipation, on the eleventh day, a week after discontinuing the drug the second time.—Occipital pains, probably muscular, with pain and feeling of stiffness in the nucha and in the trapezoid region of both sides, increased by turning the head ; most severe on the second evening of the second proving, and continuing slightly for a week, worse in the evening. Eye.—Palpebral irritation, continuing for a fortnight after leaving off the medicine (1st dil.).—An old chronic disease of the eyelids is repro- duced.—[10.] The margins of the palpebral conjunctiva are very trouble- some, and rather get worse than better hitherto, for a week since discon- tinuing the drug; they sting and smart, and are slightly swollen and dry. —Weakness of sight; she cannot use the eye to sew or read without pain (this may be simply a consequence of the palpebral irritation). Nose.—The nose (right nostril) is sore, without catarrh; a swelled sore point is complained of.—Smell slightly impaired during latter part of proving (1st dil.). 3Ioutll.—Taste slightly impaired during latter part of proving (1st dil.). Throat.—The throat is sore, without catarrhal angina; swallowing is not difficult, but troublesome; much tickling and scraping is felt, ouly on the left side, worse when she lies down and swallows the saliva, then both eyes, especially the left, tingle painfully and fill with tears (probably from irritation of the submucous glands), (eleventh day).—Guttural irritation, continuing for a fortnight after leaving off the medicine (1st dil.). NABALUS—NAJA. 445 Stomach.—Appetite diminished ; she neglects her meals, yet food causes no inconvenience.—Prefers acids, lemons.—Thirst diminished ; she merely wets her mouth.—[20.] Gastric secretions perverted ; she has acid burning eructations, in the forenoon (during the first four days of second proving). Stool. —Constipation; only three stools in twelve days, hard and pain- ful, followed by languor and even by prostration. Urinary Organs.—Sharp pain in the right kidney, for about five minutes (fourth day of first proving, and eleventh day of second).—Renal secretion diminished, very little urine passed, and no prompting to urinate. Sexual Organs.—Sharp throbbing pains attributed to the uterus (third day of first proving).—Discharge of a white jellylike matter from vagina, accompanied with weakness (third day of first proving).—The catamenia, usually tardy, are more so than usual after the proving, delay- ing nine days. Neck and Rack.—Dorsal pains like those of torticollis, with like pains in the nucha and occiput. Extremities in General.—Joints affected with dull pain, and numbness on waking (fourth day of first proving). General Symptoms.—Susceptibility to magnetic contact excited, unpleasantly so, to the personal aura of her friends (slight).—[30.] Sen- sation of heaviness, as if the bloodvessels were filled with lead, the body feels heavy, she leans about. Skin.—Subcutaneous glands irritated and swollen, most observable before and behind the root of the right ear and in the neck.—Pricking sensation over the body, especially over the loins and lower limbs, as from suppressed perspiration ; on the fourth of the first proving and the eleventh of the second these itchings are most troublesome; but they last through- out both provings, and continue to develop themselves after discontinuing the drug; this whole series has been thoroughly marked.—Cutaneous itch- ing, continuing for a fortnight, after leaving off the medicine (1st dil.).— The pimples on the face itch about the nose, upper lip, and cheeks. Sleep.—Somnolence; characteristic of both provings, chiefly in the afternoon and early evening, w*ith sleep sound yet unrefreshing, sometimes feels tired on wakiug.—Night sleep prolonged, afterwards lighter and more broken. Fever.—Calorific functions depressed, chilliness, which the heat of the fire did not remove, not intense; observed during the third and fourth days of first proving, and several times duriug the second, not followed by any febrile reaction, unless we may so consider hot flushes over the head and face, after going to bed on the third night, and a few times since. Conditions.—Aggravation.—(Morning), Presentiments.—(Evening), Irritability of temper; occipital pains. NAJA. Naja tripudians. Class, Reptilia; Order, Squamata; Suborder, Colubrina ; Family, Elap- idae. Preparation, Tincture and triturations. Authorities. (Nos. 1 to 7 Dr. Stokes's provings, Br. Journ. of Horn., 11, p. 25, 1853.) 1, Dr. Stokes, proving by inoculation, some ("a drop at 446 NAJA. least") of the poison, received on sugar of milk, was made into a paste with water and inserted in the arm ; 2, effects of same preparation on "Rosa," aged nineteen; 3, Stokes's proving with 2d dil. (6 drops in 3 ounces of water, one dose of half an ounce first day, two doses second day, oue ounce fourth day), and 3d dil. fifth, sixth, and seventh days; 4, same, olfactions of 1st dil. first day, 8-12 globules of 2d dil. second, third, and fourth days, 1 drop of 2d dil. fifth day, 2 drops sixth day, 3 drops tenth day, 6 drops in water seventeenth day; 5, "Rosa," took 1 drop of 2d dil.; 6, same, proving two months later, 3 globules of 4th dil. three times a day; 7, same, four days later, took 6th dil. same way; 8, Dr. Russell, Br. Journ. of Horn., 11, 593, took 1 grain of 2d dec. dil. daily for six days; 9, same, three months later, took same doses first, third, fourth, and fifth days; 10, George E. Stewart, aged twenty-four, took 1st dil. night and morning for six days, from Russell; 10a, same, took 3d dil. night, and morning (twelve doses), except fourth night, when he took Camphor; 11, Dr. Craig, took 2d trit., two doses of 1 grain each, first, second, third, fourth, and one dose fifth days (took one dose of Bryonia 3d at 6 p.m., fourth day); 11 a, same, took 1st dil. once a day for four days, twice fifth day, and one dose of Bell, sixth day; 11 b, same, took 1st dil., one dose, first and second days, two doses third and fourth days, one dose daily sixth to twelfth day; 12, W. R., aged twenty-seven,*}* took 1st dil. first, second, third, tenth to fourteenth day; 12 a, same, took repeated doses of 1st and 3d dils. first to seventeenth day; 12 6, same, took 6th dil., twelve doses, in eleven days (has a cold, coryza, cough, and hoarseness); 13, William Gillow, aged twenty-seven,4; took 1st dil. twice a day for six days (took a dose of Nux v., for symptoms of cold, eighth day); 13 a, same, 1st dil. twice daily for four days, then once daily fifth, sixth, seventh, ninth, and tenth days; 13b, same, took 2d dil. first day, 3d trit. third and fifth days, 2d dil. seventh day, 1st, two doses, four- teenth and sixteenth days; 14, Dr. A. C. Pope,§ took 1st dil. daily for seven days; 14a, same, took 3d dil. daily for seven days; 14 6, same, took 6th dil. for seven days; 15, John Landell aged twenty-six, took 1st dil. daily for seven days; 15a, same, took 3d dil. daily for seven days, then daily from eleventh to seventeenth day; 15 6, same, took 6th dil. daily for seven days; 16, Dr. Drysdale (no result from 1st dil.), took 3d dil. for six days; 16 a, same, took 1st dil., new preparation, for six days; 17, Dr. Rus- sell, took 1st dil. for seven days; 17a, same, took jfa grain of crude first to fourth, seventh, and eighth days; 17 6, same, took T^ graiu crude every f Symptoms more or less previous to, but only slightly present at time of proving : Skin dry and itching, especially on undressing; chilblains; occasional pimples about chin and back of neck; lips dry; frequent vexed mood, with disposition to find fault; frequent dull, heavy sensation in lorehead ; sensation as if skull at fore- head were too tight; feels thin and starved, worse on waking in morning, and during and after a walk in the air; sensitiveness of scalp (head symptoms less dur- ing proving); wings of nose dry and sore; frequent cold in head; eyes yellowish, often bloodshot; uneasiness and fulness in pit of stomach ; flatulence; constipation; voice often hoarse; frequent hawking to detach tough mucus that is always swal- lowed; chest weak; short breath, and palpitation on running; frequent oppressive fulness under sternum, as from tough mucus ; back weak ; a dull aching and numb feeling in lower back, on stooping especially; heavincss'of hands and arms; per- spires easily; veins of hands swell when hanging down. % Constantly troubled with pityriasis of scalp, with much itching and soreness, worse in hot rooms, etc. ; mealy desquamation in other parts of skin ; old haemor- rhoids, with extreme pruritus : frequent severe flatulence. \ During last few clays, bowels costive and irregular; whenever I feel more dys- peptic than usual, I have a slight cough on rising in the morning. NAJA. 447 morning for fifteen days; 18, Mrs. R., aged twenty-seven,f took 3d dil. for seven days; 19, M. C, a woman, aged thirty-eight, took 1st dil. for six days; 19a, same, took 3d dil. for six days, and again, after six days, for four days ; 19 6, same, took 6th dil. for six days; 20, Dr. Stokes, Month. Horn. Rev., 1859, vol. 3, p. 162, proving on Mr. McSwinuey, aged thirty- eight, with 2d dil., 3 to 12 drops daily, for seven days; (21, omitted); 22, Duffin, from Dr. R. Russell (1788), a woman was bitten in leg; 23, same, second case, a man was bitten in toe; 24, a man was bitten on the ankle' from Russell; 25, effects of bite on hand, ibid.; 26, Gurling, was bitten on nose when partially intoxicated ; 27, Chambers, Glasgow Med. Journ., 1819, effects of bite on back of hand in a woman, from Russell; 28, Ireland! effects of bite of Coluber carinatus on hand, Med.-Chir. Trans., 1813, p. 396; 29, same, second case; 30, same, third case; 31, Bucklaud's Curiosities of Nat. Hist., effects of inoculation with poison of the cobra through a raw spot near the nail of a finger used to take off the skin of a rat that had been killed by the snake; (32, omitted); 33, a woman was bitten on the toe, Horn. Times, 1852, p. 195; 34, Hom. Times, 1852, p. 194, effects of bite in a man (was walked up and down for three hours and a half, not allowed to stop; he also drank large quantities of brandy); 35, Dr. Lounds, effects of bite in leg, Month. Journ. of Med. Sci., 1854, p. 136; 36, Du Chaillu, Am. Hom. Obs., 1869, p. 168, effects of bite in a man ; 37, Fayrer, Thauatophidia, effects of bite in a girl, aged seven; 38, same, in a man, aged forty-five, death iu fifteen minutes; 39, same, in a man, aged thirty- two, death in three hours; 40, same, in a boy, aged fifteen, death in ten hours; 41, same, in a man, aged twenty-five, death in twelve hours; 42, same, in a man, death iu two hours; 43, same, effects in a woman, Ed. Med. Journ., 1869, p. 425; 44, same, second case ; 45, Dr. William H. Holcombe, U. S. Med. and Surg. Journ., 1866, p. 234, given to a woman suffering from organic disease of the heart, it produced a new symptom. 3lind.—Emotional. Temper good; very excitable and playful, oftener than common (fifth day)/.—Is affected easily by a very little wine or alcoholic drink during the week (after three days)/.—His mind wan- dered, but at last he got. better, and was able to go out again; a short time .after, having an axe in his hand, going, as he said, to cut wood, he suddenly split his own head iu two; he had become insane/6.—Very slight emotion, pleasing or otherwise, brings a strong inclination to tears (seventh day)/'*'1. —-She cried, and seemed to suffer much pain/7.—Dulness of spirits (after nine hours and a half, third day)/7.—Rather dull iu spirits, without suffi- cient cause (second day); great depression of spirits (third day); very low in spirits (fourth dayj/.—Sense of depression (soon, first day)/;b.—Consid- erable depression of spirits, and a feeling of inability to exertion of any kind, and a conviction that all is going wrong; head very painful, and spirits very much depressed (third day),Ha.—[10.] Great depression of spirits this morning; everything for two or three hours appeared to go wrong with me, and to be without remedy; being called out of town in the afternoon somewhat suddenly, these feelings went off in a great measure, though they did not entirely subside (sixth day) ; considerable lowness of spirits; great inaptitude for exertion, with sense of aching over the whole head; this continued more or less all day (seventh day); feel to-day very low-spirited; cannot do anything; got better towards evening (eighth f Subject to congestion to the head, profuse menses, leucorrhoea; nursing at time of proving. Since taking N., leucorrhoea entirely disappeared. 448 NAJA. day),"1.—Great depression of mind, with the distress about the generative organs (fourth day),13b.—Sadness or serious disposition (third, fourth, and fifth days) ; sadness and irresolution (sixth day)/.—Iutense depression of spirits usually accompanied the headache; this melancholy was of a pecu- liar kind; I felt that everything that was done was done in a wrong way, and could not be rectified; if I felt that I had some duty to perform, I had at the same time a strong impulse not to do it, and was extremely restless in consequence; I seemed to have an increased perception of what I ought to do, but, at the same time, an unaccountable inclination not to do it, to which I was irresistibly compelled to yield; "I couldn't help it, didn't know why, but couldn't do it." The moral symptoms were not present at all during October; they were very distressing while taking the November packet, and, although present, were much less severe in December/*.—Felt melancholy; began to form images of possible wrongs and misfortunes, over which the mind broods; very wretched at times; in the evening (first day); yesterday and to-day is very wretched; a slight cause sets him iu a perfect agouy of mental suffering on another's behalf; mind brooding over imag- inary troubles; in the evening he feels more himself, and loses much of his depression (eighth day); makes himself imaginary troubles and wrongs, and frets over them for two hours (tenth day); sad thoughts, with the pressure and gagging in throat (eleventh day); spirits good; disposed for work ; mind active (reaction), (seventeenth day)/.—Increased evenness and cheerfulness of temper/.—Irritable, restless (fourth day)/5.—Temper quicker than usual (first day)/.—Inclined to be displeased with everything (sixteenth day)/'■**. — Intellectual, Walked in open air; all dulness passed off, and was succeeded by an unusual state of excitement and en- ergy, mental and physical, lasting the night, with a lively, waking state, giving the sensation in morning of having been awake all night. Query, reaction (first night); the state of excitement continued till evening, slowly subsiding (second day)/2.—[20.] Feel more fit for work to-day than I have at all (sixth day)/**.—Feeling so dull in the evening that I did not repeat the powder (first day)/2.—Feeling stupid and confused/1.—Forgetfulness (sixth day)/5a.—Very forgetful (fifteenth day),15a.—Forgot everything for several minutes/1.—Memory confused (eighth day)/.—Absence of mind (after second dose, third day)/1.—Consciousness all but, possibly quite, abolished (after thirty-five minutes)/6.—Comatose/1. Head.—Confusion and Vertigo. Confusion in the head (in less than an hour, and next morning)/5.—[30.] Slight confused feeling in head (very soon),10a.—Vertigo, lasting only a short time, and by aud by stound- ing pain in right side of head (after second powder, third day),10.—Gen- eral Head. Considerable congestion to the head'at midday (sixth day); increased, with fluid discharge from the nose (seventh day)/2*.—Head dull (after second dose, third day)/1.—Duluess in the head (after four hours, fourth day),10.—Dulness about head (sixth day)/3.—Head feels heavy, with vertigo, or rather dull, confused mental state (after two hours),10.—Heavi- ness of head (after one hour)/1.—Instead of headache, felt rather a dull heaviness (second day)/0.—A feeling of hollowness over the entire head, which continued for several days, and caused me W leave off further prov- ings (seventh day)/0.—[40.] Sense of aching over the whole head (seventh day)/4b.—Headache (eleventh, fifteenth, and sixteenth days)/3a ; in morn- ing (seventh day)/; in evening (first day)/2.—Passed a very uncomfort- able night; slept much, but conscious of a headache (seventh night)/3.— Slight headache (after second powder)/9b; (after nine hours and a half, NAJA. 449 third day)/7, etc.—Very slight headache, more or less all day, chiefly frontal and vertical (fourth day),Ub — Very slight headache, all day, which was pretty severe and throbbing for a short time, about 3 p.m. ; frontal headache (second day)/9.—" Very bad headache, especially acute over the left eye, just like a scald, for at least an hour," soon after breakfast (fourth day)/9.—Very bad headache, and stomachache all over (abdomen), at 9 p.m., but probably owing to a jargonel pear, eaten in the former part of evening, not usually so affected by so little fruit (third day)/9.—Thoughts of giving over taking powders, on account of the violence of the headaches caused by them (fourth day); very bad headache, on waking in the morn- ing (fifth day)/9.—Dull headache (first day),10; (first night)/51.—[50.] Dull headache, worse over right eye (seventh day)/51.—A most oppressive headache, at 8.30 a.m. (eighth day),13.—Forehead. Slight pain in fore- head, soon (first night)/7*.—Slight pain in left frontal protuberance (after a few minutes, first day)/7.—Rather severe and steady pain in left frontal region (soon), (seventh day)/7.—During the fourth and fifth days, but much more upon the fifth, had considerable pain in the forehead, which woke me in the night, and I woke on the morning of the sixth with this pain; the pain was attended by fluttering of the heart, and was of a dull character, with occasional stitches in the frontal protuberances/.f—Frontal headache (fourth day)/5.—Frontal headache (second night) ; headache continued nearly all day (third day) ; dull frontal headache, with a feeling of weariness (fourth day); frontal headache all day, with yawning and lassitude (sixth day)/5.—Headache above eyes (twelfth day)/91; till past midday (first day)/9.—Slight frontal headache (sixth day),14b.—[60.] Slight frontal headache, with the dragging and weariness in the limbs (after the first dose) ; went off (after the second dose)/.—Slight headache (frontal), which, however, is on the increase (after second powder, fourth day),10.— Slight frontal headache was a constant symptom/7b.—This evening, being in a very crowded hall at a public lecture, a slight frontal headache came on, with nausea and sour taste in the mouth ; nostrils also more clogged up this evening; slight cough with wheezing; these symptoms, however, are more attributable, I imagine, to the heated atmosphere of the lecture hall than to the cobra poison (fifth day),14b.—Slight headache above the eyes (thirteenth day)/9a.—Slight headache, confined to the lower part of the brow (fourth day)/7a.—Slight fulness and pain in upper part of forehead (after half an hour, third day); in the morning (fifth day)/7.—Excessive fulness, towards evening, over the forehead and root of nose (sixth day)/2*. —Slight headache across forehead, aud tight feeling, with dryness of throat (tenth day)/3*.—Constricted feeling across forehead, with slight anterior headache; never accustomed to this in the afternoon (after two hours, fifth day)/31.—[70.] Headache across eyes ; peculiar oppression in forepart of head, constricted feeling, went off after breakfast (second day) ; constricted sensation across eyes, going off after breakfast (third day)/31.—Found on going to bed peculiar headache; dull constricted feeling across forehead, with heaviness of eyes (second night); again the same slight headache, with dryness of mouth and cold feet; no pain or inability to think or study, but slight, dull, and constricted sensation about forehead, from one temple to the other (after one hour and a half) ; slight dulness again across f The weather was cold and raw, and easterly winds prevailed ; this might ag- gravate the symptoms, but I never recollect having this headache from any atmos- pheric cause. vol. vi.—29 450 NAJA. forehead, with dry mouth (after eleven hours and a half, third day)/8.— Occasional aching pains in forehead throughout the day (second day),10a.— Severe headache, aching and frontal (two hours and a half after second dose, fourth day),10.—Very severe aching pain across the forehead, but more particularly over each temple, aud an excessive weight over the upper eyelids; there is a feeling of tightness across the vertex; this pain is very severe, but felt a little relieved on going out, in the morning; head very painful; the head continued painful in the same manner and same locali- ties as early iu the morning, but more modified in degree as the day ad- vanced ; the eyes are certainly the most painful, the pain is very much aggravated by motion or exertion of any kind ; the scalp feels sore to touch; the headache was very much relieved by smoking a small pipeful of very mild tobacco (third day) ; to-day the pain in head has been less, it continued in the same localities, and tolerably severe until 2 o'clock, when I took half a wineglass of pale brandy, which entirely dissipated it; on taking a powder the headache immediately returned, though very slightly (fourth day); headache, similar in every respect to that mentioned on the third day, came on this morning on taking the powder, and re- mained for two or three hours, when it passed off (fifth day); very slight headache, chiefly over the right eyelid and in the right temple (sixth day); slight headache, frontal, pain aching for an hour or two this morn- ing, but got quite well towards night (seventh day)/4\— Dull headache over eyes, worse over right, with the coryza (first night)/5.—Severe dull aching frontal headaches, with dull shootings (stoundings, I can't get a satisfactory term to describe them), (fourth day),10.—Headache, occupying the frontal region, immediately came on; it was a kiud of heavy oppres- sive aching (fifth day)/*.—Very severe shooting frontal headache, worse on moving the head, from 4 to 6.30 P.M., probably, however, owing to a glass of wine before dinner, and hasty eating of the latter, at an earlier hour than usual (fifth day),10.—Frontal headache, dull, shooting (after second powder, sixth day),10.—[80.] Darting pains running across the forehead (second day)/71.—Went to bed with severe, dull, stitchy pain in forehead, preventing sleep (third night),10.—Since breakfast, sharp shooting pains from one temple to the other, relieved in open air (twelfth day)/Da.— Slight throbbing headache above the eyes (after first powder); not so severe (after second powder, first day)/9'.—Severe throbbing frontal headache, in the afternoon (first day)/9.—Sensation as if the brain of the forehead was loose (third day)/8.—Temples. Awoke this morning with a slight aching in both temples, and heaviness in the eyes; this lasted for some two or three hours and went off (second day) ; slight temporal aching, several times, in the evening (second day) ; felt a similar pain in the head, on waking this morning; this pain has continued in a very slight degree all day (third day)/4.—Slight aching in the temples and across the forehead (fourth and seventh days)/4.— The most persistent aud best marked symptom was severe headache, usually accompanied by intense depression of spirits; the headache was very severe, at times almost unendurable, and the mel- ancholy equally distressing; the headache was most marked, and usually began in the right temporal region (also occupying the left, though in a less degree), and involved the eye of the same side; the pain was a deep- seated severe aching, occasionally shooting; it gradually extended to a sense of dull aching over the forehead and vertex, but always remaining most severe in each temple; the least motion aggravated it intensely; it was relieved by going into the open air, though but slightly; smoking pro- NAJA. 451 cured more marked relief, and alcoholic liquors immediately dissipated it; this pain in the head was present whenever the powders were taken, though most severe on the third and fourth days of the November proving/4.—A dull aching commenced about noon over the right temple, and gradually extended to the forehead ; it gradually wore away during the afternoon (third day),"'.—[90.] A few stitches in the left temporal region (soon),9.— Throbbing of temples, and disagreeable fulness of head when lying (fourth day)/5.— Vertex. Aching at the vertex, with coldness of the feet (eighth day),m—Parletals. While driving in the gig, I felt a sudden pang of pain through the left side of the head; it appeared to begin about the back of the head ; it lasted only a minute or two, and was not followed by any- thing, nor had it any definite character (fourth day)/6*.—Occiput. Dull shoots up occiput (third day)/.—External Head. A great deal of scurf on the head/7b.—Hair falls off very much, especially from the crown (seventh and eighth^days)/8.f—Scalp painfully sensitive (third day)/8. Eye.—Objective. His eyes stood staring and fixed,23.—Eyes wide open and insensible to light/7.—[100.] Seemed not to perceive objects, though his eyes were open (after some hours)/5.—Eyes fixed (after a quarter of an hour),24.—Eyes fixed, pupils rather large, acting sluggishly to light (after thirty-five minutes),"6.—Eyes weak (third day)/8.—Subjective. Eyes felt heavy (fifth day),14.—Heaviness aud dull pains in the eyes, with suffusion for an hour (two hours and a half after second dose, fourth day)/9. —Slight heaviness over eyes (fifth day)/3; (after six hours, sixth day)/3*. —Some little weight over eyes (seventeenth day),13b.—Heavy aching over eyes (sixth day)/3.—Oppression across eyes, heaviness in the evening (sev- enth day)/3.—[HO.] Eyes seem constantly to require cleaning with the lids, frequent prickling, sight confused on looking at small print, etc.; have to rub the eyes and look closely at it (eighth day),12a.—Rrow. Pain in brow (soon, first day)/71'.—Very fine pricking in left eyebrow (third day)/.—Lids. Eyelids of the right eye, especially the upper, were swollen and livid, the lividity extending to the right side of the uose (after thirty- five minutes)/6.—Eyelids puffy, in the morning (second day)/.—Numb feeling of right lid (first night)/5.—Heaviness of eyelids (fifteenth day),151. —Heaviness of the eyelids, with difficulty in keeping them open; on exam- ination, found that the edges of the tarsal cartilages had a very livid appearance, in the forenoon (fourth day),14b.—Rail. Pain in the eyeballs, requiring them to be rubbed frequently, and tired feeling on looking at a book, although I have read less than usual to-night (four hours and a half after second powder, fourth day),10.—Hot pain at the back of the eyeballs (fourth day)/9.— Vision. [120.] Loss of the sense of seeing (after ten hours)/2.—Unable to see, although his eyes were open (after one hour)/1. Ear.—Felt burning of ears, very soon (second day)/.—Occasional whizzing sound in one ear (the left), with insipid, almost nauseous taste in mouth (third day)/.—Great noise in the ears, as if a mill were going in the head, on waking iu the morning (fifth day)/9. Nose.—Objective. Fluid discharge from the nose, with the conges- tion to the head (seventh day)/21.—Coryza worse, with dull headache over eyes (first night)/5.—Very severe coryza (third and seventh days),15b.—Previous- symptoms appeared coupled with a severe cold or influenza, the same being now very prevalent; have desisted from the proving on that account;. severe cold in head, fluent coryza in nose and eyes, violent bursting head- ■j- Hair has fallen off lately, previous to taking powders. 452 NAJA. ache, pains in limbs, from the prominent symptoms (ninth day); very bad of same symptoms as yesterday (tenth day)/8.—Subjective. Have felt ever since the forenoon as though a sharp attack of influenza were coming on (fourth day),14b.—[130.] Some time in the forenoon I perceived a con- siderable stuffing of the nostrils to come on, gradually at first, but more rapidly soon afterwards ; very much increased in the afternoon and even- ing, and greatly aggravated by my going out in the evening and walking some distance through the very dense fog; on returning home, a free dis- charge of thin watery mucus came on, and has continued since; it has afforded considerable relief, being more able to breathe through the nose (fourth day) ; the stuffing of the nostrils though present, was so in a much less degree than yesterday, all the morning; nostrils were clogged up this evening (fifth day)/4".—Nose feels sore, hot, and discharges thin secretion (fourth day)/8.—Soreness and irritation of the left ala nasi (third day)/4. —Wing of nostril becoming sore, hot, aud tender (twenty-first day); nose worse, swelled and painful; secretion suffused (twenty-second day); nose relieved by an eruption on its edge (twenty-third day),12*.—The right nos- tril is extremely sore, feels as if ulcerated (sixteenth aud seventeenth days)/. Face.—Objective. Countenance expressed some anxiety (second day)/5.—Face flushed, iu the evening, and burning hot (first day)/.—Face red on rising, and covered with hard knots like in erysipelas ; this disap- peared after washing (second day)/.—Face generally slightly livid (after thirty-five minutes); the lividity had very markedly increased (after forty minutes)/6.—Face of a greenish-yellow color/1.—[140.] Looked very pale and ill (after eleven days)/.—Looks thin and haggard in face, dark round eyes (fourth day)/8.—Subjective. Sensation of having caught cold in face and limbs, but without any chilliness or languor; at night, pains in face increased (twelfth day)/2.—Dull, sticky, deepseated pain in right side of face, for a few minutes (after second powder, third day),10.— Cheeks. Cheeks red, especially on cheek-bones, patchy (seventh and eighth days),18. —Awoke soon after midnight, with guawing aching in left upper jaw, some- times shooting to the eye aud temple, continued till half an hour after rising; did not occur throughout the day, or only threatened a few times (twelfth day)/21.—Lips, Lips dry, black pores and cracks (fourth day)/8. —Lips dry, parched, inclined to crack (seventh day); dry and cracked (eighth day) ; dry, painful, excoriated (ninth day)/21.—Hot sore feeling of the lips (four hours and a half after second powder, fourth day),10.— Chin. Jaws locked (after a quarter of an hour)/4.—[150.] Jaw so firmly clenched that the handle of a spoon was called iu requisition to force open his mouth/3.—Mouth wide open, tongue cold/7.—A drawing, paiuful sensation in the right jaw (after half an hour, fourth day)/.—Bruised paiu of left condyle, severe when moving jaw (fourth day); soreness of condyle of jaw not so severe (twentieth day),15b. 3Iouth.—Teeth and Gums. Teeth and jaw-bone, left side, begin a gnawing and aching (ninth day)/2*.—Pains in stumps of decayed teeth, towards evening; at night gums became paiuful and swelled (twelfth day) ; teeth loose and gums becoming more swelled and painful, in morning on waking; two hours after rising, gums became hotter, teeth on right side got very loose; gums hot, swelled, and painful to touch (thirteenth day); \ f Have not had any affection of gums and teeth like above, for twelve months prior. NAJA. 453 swelling of gums extending to other side of face (fourteenth day) ; pains in teeth not much influenced by heat and cold (fifteenth day); mouth still sensitive, and gums swollen (sixteenth day); gnawing aching in sound teeth of left side (seventeenth day); drawing aching in teeth of left side, worse when stomach is empty (eighteenth day)/2.—Tongue. Tongue coated with a thick yellow fur'(sixth day)/.—Tongue coated white (sixth day)/*b.—An ulcer on the frsenum of the tongue (seventh day),20.—Tongue very dry, in the morning; no thirst (third day)/0.—[160.] At the spot of the tongue where the powder fell, there is a sense of rawness, as if it would rise to a blister (after half an hour, fourth dayy8.—General 3Iouth. Sore on under lip opposite left canine tooth ; gum much swollen and in- flamed (seventeenth day); ulcer of lip disappeared in about twelve days after finishing the medicine/58.—Dry mouth; this continued more or less all day (sixth day)/3.—Dry mouth (second to third day); more than usual dryness of mouth (fifth day)/3.—Mouth dry on waking in the morning (second day),10.—Dry mouth and throat, disagreeable taste, as if breath was offensive (after two hours, fifth day)/3*.—Mouth very dry (second and third mornings)/3*.— Great dryness of mouth, frequent expectoration, as if from throat, at 8.30 a.m. (eighth day)/3.—Clammy mouth, in the morning (second day)/9.—Acid rawness in the palate all day (fourth day); has increased rather, to-day, and has remained (fifth day); considerable raw- ness of palate (sixth day),"1.—Saliva. [170.] Salivated/1.—^ foamed at the mouth,23.—Foaming at the mouth (soon)/9.—Foamed at the mouth a little (after one hour),40.—Taste. Insipid, almost nauseous taste in mouth, with the whizzing in the left ear (third day)/.—"Horrible taste" (second day)/9.—Bitter taste in mouth (second day)15.—Sour taste in the mouth (fifth day)/*b.—Sour taste in the mouth, with nausea, aud roughness of the tongue aud palate, in the evening (third day)/4*.—Sour, raw kind of taste in the mouth (sixth day),"b.—[180.] Cuprous, metallic taste in mouth (thirteenth day)/2.—Speech. Ceased to speak intelligibly (after twenty minutes)/6.—Could not speak articulately (after some hours),25.—Soon speechless and insensible/4.—Unable to speak (after thirty-five minutes)/', (after one hour)/1.—Unable to speak; he was unconscious and could give no answer (after two hours)/9.—It was twelve hours after he began to show signs of returning life before he recovered his speech/4. Throat. —Objective. Spasms of the throat (after one hour)/1.— (Secretion in upper part of throat more abundant than usual; very hoarse), (third to fourth day),12h.—Accumulation of tough mucus at top of throat (eleventh day)/2b.—[190.] Great hawking of mucus from throat (seven- teenth day)/.—Subjective. Throat dry on waking (second day)/.— Disagreeable feeling in the throat, a good way down, like indigestion, for about two hours (first day),19b.—Had complained, it was said, of constric- tion in the throat/1.—Constricted feeling and dryness in throat (after one hour, sixth day)/3*.—When dozing, I was roused by a sudden sense of choking, a sensation I never experienced in my life before, a sort of grasp- ing of the throat (soon) ; a few minutes later, felt a sudden jerking of the masseter muscle of the left side (first morning),8.—Pressure and gagging in throat, with sad thoughts, for ten minutes, in the morning (eleventh day)/. —Has had a sore throat all day, worse since taking the powder (fifteenth day); is subject to an attack of tonsillitis every winter/9*.—Awoke with some soreness of the left side of the throat (twelfth day)/*b.—Rawness in the throat for several hours (fourth day)/9.—[200.] Feeling of rawness in throat, with slight pinching of stomach (soon), (third day),17a.—Slight feel- 454 NAJA. ing of rawness in the throat (fifth day)/9.—Roughness in the throat from reading aloud only a short time (ten minutes after second powder, second day)/01.—Sense of scraping in throat (soon), (second night)/71.—Scraping sensation in throat, with the hoarseness, towards night; more effort re- quired to swallow than usual (third day); towards night, scraping in the throat, and an accumulation of tenacious secretion at top of throat, in- ducing frequent inclination to swallow (fourth day); only a slight forma- tion of mucus, easily detached by hawking, and then always swallowed (seventh day)/2*1.—Tonsils. Left tonsil inflamed and painful, at 8 a.m. (ninth day)/'1.—Slight pain in oue tonsil (soon), (second day)171.—Slight ehooting pain in left tonsil (after two hours, third day)/7.—Fauces, Pharynx, and (Esophagus. Some little dryness about fauces (seventeenth day),13b.—Uneasy dryness of the fauces (soon), (second day)/. —[210.] A peculiar stringent sensation in the pharynx (fifth day)/7.— Kind of burning pressure on a point at back of pharynx, several hours this afternoon (first day)/.—After a considerable fast, dull pricking in the left pharynx (after one hour, third day) ; slight pricking in the left side of the pharynx (three hours after first powder) ; soreness in left side of the throat much worse (eleven hours after second powder, fifth day); left side of the throat is red, with considerable pain on swallowing, in the morning; throat very painful (after twelve hours, sixth day\Hl.—The stricture of the oesoph- agus increased so much that nothing could be forced down the throat/3.— Swallowing. Deglutition was so much impeded that hardly anything could be got to pass into the stomach (after ten hours),22.—Power of swal- lowing gone/7.—External Throat. Startings about his throat (after some hours)/5.— Felt a pressure on upper part of right sterno-mastoid muscle, extending over the skin to angle of jaw, for five minutes (first dav)/.—Increased tenderness of the throat and over sternum, lasting all day (sixth day)/0. Stomach,—Appetite, Appetite failing (ninth day)/2*.—[220.] Loss of appetite,9; (fifteenth day)/2.—Craving for stimulants, which aggravate the state (eighth day)/.—Great desire for wine (fourth day),Ub.— Thirst. Thirsty (sixth day)/8.—Very thirsty (seventh and eighth days)/8.— Eructations. Eructations, tasting like barley water, since shortly after taking powder (after four hours),10.—Hot, foul risings of air from stomach (fourteenth day)/2.—Acidity of stomach (seventeenth day)/.— Nausea and Vomiting. Nausea (fifteenth day)/2; (second morn- ing),20; without vomiting (immediately)/1; all day (soon), (first day)/7b; after breakfast and dinner (sixteenth day)/51.—Nausea and faintness com- ing on suddenly soon after breakfast; removed by acid fruit (second day)/8. —[230.] Nausea, and a disagreeable sensation in mouth (soon), (third ^ay)/71.—Nausea, with very parched mouth, in the evening; frequent in- clination to expectorate rather adhesive saliva, yet constant desire to drink, in the evening (seventeenth day)/3.—Nausea, with pain of stomach and feeling of prostration ; a beating in stomach ; relieved in open air (twelfth day)/5*.—Slight nausea (seventh day)/7; on going to bed (second day)/3. —Slight nausea and empty eructations, during the forenoon (first day)/7. —Sensible of sickness at the stomach, but did not vomit (soon)/5.—Decided nausea (after the dose, third night and fourth morning),171.—Eat a few walnuts, which caused sickness and pain of stomach ; they never hurt me before (fourth day)/5*.—Sick feeling, which, however, she attributes to having taken the powder dry on the tongue instead of in solution, which she did because she was suddenly called away when she was about to take NAJA. 455 the powder (third night) ; a little sickish, like last night (fourth night)/9*. —During the evening felt sick, almost to vomiting (fourth day)/5.—[240.] Frequent faiutish sick turns pass over her (sixth day)/8.—Felt "sickish," from a "feeling in the throat," opposite the top of sternum (soon); con- tinued sick, and felt a disagreeable sensation about stomach, and headache above the eyes, till past midday, and belching up of water in the throat, and flatulence; in the afternoon began to feel pain in the throat again, "like as if she had the cold" (first dav)/9.—Very qualmish and dull in the evening (first day)/2.!—Vomiting (in a few minutes)/9; (after ten minutes)/8.—Vomited plentifully,23.—Stomach. Uneasiness in the stom- ach, which soon passed off (after six minutes)/.—Disagreeable feeling in stomach (sixth day)/9.—Feeling of indigestion ; sensation as of a lumo in stomach and upper part of oesophagus (twelfth day)/91.—Sinking sensation in stomach (second day)/8.—Great heat in the stomach when empty, and hot and foul eructations (eighteenth dav)/2.—[250.] Disagreeable feeling, as of a loaded stomach (second night),19b.—Griping sensation in the stom- ach (soon), (eighth day)/'1.—Slight pinching sensation in stomach, like incipient gastrodynia (soon), (first night)/7*.— Slight pinching in stomach, with feeling of rawness in throat (soon), (third day)/7*.—Slight spasmodic pain in stomach (soon), (second night)/7*.—Pressure, as from stones in stomach, after each meal (seventeenth day)/.—Pricking in stomach (soou), (fifth day); after dinner (seventh day)/. Abdomen.—Hypochondria. Occasionally, throughout the day, stitchy, evanescent pains from before backwards in both hypochondria; anguishing pain in left hypochondrium and left lumbar region, for an hour or two after taking dinner,and flatulence; aching pains around loins occa- sionally (second day); after going to bed was very much annoyed for a long time (an hour or more) with aching pain iu loins, constant, and with anguishing pain in abdomen, with flatulence (second night),10.— Umbili- cal and Sides. Uneasiness about the umbilical region (after a few minutes, first day)/7.—Frequent sharp griping pain at umbilical region (fifth day)/7.—[260.] Occasional twisting pain in umbilical region (first day)/7.—Frequent cutting in umbilical region and small of back, followed by a rather profuse and sudden leucorrhoea, in the afternoon (second day)/8.—Griping pain in the left side of the abdomen, for about ten min- utes (soon),9.—Dull, aching, coliclike pain along left side of abdomen, which lasted for more than an hour, and was relieved after several flatu- lent eructations (ten minutes after second powder, second day)/01.—Gen- eral Abdomen. Swelling in abdomen, with feeling of tightness and flatulence (after second powder, fifth day),10*.—Flatulence (second day) ; considerable flatulence, not so bad as before (third day),10.—Troubled w'ith flatulence (first day), also to-day, but not so much (second day),10.—For some time past have been troubled with flatulence, and mild, colicky pains in abdomen (fifth night),10.—Much flatulence during the course of the day (seventh day),10.—Much flatulence, and colicky pains in abdomen (after second powder, sixth day),10.—[270.] Rumbling and aching in bowels, after dining (seventeenth day)/2.—Rumblings and slight cutting pains in bowels, in the afternoon (fourteenth day)/2.— Uncomfortable sense of emptiness at abdominal region, relieved by folding the arms over it and pressing (fourth day)/8.—Occasional pains in the bowels throughout the day (fourth day)/.—Slight pain in the abdomen (seveuth, tenth, and elev- f Usually more inclined to exertion, mental or physical, in evening. 456 NAJA. enth days)/.—Severe pains in the belly, which, upon examination, ap- peared tense and much swelled; the sense of tension or tightness spread fast towards the heart/3.—Very severe pains of abdomen, occasionally last- ing two minutes (sixth day)/51.—Griping pain in the bowels immediately after dinner, relieved by a large bilious stool (seventh day)/4.—Dull paius in abdomen (after second powder, fourth day),10.—Occasionally dull pains in abdomen throughout the day (fourth day),10.—[280.] Sharp pains of abdomen (eleventh day)/51.—Cutting pains in the abdomen, extending to lower region of back (fifth day)/8.—Severe cutting pain of abdomen, last- ing a minute (after fifteen minutes, fourth day)/5*.—Tearing pains of ab- domen (first night)/5*.—Now and then tearing pain in abdomen (third day)/.—Tearing pains of abdomen, which lasted two hours, in the morn- ing (sixth day)/5.—Colicky pains in abdomen (fourth night)/9*.—Colicky pains in abdomen (slight), (soon), and occasionally throughout the day (third day)/0.—After being in bed, and before falling asleep, was a good deal annoyed with flatulent colic (first night),10.—This evening, after dinner, felt a rumbling and aching in the abdomen, as though diarrhoea were going to come on, and frequently, when sitting perfectly still, a heavy pulsation appeared almost to lift up the bowels (third day)/4.— Hypogastrium and Iliac Regions. [290.] Griping pain once or twice in lower part of abdomen, with desire for stool during the continuance of the pain (after second powder)/0**.—Tormina in lower bowels, with desire to evacuate them (after nine hours and a half, third day)/7.—Frequent, rather severe cutting pains, shooting from below upward, in lower abdomen, internally (sixth day)/8.—Felt a pain dart from left ilium forwards into abdominal muscles; lasted only a momeut, in the evening (second day)/.—For two or three days, during the. past week, I felt a slight painful sensation about the groins, as if the muscles had been overfatigued or stretched ; I could not make this out into a definite symptom of any part; perhaps merely a stretch of the muscles in walking or stepping into the gig (fourteeuth day)/6*. Rectum and Anus.—Feeling of large stool in rectum, which, when voided, was but small (second day)/.—Heat in anal region, with itching and smarting at the anus (fourteenth day)/2. Stool.—Diarrhoea. Bowels more relaxed than usual (fifth, sixth, and seventh days)/8.f—Infant's bowels relaxed, slimy, white, or green (fifth day); relaxed (sixth, seventh, and eighth days)/8.—At times, bilious diarrhoea, always preceded by sudden urging, griping pains in the abdo- men; the desire to evacuate the bowels, particularly during November (second proving), was always sudden, whether followed by a relaxed stool or not/4.—[300.] Very sudden and relaxed motion (after eleven hours and a half, third day)/3.—When walking in the country, I was suddenly seized with a most urgent desire to evacuate the bowels ; the matter was of a light color, and rather watery, and discharged with great force, as if I had taken a powerful cathartic (sixth day); a loose stool, with slight paiu in the ab- domen (seventh and eighth days); diarrhceic tendency continued, and I still feel uneasy (ninth day) ;| for two days afterwards, I had no motion in the bowels; the two succeeding days, the motions were partly costive, partly loose, and attended with slight pain in the abdomen. I feel inclined f Habitually inclined to costiveness. t I am not at all subject to diarrhoea, and I had made no alteration in my food which can in any way account for it. NAJA. 457 to regard the diarrhoea and costiveness as alternating actions, for on a former occasion it produced a slight tendency to constipation as its pri- mary effect/.—After slight pain in bowels, a rather loose stool with much flatus (after fourteen hours, fourth day)/7.—Seized with a sudden urging to stool, followed by a comparatively small bilious evacuation (third day)/4*.—Very bilious small stool in the morning, preceded by sudden urging (sixth day)/41.— Constipation. Scanty action of bowels. I never fail having a free motion after breakfast; for some days found it rather less, and decidedly so this morning (seventh day) ; bowels decidedly less effectually moved ; evacuations rather hard ; passed with distress, and feeling as if more faeces remained (ninth day) ; evacuation still more con- fined ; passed after much straining, and giving very unsatisfactory relief (tenth day)/\ Urinary Organs.—Uneasiness and pressure in the bladder (sixth night)/.—Urine of a deeper yellow straw color since yesterday noon (sec- ond day),10.—For the last two mornings noticed the urine thickly loaded with a red sediment, which gathered like a cloud at bottom of vessel, and seemed to be mixed with mucus (fourth day)/71.—The urine was thickly loaded with lithates and mucus (first and second provings)/4.—[310.] The urine has been densely loaded with lithates and mucus ever since com- mencing the November packets (sixth day),"1. Sexual Organs.—3Iale, Peculiar distress about the generative organs, attended with great depression of mind ; sexual desire morbidly strong, yet no physical power (fourth day)/31.—After going to bed last night, and this morning, for some time after rising (an hour), felt a sting- ing, aching, somewhat burning pain along right side of penis, as if imme- diately under the skin (second day),10.—Unusual excitement of genital in- stinct and power/2.f—On going to bed, after taking second powder, felt peculiar morbid condition of body and mind ; constant violent sexual desire, but with little physical power; thus the night was passed most miserably ; frequently waking, with vivid imaginations, and much painful state of mind, involuntary seminal emissions, followed by great prostration and distress ; I never felt these symptoms in the same way before (fifth day)/3.—Female. Violent crampy pain in the region of the left ovary/5. —In afternoon, leucorrhoea returned for a few hours, thin, whitish (sixth day),". Respiratory Organs.—Larynx and Trachea. Several times in the course of the day, felt a clogging up of the larynx and trachea with thick mucus, which was hawked up with difficulty (fifth day)/7.—On getting into bed, felt a tightness in the larynx, aud a sensation as though it were stuffed; this was followed, but without much relief, by cough (third night) ; a similar tightness in the larynx, and also coughed a good deal (fourth day); slight cough and tightness in the throat after getting into bed (fourth night) ; began to cough, and felt a tightness in the.larynx, with a difficulty of swallowing, immediately (fifth day); began to cough, and feel a slight, very slight, tightness in the throat (sixth day); cough, and sense of tightness and fulness iu the larynx, immediately, in the evening (seventh day)/4.—Uneasy constriction or irritation of the larynx, giving rise to a desire to cough without the organic inclination; this returned several times (third day),8.—Tickling and teasing constriction at top of f This increase of genital power has continued, more or less, through the time (after two months and a half). 458 NAJA. larynx increasing, and mucus becoming more tenacious (ninth day)/?1.— [320.1 Irritation in windpipe, and heavy feeling at top of chest (twelfth day)/9*.—Felt an irritation in the larynx and top of trachea (after a quarter of an hour), which gradually increased in intensity, and still continues; the feeliug is like that experienced on inspiring irritating vapor, with a sensation of warmth and rawness, like what I have felt after running fast for a good distance, and it causes a short tickling hoarse cough ; hoarsenes of speech (after one hour) ; still the feeling of warmth, etc.; feeling for some time past on a small spot about the centre of left palate like that caused when Aconite is chewed (after two hours); irritation in larynx, but less severe (after four hours); felt well from 1 to 3 or 4 p.m. (after four hours and a half), when irritation in larynx and headache came back, and continues (after nine hours and a half); same kind of sensation in larynx, but not so intense, and it did not continue so long, not above an hour; cough and hoarseness neither so intense nor so enduring as yesterday, soon (second day); scarcely any, if any at all—perhaps it was fancy that made me think there was any—of the sensation in larynx (third day) ; irritating, raw, rough pain in windpipe, which increased rapidly and was very annoying, and gave rise to frequent severe, hard cough, which made me quite giddy, and caused a noise in my head and pain in my chest (almost immediately); the raw feeling in larynx, etc., much increased by the cough (fourth day); slight feeling of irritation in windpipe, lasting only a short time (fifth day); slight irritation of larynx and trachea (after first powder) ; raw feeling and irri- tation as formerly, pretty strongly marked, with occasional slight cough and hoarseness (after second powder, sixth day); felt irritatiou in larynx and trachea this morning on waking, which continued for an hour or more; for half an hour was very hoarse while reading aloud ; I thought I was sure of "a cold," having been out iu the country, walking fast, and getting wet with rain, but the rapidity with which the hoarseness left, without any ap- parent cause, leads me to refer it to the medicine (seventh day),10.—Very soon feeling of irritation in larynx, as on former occasions, but much less severe, lasting two or three hours (after first powder) ; feeling of irritation very slight, and lasting only a very short time (after first powder, second day); scarcely perceptible irritation in larynx (after first powder); the night was foggy, and immediately on going out the irritation of larynx became severe, and accompanied with cough (after second powder, third day); irritation iu larynx slight (fourth day); irritation of larynx, and great sensitiveness of mucous membrane of larynx, evinced by a short fre- quent cough on removing from a warm to a colder room, and especially on going out into the opeu air (fifth day); slight feeling of irritation in larynx, and slight cough (seventh day),10*.—Feeling in windpipe at the neck (be- tween larynx and top of sternum), as if it had been skinned (second day),19. —Sharpish prick in the larynx, with a desire to cough, soon (fourth day)/. —Tickling in windpipe (after second powder),19b.—Awoke with a trouble- some tickling in the larynx, attended with nausea, sneezing, and coughing (second morning); continuance of the tickling, with scanty viscid expecto- ration of tasteless mucus, in the afternoon (second day) ; tickling less (fourth day),20.—Feeling as if there were a hair in the trachea (fifth day),20.—In- creasing tenderness over the trachea, immediately (fifth day)/0.— Voice. Hoarseness of speech (after one hour) ; uot so intense nor so euduring (sec- ond day),10.—[330.] A little hoarseness for an hour in the morning (third day),10.—Slight hoarseness (fourth day),10.—Lost his voice, and became partially unconscious (within half an hour); quite unconscious (after one NAJA. 459 hour),40.— Cough and Expectoration. Some cough (eighth day)/'. —On two mornings cough, attended with a taste of blood in the mouth/7''. —While warm in bed had several fits of coughing, with a peculiar sensa- tion about fauces and larynx (second day)/7\—Slight cough, with wheezing (fifth day),14b.—(About midnight had" a severe fit of couging), (fourth night)/2**.—Short tickling hoarse cough (after one hour); neither so intense nor so enduring (second day),10.—Towards noon a dry hacking cough com- menced, caused by a constant troublesome tickling at top of throat, followed by hoarseness; hoarseness increased towards night, with a scraping sensa- tion in throat; more effort required to swallow than usual (third day); awoke better from hoarseness and cough, but slightly troubled in the course of the day ; cough less dry and tickling (fourth day) ; some hoarseness left (fifth day)/2\—[340.] Blood spitting; the blood had no tendency to coag- ulate (after three or four hours) ; continued (second day)/5.—Res)>lra- tlon. Breath hot, and of unpleasant odor (thirteenth day) ; the heat and foul taste extending to the throat, and slowly down to the stomach (four- teenth day V2.—Respirations 20 per minute, very shallow, without stertor, and free from any sound indicating laryngeal or tracheal obstruction (after thirty-five minutes); natural respiration had ceased (after forty minutes)/6. —Respiration hardly perceptible/3.—The breathing could only be recog- nized by the hand on the abdomen/5.—Neither breathing nor pulse/7.— Breathing laborious (after some hours)/5.—Respiration extremely labori- ous/3.—Difficult respiration (after one hour)/1.—Gasping for breath all this day, yesterday, and the day before, but particularly so to-day, with several deep-drawn inspirations (third day); gasping for breath for several hours (after four and five days),20. Chest-.—[350.] After a considerable fast, feeling of uneasiness about the left chest (after one hour, third day)/'1.—Once or twice, considerable uneasiness in the upper part of chest, lasting only for a short time (third day),10.—After a moderate walk, heat and uneasiness in the left chest, with aching pain, felt particularly about two inches below the middle of the left clavicle (after seven hours, fourth day)/1.—Most acute pain and sense of oppression at the chest, as though a hot iron had been run in and a hun- dred weight put on top of it; instantly relieved by hartshorn and water/1. —Dull, heavy pain over the lower half of the right chest, with stabbing on taking a deep inspiration; chest not affected by movement, but intensely aggravated by inspiring deeply; the attempt to take a deep breath causes a sudden short, puffing cough ; a real cough is impossible, from the stabbing in the lower part of the right chest, in bed; cannot lie for a minute on the left side, but pain and breathing much relieved by lying on the affected side; took one dose of Bryon.3 (after eleven hours, fourth day). Chest much easier, but cannot expand the lungs without considerable stabbing paius; duluess on percussion, distinct as high as the right nipple, at 8 a.m.; chest com- paratively easy, at noon (fifth day). Right chest quite easy; some achiug in the left chest in front, at 8 a.m.; the aching sticking in the left chest much worse; it is not so much confined to the base as on the right side, but extends all over, and seems to be more external, at noon; cannot ride, and can scarce walk, with pain in the chest; have to press the left side with the hand, and bend towards that side; on attempting t« walk fast, it is as if there was a broken rib tearing the lung; on attempting to breathe deeply, there are horrid lancinations in all directions through the chest, and a short puffing cough ; short puffing cough every minute, at 4 p.m. ; sticking-aching pain all through the left lung on attempting to breathe deeply; side not 460 NAJA. affected by motion ; respiration 34 per minute (natural 16); cannot lie on the right side; comparatively easy on the affected side, at 11 p.m. (sixth day). Still considerable pain in the left chest, and cough, at 8 a.m. (seventh day). Chest much better; can take a breath and cough without much iu- convenience, at 8 a.m. (eighth day). Quite well (ninth day)/1.—Asthmatic constriction of chest for half an hour, ending in mucous expectoration, in the evening (eighth day)/.—Dull aching, contractive pains in chest (after sec- ond powder, fourth day),10.—Uneasy aching about the chest, particularly the left side, in the evening (ninth day) ; the uneasiness about the chest always returns in the evening (eleventh day)/lb.—Hard pressure on chest just above right nipple, in the afternoon (second day)/.—Decided pressive pains in left pectoral muscles, for a few minutes in the forenoon (eleveuth day)/.—[360.] Pain shooting through from the left shoulder-blade (inner and upper angle) to the front of the chest (fourth day)/9.—Distinct dull shooting in various localities in the left chest (after three hours) ; chest better (nine hours after secoud powder, fifth day)/11.—In the right side of chest felt a dull, warm pricking in a great multitude of points, over the lower half of front, from fifth rib downwards, with heat extending up the bronchi into pharynx ; a hard cough came on immediately, lasting for half an hour, ending in expectoration of a little thick mucus, in the evening; a very peculiar attack (second day)/.—(Cold appears to affect the chest more than usual), (third and fourth days)/2b.— Front. Dull pain to the right of the sternum, immediately behind the third rib, passing under the sternum; the spot is tender to touch ; chest tight across the upper part (after five hours, fourth day)/1.—Increased tenderness over sternum, and in throat, all day (sixth day),20.—Sides. Very violent shooting pain in right side, momentary, but very severe (after second powder, sixth day),10.—Mam- mce. Secretion of milk very much decreased (fourth day); towards evening the milk returned freely (fifth day) ; scanty (sixth, seventh, and eighth days)/8.—Occasional pains at top of both mammae (fourth day)/8. Heart and Pulse. — Frcecordium. Nervous sensation about the heart (fifth day)/7.—[370.] Feeling of depression and lowness about the heart (eighth day)/.—For three days past has felt a want of something about the praecordia; several days ago tried to sing, but had uo power to throw out the voice (eighth day)/.—Uneasiness about the heart while walk- ing (after three hours, fourth day)/1.—After riding some distance had con- siderable pain at the heart, extending through to the left scapula ; pain in the chest is not affected by deep inspiration ; the above pain lasted some hours, and was very marked (after twelve hours, twelfth day)/11'.—Com- plained of a great pain near the heart,36.—Heat and uneasy aching about the heart, towards evening (tenth day)/*b.—A peculiar oppression about the heart, soon (second day)/7*.—Half an hour after breakfast felt twice, for a minute or two each time, a slight shooting pain in the praecordial region ; never felt this pain before (fifth day); it has never returned since (after two months and a half)/4.—Heart's Action. Fluttering of the heart attended the headache (sixth day),9.—Whilst writing, had a sudden attack of fluttering at the heart, with rising in the throat (after six hours, first day)/lb.—[380.] Slight palpitation of the heart, soon (second day)/.— Unusual beating of the heart, audible to myself (after three-quarters of an hour),8.—Audible beating of the heart (soon, first day),17b.—Pulse. Pulse 120, regular in rhythm, but unequal in force, most of the beats, however, being tolerably full and strong (after thirty-five minutes); 32, remarkably irregular both in rhythm and in force, some of the beats being strikingly NAJA. 461 full and bounding (after forty minutes),26.—Pulse 98 (natural 60), at 11 p.m. (sixth day)/1.—Pulse about 96, full (second day)/5.—Pulse weak and thready/1.—Pulse hardly perceptible,23.—No pulsation could be felt at the wrist, nor could the beating of the heart be distinguished through the pa- rietes of the chest; the action of the heart could only be recognized by pushing the hand up behind the sternum, and then a faint thrill could aloue be recognized, much resembling the cardiac thrill felt in the same way on a newborn infant/5.—Neither pulse nor breathing/7. Neck and Rack.—Neck. [390.] Tired feel in the cervical and dorsal vertebrae, with the peculiar burning often attendant on exhaustion, all day (first day)/.—Dull aching paius in nape of neck (after second pow- der, sixth day),10.—Cutting pains in nape of neck (fifth day)/.—Rack. Rheumatism all night in bed, which has not troubled me for six weeks, feeling in middle of back as if bruised (first night); rheumatism of shoul- ders again all night (second night) ; rheumatism (third night)/5.—Dor- sal. Pain between the shoulders, as if in the spine, involving afterwards the scapulae/7b.—Pains between the shoulders in the morning on waking, and continuing all day (third day) ; the pain continues to get worse; it is aggravated by moving the arms (fourth day) ; till yesterday it continued ; it was worse in moving the shoulder-blades, and felt like rheumatism of the muscles of the scapula (seveuth day) ; in the course of the afternoon, felt a dull pain in the region of the spine between the shoulders, much the same in kind and degree as on the fourth day (eighth day)/7*.—In the course of the day, when busily occupied, my attention was arrested by a heavy dragging sensation in spine between the shoulders ; it lasted about half an hour, and was very uneasy (first day)/7b.—Lumbar. Weakness of loins (third day),15.—Slight pain in loins, in the morning (fifth day)/9. —Pain in right lumbar region, similar to what I have often felt after run- ning a distance shortly after a meal, somewhat like that caused by pressing on the testicle, with occasional shootings; a similar feeling spread over the whole abdomen, and to right groin, easier by bending forward (soon after second powder, third day),10.—[400.] Severe aching contractive pain in loins aud abdomen ou going to bed (third night),10.—Aching in loins (seventh day),10.—Aching in loins, continuous for an hour, and going on now (four hours and a half after second powder, fourth day),10.—Acute pain in the small of the back, lasting for two or three hours, in the evening (first day)/9. —Severe gnawing pain in lower part of back, which kept me awake for some time; worse after going to bed (third day)/9. Extremities in General.—Felt sudden prostration of strength in limbs, for a quarter of an hour, while walkiug in the evening (second day)/.—Occasional rheumatic-like pains in thighs and arms, and like those yesterday, best marked in shoulder-joints, in the afternoon (second day),10. —A woke with aching in all parts of limbs; two hours after rising all pains in limbs ceased, and a warm glow all over body succeeded (thirteenth day)/2.—Awoke with the bruised sensation in limbs before felt on the thir- teenth day of former proving; all passed off in course of an hour after rising (third day)/21.—Dull aching pains in ankle-joints, lower part of thighs, wrist-joints, and shoulder-joints (after second powder, sixth day),10. —[410.] Occasional shifting rheumatic-like (drawing-aching) pains in arms, shoulders, and legs, worst on left side, in the course of three hours (immediately after second powder, second day)/01.—Right side, drawing, lacerating, for a few minutes at a time, in various parts of limbs, worse by motion, then passing off altogether (first day)/2. 462 NAJA. Superior Extremities.—Hand and arm of the same side began to swell, and were even mottled (after a few minutes),30.—Complained of great aching all up the arm to the shoulder, all day (first day),2.—He felt instantly a sharp pain in the part bitten, which soon spread on the palm and upwards ou the arm; in less than an hour the hand and wrist-bone con- siderably swelled, the pain extended nearer the shoulder; the next morning the hand and arm were monstrously swelled, and he complained of pain in the arm; the parts about the punctures mortified first, the gangrene then spread over the back and palm of the hand and part of the wrist, laying the tendons bare, and forming an ulcer of considerable extent, which, how- ever, healed favorably under the usual treatment; it was sever A months before he recovered the use of his hand/5.—Violent acute pain in bitten part, which soon extended to top of arm (immediately)/1.—Shoulder. Shoulder painful (after one hour)/1.—Rheumatism of shoulders, at night in bed, pain extending to fingers of right hand (first night); slight rheu- matism of shoulders (fourth day); slight rheumatism, pains in bed (sixth day)/51.—Slight rheumatic pains in shoulders, for some time past (fifth night),10.—Rheumatic drawing in left shoulder, in the morning (third day)/.—Elbow. [420.] Severe drawing-shooting pain in left elbow-joint, in the afternoon (second day),10.— Wrist. Complained of burning pain in the wrist; hung down his arm, from which a few drops of blood fell,40. —Hand. Hand and thumb considerably swollen (after one hour)/1.— Numb pain in hands, and sometimes a feeling like as if ether had been dropped and allowed to evaporate (after second powder, fourth day),10.— Crampy pains in palm of left hand and numbness, and shifting rheumatic- like (aching pains), felt especially in shoulder-joints; numbness in hauds, as if "sleeping" (after nine hours and a half),10.—Fingers. Slight ach- ing in fourth and little finger of right hand, followed in a quarter of an hour by peculiar sensation as of thumbing (fouillement) in the middle of triceps, left arm (after one hour and three-quarters)/.—Most acute pain under the nail of the left thumb ;f this pain also ran up the arm/1. Inferior Extremities.—Began to stagger in walking (after twenty minutes),2''.—After first dose, felt a dragging and weariness in the limbs, while walking, with slight frontal headache, which went off after the second dose/.—Pressive and drawing sensations on points in lower limbs and feet, several times (first day)/.—Thigh. [430.] Slight pain in the anterior part of right thigh, which soon passed off (soon, first day)/7.—Slight aching in the back part of thighs, in the afternoon/.—Leg. Slight vague pain about the muscles of the calf of one leg (sixth dayy"'.—Paiuful drawing pain in lower part of teudo Achillis, worse by motion* (after half an hour), increased to a lameness in a few hours, and passed off in evening/2.—Shoots down legs, aud tingling in feet (eighth day)/.—Foot. Chilblains have appeared on both feet within the last three days, very painful, cannot suffer boots on ; have not had them before for three or four years (sixth day)/5. General Symptoms.—Objective. His body became swollen/6.— Slight local inflammation/4.—He appeared as if much intoxicated (after ten minutes)/8.—Movements, apparently convulsive, of the mouth and of the limbs were observed (after twenty minutes)/6.—[440.] He moaned, grasped his throat with some eagerness of action, tossed his head from side to side, and moved his arms and legs in an uneasy, restless manner, not f Where the virus had entered. NAJA. 463 apparently convulsive (after thirty-five minutes),26.—Quite stiff and insen- sible, apparently dying/3.—He kept very quiet, staring at his drooping hand/0.—He did not get up, but remained where he had been sleeping, groaning, complaining of slight pain in the arm bitten, but altogether un- naturally quiet/9.—Considerable depression of mental and physical powers, anxious to do very many things, but not inclined to move about them ; feel inclined to huddle up near the fire, and brood over one's business (fourteenth and fifteenth days)/ ".—During the whole day, depression of vital energies to an unusual degree (first day),17b.—Languor (next morn- ing)/5.— Languid and indifferent during the last few days (ninth day); great languor (tenth and eleventh days)/.—Very languid, all morning (eighth day)/3.—He continued many days in a very languid state,24.— [450.] Did not recover from the fatigue for some days/3.—Unable to sup- port himself in a sitting posture (after thirty-five minutes)/6.—One natural stool; he was then sufficiently conscious to attempt to sit on a pan, and he was supported by two men eveu during defecation,40.—She remained weakly eight or ten days/2.—Became weaker and weaker, and theu suddenly almost insensible; I found him perfectly insensible (second night)/5.— Sudden prostration of strength, at night; incapable of either mental or physical exertion for an hour, at 8.30 p.m., then passed off, and became as usual (second day)/2*.—Rolled about as if very faint and weak/1.—She was suffering from a succession of swooning fits, having already had eight (after two hours)/3.—Every vital motion seemed at a stand/3.—Very little sign of life remained (after a quarter of an hour)/4.—[460.] Life to all appearance extinct/7.—Senselessness (after a few minutes),29.—Insensible (after ten minutes)/8.—Insensible almost immediately, and never recov- ered/2.— Subjective. Began to feel restless and fidgety, though I could assign no reason for it (had entirely forgotten having taken the powder); felt as though there was a necessity for my remaining at home, but could not comply with it; felt extremely restless, in the afternoon (third day)/Jb. —Excessive sensitiveness to draught of air about head aud face (nineteenth day)/2.—Loss of the sense of feeling (after ten hours),22.—Torpor (after a few minutes)/9.—Torpor and listlessness pervaded the whole system, and from the moment of the bite had gradually increased (after ten hours)/2.— Torpid, senseless state (after ten minutes)/8.—[470.] Four large punctures were visible on the ankle, to which eau de luce being applied, the man gave marks of sensibility by drawing up his leg (after a quarter of an hour); totally without any sense of feeling whatever, had it not been for a gentle heave of the breast every two or three minutes I should have thought him dead (after three hours and a quarter); he remained in this torpid state forty hours, and then began to show signs of returning life,24.—Great desire for and power of walking (tenth day) ; reaction (eleventh day)/.—Com- plains of a sensation of wasting away (fourth day)/8.—Inclination to lie in the bed, in the morning/.—Feeling of weariness (sixth day)/5; (seven- teenth day),15b; with dull frontal headache (fourth day)/5.—Feeling of prostration (twelfth, fifteenth, and sixteenth days)/5*.—Feeling of prostra- tion and restlessness (third day)/5b.—Felt peculiarly prostrate and miser- able in body and mind (sixth day;/3.—Indefinable sensation of alloverish- ness (sorte d'eurahissement), with a lightness in the head (entreprise gen- erate), slight, lasting perhaps half an hour (first day) ; the same allover- ishness, lasting half an hour (immediately), (third day)/.—Felt "out of sorts," without any special complaint (after eleven days)/.—[480.] General malaise (fifteenth day)/2.—General feeling of being unwell, at 8 p.m. (sixth 464 NAJA. day)/1.—Towards evening, complains of feeling generally very unwell, as though about to have a fever (third day)/8.—Felt the pain descend from the body down the leg, till it ceased exactly at the spot where he was bitten/3.—He was sensible instantly of pain ; pain had advanced from the toe as high as the joint of the knee (after half an hour) ; it had got to the top of his thigh and became much more severe (after forty minutes); soon complained of severe pains in his belly, which, upon examination, appeared tense and much swelled ; after he had recovered a little, he told me " he felt the pain descending retrograde in the same track in which it had risen,"23.—He suffered intensely, and his life was despaired of/6.—Occa- sional crampy pains in the thighs and shoulders and nape of neck (after second powder, fourth day),10.—Occasional dull shooting (stounding, Scot- tice) in upper part of chest, in ankle-joints, and lower third of thighs, not in the knee-joint (after second powder, third day),10.—Frequent cutting pains, shifting about, not lasting long anywhere (fourth and fifth days)/8. —I had not walked a hundred yards before all of a sudden I felt just as if somebody had come behind me and struck me a severe blow on the head aud neck, and at the same time I experienced a most acute pain and sense of oppression at the chest, as though a hot iron had been run in and a hundred weight put on top of it; soon I forgot everything for several min- utes, aud rolled about as if very faint aud weak; my face was of a green- ish-yellow color; after walking, or rather staggering, along for some min- utes, I gradually recovered my senses; I poured a large quantity of harts- horn into a little water and drank it, instantly I felt relief from the pain at the chest and head; after a second draught at the hartshorn bottle, I proceeded on my way feeling very stupid and confused, afterwards I drank four large wineglasses of brandy, but did not feel the least tipsy after the operation; feeling nearly well I started on my way home, and then, for the first time, I experienced a most acute pain under the nail of the left thumb ; this pain also ran up the arm/1. Skin.—Objective. [490.] The bitten part on the left ankle bled slightly, the part became dark, and the discoloration spread up the limb/7. —The mark of the principal puncture on left upper arm remains livid yet, and looks as if it would long do so (after nine months)/.— Hand, arm, and breast of the same side were much swelled, mottled, and of a dark purple, and livid color (after ten minutes)/8.—On the back of right hand were discovered two puuctures, as if made by a needle, about an inch and a half apart, marking the entrance of the fangs; upon each puncture there was a drop of nearly colorless fluid, without any haemorrhage, tumefaction, or ecchymosis ; the wound healed kindly by granulation/7.—A pimple ou upper lip (second day) ; pimple on left ala nasi (fifth day)/.—Appeared at breakfast with the point of the nose decorated with small papules on a slightly inflamed base; nose sore in consequence (second day); pimples going away from nose (sixth day)/.—A large painful pimple on the brow,17b. —Neck and body broke out iu small white blisters, on an inflamed base; very itchy, passing off in an hour, in the afternoon (fourth day)/.—A small boil-like swelling on back of middle phalanx of right hand little finger (tenth day) ; fades in three days/.—Gangrene of the back and palm of the hand, as well as of the thumb; the tendons were laid bare, and a large ulcer formed/1.—Subjective. [500.] I think I have felt an itching on various parts of the trunk, after going to bed, these two or three nights; perhaps that may be owing to the Naja (sixth day)/6.—Creeping itching in various parts of the body, from time to time, requiring them to be NAJA. 465 scratched (four hours and a half after second powder, fourth day),10.— Slight pricking in the wound/5.—Fine tingling iu legs and feet, while standing (soon)/.—For several days, itching and irritation in the cicatrix of an old ulcer up to this day, when it ceases (eighth day)/. Sleep and Freams.—Sleepiness. Yawning and lassitude with the headache (sixth day)/5.—Frequent yawning (fourth day)/9; (fourth aud sixth days)/5.—Frequent yawning (after two hours) ; occasional yawn- ing still, very unusual with me (after four hours),10,—Very drowsy, uu- usually so after tea, slept for an hour; did not make any difference to my night's rest (second day)/4.—Strong disposition to doze (in less than hour).; from this time he himself was for several hours ignorant of what had passed, but from the reports of those about him, he at times showed much inquietude, without making any specific complaint; at other times he lay moaning and dozing; in the morning he had perfectly recovered his senses/5. —[510.] In the evening felt very tired and sleepy, and had to retire at 9 o'clock ; slept directly after going to bed (first night),20.—Strong desire to sleep, aud slept for a quarter of an hour/3.—Almost invincible desire to sleep, which after three hours' hard walking, accompauied by profuse perspi- ration, gradually wore off/*.—Sleejllessness. Little inclination for sleep;; the brain appeared irritable (tenth night)/.—Have not slept well during the night (fifth night)/5.—Slept ill in the first part of the night, and had a pretty severe headache (fourteenth night)/91.—Sleep broken and disturbed, during the week (after three days)/.—Restless night (sixth night)/3.— Passed a wakeful night, very uncommon with me, and know no reason for it; dreams vivid, waking up very frequently, with very dry mouth; did not feel ill, but the mind would work constantly and actively; the body not restless (first night); did not feel fatigued as after an ordinary bad night (second day)/3.—Freams. Dreams during night (sixteenth day)/5*. —[520.] Many dreams, not disagreeable (sixth night)/9*.—Long and vivid dreaming at night, little recollection of subjects (sixteenth day)/2.—A vivid dreamy night; subject, affairs of the day vividly recalled, with addi- tions, and new plans for the morrow (third night)/2*.—Dreams of murders, suicides, fires, etc. (twelfth day)/51. Fever.—Chilliness. Her body was cold aud collapsed/7.—Very chilly, from 6 to 8 p.m., could not stay away from the fire, felt better after that (sixth day)/.—Chills and partial heats, at 8 p.m.; considerable fever with partial chills, at 11 p.m. (sixth day)/1.—Feels very cold and uncom- fortable (second day)/8.—Feel starved, cold, and miserable ; glad to huddle into bed; offended with the least draft of air (sixteenth day)/2*.—Extremi- ties cold and corpselike up to upper part of his thighs and arm-pits (second night)/5.—[530.] Chilly creeping over left foot and leg (after second powder, fourth day),10.—Feet and legs cold, hands hot (ninth day)/'1.— Great colduess of the extremities, particularly the hands (seventh day)/lb. —Feet very cold all day, uuusually so (fourteenth and fifteenth days)/21. —Feet very cold and easily chilled, usually very warm ; frequent inclina- tion to move the legs, stamp, etc., to keep up circulation (seveuth day); feet very cold (eighth day)/2a.—Very cold feet on going to bed, though I had been sitting in a warm room (second day); cold feet (after one hour and a half, third morning)/3.—Extreme coldness of the feet (sixth day) ; coldness of the feet, with aching at the vertex (eighth day),"b.—Icy cold- ness of left arm and back of hand, cannot keep it warm (eighth day); the coldness affects all the left side, despite all the care to keep it protected ; it is rather peculiar, for though the skin feels icy cold to the touch, there vol. vi.—30 466 NAJA—NARCEINUM. is no numbness or stiffness in the joints affected (ninth day); towards night the coldness shifted to the right side, retained the same character, was so bad at night as to hinder sleep for some time (tenth day); symptom miti- gated (eleventh day); this peculiar coldness is seldom felt now (twenty- ninth day)/2b.—Heat. Hot skin and pain in a small encysted tumor over the upper part of left acromion process, like the pain in a finger which has been suppurating and is healing (first day)/9.—He said he felt heated, but refused water before he became insensible/8.—Feels uncomfortable and feverish ; lips dry, mouth tender and hot (sixth day)/8.—Very feverish and prostrate; appears to frequently lose all power of using the limbs; unable often to make the least effort for some minutes from sheer sense of exhaus- tion (seventh and eighth days)/8.—Heat in head (third day)/8.—Head hot, and full of blood (seventh and eighth days)/8.—Hands hot, and much perspiration in the palms (seventeenth day)/2.—Great heat of palm of hands, and body generally warm (fourteenth day)/2.—Burning heat in the face at different times during the day, without any apparent cause (unusual), with flushing (second day)/9.—Burning heat in the face, especially on the left side, with slight flushing (after second powder, fourth day)/9.—Sweat. [540.] Free perspiration over the surface generally (after thirty-five min- utes)/6. Conditions.—Aggravation.—(Morning), On waking, headache ; eye- lids puffy; on waking, noise in*ea'rs; dryness of mouth ; cough, etc.— (Afternoon), About 3 o'clock, headache.—(Evening), Aching about chest.— (Night), Towards midnight, the symptoms/1; coryza; pains in face; hoarse- ness, etc.; after going to bed, itching.—(After going to bed), Pain in lower back.—(After dinner), Rumbling, etc., in bowels; griping in abdomen.— (After eating), Pressure in stomach.—(Exertion), Aching across forehead. —{Motion), Aching across forehead; temporal headache; lacerating in limbs; drawing in tendo Achillis.—(Stimulants), The symptoms/. Amelioration.—(Evening), Mental depression.—(Open, air), Pains from temple to temple; temporal headache; nausea, etc.—( Walking in open air), All symptoms/2; aching across forehead.—(Alcoholic liquors), Temporal headache.—(Spirits of ammonia), Pain, etc., at chest.—(Acid fruit), Nausea, etc.—(Smoking), Temporal headache. NARCEINUM. An alkaloid obtained from opium, C23H29N09. Preparation, Triturations. Authorities. 1, Dr. Eulenberg, Pharm. Journ., 1866-67, p. 464, effects in healthy individuals, of \ to A_ grain internally, and §- to £ grain subcu- taneously ; 2, Line, Pharm. Jour., 1866-67, p. 356, from Gaz. des Hop., general effects; 3, Harley, Old Veg. Neurotics, p. 140, Dr. Debout used a solution in syrup, increasing doses till the hypnotic effect was produced (after 4; grain); 4, Harley, effects of f grain, subcutaneously, in Samuel M., perfectly well, with the exception of facial neuralgia; 5, Harley, in John L., effects of 1 grain subcutaneously; da, same, effects of 0.2 grain ; 5b, same, effects of 0.4 grain. Stomach.— Loss of appetite (in some cases)/. — Nausea (in some cases),2.—Vomiting is rare,2. Stool.—In small doses it is a gentle aperient; in larger doses it causes NARCEINUM. 467 diarrhoea/.—The repeated use of internal doses often produces from one to two stools, sometimes even diarrhoea/. Urinary Organs.—Passed, without the least difficulty, |ivss. of normal urine, sp. gr. 1020 ; this had been secreted since the injection (after two hours and a quarter)/.—When the dose exceeds f of a grain, it causes some dysuria/.—Anuria, to a greater or less extent, particularly after rather large doses/. Sexual Organs.—It retards the appearance of the menses/. Respiratory Organs.—[10] Respiration 20 (before taking); 19 (after forty-five minutes); 17 (after twro hours and a quarter)/. Pulse.—Diminution of the pulse, succeeded some time after by an acceleratiou ; in rare cases, the pulse is accelerated during its employment by 12 to 16 strokes in a minute/.—Pulse 72 (before taking) ; unchanged (after forty-five minutes) ; 70 (after two hours and a quarter)/. General Symptoms.—A calm, comfortable feeling, with a slight tendency to sleep, continued for four or five hours (after a quarter of an hour)/.—The same comfortable trauquillizing effect, and at the end of an hour a little sleepiness, which soon passed off/b.—A pleasant quieting effect, hardly amounting to sleepiness/*. Skin.—A tender swelling at the seat of puncture/.—Its action on the cutaneous nervous system appears to resemble that of other narcotics, and produces its effects directly when used hypodermically, and indirectly, by acting on the centre, when given internally/.—The hypodermic tumor soon disappeared ; the injected part remained tender and a little puffy, for two days,5.—When used hypodermically it produced a sensation of burning at the place of puncture, but of little intensity and duration, a sensation iu every case less evident than that caused by every other alkaloid (morphia, quinia, etc.); in patients with sensitive skins, when the injection was made on the face, it produced an oedematous swelling without redness at the place of puncture, which disappeared in from one to two days, leaving a somewhat sensitive and limited induration/. Sleep.—[20.] A slight narcotic effect/.—Of all the alkaloids contained in Opium, iNarceiu possesses hypnotic power to the greatest extent; in the great majority of cases, neither Morphia nor Codeia produced so long or so profound a sleep,2.—The sleep is calm and interrupted by the least noise ; but one goes to sleep again immediately ; on awaking there is free- dom from the heaviness of the head experienced after the use of Morphia, and there is less liability to vomiting and constipation ; the whole of the effect is limited to a somniferous influence, and its calming and hypnotic effects are superior to those of Codeia, and almost equal to those of Morphia/. —Felt comfortable and sleepy (after fifteen minutes) ; very sleepy, but had not slept (after forty-five minutes); the same kind of sleepiness as after Morphia; had slept a quarter of an hour, and was still sleepy (after two hours and a quarter); he walked home, a distance of two miles, and as it was 11 p.m., went to bed and slept soundly/.—When given internally or externally for pain, it often produces a sleep of four, five, or even nine hours, a sleep which is soft, tranquil, uninterrupted, and followed by a quiet waking/.—Narcein causes, only in a very feeble degree, the physiological phenomena consequent upon the sleep produced by Morphia and the salts of that base,2. Fever.—Perspiration is much less abundant than after the use of opiates/. 468 NARCISSUS—NARCOTINUM. NARCISSUS. Narcissus poeticus, Linn.f Natural order, Amaryllidaceae. Preparation, Tincture of the bulbs. Authorities. Plan, (Est. Woch., 1844 (Frank's Mag., 1, 784), a man and his wife ate a salad of Narcissus and onion bulbs (four Narcissus bulbs) from the garden. Stupefaction.—Nausea, constant tormina, and burning pain in the stom- ach (after a quarter of an hour).—The woman was relieved by repeated vomiting after administration of warm water, and also by the copious watery alvine evacuations which followed, attended by dreadful griping and cutting pain in the bowels.—Symptoms of gastro-enteritis (second day), (in the man).—Small and tremulous pulse for the whole night (in the man).—Trembling of the limbs (after a quarter of an hour).—Obtuseness of the senses (after a quarter of an hour).—Fainting (after a quarter of an hour).—Coldness of the extremities.—[10.] Cold sweat (after a quarter of an hour), NARCOTINUM. An alkaloid obtained from Opium, C22H23N07. Preparation, Triturations. Authorities. (Nos. 1 to 8, Dr. Tully's provings, Bost. Med. and Surg. Journ., 1832, vol. 7, p. 28.) 1, a healthy man took 2 grains of Pelletier's N., and after one hour and a half, 4 grains more; 2, another man made same experiment; 3, same experiment in a man ; 4, a man took 8 grains ; 5, a man took -§• a grain, repeated after two, five, six, and seven hours; 6, a man took 4; a grain, repeated after two, four, five, six, and seven hours; 7, W. T. took same as last; 8, a man took 1 grain, repeated after one, two, three, four, six, seven, eight, aud ten hours; 9, Schroff, Lehrbuch der Pharm., effects of 7 to 15 centigrammes; 10, same, effects of Muriate of narcotin in two men, 2 decigrammes each; 11, Rabuteau, from Schroff, effects on himself of T4¥ gramme; 12, Fronmuller, from Schroff, effects on himself. Mind.—Emotional. Pleasant mood,9.—Calm, placid,and pleasur- able sensation (after two and three hours)/.—Highly pleasurable sensa- tions, difficult to describe; different from the exhilaration of Opium (after half an hour)/.—Intellectual. Difficulty in confining the attention to a book so as to understand it (after six hours, second day)/.—Slight mazy, dozy, and pleasurable state, unable to read or fix the attention upon any- thing, for half an hour (after seven hours)/. Head.—Confusion and Vertigo. Attempted to read, but could not, on account of confusion of the head (second morning)/.—-Mazy and confused feeling in the head (after three hours)/.—Slight mazy and con- fused feeling of the head (after one hour and a half)/.—Slight degree of maziness of the head (after three hours)/.—[10.] Slight mazy feeling of f Referred to this species by the original, but both the white and yellow Narcis- sus (N. poeticus and N. pseudonarcissus) are quite commonly cultivated in gardens; the yellow has been more used in domestic medicine. NARCOTINUM. 469 the head, so as to render it inconvenient to confine the attention to a book (after one hour)/.—Mazy and vertiginous seusation of the head, which was rather pleasant than otherwise (after eight hours and a half)/.—Some vertigo (after three hours and a half)/.—Some vertigo, especially on motion (after six hours) ; relieved by sleep (after seven hours)/.—Vertigo on rising from the bed (after five hours and a half )/.—Vertigo and nausea, increased on motion (after four hours),2.—Slight vertigo and slight head- ache, on motion or exertion (after one hour ,cnd a half)/.—Considerable vertigo, much increased on exertion or motion of any sort (after three hours and a half)/.—Considerable vertigo and mazy feel in the head (after three hours and a half)/.—Could not stand still or walk without staggering (after five hours and a half)/.—[20.] Sensation exactly like incipient intoxication (after five hours)/.—General Head. Headache (third morning)/.—Headache and roaring in the head/.—Slight headache on waking, but disappearing after breakfast (second morniug)/.—Fore- head. Pressure in the frontal region,10. Eye.—Injection of the eyes/.—Pupil. Pupils inclined to dilate/2.— Dilatation of the pupils/.—Slight dilatation of the pupils, with congestion of the eyes/1.—Pupils contracted (after three hours)/.—[30.] Pupils con- siderably contracted (after seven hours)/.— Vision, Could not see very distinctly to read, as there was a sensation of a blur before the eyes (sec- ond day)/.—On looking at minute objects, they appeared blurred (after three hours)/. Face.—Expression of the countenance strikingly dull and heavy; and something about it besides this, which is indescribable (after three hours)/. —Redness of the face/. 310uth.—Sensation of dryness and clamminess of the mouth (second morning)/.—Dryness and clamminess of the mouth and fauces (after three hours),2.—Mouth felt dry and clammy, but looked moist to the eye (after three hours)/.—Mouth dry and clammy in a slight degree (second morn- ing)/.—Taste flat, not bitter,9.—Speech. [40.] Some difficulty in talking intelligibly, not only from confusion of the mind, but from inability to manage the organs of speech/.—Speech somewhat thick (after three hours and a half)/; (after six hours),8.—Speech thick and indistinct (after five hours and a half),3.—Speech began to be thick and indistinct, and almost stammering (after three hours and a half)/.—Slight thickness of speech (after five hours)/. Stomach.—Appetite. Little or no appetite (second morning)/.— Little appetite for breakfast (second morning)/.—Little appetite for dinner or supper (first day)/.—Thirst. No thirst (after three hours)/.—Nau- sea and Vomiting. Nausea (second morning)/.—[50.] Slight symp- toms of nausea on motion/.—Slight nausea on motion or exertion (after three hours)/; (after three hours and a half)/.—Vomiting (second morn-, ing),3.—Vomiting, followed by singultus, for a short time/.—On little motion or exertion there was instantaneous nausea and thorough vomiting, the paroxysms consistiug of three retching efforts; this vomiting was re- markably kind and easy, and ceased as suddenly as it began (after six hours and a half)/.—Sudden vomiting, retched three times, the process of vomiting being far easier than is common with me (after four hours and three-quarters); recurred several times/.—Suddenly seized with nausea and vomiting while walking; passed by as suddenly as they came on ; par- oxysms of vomiting remarkably easy (after seven, eight, and nine hours)/. —Vomiting a little, and in a remarkably easy manner (after five hours 470 NARCOTINUM. and a half) ; after vomiting, all the symptoms were temporarily relieved (after six hours)/.—Stomach. Slight sensation of uneasiness in the epi- gastrium (after fifteen minutes)/.—Disagreeable sensation in the epigas- trium (after four hours and a half)/.—[60.] Slight darting pains in the stomach, continuing but a few seconds at once (after four hours and a half)/. Stool.—It produces less constipation than Morphine/2.—No discharge from the intestines for two days,6.—No discharge from the intestines and no tendency to one for two days ; am ordinarily more inclined to a lax condition than to costiveness/. Urinary Organs.—On attempting to evacuate the bladder, it was slow in contracting, and the process required au unusually long time (after five hours),1.—On attempting to empty the bladder, found its con- tractile power much impaired, the process being difficult and slow, but not at all painful (after six hours)/.—On attempting to empty the bladder (which had not been done for a long time), there was at first total inability from deficiency of contractile power; at last, after considerable effort, the urine began to flow, and continued to do so very slowly till it passed off, the process occupying half more than the usual time (after four hours)/. —At bedtime, was entirely unable to void any urine, partly from deficient secretion, and partly from want of contractile power in the bladder/.— Great torpor of the bladder, so as to be entirely unable to empty it, in all probability (judging from circumstances) a deficiency iu the secretion (after eleven hours and a half); after nineteen hours suppression or reten- tion, succeeded in voiding a moderate quantity of urine perfectly natural in appearance (second morning)/. Respiratory Organs.— Voice. Change of voice and hoarseness (after six hours)/.—[70.] Hoarseness (after three hours),2; (after five hours)/.—Quite hoarse (after five hours and a half)/.—Considerable hoarseness (after three hours and a half)/; (after five hours)/6.—Promi- nent hoarseness (after four hours and a half)/.— Cough. (Considerable chronic cough removed),3.—Respiration. Breathing short and hurried, on walking (after five hours and a half)/.—(A slight chronic dyspnoea and an accompanying irritative cough were relieved), (after three hours and a half)/. Chest.—An agreeable sensation of warmth in the chest, with deep res- piration,9. Pulse.—Acceleration of the pulse, 6 to 11 beats, followed by as much or more retardation below the normal/.—Pulse 80 (ordinary frequency) before taking; irregular and varying, according to rest and motion, from 72 to 80 (after half an hour) ; 72, somewhat softer and smaller (after two hours and a half); 64, very soft (after three hours and a half); 56 (sec- ond morning)/.—[80.] Pulse 72, natural standard, before taking; 64 (after one hour) ; 56 (after six hours); 72, immediately after a walk (after seven hours)/.—Pulse 72, before taking; 56 (after two, three, four, five, and six hours); 50 (after seven hours); 56 (after eight and nine hours) ; 52 (after eleven hours and a half)/.—Pulse 72, before taking; 68 (after half an hour) ; 64 (after two hours and a half); 64, considerably softer and more compressible, somewhat smaller (after three hours) ; 60 (after four hours) ; 60, moderately reduced in force and fulness (after four hours and a half)/. —Pulse 72 before taking ; 64 (after one. hour) ; 64, a sensible and obvious diminution in force and fulness, though not a great one (after one hour and a half) ; 56, evidently still softer and smaller (after two, three, and five NARCOTINUM. 471 hours)/.—Pulse 70 before taking; 60 (after half an hour); 72, softer and more readily yielding to pressure (after two hours and a half) ; 56, very soft and compressible (after three hours) ; 56 (after four hours and a half)/. —Pulse 68 before taking; 55 when sitting ; 65 when standing, very soft and compressible (after three hours); 54, while sitting (after three hours and a half) ; 48, while sitting (after four hours) ; 52, but extremely vari- able on slight motion or exertion (after six hours)/.—Pulse 68 before taking; 60 (after one hour); 56 (after one hour and a half); 52, supposed to be rather softer than natural (after two hours); between 50 and 56 (after three hours) ; 64 (after five hours) ; 56 (after six hours); 52 (after seven hours),5. Inferlor Extremities.—When walking a slight vacillating gait (after five hours)/.—Gait staggering (after three hours and a half )/.— Slight staggering on attempting to walk (after six hours)/.—[90.] On at- tempting to walk, his gait was perceived to be unsteady and slightly stag- gering (after three hours and a half)/. General Symptoms.—Disinclined for any exertion, aud not dis- posed to conversation (after seven hours)/.—Considerable languor and lassitude (after three hours aud a half)/8; (after four hours)/; increased by motion (after three hours and a half)/; when quiet (after three hours and a half"),3.—Much languor aud lassitude after a walk (after seven hours),7.—Much fatigue, exactly as after violent running, after a walk (after five hours and a half)/.—Weakness,9.—On the whole, sensations quite pleasant (after six hours)/.—When quiet, sensations quite pleasur- able (after four hours and a half)/.—When quiet, the general sensations were described as rather agreeable/. Skin.—Peculiar disagreeable crawling in the limbs/.—[100.] Some itching of the surface (after four hours and a half)/.—Incipient itching of the surface (after six hours) ; increasing afterwards/.—Considerable itch- ing of the whole surface, more intense, however, in the nose and on the inside of the thighs (after one hour) ; increasing for two hours and a half, after which it gradually subsided/.—Very considerable itching of the sur- face (after four hours and a half)/. Sleep and Freams.—Sleepiness/.—Began to be sleepy (after one hour and a half) ; which symptom gradually and regularly increased four hours and a half; so sleepy as not to be able to keep awake when still; and more especially when sitting (after four hours) ; remained asleep in a chair for two hours; sleep perfectly calm, easy, and quiet (after four hours) ; there was less somnolency, but it again returned ; in the evening made calls on friends, but on sitting down soon fell asleep in my chair, so took care not to stay long in one place; later fell asleep in chair on ceas- ing to converse, though there was no material difficulty in keeping awake when engaged in conversation/.—Uncommonly sleepy, so as to have con- siderable difficulty in keeping awake from 7 to 9, then till midnight was not sleepy; for the remainder of the night slept as usual/.—Considerable somnolency (after four hours and a half)/; (after five hours)/.—Consider- able somnolency (after five hours) ; increased (after seven hours); almost uninterrupted sleep in a chair; sleep extremely quiet, easily aroused out of it, for an hour and a half (after ten hours) ; rather sleepy during the forenoon (second day)/.—[110.] Considerable somnolency, so that it was difficult to confine the attention to a book (after five hours) ; for the suc- ceeding half hour had repeated naps in a chair/.—Considerable somno- lency (after six hours); for the greater part of an hour, so sleepy as to 472 NARCOTINUM—NARZAN. yield to it, and sleep in a chair, though so lightly as to be aroused by the most inconsiderable noise in the room/.—Considerable somnolency ; when dozing there was perception of all sorts of grotesque figures dancing before the sight; when the sleep was a little disturbed, there was a sensation of falling into an immense pit in company with the same sort of figures, but when the sensation of falling existed, there was starting (after five hours)/. —Dozing in the chair/.—Slept from 1\ till 10 in the evening, awoke for ten or fifteen minutes, and did not wake again till 6 o'clock (second night)/.— Sleep sound all night, much as when under the influence of Opium/. Fever.— Chilliness. Chilliness over the whole body (after one hour),10.—Chilliness aud chattering of the teeth (after five hours and a half)/.—Coldness,9.—Chilliness in the back,9.—[120.] Cold hands and feet (second day)/.—Heat. The temperature of the body at first rose 2° Centigrade, and afterwards sank 28°; the same effect was observed in the warmth of the hand/.—Slight universal sensation of warmth (after fifteen minutes)/.—Heat and redness of the face,10.—Sweat. Increased transpir- ation/.—Free perspiration (after four hours)/.—Considerable perspiration (after three hours)/; (after three hours and a half)/.—Such a degree of sweating as to render all the clothes next the skin quite wet (after five hours and a half)/. Conditions.—Aggravation.—(Morning), On waking, headache.— (Exertion), Vertigo, etc.; nausea.—(Motion), Vertigo ; nausea ; languor, etc. Amelloratlon.—(Lying on the bed), The symptoms,3.—(Sleep), Ver- tigo.—( Walking), The symptoms/ 8. NARZAN. A mineral spring at Kiszlawodsk in the Russian Caucasus. Temperature 57° (F.), spec. gr. 1003. Analysis by Herrman, in 16 ounces. Calcium Carbonate, . Sodium Sulphate, Magnesium Chloride, " Sulphate, " Carbonate, Potassium Sulphate, . Silica,. Aluminium Phosphate, Fi-rrum Carbonate, Manganum Carbonate, 8.41728 g rains 4 41446 >< 1 98120 k 0.71268 ii 0 31104 u 0.09216 ii 0 11673 ii 0.00461 u 0.02688 ii 0.04915 u 16.12619 Free Carbonic Acid,.......5.036 cub. in. Nitrogen,.........0.008 " Oxygen,.........0.002 " The most marked effects of the water are the greatly excited activity of the kidneys, and the penetrating ammoniacal odor of the urine. Authorities. 1, Dr. Peterson, A. H. Z., 61, effects of two glasses of the water first day, six glasses second day; 2, effects of bathing in the water. 311 nd.— Lively mood (third day)/.—Pleasant, lively mood/.—A kind of intoxication (second day)/.—Complete apathy/. NARZAN—NATRUM ARSENICATUM. 473 Head.—Vertigo at 10 a.m./.—Pain in the whole head (fourth day)/. —Unusual heat on the vertex for a short time in the afternoon (third day)/. ^ose.—Sneezing (second day)/. 3Iouth.—Flow of saliva (fourth day),1.—[10.] Bad taste in the mouth, in the morning (fourth day)/. Throat.—Constant sensation of dryness in the throat (second day); desire to drink water, but the dryness in the throat caused aversion to it (third day)/.—Peculiar sensation in the throat during sleep, that woke him and obliged him to rise, after eating (second day)/. Stomach.—Increase of appetite,2.—Desire for salt food (fifth day)/— Loss of appetite (fourth day)/.—Aversion to the usual food (third day)/— Appetite for smoking disappears (second day)/.—Eructations (third dayy1. —Heartburn, with a feeliug of disordered stomach (fourth day)/.—[20.] Pain in the stomach duriug the night, associated in the morning with pain in the back/.—Slight pressure iu the stomach (second day)/. Abdomen.—Extraordinary flatulence after partaking of bread and acid drink (fifth day),1. Stool.—Two normal evacuations during the day/.—Urging to stool, with slight pain in the stomach, as in diarrhoea, with a normal evacuation, preceded by some stitches in the abdomen (fourth day)/.—The faeces con- tain more bile than usual (after six days)/. Zrrlnary Organs.—Urging to urinate (second day)/. Sexual Organs. — (Contraction of the penis, phimosis, in the water),2.—Pain in the spermatic cord/. Rack.—Pain in the back on coughing/.—[30.] Pain in the back on moving about/.—Pain, as from a sprain, in the small of the back/. Inferior Extremities.—Feeling of weariness in the feet, as after a long walk/.—Bruised pain in the feet/.—Sensitiveness of the heels (sec- ond day)/. General Symptoms.—Weariness,2.—General sick feeling (second day),1. Skin.—Biting and corroding sensation on the glans penis and on the scrotum, feeling almost intolerable/. Sleep.—Sleepiness (second day)/.—Restless sleep, caused by the trouble in the throat (third day)/. Fever.—[40.] Feeling of warmth over the body, especially on the parts that have been long in the water/.—The feet, held for a long time in the water, seemed warmer than usual, in the afternoon/.—Inclination to per- spire (second day)/. NATRUM ARSENICATUM. Sodium arseniate, Na,As0412H20, a compound of Arsenic acid and Sodium. (The Arsenious acid becomes, during the process of preparation, con- verted into Arsenic acid.) Preparation, Solution in distilled water in the proportion of 10 grains to 1 ounce (tincture), (Allegheny provings) ; Triturations (Gourbeyre's provings). Authorities. 1, Dr. Imbert Gourbeyre, l'Art. Med., 17, 440 (1863), proving with the 6th trit., a dose three times a day for seven days, in a 474 NATRUM ARSENICATUM. medical student. (Nos. 2 to 10, provings of the Hom. Mat. Med. Club of Allegheny Co., Pa. Appendix to Hah'n Month. 1876.) 2, J. H. Buffum, M.D., took 30th dec. dil., first to eleventh days, then the 3d dec. dil., elev- enth to — days; 3, M. J. Chapman, M.D., took 30th, first to eighth days, theu the 12th dil., eighth to — days; 4, J. S. Crawford, M.D., took 30th dec. dil.; 5, J. C. King, M.D., took 30th, first to fifth days, 15th dil., fifth to twenty-first days, then the tinct., twenty-first to —• days ; 6, W. J. Mar- tin, took 30th dec. dil., first to eleventh days, then 15th "dil., afterward the 6th dil. (forty-ninth to fifty-first days); 7, J. T. Miller, took 30th dil., third to seventh days, then 15th dil., twenty-fourth to — days ; 8, R. Ramage, M.D., took tinct, repeated doses: 8a, same, second proving; 9, O. R. Shannon, took repeated doses of tincture ; 9 a, same, repeated proving ; 10, J. G. Thompson, took repeated doses of tincture; 10 a, same, seeond proving. 311 nd.—Emotional. Feel depressed or blue (twentv-fifth day)/.— Feel gloomy, and want to sit quiet (seventh day),10.—Feeling as if some- thing was impending, which caused him to move about (ninth day)/.— Disposed to be irritable (sixteenth day); irritable (nineteenth day); petu- lant disposition, and feeling of taciturnity gone (twenty-fourth day),9*.— Intellectual. Feel well; can study easily (third day) ; disposed to be reconciled to circumstances, favorable or unfavorable; feel like working hard ; no undertaking* too large for me (twelfth day),3.—Mind dull ; can- not think clearly (fifth day)/.—Dull, at 8 a.m.; stupid feeling, lasting through the day (second day),3.—Felt dull and stupid (thirteenth day)/*. —After recommencing the taking of the drug, feel dull and stupid (fifth and seventh days)/.—[10.] Dull, stupid, and forgetful,9.—Dull and indis- posed to study; cannot be interested (fourth day); still unable to bring himself to study (nineteenth day) ; cannot concentrate mind readily (fifth, sixth, ninth, twelfth, and fourteenth days)/0a.—Dull and languid all day (ninth day),8.—Stupid all dav (fifth day),10.—No disposition to attend to his accustomed business (fifth day)/.—Requires an effort to attend to accustomed duties; feels dull; tries to write, but it requires an effort to form each word (second day),10.— Feel much better doing nothing; do not wish to think, to read, or to exercise; eight days have passed since I quit taking the medicine, but still feel its effects (fourteenth day),9.—Do not feel like thinking, or attending to any business (twenty-first day); not disposed to attend to business (twenty-second day) ; disinclined to read or accomplish any business (twenty-fifth day); unable to concentrate the mind on any subject requiring study; restless and unable to think (forty- second day) ; cannot think clearly and rapidly (forty-third day); more inclined to study, aud apply myself to business; miud clear (fifty-third day)/.—Cannot concentrate mind on anything (eighth day)/.—Caunot concentrate the mind when reading (sixth day)/.—[20.] Cannot concen- trate mind, or recall names, and indisposed to study or to speak to any one while the afternoon headaches last (twenty-fourth day)/\—Could not think readily during the day, but this p.m. mind clear as usual (third day)/*.— Cannot study (tenth day); mind clear (eleventh day); dull and listless all day (twelfth day); dull and listless; could not study, but on going into the open air and walking about, all the symptoms were relieved, and while walking he was bright enough, but when he came in and sat down, the same feeling of duluess returned (fourteenth day) ; mind not fit for study (sixteenth day) ; dull, and wants to sit or lie and not be disturbed ; cannot study (nineteenth day); mind much clearer (twentieth and twenty-first NATRUM ARSENICATUM. 475 days)/*.—Forgetful (nineteenth day) ; disposition to forget entirely changed (twenty-fourth day)/a. Head.—Confusion.—Confused feeling in head (sixth dav\10.— Feeling of confusion through head (ninth aud fourteenth days)/0*.—Vacant feeling in whole head (eighth day),\—General Head.'Head feels dull (sixth and eighth days); head dull and heavy (eleventh day)/.—Head feels dull, as if he had taken cold (sixth day)/.—Dull, through other (con- fused') feeling in head (fourteenth day) ; head feels dull (sixteenth dav)/1. —[30.] Head dull and heavy; clear, iu afternoon (twelfth day)/.—Head feels dull and heavy, with aching pain in frontal region (third day),10.— Head feels dull (twenty-first day); head feels dull and heavy, with some aching on vertex (twenty-second day)/.—Slight dull feeling in head (fifth day)/.—Head feels heavy (fourth and seventh days),10.—Dull, heavv head all the evening, with slight nausea (fortieth day)/.—Dull, heavy feeling in head, lasting about three hours, at 6 p.m. ; dull, heavy feeling in head, lasting five hours, after which the head ached violently, every motion of body aggravating it, even turning the head, and relieved by tying a hand- kerchief tightly around it, at 3 p.m. ; dull, heavy feeling in head, especi- ally in the vertex, increasing in severity till I went to bed, and was made worse by stooping or moving head ; the aching took away the appetite, at 3 p.m. (sixteenth day)/.—Feeling of heat and fuluess in whole head, at 8 p.m. (fourth day)/.—Feeling of fulness in the head all morning (eighteenth dayy5.—Quite severe headache at intervals all morning (forty-seventh day)/.— r40.] Violent headache; every time he awoke the whole head ached (fifth day),8.—Heavy aching pain in ethmoid bone (fifth day),10.— Head feels sore (eighteenth day)/.—Throbbing in head on going upstairs (second day)/.—Wavering- floating sensation on turning head quickly (twenty-seventh day)/.—Every motion jars the brain (second day),10.— Forehead. Dull feeling in frontal region, and at root of nose (ninth day),10.—Heavy feeling in forehead (fifteenth day)/.—Dull, heavy feeling in forehead, at top of head, with occasional sharp pains in side and top of head (thirteenth day)/.—Numbness in forehead, in evening (twenty-sev- enth dayyT.—[50.1 Very severe pain in frontal region, during the day (second day),10.—Fulness in forehead, with throbbing in top of head, in afternoon (eighth day)/.—Aching in forehead (fifteenth day)/.—Head- ache in forehead and temples, lasting two days (sixth day)/.—Severe fron- tal and tempral headache, coming between 2 and 3 p.m., and lasting till 5 p.m.; while the pain lasted the aching part was sore to touch, and during that time he was listless and absent-minded ; at 10 p.m., head free from pain and soreness, and mind clear (ninth day)/*.—Moderately severe ach- ing in forehead and temples, worst in and above the orbits (seventh day); heavy feeling in head, but less pain than for two days past (eleventh day) ; less frontal headache than any day since proving began to develop symp- toms (twelfth day),10*.—Quite a severe aching through temples and fore- head, worst from temple to temple, and lasting from time of waking in morning till 1 p.m. (twenty-fourth day)/*.—Violent frontal headache, with much perspiration,in afternoon (fifth day)/.—Dull frontal headache (third, fifth, and eighth days); in morning, on waking (second day)/°.--Aw'oke with a dull frontal headache (second day),10; (twenty-fifth day)/0*.—[60.] Dull, not severe, frontal headache (second day); headache all day, till since 4 p.m. it has ceased (third day) ; dull frontal headache (twelfth day); dull frontal headache for five or six days, coming on each day about 3 p.m., and continuing steady till 9 or 10 p.m., during which time felt dull 476 NATRUM ARSENICATUM. and indisposed to study, or to speak to any one (twenty-fourth day)/*.— Shooting pains through frontal region (twenty-fifth and twenty-sixth days)/. —Occasional shooting pains through forehead and right temple (third day)/.— Temples. Pain in right temple, at 5 p.m. ; was stooping a good deal during the evening, which aggravated the pain ; pain shifted to orbital region (forty-eighth day); bathed head in cold water without any benefit, at 8 a.m.; ate a little at noon, which seemed to relieve, but the aching re- turned, in all its violence, on walking out in hot sun; very little pain in head, and do not feel so weak or sore, at 8 p.m. (fiftieth day); got up between 6 and 7 a.m., having some headache, which continued all day ; free from headache, at 6 p.m. (fifty-first day),6.—Severe pain, confined to right temple, on getting up in morning (which he formerly had, but sup- posed himself cured of from his having been free from it for a long time); while eating breakfast, had a severe pain through right temple, after which the headache grew less (fortieth day)/.—Dull headache in right temple, at 8 a.m. (forty-first day)/.—Slight dull aching through temples, and across, above, and in the superciliary ridge, worse during forenoon/*.—Boring headache, in the afternoon, in the temples, from without inwards, princi- pally on right side, and extending to left, with nausea; head feels hot, but on placing hand on forehead, it seems cold; headache aggravated by heat, pressure, and tobacco-smoke (thirty-ninth day)/.—Drawing pain in right temple, lasting a short time (second day)/.—Throbbing of temporal artery (thirty-ninth day)/.— Vertex. [70.] Dull pain in top of head, at 7.50 p.m. (twenty-first day); dull aching in top of head and above eyes (not severe), all day (twenty-fifth day); occasional dull headache on top of head, lasting about fifteen minutes at a time (forty-fifth day); headache on top of head, at 9.35 a.m. (forty-sixth day) ; severe but dull aching on top of head, and also in the sides of the head; it lasted till after dinner (forty-ninth day),5.—Severe sharp headache in top of head, and in fore- head above eyes, worse above right eye, at 4.40 p.m. ; continues, and is increasing in severity, at 8.05 p.m. (forty-seventh day)/.— Occiput. Feeling of pressure over each side of posterior inferior part of the occiput, as if in a photographer's headrest (twenty-seventh day)/. Eye.—Objective. Eyes red (eighth day); a little red, but not swollen (twenty-fourth day) ; a little red and watery (thirty-sixth day)/.—Eyes look swollen and bunged up (fiftieth day)/.—Eyes swollen (orbital region), (eleventh, twelfth, and fourteenth days); eyes swollen and conjunctiva congested; external part of left eye more congested than right; conjunc- tiva of right eye also congested (fifth day after recommencing taking); eyes swollen ; left one much congested and red (sixth day after recom- mencing taking); eyes inflamed and swollen; left worse than right (sev- enth day after recommencing taking); eyes painfully affected, swollen, red, and watery; left worse than right (eleventh day)/.—Eyes swollen and painful (twenty-second day); worse immediately after rising (forty-third day); eyes swollen and congested (forty-fifth day); eyes slightly swollen and congested, at 9.35 a.m. (forty-sixth day)/.—Eyes somewhat swollen and agglutinated (thirty-eighth day)/.—Eyes and orbital region much swollen and agglutinated, on waking in the morning (fourth day); eyes much congested, and whole orbital region very much swollen (fifth and eighth days); eyes congested and swollen ; not so much congested in even- ing (ninth day); eyes but slightly congested (tenth day),8.—Eyes puffy, at 8 a.m. (forty-first day)/.—[80.] Eyes more puffy and congested* (fourteenth day)/.—Moderate congestion of vessels of white portion of eyes, but no NATRUM ARSENICATUM. 477 disagreeable sensation in eyes (seventh day) ; eyes congested, especially in morning (tenth day); vessels of eyes congested, on waking in morning (eleventh day)/*.—Eyes much congested (third day); eyes congested (fourth day); eyes very much congested (sixth day),10.—Sclerotica slightly congested (fourth day)/.—A little whitish gum was seen in external can- thus, in morning (twelfth and thirteenth days); eyes slightly gummed, in morning (twenty-fourth day)/1.—Subjective. Eyes feel tired and pain- ful, especially in the sunlight (twenty-first day) ; eyes have felt tired all day, and painful when reading or writing (twenty-fifth day)/.—Eyes feel heavy (eighth day),10*.—Eyes felt heavy, iu evening (after third dose, sev- enth day)/.—Heaviness of the eyes, especially the right, in morning (sec- ond day); eyes heavy (thirty-ninth day)/.—Eyes felt disagreeable on going into open air (twelfth day)/*.—[90.] Eyes sticky and sore (seventh day); eyes feel sticky, aud a little gum is seen in the external canthus (eighteenth day),9.—Reading by lamp or gaslight cannot be endured, for any considerable time, without giving discomfort (thirty-sixth day),9.— Eyes painful, in morning (eleventh day),2.—Eyes feel very painful (fiftieth day)/.—Eyes burn and lachrymate slightly (fourth day)/.—Eyes feel in- flamed and swollen, with an accumulation of pasty matter in the canthus and on the lashes (third day)/.—Eyes feel swollen (eighth day),9; in morn- ing (third dayy8.—Eyes feel puffy (twelfth day)/.—Looking at anything causes eyes to ache (seventh day),10.—On looking long at an object the eyes ache for a time and require resting (fourteenth and twenty-fifth days)/0*.—[100.] Dull aching pain in eyes, aggravated by sunlight (forty- first day)/.—Eyes feel sore on pressure (second day); soreness and aching of eyes on moving them (third day),10.—Eyes very painful to pressure, and paiu aggravated by light (forty-eighth day)/.—Inner canthi sore and red (third day) ; eyes sore ; cannot read or write without pain in them (twenty- third day); eyes feel sore, on rising (thirty-eighth day) ; eyes feel sore and full, at 9.30 a.m. (forty-second day); eyes sore all day, especially when reading, at 7.05 p.m. (forty-fifth day) ; eyes feel sore, at 9.35 a.m. (forty- sixth day); eyes feel worse than usual, quite painful; want of sleep last night has possibly made eyes feel worse; eyes somewhat painful when reading or writing at 8.10 p.m. (forty-eighth day); eyes unusually painful and sore; cannot read or write with any comfort; better by 10 o'clock; worse just after rising, but improve during day, at 8.55 a.m. (forty-ninth day) ; eyes painful for about two hours after rising, aud at times through the day, when reading or writing, or when exposed to bright sunlight (fiftieth day); eyes a little sore this morning (fifty-first day)/.—Eyes irri- table (eighth day); eyes feel as if he had lost his sleep (ninth day) ; eyes feel rather sorer, and light pains them (nineteenth day)/.—Eyes a little irritable (fourth day) ; eyes feel sorer, and burn as if they had been all day irritated by wood-smoke (fifth day) ; eyes smart as if smoked (sixth and seventh days); eyes feel sore on moving or rolling them, and the smarting continues (eighth day) ; eyes smart (twelfth day) ; eyes smart and feel dis- agreeable when exposed to the open air (fourteenth day) ; eyes smart and lachrymate very much in open air, and are congested (twentieth day); eyes sore and swollen, in morning ou waking (twenty-third day) ; eyes sore (twenty-ninth day),10*.—Eyes smart and feel badly on reading for a time (twenty-sixth day)/*.—Eyes feel as if smoke were in the room (fifteenth day )/.—Inner canthus itches, and feels pasty, in morning (second day)/. —Rrow and Orbit. Supraorbital region very much swollen (thirty- ninth day)/.—[110.] Slight swelling of orbital region (seventh day); or- 478 NATRUM ARSENICATUM. bital region swollen (tenth day); whole orbital region swollen, on waking in morning, passed off gradually through the day (eleventh day)/*.—Slight oedema of orbital region, more marked in the right than the left (fourth day); orbital region somewhat swollen (eighth and eighteenth days); or- bital region less swollen (fifteenth day)/.—Slight oedema of orbital region, worse on right side (fourth day); some oedema of orbital region (sixth day) ; oedema of infraorbital region (seventh day); orbital region very much swollen, on waking (fourteenth, fifteenth, sixteenth, and seventeenth days); orbital region swollen, on waking, but the swelling passed off in about an hour after rising, leaving a slightly puffy appearance (eighteenth day); whole orbital region very much swollen (twenty-fourth day); orbital region some swollen, in mornings (twenty-ninth day),10*.—Orbital region much swollen (fortieth day)/.—Dulness and very moderate aching through supraorbital region (seventeenth and eighteenth days)/*.—Pain over right eye (ninth day;/.—Awoke with moderately severe pain, from one temple to the other, over orbits, which continued all day (fifteenth day)/2.—Aching through brow and orbits (eighth day) ; aching in supraorbital regiou rather worse, aud extends farther up forehead, aud most intense immediately above orbits (ninth day); severe pain in supraorbital regiou and temples, on waking; severe till 4 or 5 p.m., then passing into the orbit posterior to and in the ball of the eye, with considerable photophobia ; pain much severer in orbit than any other place, compelling him to lie down ; never had this kind of pain before, except when taking the drug, on a former occasion ; severe paiu began to diminish about 7 p.m., aud by bedtime had almost passed away, leaving a dull, supraorbital pain (twenty-fourth day),10*. —Awoke in morning with very severe aching across brow, above orbits, with considerable vertigo on moving about, and a sensation of lightness or largeness of the head while sitting, continuing severe till 3 p.m., when there was just enough pain to keep him conscious of it all the time (seventeenth day); about enough of the supraorbital headache to make him constantly aware that he has it (eighteenth day) ; frontal headache rather more severe (twenty-third day) ; first impression in morning produced by a severe pain in supraorbital region and temples, continuing very severe till 4 or 5 p.m., when it passed into the orbit, posterior to and in the ball of the eye (twenty- fourth day),10*.—Heavy, disagreeably full feeling in orbital region, reach- ing to temples (fifth day),10*.—[120.J Dull pain over the orbits, reaching iuto the temporal region (fourteenth day)/*.—Dull aching across orbits (sixteenth day)/.—Occasional shooting pains above right eye (eighteenth day)/.—Lids. Eyelids swollen, more noticeable in lower lids (eighth day); feeling as of thickening of the structures Within the lids, the right eye feeling the worst (twenty-fourth day)/*.—Lids agglutinated, in morn- ing (second and thirty-eighth days)/.—Difficult keeping lids from closing (seventh day); lids disposed to close down, with inability" to open eyes as wide as usual (ninth day),10*.—Stiffness of lids (twenty-seventh day)/.— Burning of eyelids, in morning (second day)/.—Eyelids feel swollen, par- ticularly of right eye, and outer canthus worst; lower lid of right eye feels swollen and itchy, as if a stye would make its appearance, in morning (sec- ond day)/.—Edges of eyelids itch aud burn (fifteenth day)/.— Lachry- mal Apparatus. [130.] Lachrymation in open air (tenth and twelfth days) ; worse iu morning (eighth day)/*.—Moderate lachrymation on going into open air (seventh and twelfth days); eyes lachrymate on looking steady at an object (fifteenth day) ; lachrymate very much in open air (twentieth day),10*.—Eyes very watery for some time after waking, in the NATRUM ARSENICATUM. 479 morning (fortieth day)/.—On going into open air, tears flowed freely, but this gradually wore off (thirty-eighth day); eyes water profusely when reading, at 9.35 a.m. (forty-sixth day); tears secreted freely, at 8.55 a.m. (forty-ninth day),5.— Conjunctiva. Vessels'of conjunctiva injected (fourth, fifth, and eleventh days),2.—Vessels of conjunctiva fuller than usual, and white portion of eye has perceptibly yellowish tinge (fourth, fifth, and seventh days) ; palpebral vessels more congested, and the con- junctiva, on inner surface of lids and on balls, disposed to gather into folds, as the eyes are rolled back and forth (tenth day); vessels not so full, and sclerotica not so oedematous (thirteenth day); vessels of ball and inner side of lids are full, causing a feeling, on moving the ball, as of something granular between them (fifteenth day) ; vessels of conjunctiva congested (sixteenth day) ; inner surface of lower lid distinctly granular in appear- ance (twentieth day); vessels of ball and lid both largely congested (twenty-fourth day) ; vessels of ball and lids perceptibly congested (twenty- ninth day),10*.—Conjunctiva congested, on waking in morning (second day); conjunctiva of uniform redness (third day); congested conjunctiva (fifth day),10.—Conjunctival vessels congested (third day); conjunctiva slightly congested (fourth day),8.—Vessels of conjunctiva somewhat con- gested, especially on rising this morning (there are no vessels visible usu- ally in my eyes), (twenty-first day); vessels of conjunctiva congested (twenty-fifth day); vessels of conjunctiva slightly congested (thirty-eighth day); eyes slightly congested, at 9.30 a.m. (forty-second day) ; conjunc- tiva congested, at 9.30 a.m. (forty-third day); conjunctiva but slightly congested, at 12.10 p.m. (forty-eighth day) ; conjunctiva slightly congested, aud jaundiced (fifty-first day).5.— Conjunctival vessels moderately con- gested (ninth day); turgid (eighteenth day); vessels on inner surface of lid quite full, and vessels of globe less turgid (twentieth day)/.—[140.] Palpebral liniug membrane thickened and quite red, and as the eyes are rolled from side to side, .or up and down, the lining membrane gathers in rolls between balls and lids, the left eye appearing the worst (twelfth day)/. —Rail. Stiffness of eyeballs (twenty-seventh day)/.—Eyeballs seem large when closing lids over them, in morning, on waking (thirty-eighth day)/. —Aching pain deep in eyeballs, after two hours' reading; aggravated by opening eyes widely, and relieved by closing and resting them for a time (fortieth day)/.—Balls sore and smarting (thirty-ninth day)/.—Eyeballs sore on pressure, all day (twenty-fifth day),10*.—Balls sore to touch, or if pressed upon (fourteenth day)/.—Eyeballs sore when closing lids, and pressing ball (fifth day after recommencing taking); left eye sore; con- tinual scratching beneath lids on rolling the ball ; light aggravates (sixth day after recommencing taking); continual scratching in left eye, as if sand was under outer part of upper lid (eleventh day after recommencing taking)/.—Eyeballs feel sore and tender; pressure on ball does not pro- duce pain directly, but when the pressure is removed the pain becomes severe, at 12.10 p.m. (forty-eighth day)/.—Pupil. Pupils somewhat dis- tended, in morning (second day); pupils a little dilated (thirty-ninth day)/.— [150.] Pupil of left eye much larger than that of the other (from two to three diameters), there seeming to be but little difference between the eyes iu the power to discern objects, but on noticing closely, an object looked at has a misty appearance to both eyes; the distension of pupil passed off while walking, and did not return for the day, at 1 p.m. (four- teenth day); pupil of left eye very much enlarged, at 5 p.m., and to some extent at 11 p.m. (seventeenth day) ; somewhat dilated (nineteenth day),9. 480 NATRUM ARSENICATUM. — Vision. Eyes dim, at 8 a.m. (forty-first day)/.—On looking long at an object, the sight becomes dim (fourteenth day); sight very much weak- ened from the condition of health (twenty-ninth day),10*.—Vision iudis- tiuct; frequent wiping of eyes for relief (fourth day) ; concentrated effort necessary for distinct vision (eleventh day) ; vision poor for long distances (twelfth day) ; vision remained poor for a considerable time, and was the most lasting symptom (fifteenth day),2.—Objects lose all distinctness and become blurred; dimness of vision on rising from a seat, at 11.55 a.m./.— Slight photophobia (eighth day)/*.—Considerable photophobia (tweuty- fourth day)/0*.—Eyes sensitive to light (twenty-second day); a good deal of photophobia, at 12.10 p.m. (forty-eighth day)/.—Flickering before eyes when closed, at 8 a.m. (forty-first day)/.—Eye symptoms worse in open air (ninth day),10*. Ear.—[160.] Shooting pain over right ear, in afternoon (seventh day)/7. —Dull of hearing at all times, but more so to-day (fourth day),10*.—An- noyed by rushing noise in right ear, lasting from ten to fifteen minutes, aud resembling the escaping of steam from an engine just starting, and synchro- nous with the pulsation of the temporal artery (have been troubled with it before, but not lately), at 9.40 p.m. (thirt)*-seventh day)/. Nose.—Objective. Right side of nose and over bridge a little red ; large pimple on side of nose not so sore, and a little indurated (fifth day),10*. —Both nostrils inflamed, and indurations in both (fiftieth day)/.—Nasal mucous membrane thickened, and the nasal passages somewhat obstructed (eleventh day)/*.—Thickening of nasal mucous membrane ; can inhale air, but finds it difficult to exhale (eleventh day) ; nasal cavities feel as if stuffed, but air can be drawn freely through the nose (fifteenth day),10*.—Frequent paroxysms of sneezing through the day (fifth day),2.—Through the day considerable sneezing (twelfth day); sneezing (fourteenth day) ; sneezing brought on by an inspiration of cool air on moving about during morning, accompanied by a free watery or semi-mucous discharge ; sneezing renewed every time he went into cool air, or took a fresh inspiration of cool air (fif- teenth day),10*.—Watery discharge from nose (seventh day); catarrhal dis- charge from nose, less in afternoon (ninth day); thin watery discharge from nose (tenth day); some discharge from nose (twelfth day)/.—[170.] Free watery discharge from nostrils (twelfth day); all afternoon and evening (thirteenth day) ; rather copious watery or semi-mucous discharge all day (fourteenth day); discharge free till midnight, and since that time has been gradually diminishing (fifteenth day),10*.—Nose commenced discharging a clear watery substance after rising in morning; discharge from nose so pro- fuse as to require the almost constant use of the handkerchief (sixth dav) ; discharge from nose very profuse and watery (seventh day) ; discharge whitish, and becoming thick (eighth day); discharge from nose tough and yellowish (ninth day),10.—From left nostril a watery, non-irritating dis- charge, in morning on rising, continuing till 10 a.m., becoming much less after that hour (fourteenth day); at times through the day, considerable discharge from nostrils, quite fluid from the left, and more gluey from the right nostril, with considerable chafing from frequent use of handkerchief (fifteenth day); nose discharging (sixteenth and seventeenth days); profuse discharge of a watery mucus from nose (eighteenth and twentieth days); both nostrils commenced discharging freely, at 9 a.m. (twenty-second day) ; all day a free discharge of yellowish mucus from both nasal cavities (twenty- third and twenty-fourth days); at times a watery mucous discharge from both nostrils, most free from the left i thirty-sixth day)/.—Some indications NATRUM ARSENICATUM. 481 of exudation from nasal mucous membrane setting in (eleventh day); slight discharge of mucus from both nasal cavities (twelfth day) ; moderate dis- charge of a tenacious whitish mucus from nasal cavities (thirteenth day) ; still a little watery discharge from nostrils (twenty-fourth day)/*.—Slight catarrhal discharge from nose, at 10.30 a.m. (fourth day); slight fluent coryza, with sneezing, at 9.20 a.m. (fifth day) ; slight fluent coryza (thirty- sixth day); discharge of a thick yellowish substance from nose, at 9.35 A.M. (forty-fifth day)/.—Fluent coryza in evening (fifth day)/.—Nosebleed twice in succession, in evening (after third dose, seventh day)/.—Subjec- tive. Stopping up of nose (seventh, eleventh, and twelfth days)/; in morn- ing (twenty-first _ day),5.—Stopped up on right side and dry (thirty-ninth day)/.—Right side of nose stopped or stuffed up, and blowing of a thick yellowish mucus from it (twelfth day)/.—[180.] Right nostril stopped up (fifth day) ; nose stopped up; must keep mouth open to breathe through night (sixth day),10.—Nasal cavities stopped up, on rising in morning (four- teenth day); nose obstructed almost completely on waking, but during the day it was about the same as yesterday in that respect (fifteenth day); nasal cavities very much obstructed in moruing on waking, but free through the day (twentieth day); nasal cavities stuffed up in morning on waking, and remained so till 9 a.m. (twenty-second day); nose entirely stopped up on waking (twenty-third day)/.—After recommencing the taking of the drug, the nose dry (fifth and seventh days)/.—Nostrils dry, and some thick- ening oPthe lining membrane (twelfth day)/.—Pain at root of nose (thirty- ninth day)/.—Dull aching at root of nose (fourth day); constant aching pain at root of nose (sixth day) ; severe aching at root of nose (seventh day); aching at root of nose (eighth day),10.—Nostrils quite teuder when touched, at 11.30 a.m.; not as painful, at 9.30 p.m. (fifty-first day); nostrils less painful, but still indurated and sore, at 9.30 p.m. (fifty-third day)/.— Smell. Sense of smell defective since nose began to show symptoms from the taking of the drug (twenty-third day),9.—Loss of smell (fourteenth day),8. Face.—Objective. The complexion a little red or purplish (ninth day) ; natural (twenty-second day)/*.—[190.] Face flushed and hot (third day),10.—Face a little flushed (eighth day); took none of the drug for twenty days, and on the seventh day after recommencing it, face again flushed,9.—Entire face swollen, orbital region more than any other part, in morning on waking (twelfth day) ; bloating of face, seen while taking drug, gone (twenty-fourth day)/*.—Face feels puffed up and hot (fifth day),10.—Malar bones feel large, as if swollen (seventh day),10.—Corners of mouth indurated and painful, the right worst, at 11.30 a.m. (fifty-first day); corners of mouth still fissured, the right worst, at 9 30 p.m. (fifty- third day)/.—Muscles of'mastication feel stiff, and motion of jaw is painful (seventh day),10. 3Iouth.—Teeth. Teeth and gums tender (twenty-second day),5.— Tongue. Tongue rather furry, but of natural color (twenty-ninth day),10*. —Tongue slightly coated (third day)/.—[200.] Tongue coated whitish- yellow (twenty-second day)/.—Slightly yellowish coating on tongue (forty- sixth day)/.—Tongue coated with a thin yellowish-white fur (fourth and fifth days); nearly natural in color, and but slightly furred (eighth and tenth days); rather cleaner (twelfth and thirteenth days) ; rather whitish and downy, with slightly metallic taste after taking a drink of water (four- teenth day); slightly furred (fifteenth and sixteenth days); moderately heavy whitish coat uniformly spread over tongue on getting up in morning, vol. vi.—31 482 NATRUM ARSENICATUM. (eighteenth day),10*.—Tongue slightly coated grayish-white, in morning (second day); slightly coated white, with a rough feeliug (thirty-ninth day); coated with a grayish-white mucus (fortieth day)/.—Whitish fur on tougue, most dense near the base, and on getting out of bed (eighteenth day)/.—Slight whitish coating on tongue (twelfth day); tongue coated yellowish-white (thirteenth day)/.—Light whitish fur on tongue (fourth day); tongue deep red, considerably corrugated, and somewhat furred (eighth day); tongue not so red,still somewhat corrugated,and the papillae standing up plainly on posterior part (ninth day); on waking, tongue mod- erately furred, but no very unpleasant taste in mouth (eleventh day); on waking, tongue somewhat furred back, and the papillae on posterior part prominent and large, aud the anterior part fissured (fourteenth day); tongue cracked, red, and uneven, and slightly furred (nineteenth day),9*.— Tongue clean (second day) ; thin whitish fur over middle of tongue from tip to base, leaving a small well-defined space on each side clear and of natural color (fourth day); tongue a little corrugated, and posterior part covered with a whitish-yellow coating, becoming lighter the nearer the tip (seventh day); slightly turred, supposed to be inflamed to some extent (case of tobacco), (eighth day); thin whitish coating over most of surface, edges and tip free (thirteenth day),8*.—Tongue large, moist, and fissured (tenth day); flabby and fissured (twelfth daj*); large, soft, and deeply fissured (fourteenth day); furred, whitish, more on back part (forty-third day)/.—Small blister on right side near base of tongue (thirty-seventh day)/.—[210.] Tongue feels dry, as if burnt; liquids do not remove the sensation (third day)/.— General 3louth. Ulcer in mouth, very sore (third day)/.—Mouth gets watery, and I think that I am going to vomit (fiftieth day)/.—Taste. Insipid taste (fortieth day)/.—Clammy taste in mouth (eighteenth day),9.—Pasty taste in mouth (third day)/.—Bitter taste in mouth (thirteenth and fiftieth days)/; at 9.35 a.m. (forty-sixth day)/.— Sour taste iu mouth, at 9.30 a.m. (forty-third day)/. Throat.—Objective. Throat purple-red, rough, and pitted in places, aud studded with little patches or points filled with mucus (twenty-first day)/.—Throat somewhat red ; color deepest within fauces, less on soft palate, aud entirely lost on the arch ; the parts within the phaiynx, so far as can be seeu, are redder than natural, but not complained of as being sore ou swallowing (eleventh day); throat purplish-red, and looks raw, but no soreness on swallowing (twelfth day); pharynx aud pillars of fauces are red, and their structures thickened and angry looking, but not sore on swal- lowing (thirteenth day)/a.—[220.] A quantity of tough yellowish mucus occupying the posterior nares and upper part of pharynx (twenty-third day)/.—Considerable yellowish, rather cousisteut mucus drawn by inspi- ration and hawking from posterior nares (eleventh and twelfth days); but little discharge anteriorly through nares, but the usual amount of hawking and clearing of throat and posterior nares during early part of day (thir- teenth day) ; can draw air freely through nostrils, but there is a feeling in posterior nares as if obstructed, preventing easy and clear articulation (seventeenth day),10*.—Hawking up of a grayish, viscid, tenacious mucus, with rough feeling in throat (third day); roughness of throat; a tenacious white mucus causes considerable hawking to free the throat, in afternoon (twenty-sixth day)/.—Hawking this morning, as for some days past, but less this afternoon (fifteenth day); hawking continues; the mucus hawked up is tougher, a little more yellow, and the hawking a good deal oftener (seventeenth and eighteenth days); hawking very troublesome all day, but NATRUM ARSENICATUM. 483 worst in morning (twentieth day); hawking and clearing of throat con- tinues till 10 or ll a.m.; a very tenacious whitish-yellow mucus is brought away by hawking (twenty-fifth day); hawking continues; it was formerly troublesome in morning, but is now troublesome all day (twenty-ninth day,10*.—Subjective. Disposition to hawk frequently and clear the throat of a tenacious starchy-looking mucus (twelfth and thirteenth days)/'. —Disposition to hawk and draw from the posterior nares and throat a thick semi-solid whitish mucus, continuing through the day, but most annoying on lying down to sleep (twelfth day); hawking a great deal (sixteenth day); hawking worse in open air (eighteenth day); frequent hawking and clearing of the throat (twenty-fourth day); disposition to hawk aud clear the throat of the same tenacious mucus (thirty-sixth day)/.—Throat dry, and when dry, cough most troublesome (nineteenth day) ; throat dry, aud a lot of stiff tenacious mucus lodged in upper part of pharynx, which, on trying to dislodge, caused gagging; during day throat dry, sore, aud empty; deglutition painful (twenty-second day); dryness of throat only occasion- ally felt (thirty-sixth day),9.—Constrictive sensation in throat, below larynx, all evening (second day) ; constricted, choking feeling still in throat (third da}7) J great constriction in throat, in afternoon (fifth day) ; same constricted feeliug in throat, at 9 p.m. (seventh day); moderate feeling of constriction in region of thyroid cartilage, as if pressed between thumb and finger (thirty-sixth day)/.—Scraping and raw tickling sensation in throat (twenty- seventh day)/.—[230.] Smarting in posterior nares, in afternoon (twenty- sixth day)/.—Throat rough (twelfth day); throat rough, and clogged up with much mucus, difficult to dislodge, and of a dark-slate color (forty-ninth day)/.— Uvula and Tonsils. Tonsils, uvula, and soft part of palate red, thickened, and sore looking, without special pain on swallowing (nine- teenth day)/.—Tonsils, fauces, and pharynx are a purplish-red, so far as can be seen, and oedematous, and in places covered with a tough, whitish, viscid mucus (twenty-second day)/.—Tonsils, uvula, and as far as can be seen of the pharynx, are thickened, irregular on the surface, swollen, and a purplish-red, with an abundance of yellowish or yellowish-gray mucus; most of the soft part of the palate is thickened, and presents to a degree the same appearance as the fauces; color deepest on inner edge of tousils and uvula, and pales more the farther from that point till lost well up on the arch (eighteenth day); throat not so dark aud rough iu appearance (twentieth day); pillars of fauces, uvula, and surface of pharynx, so far as can be seen, are still a little thickened and of a pale-red color, and some mucus is seen in places adherent to the surface of the pharynx (twenty-fifth day) ; fauces and soft part of palate and pharynx, so far as can be seen, are of a pale-red color, and the vessels are full, and the parts just named oedem- atous (twenty-ninth day),10*.—Fauces, Pharynx, and (Esoph- agus. Fauces and pharynx look red and glassy (seventeenth day)/. —Dry, stiff feeling in fauces and pharynx on waking (twenty-fifth day); throat feels dry and stiff (twenty-ninth day),10*.—Fauces and pharynx dry (twenty-third day),9; on waking in morning (twenty-second day)/9*.—Sen- sation of dryness all day in fauces and pharynx (seventeenth day); fauces and pharynx dry, on waking in morning (twenty-second day)/.—Pharynx somewhat dry (twelfth day)/*.—[240.] Constrictive, burning feeling in oesophagus (second day)1 —Swallowing. Deglutition painful (twenty- second day) ; throat painful on empty deglutition all day, but no soreness on swallowing food or drink (twenty-third day)/.—External Throat. Stiffness and tenderness in upper part of sterno-cleido-mastoideus muscle, 484 NATRUM ARSENICATUM. at 11.45 a.m. (fourteenth day)/.—Pain all afternoon in right side of neck, at bifurcation of common carotid artery, felt when moving the head in any direction, or when pressing the poiut named, but not noticed when swallow- ing, at 5.10 p.m. (forty-first day)/. Stomach.—Appetite. Appetite poor (twelfth day); could eat no breakfast; had some appetite for supper (fifteenth day); appetite good (seventh day after recommencing taking)/.—Appetite not good ; could eat, but had no relish for the food (eleventh day) ; had an appetite for breakfast (twelfth day) ; no appetite for either breakfast or dinner, but ate some supper (fourteenth day) ; no appetite for breakfast or dinner, but felt hungry for supper (fifteenth day) ; appetite good (twentieth, twenty-fourth, and twenty-sixth days),9.—Could eat but little breakfast (ninth day); since leaving off medicine, some days since, appetite not so good, with some ten- derness in epigastric region (fourteenth day)/.—For several days, have had an aversion to an accustomed cigar, and after smoking the symptoms grew worse (twenty-sixth day)/.—Appetite good (twenty-sixth day); no appe- tite except for juicy food or fruits (fortieth day)/.—Appetite increased (seventh and eighth days); appetite not nearly so good as when taking the drug (twenty-fourth day)/.—[250.] Appetite greatly increased, and diges- tion good (twelfth day); no appetite for breakfast (thirteenth day); hun- gry, at 11 a.m. (forty-first day); no desire for food (forty-ninth day); entire loss of appetite. Have eaten nothing for sixteen hours. At noon had no appetite, but took some food and a cup of coffee, which seemed to relieve my head for a time. Had a desire for pickles at supper, which I rarely eat. It gave me a relish for bread and butter, of which I ate freely, and by 8 p.m. felt much better (fiftieth day)/.—Appetite decreasing (twenty-first day) ; poor appetite (twenty-second day) ; appetite very good (forty-first day) ; am losing appetite; have eaten but little for four days past. Have eaten less each day (forty-fifth day); somewhat hungry, but feel worse after eating (forty-sixth day); appetite has improved rapidly the past few days, with tendency to eat more than is proper (fifty-third day); during last few days, appetite has increased wonderfully. Eat too much almost every day, cannot help it. Still seem to digest all that is eaten (fifty-eighth day)/.—Not the usual relish for tobacco (forty-fifth day)/.—Thirst. Have been thirsty till 10 a.m., all the past week (seven- teenth day); thirsty on getting out of bed (nineteenth day),9.—Thirsty all day. Wanted water often, but little at a time (forty-third day); very thirsty, but feel worse after drinking (forty-sixth day)/.—Considerable thirst last night (eighth day); great thirst, the water tasting natural and refreshing (fourteenth day)/*.—Very thirsty all day (third day); thirst continues (fourth day) ; considerable thirst, but not so much as during the previous two days (fifth day); less thirst (sixth day),10*.—Eutire absence of thirst (fiftieth day)/.—Eructations. Breakfast became acid in stomach, producing very disagreeable eructations. Am not subject to turns of acidity of stomach. Do not recollect of ever having such a turn before (thirteenth day)/.—Belching and sour eructations for two or three hours after eating (fiftieth day),6.—[260.] Pyrosis felt below thyroid cartilage, in afternoon (fifth day)/.—Nausea and Vomiting. Nausea, paiu, aud urging to stool (fifteenth day)/.—Supped principally on fruits. During night some nausea, followed by chills on back (thirty-ninth day); slight nausea at stomach all the time, at 8 a.m. (fourth day)/.—Nausea, but no vomiting (second day); nausea soon after taking the medicine, lasting all day ; would like to vomit, but cannot (seventh day)/.—Nausea, almost NATRUM ARSENICATUM. 485 resulting in emesis, after a drink of cold water (second day); went to bed sick at stomach (forty-ninth day) ; very sick, and felt like vomiting, but did not. Nausea passed off with a flash of heat and a feeling of moisture on skin, which before was very dry (fiftieth day)/.—Qualmishness, alter- nating with pain in stomach and bowels (twenty-first day) ; stomach feels qualmish. Felt sick after dinner, with qualmishness of stomach. Imme- diate relief by a glass of soda water, without syrup (twenty-second and forty- seventh days); ate no breakfast, except a few peaches, and the stomach causes no inconvenience (twenty-third day) ; sick at stomach, without nau- sea, at 1.40 p.m. Sickness of stomach continues, at 9.45 p.m. Nausea not sufficient to cause vomiting (forty-second day)/.—Emptv retchiug (fifteenth day) ; qualmish, sickish feeling all the time (seventh day after recommenc- ing taking),9.—He gags when the mucus (which is tenacious and difficult to dislodge from its position posterior to the soft palate) is brought down into the pharynx (twenty-second day)/.—Feeling of nausea; vomited a large quantity of sour water. As long as he lay quiet he felt better. Odor of food pleasant to him, but on attempting to eat, the first bite caused vomiting of very sour fluid, at 5 p.m. (second day),10.— Stomach. Stom- ach sour; food does not digest (twelfth and fifteenth days)/.—[270.] Since the headache has passed away a feeling of prostration and sinking in the epigastrium, without pain, comes on about the same time the headache came, and lasts about an hour at a time, and is accompanied with yawning. He has been so daily, except one day, since the headache left. At the same time there is a dull feeling in supraorbital and frontal regions, which passes off with the sinking sensation (twenty-eighth day)/a— Could not sleep till late, because of the uncomfortable feeling in the stomach (eighth day),3.—Can feel stomach (twenty-first day) ; can feel stomach all the time, especially after eating. It is a sickening feeling, but is not nausea (forty- fifth day) ; stomach gives me an immense amouut of unpleasantness. Feel it all the time (forty-sixth day)/.—Ate a moderate dinner, which seemed to lay heavily on the stomach (fifty-first day)/.—Feeling of fulness in stomach and bowels, after moderate eating (twenty-fourth day)/.—Tight feeling in stomach (secoud day); uncomfortable feeling of fulness and pain in stomach, at 9.45 a.m. (ninth day)/.—Cramp in stomach and chest, at 1.30 a.m. (second day) ; slight cramp in stomach, all forenoon (sixth day)/. —Ate no breakfast, and at 11 a.m. had a darting-sticking pain in great cul-de-sac, lasting till dinner (12.30 p.m.), (twenty-sixth day)/.—Epigastric region sore on pressure (eleventh day),6.—Feeling in epigastric region as if some irritating or burning substance had been taken into the stomach (eleventh day),10. — [280.] Tenderness in entire epigastric region, most marked immediately below the ensiform (eighth and ninth da)*s); tender on pressure, in epigastric region for some days past (twelfth day) ; quite tender, on pressure, in epigastric region, in the morning; less so in after- noon, but still distinctly felt on pressing the part (twenty-fifth day)/°».— A little tenderness in epigastrium (twentieth day); slight tenderness on pressure in epigastric region (twenty-second day) ; slight tenderness still, on deep pressure, iu epigastric and umbilical regions (twenty sixth day)/*. —Quite a tender feeling in epigastric region felt all the time, but worse on pressing over the part (fourth day); feel quite well, but soreness on press- ing over epigastrium, extending to upper part of ensiform (sixth day); tender to touch in epigastric region (seventh and eighth days) ; moderately tender in epigastric region on pressure (eleventh day)/*. Abdomen.—Hypochondi'ia. Shooting pain from short ribs down 486 NATRUM ARSENICATUM. across left hypochondriac region, in afternoon (thirty-ninth day)/.—Shoot- ing pains over liver frequent, but not severe, in morning (thirty-eighth day)/.—Sharp shooting pain in left hypochondriac region just before stool (fortieth day)/.—Occasional stitches in spleen (third day)/.— Umbilical and Sides. Occasional pains through umbilical region, through the morning, with frequent passages of flatulence (third day;; occasional pains through bowels, with discharges of flatulence (fourth day); occasional pains through abdomen (seventh day),10.—Some pain in umbilical region from distension with gas, at 9 p.m. (forty-second day)/-—Dull pain in umbilical region before the stools/.—[290.] A dull pain in umbilical re- gion, which disappeared after a free discharge of gas, in morning (forty- first day)/.—Borborygmus in left side of abdomen, between the cartilages of the ribs and the anterior part of the crest of the ilium, felt frequently and accompanied by sharp pain (ninth day),10*.— General Abdomen. Rumbling in bowels, as if diarrhoea would come on, in morning (second day)/.—Some rumbling and pain in abdomen (twenty-second day)/1.— Uncomfortable feeling in abdomen (second day)/.—Feeling of distress, commencing in epigastrium, and in a few minutes extending through the entire abdomen. Pain not severe enough to prevent sleep, but felt on stirring about room (third day),10.—Pains in abdomen, with urging to stool (eighth day); pains through bowels (twelfth day); the pain in abdomen seems to be caused by gas, as much of it is passed at stool. Waked at 3 a.m., by sharp cutting pains in abdomen, relieved by passing off flatus (fourteenth day); slight pains in abdomen, made him sick (fifteenth day); slight pains in bowels (third day after commencing to take the drug again in large doses)/.—Slight pain through abdomen, passing off by escape of flatus (nineteenth day)/*.—Slight pain through bowels, with some urging to stool (third day),9.—Moderate pain through the bowels previous to each stool, and entirely relieved by the evacuation (eleventh day)/'.—[300.] Considerable pain through abdomen duriug most of morning, accompanied by relaxation of bowels. The returns of pain in abdomen farther apart and less severe each time, till 1 p.m. (eighteenth day)/0*.—Slept well, but woke early, with great pain in the bowels, and a dreadful headache (forty- ninth day)/.—More or less pain through small intestines, nearly always before escape of gas (tenth day),9.—Pinching-burning pains in abdomen, at 10 a.m. (seventh day),6.—Feeling of repletion. Bowels feel full, and compel opening of pants and drawers for relief (nineteenth day) ; slight fulness in abdomen (twentieth day)/.—Abdomen painful aud swollen ; passage of gas afforded some relief, but straining pressure on walking pro- duced sharp paiu (third day) ; painful feeling of distension of abdomen from gas, which passed off, at 11.20 a.m. (fifth day) ; severe pain iu bowels, which are very much distended. Relieved by small stool and the passing of a large quantity of gas and sour urine, at 5.10 p.m. (eleventh day)/.— Occasional griping pains iu abdomen (fifty-first day)/.—Some cramplike pains in abdomen, at 10.30 p.m. (fourth day)/.—Crampy pains of short duration through small intestines, several times through the day (eleventh day)/*.—Dull pain in bowels (twelfth day); dull pain in bowels, relieved by stool of a diarrhceic character, at 4 p.m. (fortieth day),6.—[310.] Dull pain across upper part of abdomen in region of transverse colon, caused by flatus (twenty-sixth day)/.—Dull pains in umbilical and hypogastric regions, with frequent discharges of flatulence (third and eighth days),10.— Dull pain and overdistension in umbilical and hypogastric regions, at 4.40 p.m. (fourth day); pain in hypogastric and umbilical regions from over- NATRUM ARSENICATUM. 487 distension, produced by great accumulation of gas, a quantity of which was discharged an hour since, at 11.55 a.m (fortieth day)/.—Dull shifting pains through abdomen felt at times through day, commencing on getting out of bed, in morning (thirteenth day)/*.—Fine shooting pain from left groin up across navel to cartilages of ribs on right side, lasting about half a minute, aud occurring but once (nineteenth dayy9*.—Slight colic and burning in abdomen, relieved by loose stool, in afternoon (second dav\6.— Colicky pains preceding natural stool. Pain relieved by passing off flatus (second day)/.—Slight colicky pain in abdomen (third day)/.—A little soreness and some pinching in abdomen (thirteenth day)/.—Tender on pressure, in epigastrium and through abdomen (twelfth' day)/*.—[320.] Pressure suddenly made over abdomeu has for some time past caused pain to start through abdomen, and continue till gas is passed off from bowels (twentieth day) ; deep pressure still starts some pain through abdomen (twenty-second day) ; pressure over abdomen still starts the gas, but not the rumbling or pain noticed some time before/*.—All bowel symptoms worse during the day/.—Hypogastrium and Iliac Regions. Occasional pain in hypogastric regiou, in morning (second day)/.—Wak- ened with cutting paiu in hypogastric region, soon followed by a large stool, at 1.30 a.m. (second day)/.—Pain in lower part of abdomen, as if from a colic coming on, in afternoon (thirty-ninth day)/.—Sharp pain iu ileum after ri>ing, at 3.55 p.m. (third day)/.—Pain in groins, for half an hour after going to bed (seventh day)/.—Pain in left inguinal region/.— A dull cutting pain, lasting about five minutes at a time, and coming on about once in each half hour, was felt along and about the length of Poupart's ligament, coming on both sides at same time (eighteenth day) ; wakened three times by the pain during the night. It did not come so often as during the day, but was just as severe and lasted as long. This pain continued at intervals of about an hour, and of the same degree of severity as yesterday, till 4 p.m. (nineteenth day),10*. Rectum and Anus.—Gnawing pain in lower part of rectum, as if worms were boring in it, at 11.45 a.m. (forty-fifth day)/.—[330.] Excori- ated condition of the anus, very painful at stool (fifth day)/.—Slight burning in the region of the anus, with constant feeling of a necessity to go to stool without passing anything, the feeling lasting all the eveniug (ninth day)/.—Tearing pain at the anus on passing faeces (second day)/. —Dull dragging pain in perineum and lower part of scrotum (twenty- second day)/.—Desire to evacuate the bowels, with inability to do so by straining (twenty-second day)/. Stool.—Frequent stools of a mucopurulent character, with much flatu- lence and tenesmus during the stool,8.—Three soft, dark-colored stools, fol- lowed by slight burning at the anus (third day); three thin, dark-colored stools. Burning at anus more marked than before. Passages preceded by pain, with relief after (eighth and ninth days)/.—Large stool, preceded by cutting pain in hypogastric region, at 1.30 a.m. In about ten minutes another stool, also preceded by cutting pain. Yellowish watery stool, at 8 A.M. (second day)/.—Stool natural, but twice in the day, which is in- creased (thirty-sixth to fortieth days)/.—Loose motion from bowels, at 8 A.M. (ninth day),9.—[340.] Copious papescent stool, at 11 A.M. (fortieth day)/.—One light, painless stool, at 7.30 a.m. (fourth day)/.—One copi- ous, brownish, painless, laxative stool, at 9 a.m., with a great deal of flatu- lence (thirteenth day)/*.—One stool, almost black (thirteenth day)/.— Stools lumpy (twelfth day)/.—Awakened by pain in abdomen, and soon 488 NATRUM ARSENICATUM. after had a copious lumpy stool, which came on so suddenly as to hurry me out of bed. At 8, and also at 11 a.m., had loose lumpy stools, with some wind (fifth day)/.—Pain and irresistible desire for stool, the discharge being large and soft; afterward, one small, thin, dark, and slimy stool (fourteenth day) ; stool dark, large, and lumpy. Oue hour afterward, felt weak and nervous, the hands trembled, then a scanty stool, with burning after it (fifteenth day); little or no pain in bowels, some flatulence, but discharges regular and natural (seventh day after recommencing taking)/. —Desire for stool, at 10 A.M., which is unusual with me, as I always evac- uate the bowels before retiring for the night. The stool is of a iaxative character, with some griping and burning at the anus, but without flatu- lence. Bowels relieved by the evacuation (seventh day); stools mushlike, and readily voided (fourteenth day) ; painless diarrhceic discharge from bowels, at 10.30 p.m. (fortieth day) ; diarrhceic stool, with considerable tenesmus; stool very thin, and expelled with force. Evacuation relieved a pain in bowels, at 10.30 A M. (forty-ninth day); diarrhceic stool, with a great deal of flatus and slight tenesmus, at 4 p.m. (fiftieth day),6.—Two discharges from bowels; the first part of each natural, the latter part laxative and pungent. Had a disposition to go to stool at two other times, which passed away when flatus was allowed to escape from bowels (tenth day) ; bowels moved at 7.30 p.m., and again at 5 p.m. First part of morn- ing stool consistent, but latter part quite soft. Evening stool thin and lumpy (eleventh day) ; large liquid stool, preceded by pain, and a little pungent, at 6 a.m. (twelfth day); bowels moved once, with slight pain through abdomen previous to discharge. Stool small, pasty, and light brown, with slight burning in bowels after stool. Had occasion frequently to go to stool, when the passing off of gas or urine relieved the sensation, and no stool came (fourteenth day) ; bowels moved at 8 a.m., stool pasty, dark, and small. Stool again at 10 a.m., of same character, but small also (fifteenth day) ; bowels moved once. Stool soft, pasty, and dark (sixteenth day); after breakfast bowels moved once. Stool of moderate size, yellow- ish, and sticky (seventeenth and nineteenth days) ; bowels moved at 9 a.m. Stool scant and yellowish (twenty-first day); bowels moved in morning. Stool almost natural (twenty-second day)/.—Small, firm stool, and much gas, at 2.15 p.m. ; small, firm stool, at 3.30 p.m. (second day) ; large, firm 8tool,and a large amount of gas, with much relief to the abdomen, at 12.20 p.m. ; small, firm stool, at 9.40 p.m. (third day) ; at 5.10 p.m. (fourth day); small stool, and much gas, relieving the pain and feeling in abdomen, at 10.50 a.m. ; small, firm stool, at 11.55 p.m. (ninth day)/.—[350.] No stool yesterday, but a soft stool this a.m., followed by slight burning at anus (tenth day); symptoms the same, but less iu degree (eleventh day)/.—No movement of bowels since yesterday morning (now 8.45 p.m.), (fifth day); no stool, and no gas passed off (sixth day); stool perfectly natural, at 10 a.m. (seventh day) ; bowels not moved (eighth day); bowels moved twice. Stools natural (uiuth day) ; bowels rather looser than usual. Two stools between 6 and 8.30 a.m. (eleventh day); bowels not moved in past twenty- four hours (twelfth day); bowels not moved (thirteenth day) ; bowels moved once, discharge being natural in color and consistence (fifteenth day); bowels not moved (sixteenth day); one small discharge from bowels of natural color and consistence (seventeenth day) ; bowels moved three times between 5.30 and 7.30 a.m., discharges moderately dark, and accom- panied with considerable flatulence (eighteenth day); no pain in bowels to-day, nor have they been moved (nineteenth day); bowels not moved NATRUM ARSENICATUM. 489 (twenty-first day) ; bowels moved three times before 9 a.m. Stools small and laxative, but of natural color (twenty-second day); bowels not moved (twenty fourth and twenty-fifth days); bowels moved about every alternate day. Motions small, but of natural color and consistence (twenty-ninth day),10*.—(Was disposed to be constricted, before taking. That condition has been corrected), (second dav)/. Urinary Organs—Kidneys and Bladder. Dull aching in kidneys (thirteenth day)/.—Dull aching in region of kidneys, with profuse flow of natural-colored urine, and of natural reaction (thirteenth day)/.— Sore feeling in region of bladder, relieved by urinating (twelfth day)/.— Urethra. Burning when urine begins to flow (thirty-ninth day)/.— Micturition. More disposed to urinate than was his habit (sixth day)/. —Quite an increased flow of urine through the day (thirteenth day)/*.— Have been urinating much more freely and copiously since taking the remedy (fortieth day)/.—[360.] Frequent copious discharges of clear, watery-looking urine, without any disagreeable feeling (fourth day) ; less urine passed, but still more than a normal quantity, and still clear (fifth day); urine clear as water and in natural quantity (fifteenth day),10*— Compelled to get .up to urinate; the quantity in excess of what is usual, but of natural color (second day); roused from sleep with urgent desire to urinate (third day); urine passed in greater quantities, and with urgent desire (thirty-sixth day)/.—Got up at 6.30 a.m., and passed more than the ordinary quantity of urine, but was cool last night (thirteenth day)/.— Had to rise twice through the night to urinate, passing a large quantity of pale urine (eighth dayy*.—Uriuated but twice in the past twenty-four hours (twelfth day)/.— Urine. Urine of a little darker color than usual (twenty-sixth and thirty-sixth days)/.—Urine light-yellow, cloudy, and a precipitate seen after standing two hours ; reaction acid ; sp. gr. 1029. Heat precipitates a dense, white granular substance, which dissolves when mixed with or when nitric acid is used, leaving the urine clear and of a reddish-brown color. A few epithelial scales, a cast, some fat-globules, aud some phosphates seen under microscope. Urine, at 9.40 p.m., opaque, but of natural and strong odor, acid reaction, and sp. gr. 1030. No albumen, but large quantity of phosphates (second day) ; urine a dark straw color, of mild odor, reaction acid, sp. gr. 1030, phosphates in abundance, at 5.10 p.m. (fourth day); urine has an acid reaction, and sp. gr. 1029; deposits of phosphates on standing, at 7.50 p.m. (twenty-first day)/. Sexual Organs,—A dull cutting pain, lasting about five minutes at a time, and coming about once in each half hour, was felt along and about the length of Poupart's ligament, occurring on both sides at the same time. After the subsidence of each pain, a sickening sensation in left tes- ticle, as if caused by a blow, and lasting about ten minutes. During the time this sensation lasted, the testicle was extremely sensitive to the touch, even of the clothing, but this sensitiveness passed away each time the pain subsided (had same symptoms on taking the drug the first time), (eighteenth day),10*.^-Emission during sleep last night (tenth day)/. Respiratory Organs.—Larynx and Rronchia. Dryness of larynx ; it feels as if inflamed. Great difficulty in detaching the mucus, which is very small in quantity, and of a dark slate color (forty-ninth day)/. —[370.] Very sensible constriction and burning in lower part of larynx, more markedly felt on right side (oue hour after ten drops, second day)/. —For two evenings, a roughness in larynx, causing a disposition to hem, with a spasmodic dry cough (eleventh day)/.—During morning, more or 490 NATRUM ARSENICATUM. less constant feeling of irritation through bronchial region, accompanied by a slight dry cough (eleventh day\10\—Voice. Voice a little husky (fourth,^"eleventh, and thirteenth days)/*.— Cough. Dry cough, with feeling of tightness and oppression in middle and upper third of chest (eighth, ninth, and tenth days)/.—Plight dry cough, with feeling of oppres- sion upon chest (sixth day); dry cough (seventh day) ; cough looser, but no expectoration (eighth and ninth daysy10.—Coughed a little; deep inspi- rations are followed by a cough (fourth day) ; more or less continuous dry hacking cough, worse in heat of room ; came on about 4 p.m. (eleventh day); dry hacking cough all day (twelfth davy8*.—Slight dry cough (elev- enth and twelfth days); coughs moderately, but does not expectorate any; has coughed more, but has not expectorated (fifteenth day); short, dry, hacking cough (sixteenth day); cough still drv, and more severe than at any previous time (seventeenth and eighteenth days); cough a little loose for first time while up during part of the night, but has been a great deal more severe and paroxysmal, lasting longer at a time, and again tight dur- ing the day (twentieth day); some turns of same dry cough (twenty-fifth day); cough now only noticed after walking or making some exertion re- quiring an increase of the volume of respiration ; the cough is dry (twenty- ninth davY0*.—Last night and to dav, a disposition to hack and cough, with a little irritation in throat (tenth day); hacking cough without ex- pectoration, most persistent in the forenoon (eleventh day); dry cough, causing him to gag, continuing all dav, but worse during forenoon (four- teenth day) ; same disposition to cough and gag, but not to same degree (fifteenth and sixteenth days); dry cough (seventeenth day); cough worse in forenoon (eighteenth day); cough drv, and feeling of dryness down the trachea and into the bronchia (nineteenth and twentieth days) ; commenced coughing on waking; cough worse in heat of room (twenty-second day); cough dry, but not so continuous (twenty-third day) ; cough a little loose, but otherwise about as for the past four weeks. Once or twice per day a little starchy looking substance is dislodged from a spot about under the fourth rib, a little to right of sternum, at which point there is a little sore- ness on pressure (thirty-sixth day),9.—Slight cough, with grayish or bluish- black expectoration (thirteenth day); some cough, and expectoration of a slate color; matter expectorated tough, and hard to disengage from larynx, requiring forcible hemming and hawking ''fourteenth day); after supper, a dry hacking cough (forty-third day),6.—[380.] Spasmodic cough, expecto- rating a grayish phlegm, iu little lumps, in morning (second day)/.—No cough at night during the proving,9.—Resjiiration. Respiration 16 (thirty-ninth day)/ ; (fortieth day)/ 16; (second and third days),20; (thirty- sixth day)/.—Respiratory sounds not clear (tenth day) ; respiratory sounds clear, except in lower lobe of right lung (twelfth day) ; respiratory sounds very indistinct, except at the upper part of the lungs (fifteenth day) ; res- piratory sounds indistinct in lower lobes of lungs on both sides of chest (seventeenth day),10*.—Respiratory sounds not clear (tenth day); respira- tory sounds in upper half of chest are heard moderately clear, but those of the lower half are quite dull; there is, however, the usual resonance on percussion all over the chest (twelfth day) ; respiratory sounds becoming natural (twenty-second day)/.—Frequent sighing respiration (ninth day),10*. —Oppressive shortness of breath ; compelled to take long breaths frequently, with occasional pains in right side of chest, at 9 a.m. (seventh day),7. Chest,—Feeling in chest as if smoke had been inhaled, causing a cough (eleventh day)/.—Pain for greater part of day through anterior NATRUM ARSENICATUM. 491 part of upper lobe of left lung, but no soreness on pressing the walls of chest over seat of pain (fourth day)/a.—Feeling of fulness and oppression in chest (third day),10.—[390.] Feeling of fulness and oppression through entire chest, accompanied by a sense of soreuess, worse on inspiration, and continuing through the balance of the day and evening, with a short dry cough, which seems to arise from some irritation behind the upper half of the sternum (fourteenth day),10".—A constricted sensation about chest, and feels at times like taking a deep breath, but has no cough (twelfth day)/.—Feeling of oppression in the chest (fifteenth day),10*.— Feeling of oppression in centre of chest, in afternoon (ninth and tenth days),8.—Lungs feel oppres>ed, as if by a heavy weight (fourth day); heavy oppressed feeling in the chest, requiring an effort to draw a long, full breath (fifth day) ; feeling of oppression iu chest, with slight dry cough (sixth day) ; feeling of oppression upon the chest (eighth and ninth days),10. —Feels no oppression of chest since urinary secretion became free (thir- teenth day)/\—Sharp shooting pain between sixth and seventh ribs, at about the junction of the ribs with the cartilages, lasting but a few seconds, recurring again after an interval of half an hour, at 9.30 p.m. (thirty-sev- enth day)/.—Pleuritic pain in right side, over liver, in afternoon (fifth day)/.—Some soreness of chest, in morning (second day)/.—Feeling of soreness and oppression through chest during motion or exertion. Taking a full inspiration increases the soreness (eighth, ninth, and tenth days); chest feels sorer (fifteenth day) ; entire chest feels sore on taking an inspira- tion of any depth whatever (seventeenth day); has felt sore through the entire chest all day (twentieth day); soreness of lungs, as for some days past (twenty-first, twenty-third, and twenty-fourth days),10".—[400.] Pain over region of lower ribs; they feel sore on pressure (second day)/.— Region between sixth and seveuth ribs sore to pressure, in morning (thirty- eighth day)/.—Tenderness on pressure in supraclavicular region, continu- ing all day (eleventh day)/0'.—Distress in chest, relieved somewhat by taking Pulsatilla in repeated doses (fourteenth day)/.—Front. Air, on full inspiration, causes a disagreeable feeling behind sternum (fourth day)/a. —Quickly passing pain in anterior part of chest, below seventh rib, about two inches from steruum, on each side, but not iu both sides at the same time; felt three times on left side and twice on right (fifth day) ; pains in chest felt at least twenty times in past twenty-four hours, but not at night while asleep (sixth day); pains in chest not so sharp and do not come so frequently. A feeling of oppression and soreness remains in locali- ties where the pains have been felt (seventh day),10*.—Considerable pain in chest between nipples, with an indescribably hollow feeling there, accom- panied by a choking sensation in throat, materially aggravated by inhal- ing carburetted hydrogen gas (twenty-seventh day)/.—Severe pain under ensiform cartilage, at 12.05 p.m. (third day)/.—Oppressed or stuffed sen- sation, from larynx to bottom of sternum, all day (fourth day) ; stuffed sensation through chest generally, and more markedly felt behind sternum, and from larynx to epigastrium, felt all day (eleventh day)/*.—Sore, bruised feeling under and to left of sternum, at the junction of the upper and middle third of the bone, felt on throwing shoulders up and back; this pain at times extends back to the inferior angle of the scapula and to the shoulder-joint, where there has been, for five days, a weary aching on raising the arm (thirty-sixth day)/.—[410.] Moderate percussion all over auterior portion of chest produces pain (twelfth and nineteenth days),9.— 492 NATRUM ARSENICATUM. Continual irritation behind the sternum, about the lower part of the upper third (twelfth day)/.—Sides. Several times to-day, sharp stitching pains, moderately severe, in both sides of chest, in space between fourth and sev- enth ribs (twelfth day); one turn of stitching pain through right side of chest, about fifth rib, near the cartilage, reaching back to scapula, and lasting but for a minute (nineteenth day),9.—Pain and soreness in right side of chest (eleventh day); since middle of afternoon not so great; sore- ness on inspiration, and on making a full, deep inspiration, severe pain is felt, at times cutting short the inspiration (twelfth day),10*.—Intercostals of left side, between the sixth, seventh, and eighth ribs, are sore to touch (thirty-sixth day)/.—3lammce. Shooting pain under right mamma (twenty-seventh day)/.—Soreness under right mamma on pressure (third day)/. Heart and Pulse.—On putting ear to chest, sounds of heart heard distinctly through nearly every part of chest (fifteenth day); sounds so loud and distinct as to prevent hearing clearly the respiratory sounds (seventeenth day) ; can himself feel beats of heart through chest distinctly (eighteenth day) ; beats of heart violent on making any unusual exertion or continuing a usual exertion for any considerable time (twentv-ninth day),10*.—Pulse 98 (second day),10.—Pulse 80 (second day) ; 86 (third day); 80 (thirty-sixth day); 80, at 3.30 p.m. (thirty-eighth dav); 84 (thirty- ninth day); 96 (fortieth day)/.—[420.] Pulse 76 (tenth" day); 80, and intermittent (not usual with him), (tenth day); pulse 88 (fourteenth day); pulse 90 (fifteenth day)/.—Pulse 90/.—Pulse 72, and full (second day); 90, at 7.50 p.m. (twenty-first day); 84 (twenty-second day); 90 and full, at 2.30 p.m. (twenty-sixth day); 85, full and regular (forty-first day) ; 84, full and regular, at 9.30 a.m. (forty-third day) ; 86, at 9.35 A.M. (forty- sixth day)/.—Pulse 88 (fiftieth day)/.—Pulse 86, and a little variable in volume, but regular in beat (seventh day)/".—Pulse 72 (usually 80 to 85), a little irregular, variable in volume (eighth day) ; 72, and quite irregular in its beats (ninth day); 74, aud but slightly irregular (tenth day); 76, and rather slender, but regular (twelfth day) ; 56, full and regular, at 6.30 p.m. (fourteenth day) ; 75, regular and 'full (fifteenth day); 78, variable in volume, but regular in beat (seventeenth day) ; 86, slender and irregular (eighteenth day) ; 78, at times slender, and at times full, and readily caused to fluctuate by change of position or effort of body (twentieth day); 82, full and regular (twenty-fifth day); 72, and rather irregular in volume and beat (twenty-ninth day)/0a.—Pulse 66 to 69, and irregular, with from five to seven interruptions per minute (has been a little intermittent before, but is more so than usual now); at noon (fourth day) ; 76, soft and rather regular (tenth day); 96, slender at times, and at times full and very irreg- ular (twelfth day) ; 95 to 96 all day (fourteenth day) ; about 100, slender and intermittent during early part of day, 80, in afternoon (fifteenth day); 80, and irregular (sixteenth day) ; 75, and slightly irregular (seven- teenth day) ; 76, and a little irregular (nineteenth day) ; 80, and irregular, both in volume and beat (twenty-second day); 96, slender aud rather irregular (thirty-sixth day),9*. Neck and Rack.—Neck. Neck feels stiff (forty-eighth day)/.— Left side of neck feels stiff and sore (sixth and seventh days)/.—Began to feel a soreness commencing at the lower cervical vertebra, and extending as far down as the joints of and under both scapulae; the sensation was first felt on moving the arms and shoulders, on getting out of bed at night (nineteenth day),10*.—Rack. [430.] Feel sore about back and abdomen NATRUM ARSENICATUM. 493 (twelfth day)/.—A little soreness in back (twelfth day)/.—For sal. Pain between scapulae quite severe, causing an inclination of shoulder for- ward for relief; it is felt at every inspiration, the deeper the inspiration the severer the pain, lasting from 8 till 9 a.m., and gradually passing around below the point of right scapula to a position on right side of chest below ninth and across tenth rib. The part named is very sore on taking a full breath (eleventh day),10*.—On taking more than the usual volume of air into lungs, a stitching pain is felt in space between scapulae, which continues until 10 p.m. (nineteenth day),10*.—Lumbar. Pains in loins, extending all over back, especially felt between the shoulders, and even affecting the arms, in evening (sixth day) ; the same pains returned (half an hour after first dose) ; pains became so violent that I could not go out all the evening (after second dose, seventh day)/.—Dull paiu in lumbar region (fiftieth day),6.—Pain in region of right kidney, worse on walking (third day)/.—Slight tenderness in renal region (twelfth day)/.—Sacral. Aching low down in back, across sacrum. This symptom has been more or less constant during proving (fourteenth day)/.—Feeling of weakness in sacral region (sixth day)/.—[440.] Soreness on walking or stooping, first felt on getting out of bed in morning; very severe on pressure on each side of sacrum on a line with acetebulum, and Avorst on left side. When walking for some time the pain was easier (twentieth day)/. Extremities In General.—Joints feel stiff (fiftieth day)/.—Ach- ing in all the limbs (eleventh day),9.—Rheumatic paius in the limbs, espe- cially the lower, running from hip to toes, and worse when at rest, and better when moving; these pains remain a few moments in muscles sup- plied by the sciatic nerve; pains most severe in flexor muscles of thighs and legs (twenty-second day)/.—The pains iu the extremities wander about, showing a preference for the joints aud for the left side, but not restricted to that side (forty-sixth day)/. Superior Extremities.—Neuralgic pains from axilla to small finger, along inner part of arm, forearm, and hand, at 9 a.m. (thirty-eighth day)/.—For the past five days a weary aching on raising the arm; an aching is felt through the whole left arm ; the aching is worse from pres- sure and motion (thirty-sixth day)/.—Rheumatic aching in right arm, principally in shoulder and wrist (second day)/.—Shoulder. Shoulder- joint cracks when elevating or depressing the arm. The pain felt in shoul- der passes down the course of the median nerve to the finger end (thirty- sixth day)/.—Forearm. The flexor muscles of the left forearm on hold- ing anything in the hand with the arm flexed became stiff (thirty-sixth day)/.—[450.] Occasional little flying pains in the fingers, palms of the hands, and forearm (fifteenth day)/.—During morning had an aching pain in the flexor muscles of the left forearm near their insertion at the elbow, while riding (thirty-eighth day)/.—Pain from the tips of the fourth and fifth fingers to elbow of left arm (forty-sixth day)/.—Hands. Frequently recurring sharp stitches along the palmar surface of the fourth metacarpal bone, between the carpal and phalangeal bones, articulating with that bone. Same in both hands, but not in both hands at same time (eighteenth day)/0a.—The metacarpo-phalangeal bone of the right index finger is sore on pressure, so much so as to make it painful to hold the pencil for any time; was never troubled in this way before taking the medicine (thirty- sixth day)/.—Fingers. Nervous twitching in middle and index fingers of left hand (forty-first day)/.—Pain in second phalangeal joints of fingers 494 NATRUM ARSENICATUM. (twenty-second day)/.—Rheumatic pain in right forefinger (twenty-seventh day)/.—Sharp pains in right little finger, at 9.45 am. (ninth day)/. Inferior Extremities.— Lower extremities feel heavy (fourth day),10.—[460.] Pain in left iliac region, hip, and knee-joint, with an oc- casional twinge in right knee/.—Lower limbs ache. Pain is in the flexor muscles (twenty-third day),5.—Hip. Pain in left hip-joint (forty-sixth day)/ ; when walking (ninth day)/.—Pain in left hip-joint and inner aspect of thigh (tenth day)/.—Pain in left hip-joint and along thigh in course of crural nerve, feeling as if the part had been bruised ; worse when com- mencing to move the part, but better from continuing to move it/.— Thighs. A weary feeling from the crest of the ilium down the outer side of both thighs to the knees, as if he had been taking too much exer- cise. Began in afternoon (fifteenth day),10*.—Aching in thighs (twenty- first day)/.—An aching for a short time, about midday, in anterior and inner part of left thigh (twelfth day)/.—An aching commenced at 3 p.m., in the anterior part of the thigh, extending to the leg and ankle in front, beginning slightly and growing worse till a restless uneasy feeling was pro- duced, which lasted till he retired for the night, at 9.30 p.m., but did not prevent sleep, and was gone in morning (sixteenth day)/°\—Dull aching paiu across sacrum and down outer sides of thighs as far as the kuees, the whole of the thighs partaking of the feeling (twelfth day); weary aching across sacrum and down the limbs, the same as yesterday, till 10 a.m. From that time was walking nearly all day, and felt better while walking, but on sitting down the same feeling returned (fifteenth day)/.—[470.] Sharp pain on moving, below trochanter on left side, reaching through to left spermatic cord, which feels a little sore to touch ; the pain came on twice suddenly, lasted but a few moments, and disappeared, returning on crossing the thighs (fifteenth day); pain under trochanter felt occasioually through the day as a moderate aching (sixteenth day)/.—Rheumatic pains shooting from the acetabulum down to the knee, lasting but a few seconds, worse on moving about (third day)/.—Thighs sore (fiftieth day)/.—Pain and soreness on inner side of left thigh, from the inguinal regiou to the inner edge of the popliteal space; felt also in a slight degree in the other thigh (twentieth day)/.—Pain and soreness in posterior part of both thighs in course of sciatic nerve, felt most when walking (fifth day)/.—Extensor muscles of thigh feel sore (seventh day),10.—The muscles on anterior part of thigh are painful when walking, and tender when touched (forty-sixth day)/.—Knee. Right knee-joint cracked frequently when flexed, at night (fiftieth day)/.—Paiu in both knee-joints (ninth day)/.—Pain in left knee- joint, before rising in morning (third day)/.—[480.] Severe pain in left knee-joint, at 9.35 a.m. (forty-sixth day)/.—Had, before rising, a severe cramplike pain in lower part of popliteal space at junction of heads of gastrocnemius muscle, and running down the muscle a short distance, and gradually subsiding during the morning (twenty-fifth day)/.—Dull pain for half an hour on inside of popliteal space of right leg, came on about noon while lying, and was accompanied by a disagreeable feeliug through the muscular part of the posterior portion of the leg, which passed off while walking (twelfth day); pain in popliteal space, while walking about, last- ing about five minutes, and not affecting this time the posterior part of the leg, followed very soon by cramp in the plantar surface of the right foot, between the os calcis and metatarsal bones, lasting at inteivals the rest of the evening (had felt something like it while swimming), at 7 p.m. (thir- teenth day); pain again about mid-afternoon, for an hour (seventeenth NATRUM ARSENICATUM. 495 day),10'.—On commencing to move, pain and soreness in right knee-joint (sixth day),10.—Leg, Some pain iu left leg, which commenced soon after rising, iu morning, in outer part of knee-joint, extending to tarsus, and is felt over all the aspects of the leg (anterior, posterior, and lateral). It is most severe just below the popliteal space at junction of heads of gastroc- nemius muscle; feel sore all over, but left leg feels the worst, Pains iu legs have disappeared, at 8.50 p.m. (forty-third day); pains in knees and legs came on about 3 p.m., just as before, but worse in left hip-joint, at 4.50 p.m. (forty-fourth day); neuralgic pains in knees and legs, as before, at 7.05 p.m. (forty-fifth day)/.—Pain all day in flexor muscles of leg during motion, as if bruised (twenty-fifth day)/.—Dull rheumatic feeling extend- ing from right knee to ankle, with cracking of knee-joint when flexed or extended (thirty-sixth day)/.—Sticking in the tibia, when walking (thir- teenth and fifteenth days)/.—Toes. A corn has appeared on the bottom of the right small toe (thirty-sixth day)/.—A corn has appeared on the bottom of each phalanx of each small toe. Never had any before, except one which left in a few days.. Am wearing the same shoes as for months past; felt no friction till the formatiou was completed; they are both very painful under pressure; cannot think of any cause likely to produce them (forty-eighth day); corns extremeljf-painful (fifty-first day); disap- pearing (fiity-third day)/.—[490.] A severe pain shot* through"the meta- tarso-phalangeal articulation of the fourth and small toes of the right foot, running out to the end of the toes, causing him to limp; pain resembles that of a sprain, but the foot has not been injured in any way, at 8.40 p.m. (twenty-fourth day;/.—Bruised sensation externally over the metatarso- phalangeal articulation of small toe (third day)/. General Symptoms.—Objectlce. Venous trunks full when seen on surface (twenty-second day)/*.—Appetite as good as usual, but he has lost 5 pounds in weight (usual weight, 138 pounds), (twenty-ninth day),10. —Easily fatigued when walking (ninth to fourteenth day)/.—Listless, languid, wants to sit still (fifth day)/.—Has less strength than when he ceased taking the medicine seven days since (twenty-ninth day),10*.—In such a state of weariness and malaise that I could not eat dinner/.—Great restlessness; cannot sit still for any length of time without considerable force of will (ninth day)/.—Cannot remain long in one position; must move about (eighth day)/.—Subjective. [500.] More impressionable to cold than formerly (thirty-seventh day)/*.—Feels nervous (sixth day)/. —Feeling of nervousness all through the body (fourth day),10.—Very ner- vous (twenty-first day); quite nervous and uneasy (twenty-second day); exceedingly nervous; cannot sit still without exercising all my self-com- mand (forty-fifth day); very nervous; cannot hold pen steadily (forty- seventh day) ; still quite nervous (forty-eighth day)/.—Desire to keep quiet (seventh day); feeling of lassitude, and want to lie down or to sit (twelfth day); feeling very miserable, on rising, at 8 a.m. (fiftieth day); feeling languid and worthless (fifty-first day)/.—Disposed to remain sitting (tenth day)/*.—Feel tired all over (fifth day)/.—Got up this morning feeling tired aud bruised-like iu body and limbs (fourteenth day)/.—Very languid feel- ing during the day (eleventh day)/.—Felt weary on waking (fifteenth day)/*.—|x>10.] Feel very weak at times (fiftieth day)/.—Feel very much exhausted (twenty-first day)/.—Feels nervous and much prostrated (eighth day),8.—Unpleasant feeling of general indisposition (twenty-first day) ; went into country, and while away felt much better; had no uncomfortable feeling (twenty-sixth day); have felt pretty well for several days (thirty- 496 NATRUM ARSENICATUM. .» sixth day) ; have at times through the day felt better, and at times worse (forty-sixth day); more cheerful, and better in every respect (fifty-third day) ; feeling better and more cheerful than before I took the drug; this condition, however, is wearing off; it was more noticeable some days since (fifty-eighth day)/.—Continue to feel badly, though the medicine has been done for four days (eleventh day),9. Skin.—Objective, Some reddish irregularly shaped spots over nose are becoming irritable and tender; this appearance of the nose had not passed away from the time the drug was previously taken, twenty-two days before (fourth day),10*.—A brownish scaly condition of the surface of the chest which has been there for the past ten years is disappearing, and a reddish color of the surface of the chest and neck remains, distinctly mark- ing the boundaries of the old eruption or discoloration (eleventh day); the chloasma over the chest and lower part of the neck, and also over part of the abdomen and along and over the rectus abdominis muscle, has changed to a moderately bright-red color, and seems to be disappearing (twenty-fifth day),10*.—Yellowish blotches, resembling moth patches, appear on the cheeks and forehead, remaining a day or two (eighth day)/.—An eruption of diffused irregular patches, with numerous papular elevations, without areola, with pointed apex, on the face and neck; most abundant between the zygoma and the ramus of the lower jaw; a goodly number, however, on the neck, and more on the right side than on the left (forty-third day)/. —Within the last three days there has appeared on the skin covering the left superior maxilla a number of hard, very red pimples, not very painful (fifty-first day)/.—[520.] A bright-red rash, blotchy aud irregular in shape, without any prominence, appeared about 10 a.m. over forehead, and in an hour spread over the rest of the face (seventh day),10*.—Fine red rash on face and neck, most on right side (third day),8.—Fine red rash on the face and neck, most of it on the right side (third to sixth day); the fine miliary rash still on the face and neck (eighth day)/. —On retaking the medicine after a lapse of twenty days, the rash brought out by the first taking of the medicine did not again appear/*.—Face and neck covered with a fine miliary eruption, with here and there a pustule or large reddish pimple (twenty- third day)/.—A boil appears ou the outer hamstring of the left leg (eleventh day),2.—Have a small boil on the right side of the chin, and oue on the tuberosity of the ischium (fifty-eighth day)/.—Ulceration (such as has here- tofore occurred from a cold) at right commissure of lips, continuing three or four days (seventh day)/.— Subjective. An ulcerating sore existing for several days before taking the drug near right mental foramen is quite painful, in morning (second day)/.—Obliged to scratch myself quite often, on back, stomach, and arms, at night, in bed (had never itched before), (seventh day)/. Sleep and Freams. — Sleepiness. Yawns frequently (ninth day),10*. — [530.] Feels drowsy (eighteenth day)/. — Heavy and sleepy (tenth day)/*. —Can scarcely keep awake (second day)/.—Extremely sleepy (third day); drowsy and sleepy while at work in the afternoon (twenty-fourth day); did not sleep well; woke often through the night (twenty-fifth day); yawning, without sleepiness, in the afternoon (thirty- ninth day); slept unusually well for eleven hours, although I usually sleep but six and a half or seven hours (fortieth day)/.—Slept soundly (fourth day); restless and wakeful, followed in the morning by a general depression (eighth day); restless; sleep full of dreams, with frequent waking (ninth day)/.—Slept soundly, but was restless, and tossed about without being NATRUM ARSENICATUM. 497 aware of it, and, on inquiry, find that it has been so since the drug com- menced to produce symptoms; when roused up at any time since taking the drug, he wakes nervously, as if in affright, which is not usual with him (sixteenth day) ; slept soundly, more so than usual, but tossed about, and when attempts were made to rouse him, he rose up in bed excitedly and lay down again, without being conscious of it, in the morning, which was not usual with him ; finds it difficult to get to sleep; has a feeling of ner- vousness all the time, which seems to annoy aud prevent him from going to sleep (eighteenth day); a restless feeling prevented his going to sleep till after 1 a.m., although he went to bed at 9.30 p.m. (twenty-ninth day),10*. —Had to lie on the face to get to sleep, but slept well through the night (second day) ; slept moderately well through the night (third day) ; slept poorly; would start up and be wide awake and much frightened (sixth day); slept better last night (eighth day),10.—Sleeplessness. Took a bath and went to bed, but was restless, and could not sleep till after 3 a.m. (fiftieth day)/.—Retired about 11 p.m., but could not sleep till after mid- night on account of a restless tossing about (ninth day); sleep disturbed (eleventh day)/.—Sleepless all night (seveuth day)/.—Dreams. [540.] Have been very restless for three nights, frequently waking to find the covers pushed aside and myself in another position from that in which I went to sleep; I usually rest in one position all night, not waking through the night (twenty-third day); bad many dreams and was restless last night, am not usually so (fortieth day); was restless last night and dreamed, con- trary to my usual custom (forty-seventh day); slept little last night, was very restless/and woke frequently (forty-eighth day)/.—Slept well last night, but dreamed a great deal (twelfth day)/.—Sleep troubled with dreams of an indefinite character (eleventh day)/.—Last night and the pre- vious one, on lying down to sleep, on closing the eyes, visions of small black animals appeared to pass as it were before the eyes, arousing him from sleep, and while sleeping, black objects were dreamed of; though the night's sleep was a troubled one, he lay still (tenth day)/.—Did not sleep well; dreamed of getting into a row and having difficulty (fourteenth day); dreamed, shifted, and was restless (nineteenth day)/*.—Troubled sleep; unusual dreams of quarrelling and difficulty (third day); was restless and tossed about a great deal through the night; was at times chilly for a few minutes, then hot (thirteenth day)/*.—Sleep full of dreams of murder and fighting (fourteenth day); lay down and slept two or three hours, after which rose, feeling better (fifteenth day),9. Fever.—Ch llliuess. Disposed to get near the fire and remain there (fourteenth day)/*.—Very chilly on retiring; was compelled to cover up, although wife was perspiring beside me (twenty fifth day) ; chills on back that made me shudder, in afternoon (thirty-ninth day)/.—Through the night was at times chilly for a few moments, then hot; heat dry and burn- ing, involving entire frame, and lasting three or four minutes the time of the chilliness; this cond;tion lasted from 11 p.m. till 3 or 4 a.m., and was un- accompanied by either perspiration or thirst/*.—Heat. [550.] Tempera- ture 984,° under the tongue (twenty-fifth day),10*.—Skin hot and dry, at 7.50 p.m. (twenty-first day) ; skin hot, but little perspiration ; temperature 97T70° in axilla (twenty-secoud day)/.—Skin hot and dry, with feeling of lassitude (twelfth day); skin very hot and dry (forty-ninth day); skin hot and dry (fifty-first day)/.—Felt hot while in bed, and got up feeling tired, with skin hot and dry; feel warm, though the weather is cool (eleventh vol. vi.—32 498 NATRUM BROMATUM—NATRUM CARBONICUM. day),8.—Face feels hot, and looks flushed (seventh day),10*.—Face feels hot, with dull feeling in forehead (fourth day)/. Conditions.—Aggravation.—(Morning), On waking, swelling of or- bital regions; burning of eyelids; eyelids feel swollen ; lachrymation; con- gestion of conjunctiva; eyeballs seem large; on waking, obstruction of nose ; swelling of face ; hawking of mucus ; on waking, dryness of fauces, etc.—(Forenoon), Dry cough.—(Night), Pain in inguinal region.—( Open air), Eye-symptoms; hawking of mucus.—(Cool air), Sneezing.—(Heat), Boring in temples.—(Pressure), Boring in temples.—(Stooping), Pain in temples.—(Tobacco-smoke), Boring in temples.—( Walking), Pain in region of kidney. Amelioration.—(Night), Cough.—(Walking in open air), Dulness of mind.—(Walking), Pain across sacrum; pain in thighs. NATRUM BROMATUM. Sodium bromide, NaBr. Preparation, Triturations or solutions in distilled water. Authority. Dr. Laborde, Archiv de Physiol., 1869 (A. H. Z., 87, p. 46), effects of a dose of 16 grammes. Melancholy.—Loss of will power.—Mental indolence.—Stupor on wak- ing.—Vertigo; the ground seems to waver under his feet.—Lachrymation. —Sneezing.—Face pale.—Salivation.—Salty taste.—Loss of sensibility in the throat.—Thirst.—Cough.—Pulse small, rapid.—Slow pulse.—Ataxia. —Suppression of reflex sensibility.—Great desire to sleep. NATRUM CARBONICUM. Sodium carbonate or Disodic carbonate, Na2CO310H2O. Pre]>aration, Triturations of the crystals. Authorities. 1, Hahnemann, Chron. Krank-n.; 2, Gross, ibid.; 3, Her- ing, ibid.; 4, Langhammer, ibid.; 5, Rl., ibid.; 6, Hb., from Hartlaub and Triuks, R. A. M. L., 3, p. 2S0; 7, N—g., ibid.; 8, Schreter, ibid.; 9, Berridge, N. A. J., 1873, p. 503, effect in a patient (omitted) ; 10, Br. J. of Horn., 1857, p. 684, effects on workmen. 3Ilnd.—Emotional. Lively, sociable mood/.—Excessively lively all day, with great joyous talkativeness/.—Every event makes a strong impression upon her; a wavy trembling in the nerves, with a sensation of faintness,1.—So much excited by the slightest cause, that he continued to talk with passionate vehemence, until exhausted/.—Disinclination to talk (sixth day)/.—Great inclination to sing, and singing to himself half aloud, for several days (after twenty-four hours)/.—Joylessness/.—Lachrymose, for several days/.—Sad, depressed (twenty-ninth day)/.—[10.] Sad, mel- ancholy, tremulous, and inclined to weep, with constant sighing, and phys- ical prostration (fourth day)/.—* Intolerable melancholy and apprehen- sion; she was wholly occupied with sad thoughts (second day)/.—Sorrowful mood (after six days)/.—^Depressed, extremely despondent mood/.— Anxious, solicitous about himself/.—Anxiety in the evening, after a foot- bath of three or four minutes, so that she could not fall asleep for an hour and a half/.—Anxiety, with tremulous beating of the whole body/.—Anx- iety and restlesness; he thought he could do nothing properly/.—Anxiety NATRUM CARBONICUM. 499 and hasty restlessness all day; he could not keep the limbs still, especially the arms ; obliged to stretch them ; it seemed as though they would be torn asunder/.—Daily attacks of anxiety, with perspiration on the face, several times a day, lasting a quarter of an hour, without pain/.—[20.] The weather causes less anxiety than usual (curative action)/.—Feeling of apprehension in the head (after three days),1.—His fancy is mostly busy with apprehensions of the future; he often makes plans for half an hour at a time, as if it would go wrong with him, wherewith he seeks to be alone, for several days together (after twelve days)/.—Great apprehensive- ness after dinner, lasting till evening (twenty-first day)/.—She does not know what to do, on account of apprehensiveness and ennui, and thinks that she is quite lonely and forsaken, all day (sixth day)/.—Dread of the open air; she is averse to it/.—Dread of taking cold (second day)/.— Great timidity,1.—He is very timid, and starts at the slightest noise (twelfth day)/-—Anthropophobia and fearfuluess (second day)/.—[30.] He shuns mankind/. — Ill-humored and solicitous/.— Ill-humor, discontented and almost inconsolable/. — Very ill-humored after supper, especially after copious drinking, with pressure in the pit of the stomach, right and left hypochondrium (twentieth day)/.—Fretful mood, almost constantly till the thirtieth day/.—Fretfulness without cause/.—Fretfulness, in the even- ing (after ten hours)/.—Fretful, though with a desire to work/.—Fretful and peevish ; one can do nothing right (fifth day)/.—Fretful, peevish, and ill-humored, after eating; towards evening he was more lively (fourth day)/.—[40.] Very fretful for several days after dinner, and still more after supper/.—Very fretful, peevish, and restless after dinner; he is un- comfortable everywhere; the room seems too small for him, and even in the open air he walks about without anything seeming right to him; it diminishes towards evening (first and fourth days)/.—Very fretful and discontented with the whole world; he constantly felt as though he could beat himself, his whole life angered him, and he preferred to have no ex- istence at all; he was solicitous about the future, and inclined to despair, all day (second day),8.—Peevish (after twenty-four hours)/.—*Peevish, irri- table mood,1.—Inclined to anger/.—Easily provoked to anger ; with a lively mood/.—She becomes vexed and angry about trifles,8.—He is angry, and inclined to fight and strike, and cannot tolerate contradiction, in the fore- noon (eleventh day)/.—Very sensitive, in the forenoon, as after a vexation (after two days)/.— [50.] Alternately sad and joyous/.—Indifference (after ten days)/.—Intellectual. Resolute, persevering, self-possessed, cour- ageous/.—Sensation of loss of will power, in the morning on waking/.— Mood sluggish, phlegmatic, iudolent (fifth day)/.—Dislike for business; he goes about idly, but when once at work, it goes on as usual (after three days)/.—He has no desire to do anything, and can keep at nothing long/. —Ennui; he is absorbed in himself, and does not even know how he is, in the morning (fourth day)/.—Weary of life, iu the morning on waking (eighteenth day)/.—Weakness of thought/. — [60.] Inability to think acutely or persistently, with vertigo/.—He cannot think easily; the power of concentration fails him/.—Internal restlessness/.—Distraction of mind, in the morning (sixteenth day),8.—Completely inattentive/.—Dulness of sense ; he stares without thought, as if stunned by a blow/.—Very forget- ful ; he is obliged to think a long time before anything comes to him (third and thirteenth days),8.—He easily makes mistakes in writing (after four- teen days)/.—Stupefaction, in the morning on waking, that only gradually 500 NATRUM CARBONICUM. passes away/.—Almost unconscious of external objects; he reels while walking/. Head.—Con fusion and Vertigo. [70.] Confusion and pain in the head that permit no mental work/.—Nightly attack of vertigo; with slow violent beating of the heart, roaring in the ears, heat, anxiety as if he would die; orgasm of blood ; aggravated by the slightest motion, or speak- ing a single word ; at the end of the attack, chilliness and trembliug/.— Vertigo on turning the head/.—Vertigo after mental labor, with dull press- ing inward in the temples/.—Vertigo almost constantly, while walking; she reeled while walking/.—Vertigo very frequently duriug the day, like a whirling in the head, even while lying down,1.'—Vertigo, threatening to fall to the left/.—Vertigo even to falling down, while walking about the room, followed by great weakness of the hands and feet (first day)/.— *Excessive vertigo, like a faintness, after taking a spoonful of wine,1.—Gen- eral Head. The head is dull, dizzy, heavy, during fatiguing work, especially in the sun (after ten days)/.—[80.] Headache constantly, like a reeling in the head, and very painful confusion, followed by heat in the head; relieved by moving about in the open air, aggravated during rest and while sitting, for two days in succession (after ten days)/.—Rush of blood to the head,1.—Great rush of blood to the head on stooping, as if everything would come out at the forehead ; if he then lifted and carried anything, a beating in the head, disappearing on rising (thirteenth and fourteenth days)/.—Violent rush of blood and heat in the head while sit- ting in the house, especially in the evening, for several days, even on the twentieth day; it was not noticed in the open air nor in bed/.—Rushing of blood in the head (third day)/.—Dulness of the head, as after too long sleep/8.—Heaviness of the head, and burning in the eyes, almost daily, after dinner/.—When awakened at night, the head seemed heavy, with dull pressive pain, and flat taste in the mouth (twentieth day)/.—Head- ache at noon, mostly low down in the occiput/.—While w*alking in the open air, he is attacked with headache and coryza/.—[90.] Headache and tension in the nape of the neck, before menstruation/.—Constrictive pain in the head/.—Dull headache after vomiting, no appetite, a white coated tongue, and flat nauseous taste (sixth and seventh days)/.—Confused and dull drawing pain in the head, after dinner (sixth day)/.—Pressive stitches through the head, during physical exertion (twenty-second day)/."f—Tear- ing in the whole head, in the afternoon (thirteenth day)/.—Bruised head- ache, internally and externally/.—Some very acute jerkings in the head/. —Forehead. Sudden sensation of warmth in a spot as large as a half dollar, in the left side of the forehead above the orbit, as though a warm substance were lying there, frequently intermitting, at 9 a.m. (third day)/. —Tensive pain in the right frontal sinuses (twentieth day)/.—[100.] Pain as if the forehead would burst, especially after moving about, with a stopped sensation in the head, for several days, from 7 a.m. to 5 p.m./.—Sensation of a cord tight about the forehead, spreading warmth (after one hour)/.— Headache in the forehead, on suddenly turning the head,1.—Dull headache, like a stupefying pressure in the forehead, in all positions/.—Pressure and heat for a short time in the forehead, in the forenoon (ninth day)/.—Pres- sive pain in the left side of the forehead, in the morning on rising (third day)/.—Sharp sticking in the right frontal region ; on ceasing there, it ap- pears in the right side of the occiput (fourth day)/.—Frightful sticking f Headache from walking in the the sun °—Lippe. NATRUM CARBONICUM. 501 and burning in the forehead, also sticking in the temple, in the evening, lasting till lying down, and continuing for an hour iu bed, together with a sensation of external heat in the forehead (first day)/.—Stitches in the forehead/.—Stitch behind the right frontal eminence (first day)/.—[110.] Violent cramplike tearing iu the forehead, extending into the eyes and tip of the nose/.—Sticking, transient throbbing in the forepart of the fore- head, at noon (fourth day)/.—Intermitting beating paiu extending outward through the forehead, just above the margin of the left orbit (after one hour)/.—Temples. Pain pressing from within outward in the right temple, in the afternoon (eleventh day)/.—Violent tearing in the right temple, and side of the forehead, relieved for a short time by pressure, during menstruation (nineteenth day)/.— Vertex. Pressure and a sensa- tion of heat in the vertex and forehead (first day)/.—Violent stitch in the left side of the upper part of the head, in the forenoon (third day)/.— Throbbing headache in the top of the head, daily, especially in the morn- ing/.—Beating in the vertex, that is very sensitive to pressure, after dinner (sixth day)/.—Painful beating or throbbing over the whole top of the head, as if in the bone, in the forenoon (fourth day)/.—[120.] Pressive shocks in the upper part of the head, in the evening on falling asleep/.— Parletals. A few sharp stitches in the upper part of the left parietal bone (after three hours\7.—Fine stitches in the left side of the head (sixth day)/.—Tearing and sticking, extending from the left frontal eminence to behind the ear (first day)/.—Painful tearing and throbbing in the left side of the head, during menstruation (nineteenth day)/.—Occiput. Sensa- tion of painful emptiness in the occiput, with weakness and hoarseness of the voice/.—Pain extending from the occiput to the vertex (twelfth day)/. —Tension in the occiput/.—Dull pain in the occiput (fifteenth day)/.— Drawing and tension in the right side of the occiput as if it would draw the head backward/.—[130.] Long-continuing pressure in the right side of the occiput (third day)/.—Dulness in the occiput, like a dull pressure, in forenoon (after eighteen days),1.—Dull pressure extending from the occiput to the nape of the neck, with drawing pain, that at last also ex- tended to the forehead, with vertigo, eructations, and dimness of vision (first day)/.—A sharp stitch, followed by burning, in the right side of the occiput (first dayy7.—Several fine stitches in the right side of the occiput, in the evening (first day)/.—External Head. Motion of the scalp from behind forward and back again/.—Profuse falling of the hair, for several days (after three days),8.—A boil on the occiput, more towards the nape of the neck, lasting a long time/.—An almost painless boil on the occi- put, as large as a hazelnut/.—Pain externally low down in the occiput/.— [140.] Transient external headache, here and there, in the sides of the head, in the ear, etc. (after forty-eight hours)/.—Pain to the touch in both occipital protuberances/. Eye.—Objective. Swelling beneath the left eye, so that he could scarcely see out of it, with burning now in the right, now in the left eye, in the morning on rising (fourth, fifth, and sixth days)/.—Inflammation of the eves, with sticking pain/.—It appears to dissolve the fibrin of the blood", and causes an excessive fluidity of it, produces a kind of leucoma, and finally ulceration of the cornea. The workmen who have to pound the crude article are the most exposed to its influence; all day long they are covered with soda suspended in the atmosphere in the form of a fine pow- der; it is chiefly among them that keratitis with ulceration occurs; the ulcerative keratitis is always large and deep, and as often precedes as fol- 502 NATRUM CARBONICUM. lows the other symptoms,10.—*Small ulcers about the cornea, with stinging pains in the eye, so that she was obliged to shade it from every ray of light,1.— Subjective. Dryness, a sensation of heat, and a feeling of contraction in the eyes (after two days)/.—Stickiness of the right eye, as if it were full of mucus, all day/.—Pain in the eyes, in the morning (after seven- teen days)/.—Burning in the eyes, only in the forenoon (third and fourth days)/.—[150.] Burning in the eyes, in the evening, lasting until after lying down (seveuth day)/.—Burning in the eyes while at work, especially reading and writing, together with a sensation of dryness in the eyes, as if he had wept much (tenth day)/.—Sudden burning in the right external canthus, immediately afterwards in the middle of the eye, whence it ex- tends into the inner canthus, and as it ceases there a sticking in the left eye extending towards the outer canthus, with a feeling as though a hair were in it, though it immediately disappeared, at 2 p.m. (second day)/.— Dull stitches in the right eye, while sitting (fourth day),8.—A fine sharp stitch in the left inner canthus that forces out the tears, at 11 A.M. (third day)/.—*Needlelike stitches in both eyes, after dinner (eighteenth day)/.— Itching in the right eye, disappearing on rubbing, in the morning (second day)/.—Itching and biting in the right eye; was obliged to rub it, which, however, relieved it but little; but on moistening it with saliva, the itching and biting ceased (third day),8.—Violent itching in the right eye, that waters on rubbing, at 11 a.m. (tenth day),7.—Orbit. Pain in the bones of the orbit/.—Lids. [160.] Swelling of the upper lids (after fifteen days)/.—Inflammatory swelling of the right upper lid, without redness of the conjunctiva, with pressure in it, feeble-looking face, and some mucus in the canthi (after ten days)/.—*He could hardly open the lids; they involun- tarily closed,1.—Frequeut closure of the lids, like an involuntary winking, with a burning sensation in the eyes, especially in the afternoon/.—Con- stant closure of the lids, followed by sleepiuess, even while walking/.— Eyes agglutinated, in the morning, aud watery all the forenoon (fourth day)/.—Eyes constantly agglutinated, which he can only with difficulty prevent, in the afternoon (eleventh day)/.—^Heaviness of the upper lids (first and second days)/.—Tearing in the right lower lid, extending from the inner canthus toward the outer, at 5 p.m. (first day)/.—Frequent itch- ing of the lower lids, especially of the left (sixth day)/.—Lachrymal Apparatus. [170.] Violent inflammation of the inner canthus, and purulent swelling of the lachrymal sac, which opened (after four days)/.— Lachrymation of the eyes/.—Rail. Sensitiveness of the eyeballs to touch, with a sensation as if they would be pulled out/.— Pupil. Pupils con- tracted (after three hours)/.— Vision. Eyes dim (after forty-eight hours)/.—*Eyes dim ; he was constantly obliged to wipe them,1.—Distant ob- jects seem dim to one usually farsighted/.—He sees people very indis- tinctly at twenty paces, and is unable to recognize them (nineteenth day)/. —He sees a picture very indistinctly, even at the distance of a few steps/. —Dimness of vision; vision vanishes immediately on reading (second day)/.—[180.] It seems as though something were drawn before the axis of vision/.—Eyes weak; at flue work everything runs together, yet she can read well/.—* Black floating spots before vision, while writing,1.—Flickering before the eyes like rain/.—Sparks of light before the eyes (eleventh day)/. —Lightnings before the eyes, on falling asleep/.—* Blinding lightnings before the eyes, on waking (after twelve days)/. Ear.—External. Itching sticking in the lobule of the left ear, dis- appearing on pressure and rubbing, in the forenoon (third day),7.—Stitches NATRUM CARBONICUM. 503 in the left concha (third day)/.—A sharp stitch behind the lobule of the right ear, always immediately disappearing on pressure, but returning, at 1 p.m. (second day)/.—[190.] Painful tearing and sticking behind the right ear, at 1 p.m. (sixth day)/.—An ulcerative pain, with throbbing be- hind the lobule of the left ear, as if within the bone; disappearing on pres- sure/.—Aliddle. Stopped sensation in the left ear, with diminished hear- ing/.—Pain in the left ear (after fourteen days)/.—Pinching and cracking in the right ear, in the morning (sixth day)/.—Earache, with drawing pain in the right articulation of the jaw, that extends into the inner mouth and right side of the tongue; the tongue is at the same painful to the touch of the teeth, though motion of the jaw causes no pain, in the evening, on walking in a cool wind (eighth day)/.—Pressure and tearing in the ear/.— Sticking in the left ear, from within outward, at 3 p.m. (second day)/.— Stitches in the ears at times, ceasing on opening the mouth, and returning on closing it (tenth day)/.—A sharp stitch from within outward in the right ear (after three-quarters of an hour)/.—[200.] *Piercing stitches in both ears, frequently (thirteenth day)/.—A piercing stitch, as with an awl, in the right ear, at 4 p.m. (fourth day)/.—Very fine intermitting tearing in the right ear, while standing and sitting, at 8 a.m. (nineteenth day)/.— Tickling in the left external meatus, ceasing for awhile after scratching, but returning, at 8? a.m. (fourth day)/.— Hearing. Violent rushing in the ear (after four days)/.—Ringing in the ears on turning the head/.— Roaring about the head, and throbbing in the left ear/.—Violent roaring in the ears (after twenty-second day)/.—Music in the ears, as from the humming of a distant bagpipe, as when at times one hears fine tones, while lying on the back in bed; on rising, it ceases, but if he sits upright for a short time it returns, and disappears on lying down, but soou returns while lying; together with some earache (twenty-third day),8.*}* Nose.—Objective. *Nose red, with white pimples upon it,1.—[210.] * Ulceration high up within the nostrils1.—Frequent sneezing, without coryza (after thirteen hours)/.—Frequent persistent sneezing, in the morning (eleventh day)/.—Forcible sneezing once, with rush of blood into the head, so that he saw white stars before the eyes (fourth day)/.—*Much nasal mucus passes through the mouth (fifth day)/.—* Yellow offensive discharge from the nose (seventh and eighth days)/.—* Thick green mucus is blown from the nose (twenty-secoud day)/.—Frequent intermitting coryza, with burning in the eyes (the whole twelfth day)/.—Fluent coryza in the fore- noon, disappearing in the afternoon (thirteenth day)/.—Profuse, fluent coryza, with chilliness over the whole body, cold hands and cheeks, aud hoarseness, without thirst/.—[220.] * Very profuse coryza (tenth day)/.— Extremely profuse, fluent coryza (after eleven days)/.—* Coryza, with dis- charge of thin mucus, and frequent sneezing (second day),'.—^Stopped catarrh (after six days)/.—Profuse stopped catarrh, especially after dinner, and frequent sneezing/.—*Coryza, with stoppage of the nose; she thought she would suffocate at night for want of air, and was obliged to keep her mouth constantly open (tenth and eleventh days)/.—Coryza, at one time fluent, at another stopped (fifth day)/.—^Bleeding of the nose (after twelve days)/. —Blowing of blood from the nose, in the morning,1.—Subjective. The nose seems stopped for half an hour (first day)/.—[230.] * Stoppage of the nose, with hard offensive pieces, that come from one nostril (after fourteen days)/.—Stoppage of the nose when talking/.—Dryness of the nose/.— f Oversensitiveness of hearing °—Lippe. 504 NATRUM CARBONICUM. Drawing pain in the outer right side of the nose, relieved by rubbing (first day),7.—Sensation as though a hard substance were sticking in the upper part of the left nostril, which does not disappear on blowing the nose, last- ing two days (after four days),'.—Constant tickling in the nose, not relieved by scratching (twelfth day),'.—Smell. Smell more acute (secondary action?)/. Face.—Redness of the face, with warm forehead; without sensation of internal heat (after two hours)/.—Alternating redness and paleness of the face, at 3 p.m. (seventh day),'.—Face yellow/.—[240.] Earthy, wan complexion,10.—* Paleness of the face, blue rings around the eyes, swollen lids (after twenty-four days)/.—She looks very pale, as after severe illness (seventh day)/.—*Face puffy,1.—Slight puffiness of the face,10.—Pressive pains in the bones of the face, aggravated by walking in the open air/.— Cheeks. ^Swelling of both cheeks, with glowing redness,1.—Violent draw- ing in the left cheek-bone/.—Pressive pain in both cheek-bones/.—Acute needle-like stitch in the upper part of the left cheek, at 3 p.m. (first day)/. —[250.] Tearing in the right zygoma, returning after rubbing (first day)/. —Tearing in the left zygoma, extending up into the head, with sticking paiu in the forehead, at 4 p.m. (second day)/.—Violent tearing in the right zygoma, as if the bone would be torn out, with sensitiveness to touch, at 3 p.m. (first day)/.—Lips. Twitching of the upper lip (after eighteen days)/.— Twitching of the right side of the upper lip, frequently returning, iu the afternoon (sixth day)/.f—Burning in a small spot on the upper lip and right corner of the mouth, as from a vesicle/.! — Chill. Rheumatic pain in the jaws/.—Frequent intermitting tearing in the left lower jaw, in the afternoon (fourth day)/.—Bruised pain at the angle of the left lower jaw, disappearing on pressure, after dinner (third day)/.—Beating in the right side of the lower jaw, extending from the middle toward the chin, after breakfast (first day)/.—[260.] Twitching in the left side of the lower jaw, at 1? p.m. (first day)/. 3Iouth.—Teeth. Looseness of the teeth/.—Sensation as if cold air were coming out of the the right upper carious teeth, after dinner (first day)/.—Toothache, with swelling of the gum, and violent fever; for three days (after second day)/.—Burrowing toothache, immediately after a breakfast of bread and butter; the right cheek was swollen, and if he touched it, especially if he pressed upon the upper jaw, the pain was very much aggravated ; smelling saturated solution of camphor afforded no marked relief (twenty-eighth day)/.—Burrowing and boring in a hollow tooth, ceasing only on falling asleep (twelfth day)/.—A violent boring- burrowing toothache in a hollow tooth woke him at 4 a.m., aggravated by touch of the tongue, ceasing after half an hour, when he fell asleep; it re- turned after breakfast, when he ate houey, also after eating sweets at dinner, aud lasting very violent till 4 p.m., and then less till 7 p.m. ; during this time he was in the open air, in cold, rainy weather; the pain ceased during supper; mesmerizing aud smoking tobacco afforded no relief (twenty- sixth day)/.—Drawing boring in the hollow teeth/.—Dull drawing pres- sive pains in a hollow tooth, after taking cold (eighth day)/.—Toothache, as if the teeth would be pulled out, day and night, somewhat relieved by warmth ; with bleeding of the gum on slightest touch ; this is associated with coldness of the body, lasting all day, together with thirst, and lasting f Swelling of the upper lip.0—Lippk. j Burning rhagades in the lower lip.0—Lippe. NATRUM CARBONICUM. 505 two weeks, only gradually diminishing (after sixteen days),8.—[270.] Pres- sive pain in a tooth while half asleep, and on waking/.—Pressive tooth- ache after lying down, for several evenings,1.—Dull pressure and boring in a hollow tooth, in the afternoon (fourth day)/.—Dull sticking in a hollow tooth after dinner, disappearing on smoking; on eating pears the toothache returns; also in the evening a burrowing toothache while walking, that after supper becomes pulsating, and only ceases on falling asleep (eigh- teenth day\8.—Sudden stitch in a sound tooth (twenty-third day),8.—Tear- ing toothache only at night, after 9 p.m., not during the day/.—Toothache (tearing?), lasting all night, followed by swelling of the lower lip and ces- sation of the pain (after fourteen hours)/.—Tearing in the tips of the left lower teeth, afterwards under the chin, and afterwards again in a lower tooth, at 11 a.m. (first day)/.—Jerking tearing in the left lower teeth, in the evening (fourth day)/.—* Sensitiveness of the teeth, as if scorbutic, and as from bog water (moorwasser), (after three days)/.—[280.1 Extreme sen- sitiveness of the lower teeth, for two days (after twenty-four days),'.—Jerk- ings in the teeth while eating/.—Frequent jerking in the right lower teeth, and great sensitiveness of the tips of the teeth, in the afternoon (first day)/. —Tearing aud jerking in a left eye-tooth, in the evening, disappearing after lying down (eleventh day)/.—Looseness of a left upper back tooth, without pain, in the evening; after two days it became tight again (after six days)/.—A fine transient boring in the left lower anterior molars, at 10 a.m. (first day)/.—Tearing in the left upper back teeth, lasting half an hour (third day)/.—Some tearings in the right lower anterior molars and in their gum, iu the forenoon (first day)/.—Tearing and jerking in the last left lower molars, as if coming out of the teeth, day aud night, especi- ally after dinner (twenty-fifth day)/.—Transient tearing in the left lower anterior molars, on walking in the open air, at 10 a.m. (nineteenth day)/. —[290.] Painful tearing in the last left upper molars, in the afternoon (fourth day)/.—Jerking tearing in the right lower back teeth, in the fore- noon (twenty-first day)/.—Cold crawling ran through the right upper back teeth, momentarily, at noon (third day)/.—Gums. Gum loose (after twenty-three days)/.—The gum on the inner side of the anterior lower teeth seems, to the touch of the tongue, as rough as a file, at 3 p.m. (sec- ond day)/.—Bleeding of the gum (after a few hours)/.—The lower gum of the left side is painful, as if ulcerated, for two days (after twenty-four days),7.—Tongue. Tongue pale/.—* Pimples on the tip of the tongue (after a few hours)/.—Small pimples on the left side of the tongue, with sticking pain/.— [300.] A papular eruption beneath the tongue, painful to touch/. —A tensive blister on the right margin of the tongue, of short duration, at 5.30 p.m. (first day),'.—A pustule near the fraenum linguae/.—Biting on the tip of the tongue, as from salt water/.—^Burning about the whole tip of the tongue, as if it were full of cracks, at 2 p.m. (second day)/.—Sore pain in the tip of the tongue when touched with the teeth/.—General Mouth. .Musty odor from the mouth/.—A large blister on the inner side of the left cheek, that after pressure exudes water, and disappears after twenty-four hours (after nineteen days)/.—^Several superficial ulcerated spots in the mouth, with burning pain when touched,1.—Dryness of the mouth and tongue, that calls for drink/.—[310.] ^Constant dryness of the mouth and lips, which she was constantly obliged to lick, as if caused by the heat of the breath (after seven days)/.—Heat and dryness of the mouth, with great thirst, for some hours every morning after rising/.—Painful, sore sensation on the inner side of the cheek, when chewing/.—Saliva. Profuse accu- 506 NATRUM CARBONICUM. mulation of tasteless, watery saliva (nearly the whole three days)/.—Gluey saliva, for several days/.—Saliva salty, with biting on the tip of the tongue (after five days)/.—Profuse tasteless water collects in the mouth, for an hour, at 1 p.m. (twelfth day),'.—Collection of sour-tasting water in the mouth, in the forenoon (eleventh day)/.—Insipid mucus in the mouth/.— Taste. Increased acuteness of taste (secondary action ?)/.—[320.] Flat, slimy taste on waking, with bitterness in the mouth, and white-coated tongue (fifth day)/.—Very bad taste in the mouth, on waking in the morn- ing, and a sensation as if burnt, that disappeared after eating soup (ninth day)/.—He woke at 4 a.m. with a nauseous taste in the mouth, and vio- lent erections (thirtieth day),8.—Sweet taste in the mouth (eighth day)/.— Bitter taste in the mouth, in the afternoou (after thirteen days)/.—A bitter taste frequently comes low down in the throat, like a vapor/.—Sudden bitter taste in the mouth, and then uprisings of bitter water, so that he spat constantly (after half an hour)/.—Bitter, flat taste in the mouth, in the morning (first day),8.—Bitter, slimy taste in the mouth, in the morning, disappearing after rising and eating (ninth day)/.—Rancid, bitter taste to all food, disappearing after eating/.—[330.] Sour taste in the mouth (after three days)/.—Sour taste in the mouth, and thickly coated tongue1.— Sourish taste in the mouth, in the morning after waking (fifth d:iy)/.— Metallic taste in the mouth, in the afternoon (after fourteen days)/.—Taste of blood in the mouth, on exhaling/.—Taste as of an old tobacco-pipe, at 4 p.m., after spitting a watery saliva; it lasted a long time, and afterwards seemed to cause a biting on the tongue (third day),7.—Sudden purulent taste in throat, as from an internal ulcer (tenth day)/.— The dinner tastes bitter, though she eats with tolerable appetite (third day)/.—Speech. Speech was irksome/.—* Tongue not facile; speech difficult,1.—[340.J Lisp- ing with the tongue, for several days/. Throat.—Objective. Inflammation of the throat, with swelling of the right tonsil; sticking and retching on swallowing, as from a swelling, mostly on the left side, where the tonsil was not swollen, morning and night (eleventh day)/.—A piece of mucus collects in the throat at night, and wakes him in the morning by tickling and irritation, but he easily raises it; after a short time a second piece collects, and also is easily raised; the rawness in the chest, however, remains, and gradually disappears, after rising from bed (twenty-second day),8.—A piece of mucus sticks fast in the throat, and causes scraping, and is not loosened by hawking (twenty-sec- ond day)/.—Easy hawking of mucus, in the morning (eighteenth day),8.— -^Violent hawking up of thick mucus that constantly collects again (thirteenth day)/.—Subjective. Dry throat; he hawks very much, without raising any mucus (twenty-seventh day),8.—Dryness of the throat and tongue, without thirst, at night/.—On running rapidly, a sensation as if something were rising into the throat/.—Pain in the left side of the throat, on yawning (second day)/.—[350.] Sticking in the throat while yawning and swallowing, at 6 p.m. (tenth day)/.—Sticking in.the throat, with much ecptysis,1.—Sticking and rawness in the throat, with dry cough (fifth day),7.—Some sticking in the throat, as from mucus, which she at- tempts to raise by hawking, at 4 p.m. (tenth day)/.—Some short stitches in the right side of the throat, in the afternoon, in the open air (twelfth day)/.—Violent dull stitches in the left side of the throat, with redness, in the morning after waking; only on swallowing (ninth day)/.—Sharp stitches in the throat, when swallowing and when not, lasting a quarter of an hour, in the afternoon (fourth day)/.—A pressing kind of sore throat, NATRUM CARBONICUM. 507 after stooping; she swallows with difficulty, on account of the sore pain; several days afterwards, a sensation as if something were sticking in the throat/.—Rawness in the throat (nearly the whole third day)/.—Rawness and dryness in the throat, as if hoarse ; was frequently obliged to hawk in order to relieve it (after one hour)/.—[360.] Raw, scraped throat for sev- eral days, especially in the evening (twentieth day)/.—Raw, scraping scratching inthe throat, relieved by eating (twenty-first day)/.—Scraping and rawness in the throat, when swallowing and when not, felt even in the brain/.—Rancidity in the throat, for a long time, at 6 p.m. (fifth day)/.— Disagreeable rancid feeling in the throat (the whole eleventh day)/.— Tickling in the throat, with stitches, especially on swallowing, in the after- noon, lasting till eveniug (first day),7.—A scraping dry sensation in the fauces, by the posterior nares, especially in the open air/.—Pressure in the oesophagus/.—Swallowing. On swallowing, the morsel descends only by pressing with the mouth/.—External Throat. Glandular swellings in the throat1.—[370.] ^Swelling of the submaxillary glands,1.—The goitre increases/.—A swelling as large as a pea, coustantly increasing in size, aud very painful to touch, on the left side of the neck, "wherewith she was hot; her voice gave out while speaking; the whole throat seemed raw as far down as into the chest; the scraping in the throat was aggravated by coughing; at the same time she had pressure on the vertex, so that she could not press upou it; for five days (after eleven days),8.—Violent pres- sure in the goitre/.—Sticking pain in the parotid gland, which is also pain- ful to touch/.—Very fine sticking at the thyroid gland, anteriorly aud ex- ternally, in the forenoon (seventeenth day)/. Stomach.—Appetite. Great appetite morning, noon, and evening (first day),8.—More hunger than usual/.—Much more hunger and appetite for breakfast than usual (first day)/.—Hunger for breakfast, but he had scarcely satisfied himself, when there was a pressure in the stomach, and he became ill-humored (twenty-sixth day)/.—[380.] He became hungry towards noon, contrary to habit, though he had eaten a good breakfast; was obliged to eat a piece of bread and butter, when the weak sensation disappeared (third and fourth days)/.—Increased sensation of hunger in the afternoon, when it was quite unusual (first day)/.—* Incessant hunger (after fifteen days)/.—Excessive hunger in the forenoon, little at noon/.— Ravenous hunger in the afternoon (seventh day)/.—Disposed to nibble ; as soon as he sees anything eatable, he wishes to taste it (third day)/.— After dinner great desire for a pipe of tobacco, which had not tasted so good for a long time (fifth day)/.—She has appetite and hunger, but is soon satisfied/.—Appetite for dinner not as good as usual; meat not at all relished ; bread tastes best (first day)/.—She has very little appetite, though the stomach seems empty (seventh day)/.—[390.] Neither hunger nor appetite at noon and in the evening (sixth day)/.—Anorexia,10.—She relishes no food, aud hence eats nothing/.—Aversion to meat and fat food (second day)/.—Aversion to milk, ordinarily her favorite diet (first days)/. —Thirst. Thirst even in the morning (seventh day)/.—* Thirst in the afternoon (sixth and tenth days) ; in evening, after going to sleep (seventh and eleventh days)/; after walking (second day)/.—*Much thirst,1; in fore- noon (twenty-third day)/.—Great thirst, only while eating/.—Excessive thirst (the whole first day),6.—[400.] Excessive thirst towards noon, also continuing in the afternoon (sixth day)/.—Violent thirst for cold water a few hours after dinner/.—Eructations and Hiccough. Many eruc- tations, with excessive vertigo, while eating (after sixteen days)/.—*Fre- 508 NATRUM CARBONICUM. quent eructations (after a few days)/.—Frequent eructations in the forenoon (eleventh day)/.—Constant eructations, and emission of much flatus/.— * Empty eructations (third day)/.—Empty eructations, followed by heat in pharynx, at 2 p.m. (first day)/.—Eructations tasting of food, after every meal/.—Bitter eructations, which he tasted for a long time, in the forenoon (second day)/.—[410.] *Sour eructations,1.—^Frequent sour eructations in the afternoon (eleventh day)/.—Frequent bilious eructations that penetrated into the nose, in the afternoon (third day)/.—Uprisings of water of a sweet- ish taste, but only as far as the throat, so that he was constantly obliged to swallow it again, at 3 p.m. (second day)/.—Hiccough every afternoon after eating/.—Frequent hiccough,4.—Violent hiccough during dinner, making the stomach sore (third day)/.—Such violent hiccough at 6 p.m., that it caused bitter uprisings from the stomach for half au hour (third day)/.— Hiccough so violent and long continued that everything became sore, in the evening (fourth day)/.—* Waterbrash (after fifteen days)/.—[420.] Scraping heartburn, after fat food (after three days)/.—Nausea and Vomiting. Nausea iu the stomach, with a sensation of fasting, that dis- appeared after soup, in the morning (sixth day)/.—Nausea, aversion, aud qualmishness in the morning, with crawling and twisting about in the stom- ach, accumulation of water in the mouth, and eructations; did not disap- pear after soup in the morning, but lasted till noon (eleventh day)/.— Nausea in the stomach, with uprisings of water in the mouth, nearly all day/.—Nausea, with shuddering, and a feeling of fulness in the stom- ach/.—Constant nausea, with yawning, the whole forenoon (first day)/.— Great nausea iu the stomach, though without inclination to vomit, disap- pearing after eating, in the forenoon (fifteenth day)/.—Qualmishness in the stomach, with tension in the hypochondria, after fruit (teuth day)/.— Qualmishness and nausea in the stomach, as if he had taken cold, followed by warmth in the pit of the stomach (immediately),8.—Extreme inclination to vomit, with nausea, heat of the face, excessive hawking of mucus, and efforts to vomit till actual vomiting of frothy tasteless mucus resulted ; better towards evening, on eating (sixth and seventh days)/. — [430.] * Violent retching in the morning, without actual vomiting,8.—Vomiting of offensive sour liquid, like muddy water (while coughing)/.—Stomach. *The stomach is weak, and easily disordered,1.—A stoppage from below up- ward after eating, as if digestion could not go on from above downward, lasting three or four hours, followed by relaxation of the hands and feet/. —Disagreeable feeling of fasting in the stomach, in the forenoon (fourth day)/.—Feeling of a disordered stomach, that disappears after eating warm soup, but returns (first day)/.—Pain in the stomach, after milk soup (fourth day)/.—Pain in the stomach, with sensitiveness, even to external pressure, and accumulation of water in the mouth; relieved by eating bread, at 4 p.m. (first day)/.—Fulness in the stomach, in the evening, and no desire for food (ninth day)/.—Feeling of fulness in the stomach, and as if some- thing were rising up, at 4 a.m., in bed (second day)/.—[440.] The stomach feels swollen and is sensitive (eleventh day)/.-—Unpleasant tension just above the pit of the stomach (seventeenth day)/.—Painful contraction about the stomach in the evening, extending afterwards also to both hypo- chondria, so that she was obliged to bend up; relieved by stretching up and by walking, aggravated by stooping and sitting; in the evening last- ing in bed till the next morning, though less severe, together with a jerk- ing in the right side, below the stomach, as if a worm were turning about (tenth day)/.—Internal pain like a griping about the stomach, extending NATRUM CARBONICUM. 509 toward the left side, at 1 p.m. (first day)/.—Griping in the stomach after the morning drink/.—Griping and beating in the epigastric region, as from a worm, at 2.30 a.m. (tenth day)/.—Pain like a pressure and retching about the epigastric region in the morning, lasting two hours, and then disappearing on moving about/.—Pressure and rumbling in the stomach, disappearing after eructations, in the forenoon (third day)/.—Pressure iu the stomach, as from a stone, at 3 p.m. (eleventh day)/.—Pressure and griping in the stomach, while walking, with tremulousuess/.—[450.] * Vio- lent pressure in the stomach, after dinner and breakfast, for several days (after eighteen days)/.—Lies like a heavy lump in the stomach, after dinner/.— Feeling as if a hard substance were extending from the praecordial region to the pit of the stomach, and a constriction in the stomach, after dinner (third day)/.—Pain in the stomach, like a cutting, towards the small of the back, in the forenoon (first day)/.—Cutting in the epigastric region while walking, then extending towards the navel, with a feeling as if a stool would occur, at 4 p.m. (sixth day)/.—Cutting and drawing internally and externally in the stomach (the whole twenty-secoud day)/.—Very painful sticking and feeling of retraction in the epigastric region, iu a broad streak extending across to the right side, lasting a long time, in the afternoon (first day)/.—Very sharp painful stitch deep in the left side of the stomach, followed by burning, at 3.30 p.m. (first day)/.—A violent stitch, as with a knife, in the epigastric region before dinner, afterwards a similar one be- neath the left breast on inspiration (first day)/.—When talking, the pit of the stomach was very sore, and the saliva was frothy, as if beaten up/.— [460.] Great external sensitiveness of the epigastric region to touch, in the foreuoon (tenth day)/.—* The stomach was painful to touch (also after forty- eight hours)/. Abdomen.—Hypochondria. He woke after an hour with a stop- page in the region of the spleen, and oppression across the chest and stom- ach, as from flatulence/.—Burning in the left side, near the pit of the stom- ach, while walking, lasting a quarter of an hour, and not disappearing ou rubbing, at 5 p.m. (eighth day)/.—Sudden burning in a small spot near the right side of the pit of the stomach, in the afternoon (eleventh day)/7. —Sticking and drawing in the right side of the abdomen, above the hip (after twenty days)/.—Some stitches in the left hypochondrium, extending into the pit of the stomach, frequently during the day while sitting, also painful to touch/.—Stitches as with knives towards each other and a screwing-together sensation in the right hypochondriac region, with oppres- sion of the breath (eleventh day)/.— Violent stitches in the region of the spleen, in the afternoon, while walking (fifteenth day)/.—* Violent sharp stitches in the right hypochondriac region, followed by griping in the lower abdomen, in the forenoon (tenth day)/.—[470.] Paiu, ou pressure with the haud, in the left hypochondrium (after seven days)/.—Jerking from time to time in the right hypochondriac region, in the evening (twelfth day)/.— Umbilical and Sides. Tensive burning in a small spot to the left of the navel, in the forenoon (seventeenth day)/.—Griping about the umbili- cus, in the afternoon (eleventh day)/.—Griping in a small spot at the um- bilicus, frequently intermitting, in the forenoon (eleventh day)/.—Pinching about the navel, followed by the usual stool, with clawing in the anus (after one hour and a half)/.—Slow drawing from the umbilicus towards the small of the back, like an urging to stool, with yawning, in the morning (tenth day)/.—Fine intermitting griping in the right flank, rather externally, after dinner (first day)/.—Coarse twitching in the right flank, like a beating, 510 NATRUM CARBONICUM. frequently intermitting (fourth day)/.—Sharp stitches in the right flank, extending into the right rib, near the pit of the stomach, and then on deep breathing into the steruum, above the ensiform cartilage, less on inspiration, but returning duriug expiration, and lasting a long time (first day)/.— General Abdomen. [480.] * Distension of the abdomen, especially after eating,1.—Great distension of the abdomen, relieved by emission of flatus, in the afternoon (fifth day)/.—Great distension of the abdomen, with emis- sion of flatus in the evening, disappearing after lying down (seventh day)/. —Great distension of the abdomen in the afternoon, as if she had eaten very much, without emission of flatus; in the night, as it still continued, she rose, thinking to obtain relief by a stool, which, however, did not follow ; only towards morning the flatulence disappeared, without an evacuation (tenth day)/.—Excessive distension of the abdomen, as if it would burst; only slightly relieved by the emission of flatus (seventeenth day)/.—Pain- ful distension of the abdomen, as if it would burst, in the morning after waking ; after rising slight diarrhoea, followed by disappearance of the dis- tension, during menstruation (twelfth day)/.—Swellings on the abdomen, as if the intestines were here and there distended by gas (after twenty days)/. —Movings about iu the abdomen, even iu the morning in bed, followed by two thin stools without any difficulty (sixth day)/.—Rumbling noise in the abdomen (fifth day)/.—Audible rumbling in the abdomen, without pain, at 6.30 p.m. (second day)/.—[490.] Rumbling and gurgling iu the abdo- men, with distension in certain spots/.—Griping rumbling in the upper ab- domen, followed'by emission of flatus with relief, in the afternoon (fourth day)/.—Violent griping rumbling in the whole abdomen ; relieved iu the open air (sixth day)/.—Profuse emission of offensive flatus in the afternoon (third day)/.—Sour-smelling flatus/.—Flatus having the odor of bad eggs/. —Incarcerated flatus, whereupon it mounted into his head, and he had twitch- ings in the face (after twenty days)/.—Heaviness of the abdomen/.—Vio- lent pain in the abdomen, disappearing after eating soup, at 11 a.m. (third day)/.—Feeling of distension in the upper abdomen/.—[500.] Jerking contraction in the abdomen, with an affection of the small of the back/.— Griping in the abdomen, continuing after the stool (sixteenth day)/.— * Griping in the abdomen, like colic, immediately after eating,4.—Cutting griping in the abdomen, in every position/.—Griping colic in the morning, with qualmishness, as if diarrhoea would occur/.—Frequent attacks of grip- ing and cutting in the abdomen, as if diarrhoea would occur, the whole afternoon (seventh day)/.—Frequent violent griping in the abdomen at long intervals (the whole tenth day)/.—Cutting in the middle of the upper abdomen, in the morning (third day)/.—Cutting in the abdomen and small of the back precedes the somewhat hard stool (after ten days)/.—Cutting colic in the morning (third day)/.—Sticking aud drawing in the left side of the abdomen, as from incarceration of flatus (after eighteen days)/.— [510.] Colic woke her from sleep, at night/.—A kind of colic towards morn- ing ; the navel became retracted, and the walls of the abdomen as hard as a board, yet he fell asleep while it lasted (sixth day)/.—He woke with colic, that ceased after a stool, for three days (after ninth day)/.—Colic preceding the evacuation of a soft stool/.—Colic, that recurs twice daily, only relieved after vomiting/.—The child complains of colic and nausea, looks very pale, and is obliged to lie down; after an hour's sleep it passes away/.—Violent colic, at night/.—Teusive colic in the upper abdomen, with cutting in the abdomen and diarrhoea, for several nights (after twelve days)/.—Sore pain in the abdomen, with pressure downward, as before NATRUM CARBONICUM. 511 menstruation ; relieved only by external warmth/.—The abdomen is pain- ful to touch and on walking/.—[520.] Bruised pain in the intestines, with stitches in the right side of the chest, while riding horseback (twenty-eighth dJj)» •— Hypogastrium and Iliac Region. Pain in the lower abdomen above the left groin on yawning and deep breathing, but not when touched/.—Tension in the lower abdomen below the umbilicus, espe- cially while walkiug and on stooping/.—Paroxysmal violent griping in the lower abdomen, frequently (sixth day)/.—Violent dragging in the hypo- gastric and inguinal regions/.—"Pressure in the lower abdomen, extending to the genitals, as if everything in the abdomen would fall out and the menses would come on,1.—Pressive pain in the lower abdomen and sides of the ab- domen, with pain when touched, and still more on walking/.—Cutting in both sides of the lower abdomen, towards the navel, then in the whole ab- domen, as after taking cold, in the forenoon, while sitting (third day)/.— Cutting pain low down in the lower abdomen at short intervals, before menstruation, in the afternoon (nineteenth day)/.—Tearing in the lower abdomen, extending through the genitals to the urethra (fifth day)/.— [530.] Biting as from worms in the lower abdomen, in the afternoon (twelfth day)/.—Swelling of the inguinal glands,1.—"Swelling (generally painful) of the glands of the groin and axilla10.—Terrible dull pressive sticking in the right inguinal region, so that she was obliged to bend double, while hawk- ing, after rising from a seat, lasting a minute (tenth day)/.—Pain, as if beaten, in a small spot on the right ilium, on pressure (third day)/. Rectum and Anus.—Rectum. Much incarcerated flatus, in the rectum (seventh day)/.—Distressing sensation, as from an incomplete stool, with stitches in the rectum/.—Burniug in the rectum, after a stool (after three days)/.—Pain in the rectum, as if hard lumps were in it, during the evacuation of stool and flatus/.—Cramplike pain in the rectum and below the umbilicus (after thirty-one days)/.—[540.] Pressure in the rectum, with itching, as if haemorrhoids would occur (twenty-eighth day),8.—Itch- ing in the rectum/.—Anus. Burning and biting in the anus, after a stool (after eleven days)/.—Pressive twinging about the anus/.—Stitches in the anus (first day)/.—Biting and buruing itching in the anus/.—Crawling in the anus (eleventh day),8.—Violent crawling in the anus, as from worms, for an hour (second day)/.—Itching inthe anus (after twenty-four hours)/. — Urging. Ineffectual desire for stool, with sticking in the anus (fourth day)/.—[550.] Frequent ineffectual desire and urging to stool/.—Urging to stool and urine, with colic; after long pressure some urine passes, where- with the penis becomes erect, and this pressure with erection continues even after the discharge, in the afternoon (twentieth day)/.—Constant urging to stool, with flatulent colic in the abdomen/.—Pressure to stool, and desire, partly ineffectual, partly with a slight discharge of a natural stool, with constant fulness in the abdomen, frequently during the day (after fourteen days)/. Stool.—Fiarrhoea. Diarrhoea, after drinking milk/.—Profuse diar- rhoea, at first of thick mucus, for four days, and at last it becomes more and more covered with blood, without pain ; but preceded by transient pain in the stomach,'*.—Stool small, soft, thin-formed, with pressure/.— Stool pasty, preceded by a quiet discharge of flatus, without pressure, with burning hot cheeks/.—Stool with pressure, followed by pain in the rec- tum/.—"Difficult evacuation of a stool that was not hard; he was obliged to make great effort before it could be discharged,1.—[560.] He is unable with- out much effort to evacuate a stool that is not hard (first day)/.—The 512 NATRUM CARBONICUM. morning stool was harder than usual, especially very hard at first, so that he was obliged to make a great effort; the last was tenacious, aud freed itself from the anus with difficulty; after dinner he was again obliged to go to stool, but the evacuation was insignificant, and soon followed by tenesmus in the rectum, that lasted some time (third day) ; violent pressure and urging to stool; but only a little discharge resulted, with a feeling as if much remained; the colic that had existed previously, ceased after the evacuation (ninth day); stool, with a straining, after dinner, followed by burning in the eyes and urethra, with remarkable voluptuous irritation; the burning about the eyes returned, with heat of the head and perspira- tion on the forehead, during the approach of a storm (tenth day)/.—Hard stool, with burning in the anus (eleventh day); very hard crumbly stool with pressure, preceded by movements and griping in the abdomeu (first three days) ; urgent desire for stool, that was soft and of the usual amount, followed by rumbling in the abdomen, cutting below the navel, and con- stant urging, only once, however, resulting in a slight evacuation (second day) ; after an interval of half an hour, during which the straining never entirely ceased, excessive urging, and a thin yellow stool with burning and tenesmus in the anus, also with pain about the navel (second day) ; stool hard, coated with some blood, with stitches in the rectum, and followed by burning in the anus (second day) ; stool first hard, then soft, mixed with bloody mucus, and followed by burning in the anus (second day); urging to stool; a few small pieces, like sheepdung, are passed only after great straining, with burning (third day) ; she woke at 3 a.m., with desire for stool, that was at first soft, then thin, with burning and tenesmus in the anus, and the evacuation of a piece of tapeworm two inches long, followed somewhat later by two thin stools (fourth day) ; stool with small balls of mucus like peas (fourth day); cutting and movements in the whole abdo- men, followed by four thin stools, in half an hour (fifth day) ; stools very hard, then soft, followed by burning (seventh and eighth days); stools always very soft (after eight days); hard stool, with straining (ninth day); violent pinching in the abdomen, followed by a very soft, and then by a diarrhoea-like stool, with sore pain in the anus (eleventh day) ; "such violent urging to stool, that he had hardly time to reach the closet; there resulted a thin stool, that forcibly spurted from him (fifteenth day); three thin stools, with burning like fire in the anus (fifteenth day) ; stool two or three times a day ; the last usually with pressure in the rectum and tenesmus in the urethra, and evacuation of a little crumbly mucous stool, at times only flatus, for several weeks; stool not hard, but causing cutting duriug the evacuation (nineteenth and twentieth days)/.—*Stool spotted with blood (after twenty-one and thirty-six days)/.—"Discharge of blood during the stool (after fourteen days)/.— Constijmtlon. Constipation or diarrhoea,10. —Stool omits (fifth and eleventh days)/. Urinary Organs.— Urethra. Prostatic fluid passes with a diffi- cult stool/.—Prostatic fluid passes with the urine (after five days)/.— Burning and smarting in the urethra, in the evening (twenty-second day)/. —[570.J Burning in the urethra, when not urinating (fifth day)/.—Burn- ing and sticking in the urethra, during micturition, at 3 p.m. (fourth day)/. —Burning in the urethra, during and after micturition/.—Tearing in the urethra, during micturition (second day)/.—Tearing in the urethra, with tearing in the testicles, periodic, lasting an hour/.—Smarting in the urethra during micturition (twenty-second and twenty-third days),8.—Jerking in the urethra/.—3Ilcturltion. "Frequent desire to urinate, with copious NATRUM CARBONICUM. 513 discharge,4.—Frequent desire to urinate, with scanty discharge,4.—Frequent desire to urinate, though there was never much urine passed at once (first seven days)/.—[580.] Frequent urging continues after urinating, though there is always only a sp > nful passed (eleventh day)/.—Constant desire to urinate, and during the last drops cutting in the bladder, and discharge of mucus from the urethra/.—A sudden desire to urinate, with stitches in the urethra, from behind forward (after three hours)/.—"Nocturnal, invol- untary micturition,1.—The child wets the bed, at night/.—Frequent and profuse micturition, together with discharge of yellowish leucorrhoea (elev- enth day),7.—She urinates frequently, but little at a time (second and third days)/.—She urinates frequently and profusely (after fifteen days)/.—Fre- quent discharge of watery urine, without special thirst (aften eleven days)/. —He was obliged to rise three times at night to urinate, without having drank much (after six days)/.—[590.] She was obliged to urinate exces- sively at night, even every half hour (after three days)/.—She is obliged to rise three times at night to urinate, with burning in the urethra (thir- teenth day)/.—Discharge of urine very much iucreased (twelfth day)/.— Profuse emission of urine, as though she had passed none for several days (first day)/.—Dribbling of urine immediately after micturition/.— Urine. Urine was very much increased; he was even obliged to rise after midnight to urinate (thirteenth day)/.—Urine very much increased; the evacuation preceded and accompanied by burning (fourth day)/.—Two pounds of lemon yellow urine passed daily, in the morning, for ten days (after twenty days),8.—Offensive urine/.— Sour-smelling, bright yellow urine/.—[600.] The urine became turbid, soon after passing (eleventh day),7.—The urine became turbid, and deposited yellow mucus/. Sexual Organs.—3Ialc. Inflammation of the glans penis and prepuce/.—Inflammation of the prepuce/.—In the morning, the prepuce was retracted and the glans uncovered/.—Swelling of the glans penis/.— Much smegma behind the corona glandis (third day)/.—Erections occa- sionally during the day (after two and three days)/.—Frequent erections, during the day (seventh day)/.—Erections nearly every morning, though without sexual desire, for three weeks together/.—[610.] Erectious three times, the last time painful, in the morning (fifth day)/.—Violent persistent erections, in the morning on waking (after eight days)/.—Almost painful erections, lasting ten minutes, in morning in bed (fourth day),7.—A kind of priapismus towards morning, followed by an emission without any sexual desire, with tensive pain and cutting in the penis; this pain lasted as long as the erection, over an hour; even on leaving the bed he still felt a very disagreeable tension in the penis (seventh day)/.—"Incomplete coition, transient erection, and speedy emission (second day)/.—* Weak erections (fifth day)/.—Erections ceased in the latter part of the proving, and did not return/.—Pain back of the glans penis, with erections after coition/.— "The glans penis easily becomes sore,1.—Itching on the glans penis (after three hours),8.—[620.] Itching on the glans penis, provoking scratching/. —Violent itching, that provokes, rubbing, on the glans penis, in the fore- noon (third day),8.—"Soreness between the scrotum and thighs,1.—Sticking beating in the scrotum, lasting an hour (eleventh day)/.—Itching on the scrotum, not relieved by scratching (fourth day)/.—Sensation of numbness in the testicles/.—Pain in the left testicle (after twenty-eight days)/.— Painful tension in the testicles and abdomen (after twenty-four hours)/.— Heavy pressive drawing in the testicles and spermatic cords, more in the morning than in the evening (after forty-two days)/.—Pain as from a vol. vi —33 514 NATRUM CARBONICUM. bruise, in the testicles/.—[630.] Great desire for an emission after dinner, and also in the evening, without real sexual desire; after dinner, this de- sire returned while the legs were crossed, but disappeared on walking about, it returned in the evening, while lying down (ninth aud fourteenth days)/. —Sexual desire, in the morning after drinking beer, followed by a flat, sweetish taste in the mouth (twenty-fifth day)/.—Excessive sexual desire on even touching a girl (tenth day)/.—Great sexual excitement while in a warm bath, and on leaving it, burning in the palms of the hands (seven- teenth day)/.—Emission without lascivious dream/.—"Emissions without erections,1.—Emission at night, with pain, though the sleep was so sound that he could not entirely wake; all next day he was extremely fretful and ill-humored, discontented, and out of sorts with everything, and per- sisting at nothing; he had scarcely commenced anything, when he wished to leave it (after eighteen days)/.—Frequent emissions, in an old man (nineteenth, twenty-second, twenty-ninth, aud thirty-seventh days)/.— Female. Movement in the uterus, like the motion of a foetus/.—"Leu- corrhoea,1.—[640.] A little thick leucorrhoea, after urinating, for four days (after two days)/.—Profuse discharge of leucorrhoea, always after frequent paroxysms of cutting colic and twisting about the umbilicus, day and night, iu every position, for five days/.—Pressure towards the genitals, before a stool/.f—Tearing in one side of the pudenda (after six days)/.— Soreness of the pudenda between the thighs/.—Pulsation in the genitals, after coition/.—Menses seven days too early (after seven days)/.—Menses three days too early (after forty-eight hours)/.—Menses one day too early/. —Menses three days too late (first day)/.—[650.] Menses very scanty, and like water from meat, towards evening, and two days too late,'.—Menses more profuse and longer lasting than usual/. Respiratory Organs.—Larynx and Trachea. Dryness in the larynx,1.—Dryness in the larynx, noticed on talking and breathing, when in the open air (second day)/.—Soreness in the trachea and throat (after eight days)/.—Rawness in the trachea (after thirteen days)/.— Voice. Hoarse voice, for two days (after ten days)/.—Hoarseness and coryza, day and night; great oppression of the chest, for seven days (after eight days)/.—Hoarseness, with much cough/.—Complete hoarseness ; he could not speak a loud word/.—Cough and Expectoration. [660.] Inclination to cough caused by tickling in the throat (sixth day)/.—Cough mostly in the moruing, with partly salt, partly offensive purulent expecto- ration/.—She coughed very much at night, complained of scraping in the throat, and slept very uneasily/.—Cough, with a feeling of rawness in the chest, and expectoration of greenish purulent mucus (twenty-fifth day)/.— Frequent cough, with wheezing in the trachea/.—Hacking cough, with rattling in the chest (fourth day)/.—Scraping cough, at times with hoarse- ness and heat of the hands (after four days),1.—Scraping cough, with sore pain in the whole chest, and alternating hoarseness, heat, and burning in the hands and soles; bruised feeling in the legs, loss of appetite, nausea, heat, and perspiration at night, without thirst aud constipation (after two days)/.—Tickling cough (third day)/.—"Dry cough, with stopped catarrh, after taking cold/.—[670.] Dry cough, with tickling in the chest, in the morniug (eighth day)/.—Violent dry cough, worse in the afternoon and evening, "especially on coming from the cold air into a warm room,1.—Slight expectoration, with rattling in the chest/. — Respiration. Anxious f Pressure as if the uterus would protrude.0—Lippe. NATRUM CARBONICUM. 515 respiration, in the morning in bed/.—Expectoration of blood, in the even- ing, while coughing (seventh day)/.—She easily gets out of breath, on walking/.—Dyspnoea, in the forenoon (also after eight days)/.—Dyspnoea, with greatly excited sexual desire/.—At first, suffocative dyspnoea, with a hoarse deep sound to the voice, and scraping in the pharynx and trachea, followed by cough, short during the day, fatiguing at night, rough and hollow, with sore paiu at first in the chest and trachea, and a throbbing rush of blood to the vertex, with a whizzing and rattling on breathing; re- lieved by sitting upright, afterwards with purulent bloody expectoration/. Chest.—Transient burning externally in the right chest (twelfth day)/. —[680.] Tension in the chest, on deep breathing/.—Drawing pain in the pectoral muscles, mostly in the morning and evening (with tightness of the chest)/.—Pressure upon the chest after eating (after tweuty-one days)/.— Violent oppression of the chest, soon after eating, lasting an hour/.—Stick- ing in the-chest, with short breathing, after eating pork (eleventh day)/.— After the pain in the stomach disappeared, there was a sharp sticking in the region of the left lower ribs, at 1.30 p.m. (first day)/.—Several painful stitches in the right chest, extending from below upwards (sixteenth day)/. ■—Some sharp stitches in the right chest (ninth day)/.—Sharp stitches in the left lower ribs, three or four times in succession/.—Violent sharp stitches, here and there, on the chest externally/.—[690.] Frequent painful, knife- like stitches back and fcJVth in the chest, on rising, for three days (after seventeen days)/.—Great sensitiveness about the lower portion of the thorax, in the evening/.—Rawness in the chest all day, worse in the even- ing, together with pressure beneath the sternum and oppression, aud at times palpitation ; while eating the rawness disappeared, but soon returned, and at last a dry cough appeared, that gradually aggravated the scraping aud sensation of rawness; but after some mucus was loosened, the chest was relieved for a short time; this was associated with thirst, some chilliness, fluent coryza, and a frequent, tense, hard pulse (twenty-first day)/.—Violent raw sensation in the chest, after dinner, will ill-humor, and pressure in the pit of the stomach ; after the midday nap he felt better, and so long as he was lying down the scraping in the throat was very much relieved; after rising it returned, and he was obliged with great exertion to hawk up some pieces of green tenacious mucus (twenty-second day)/.—Painful jerking in the region of the left clavicle (seventeenth day)/.—Frequent sudden jerk- ing in one of the middle left ribs, with a feeling as if it would take away her breath, disappearing on deep breathing (ninth and tenth days),7.—Front. Pressure beneath the sternum, in the morning, on deep breathing (twenty- secoud day)/.—Cutting bruised pain in the forepart of the sternum, while sitting, disappearing on moving about and on inspiration, in the forenoon (sixth day)/.—Pain as if beaten, and like a cutting in the lower extremity of the sternum and on the ensiform cartilage, in the afternoon (third day)/.—Very painful sticking throbbing in the sternum, just above the ensiform cartilage; when this ceased, there was a sticking in the left chest, and then in the right, in the evening in bed (second day)/.— Sides. [700.] Pressive pain in the left side of the chest, from not breathing/.— Sticking pain between the last false ribs of the left side, only on breathing/. —A sticking, as with needles, in the right side of the chest, from within outward, in the afternoon (eleventh day)/.—Violent sticking in the left side of the chest, and pinching in the same side of the abdomen, on rising from a seat, aggravated by inspiration and expiration (seventh day)/.— 516 NATRUM CARBONICUM. Stitches in the side of the chest (and abdomen), (after twenty days)/.— Frequent intermittent stitches in the left side of the chest, in the forenoon; in front of the axilla, in the afternoon (first day)/.—Dull stitches in suc- cession, in the left side of the chest, from within outward, iu the afternoon (eleventh day)/.—Sharp stitches in the sides of the chest, below the axillae, at night, so that she could lie only on the back; the pain occurred even while walking (sixth day)/.—Sharp stitches in the right side of the chest, below the axilla, in the evening; at night it was aggravated by lying on that side, followed by frequent stitches iu the right side of the chest (sixth day)/.—Throbbing, with simultaneous burning in the left side of the chest, in the forenoon (third day)/.—[710.] Burning jerking, as from electric sparks, in the right side of the chest, in the forenoon (nineteenth day)/.— Mammce. A sharp sticking beneath the left breast, so that she could scarcely breathe, with some cough, in the forenoon (fifteenth day)/. Heart.—Prcecordium. Very paiuful cracking at the heart, sev- eral times during the day (seventh day)/.—Pressure in the heart/.—Vio- lent sticking in the praecordial region, aggravated by inspiration, in the forenoon (sixteenth day)/.—Some sharp stitches in the praecordial region, in the evening (eighteenth day)/.—Heart's Action. Sometimes palpi- tation, and a well-marked bellows-sound,10.—"Palpitation woke her at night, while lying on the left side1.—"Palpitation on going upstairs (first day)/.— "She could never lie upon the side, on account of palpitation1.—[720.] Pal- pitation while sitting, if his attention was directed to anything; also in the evening, while lying down (fourth day),8.—Palpitation, without auxiely, very easily caused/.—Anxious palpitation on stooping (twenty-first day)/. —Anxious palpitation, while writing, with dull pressure in the forehead, and confusion of the head (eighth day)/. Neck and Rack.—Neck. "Cracking of the cervical vertebrce, on moving the head (twenty-fourth day)/.—Stiffness and lameness of the neck/.—The neck is stiff, as from taking cold/.—She feels the movement of the pharynx posteriorly in the riape of the neck, on swallowing/.—Ten- sion in the nape of the neck while sitting and walking, worse on moving the head (fourth day)/.—Drawing pain in the nape of the neck, whereby he became ill-humored and impatient, while reading (twenty-second day)/. —[730.] Spasmodic drawing in the nape of the neck, which made motiou of the head difficult (twenty-first day)/.—Transient sticking pains in the nape of the neck/.—Some sharp stitches in the nape of the neck, frequently re- turning, in the evening (eighteenth day)/.—Tearing in the cervical muscles, in the forenoon (first day)/.—Suddeu drawing-tearing pain in the nape of the neck, whereby it seemed to become stiff; aggravated by moving the head (thirteenth day)/.—Constant sticking tearing in the right side of the neck, in the afternoon and following forenoon (after sixteen days)/.— Rack. Becomes easily strained ; a jerking pain, starting from the small of the back, immediately after lifting anything heavy, followed by great weakness in the vicinity (after twelve days)/.—Violent pain in the back, day and night; she could lie only on the side; the pain was worse at night, and also on taking a deep breath (seventh day),7.—Violent pain in the back during the menses, but only during the day/.—Burning and sticking in the whole back, at 3 a.m., disappearing after rising; but the back re- mained very sensitive, and as if beaten (ninth day)/.—[740.] Tension in the back on sitting bent, disappearing on stretching up, in the afternoon (first day)/.—Tension and drawing in the back, extending into the anus NATRUM CARBONICUM. 517 in isolated paroxysms, and ending with a stitch, while sitting and lying/. —Tensive pain iu the back, after dinner, and also at night (eighteenth day)/.—"Backache (after twenty days)/.—Sticking and paiu in the back, only while sitting/.—A violent sticking in the back prevents sleep all night, and she cannot lie long upon either side (after ten days),'.—A dull but violent stitch in the left side of the back (third day)/.—Bruised pain over the whole back, for several days/.—Bruised pain in the back, extend- ing into the nape of the neck, iu the evening, after lyiug down (second day)/.—She was awakened at midnight by a violent bruised pain over the whole back; she dared not turn over; towards morning the pain was re- lieved (first day)/.—Forsal. [750.] Paralytic pain between the shoul- ders, aud in the nape of the neck, lasting a long time, in the morning (twelfth day)/.—Burning and pressure at the lower extremity of the right scapula, disappearing on motion, but several times repeated (sixth day)/. —Tension and drawing pain between the scapulae (twentieth day)/.—Bor- ing pain in the tip of the left scapula; she feels the pain as far forward as the end of the ensiform cartilage/.—Painful pressure and sticking beneath the left scapula, very sensitive to pressure (sixth day)/.—Sharp sticking on the right scapula several times in succession, after dinner (seventh day)/. —Violeut stitching, as with an awl, in the back, below the left scapula, extending through the left chest and to the right side, in the evening (third day)/.—Extremely violent sharp stitches between the shoulders, lasting half an hour, followed by sticking in the whole back, worse on inspiration; tension over the whole back on moviug the trunk, relieved by walking, in the evening, and all next day (after nine days)/.—Tearing between the shoulders, and in the left shoulder (fifth day)/.—Gnawing pain in a spot as large as the palm of the hand, between the' shoulders (first day)/.— Lumbar. [760.] Momentary pain in the small of the back, so that stooping or becoming erect was almost impossible for some time (fifth day)/.—"Most violent pain in the small of the back, after walking,1.—Pain in the small of the back, like a great heaviness, occurring suddenly while sitting, and disappearing on moving, iu the foreuoon (eleventh day)/.— Drawing iu the lower portion of the back, as from incarcerated flatus (after eighteen days),1.—Cutting, burning, and scraping in the small of the back/. —Sticking in the right lumbar region, followed by griping in the upper abdomen, while bending the trunk towards the left side, in the afternoon (second day)/.—A stitch, as quick as lightning, across the small of the back, so that he could not touch it for some minutes, in the evening (third day)/.—Sore pain in the small of the back, even while at rest, and when not touched/.—Sore pain in the small of the back internally, extending towards the abdomen ; alike during rest aud motion (second day)/.—Vio- lent pain in the small of the back, as if beaten, duriug rest and motion, in the forenoon, and for a still longer time (ninth day)/. , Extremities in General.—Objective. [770.] Jerking in the limbs (after forty-eight hours)/.—Jerking, or jerking sensation, in all the joints/.—Jerking or twitching, now in the hands, now in the feet, in bed, before and after miduight; it always woke her (fourth day)/.—Lameness of the limbs, iu the morning on waking/.—Weakness in all the limbs (after three days)/.—Weakness and powerlessuess of the upper and lower extremi- ties/.—* Great weakness of the lower extremities, and heaviness of the arms (even after twenty days)/.—Subjective. Uneasiness in the arms and legs, with stretching, in the evening (second day)/.—Drawing and lame- ness in the joints, after waking (after four hours)/.—Tearing in the upper 518 NATRUM CARBONICUM. and lower extremities, extending up and down, mostly in the knees and ankles/.—[780.] Tearing more than sticking in the joints of the upper and lower extremities, mostly in the evening on lying down, and frequently waking from sleep, at night/.—Tearing aud a bruised sensation in all the limbs (seventh day)/. Superior Extremities.—Twitching in the arms, frequently in- voluntary, during the day, so that he started up/.—The arm seemed stiff; she could not raise it/.—Great heaviness of the right arm, so that she could not raise it.1.—Tearing in the right arm, especially the shoulder/.— Tearing in the right arm, extending into the wrist, very painful during rest/.—Tearing in the right arm, extending into the finger, with weakness, at night, during perspiratiou ; it disappeared after rising (second day)/.— Shoulder. Tearing in the shoulders, elbows, and wrists/.—Violent pain in the shoulder-joint, so that she could not raise the arm for two days/.— [790.] Tension and drawing in the shoulder, in the open air, on taking off the coat, when he was very sensitive to the wind (twenty-sixth day)/.— Drawing pain in the right shoulder-joint/.—Pressive sensation on the left shoulder, disappearing on pressure, but returning (fourth day)/.—Sharp sticking in both shoulders, lasting a long time (tenth day)/.—A dull stitch in the left shoulder-joint, immediately followed by tearing, extending along the outer surface into the elbow, and thence along the inner surface to the middle of the forearm ; at first aggravated and then relieved by motion, followed by a feeling of weakness in the arm (first day)/.—Sharp stitches with itching in both shoulders (first day\T.—Tearing in both shoulders, that frequently intermits (fourteenth day)/.—Some painful tearings in the right shoulder,7.—Violent tearing in the left shoulder, so that she thought she should die (eleventh day)/.—Violent tearing in the left shoulder-joint, frequently extending along the outer surface of the arm dowu to the little finger, at first aggravated, afterwards removed by motion (tenth day)/.— [800.] Bruised pain in the shoulder-joints/.—Arm. The right upper arm is painful, so that he cannot raise it/.—A griping and burrowing in the left humerus, whence the pain extended outward to the skin, and there ended with a burning pain ; at noon, on taking off the coat, without being heated (tenth day)/.—Pinching in the flesh of the upper arm, disappear- ing on rubbing (ninth day)/.—Tearing in the right upper arm, and in both little fingers, at 3 a.m., wherewith they fell asleep, whereupon she woke; on rubbing, it disappeared, returned, and entirely disappeared on rising (twelfth day)/.—Tearing on the posterior surface of the left upper arm above the elbow-joint, as if in the bone/.—Tearing on the outer surface of the left upper arm, in the deltoid muscle, while standing, in the forenoon (twelfth day)/.—Tearing in the right deltoid muscle, disappearing on rub- bing (ninth day)/.—Bruised pain in the muscles of the upper part of the left arm, and of the pectoral muscles, though only on touch and motion of the arm/.—Elbow. Drawing pain in the elbow, on lying down, two even- ings in succession/.—[810.] Tearing from the tip of the left elbow into the bend of the elbow (first day)/.—Forearm. Twitching in the left fore- arm, below the bend of the elbow (second day)/.—Drawing tension as if in the tendons, on the inner surface of the left forearm, extending from the wrist to four inches above it (third day)/.—Paiu in right forearm, as if he had sprained it at work (fifth day)/.—A stitch in the right forearm (after half an hour)/.—Tearing in the left forearm, from the elbow to the little finger (tenth day)/.—Violent tearing extending from the right elbow into the two smaller fingers (first day)/.—Cramplike pain in the outer side of NATRUM CARBONICUM. 519 the right forearm, not relieved by motion (after four hours)/.— Wrist. Jerking, or a jerking sensation, in the right wrist/.—Stiffness of the left wrist on holding a glass, so that he was obliged to put it down and move the hand, which at the same time pained him; the neck was also stiff (twenty- second day),8.—[820.] Boring pain in the pisiform bone of the right wrist, in the morning in bed, most sensitive when lying or pressing upon it (eighth day)/.—Hands. Hands swollen, in the afternoon (tenth day)/.—Trem- bling of the hands, in the afternoon, worse next morning (after ten days),7. —Jerking in the hands, especially on taking hold of anything,1.—A paiu- ful jerking on the back of the right hand, in the morning (fourth day)/.— The left hand fell asleep, though not lain upon, at 4 a.m. (eighth dav\7.— Boring in the metacarpal bones, at 10 p.m. (twenty-third day)/.—Boring in the metacarpal bone of the right thumb, afterwards in the bones of the forearm (twenty-fifth day)/.—Painful drawing in the ball of the right hand, frequently while writing, at first very violent on pressing upon it, afterwards disappearing, but immediately returning; on moving the hand a tension extending into the forearm and sensitiveness, when and when not moving; it disappears on stretching out the hand and arm (third day)/.— Pain on the back of the right hand, as if the tendons were constantly drawn tight, lasting a long time, relieved by pressure (twelfth day)/.— [830.] Violent tearing in the metacarpal bone of the right index finger, in the evening (eleventh day)/.—A violent pain between the ring aud middle finger of the left hand, as if the tendons had been torn, on holding a vessel high up with the left hand (after a quarter of an hour)/.—Draw- ing-tearing paiu in the metacarpal bone of the right ring finger, in the open air, very transient (sixth day)/.—Heat aud painful sensitiveness in the palms, aud especially in the tips of the fingers, on stroking or rubbing anything (after twelve days)/.—Fingers. Inflammation of the left thumb, and later a vesicle upon it/.—In the morning, the fingers look swollen ; during the day, they are of the usual size, for several days iu succession (after twenty-five days)/.—Painless jerking in the left thumb (second day)/.—Tensive drawing between the first and last phalanges of the left thumb, extending a hand's breadth above the wrist; it disappears frequently of itself, but usually on motion, in the forenoon (fourth day)/. —Twitching and crawling on the inner surface of the right thumb, disap- pearing on rubbing (first day)/.—Painful sticking and twitching in the right ring finger (fifth day)/.—[840.] Some stitches, as with needles, in the tip of the index finger (seventh day)/.—Sharp stitches in the right ring finger, as if a needle were stuck through the skin that was raised up (fourth day)/.—A violent stitch just below the last joint of the right thumb, above the nail (third day)/.—A fine stitch in the tip of the right index finger, in the evening (fourth day)/.—Tearing on the backs of all four right fingers, and in the elbow, disappearing on rubbiug (fifth day)/.—Tearing in the left little finger anteriorly towards the tip/.—Tearing extending from the middle towards the last joint of the left ring finger (third day)/. —Violent tearing in the little finger, as if it would be torn out (first day)/. —Cramplike tearing and flexion in the left index finger/.—Painful throb- bing between the middle and last joints of the left ring finger (third day)/. —[850.] "Jerking sensation in the finger-joints,1. Inferior Extremities.—Objective. (Edema of the lower ex- tremities (occasional),10.—"Jerkings in the lower extremities and in parts of the lower portion of the body,1.—" Unsteadiness while walking, stumbling, slip- 520 NATRUM CARBONICUM. ping,1.—* Giving way of the lower extremities^ (after eleven days)/.—Great weariness of the legs the whole afternoon till evening (fifth day)/.—Un- easiness in the lower extremities at night; she could not keep them still/. —The lower extremities are heavy while sitting (after twenty-one days)/. — Great heaviness of the lower extremities (fourth day)/.—"The lower ex- tremities feel very heavy and bruised (third day)/.—[860.] Tension in the whole of the lower extremities, while sitting and walking (after five days)/. —Bruised sensatiou in the lower extremities (after two days)/.— Hip. Drawing and pressure in the flesh, in the region of the right hip (eleventh day)/.—Paroxysmal violent sticking through the right hip, from behind forward, on walking, always lasting two minutes; she was obliged to re- main standing and bent over, in order to obtain some relief (tenth day)/. —Tearing of short duration in the left hip, in the evening, after lying down (twelfth day)/.—Tearing and sticking in the left hip, with cessation of the pain in the back, disappearing on motion, in the forenoon (sixth day)/.—■ Tearing aud a bruised pain in the right hip, during the menses, in the fore- noon (twelfth day)/.—Violent tearing in the right hip, in the evening, after lying down (first day)/.—Bruised pain in the left hip on rising from a seat, disappearing on walking, in the afternoon (fifth day)/.—Thigh. Jerking in the muscle of the left natis, while sitting (eighteenth day)/.—[870.] Suddeu jerking in the muscles of the thigh, as if a worm were crawling over it,1.—The thighs feel weary in the middle, with weakness of the whole body, in the morning (seventh day)/.—Weary pain in both thighs, as after great exertion (after forty-eight hours)/.—Burning pain in the fold between the nates and thighs, as after a violent horseback ride, when the clothes form a fold and press and rub against it (he had the same pain eight days previously, while riding horseback), (twenty-fifth day)/.—A violent stitch, as with a knife, through the right thigh, in the afternoon, while walking (fourth day)/.—Tearing in the left thigh, extending into the knee, in the afternoon (eighteenth day)/.—Tearing in the left natis, while standing, disappearing while sitting, in the evening (second day)/.—Violent tearing in the middle of the thigh, along the outer surface, in the evening while standing, lasting a quarter of an hour (first day)/.—Cramplike intermitting tearing in the outer side of the right thigh, close to the knee/.—Bruised pain in the anterior muscles of the thigh, as if the flesh were loose, only when walking and on touching them/.—[880.] Jerking sensation extend- ing down the right thigh/.—-Knee. "The hollow of the knee is painful on motion,1.—Boring pain, as with a gimlet, in the right patella, in the fore- noon (first day)/.—Sticking drawing in the right knee, in the evening (twenty-fifth day)/.—Paiu, as from a sprain, in the right knee, in the fore- noon, while walking (eleventh day)/.—Acute pain in the right knee-joint, On stepping (sixth day)/.—Dull sticking pain in the left knee, tibia, and thigh, while sitting and walking in the morning, continuing from rising till afternoon (fifth day)/.—Tearing in the right knee at night in bed; she Wrapped the knee in warm clothes, whereupon the pain disappeared (after seven days),7.—Bruised pain in the knee-joints/.—Leg, Redness, inflam- mation, and swelling of the left leg, with violent itching and gnawing, with many itching and sticking painful ulcers/.—[890.] Uneasiness in the left leg and foot, at night (after a few hours)/.—Drawing in the right leg, in the evening/.—Drawing in the right leg, from the knee to the foot, with uneasiness in it/.—Drawing pain round about the leg, above the malleolus/. f And ankle.0— Lippe. NATRUM CARBONICUM. 521 —Tearing iu the lower end of both legs and the forepart of the feet (ninth day)/.—Boring pain in the tibia, in the evening, while sitting, not felt while walking (after seventeen days)/.—Burning drawing on the outer surface of the right tibia, as if in the skin/.—Pressive cramplike drawing extending down the tibia/.—Violent tearing in the right tibia, extending into the great toe, in which there is also a crawling, as if it would fall asleep, in the afternoon (first day)/.—Twitching in the right calf (also in the left); it always lasts half a minute, while sitting, in the forenoon (sixth day)/.—[900.] Pinching and tension in the calf, as if too short, on moving the foot after walking/.—Cramp in the calf for several mornings, on stretch- ing out the leg in bed/.—Pressive drawing in the left calf, especially on walking/.—Violent tearing in the calves, and then also in the thighs, in the afternoon (sixteenth day)/.—Ankle. Sticking below the left external malleolus, while walking, for several days (after six days),7.—Dull stitch in the right ankle (after half an hour)/.—Violent tearing in the left exter- nal malleolus, in the afternoon (second day)/.—Foot. Uneasiness of the feet/.—Feet sensitive, icy cold/.—Falling asleep of the left foot, in the forenoon, while sitting (tenth day)/.—[910.] The feet are heavy (third day)/.—Cramplike pain in the right foot and toes (after a few hours)/.— Cramp in the right foot, at night (after fourteen days)/.—Tearing in the forepart of the foot, worse on moving the foot (seventh day)/.—Tensive drawing in the right instep, disappearing on rubbing, in the evening, while standing (sixth day)/.—Cramplike tearing on the back of the right foot, near the toes, in every position (after fourteen hours)/.— 'Swelling of the soles (after seven days)/.—Cramp on the inner margin of the sole, on bend- ing the foot inward/.—Cramplike pressure, almost like a tearing, in the sole of the left foot/.—"Stitches, as with needles, in the sole'f of the right foot, in the afternoon (sixth day)/.—[920.] Tearing in the sole of the right foot, with a feeling of heat, in the forenoon (twelfth day),7.—Sore pain in the ball of the foot, wdiere there are corns, on stepping (after four days)/.— Prickling in the soles of the feet/.—Violent twitching posteriorly in the left heel, in the afternoon, while walking (second day)/.—"Throbbing and crawling in both heels, as from an ulcer, in the evening, in bed (seventh day)/.—Jerking and a pinching sensation in both heels, at 11 a.m. (fourth day)/.—Swelling of both great toes, with a kind of violent tearing, like a sore paiu, in them, so that he could not sleep/.—Toes. Twitching and jerking in the left great toe, in the afternoon (seventeenth day)/.—Burning like fire in the right little toe, in the afternoon, while walking (eleventh day)/.—Boring pains in the corns/.—[930.] Drawing pain in the corns/. — Violent stitches in a corn,1.—Tearing pains in the right great toe (tenth day)/.—Painful tearing in the extensor tendons of the right great toe, dis- appearing on rubbing, in the afternoon (first day)/.—Violent tearing in the right great toe, in the forenoon (sixth day)/.—Fine tearing in the outer side of the right great toe, in the afternoon (first day)/.—Smarting and soreness between the toes/.—Pain, as from suppuration, in the left great toe/.—Crawling in the right middle toes, disappearing on touch, in the afternoon (fourth day)/. General Symptoms. Objective. Puffiness of the whole body in the morning, better in the afternoon/.—[940.] Emaciation, paleness of the face, dilatation of the pupils, and dark-colored urine/.—Violent starting, especially in the left leg, as from fright, in the evening, on falling asleep/. f Swollen.0—Lippe. 522 NATRUM CARBONICUM. —Jerking now of one finger, now of an arm, now of the facial muscles, now of the whole body, at night in sleep/.—He is very awkward ; things that he usuallv accomplishes easily, he cannot do at all (after twenty-three days)/.—Very indolent, with a feeling as if everything on her were tense, with face and hands swollen, during rest; relieved by motion (eighth day)/.—Weary and weak ; she slept while sitting at her work, during the day/.—Weakness in the morning (after nine days)/.—Walking is very irksome; she is weak and pale (after twenty-four hours)/.—Great weak- ness and sleepiness during the day (after two days)/.—Great weakness for a week, following toothache, with fever for three days (after five days)/.— [950.] Great weakness during the day, even deathly; the head was also very much affected (after thirty-six days)/.—Physical prostration, with nausea and aversion in the stomach, during the menses/.—"Great prostra- tion, and heaviness of the whole body (sixth day)/.—Restlessness of the whole body, and fretfulness (after three days)/.—Restless all day, busy now with this, now with that, without fully accomplishing the least thing/.— Restless and unsteady ; does not exactly know what he wishes, nor what he should do/.—Great restlessness in the evening during mental work, as, for example, reading/.— Uneasiness (after three days)/.—Uneasiness iu the body all night; she could not get to sleep till towards morning; she was also obliged to urinate an unusual amount/.—Subjective. Increased sensitiveness of the body ; every touch is paiuful (seventh day)/.—[960.] Takes cold easily, and therefrom has colic and diarrhoea, or coryza (after ten days)/.—Frequent senselessness/.—Inclined to lie down (after five days)/.—A disagreeable sensation in the whole body ; she thinks she is very sick (seventh day)/.—Heavy and indolent in the morning on rising; while in bed awake she was bright/.—Very heavy in the morning/.—An anxious sensation at night, before falling asleep, as if his whole body had become excessively thick and heavy, for a long time/.—Painful tension of all the nerves, especially in the head, with nausea/.—Drawing and tension in the lower extremities and jaws, and drawing in the teeth, at night (after twenty-one days)/.—Sticking in the diseased spots/.—[970.] During the menses, now a tearing, now a stitching, here and there in the whole body (fifteenth and nineteenth days)/.—Cramplike tearing, especially in the upper and lower extremities, also in the whole body; not affected by motion or rest (after six hours)/.—On rising from a seat everything hurts, disap- pearing on walking about/.—Jerkiug and beating in the whole body, with a very sensitive mood/.—Jerking and twitching in one or another part of the body, in the scapulse, calves, eyelids, and arms/.—Affected, by playing on the piano a short time, with painful anxiety in the chest, trembling of the whole body, and weakness, so that she must lie down for a long time before she cau recover herself (after twelve days)/.—A paroxysm in the evening; it became black before the eyes, with paralytic tearing pressure in the head, eyes, and jaws, weak consciousness, and confused, distracted thoughts, lasting an hour and a half; followed by crawling pain in the lips, right arm, and especially in the right hand and tips of the fingers, particu- larly in the thumb, with timidity (thirteenth day)/.—She could lie only on the right side at night, because it hurt her to lie on the left (after seven days)/.—Dread of motion, that always aggravates the symptoms/. Skin.—* The skin of the whole body becomes dry, rough, and cracked, here and there,1.—[980.] The commencement of warts/.—Warts begin to bleed, grow larger, and disappear after three weeks/.—Two red spots, as large as pennies, on the back of the left hand, one behind the little finger, and NATRUM CARBONICUM. 523 another behind the index, without sensation ; they disappear in half an hour (fourth day)/.—A red spot on the great toe (as from a bruise), from which tearing extends backward, from time to time, along the side of the sole/.—White spots on the right cheek and side of the neck, without sen- sation, in the morning (sixth day)/.—"Cracked, rough hands (after thirteen days),1.—"A small burning crack in the lower lip (eleventh day)/.—The nose desquamates on the back and tip, and is sensitive to touch (ninth day)/.—Eruptions, Fry. Eruption on the right corner of the mouth (after twenty days)/.—Much eruption on the nose and mouth,1.—[990.] Dry eruption on the nates and coccyx, with violent itching, in the morning on rising/.—Papular eruption on the face, by the ear, with sticking pain, like a boil when touched/.—Papular eruption on the red of the lower lip, with smarting painful soreness in the corners of the mouth/.—A red pap- ular eruption on the forehead, with burning sore pain, with pus at the tip,4. —A pimple on the left side of the upper lip, without sensation/.—A pimple on the lower lip/.—A painless pimple on the left side of the nose (fifth day)/.—A painless pimple, that daily becomes larger, on the right side of the nose/.—A pimple, with burning pain on the chin (twenty-fourth day),8. —Violent itching in the nape of the neck, and outer surface of the left thigh, that provokes scratching, after which burning pimples appear, which disappear after a few hours, in the evening (second day)/.—[1000.] Some itching pimples beneath the lower lip (seventh and eighteenth days)/.— Itching pimples and nodes on the scalp, chest, and abdomen (after eighteen days)/.—Itching in the bend of the left elbow ; after scratching, a few pimples appear, but soon disappear (tenth day)/.—Violent itching, with hives, after scratching, on the abdomen, genitals, and lower extremities,1.— Eruptions, Moist. Moist itching eruption on the nose and mouth (after ten days)/.—Blistered spots on the tips of all the fingers and toes, as if scalded, with festering about them, as if the nails would slough off/. —Some little blisters near the right wing of the nose, with burning pain when touched (nineteenth day)/.—Small, red, itching, vesicular eruption, filled with water, ou the chin (sixth day),1.—Red vesicles, filled with liquid, in the bend of the elbow and groin, with sore pain when touched (tenth day)/.—A white vesicle, with a large red areola, that burns as from nettles, on the first joint of the left index finger (twenty-second day)/.—[1010.] A whitish vesicle, as large as flaxseed, on the red of the upper lip, with sore burning pain when touched ; on the second day, a scab formed on it, and on the fourth day fell off (after twenty days),8.—A vesicle as large as a pea near and beneath the right corner of the mouth, that dries up in twenty- four hours (after eleven days)/.—A small vesicle, with burning pain as from nettles, on the inner surface of the right index finger; it disappears after washing with cold water/.—A clear vesicle containg matter beneath the right corner of the mouth/.—Vesicles on the back, itching violently and compelling scratching, especially in the evening, on undressing (seventh day),8.—Tetter on the left hand (after fourteen days)/.—Two small tetters on the mouth/.—Eruptions, Pustular. Suppurating eruption on the nape of the neck, with sore pain, only when touched (twentieth day)/. —A tetter exudes a purulent liquid; it becomes larger and is aggravated/.— Pustules about the mouth/.—[1020.] Pustules in the left wing of the nose, with red areola/.—Small pustules on the small of the back, that are very sensitive to touch (ninth day)/.—"Black ulcerating pustules on the heel,3.— A boil behind the ear/.—A boil on the upper lip/.—A red boil above the right side of the chin, not painful even when touched, disappearing after 524 NATRUM CARBONICUM. two days, without suppurating (seventh day)/.—Small ulcers about the mouth/.—Sensations. "Itching over the whole body, as from fleas,5.— Violent itching over the body, in the evening on lying down till falling asleep (seventeenth day)/.—Burning on the back of the left middle finger, as if stung with nettles, in the morning (eighteenth day),8.—[1030.] Burn- ing and itching iu the third joint of the right iudex finger, as if stung by a nettle; he also feels a small pimple under the skin, in the morning after rising, lasting several hours (tenth day),8.—Sensation as if a plaster as broad as the hand were lying on the upper surface of the right forearm, so that all the skin was drawn up, at 9 a.m. ; it lasts with longer or shorter intervals till 4 p.m. (third day)/.—An itching stitch between the second and third phalanges of the right ring finger, that provokes scratching, and then disappears (third day)/.—The warts begin to pain on slight pressure/. —Crawling and itching formication over the whole back (after two days)/. —Crawling in the middle joint of the right thumb, as if it would go to sleep, in the afternoon (eleventh day)/.—Crawling in the right foot, as if it would fall asleep, at 5 a.m., in bed (seventh day)/.—Crawling in the forepart of the right foot, as if it would fall asleep, iu the afteruoou, while sitting (fourth day)/.—Itching crawling above the ball of the right, thumb, disappearing on rubbing, but returning (after three days)/.—Itching, here and there, in the face, immediately disappearing on scratching (second day)/.—[1040.] Itching on the upper lip, as from a fine feather, and on drawing a finger across the lip a fine piercing stitch in the middle of it, as if a hair would be torn out, at 6 p.m. (second day)/.—Itching in the beard, obliging scratching, in the evening (sixth day)/.—Itching and violent stitches in the raphe of the perineum/.—Itching on and about the gen- itals/.—Itching on the prepuce/.—Itching ou the right side of the neck, disappearing ou scratching (first day)/.—Itching on the back, was obliged to scratch, as if covered with fleas (sixth day)/.—Itching on the upper aud lower extremities (after fifteen days)/.—Itching and biting in the bend of the elbow, so that he was obliged to scratch (twenty-fourth day),8.—Itching on the back of the hand, as from fleabites (sixth day)/.—[1050.] Itching on the outer surface of the thigh, disappearing after scratching a long time (second day)/.—Itching on the outer surface of the right knee, disappear- ing on scratching a long time, and then burning/.—Itching in the hollow of the left knee, that does not disappear on scratching (fourth day)/.— Itching on the right calf, disappearing on scratching (fourth day)/.—Itch- ing on the soles, especially on the balls of the feet/.—Itching and sticking in the soles and heels/.—Frequent itching in the bend of the right knee, disappearing only after long scratching (third day)/.—Obstinate itching on the right side of the abdomen and hip, not disappearing on scratching (third day)/.—Violent itching in the beard, chin, and on the chest, as from fleas, so that he must scratch constantly (seventh day)/.—Violent itching and corroding in the abdomen, even duriug the day (after twelve days)/.—[1060.] Violent itching in a small spot on the right index finger, towards the thumb, disappearing on scratching, in the morning (tenth day)/.—Intolerable itching over the whole back, disappearing on scratch- ing, but returning (third day),7.—Burning itching in the face, in the region of the left lower jaw, that soon disappears after violent .scratching (fourth day)/.—Painful burning itching on both great toes/.—Biting, burning itching in the region of the pudenda/.—Stitchlike itching on the lower abdomen and thighs, especially in the afternoon/.—Stitchlike itching, as from vermin, on and about the genitals/. NATRUM CARBONICUM. 525 Sleep and Freams.— Sleepiness. Yawning after dinner; he became sleepy and indolent, yet as soon as he applied himself to work everything went on brisk; yawning ceased, and sleep vanished (third day)/. —Yawning, lachrymation, and sleepiness; he was obliged to lie on the lounge, where he slept more than a quarter of an hour, but only a light sleep (tenth, eleventh, and twelfth days)/.—Frequent yawning, in the evening (first day)/.—[1070.] Constant'troublesome yawning, all the fore- noon (eleventh day)/.—"Sleepiness during the day, with yawning,1.—Sleepi- ness during the day, with yawning, while sitting and reading/.—Sleepy in the morning; he rose with difficulty, about 7 o'clock (first day),8.—He became sleepy, in the forenoon, and lay down upon the lounge; after dinner, however, when he usually took a nap, he was not sleepy, only dozed very briefly and lightly (second day)/.—Very sleepy, with yawning; she could immediately fall asleep, from 1 to 3 p.m. (second day)/.—Overpow- ering sleep, in the afternoon (after eleven days)/.—Heavy, deep, stupid sleep/.—Sleep was very sound the first day, but'afterwards very restless, for several nights/.—He could scarcely wake from a partial slumber, in the morning/.—SleejJlessness. [1080.] She could not fall asleep for several hours, in the evening in bed/.—He fell asleep with difficulty, in the evening, although he felt sleepy (first day)/.—He falls asleep late,' and with difficulty, in the evening (first day)/.—It he lay down in bed, iu the evening, sleep vanished ; yet he soon fell asleep (first six days)/.—Restless sleep at night, with jerking and stretching of the limbs (after eighteen days)/.—Restless nights, with frightful dreams/.—Very restless night; she woke frequently, and could only with difficulty fall asleep again (after seven days)/.—Sleeplessness at night, even without anxiety ; yet also with- out being able to open the eyes (after ten days)/.—Night quite restless; she could lie only on the left side/.—An extremely restless, uncomfortable night, tossing about twenty or thirty times (after thirteen days)/.—[1090.] She woke at 1 a.m., and could not sleep again, because she could not fiud a comfortable position/.—He awoke towards 2 or 3 a.m., without any cause, and soon fell asleep again (first eight days)/.—He awoke suddenly, about midnight; roused, as it seemed to him, by somebody pulling his nose (after four days)/.—Frequent waking from sleep, as from alarm/.—Fre- quent starting up in fright from sleep/.—Jerking and starting up in fright from the midday nap/.—Beating and throwing about of the hands, at night; when awakened she knew nothing of it/.—Freams. She lies in a dreamy condition, at night/.—Many dreams and chilliness, in sleep/.— Sleep full of dreams, at night,1.—[1100.] INIany very vivid dreams (after ten days)/.—Every night was full of vivid dreams, frequently about past events, but still oftener about things he had heard spoken of in the even- ing; the first twenty days he was conscious of the dreams immediately on waking, but afterwards was obliged to think for some time in bed before he could recall them/.—For the first twenty days the dreams were mostly agreeable and anxious; of marrying two women, of parties, walks, enter- tainments, and excursions on horseback; afterwards they were frequently anxious, of going astray, of murders, having his ears cut off; also vexa- tious dreams; he would take a journey and could not get away from the place, and when he had reached the first station was obliged to turn back, on account of something he had forgotten, etc./.—Voluptuous dreams (thirteenth night)/.—Voluptuous dreams all night, in which he had an emission, without waking; later, he was awakened by a storm, but was not quite aroused from sleep, only felt very great sexual desire, that almost 526 NATRUM CARBONICUM. induced onanism (first day)/.—Confused, voluptuous dreams, during a restless sleep, with violent erections and emissions/.—Restless dreams, at night, and frequent waking/.—Many troubled dreams, at night/.—Anxious confused dreams, immediately after falling asleep, from which he woke in an hour, with distressed abdomen and dry tongue/.—Very anxious dreams, during the first sleep/.—[1110.] Dream of a journey, though she could not take it, because something seemed to hold her back; a kind of nightmare (seventh day)/.—Dream of a flood, and threatening danger (third night)/. —Dream of robbers, thieves, etc., all night (after fourteen days)/.—Anx- ious, vivid, frightful dreams of thieves, from which he started up with a loud cry, and when awake could scarcely realize that his fears were ground- less (after six hours)/.—Dream of a quarrel, in which he stabbed his an- tagonist in the chest with a large knife (fifth night)/.—Very vivid dreams of the features of a corpse/.—Dream that she saw a corpse, at which she woke in fright, when it seemed as though a dead acquaintance stood before her, which made her scream aloud, afterwards she fell asleep again (third night)/.—Illusions of fantasy, in the evening, while half asleep; she sees figures, visions of soldiers marching in the air; she frequently rouses her- self, but the images immediately appear again, and only entirely disappear when she stands up and walks about (first day)/.—A kind of nightmare, at night, at the full moon ; he could not move on waking (after eighteen days)/.—She talks aloud in sleep after midnight, without being conscious of it in the morning (after four days)/. Fever.—Chilliness. [1120.] Chilliness, in the evening (twelfth, thirteenth, and fourteenth days)/.—Chilliness after eating, with internal heat, so that warmth is disagreeable to her; she, however, becomes chilly if she goes into the cold air/.—Chilliness all day, and no stool (fifteenth day)/.—Chilliness with thirst, through the day (ninth and tenth days)/.— Chilliuess without thirst, with burning in the abdomen, for a quarter of an hour, at 10 p.m., after lying down; this was followed by heat, when she fell asleep, about 3 a.m. ; she woke in profuse sweat with thirst, which lasted till morning, and with which she could not endure to be uncovered (first day)/.—Chilliuess and shivering over the whole body, at 11 a.m., for a quarter of an hour (thirteenth day)/.—Chilliness before the stool (after four days)/.—During the menses, chilliness, with shivering, without subse- quent heat, from 5 p.m. till after lying down, in the evening, even lasting a quarter of an hour in bed/.—Constant chilliness, for several days/.— Constant chilliness, in the morning after rising; he could not get warm (after twenty days)/.—[1130.] Shaking chill over the whole body all day, with cold hands and warm cheeks; but in the evening, icy-cold hands, glowing red cheeks, and hot forehead, without thirst/.—Shivering, in the morning after waking, that disappeared after rising (second day)/.—Shiv- ering, in the morning after rising, and subsequently also in the afternoon (seventh day)/.—Shivering, all the forenoon and afternoon (first day)/.— Shivering, at 5 p.m. ; after lying down, some heat, with moderate thirst (seventh day)/.—Shivering, in the evening before lying down in bed, heat soon followed, during which she could not endure "to be uucovered (third day),7-—Febrile shivering over the whole body, from morning till evening, with hot hands, cold cheeks, and lukewarm forehead, without thirst/.—He could not get warm, in the morning and evening/.—Frequent sudden shaking chill, without subsequent heat, in the forenoon (seventh day)/.— "Feeling of coldness in the lower extremities, even during the day,1.—[1140.] Cold hands aud feet (after five days)/.—* Cold hands and feel, with hot NATRUM CARBONICUM. 527 head, . — Very cold feet (after seventeen days)/.—Persistent icy coldness of the feet, especially in the morning and evening, ou going to sleep, mostly with heat of the face, violent beating of the heart, and apprehen- siveness/.— Shivering on the back, without subsequent heat, in the evening on lying down (first day)/.—Heat. Heat and perspiration over the whole body, without thirst, with general exhaustion in all positions/.—Very tran- sient heat, with weakness, in frequent attacks/.—Frequent flushing of heat, great ill-humor, sadness, anxiety; after which he was very much exhausted and weak, for half an hour/.—Something like a febrile paroxysm ; pres- sive pain in both temples, dulness of the head, and pressure in the eyes; followed by inclination to vomit, with chilliness over the whole body, espe- cially iu the chest and arms; in bed with warm coverings he was somewhat better, though there continued yawning and stretching, and stiffness of the nape of the neck, and at one time he was chilly, at another flushed with heat, without subsequent persistent heat or thirst* continuing for some time (after half an hour)/.—Orgasm over the whole body, at night, which made him so fearful of impending apoplexy that he was obliged to rise from bed several times/.—[1150.] Sensation of internal warmth in the head and eyes, without external heat of the face, though with thirst, also at night/. —Heat of the whole head, with redness of the face, and a feeling of heavi- ness, worse after dinner, less in the evening, and disappearing in bed (third day)/.—Heat in the right side of the forehead, extending to the occipital protuberances, with great sensitiveness in the anterior places to touch, lasting an hour, at 9 a.m. (first day)/.—Heat and burning of the face, with redness of the cheeks, in the house, open air, and in the cold, from 5 p.m. till after lying down (fourth day)/.—Sudden heat frequently mounts into the head, with redness of the face, but for only a short time (seventh day)/. —Great heat of the head and face, with a sensation as if all the blood mounted into the head, on rising from sitting (niuth day)/.—Creeping of heat from the nape of the neck down over the back, together with drawing pain (twenty-second day)/.—Dry heat of the head, all the forenoon and afternoon (sixth day)/.—Burning, with redness of the face, especially of the right cheek, at 11 a.m. (seventeenth day)/.—Burning in the palms/.— [1160.] "Burning iu the feet, especially the soles, while walking1.—Burning in the soles/.—Violent burning in the soles, in the evening, disappearing in bed (nineteenth day)/.—Sweat. Very much inclined to perspire after coition/.—Sweat, in the morning (also after nine days)/.—Perspiration with thirst, in the morning before rising, till breakfast (third day)/.— Perspiration towards morning, with thirst, for several days/.—Nightsweat, for several nights/.—Profuse perspiration (first night)/.—Profuse perspi- ration, especially on the back, on walking or on ordinary exertion (twenty- fifth day)/.—[1170.] Excessive perspiration on motion, even iu cool weather/.—Exhausting sweat over the whole body, especially on the hands (after thirty-seven days)/.—The perspiration burns, especially on the fore- head, where the hat rests (twentieth day),8.—Dryness of the skin (after three days)/.—Distressing dryness of the skin at night, especially after midnight/.—Sweaty hands/.—Sweat of the feet, while walking (after a few hours)/.—Profuse perspiration of the hands/.—The skin of the hands is dry and without the usual suppleness (twenty-second day),8.—Dry cold hands (after nine days)/. Conditions.—Aggravation.—(Morning), On waking, sensation of loss of will-power; on waking, ennui; on waking, stupefaction; headache on top of head; on rising, swelling beneath eye, etc.; on rising, heat, etc., 528 NATRUM CARBONICUM—NATRUM MURIATICUM. of mouth, etc.; bitter taste; on waking, eructations; drawing in testicles, etc. ; after beer, sexual desire; cough; in bed, anxious respiration; on waking, lameness of limbs; trembling of hands ; jerking on back of hand; fingers swollen ; in bed, cramp in calves ; puffiness of body ; weakness; on rising, heavy, etc.; on rising, eruption on nates, etc.; shivering.-— (Fore- noon), Burning in eyes.—(Afternoon), Closure of lids, etc.; metallic taste; after eating, hiccough ; itching on lower abdomen, etc.—(Evening), While sitting in house, not noticed in open air, nor in bed, rush of blood, etc., in head ; after lying down, pressive toothache; raw throat; rawness iu chest; after lying down, tearing in joints ; on lying down, drawing in elbow; draw- ing in leg; on undressing, itching iu vesicles on back; on lying down, itching ; chilliness ; burning in soles.—(Night), Aggravated by the slight- est motion, on speaking a single word, vertigo, etc.; on waking, head heavy, etc.; after 9 o'clock, tearing toothache ; colic, etc.; cough ; pain in back; during perspiration, tearing in arms, etc.; uneasiness iu lower ex- tremities; cramp of foot; iu sleep, jerking, drawing, etc., in lower extrem- ities, etc.; especially after midnight, dryness of skin.—(Open air), Scrap- ing in fauces.—( Walking in open air), Pressive pain in bones of face.— (After dinner), Heaviness of head, etc.; beating in vertex ; stopped catarrh ; dyspnoea; heat of head, etc.—(Eating), Fretful, etc.; jerking in teeth; thirst; distension of abdomen; immediately, griping in abdomen ; pres- sure upon chest.—(After fruit), Qualmishness, etc.—(jllental labor), Vertigo, etc.—(Milk), Diarrhoea.—(Motion), The symptoms/.—(Pork), Sticking in chest, etc.— (Best), Reeling headache; tearing in arms ; indolent, etc.— (Sitting), Sticking in back; disappearing on moving, pain in small of back ; boring in tibise.—(Sunshine), Head dull, etc.—(After supper), Especially after copious drinking, ill-humor, etc.— (Standing), Tearing in nates. (Stooping), Tension in lower abdomen.—(Walking), Vertigo; tension in lower abdomen; pressive pain in lower abdomen; pain in small of back; drawing in calf.—( Warm room), Dry cough. Amelioration.—(Night), Pain in back.—(Open air). Rumbling in abdomen.—(Eating), Bitter taste; scratching in throat; nausea; pressure in stomach ; pain in abdomen ; chilliness, etc.—(Lying down), Scraping in throat.—(Motion), Tearing, etc., in hip.—( Walking), Desire for an emis- sion ; bruised paiu in hip. NATRUM MURIATICUM. Sodium chloride, NaCl. Common salt. Preparation, Triturations. Authorities. 1, Hahnemann,Chr. Krank-n.; 2, Foissac, ibid.; 3, Rohl, ibid.; 4, Rummel, ibid.; 5, Schreter, took 10 globules of the 30th dil. on the first, fourth, and seventh days, symptoms observed for two weeks (from the daybooks of the proving in Oest. Zeit. f. Horn., 4, 78); 5 a, Schreter's proving on a girl of eighteen, perfectly well, except pityriasis of the scalp; she took globules of the 30th dil. first, third, aud fifth days (ibid.); 6, " Gff." (Symptom 434 in Hahnemann); 7, " Ng." (Symptom 735 in Hahnemann). Nos. 8 to 43 from the Austrian provings, Oest. Zeit. f. Horn., vol. 4.f 8, -j- Not including effects of the water and vapor on workers in the salt mines at Isehler (vitiated by Bromine). The symptoms observed by Dr. Hartlaub (A. H. Z., 81), after eating salt herring, and published as a proving of Nat. mur., cannot be admitted. NATRUM MURIATICUM. 529 Arneth, took for three weeks the dilutions from the 30th to the 1st, then the crude drug, in doses of 10 grains to 1 ounce; 9, Boehm, took yyth trit., repeated .loses of 5 to 150 grains; 10, Froelich, took daily for a week 3 drops of 6th dil. without effect, then 10 grains of 1st dec. trit. daily for ten days without effect, then 1 drachm of crude drug daily; 11, Hampe (healthy, except a " herpetic affection"), took 6th dil. daily at 10 a.m. for two weeks; 11 a, same, took 2 scruples of crude drug daily for six days; 12, A. Huber, took dilutions from 30th dec. to 1st, then 10 grains of crude drug, during a period of one month; 13, same, proving in a girl, aged seven, beginning with 27th dil. and going gradually down to the 1st trit.; 14, same, proving in a girl, aged twelve, 30th to 20th dec. dils.; 15, in a boy, aged twelve, scrofulous, frequently suffering from colic and diarrhoea, took different dilu- tions ; 16, in a girl, aged nineteen, effects of 15th dil., 3d, 2d, and 1st trits.; 17, W. Huber, took daily doses beginning with 30th dil. down to 1st trit., immediately followed by crude drug in doses of 10 to 40 grains, 1 and 14; drachms, proving extending over a month; 18, W. Huber's wife, took va~- rious doses, from 30th dil. to 40 grains of crude drug, proving extended over two mouths (she became pregnant about the time she commenced the proving); 19, Huber's son, aged nine, took dilutions and crude drug with- out effect, but six months later had herpes; 20, Huber's daughter, aged five, took 12th dil., 4th trit., and crude drug; 21, Huber's son, aged four, took 4th and 2d trits. ;f 22, Dr. William Huber, took dilutions from 30th to crude, of which last he took as much as half au ounce; 22 a, same, sub- sequently took the dilutions from the 30th to the 3d dec. trit., generally two doses a day; 22 b, same, proving with the crude, 1 scruple first and second mornings, 4; drachm third and fourth mornings, 1 drachm seventh morning, 14; drachm eighth morning (this proving followed the last, be- ginning the day after 60 grains of the 3d dec. trit.); 22 c, same, subsequent proving, 4 drachm first aud secoud days, 1 drachm third and fourth days, 2 drachms fifth day, £ ounce sixth day; 23, Reisinger (failing to get effects from 3d dec. trit., 1st trit., and 15th to 1st dilutions), took one dose of half an ounce in water; 24, Reiss, took dilutions, beginning with 30th down to 1st trit., on twenty-seventh day; 24a, same, took crude drug (the day after last proving), repeated doses of 15 grains to 4 drachms (ten doses during a month); 24 b, same, proving with 20 grains of 1st trit. three times first day, 2d trit. three times second day, 3 drachms of crude third day; 25, a girl, aged twenty-four, took 1 drachm of crude first day, 2 drachms of crude the second, sixth, eighth, ninth, twelfth, thirteenth, and fourteenth days; 26, Schwarz, general effects of 1st trit.; 26 a, same, effects of crude drug ; 27, same, proving in a woman, seven months pregnant; she took 10 grains of 1st trit. at one dose ; 28, Dr. Wachtel, took 1st dec. trit., 10 grains, for five days, also on eighth, ninth, sixteeuth, seventeenth, twenty-third, and thir- tieth days; 28a, same, took 5 grains of crude drug daily for eleven days; 28 b, same, took 10 graius of 1st dec. trit., dose repeated after symptoms of one dose disappeared; 28c, same, took again crude drug, A; ounce first day, 1 ounce fourth day, A; ounce eighth day; 29, Dr. Wagner, took 2d trit. first and second days, 1st trit. third and fourth days, 2d trit. fifth day; 29a, same, five weeks later, took 5 grains of 2d trit. first day, 10 grains second t This boy was well, with the exception of an eruption about the eye (eczcnia- tous), that had disappeared for six months after Sulphur, but had reappeared a month before the proving. It remained unchanged during the proving, except that towards its close it seemed somewhat diminished in area. vol. vi.—34 530 NATRUM MURIATICUM. day; 30, Dr.Watzke, took 30th dil. daily for three days; 30a, same, effects of crude drug, 3 drachms first day, and twice the second day; 30b, same, subsequent proving, 3 drachms of crude first day, 1 drachm second and third days, 1 drachm twice fourth day, 2 drachms fifth and sixth days, 3 drachms seventh and eighth days, 1 drachm ninth day; 30c, same, noticed but few symptoms while taking either dilutions or crude drug, but after the proving a complete symptomatology developed; 31, Weinke, effects of 20-grain doses of 1st dec. trit. (10-graiu doses previously taken without result); 31a, same, effects of 6th cent. dil. first, second, fourth, fifth, sixth, eighth, and tenth days; 316, same, effects of crude drug, 2 drachms morning and 1 drachm afternoon, first day ; 2 drachms morning, 3 drachms evening, second day ; four days after, A; ounce in morning; 32, Dr. Wiirstl, took 9th dil., first, second, third, fourth, sixth, seventh, ninth, thirteenth, fourteenth, and eigh- teenth days; 32a, same, effects of 5th dil. daily for three days, and after- wards for four days; 32b, same, took 4th dil. several days in succession ; 32 c, same, took 2d dil. daily for seven days, then, after two days, 1st dil. morning and evening for three days, repeated after a week ; 33, Dr. Wurmb, effects of dilutions, 30th to 6th ; 33a, same, effects of 1st trit. daily for seven days ; 33 b, effects of crude drug, 1 drachm daily for three days, 2 drachms for six days, 3 drachms on eleventh day, A. ounce on thirteenth, sixteenth, seventeenth, eighteenth, and twentieth days, 6 drachms twenty-first day, 1 ounce twenty-second day; 34, Zlatarovicli, proving on Ab., aged twenty- two, took daily 10 grains-of 1st dec. trit.; 35, Kr., took same as last; 36, Kk., two provings as last; 37, Mt., same as last; 38, Pd., same as last; 39, Pj., same as last;*)" 40, Ro., proving as last ;t 41, Sk., proving as last; 42, Sg., proving as last; 43, Ss., proving as last; 44, Dr. Ed. G. Bartlett, N. Am. Journ. of Horn., 1852, p. 132, effects of a mixture of two table- spoonfuls of salt and half a pint of brandy, shaken when taken, on a dys- peptic; about two tablespooufuls were taken morning and evening for five days (dyspeptic trouble relieved for a time); 45, Dr. E. A. Farrington, Am. J. H. M. M., 4, 102, effect of the 5 c. and 5 m. (Fincke) in two persous; 46, same, effect of the 5 m.; 47, same, effect of the 5 m.; 48, Prof. Abelin, Br. Journ. of Horn., 31, p. 415, from Northern Med. Archive, 2, p. 17, effects of an enema of a solution of salt for constipation in a girl, aged six ; 49, Berridge, N. Am. Journ. of Horn., 1871, p. 58, a girl, aged twenty-three, took a globule of the 1 m. (Jenichen), and at the same time discontinued the use of salt;§ 50, Berridge, P. C, effects on a woman of 1 m. (Jenichen); she had discontinued the use of salt a few days before, but took a little the sixth, ninth, and tenth days; 51, same, effects of same dose and regimen on a girl of fifteen ; 52, same, N. Am. Journ. of Horn., 1873, p. 503, effects of a dose of 1 m. (Jenichen) in Mrs.----(a patient); 53, same, N. Y. Journ. of Horn., 1874, p. 312, effects of eating salt, in a woman ; 54, Robinson, Br. Journ. of Horn., 25, p. 325, effects of 30th dil., night and morning, in a young woman; 55, Poggiale, Am. Journ. of Med. Sci., 1851, p. 199 (Comptes Rendus, 25), effects of i54 grains of salt daily on the blood of a man ; 53, Dr. Hare, M. Hom. Rev., 3, 211, effects of eating large amounts of salt (1 f Usually constipated, but while proving the evacuations were quite regular, he felt stronger, was not sleepy so early in the evening, and was much more lively than usual. + Was well, except that before the proving he had a hard difficult stool every three or four days. § Has been free from catarrh all the time of the proving, which is very unusual. NATRUM MURIATICUM. 531 to 1A ounces daily) in a girl, aged twenty-eight; 57, Sherwen, Edin. Med. and Surg. Journ., 1814, p. 46, effects of the inordinate use of salt on two men. 311 ltd.—Emotional. Lively, good-humored, cheerful (second day),1. —Unusually lively; a consciousness of physical and mental power, in the afternoon (eighth day)/1*.—Very lively towards evening; she wished only to dance and sing (fifth day)/1.—Overexcited, in the morning, after waking unusually early (after 20th dil.)/2.—Great excitement, followed by falling asleep and deadness of the limbs/.—She talked more than usual, but did not like so much to be talked to; when she had nothing to say, she became depressed and melancholy (fourteenth day)/5.—Averse to talking, and fret- ful when questioned (fourteenth day)/.—Taciturn/.—Not at all lively, yet is easily made to laugh/.—[10.] Remarkable inclination to laugh, in the evening/.—Constant laughing; everything in the room looked so ridicu- lous (sixteenth night)/9.—"She laughed so immoderately at something not ludicrous, that she could not be quieted, and tears came into her eyes, so that she looked as though she had been weeping (twenty-third day),5*.—Though out of humor all day, she was constantly obliged to sing and hum to her- self; she had scarcely stopped, when she had to begin again (usually she never sings), (thirteenth day)/5.—*Very much inclined to weep and to be excited/.—* Whenever alone she ivished to cry, she did not know why (seventeenth day)/5.—Anxious impulse to weep/.—*She was involuntarily obliged to weep/.—"If one only looked at him, he was obliged to weep,1.— She weeps all night, after a slight vexation, and coughs very much, with ineffectual efforts to vomit,1.—[20.] "Very much inclined to weep, with dis- inclination to ivork,1.—Mood more quiet and less solicitous than usual (cur- ative effect)/.—Good-humored all day (twenty-first day)/5.—Joyful mood (twenty-eighth day),24.—Joyous, good-humored (fourth day)/\—Internal contentment, hope, gentleness (curative effect), (fifth day)/.—He rejoiced over something, but his joy very speedily passed off (fifth day)/,—He is happy, though only very transiently/.—"Sad and depressed,1^—"Depressed mood,1.—[30.] *Depression of spirits/0.—Depressed mind, with the hun- ger/7.—Depressed and full of grief/.—"Sad mood (eighteenth day),25.— *Sad and weeping mood, without cause,27.—Sad, as if sick, in the after- noon (twenty-third da*y)/5.—Great sadness, during the menses/.—"Joyless- ness,1.—"Melancholy mood (second day)/.—*Melancholy mood; she has preferred to be alone for several days past (twelfth day)/5.—[40.] * Very melancholy,1.—Sudden, though very short, attacks of melancholy/.—"Mel- ancholic depression, and sad apprehension, and disheartened, all day, without definite cause, with constant palpitation, without physical infirmity (ninth dav)/.—His mind is very much affected by a conversation/.—*The more he was consoled, the more he was affected/.—If she only thinks of a want long since past, tears come into her eyes/.—Always in his thoughts he seemed to seek for past unpleasant occurrences, in order to think them over, making himself morbid/.—Full of grief; he tormented himself; he seemed to prefer disagreeable thoughts, which prostrated him very much/.—"He concluded, from the look of every one, that he was pitied on account of his mis- fortune, and he wept,1.—Lack of independence/.—[50.] "Despondent (six- teenth day)/5.—"Attacks of complete hopelessness and internal despair, that deprived him of all power,1.—Hypochondriac, even to loathing life (second day)/.—Anxiety before the menses/.—Before the appearance of the delayed f Following the eruption of urticaria.—Hahnemann. 532 NATRUM MURIATICUM. menses, she is anxious and qualmish for some hours in the morning; some- thing sweetish comes into the mouth, after which some blood is expectorated with the saliva/.—Anxious and faint during the menses, with cold cheeks and internal heat/.f—She was much more anxious than usual during a storm at night; anxious sweat at last compelled her to rise from bed (second day)/a.—Anxiety, with heat, at night; she was obliged to uncover herself; vivid dreams on falling asleep (with profuse flow of menses), (fifth day)/.— Feeling of anxiety, with heat over the whole body and perspiration, lasting an hour and a half (eighteenth day)/8c.—Anxiety, as if she had done some- thing wrong, with heat and nightsweat/.—[60.] Sudden anxiety and pal- pitation, three forenoons/.—Very anxious, as if he would fall, while walk- ing/.— Woke at 2 a.m. in perspiration, and with a distressing anxiety, as though he were shut up in a dark cellar; this sensation only disappeared on perceiving light through a window (sixth day)/1*.—When aloue, she becomes uneasy about herself, aud must weep/.—She often looks into the mirror, and imagines that she looks wretched/.—Extremely solicitous about the future/.—Lost for hours in thought as to what would become of him/. —Feeling of apprehensiou in the chest (second day)/.—Apprehensiveness, anxiety in the chest, with pressure in the pit of the stomach ; worse after deep expiration (seventh day)/.— Very easily startled,1.—[70.] In the even- ing, it seemed as though he became paralyzed from a fright; afterwards he seemed horrified, and apprehended some misfortune/.—Fear of insanity/.— Anxious fear of dying/—*Anthropophobia?ia.—Irritable mood/6.—Temper irritable and peevish, not preventing her, however, from occasionally taking a part in the games and occupations belonging to her age/8.—Irritable, peevish, ill-humored, and quarrelsome/.—* Great irritability (immediately)/. —Impatient scratching of his head/.—Extremely sensitive and peevish all day (twenty-eighth day)/5.—Easily vexed, pettish ; he will not bear oppo- sition, for several evenings/. — [80.] Fretful mood (first and following days)/.—Fretful humor/1.—Whatever she sees frets her (sixteenth day)/0. —Fretful all day, especially in the evening; taciturn, sensitive, and sleepy (seventeenth day)/5.—Fretful and morose, especially if spoken to (sixteenth day)/'5.—Fretful, despondent (twenty-third day),25.—Fretful, restless, and uucomfortable; could not stay long in any place/4".—Very fretful, and in- clined to weep,21.—Ill-humor,9; (twenty-fifth day)/5.—"-Woke in the morning in a very bad humor, which gave place to a quarrelsome irritability, lasting till he began his visits (third day)/1*.—[90.] Ill-humor in the forenoon (twenty-second day)/0.—"Ill-humor and crying from the slightest cause?1.— Unusual ill-huruor/0c.—Ill-humored; does not want to go into society for fear of vexing others; feels that he could easily give offence (second day)/.— * Very ill-humored in the morning, usually?1.—Extremely ill-humored, peev- ish, and taciturn/.—Out of humor all day, aud unwilling to work (eighth day)/.—She takes everything in bad part, and weeps aud cries much/.— Affronts that he had given and received were constantly iu his mind, and he could not free himself from them ; this put him still more out of humor, and he had no real interest in anything (secoud day)/.—Passionate temper (first day) ; towards evening (second day)/.—[100.] Very passionate mood (second day)/.—Becomes vehement, without special cause/.—When with any one, she was inclined to quarrel (seventeenth day)/5.—Hatred of people who had insulted him (second day)/.—He was very easily made angry1.— (Soon after taking a dose, he became exceedingly angry, but suppressed f Original, backen, not beckon.—Hering. NATRUM MURIATICUM. 533 his wrath ; after this he had no symptoms during the whole forenoon, though after a former and also after a subsequent dose symptoms appeared within a short time), (fourth day)/.—Every trifle provokes him to anger,1.— Became violent and passionate at every trifle (eleventh day)/.—He became thoroughly aroused and angry from a slight occurrence/.—Offended by a joke/.—[HO.] Scornful, ill-natured, excited/.—Frigidity of manner,1.—In- different and sad/.—Indifferent or sad mood,26.—Indifferent and anxious/. —"Unnatural indifference,1.—Immediately after coition she felt very light and happy, but soon became irritable and peevish/.—Anxiety and restless- ness, alternating with indifference/.—Remarkable alternation of fretfulness, peevishness, and extreme exhaustion, with cheerfulness and a feeling of lightness in the limbs/.—The patient's mind was much weakened by dis- ease and poison ; her moral perceptions, her once keen sense of honor, and of right and wrong, seemed blunted ; she was in turns vehement and pas- sionate, and moody and silent,56.—Intellectual. [120.] Disinclined to' work, though disposed to think acutely/.—Disinclined to work, especially study (after the crude)/7.—"Disinclination for mental work,33; (second day)/111; in evening/.—Mental indolence in the evening (first day)/°b.— "No desire to work (ninth day)/.—No desire to work; he only dawdles over everything, and cau scarcely apply himself in earnest (tenth day)/. —Not disposed to do anything; he only wanted to fold his hands in his lap, or to sleep, in the afternoon (second day),5.—Dread of work,1.—He began work eagerly, and with great desire, but this soon passed off; his work vexed him (fifth day)/.—Inability to perform mental labor (fifth day)/2c. — [130.] Lack of circumspection/.—-Hastiness/. — Irresolute at work; he could not see his way clearly (fifth day)/.—He could not fix his thoughts; however much he attempted to reflect upou anything, his thoughts wandered to many other subjects (first day)/.—Thought is difficult (six- teenth day)/5.—Thought difficult; she was obliged to think a long time before clearly comprehending anything (second day)/*.—Sluggish ; slow in collecting his ideas and making up his mind/.—Weakness of thought, dul- ness of mind, discouragement/.—Mind confused, with pressive pain in the forehead, all day (after 20th dil.)/2.—Although evidently a well-educated and intelligent woman, her mind seemed hopeless and confused/6.—[140.] "Distraction of mind,26.—Distraction of mind, dull, loss of ideas, in the even- ing (first day)/2b.—"Distraction of mind while talking?4*.—"Distraction of mind; he does not know what he ought to say,1.—Distraction of mind; he goes twice to a place to find something/.—Great distraction of mind (after 1st trit.)/2.—Absence of thought/.—Absence of thought; she says what she does not intend/.—Easily makes mistakes in talking,1.—Thoughtlessness; he went out of a door without intending it, and only recollected himself when asked where he was going/.—[150.] He had no control over his thoughts, in the evening (fourteenth day)/.—Easily makes mistakes in writing/.— Loss of ideas, stupid (fifth day)/2c.—Loss of ideas, with mental dulness (sixth day)/2".—Dulness and loss of thought, with sleepiness; worse from 3 to 7 p.m./.—If he follows an idea, thought suddenly leaves him, and only fragments of ideas remain/.—Immediate inability to think after physical exertion, with apathy/.—She felt almost as if losing her reason (tenth night)/9.—Anxious sensation in the head, in the evening, after lying down, as if it were all over with him, and he should lose his reason/.—Forgetful- ness all day/3.—[160.] Forgetfulness; it was difficult to think of anything, in the evening (second day),5.—Remarkable forgetfulness during the last part of the proving (thirty-sixth day)/5.—Very forgetful, so that he did 534 NATRUM MURIATICUM. not recall what he was just about to write (second day)/.—"Weakness of memory (after 1st trit. )/2.—Very weak memory ; everything remains in his mind like a dream/.— Want of memory, so that he thought his mother (who was present every hour) had died, because he did not remember see- ing her/.—"Loss of memory; he remembers nothing of yesterday; thinks he has lost his reason (fifth day)/. Head.—Confusion aud Vertigo. Confusion of the head, after walking in the open air/.—Head dull and befogged, causing a very pecu- liar feeling of irresolution, even in respect to indifferent things (third day)/2b.—Stupefaction of the head (after 2d trit.)/8.—[170.] Vertigo, as from intoxication/4.—Vertigo, especially in the forenoon/2c.—Vertigo press- ing the head downward, when sitting/.—Vertigo, on rising from bed and on waking/.—Vertigo, like a faintness, in the morning on rising in bed ; her senses vanished, and she was frequently obliged to lie down/.—Vertigo, on stooping (twenty-sixth day),25.—Vertigo, on turning around (fourth day)/.— Vertigo on walking (first day)/.—Vertigo on walking; everything in front of her seemed to turn in a circle/.—Vertigo, better by keeping perfectly quiet (ninth day),25.—[180.] * Vertigo and great dulness of the head, with flickering before the eyes,320.—Vertigo and stitches in the head/7. —Vertigo, with qualmishness and trembling of the whole body, before going to sleep (twenty-first day)/5.—Vertigo and nausea woke her at 5 a.m.; the vertigo was better on lying with the head high ; on rising it returned, especially on stoopiug, and lasted all day, but was somewhat relieved by cold applications; in the afternoon it became so severe that she nearly fell from her seat (seventeenth day)/5.—Vertigo returning every moment; she seemed intoxicated, and could not walk steadily, all day/6.—Attacks of vertigo.32*.—Frequent attacks of vertigo during the day (after 21 trit.)/8. —Attacks of vertigo frequently recurring, towards 7 p.m. (seventh day)/2. —A very transieut attack of vertigo ou crossing a stone bridge ; it seemed as though the stones were sinking from under his feet (second day)/0.— Dizzy sensation, as if she would be thrown down (third day)/.—L190.] Dizzy feeling, in bed in the morning; the vertigo was worse after ri.-ing, but relieved by cold applications (eighteenth day)/5.—Dizziness of the head, in the morning, only after rising; disappearing after lying down again for a short time/.— Head dull, heavy, and dizzy, with pressure in the forehead and temples from within outward, in the morning (second day)/9.—Head heavy, dizzy, dull, immediately on waking (fifth day)/*.— Head dull and dizzy, from 5 to 6 p.m. (thirteenth and fourteenth days)/2. —Dulness and dizziness in the head, in the afternoon (eighth day)/2.— "Frequent dulness and dizziness in the head, during the forenoon (second day )/2.—Dizzy heaviness of the head, after black coffee, lasting three- quarters of an hour (first day)/lb.—Frontal giddiness, on walking or mov- ing head, from 7 to 12 in the evening (eighteenth day)/9.—Reeling, caus- ing obscuration of vision, on stooping and rising again/.—[200.] Reeling when walking/.—Intermittent reeling, like a vertigo, especially ou moviug the head, like a thrust from the vertex to the forehead, that for the mo- ment deprives him of his senses/.—"Weakness of the head, as after much turuing in a circle/.—General Head. *JDiilness of the head,27320; (seveuth day)/1*, etc.—"Head involuntarily nods forward,1.—Dulness of the head, as if stupid, and as if it were not his own/.—"Dulness of the whole head, as if too heavy, all day (fourteenth day)/5.—"Dulness of the head, in the morning (third day),29; (after 21st dil.)/3.—Dulness of the head like that preceding coryza, in the morning™.—Dulness of the head, in the morning NATRUM MURIATICUM. 535 on waking (twentieth day)/5.—[210.] Dulness of the head and vertigo, in the morning, so that she was obliged to steady herself (after 2d trit.)/8.— Dulness of the head, in the morning and forenoon (thirtieth day)/5.— Dulness of the head in the afternoon, clearer in the forenoon/.—Dulness of the head, with violent pressure in the temporal bone and root of the nose, in the afternoon (sixteenth day)/80.—Dulness of the head, with ver- tigo, in the evening (fifth day)/2.—After the menses, dulness and heavi- ness of the head, as from rush of blood/.—Dulness iu the head, after eat- ing/.—Dulness of the head, with dull pressure in the temples, mostly on pressing it (seventh day)/. — Head dull, on rising from bed at night (twenty-first day),25.—Dulness of the head, with dull pressive pain, espe- cially in the temples, mostly on stooping (after twelve days)/*.—[220.] "Dulness of the head, after thinking,1.—Dulness of the head, after a long walk/.—Dulness of the head, soon becoming a pressive pain in one temple, with dry heat in the head/.—Dulness of the head, with vertigo, and emp- tiness of the stomach/20.—Great dulness of the head/3*.—Dull sensation in the head, as if she were sleepy (third day),25.—Heaviuess of the head,26; in morning (third day); after rising (fourth day)/5, etc.—Heaviness of the head, in the morning, immediately on waking, with dizzy confusion/.— Heaviness and dulness of the head, with vertigo on stooping, at 10 a.m. (fifteenth day)/5.—"Feeling of heaviness in the head, as if it would fall for- ward, increasing with the headache across the forehead (as if she had received a blow), better by resting the head forward on something (fifteenth day); worse, and relieved as before (sixteenth day)/9.—[230.] Attacks of heavi- ness in the head, so that he was obliged to lie down two or three times a day for ten days; after lying down, hot perspiration over the whole body, from which after half an hour the heaviness of the head disappeared/.— Great heaviuess of the head, especially on talking or thinking/.—Empti- ness of the head, with apprehension/.—Feeling as if the head were encom- passed by a net (sixteenth day)/.—Internal heat in the head, especially in the forehead (eighteenth day),25.—Distressing sensation, as if somethiug in the brain were disturbed, in the forenoon, especially on turning the head (twenty-second day)/.—Fulness in the head, which seems to press out the eyes,1.—"Pressing pain, as if the head would burst/.—"Headache as if the head would burst (twelfth day)/.—Feeling of tension in the brain, that constantly increases, after an affecting farewell/.—[240.] Feeling as if the head were thick and swollen internally/.—"Bush of blood to the head,31.— Rush of blood to the head, with perspiration on the forehead, at noon (second day)/.—Repeated congestion and heaviness of the head, becoming more violent during the day, and in the eveniug amounting to a violent sticking headache in the right side of the forehead, with transient painful stitches in the eyeball, repeated three times duriug the day, aud only en- tirely disappearing towards evening; the night was also more restless than usual, and on waking the heaviness and dulness of the head was felt/2''.— Compression in the brain, from all sides, with heaviness of the head/.— Compression in the skull, with pressure in the middle of the head (twenty- sixth day)/5*.—Constrictive pain in the whole brain, in the morning/.— Headache/6.—Headache, in the morning in bed. that disappears after rising; for several mornings/.—"Headache, immediately after waking in the morning, lasting till towards noon (second day)/*.—[250.] Headache, in the morning on rising (twenty-first day),25.—Headache, in the morning (after smoking), lasting all the forenoon, and only disappearing after diuner and drinking coffee (thirteenth day)/*.—Headache from cold air/.—Head- 536 NATRUM MURIATICUM. ache on running, or other violent motion/.—*Headache from sneezing and coughing, immediately disappearing on external compression,1.—Headache on turning the body/.—Headache, disappearing on walking/.—Frequent headache, in the morning after waking,34.—Headache very violent, about 4 p.m. ; and, on taking hold of the forehead, a sensation as though every- thing in the head were beating (thirty-second day)/5.—Indefinite headache, lasting all day (thirteenth dav),25.—[260.] Headache " almost indescrib- able," during the rigor/6.—"Sick headache, from morning till noon,1.—Sick headache, with pressure in the forehead, increasing from afteruoou till going to sleep/.—Violent sick headache; she was obliged to lie down, and on rising threatened to vomit and faint; the slightest step hurt her in the head ; at 8 p.m. the pain suddenly disappeared, but the weakness in the head remained/.—"Dull pain in the head, all day (seventeenth day)/0.— "Dull headache, almost constantly,1.—Dull headache and perspiration, always on waking at night/3.—Burrowing pain deep in the brain, beneath the left eyebrow (third day),22b.—Could not lie on back, because it then felt as if something was drawing from forehead to occiput, and she felt almost as if losing her senses (sixteenth night)/9.—"Pressive pain in the head (sixteenth day)/0.—[270.] Pressive pain in the left half of the brain woke him after midnight (second day)/9*.—-"Pressive headache,1.—Pressive headache, all day,23.—Pressive headache, at 5 p.m./2".—A dull pressive headache, from both sides of the skull, especially from the right side, worse while working and writing (eleventh day)/.—"Dull, pressive, stupefying headache, in the morning, immediately after looking, lasting till noon,1.—Headache; a pres- sure that seemed to press out the eyes; relieved by pressing upon the eyes (seventh day)/.—Pressure, and a forcing out of the brain through the skull in the temple, forehead, and ears (third day)/.—Cutting pain, as from a sharp knife, extending from the left half of the forehead to the occiput (thirty-first day)/5.—Cutting headache in the whole head, at 3 p.m.; in the right side it is at times somewhat though not entirely relieved, but then the pain is worse in the left side (aggravated in the open air); on the left side it extends as a drawing pain from the forehead above the left eye to the zygoma and down to the angle of the lower jaw, only for a few minutes (this pain appears only on entering the house from the open air), (ninth day)/5.—[280.] Sticking extending from the forehead to the occi- put, taking away all her appetite/.—"Stitches in the head,1.—Stitches in the head, between the right occipital protuberance and the styloid process/.— Stitches through the head into the nape of the neck and chest,26.—Dull stitch from the top of the head through the brain into the palate/.—Dull stitches, and a gnawing pain as if in the bone, in various part of the head/. —A stitch as with a knife, through the head from behind forward, on en- tering the house/.—Transient stitches shoot deep through the left half of the brain; alternating with pressure and heaviness above the orbits (first day)/9*.—"Fine stitches through the head (twelfth to twentieth day)/*.— Pressive stitches in the brain (second day)/9*.—[290.] Fine throbbing pain in the head (fifteenth day)/.—"Violent throbbing headache, with heat of the head and face, nausea, and vomiting (seventeenth day)/.—"Pressive throbbing headache, especially in the left frontal region, all day,33.—Violent pulsation in the head, with heat in the body, at night/.—Distressing pulsation at the base of the skull/3.—Shock in the brain like a momentary jerking or pres- sure, when running rapidly/.—Forehead. Feeling of looseness, with dull sticking pain, in the left side of the forehead/.—Forehead felt heavy; relieved by pressure of hand ; worse on bending head down (unless it was NATRUM MURIATICUM. 537 supported at the same time), for it then felt as if the brain was falling for- wards; at the same time forehead feels full, in the evening, from 7 to 12 (eighteenth day) ; heaviness in forehead, at 11 a.m.; better at 6 p.m. ; re- lieved by pressure of hand ; worse on bending head down; if anything, it seemed to press from within outwards (as it did yesterday), and there was also a feeling of fulness of forehead at same time ; evening headache worse ; this kind of headache has always been worse in evening (nineteenth and twentieth days)/9.—Pain in the forehead on rapid motion/.—*When cough- ing, it seems as though the forehead would burst,1.—[300.] Compression in the forehead, after supper,3.—Headache in the forehead, all dav (after 14 drachm)/7.—"Headache in the forehead, during and after sneezing,1.— Drawing-boring pain in the right half of the forehead (after 8th dil.).22.— Fine drawing pain upward from the root of the nose, with heaviness of the head/.—* Pressure in the frontal region (eighth day)/8"*.—"Pressure in the rigid frontal region,32':—"Pressure in the fore/tend (2d trit.)/6.—"Pressure and dragging headache in the forehead,1.—* Weight in forehead, pressing in, worse on bending head down, better by pressure (third day) ; as yesterday ; has had it several days ; worse always on waking in morning (fourth day); worse in the evening (sixth day) ; on rising from bed till 10 a.m. (seventh day)/1.—[310.] Hard pressure in the forehead aud temples, while walking in the open air/.—Dull pressure iu the forehead and eyes, as if the head were asleep, on leaning it upon the arm/.—"Dull pressure in the forehead, with confusion (eighth day)/.—Dulness with slight pressure in the head, extending from the forehead to the temples, with stoppage of both ears; that, however, always disappeared on yawning, in the afternoon (first day)/2.—Sore pressure in and above the forehead/.—Pressive pain in the forehead (after a few hours); after eating/; lasting half an hour/.—"Pres- sive pain in the forehead and eyeballs, so violent thai the lids could only be raised with exertion and pain; he could no longer read; after dinner the pain increased so that he was obliged to lie down ; after half an hour he felt better, but the eyes watered profusely; the same symptoms returned after two hours, and followed the same course (fourteenth day)/1.—Pressive pain in the left half of the forehead/4*.—Uninterrupted pressive pain in the forehead and on the vertex/.—Violent pressive pain iu the forehead, with some vertigo and great weariness, at 7 p.m. (sixth day)/2.—[320.] Sudden, violent, pressive pain in the frontal region, above both eyes ; the whole head was dull, in the afternoon (eighteenth day)/2.—*Heavy and pressive pain in the forehead, above both eyes (thirteenth day)/.—"Pres- sive headache in the forehead (twenty-first day)/5.—Pressive. headache, now in the left, now in the right half of the forehead (twenty-eighth day)/5.— Sudden, very violent pressive headache, extending from the right frontal region to one-half of the forehead and right eye, together with great sen- sitiveness of the eyeball; the pain was aggravated by the slightest touch and was almost intolerable ; the light was also very distressing ; at 5 p.m., lasting four hours, somewhat relieved by drinking much water, but only entirely disappearing after a hearty supper; these headaches returned every second day, at 5 p.m., for fully six weeks after the last dose/20.— Sticking and burning in the forehead (3d dil.)/5.—Sticking pain above the forehead/.—Sticking pain, now in the right, now in the left half of the forehead, after dinner, lasting for hours (thirty-second day)/5.—Pressive- sticking pain in the forehead, at night/.—Sticking headache, now in the right, now in the left side of the forehead, after going out, aud still more after entering the house (thirty-first day)/5.—[330.] Stitches in the fore- 538 NATRUM MURIATICUM. head (in the evening), (3d trit.)/6.—Stitches, as with needles, in the fore- head (1st trit.)/6.—Frequent stitches and burning in the forehead/3.—Fine stitches in the forehead (thirty-second day)/5. — Fine stitches, as with needles, iu the upper part of the forehead (fourteenth dayy5.—Headache across the forehead, as if she had received a blow there; it kept getting worse towards evening; better by resting head forward ou something (fif- teenth day); worse to-day; relieved as before (sixteenth day); "laughing increased the feeling in forehead as from a blow (sixteenth night)/9.—"On waking in morning, throbbing and weight (pressing in) in forehead, with face very flushed; both pains better when lying on side, or by pressing forehead; better alter breakfast, 9 a.m. (eighth day)/1.—Fine throbbing and drawing back and forth in the forehead, in the morning on rising/.—Beating in the forehead, relieved by pressure with the hand or bending head back, worse on bending it forwards; during the burning in the face (fifth day)/1.— Sensation as though the brain moved and beat against the forehead, lasting till evening, somewhat better during the night, but returning the next day with renewed severity; on the next day, also towards 11 A.M., the same sensation began again while ascending steps, and was so violent that he was obliged to rest, with trembling of the lower extremities, and a feeling as though the feet were swollen and insensible; this disappeared after about a quarter of an hour, but returned about 3 and 5 p.m., though less severe (after sixteen days)/80.—[340.] If she makes an effort to think or talk much, she has on both sides of the forehead, just above the eyebrows, a sensation as though some one were beating upon the head with the finger (sixteenth day),25.—The paiu in the forehead was greatly aggravated by wrinkling the forehead for a moment, and then pain in the frontal bone, as if sore when touched/.—Temples. Pain in the temporal regions/7.— Tension, as if full, in the left temple, more in the evening than in the morning,1.—Cramplike pain in the right temple, extending into the teeth (eighth day),2'*'*.—Pressure in both sides of the temples, as if the head were pressed in a vice (third day)/. —Pressure in the temples/.—Pressive pain in the temples at times, interrupted by sudden pain in the left half of the head, like that experienced on the sixteenth day (twenty-third day)/8.— The brain seems loose; sticking in the temples on shaking the head/.— [350.] Sticking pain in the temples (thirty-fifth day)/5.—Sticking head- ache iu the left temple, just above the eyebrow, after dinner, lasting till eveniug (nineteenth day),25.—Violent stitches in the right temple, extending forward (third day),'25.—Pulsating iu the left temple, extending towards the occiput/3.—Jerking pain in the left temporal bone that extends towards the outer canthus and at last to the eyeball ; towards evening, iu the open air (fifth day)/'c.— Vertex. Feeling of coldness on the vertex, with pain- ful sensitiveness of the scalp and closure of the lids/.—Sensation of burn- ing in the vertex (thirteenth day)/8c.—Transient burning on the top of the head/.—Pressure on the vertex and in the temples (fifth day)/.—Pressing down in vertex, gradually going down forehead, closing eyes (after two hours)/**.—[360.] Pressive pain in the vertex, coming on after dinner (third day),30*.—Sticking on the vertex, disappearing on resting the head upon something/.—Fine sticking with burning on the crown/.—Pain on the top of the head, like a soreness of the skin/.— Parletals. Pain in the left side of the head, extending into the eyeballs, with a sensation as if a nerve were drawn tense and suddenly loosened again (sixteenth day)/5. —Boring pain in the side of the head and occiput/.—Pressive pain in the right half of the head, extending towards the vertex, lasting a short time NATRUM MURIATICUM. 539 (third day)/4b.—Cutting pain shooting back and forth, only in the right side of the head, at 3 p.m. (tenth day)/5.—Dull sticking pain, as from a nail, in the left side of the head, at night/.—Fine sticking pain in the parietal bone and in the forehead/.—[370.] Dull stitching pain in the parietal bone, in the evening on eating,3.—The parietal bone is painful to touch, as if beaten/.— Occiput. Head very dull, with throbbing in the occiput, in the afternoon/20.—Heaviness and pressure in the occiput (after 2d trit.)/8.—Heaviness in the occiput, with puliation and stiffness in the nape of the neck, in the afternoon (eighteenth day)/2.—A feeling of con- striction in the occiput behind the ear, with stitches in the head (twenty- sixth dayy5*.—Pressure in the occiput (sixth day\\—Dull pressure in the occiput and nape of the neck (eighth day)/"b.—"Stitches, as with knives, in the occiput,1.—A transient stitch extending from the nape into the occiput (third day)/2\—[380.] Throbbing in the occiput/26.—External Head. The head seems mellow (soft), without special pain/.—Contraction of the skin of the vertex/4*.—Drawing together of the skin on the vertex.1.— Movement of the scalp from the nape toward the forehead and back again/. —Perspiration on the head, only in the morning on rising from bed/.— Perspiration on the head, on waking at night/.—Scurf on the head/.— Occasionally troubled with an itching eruption on the scalp/6.—The scalp smells badly, musty ; the hairs stick together/.—! 390.] "Falling out of the hair,1.—The hair of the head and beard falls out (fifteenth day)/.—Falling of the hair if he takes hold of it (second day)/.—Her hair has fallen off very much/6.—Compression of the scalp and head, commencing in the temples,24*.—Headache externally, when lying on the occiput, at night/.— Drawing pain externally in the head, extending from one side across the cheek to the eye tooth/.—"Sensitiveness of the scalp,26.—A spot on the head that had been bruised six years previously, became painful to touch (after twelve dav-y5*.—Sore paiu on the head, when touched, as if the hair were sore/.—[400.] Skin of the temples raw/.—"Itching over the whole head,24*. —An hour after dinner, itching and burning all over external head, except occiput, lasting all day; the itching only momentarily relieved by rubbing (sixth dav i; on waking, better in afternoon (seventh day); less (eighth and ninth davs),50.—Itching on the head, so that he was frequently obliged to scratch (second day)/.—Frequent itching and scratching on the head, and in the beard (eighth day)/.—"Violent itching on the head and nape of the neck/.—Violent itching on the head; was obliged to scratch it (fif- teenth day /. Eye.—Objective. Eyes slightly red and watery (fifth dav)/*.—Some redness of the'white of the eye (third day)/1.—* Redness of the white of the eyes, with lachrymation (third and fourth days)/.—r410.1 "Redness and inflammation of the white of the eye, with a feeling as if the balls were too large and compressed,1.—"Inflammation of the eyes, and lachrymation, in every slight wind.1.—"Giving out of the eyes (second day)/.—* The eyes give out on reading; with a pressure in the right eye, extending into the head, disappearing on walking about the room (ninth day)/.—*The eyes give out on writing (twelfth day)/.—Subjective. On blowing the nose, it seemed to blow into the left eye, and, indeed, a spot on the upper lid, by the inner canthus, seemed distended with air, and he thought, especially the first time, that something had come out of the eye; afterwards the spot remained painfully sore, especially to touch; in the afternoon (second dav)/.—Feeling of dryness, with pressure in the inner canthi, in the even- ing/.— "Sensitive dry sensation in the eyes, as after weeping a long time, while 540 NATRUM MURIATICUM. riding in a carriage (fourth day)/.—Feeling as though the left eye were smaller than the right (third day),24b.—"Pain as from a foreign body in the eyes,1.—[420.] Left eye bums, at 12.30 p.m. ; both eyes feel hot, in the evening (third day)/9.—"Burning in the eyes, with increased secretion of mucus; the lids are agglutinated in the morning, with great sensitiveness to lamplight,21.— Burning in the right inner canthus, provoking rubbing (twelfth day),5.—Burning pain in a small point in the eye/.—"Violent burning in the eyes in the evening (seventeenth day)/.—(Dry burning in the eyes, in the evening, when writing), (eighth day)/.—Tension in the eyes/.—Boring paiu in the eye/.—Twitching on the lower margin of the right eye (third day)/2b.—"Pressure in the eyes,1.—[430.] Pressure in the eyes, especially the right eye, in the evening (fourteenth day)/.—Pressure in the eye at twilight/.—Pressure in the right eye/; (second day)/; to- wards 11 p.m. (eighth day)/*.—*Pressure in the eye on looking intently at anything/.—"Sticking in the right eye (seventh and fourteenth days)/. —Sticking in the canthi (after four hours)/.—A transient stitch iu the left inner canthus, alternating with a similar one on the crest of the right ilium (third day)/2b.—Fine stitches, as from saud, in the left external canthus (after 3d trit.),22*.—Tearing in the canthi, with darkness before the eyes/3. —"Sensitiveness of the eyes?2*.—[440.] "Smarting pain in the eyes,1.—*Sensa- tion as if sand were in the eye, in the morning,1.—Jerking in the eyes frequently during the day, followed by violent itching, obliging rubbing/.— Jerking in the left external canthus, especially in the evening (fourth day)/.—"Itching in the eye,1.—"Itching in the eyes, that obliges rubbing (fifteenth day)/.—Itching in the right external canthus (sixth day)/20.— Itching in the left external canthus (after half an hour)/.—"Itching in the inner canthi, and lachrymation?.—Itching in the left inner canthus, oblig- ing rubbing (after 8th dil.)/2.—[450.] * Violent itching of the left inner can- thus?.—Sticking itching in the left inner canthus (seventh day),'"0.— Frow and Orbit* Pressure above the eye and in the temple, with dulness of the head (second day)/.—Pressure as from a swelling above the right eye, aggravated by raising the eyebrows, for a day and a half/.— Pressive pain above the left eye/.—"Slight pressive pain above the eyebrows (after 24th dil.)/7.—Sticking pain just above both eyebrows (seventeenth day)/5.—Itching-sticking pain below the left eye (after ten hours),1.— Transient stitch in the right eyebrow, extending horizontally through the brain (after 3d trit.)/2.—Very tender in bone all round left eye and left nasal bone, and tearing and shooting in bone over left eye; this" lasted all day ; pain in orbit relieved by lying on left side, and by cold water, before menses (after two hours)/2.—[460.] The left outer margin of the orbit was painful to touch, as if bruised (fourth day)/.—Stitchlike itching on the orbital margin of the left eye (towards the external canthus), in the even- ing (third day)/2".—Lids. "Redness of the margins of the lids; in the morn- ing the eyes were agglutinated with scabs; this lasted a week (after the crude)/0.—*^4 catarrhal affection of the margins of the lids developed; they became red, with burning, especially in the evening while reading: secreted mucus and were agglutinated in the morning on waking, and covered, with thick scabs (after 5th dil.)/7.—Constant ulceration and great redness of the lower lid/.—A pimple on the margin of the lower lid, not in the meibo- mian glands/.—A large stye in the right inner canthus/.—The eyes are agglutinated in the morning/.—Agglutination of the eyes on waking in the morning, and sticking and pressure in the left eye, but without redness (sixth day)/1*.—Trembling of the upper and lower lids, for several weeks/. NATRUM MURIATICUM. 541 —[470.] Trembling and twitching of the left upper lid, after dinner (twenty-eighth day),25.—Jerking aud twitching of the right upper lid, in the morning (second day)/5.—Violent twitching of the eyes?.—Spasmodic closure of the lids, in the morning on rising, in the twilight, and at night; even when she closed the eyes she felt the contraction/.—Difficulty of opening the lids, though completely awake, at night/8".—"Irritability of the margins of the lids, and their conjunctiva (sixth day)/2b.—Heaviness of the upper lids (twenty-first day)/5.—Heaviness of the lids, so that she could scarcely open the eyes (sixteenth day)/5.—Sensation as though the right upper lid would fall dowu (third day J,25.—Sensation in the right lower lid, as if the skin were somewhat rough (second day)/.—[480.] The margins of the lids and the canthi (especially the external) burn violently all day, and secrete much acrid fluid ; with pressive pain in the eyes, as if inflamed; on reading, he sees as through a fog (after the crude)/7.—Spasmodic draw- ing in the right eyelid, with pressive pain when she wished to go to sleep, followed by trembling of the upper lid/.—Pressive pain in the lids/.—Sore- ness of the right lower lid/.—Biting in the upper lids; they seemed worst to touch, in the afternoon (eighteenth day),11.—Lachrymal A]tpa- ratllS. "Lachrymation iu the open air?.—Burning lachrymation, with secretion of mucus in the eyes, again increased (after 1A; drachm)/7.— Acrid lachrymation that makes the canthi red and sore/.—Biting lachry- mation in the morning?.— Conjunct leu. The conjunctiva and margins of the lids become red and burning (after 2d trit.),18.—Fall. [490.] Jerk- ing tearing in the left eyeball, iu the evening (eleventh day)/8*.— Vision. She became farsighted/.—Short vision (fourth and ninth days)/.—"Eyes dim and weak (thirty-first day),25.—Dimness of the eyes/.—Dimness and darkness before the eyes?.—Dimness of vision, in the morning/.—Vision dim, as if he should wipe the eyes (after six hours)/.—Vision dim, as if the eyes were covered with mucus/.—Dimness of vision, as if he were looking through a dim glass, while walking in the open air/.—[500.] The eyes do not become clear as soon as usual, in the morning/.—"Vision not so clear as usual; the eyes seem misty all day (fourteenth day)/0.—Misty before the eyes/.—Feeliug of a mist before the eyes while standing; not lasting long, but recurring three times in succession (third day )/4b.—She cannot see dis- tinctly at a distance; it seems as though she was looking through rain/.— Feeling as though a cloud were before the eyes, recurring three times in quick succession (eighth day)/4.—When looking at white objects, every- thing seems indistinct, as through feathers/.—A thick cloud seemed to be before the eyes from 10 a.m. to 3 p.m. (fifteenth day)/5.—Sensation as though a veil were drawn before the eyes in the afternoon ; she could scarcely see to knit (thirty-fifth day)/5.—* Objects seem covered with a thin ugiV'—[510.] "On looking long at anything, especially on sewing, sudden dur\ness before the eyes; she could see nothing till she directed the eyes to another object, at 6 p.m., with sleepiness (nineteenth day)/5.—Ouly half of an object is visible, the other half is dark/.—Unsteadiness of vision; ob- jects become confused on looking at them/.— "Letters and stitches run together, so that she cannot distinguish anything^ for five minutes?.—Many points of light and shade before the eyes/.—Fiery points before the eyes, when walking in the open air/.—"Smallfiery points before the eyes wherever she looks?.—She sees fiery zigzags about everything/.—On closing the eyes for the midday nap, she saw many people, large cities, and large bodies of water pass before her (thirty-first day)20. Ear.—External. Left concha swollen and inflamed, with burning 542 NATRUM MURIATICUM. pain ; after some days itching behind the ear (twenty-ninth day)/*.—[520.] Swelling of the meatus auditorius, and discharge from the ear/.—Swelliug of the left external meatus auditorius, which was sensitive to touch/8b.— Discharge from the ear for several days?.—Heat, redness, and swelling of the left concha, with burning pain/.—The ear, or lobule of the ear, hot for several days/.—A dull pressure behind the right ear, on drinking rapidly, in the evening (third day)/5.—A constant itching stitch in the lobule of the right ear/.—Aliddfe. Fluttering, as from a butterfly, in the left ear, during dinner/.—Distressing sensation of stoppage of both ears, in the afternoon (second day)/-.—Pain in the right ear, as if something were jerked out with a hook, at 6 a.m., lasting a quarter of an hour (twelfth day)/1.—[530.] Heat of the left (weak) ear, for several evenings/.—Ach- ing in and behind the left ear/.—Earache at intervals/.—Drawing pain in the right ear (after 5th dil.)/2*.—Dull drawing and sticking pain in the ear, extending thence down the neck to the shoulder-joint/.—Dull, bur- rowing-sticking pain in the right ear, when swallowing and when not/.— Stitches in the ears, several times, while sitting still, in the forenoon (fourth day)/*.—Fine stitches in the right meatus (after 1st trit.)/2.—Drawing stitches in the right ear/.—Fine crawling and bursting, as of small bub- bles, in the right ear, lasting an hour and a half (after 5th trit.)/2.—[540.] Itching within the right ear/.— Hearing. Difficulty in hearing (sixth, seveuth, and seventeenth days)/.—Duluess of hearing (seventh day)/— Cracking in the left ear on swallowing (after 3d trit.)/2*.—Cracking iu the left ear, with a feeling as if a tenacious liquid were flowing from it (after 1st trit.)/2.—Painless cracking in the ear when chewing/.—Humming in the ears, in the morning on waking/.—Ringing in the ears towards 11 a.m., lasting all day, at times alternating with a sensation as though a bubble of air were in the left ear (second day)/8.—Ringing and noises in both ears, with a sensation, on rising, as though he were falling, lasting about two hours ; aggravated by a cup of coffee (eighteenth day)/2.—Ring- ing in the ears, with dulness of the head, lasting an hour (fifteenth day)/2. —[550.] Sudden ringing in the right ear (after 8th dil.)/''".—A shock, fol- lowed for a long time by ringing, in the left ear/.—Roaring in the ears,26. —Roaring aud ringing in the ears (third day)/8.—Roaring in the ears, in the morning, in bed and while sitting,1.—Violent roaring in the ears,27.— Rushing in the left ear, while lying in bed, lasting a minute (thirteenth day)/1.—Sudden rushing through the ears/.—Singing in the left ear (im- mediately)/.—Ticking, as of a watch, in the left ear, lasting ten minutes, iu the evening (eleventh day)/1. Nose.—Objective. [560.] "Redness, swelling, and heat of left ala nasi, which is also sore, especially when touched, at 11.30 a.m., reappearing in the evening (third day); on both alae, lasting from 11 a.m. to 1 p.m., then decreasing, worse on left side, reappearing at 6.30 p.m. (fourth day) ; nose as before, worse on left side (fifth and sixth days) ; left ala nasi worse in morning, right less affected than left, lasting half an hour; since morn- ing, felt only when near the fire; nose has always been worse when near the fire (seventh day)/9.—The tip of the nose became red, hot, and paiuful; afterwards a group of vesicles as large as the head of a piu developed, be- came filled with transparent lymph, and at last confluent and formed a seal) (after 1st trit.)/8.—"Left half of the nose swollen, inflamed, and paiuful, as if the nostril had become contracted, with itching, painfully sore when taken hold of (thirty-first day)/*.— "Inflammation and swelling of the left half of the nose, with itching sore pain when touched, and a feeling as if the left nos*- NATRUM MURIATICUM. 543 tril were contracted (twenty-fourth day)/.—Twitchings and muscular jerk- ings in the left side of the root of the nose/.—Frequent ineffectual attempts toyneeze/.—Sneezing (first day)/:Jb; (second day)/.—Frequent sneezing,28"; (sixteenth day)/8; for several days/.—Frequent sneezing, as though coryza would break out/3.—Very violent sneezing, at 10 p.m. (third day)/1*.— [570.] Water drops unnoticed from the nose/.—Much secretion of watery mucus, now in the right, now in the left nostril, while riding in a carriage, on exposing the nose to the open air/4*.—* Catarrh and tickling cough, as if he had taken cold?.—Has been free from catarrh all this time, which is very uuusual (tenth day)/9.—Moderate coryza, with complete loss of smell and taste/.—(Violent coryza obliged him to suspend the proving for several days)/3.—* Violent coryza, with sneezing, for only one day?.—Fluent coryza, for several days (fourteenth day)/.—Fluent coryza; discharge of very thick mucus from the nose (twelfth day)/.—Fluent coryza, which, after several days, affected also the eyes, throat, and trachea, with dulness of the head, great prostration, short dry cough, and a sensation of dryness and soreness in the chest; it is remarkable that the secretion of the nose ceased without being yellow or thick (alter eleven days)/1*.—[580.] Profuse fluent coryza for three days, followed by stopped coryza/.—Excessive fluent coryza, with loss of all smell and taste?.—Violent fluent coryza, with, at times, stoppage of the left nostril/8".—Burning fluent coryza (2d trit.)/6.—Stopped coryza, with stoppage of both nostrils/.—Excessive stopped coryza, so that he could scarcely get his breath/.—Nosebleed at night,1.—Nosebleed on stooping/. —Very frequent nosebleed/.—Violent nosebleed/.—[590.] Much clotted blood is blown from the nose?.—Subjective. Insensibility and deadness within one nostril/.—"Stoppage of the nose (first day)/3b.—"He easily takes cold in the head; he is constantly obliged to wrap it up; if he allows it to be uncovered during the day, he has stoppage of the nose at night?.—Sensation of stopped coryza, every morning/.—"Feeling of dryness in the nose?.— Burning in the nose (and eyes)/.—Boring in the nasal bones, in the root of the nose, and towards the right cheek (fourteenth day)/.—Pressive pain at the root of the nose/8b.—Acute stitches deep in the root of the nose, ex- tending towards the right frontal sinus (after 3d triO/2*.—[600.] A very acute stitch deep in the right nostril, at 4 a.m. (after 3d trit.)/2.—"Internal soreness of the nose?.—"Left wing of the nose painfully sore, swollen, and hot, the sore pain aggravated by touch, towards evening (second day)/.—Feel- ing of soreness in the left nostril, with difficult passage of air (after 3d trit.)/*.—"Soreness and swelling inside the wing of the nose, with many pimples upou it/.—Nose paiuful, so that blowing it was difficult (second day)/.—Crawling in the nose (fourteenth day)/.—Crawling iu the right nostril, with pressure in the right eye, like that which ofteu precedes sueez- iug; not relieved even by blowing the nose (ninth day)/.—Itching in both nostrils all day (eighteenth day),25.—Itching in the right nostril, as if a worm were boring through it/. Face.—Object ire. [610.] Confused look,24*.—Had a sickly look,30'. —* The face shines as if greasy?.—Face very flushed, on waking in the morning (eighth day)/1.—Face red in patches, is usually pale, at 12.30 p.m. (third day)/9.—The redness, burning, and itching of face have been all in patches, all through the proving (tenth day)/9.—* Yellow color of the face, with much pain in the lower abdomen/.—"Face earthy/.—Bad earthy look (twelfth day)/. —Pale, earthy expression (twelfth day)/5. —[620.] Pale look (eighteenth day),25.—Pale face and lips,21*.—Swelling of the left side of the face and of the lips/.—Visible jerking of the facial muscles/.— 544 NATRUM MURIATICUM. Pain in the face, involving the whole left side, and especially the region of the eye, nose, and temple, towards evening (first day)/9*. — Chech's. *Redness of the left cheek, daily, especially in the afternoon/.—Very red cheeks iu the open air, pale in the house (nineteenth day),25.—Drawing pain in the right cheek-bone/.—Pressive pain in the bones of the face (ma- lar) and by the ear/.—A pressive and broken sensation in the bones of the left cheek; this sensation extended to the left teeth, and thence to all the teeth ; it seemed as though he could not bring the teeth together well (four- teenth day)/.—[630.] Tearing-sticking pain extending from the upper lip across the cheek into the ear/.—Bruised pain in the zygoma, especially when touched/.—A dull bruised pain on the right zygoma and on tbe coc- cyx, causing a sensation, when touched, as though he had fallen on the parts; in the former place it soon disappeared, but in the latter it lasted all day (fifth day)/8.—Gnawing sensation in the jaws, teeth of the left side of the lower jaw, while smoking (eighth day)/1*.—Sensation as though the flesh were scraped from the bone, or as though the flesh were being torn from the bone, from below upward, from the lower jaw above the zygoma to the temple of the right side, in the afternoon, lasting ten minutes, and constantly becoming more violent from 4 to 7 p.m. (twenty-eighth day)/5. —Lips. Pale lips/41.—"Swelling of the lower Up and tip of the tongue, with violent burning on. it, that wakes him at night?.—* Great swelling and some burning of the lower lip, followed by the appearance of a large vesicle, that next day formed a scab and desquamated (sixth day)/2.—"Lips dry, cracked?.—"A deep painful fissure in the middle of the upper lip?.— [640.] Numbness and crawling in the lips, especially iu the evening,1.— Burning aud redness of the upper lip/.—Sore feeling in the corner of the mouth, on opening it/.— Chin. "The hair of the beard falls out profusely (second day); falling of the hair of the beard aud mons veneris (eighth day)/.—Cramplike tension in the articulation of the lower jaw (after 19th dil.)/2.—A compression in the left articulation of the jaw, worse on opening the mouth (eighth day)/.—Drawing pain in the lower jaw (tenth day)/.— Transient'drawing pain in both sides of the lower jaw/.—Severe drawing pain in lower jaw, which is painful to the touch (after four days); (smelling a vial containing Spt. nitri dulc. relieved her very promptly)/*.—Tearing in the lower jaw, extending into the temple, and also into the parotid and submaxillary glands, with boring and pinching at times in the indurated glands, worse at night; was obliged to bind up the cheeks in order to ob- tain relief/.—[650.J The lower jaw is painful to touch/.—Some stitches in the left maxillary joint, at 4 a.m. (second day),30".—Dull stitches in the maxillary joints (fourteenth day)/. 3Iouth.—Teeth. Loose teeth?.—Looseness and painfulness of the front teeth/.—The decay of the teeth advances rapidly/.—Sensitiveness of the teeth/6.—Great sensitiveness of the teeth (especially of the right side) to air (first day),22**.—Great sensitiveness of the teeth (especially of the right lower jaw) to the inspired air (sixth day),22".— Great sensitiveness of the teeth to cold?.—[660.] The teeth seem numb on pressure; it seems as if they were too long, and did not fit together (twelfth day)/.—Bluntness of the teeth/.—The teeth seem more elevated and longer than natural/.— Woke after midnight with pain in the left back teeth and their gum, about the same time, two nights iu succession/.—Toothache, extending into the ear, with many stitches/.—Toothache in a hollow tooth aud in neighbor- ing teeth, relieved by touch and fine pressure/.—Toothache, with swelling NATRUM MURIATICUM. 545 of the cheeks, for several days/.—Acute toothache on drawing in the air/. —Boring in a tooth/.—Drawing toothache after eating, and at night, fol- lowed by swelling of the cheeks/.—[670.] Sensation of drawing, pulling, and breaking in a hollow back tooth, and extending thence into the throat and pharynx, so that she could neither open the mouth, swallow, nor speak a loud word ; the pain also extended into the ear, where there was an itch- ing and sticking, worse iu the evening and forepart of the night/.—Draw- ing toothache with stitches, extending even into the eye, every other day/. —Violent drawing in the right row of teeth/.—Dull drawing iu the teeth (twelfth day)/.—Pressure in the right upper teeth, for several hours (four- teenth day)/.—Dull pressure in a hollow tooth/; (twelfth day)/.—Pain in the teeth, as if something were sticking in them that should be taken out/.—Sticking pain now in one, now in another tooth, for an hour every forenoon/.—Sticking and throbbing pain in a front tooth/.—Stitches only iu the decayed teeth,1.—[680.] Stitches in the teeth and in the side of the head, with sticking about the ears, from within outwards, from morning till evening (tenth day)/.—Fine stitches in the first and second molars, w.ith a painful drawing in a socket of the upper jaw (three hours after 13th dil.)/2.—Tearing in the teeth, extending to the temples (3d trit.)/6.—Tear- ing in various teeth, now in the right upper, now in the lower jaw (thirty- third day)/0.—During the menses, tearing toothache, with stitches, if cold air enters the mouth/.—Sore pain in the teeth/.—Pain in the teeth when touched with the tongue and on chewing/.—The teeth are sensitive to tha brush (twenty-fifth day)/1.—Throbbing aud boring iu the teeth/.—Throb- bing pain and a burning boring in front tooth/.—[690.] At first, a throb- bing toothache; then a drawing, extending into the ear, as though from within outward, with much heat of the face and swelling of the gum; wherewith the teeth seem more elevated and longer than natural, after midnight/.—Jerking pain in the first upper right molar, as though some- thing sharp were thrust in and out of it; if the finger were pressed upon the cheek, over this spot, it seemed as though the root of the tooth were pierced by a cutting instrument (sixteenth day),2*.—Gums. Swelling of the gum about a hollow tooth/.—Swelling of the gum, in the morning, for several hours ; she could not chew on that side/.—Swelling and sore pain of the gum/.—Swelling and sore pain in the back part of the gum of the upper front teeth/.—Painful swelling of the gum/.—Inflammation and swelling of the gum, with swollen cheeks/.—"Ulcer on the gum; painful day and night, for three weeks?.—A dental ulcer on the inner side of the left jaw, towards the tongue, lasting six days ; on eating, it hurt less than usual (after twelfth day),5*.— [700.] Bleeding of the gum?; (fifth day),5.—* Gum bleeds easily (twelfth day)/.—Coustant bleeding of the gum, for several weeks after proving/.—Dental ulcer on the inner side of the lower jaw, more painful when not than when eating (seventh day)/.—The gum is ex- ceedingly sensitive to cold and warmth/.—Drawing pain in the gum, now above, now below, with swelling and great painfulness to touch/.—Gums are sore and swollen, and bleed easily,56:—Sensitiveness of the gum to touch (after 14th dil.)/8.—Gum painful, sore to touch (twelfth day)/.— Gum exceedingly sensitive; touch of the tongue causes a sticking/.— [710.] Painfulness and swelling of the gum behind the left upper middle incisor (twenty-fifth day)/1.—Tony tie. Tongue red and shining/6.— Tongue coated yellow, with a flat taste in the mouth (third day),5.—Tongue slightly tinged with a whitish-yellow covering (after about six months)/8. vol. vi.—35 546 NATRUM MURIATICUM. —Tongue coated white (5th dil.)/7.—Tongue coated white (especially about the root)/3.f—Swelling under the tongue, with sticking pain/.—^Blisters on the tongue,26.—"Blisters on the tongue, with burning pain when eating?. —"The tongue was stiff, and, with the hard palate, unusually dry (after 15th dil.)/2a.—[720.] Tongue heavy/.—"Dryness of the tongue (after half an hour, sixth day)/1*.—"Tongue very dry, without thirst?.—One-half of the tongue seems numb and stiff/.—Sensation on the tongue, as though he had taken something astringent; the papillae seem blunted (after 3d trit.)/2*.— Sore sensation of the tongue, even when not eating/.—Sensation in the tip of the tongue, as if it trembled/.—Crawling in the tongue, as if asleep/.— General Mouth. Bad odor from the mouth (after thecrude)/7; at times (5th dil.)/7.—"Blisters and soreness in the mouth, very painful?.— [730.] During dinner he felt an open blister on the inner surface of the right k cheek, in which warm food caused a burning pain (after 25th dil.)/2*.— ' * Ulcerated spots in the mouth, on the gum and tongue, in which food and drink cause biting?.—Ulcerated spot on the inner surface of the lower-lip, with sore burning when touched (sixteenth day)/.—"Dryness of the mouth (after 10th dil.)/2*; (after 20th dil.); (one-quarter of an hour after 13th dil.)/2; (eighth day)/20, etc.—"Mouth and lips dry (after 6th trit.)/2.— Dryness of the palate/.—Dryness of the hard palate (after 4th trit.),22.— *P'ersistent dryness of the mouth, especially of the tongue (after half an hour)/1*.—A sore spot on the inner surface of the right cheek, with burn- ing pain when touched by warm food (sixth day)/2".—The inner side of the lower lip seems painfully ulcerated, especially when touched (thirteenth day)/.—[740.] The hard palate seemed burnt for several days, and pain- ful to touch (after 5th dil.)/7-—Sail I'd. The mouth was more moist than usual all day (after 1st trit.)/2.—Mouth unusually moist all day (after 15th dil.)/24.—Increased secretion of saliva/4 38 42; (1st trit.)/7.—Accumu- lation of saliva in the mouth (after 30th dil.)/2a.—Accumulation of saliva in the mouth, in the eveniug in bed, on account of which he choked, which brought on a fit/c.—Stool pasty, orange-yellow, after dinner/.—Pasty stools, affording relief to the symptoms in the abdomen/.—[1480.] Urging to stool, with a pasty evacuation, followed by relief of the pain in the abdomen/3.—Urging to stool, followed by a pasty evacuation, with burning in the anus, lasting a long time/.—Urgiug to stool; he could scarcely reach the closet, fol- lowed by a very pasty stool (second day)/.—Urging to stool, and an evacu- ation of a pasty, yellowish-brown, very offensive stool, mixed with small whitish-gray lumps (looking almost like masses of tubercle), in the morn- ing (second day)/'*'b.—Stool scanty in the morniug, profuse and pasty to- wards evening, with great distension of the abdomen (eighteenth day)/3". —Profuse, pasty stool, towards evening, followed, after half an hour, by another thin stool, though he had had the normal stool in the morning/3*. —Excessive urging to stool, followed by a copious, partly pasty, partly watery evacuation (twenty-second day)/3".—Thin, pasty stool (eleventh day); morning and evening (tenth day)/20.—Suddenly awoke at night, with excessive urging to stool, followed by a thin, pasty evacuation, and then by painful distension of the abdomen, as from flatulence, above the pubis, together with great exhaustion (after 15th dil.)/2*.—Urgent desire for stool, which threatened to force open the sphincter in spite of the will, followed by a pasty, dark-brown, very offensive evacuatiou (eighth day)/2c. —[1490.] Slimy stool, with tenesmus and burning in the anus, after din- ner,28".—Thiu slimy stool, for several days/8".—Thin slimy stool, in the evening,28".—Regular and easy stool, instead of the habitual constipation/7. —Stool scanty, though it seemed as though it was copious/4*.—Desire for stool, after dinner, with a hard stool/4*.—Hard unusual stool, with tenes- mus, after dinner (tenth day)/4.—Desire for stool, with a feeling as though the rectum would be forced out; the evacuation was hard, crumbly, fol- lowed by sticking in the anus, especially when walking (sixth day)/4.— Stool, with tenesmus, at 3 p.m., at first hard, then soft, followed by burning in the anus, when walking (sixteenth day),2'.—Stool first hard, then soft, with a feeling as though the rectum were protruding; stool, followed by a stopped sensation, with nausea, and soon afterwards vertigo; everything seemed turned around, and she almost lost consciousness, in the evening (twentieth day)/5.—[1500.] Stool, with tenesmus and creeping chilliness (thirty-sixth day)/8.—Involuntary discharge of some drops of slimy liquid from the anus, at night/8".—Some blood iu the stool/.—Stool mixed with blood/.—Clotted blood passed with the natural stool/.— Constipation. "Constipation?**; (third and eleventh days)/3".—Constipation for along time after the proving/80.—Every other day she was constipated/.—Con- stipation, lasting three weeks after the proving/8.—Constipation ; the first stool occurred in the afternoon, and was harder than usual (tenth day)/2. —[1510.] Stool constipated, for two days/.—Evacuation of the bowels hard (after eighteenth day)/8.—Hard stools ffirst days); softer (following days)/.—Hard stool, every other day, obliging great pressure (after fit- 564 NATRUxM MURIATICUM. teen days)/.—The stool became harder, more scanty, and less frequent/6. —"During the menses, very hard stool?.—Very hard stool/*.f—"Stool hard and dry (twenty-third day)/5.—Dry, hard stool, like sheepdung, with vio- lent stitches in the rectum (3d trit,),16.—* An unusually hard, dry, crumbly stool, without pain (ninth day)/4.—L1520.] "Hard, indolent stool?6.—Stool hard, evacuated with effort (thirteenth day)/5.—Hard stool, with exertion, and frequently with ineffectual urging, every two or three days/.—"Hard, unsatisfactory stool (after the crude)/7.—Stools hard aud unsatisfactory (after 5th dil.)/8.—Hard, unsatisfactory stool, evacuated with much pres- sure and violent pain, as though the rectum would burst, followed by bleeding of the hemorrhoidal vessels, and pressive pain in the rectum, all the forenoon, with frequent micturition/3.—No stool (fifth day); unsatis- factory stool (sixth day); constipated (seventh day),33b.—Stool unsatisfac- tory (twenty-fourth day)/5.—Stool unsatisfactory, in the morning (after 27th dil.)/3.—Violent urging to stool, with an unsatisfactory discharge, with much flatulence, in the morning/3.—[1530.] An unsatisfactory stool, about 4 p.m., with much pressure/3.—Unsatisfactory stool, in the even- ing/4*.—Stool unsatisfactory, with stitches in the anus/3.—Desire for stool, in the forenoon ; the stool, though natural, was evacuated with effort (sev- enteenth day)/5.—Frequent urging to stool, with a scanty discharge (sixth day)/.—Stool daily, with great effort/20.—Stool at the right time, but evacuated with great exertion (first days)/.—Stool, only after empty urg- ing/.—Stool delayed, unsatisfactory, and difficult/31-.—Stool delayed till evening, when it was unsatisfactory, followed by bleeding of the hemor- rhoids/3.—[1540.] Stool delayed, occurring only in the afternoon, and after much pressure/3*.^—Oue evacuation during the day; formerly he had two perfectly normal stools/2.—Stool either omitted entirely, or much harder and more difficult to evacuate than usual (after 5th dil.)/7.—Stool unsatis- factory, soft, evacuated with much pressure; next day, it was entirely wanting (after 30th dil.)/3.§—Stools daily, scanty, dry, difficult; this be- came a real constipation, with a hard evacuation only every second day. (with general well feeling and especially good appetite),3"'b.—No stool for two days after the proving ; on the third day it was hard and unsatisfac- tory/.—Stool hard ; many days he had no evacuation at all, for nearly six weeks after the last dose/.—Stool wanting, or else very scanty, during the four days following the proving/3".—Retention of stool?3; (second day)/4". —The usual stool was omitted (after 30th dil.)/3.—[1550.] The usual morn- ing stool did not occur (third day)/1*.—No stool (first days)/; (thirteenth day)/4; (thirty-first day)/8.—"Irregular, unsatisfactory stools?.—Stools very irregular and of varying consistency during the proving,10.—Stools become very irregular, at times hard, at other times soft, sometimes diarrhcea-like (after 1st trit.)/7.—Stools irregular, always difficult, with itching and burn- ing in the rectum, several days after the proving/20.—Stools irregular, sometimes thin, sometimes none at all/5.—"Irregular stools, sometimes two or three a day, then constipation?^.—Stools irregular in time and character; f It was noteworthy that constipation occurred on the days when the drug was taken before breakfast; when taken alter breakfast, the evacuation was perfectly normal. X On the fifth day; on the first two days the prover had profuse thin evacua- tions ; on the third ana fourth days, no stool. \ This must be ascribed to the drug, as he usually had a stool punctually every morning. NATRUM MURIATICUM. 5G5 sometimes no stool during the day, again one to four evacuations; these were sometimes soft, sometimes quite thin, or even hard, frequently followed by biting in the anus/0c. Urinary Organs.— Tiladder. Pressure in the bladder, without urinating (fifth day)/5.—[1560.] Pressure upon the bladder and in the lower abdomen, while urinating/.—Pinching stitches transversely through the base of the bladder, while walking, lasting several minutes (twenty- sixth day),24.—Transient stitches in the bladder on urinating, disappearing after completely emptying the bladder,28b.— Urethra. Constant moisture in the urethral orifice, with drawing in the spermatic cord,9.—Discharge of a drop of thin glutinous liquid from the urethra, that sticks to the linen (twenty-fourth day),*'8.—"A thin liquid, is discharged from the urethra after urinating, that causes itching and burning (third day)/.—Milky discharge after urinating/.—Discharge of prostatic fluid, with lascivious thoughts, without excitement of fantasy or of the sexual organs, and without erec- tions/.—* Yellow purulent discharge from the urethra, which makes spots on the linen like real gonorrhoea, but without p>ain when urinating, only with some tension in the inguinal glands, which are not visibly swollen (after twenty- nine days)/.—"Burning while urinating? ; (sixth and seventh days)/8; in morning,33.—[1570.] Burning through the whole urethra while urinating, at night, as after new beer (fifth day)/8**.—Some burning in the urethra after an erection, in the morning (fifteenth day)/.—Burning and itching in the orifice of the urethra, in the evening while walking (first day)/.— Burning in the navicular fossa of the urethra/3; while urinating (3d dil.)/3. —Slight burning during micturition (ninth day),22".—Drawing in the ure- thra after urinating (twelfth day)/.—"Cutting in the urethra, for several minutes, after urinating (twelfth day)/.—f Cutting in the urethra after an emission), (twelfth day)/.—"Cutting and burning after urinating, with dis- charge of thin mucus that leaves stiff transparent spots on the shirt (fifth day)/.—A cutting pain towards the close of micturition, followed by thin moisture from the orifice of the urethra (eleventh day)/.—[1580.] Sharp stitches in the urethra after urinating, after coition (ninth day)/.—Ex- tremely painful stitch, as with a knife, in the navicular fossa of the urethra (after 8th dil.)/2.—Violent stitch along the urethra (after 8th dil.)/2.— Itching stitches in. the urethra, when not urinating, for several days in succession/.—"The urethra is painfully sore to pressure (twelfth day)/.— Very distressing attack, periodically, in the urethra and rectum ; there was frequent sensitiveness in the urethra, constrictive pain in it and in the rectum, with urging to urinate and stool, occurring irregularly, often sev- eral times an hour, even at intervals of five or ten minutes, or of two to four hours; not aggravated by external pressure; the urine was clear, of the usual amount, and passed without pain ; when urine was passed the urging to stool usually disappeared ; the latter could generally be repressed, but I was obliged to go to stool several times a day ; the stools were soft, rather thin, not preceded, accompanied, or followed by pain/00.—Biting in the urethra while urinating/.— Itching in the orifice of the urethra/20.— Itching, at times like a sticking, in the orifice of the urethra; it seems to be agglutinated with a gum ; the orifice can not be opened even by hard pressure (first day)/.— Micturition. Desire to urinate, with six dis- charges at intervals of half an hour; soon after eating (twelfth day)/*.— [1590.] Itching on the tip of the glans penis, followed by desire to urinate ; the urine was very light-colored (second day)/.—Desire to urinate, with- out discharge (after seventeen days)/.—Increased desire to urinate (first 566 NATRUM MURIATICUM. dav)/9*; (fourth day)/9.—"Increased desire to urinate, with very light watery urine (second day),29*.—"Unusual desire to urinate?1.—Unusual desire to urinate, and on retaining the urine, distressing drawing along the ureters, and a feeling of heaviness and pressure in the left frontal region (second day),29.—Frequent desire to urinate, with scauty discharge/.— Sudden desire to urinate, with discharge of a large quantity of thin urine in the afternoon ; this urging was repeated three times at short intervals, always followed by a large amount of urine/8".—Urging to urinate, with frequent micturition, after dinner,24*.—Urging to urinate, every half hour for two hours after dinner, with discharge of clear pale urine, afterwards at somewhat longer intervals, though it lasted till evening (twenty-sixth day)/4.—[1600.] Urging to urinate, associated at times with pressure in the rectum/.—Urging to urinate, twice at night, without discharge/.— Frequent urging to urinate, with which he always passed much colored urine (eighth day),5.—Great urging to urinate, and inability to retain the urine, which flows copiously (after ten hours)/.—Several times he was so urgently driven to urinate, that it passed almost involuntarily,1.—Twice he was so urgently compelled to urinate, that he had to leave everything as it was, towards evening (first day)/.—Obliged to rise at night to urinate/; (eleventh day)/36.—Frequently obliged to rise at night to urinate, and always passing much pale urine/.—More frequent micturition,30*.—Frequent micturition?2"; (after 2d trit.)/2; (third day)/2", etc.—[1610.] "Frequent micturition, without having drank much,26.—Frequent micturition, all day/4*. —"Frequent micturition all day, and even at night (thirtieth day)/3.—Fre- quent micturition, even during the night (first and second days),33".—Mic- turition every half hour/.—Micturition every ten minutes, with a stitch extending along the urethra from behind forward (ninth dayy24.—Frequent micturition, in the forenoon (fourth and fifth days)/5.—^Micturition six times in the forenoon ; urine pale (nineteenth day)/5.—Frequent micturi- tion at night, and also ineffectual urging to urinate/.—Increased micturi- tion ; she was frequently obliged to rise at night to urinate (3d trit.)/6.— [1620.] Micturition four times at night/.—Frequent micturition after eat- ing/4*.—Frequent micturition, especially after dinner (sixth day)/1".—Fre- quent micturition all day, especially after dinner/4*.—Frequent micturi- tion after dinner,24*; (twenty-seventh and twenty-eighth days),24.—Frequeut micturition of pale urine (sixteenth day)/5.—"Frequent micturition; urine pale, not aerie? (twenty-eighth day)/5.—Frequent micturition all day, "urine turbid aud dark (fourteenth day)/5.—Frequent micturition during the whole day, always followed by burning in the vagina, as if it were sore, lasting a quarter of an hour; the urine was turbid and yellowish-red (twenty-fourth day),25.—Frequent micturition for two or three days; the urine was pale and clear, but.of a strong odor and sweetish taste (1st trit.)/2.—[1630.] Frequent copious emission of hot urine/.—Very frequeut micturition, which continued long after all the other symptoms had disappeared/7.f— Very frequent micturition of watery urine/.-*-Much micturition all day (fifth day)/4"; (twenty-fourth day)/4; (thirty-second day)/5. — Copious micturition duriug stool (ninth day)/4.—"Copious micturition, with great urging, indeed every half hour, though he drinks little; at night, it wakes him from sleep?.—Involuntary evacuatiou of a small quantity of urine (twenty- fourth and twenty-sixth days)/"0.—"Involuntary emission of urine while walking?.—Troublesome dribbling of urine after a normal stool, with pres- f Possibly caused by the pressure of the uterus upon the bladder. NATRUM MURIATICUM. 567 sure in the rectum, as after a very hard lumpy stool, so that he could not sit down (after 4th dil.)/2.—Urine passed in a weak stream, and only with great pressure (after 4th dil.)/2.— Urine. [1640.] "Urine pale, dear,2i\— Urine yellow, diminished in quantity, causing burning in the urethra/4.— Dark-green color to the urine (ninth day),2".—Urine became black, like a saturated solution of coffee, was completely opaque (urina ictericorum), (after ninth day)/2b.—Increased secretion of urine/2.—Increased secretion of urine (eleventh day),33b.—Increased secretion of urine (after the prov- ing)/36.—Urine scanty (twenty-fifth day)/5.—Urine scanty, acrid, corro- sive, dark, like brown beer; depositing a red adherent sediment (duriug menstruation), (twenty-sixth day)/5.—Urine scanty, but there is a constant desire to evacuate the bladder; the urine is painfully acrid, and deposits large quantities of uric acid?6.—IT650.] Urine hotter than usual/20.—* Urine turbid (thirty-second day),25.—Urine turbid for the last eight days (twelfth day)/5.—Urine turbid, of a strong odor; it seems acrid (sixth day),25.— Whitish turbid urine, preceded by pinching in the urethra/.—Urine milky,, depositing a white sediment, in the morning (thirty-first day),25.—Red sediment iu the clay-colored urine/. — "Brickdust sediment soon in the urine?.—Red sand in the urine/.—-Urine contained 12.5 of chloride of sodium, in 1000 parts, being three times more than the normal quantity/6. —[1660.] The quantity of urine voided in twenty-four hours was some- what less than one gallon (If kan., Sw.); after about six months, the urine, which is often voided, is quite clear, of a peculiar greenish color, and of a feebly acid reaction, becomes frothy on being shaken; its specific gravity in the morning is 1005; in the afternoon 1004; the urine of the morning shows, by the nitric acid test, evidence of albumen ; in that of the after- noon, however, there is no trace of it; in the specimens, which hitherto have been microscopically examined, no tubular casts have been found ; a few epithelial cells either normal or granular, occasionally containing a fat- globule, and some crystals of lithate of ammonia, are the only noteworthy elements discovered in a great number of microscopical examinations which were made.48. Sexuul Organs.—3Iale. The genital organs have a strong and offensive odor/.—Falling of the hair of the mons veneris ami beard (eighth day)/.—Redness of the tip of the glans penis/.—The prepuce was retracted from the glans, and the accumulated smegma had a strong odor of Cheno- podium vulvaria (fifth day)/.— The prepuce is retracted behind the glans; causing a drv rubbing sensation when the clothes touched the glans/.— The prepuce is retracted from the glans, whereby a disagreeable dry sensa- tion is produced, that is aggravated by walking, whenever the glans touched the clothes (third day)/.—Erections in the morning (tenth and fourteenth davs)/; before taking (seventh day)/.—Erections and dreams at night/20. —Frequent erections at night,33.—[1670.] Frequent erections at night, with discharge of glutinous moisture/.—Violent erections (fifth and tenth davs)/; without cause (after two hours, second day)/1".—Violent erections in "the night and morning (after six hours) ; afterwards none at all, or very infrequent/.—Painful erections disturbing rest at night/3.—Lack of erec- tions (first day)/.—No erections, and no emission for five weeks/.—Volup- tuous irritation suddenly while sitting, disappearing on walking about/.— Feeling of weakness of the genitals/.—Sticking in the penis when urinat- ing and when not (twenty-sixth day)/.—Stitches in the penis towards the glans (eleventh day)/2.—[1680.] Rhythmical throbbing stitches in tho glans penis, with transient fine stitches in the orifice of the urethra, iu the 568 NATRUM MURIATICUM. evening (twenty-fourth day)/8.—Jerking in the penis,1.—Jerking in the penis when not urinating (thirteenth day)/.—Itching and crawling iu the corona glandis, provoking scratching (fifth day rt, large, followed by a sensation as if there was still more to be evacuated, at 2 p.m. (after forty-eight hours)/.—Stool retarded one day/. Urinary Organs.—3Ilcturitlon. Frequently at times, very distressing desire to urinate, with increased secretion from the mucous membrane of the urinary passages, as evinced by the turbidity of the urine and the copious deposit of slimy sediment/.—Profuse emission of urine which in spite of the heat of the summer amounted one day to 61 ounces, next day to 82 ounces, and the third day to 84 ounces/.— Urine. Urine became remarkably light-colored, and of a high specific gravity; at times turbid, and depositing a somewhat slimy sediment/.—An increased secre- tion of urine, in spite of profuse perspiration, during very hot weather; the amount of urine exceeded that of the liquid taken; while previously and subsequently this relation was reversed, the specific gravity increased ; when a drop of urine was allowed to fall upon paper, there remained iridescent crystalline scales/.—[30.] Specific gravity of the urine rose from 1005 (before taking) to 1010, 1015, 1020, and at last 1025; the urine was previously reddish-yellow, now constantly became lighter-colored ; and soon after stopping the drug it resumed its dark color as before/. Chest.—Pressive pains below the outer portion of the right pectoral muscle, as if between and on the ribs, on deep breathing and on every inspiration, while sitting bent. over/. Pulse.—Pulse normally 75, became slower, once 63/.—Pulse usually between 75 and 80, during the proving almost always less than lo, at times as low as 66; the normal tension of the pulse seemed to completely disap- pear during the last days of the proving/.—The pulse previous to the proving averaged 65, on the second day fell to 62, on the seventh day to 52, and duriug the whole proving remained below 60 ; after stopping the drug, it became more frequent, and returned to its normal after five days/. f And left side.0—Lippe. 600 NATRUM NITRICUM. —Pulse before taking never above 60, after taking never above 50, and once only 40 ; six days after discontinuing the drug, it was 54, and after ten days, 58 ; previous to taking, the difference of the pulse between sitting and standing was from 10 to 15 beats; while taking, it was only from 4 to 8 beats/.—The pulse, that was formerly large and full, became daily smaller and softer/. Extremities in General.—A peculiar painful sensation in the joints and in the adductors of the thighs ; which, however, showed no visible change/.—Pressive aching, like a bruised pain, in the joints of the feet, toes, shoulders, fingers (after three-quarters of an hour)/. Superior Extremities.—Pressing-asunder pain in the first joints of the right index and middle fingers/. General Symptoms. [40.] Before taking the drug, the blood was dark-red, thickish, containing only a few colorless corpuscles, many elemen- tary corpuscles ; coagulated in eight minutes; the separation was very rapid, so that after an hour the clot did not seem much larger than after fifteen hours; clot very firm ; after taking saltpetre, the blood was of the color and consistence of cherry-juice ; numerous colorless corpuscles ; coag- ulated in three minutes and thirty-three seconds; the separation of serum was somewhat slow, the clot not firm/.—Before the proving, the blood was dark-red and thick, with rather numerous colorless corpuscles; coagulated in nine minutes; the clot firm aud elastic; after taking the drug, the blood looked like cherry-juice, contained numerous and very large colorless cor- puscles; coagulated in four minutes and fifty-niue seconds/.—Before taking, the blood was dark-red, contained numerous colorless corpuscles, coagulated in seven minutes and four seconds; clot firm and elastic; after taking, the blood looked like cherry-juice, contained fewer and very much larger col- orless corpuscles; coagulated in six minutes and twenty-three seconds ; the clot very soft and friable/.—Before taking the drug, blood dark-colored, containing rather numerous colorless corpuscles, mostly larger than the colored ones; coagulating in thirteen minutes and five seconds ; clot firm ; after taking the drug, blood lighter-colored, containing very numerous large colored corpuscles; coagulating in seven minutes and fifteen seconds; clot soft and very friable/.—Before the proving, the blood was bright-red, coagulated in twelve minutes and thirty-six seconds; clot firm, elastic; afterwards, the blood looked like cherry-juice; the red corpuscles paler than normal; numerous colorless corpuscles; coagulated in six minutes and fifty seconds; clot soft, very friable/.—The color and consistence of the blood was changed, so that it became similar to cherry juice; the num- ber and size of the colorless corpuscles increased ; the color of the red corpuscles became paler ; the blood coagulated more rapidly ; there was an increase of the water of the blood, and a corresponding diminution of the solids; decrease of the fatty elements ; increase of the inorganic salts of the serum (incinerated residue); diminished firmness and cohesion of the coagulum, diminution of its solid constituents, and increase of the in- organic salts/.—The result of one examination each time, before and after taking the drug, showed an increase of the water in the defibrinated blood, and also of the serum ; a diminution of the solid constituents of the defi- brinated blood, as of the serum ; a general diminution of the blood-cor- puscles ; diminution of albumen, and slight increase of the fibrin ; increase of the soluble salts; less coagulum, and more serum/.—Weakness, with disinclination for mental and physical exertion/.—So great weakness that he could not walk far without resting repeatedly ; increasing during the NATRUM PHOSPHORICUM. 601 succeeding days, so that on the seventh day he could scarcely keep about,6. Weakness and exhaustion, especially in the knees, during a walk (after a small venesection) ; previous bloodletting had not affected him at all/. —[50.] An unusual sensation of exhaustion lasting some time; it increased daily ; aggravated by every motion, and going upstairs was especially very difficult/.—The weakness became so great that he was faint after slight exertion, in the evening (four days after the proving)/. Sleep.—Constant inclination for sleep, which did not refresh/.—Over- powering inclination to sleep has been noticed in provings on other persons/. Fever.—ChillIness. A fine cold sensation streams through the body, especially the upper part and the arms; followed by increased warmth, after a quarter of an hour in bed/.—Shivering chill over the whole body, at times (first day)/.—Diminished warmth, subjective and objective, of the feet, as far up as the calves (first day)/.—Icy coldness of the left foot, extending half up the leg; noticed both in the warm room and while walking/.— Heat. The whole left concha became burning hot (without any other cause), while the right remained cold ; this sensation of heat soon extended over the left temple, and after awhile changed to a pressing-inward pain ; after a time, this sensation of heat extended to the right side of the head, especially to the outer ear, and from this point there extended a general heat over the face, with pressive pain in the left frontal eminence, in the afternoon/. NATRUM PHOSPHORICUM. Sodium phosphate, Na2HP0412H20. Preparation, Triturations. Authorities. (Dr. Farrington's provings, Hahnemanniau Monthly, 12, 172.) 1, "A.," proving with the "10m.;" 2, Dr. D., proving with the "10 m.;" 2a, same, proving with the "cm.;" 3, Miss F., proving with the 30th dil.; 4, Dr. H., proving with the "1m." 5, Mr. H., proving with the "10 m.;" 6, Dr. Hu., proving with the 30th; 6 a, same, with the "10 m.;" 7, Mr. J., proving with the"lm.;" 7 a, same, with " 10 m.;" 76, same, with " 50 m.;" 8, Dr. K., proving with " 1 m.;" 8 a, same, with " 10 m.;" 9, Mr. M., proving with the " 1 m.;" 9 a, same, with the " 10 m.;" 9 b, same, with "50m.;" 9c, same, with "cm.;" 10, Mrs. P., proving with 6th dil.; 10a, same, with the 30th; 10 6, same, with "2c;" 11, Dr. S., proving with the "70m.;" 11 a, same, with "cm.;" 12, Dr.V., proving with "lm.;" 13, E. R. Corson, Thesis, Hahn. Med. Coll., 1877 (kindness of Dr. Farrington), took 20 grains crude (first day), 2 grains (thirty-seventh day), 6 grains 10 a.m., and 2 grains at 11 a.m., 12 m., 1, 4.30, aud 5.30 p.m. (thirty-eighth day), 4th dec. dil. at short intervals (forty-second day), 6th dec. every fif- teen minutes (fiftieth dav), 200th dil. (fifty-eighth day), 9th dec (ninety- third dav), 200th dil. (one hundred and eighth day), "lm." (one hundred and thirtv-sixth day), "30 m." (one hundred and forty-first day). Mind.—Emotional. Awakes in night, and imagines pieces of fur- niture are persons/".—Melancholy, especially after emissions/*.—Frequent attacks of gloominess, evening/*.—Depression ; too apt to dwell on annoy- ances/".— Despondent in evening; could not study (one hundred and thirty- ninth' day)/3.—Very despondent; imagined he was going to be sick, to have typhoid fever (one hundred and thirty-seventh day)/3.—Felt anxious about home; had misgivings; feared bad news (one hundred and thirty- 602 NATRUM PHOSPHORICUM. seventh day)/3.—Worries about his health, about the future/.—Apprehen- sive of some approachiug evil/".—[10.] Awakens; fears his child, who has a trifling ailment, is dead ; he goes to her room to relieve the otherwise ineffacable impression (never nervous before in sickness)/".—Easily startled by the least noise, especially at night, causing palpitation/*.—Irritable/.—■ Nervous, irritable (sixtieth day)/3.—Vexed at trifles; disposed to be irri- table/".— Ill-humor, mostly forenoons/2*. — Intellectual. Inclined to study in the evening/2*.—No ambition to do anything/ 2*.—Mental dul- ness ; forgot what I had just committed to memory (one hundred and fiftieth and one hundred and fifty-first days)/3.—Study is burdensome; it is diffi- cult to remember what is read/*. Head.— Vertigo. [20.] Dizzy, as if he would fall; objects turn around, on rising in morning,11*.—Slightly dizzy (after four hours, first day)/3.—General Head. Dulness in head and at root of nose, during the morning (fifty-eighth and fifty-ninth days)/3.—Heaviness and fulness of head, with flashes of heat in afternoon, followed by sweat,10".—Empty feeling in head/1*.—Fulness in head, towards evening (thirty-seventh day)/3. —Fulness in head, with throbbing pain (one hundred and thirty-seventh day)/3.—Fulness and heaviness in head, and slight dizziness, while study- ing (soon after first dose, thirty-eighth day)/3.—Frequent sensation of ful- ness in head, with pulsating pains on stepping/2*.—Tensive headache, with dulness and heaviness, accompanied by dim sight, as from a veil before the eyes,10*.—[30.] Headache 9 a.m., preceded by gagging and faint feeling; pain all over head, better at first from pressure; no better after dinner or siesta, but suddenly leaves at 8 p.m./2.—Headache, at 10 a.m./*; every afternoon, after menses/.— Headache after dinner/1*.—Headache better before breakfast/1*.—Headache better after breakfast, worse after dinner/1*. —Dull heavy headache, with dim sight,10*.—Rheumatic drawing up left side of occiput into forehead/".—Throbbing headache (one hundred and thirty-eighth day),13.—Forehead. Fulness in forehead, over eyes, in morning (one hundred and twenty-seventh day)/3.—Through the morning, at times, while studying, fulness and dull aching in forehead (forty-first day)/3.—[40.] Fulness in forehead, with cutting pains in right temple (one hundred and twenty-sixth day)/3.—Frontal headache, sharp over left eye, every forenoon/1*.—Headache over left eye (during menses)/.—Headache returns every afternoon, now over one, now over other eye (after menses)/. —Throbbing in forehead, lasting almost all day; worse suddenly raising the head, and when ascending (one hundred and fortieth day)/3.—Tem- ples. Pain in right temple, extending to eye and ear, at noon ; better by 5 p.m. (after eating grapes); in evening, pain over left temple while riding in street-car,1010*.—Pain in right temple (one hundred and thirty-seventh day)/3; coming and going (ninety-ninth day)/.—Very severe pains in temples nearly all morning/1*.—Pinching in left temple, descending to left ear and nostril,10.—Sharp pains in right temple, several times during day (forty-seventh day)/3.—[50.] Momentary cutting in left temple, at 3 p.m., while walking (one hundred and first day)/3.—Sharp cutting in right tem- ple (one hundred and twenty-fifth day)/3.—Parletals. Sharp cutting in right side of head, with, at times, a dull aching over the eyes (oue hundred and fifty-ninth to one hundred and eighty-sixth day)/3.—Sharp tearing in left side of head, front of ear and temporal region particularly/1. Eye.—Eyes bloodshot/*.—Eyes felt weak, worse from gaslight, at 8 p.m. (one hundred and third day)/3.—Slight burning in eyes, producing slight lachrymation, and exciting rubbing of the eyes (forty-eighth day)/3. NATRUM PHOSPHORICUM. 603 Eyes as if bathed in hot water/".—Momentary cutting in right eye (one hundred and sixth day)/3.—Fine stitches in eye, inducing winking and slight lachrymation (one hundred and twenty-ninth day)/3.—[60.] Eyes feel sonywhen reading in evening/*.—Eyes feel sore, weak/1*.—Inner can- thus of right eye feels sore; he wants to rub it; slightly injected,11*.—Sore- ness and shooting in inner right canthus (one hundred aud thirty-sixth day)/3.—Eyes feel as if sand was in them, mostly the left eye/".—Broiv and Orbit. Pain over the eyes/1*.—Pain over each eye; worse closing eyes, on retiring (fiftieth day)/3.—Pain in centre of left eyebrow/2.—Pres- sure over right eye (during menses)/.—Pressure over right eye, with sigh- ing, as if room were too close ; later over left eye ; worse before and after, better during menses/.—[70.] Acute pain over left eye, lasting but a mo- ment (one hundred and twenty-second day)/3.—Pain in left orbit, with pain in bowels, extending up into chest; flatulence/2.—Dull aching pain in orbit above ball, on using eyes/1*.—Infraorbital neuralgic pain on right side (one hundred and thirty-seventh day)/3.—Lids. Quivering of right eyelid while reading, before sleep and on awaking,6.—Lids feel heavy and itch along margins/1*.—Eyelids feel sore, itch, and burn/1*.—Lachrymal Apparatus. Burning lachrymation/".—Ball. Dryness of left eyeball, with pain in same, as if bruised/8*.—Aching in right eyeball/.— Vision. [80.] Dim sight, as from veil over eyes, with dull heavy headache,10*.— Mist before eyes/1*.—Flickering of sight in left eye, on rising, at 5 a.m./. —Halo around gaslight/1*. Ear.—External. Lobe of right ear burns and itches so intolerably he has to scratch it until it bleeds/".—311 ddie. Sensation (in ears) as of water dropping from a height into a long narrow vessel, while lying down/0. —Fulness in both ears (one hundredth day)/3.—Fulness in ear (one hun- dred aud thirty-seventh day)/3.—Full feeling in internal ear, in evening (ninety-eighth day)/3.—Dull aching in right meatus auditorius (one hun- dred and fifty-fifth day)/3.—[90.] Tickling from middle ear into Eusta- chian tube/*. — Great itching in right meatus auditorius (ninety-sixth dav)/3.—Hearing. Imagines he hears footsteps in next room,9". Nose.—Objective. Slight epistaxis in morning/. — Subjective. Left nostril stopped up/ ; worse in open air/".—Fulness at root of nose and in ears, towards evening (forty-second day)/3.—Great fulness at root of nose; skiu feels drawn tight over it, in evening (fifty-eighth and fifty-ninth days)/3.—Nose as if full of mucus, and discharge is slight (fifty-ninth day)/3.—Left nostril sore, painful; picks it continually; scabs form/111*. —Pricking in left nares (one hundred and fifty-fifth day)/3.—[100.] Prick- ing in right nares, acute enough to bring tears to the eyes (one hundred and fortieth day)/3.—Smell. Offensive odor before nose in morning, two davs/*. Face.— Cheeks. Shooting pain in right cheek (one hundred and fifty- fifth day),".—Peculiar stitching pains along cheeks into ears (ninety-eighth (Jay)/3.— Chin. Slight shooting through left lower jaw (one hundred and twenty-sixth day)/3.—Great soreness in right side of lower jaw, at the angle, with occasional slight darting pains through jaw (one huudred and twenty- fifth day)/3. . Mouth.—Teeth. Teeth in morning, and mouth all day, covered with a brownish mucus/*.—Gums. Two gumboils, one opposite the left first premolar, the second opposite the last right molar (third day)/3.—Pain in gum, over last molar of left upper jaw (one huudred and fifty-fifth day)/3. —Tongue. Tongue coated dirty white, with dark-brown centre/*.—[110.] 604 NATRUM PHOSPHORICUM. Blisters on tip of tongue/*.—Sensation of hairs on tip of tongue, followed by prickling numbness of whole mouth; next day a small pimple/0".— Stinging in the end of the tongue, in evening (one hundred and forty-fifth day)/3.—Taste. Bad taste in mouth, morning, on awaking ; gastric symp- toms,2*.—Coppery taste, 5 a.m./.—Speech. Tries to say a word, but it will not come out; feels as if something closed in the throat, preventing speech/*. Throat.—Objective. Accumulation of mucus in throat/.—Tough, clear, white phelgm from posterior nares/*.—Dropping of thick yellow* mu- cus from posterior nares ; worse at night; awakens him ; he must sit up to clear his throat/7*.—Much hawking from posterior nares (have had this before), (fifty-eighth day)/3.—Subjective. [120.] Sensation of lump in throat (one hundred and third day)/3.—Right side of throat sore/1*.—Sen- sation as of a pin pricking right side of throat; worse swallowing liquid ; better from solids/1.—Tonsils. Momentary throbbing in region of left tonsil (one hundred and thirty-ninth day)/3. Stomach.—Appetite. Canine hunger, with gone feeling in stomach; felt a-< if could not wait until dinner was ready (one hundred and twenty- second and one hundred and twenty-third days)/3.—Not very hungry for meals, yet enjoys them; most appetite for supper/ 2a.—Desires strong-tasting things/.—Desires strong-tasting things, even alcohol/.—Desire for eggs/". —Desire for fried eggs/.—[130.] No desire for food ; sick, gone feeling/1*. —Less relish for dinner (ninety-seventh day)/3.—Aversion to bread and butter, yet formerly fond thereof; very persistent for weeks/ ^.— Thirst. Desire for beer; it relieves the goneness/"-.—Eructation. Eructations after eating/.—Eructations frequent, tasteless, *** 9".—Slight regurgitation of food after dinner (ninety-seventh day)/3.—Stomach. Goneness iu stom- ach and abdomen, even in chest/9*9" 9°.—Goneness in stomach and abdo- men, with feeling of weight above the ensiform/b 5.—Gone feeling in stom- ach (one hundred and twenty-sixth day)/3.—[140.] Gone feeling in stomach, on rising in morning/1*.—Empty gone feeling in stomach, 11 to 12 o'clock, before breakfast/1*.—Empty gone feeling all day, but worse after eating/1*. —Stomach feels empty/1*.—Heavy feeliug in stomach, causing a restless feeling, third day after tea/.—Sensation of heaviness in epigastrium, better after eating,10*.—Heaviness in epigastrium aud lower third of sternum, worse going upstairs, during menses/.—After eating a little feels full/".— Fulness in stomach all the time, but worse after eating/*.—Constant feeling of fulness,2*.—[150.] Pain in bowels ascends to stomach; flatulence; at same time return of pain in left orbit/2.—Pressure from spine to stomach, before breakfast/.—Awakens 2 a.m., with pressure in stomach ; feels as if a round stick was pressing up and forward from about the last dorsal vertebra into stomach/.—Pressure in pit of stomach, better eating (after menses)/. Abdomen. —Hypochondria. Sharp cutting in hypochondria and left iliac region (fifty-fourth day)/3.—General Abdomen. Flatu- lence, especially after dinner (one hundred and twenty-ninth day)/3.— Very flatulent, during day (fiftieth day)/3.—Much flatulence after eat- ing, with rumbling in bowels (one hundred and twenty-third day)/3.— Anxiety felt through abdomen, lasting only a few moments/.—Goneness in abdomen and stomach, with feeling of weight above the ensiform/"5.— [160.] While at stool, sensation as if a marble dropped in left abdomen (descending colon), two evenings, at 8 a.m.,8*.—Bloated feeling, worse evening; wind in bowels; must loosen clothing; urging to stool/1'.— Colic, as from wind pressing on bladder, causing frequent micturition ; NATRUM PHOSPHORICUM. 605 urging to stool/"9o.—Momentary colicky pains, with discharge of flatus, in the evening, while lying (fiftieth day)/3.—Slight colicky paius, after break- fast, while walking up and down room (ninety-seventh day); after supper, while walking (forty-ninth day); after stool (one hundred and fifty-sixth day)/3.— Hypogastrium and Iliac Meg I on. Colic paius in lower part of abdomen, with desire for stool; much flatus before stool, in evening, after supper, while walking (forty-seventh day)/3.—Momentary colicky pains in hypogastrium, in morning (oue hundred and twenty-eighth day).13. —Soreness in hypogastrium, after passing water; better lying on back, worse on belly, in eveniug (forty-third and forty-sixth days)/3.—Pain through right groin, day after emissions/". Mectum and Anus.—Distressing, burning,contracting pain in anus and lower part of rectum ; feel it after awaking from a troubled dream/*. —[170.] Sticking in anus, as from a splinter, on walking (one hundred and thirty-ninth day)/3.—Sore feeling in anus (one hundred and twenty- seventh day)/3.—Sore, raw feeling in anus, with desire to retract the anus, which relieves (one hundred and thirty-sixth day)/3.—Felt a rawness in anus on awaking ; desire to scratch it, which aggravated (one hundred and thirty-ninth day)/3.—Itching of the anus ; soreness/".—Anus itches and feels raw (one hundred and forty-sixth day)/3.—Great itching of auus (one hundred and fifty-sixth day)/3.—Urging to stool, two eveniugs in succes- sion, at 8 p.m.,9* 9c.—Urging to stool ; feels often as if bowels would move, but they do not.—Must bring my will to bear to prevent the escape of fseces (after three hours and three-quarters, first day)/3. Stool.—Flarrliwa.—[180.] Diarrhoea, colicky pains before morn- ing/11".—Three or four diarrhceic stools a day, with much flatus; crampy pains in stomach and abdomen; is afraid to pass flatus lest faeces escape also/*.—After rising, bowels loose, rumbling in abdomen ; after breakfast, a small, dry, difficult, dark-brown stool, requiring much straining (forty- third day); dark-brown stool after breakfast, requiring much straining (forty-fourth day)/3.—After coitus, urging to stool and urine; bowels loose ; stools small/".—Two small stools during day (ninety-seventh day)/3. —Small stool,' watery, yellowish-brown (after six hours); stool profuse, thin, yellowish-brown (after ten hours and a half); before each passage, weak feeling in rectum and sphincter ; had to forcibly contract the sphincter to prevent an evacuation (first day)/3.—Small stool before breakfast, soft, yet with effort; sudden urgiug while eating; afterwards, watery, yellow- ish-brown painless stool (one hundred and seventh day)/3.—Desire for stool, which was scanty, with flatus, at 7.30 a.m. ; after breakfast, large, soft stool, with much flatus (one hundred and sixth day)/3.—After a light supper, sudden urging to stool, with colic; had to contract the sphincter to prevent escape of faeces; stool watery,'gushing, painless (one hundred and thirty-sixth day)/3.—Passage yellowish-brown, watery, containing fecal lumps (after four hours, first day)/3.—[190.] Sudden urging to stool, which was copious, painless, and easy ; the first part fluid, the second fecal lumps, at 6.30 p.m. (secoud day)/3.—Sudden urging to stool, at 6.30 p.m. ; after supper, during a stool, difficult to retain faeces; when stool passed, it was mushy, yellow-brown, with flatus before and during; momentary colic duriug stool (thirty-eighth day)/3.—Large, soft stool, in evening (fifty- third day)/3.—Large, soft stool, easily expelled, with feeling afterwards as if much remained behind (one hundred and fifty-sixth day)/3.— Consti- patlon. Costive/9*2'2*.—One day costive, next day diarrhoea/".—No stool (thirty-ninth day) ; desire for stool, at 9 a.m., but only passed, with 606 NATRUM PHOSPHORICUM. difficulty, two small lumps; normal passage in the evening (fortieth day); normal stool in evening (forty-first day)/3. Urinary Organs.— Urethra. Burning during urination; urine apparently normal/1'.—After coitus, burning and itching at meatus urin- arius/b.—Micturition. Constant urging to urinate/*.—[200.] Awoke in night with distended bladder (thirtieth day)/3.—Obliged to urinate, but pressure not thereby relieved/.—Frequent micturition/1* ; from wind press- ing on bladder/*Pc.—Frequent calls to urinate, passing but little at a time (one huudred and twenty-eighth day)/3.—Passed a large quantity of urine in the morning, after arising (fifty-first day)/3.—Bladder seems incapable of properly expelling its contents; flow soon stops, and requires straining; each effort resulting in a small spirt of urine (forty-seventh day)/3.—De- sire to urinate, but compelled to wait almost a minute before urine will flow ; had to strain at the end of micturition (one hundred and twenty- fourth day)/3.—Same bladder-atony remains (one hundred and twenty- eighth day)/3.— Urine. Urine dark red, no sediment/.—Urine increased and pale (fifty-ninth and one hundred and second days)/3.—[210.] Urine greatly increased and pale in afternoon (fiftieth day)/3.—Urine scanty and dark (fifty-third day)/3. Sexual Organs.—31ale. Erections almost every night (married man), preceded by slight pains in the testicles, mostly left/".—Paiu in left testicle, and about the chin/0.—Dull drawing in testicle and cord/0.—Pain in left spermatic cord/0.—Drawing in right spermatic cord/".—Great sexual excitement/1.—Sexual desire diminished/".—Sexual desire, but no erec- tions ; later, total absence of desire/*.—[220.] Seminal emission at night, with dreams (one hundred and twenty fourth day)/3.—Seminal emission at night, with vivid dreams (one hundred and thirty-ninth day)/3.—Emission of semen, some hours after coitus; no dream or erection/"90.—Emissions every other night,11*.—Three emissions in one week; unconscious thereof until morning/9*.—Emissions every night; no lascivious dreams; semen thin, watery, smells like stale urine/*.—Seminal emission during night, without dreams (forty-second day); seminal emission during night, with dreams (forty-third day); another nocturnal emission (forty-fourth day); still another emission, at night, without dreams (forty-fifth day;/3.—Semi- nal emissions, without erotic dreams, two in one night/1*.—Female. Menses five days too early/.—Menses five days too early (always regular before); feet icy cold by day, burn at night in bed; flow pale (dark in health), with pressure over right eye, and desire to take a long breath, as if room was too close. Three days later, headache over left eye ; all worse 3 to 4 p.m. Fifth day, flow dark as usual. After menses, much worse. Trembling about the heart, worse walking upstairs ; pressure in pit of stom- ach, better eating; headache returns every afternoon, now over one, now over other eye; sleep restless, tosses from side to side. Next period three days too early. Same symptoms as before, but flow stopped two days and returned with headache, chilliness, restless sleep, and paralytic aching in right wrist; knees felt as if the cords were shortened. (Was under treat- ment eighteen months before symptoms were all removed)/. Mesplratory Organs.— Voice. [230.] Hoarseness (following pain from clavicle to stomach),10.— Cough. Cough, after drinking water/*. —Cough, from tickling in throat/*.—Irritation in throat; dry, tickling cough (one hundred and sixth day)/3.—Constant cough, and hawking pain in chest, in the mammary regions (one huudred and sixth day)/3.—Mes- piration. Constant tendency to sigh (menses)/.—Desire to take long breath, as if room too close (during menses)/. NATRUM PHOSPHORICUM. 607 Chest. Empty feeling in chest and abdomen, after a meal/.—Empty feeling in chest and abdomen, after dinner/.—Pain through chest and in left shoulder/1*.—[240.] Pain through chest, after dinner, especially left side, \ Pain from right clavicle, diagonally, to stomach, so intense that it made her start, followed by hoarseness,10.—Burning, deep in chest, worse right side, evening in bed/1*.—Sudden feeling of fulness in upper part of chest/010.—Contracted feeling in walls of right chest, lasting only a few moments/.—Dull aching pains in chest (one hundred and fifty-ninth to one hundred and eighty-sixth day)/3.—Sore, pressing pain, as after a con- tusion, about cartilages of fourth to sixth ribs, right side, worse from deep breathing, deep pressure ; later in eveniug, cannot breathe deeply, or move arms, or bend body backward/*.—Intercostal muscles feel sore, and as if drawn, when sitting erect or moving chest, not in ordinary breathing/".— A spot in right chest feels bruised,10".—Front. Like a weight above the ensiform, with empty feeling in stomach and abdomen/".—[250.] Lower third of sternum pains, as if torn in two/*. Heart and Pit Ise.—Prcecordinm. Trembling about heart, worse walking upstairs (after menses)/.—Feels as if a lump, a bubble, started from the heart, and were forced through the arteries/*.—Heart feels un- easy and pains, especially about its base, when pains in limbs and great toe are better,10.*}-—Heart's Action. Lying down at night, hears heart beat, as though it came from under pillow/0.—Every strange noise causes palpitation/*.—Pulse. Pulse quick, jerking, 11 to 12 o'clock; before breakfast/1*.—Feels pulse all over body/.—Pulse felt in different parts of body, as if shot were rolling through the artery/". Neck and Back.—Neck. Crick in both sides of neck/9b.—Back. [260.] Weakness in back (sixtieth and one hundred and fifty-fifth days) ; towards evening (one hundred and fortieth day)/3.—Weakness in back, requiring an effort to sit erect (one hundred and thirty-seventh day); back weak, worse towards evening (one hundred and thirty-eighth day)/3.— Stitches to right of spine, on taking deep breath, morning/.—Forsal. Slight pain in left scapula, in evening (one huudred and twenty-seventh day)/3.—Lumbar. Weak feeling in small of back, when lying in bed, at 11 p.m. ; most felt when lying on back, but not relieved by lying on side; diminishes in a few minutes, and is followed by an annoying, deep- seated twitching in left inguinal region/*.—Shooting in region of right kidney (one hundred and fifty-fifth day)/3.—Fine stitching pains in left renal region,2*.—Pain in articulation of lumbar vertebrae and sacrum, left side; pressing the spot causes a pain down thigh to knee/*; later, this spot grew more painful, and the leg seemed to give way when walking, as though knee was weak?*.—Sacral. Sharp cutting in right sacro-iliac articulation (one hundred and thirty-sixth day)/3. Extremities in General. Right wrist and left ankle weak, and ache as if paralyzed ; after menses/.—[270.] Drawing in hands, feet, wrist- joints, and left shoulder/*. Superior Extremities.—Synovial crepitation (in upper limbs),10 7a9 9a/\—Teariug on the left zygoma (twentieth day)/*.— Tearing pain in the left zygoma, not relieved by either rubbing or pressure, at 9 p.m./.—Painful tearing in the left zygoma, afterwards grasping and raging pain in the root of an upper tooth, left side, generally in the morn- ing, particularly when exposed to cold air/.—While having a pain in the nape of the neck and still more afterwards, a painful tearing in the left zygoma, which is stopped by hard rubbing, but soon returns, lasting ten minutes/.—Lips. Dryness of the upper lip, and the skin peels off/.— Her lips burn in the evening, as though they had been rubbed with pepper/. — Chin. In the morning after rising, great pain in maxillary joint, which is stiff, so that she could only open her mouth with difficulty; it seemed to her as though a bone were lying there which made it hard for her to open her mouth ; after repeated and strong efforts it gradually disappeared,2.— Boring as with a dull instrument, in the right angle of the lower jaw, afterwards in the right side of the forehead, then exteuding over the fore- part of the head (seventh day)/.—Drawing in the left side of the lower jaw (thirty-first day)/*.—[160.] Pressure in the left angle of the lower jaw (second day)/".—Pressure as with a plug, in the right angle of the lower jaw, in the evening (eighth day)/. Mouth.—Teeth. A tooth in the right upper row becomes loose, seems longer, and there is a drawing pain; cold air seems to make it feel better; tobacco-smoke also relieves the pain/.—Grasping, raging pain in the root 616 NATRUM SULFURICUM. of an upper left tooth/.—Drawing in the lower teeth (ninth day)/.—Fre- quent drawing pains in the right upper teeth (third day),3*.—Tearing pain in several decayed lower left teeth, at night, when out of bed/.—Beating toothache in the upper left side, iu the evening, after lying down ; could not sleep all night; if she dozed awhile the pain would wake her up again; the pain only ceased, so that she could sleep, in the morning,2.—Drawing pain in the lower incisors, in the eveniug (tenth day)/.—Tearing and stick- ing pain in the last molar, left side, but only during the day/.—[170.] Racing, pulsating pain in an upper molar, left side; wakes her at 2 a.m., at the same time heavy feeling in the head, increased warmth of the whole body, and restlessness, so that she did not know where to lay her head/.— Jerking pain in an upper left molar, beginning while outdoors, but con- tinuing afterwards in the house/.— Gums. A movable, painless swelling on the outside of the gum of the left lower row/.—A blister on the upper gum, which suppurated and then dried/.—Her gums burn like fire, so that she cannot eat bread/.—Tongue. * Blisters, with a burning pain on the tip of the tongue; disappear soon?.—Burning on the left side of the tongue (eighth day)/*.—* The tongue burns, as if covered with blisters, on the tip, in the afternoon/.—Constant burning on the margin and tip of the tongue, and, towards evening, with burning on the lower lip (second day)/".— ^Burning on the tip of the tongue (seventh, fourteenth, and twentieth days, etc)/*.—[180.] Violent burning in the tip of the tongue (twenty-fourth day)/*.—Violent burning and sticking in the tip of the tongue (thirtieth day),3*.—Burning, as from pepper, on the tip of the tongue (eleventh and twelfth days)/*.—Violent burning, like pepper, on the tongue (first day)/*. —Stitches shooting through the root of the tongue (fourteenth day)/.— Violent biting in the tip of the tongue, in the evening (eighth day)/.— General 3Iouth. * Blisters on the palate, which increased daily; her palate became so sensitive that she could hardly eat; anything cold taken into her mouth relieved it?.—Dryness of the mouth, with thirst, and redness of the gums,2.—In the morning, after perspiring, very dry in the mouth, with- out thirst/.—* Burning in the mouth, as if from highly seasoned food (fifth day),2.—[190.] The whole palate burns, as if sore, or the skin broken, during catamenia/.—Saliva. A great flow of saliva after a meal (fourth day)/.—* Accumulation of very thin saliva in the mouth, after eating, with inclination to vomit; a heaving in the stomach, without being followed by vomiting (fourth day)/.—Taste. In the morning and all the forenoon slimy taste, and tongue coated with mucus/.—In the morning no taste; the mouth feels rough, and almost insensible/.—Food does not taste well; thir.-t in the afternoon ; hard stool; great sleepiness (fourteenth day)/. Throat.—Objective. In the morning she had to clear her throat several times, irritated by a collection of mucus there/.—Much hawking of mucus in the morning (fourth day)/.—In the morning, after clearing her throat, she expectorated mucus of a salty taste, which had collected during the night/.—Subjective. Dryness of the throat, as if she did not have enough saliva (after seven days)/.—[200.] Dryness in the throat, without thirst; often extends into oesophagus (third day),2.—A feeling of contraction in the throat, often intermitting, while walking all day/.—Sore throat; an obstacle when swallowing, which causes pain ; he had to swallow saliva often, evening (second day)/.—Sore throat; an obstacle when swallowing ; the tonsils and uvula swollen and inflamed for three days; the inflamma- tion was worse on the moruing of the second day (third day)/.—Sore throat •when swallowing and when not swallowing, left side, in the morning on NATRUM SULFURICUM. 617 awaking until after breakfast, a few hours before and during catamenia/- —External Throat. Painful burning and stiffness in the left cervical muscles (third day)/*.—Pressure in the left cervical muscles, extending behind the left ear, with stiffness and painfulness on moving the head (first, second, and fifth days)/*.—A tearing sensation in the veins of the right side of throat, so that one can see the pulsation in the arteries, frequently inter- mitting for a quarter of an hour at a time, also returning in a few days/. —Intermitting tearing pain and tension in the tendons on the right side of throat, while sitting/. Stomach.—Appetite. Great appetite, without thirst (first and fifth daysV.—[210.] A want of appetite; she is often obliged to yawn, and is thirsty (second morning)/.—Voracious hunger/.—Immediately after taking the medicine, feeling in stomach as in voracious hunger, with boring pain ; disappears after breakfast/.—Hunger, but no appetite; while eating she feels disgusted/.—Fasting sensation in the stomach, with griping; wander- ing about of flatus/.—The first day, seems to have more appetite than usual; afterwards appetite and hunger are wanting altogether (ninth aud tenth days)/.—Thirst. Forenoon, thirst, with remission of headache; after- noon,heat, without thirst/.— Thirst in the evening, without any especial cause/.—After a renewed dose, generally thirst in the evening, which ceased at night,2.—Thirst at night, and also the following morning before rising/. —[220.] During the night, chill, thirst; ceases in the morning (ninth day)/._* Great thirst in the evening (fifth day)?.—Great thirst in the even- ing after violent exercise (first day)/.—* Thirst for something very cold for three days, and dryness in the mouth all the ninth day/.—Particular want of thirst the first days of the proving/.—Eructations and Hic- cough. Eructation of a disagreeable taste and smell/.—With the noc- turnal headache, and also during the day, sour water often collects in her mouth, which makes her want to spit constantly, with uausea/.—Constant rising in throat of sour water (third day)/.—Hiccough, lasting a long time, and which could not be stopped, after eating bread and butter, afternoon/. —A debilitating hiccough, lasting a quarter of an hour, towards evening, in the room/.—Nausea and Vomiting. [230.] Nausea, as if to vomit, with waterbrash, for five minutes, when walking in the afternoon,-. —Nausea in the stomach, with sticking pain in the eyes,2.—Slight nausea, with almost a beating pain in the stomach/.—Qualmish nausea for an hour and a half, with sticking pain in the right flank, when resting or in motion (first forenoon)/.—Qualmishness in the stomach before meals (second day),. —♦Vomiting very sour mucus, 6 p.m., preceded by vertigo/.—When going downstairs in the forenoon, nausea, then vomiting of salty, sour water, with- out relief?.—Stomach, Trembling in the pit of the stomach and pressure, with want of breath ; feels faint while sitting for five minutes ; afterwards, also, when walking/.—In the evening, in bed, feeling of great fulness in stomach up into chest, with difficulty in breathing, without any cause; she falls asleep at last, and feels nothing of it next morning, during catamenia —A penetrating pain in the stomach, as if something were boring through it, for a quarter of an hour, in the morning after rising, returning after two hours, preceded by some nausea and diarrhoea (first day),.—{240.] An almost beating pain in the stomach, with slight nausea (second day), .- While riding in a carriage, much rolling and grumbling in the stomach and abdomen, afternoon/.-Burning and pinching pain in the stomach> in the morning after rising ; disappears after breakfast/.-Pressure in the epi- gastric region while sitting (second day),". 618 NATRUM SULFURICUM. Abdomen.—Hypochondria. * Tension and sticking pain under the short ribs on the right side, when ivalking out of doors?.—In the left hypochondrium, and left side of chest, sticking pain, as of a dull instru- ment, while sitting, in the forenoon, followed by sticking in right side of chest, but less violent (fifth day)/.—Sticking and pulsating pain under the last short ribs, in the region of the liver, when walking in the morning (second day)/.—Continuous sticking pain in the left hypochondrium, when walking outdoors (eighth day)/.—Dull stitches in the left hypochondrium/. —* When taking a deep breath, a sharp violent stitch in right side of abdo- men, as if in the liver, as if it would burst open there, while sitting; unchanged by pressure, at 4 p.m./.—[250.] * Great sensitiveness in the region of the liver when ivalking; very painfid when touched, for five minutes, at 1.30 p.m./.— Umbilical and Sides. Bellyache around the umbilicus, while sitting at his desk (fourth day)/.—*Tearing pain around the umbilicus, with flatu- lence, before breakfast; after breakfast it was better, but an hour later it returned, only less violent (fourth day)/.—Flatulent colic above umbilicus; flatus will not pass, evening (first day)/.—He was awakened during the night by violent pain in the right flank, with a sensation as if a soft body were lying there inside, for half an hour, after midnight and several times/. —Pain in the right flank, as if puffed up, distended (no matter what she eats) up into the stomach, when sitting in the evening, and also next morn- ing/.— Violent pinching pain around the umbilicus, for three minutes, ex- tending into the groin, while sitting, with urging to urinate; the urine was so burning that it was retained, with pain in the small of the back/.—Stick- ing pain, and as if drawn together, in the left flank, when resting or in motion, also at night/.—Dull sticking pain and pulsating in right side of abdomen, for a quarter of an hour, while walking in the afternoon,2.—Sharp sticking pain in the left flank, which extended into the armpit, when mov- ing, at 5.30 p.m.; when resting, it gradually disappeared in three-quarters of an hour/.—General Abdomen. [260.] * Collection of flatus in ab- domen, with pain, ivithout evacuation of it (fifth day)/.—^Rolling in the ab- domen (after four hours and the ninth day)/.—Soon after taking the medi- cine, ^grumbling and rolling around in the whole abdomen, with sudden pinches, as after a purgative, then diarrhoea; the same in the afternoon/.— Grumbling and fermenting in the abdomen, after meals (first day)/.— *Loud grumbling in upper part of abdomen, followed by emission of very fetid flatus, evening/.—In the afternoon emission of much wind, with a loud sound, but hard to pass (third day)/.—Emission of fetid flatus after dinner (second day); in the morning (sixth day)/.—* Incarceration of flatus in the abdomen, with much pain, which is relieved by emission of flatus?.—Incarcera- tion of flatus towards evening; at the same time saliva collects in the mouth, with inclination to vomit, and eructations of a disagreeable taste and smell (fifth day)/.—*The flatus rolls about in the belly, and becomes in- carcerated here and there?.—[270.] Feeling in abdomen as from a purga- tive, with profuse emission of odorless flatus,2.—Burning sensation in the abdomen, changing about from place to place, very fleeting, iu the even- ing/.—Constant feeling of fulness in the abdomen as long as the diarrhoea continues, with emission of much flatus/.—Painful contraction in the ab- domen, extending up into the chest, so that it oppressed her breath, then diarrhoea/.—Pinching pain in the abdomen, with a feeling as though the intestines were being stretched, intermitting and returning/.—Frequent pinching in the abdomen from both sides towards the front,'2.—Sometimes here, and then there, short pinching pain in abdomen (first day)/.—At 5 NATRUM SULFURICUM. 619 a.m. she is awakened by bellyache, urging to stool, after which it ceases (second day), .—*Bellyache in the morning before breakfast (fifth day)/.— -Bellyache, without distension, all day ; iii the afternoon he passed wind several^times, but with difficulty, which relieved him each time (third aay), • L280.] Bellyache, and pain in small of back, as if bruised, awakens tier at I Ajm., and is so violent that she can only get a little relief when lying on the side; she could not get asleep again on account of the pain, which continued some time after getting up (after ten days)/.—Bellyache, as often precedes purging (fifth day),2.—Digging sensation, as from flatus, with pinching pain around the umbilicus towards noon, which increased until 4 p.m., until the flatus began to pass (first day)?.—* Flatulent colic; the flatus collected and passed with difficulty; it caused bellyache; each time after emission of flatus he felt relieved (fifth day)/.—Hypogastrium and Iliac Megion. Low down in the abdomeu painful digging, 9 p.m. ; disappears in bed, with chill, followed by thirst, during catamenia,2.—Feel- ing of great fulness and tension in the right groin, as if it would burst, with intermitting pinching pain here and there in the belly, when resting or in motion/.—Violent pinching in the abdomen into the groins, afterwards diarrhoea, on the third day, four times/.—Sticking pain in both groins deep internally, with urging to urinate,2.—In the morning sticking pain in the groin, which extends into the small of the back, as if caused by flatus, or as if a hard stool would follow, but it is followed by diarrhoea/.—Stitches iu both groins, in the afternoon, while walking in the open air (first day)/. Mectuni and Anus.—[290.] Itching in the anus (first day)/.— Constant urging to stool, which, however, she can resist (second forenoon)/. Stool.—Flarrhoea. Seems to promote stool in its primary effect, and to retard it in the secondary effect; the first doses cause soft stools, the later doses more solid ones/.—A renewed dose, after a long interval, causes diarrhoea/.—The first day after a renewed dose, diarrhoea; the sec- ond day, regular; the third, none at all; the fourth and fifth, regular; the sixth and seventh days, each time, two soft stools, preceded by pinching pain in the abdomen/.—Diarrhoea, after pain in the groin and abdomen/. —An hour and a half after a renewed dose, slight pinching pain, followed by diarrhoea ; the second time, in the evening, it was slight, and the third time, 9 p.m., very soft/.—Diarrhoea, yellow, fluid, in the morning after rising (second day)/.—Diarrhoea, after farinaceous food ; notwithstanding she had already had regular stool, in the afternoon and evening it was re- peated/.—Diarrhoea, preceded by a drawing together in the belly, up into the chest/.—[300.] Two and three stools, once semifluid, with tenesmus in the anus, during catamenia/.— The first day, three usual, but softer stools, with flatulency; four soft stools after a renewed dose (first day) ; a second stool the first forenoon, and contrary to his habit/, f—After six days, re- newed pinching pain in the abdomen, and at first hard stool, with blood and scum, then the same day soft stool, four times/.—A second soft stool, at 3 p.m. (thirty-fourth day),3*.—The second soft stool in the evening (third day J,3.—A second soft stool, at 11 p.m. (thirty-second day)/*.—Immedi- ately after a renewed dose, regular stool, notwithstanding he had had one before taking the drug/.—First day, in the morning, regular stool, with burning in the anus during and after the stool; another in the afternoon, f Diarrhoea wcrse in the morning, preceded by flatulent colic; stools, thin yellow water, mixed with small lumps of f?eces, and coming away with a gush ; with each stool, violent discharge of flatus.0—Lippe. 620 NATRUM SULFURICUM. without the burning/.—^Knotty stool, with smarting pain in the anus, dur- ing and after the passage of the stool (after a quarter of an hour)/.—Two stools, the first hard and difficult, the second soft (fifth day)1.—[310.] After each dose, painless motion in the belly, and first hard, then soft stool,2.— The whole first day, stool once, hard ; the second morning also, but soon followed by a soft stool/.—Soft stool at a very unusual time, 6 a.m. (thirty- second day)/*.—Stool as usual; at the same time, frequent emission of flatus, and the urine seems increased (first days)/.—Not very hard, regular stool, which, however, obliged her to strain and press very hard (third day)/.—The stool was hard, the first time, soon after taking a dose,2.— Hard stool, with much straining (eighth day)/.—In the evening, very hard stool ; he had to strain very hard (sixth day)/.—Two successive days very hard stool, streaked with blood/.— Constipation. After renewed doses the first days, constipation; sometimes hard faeces, even with some blood, and sometimes first hard or regular, then soft, or like diarrhoea, but gener- ally, first diarrhoea, and later, hard stool/.—[320.] No stool the first day, but frequent very fetid flatus/.—The first day after taking the second dose no stool, but the second morning, regular stool/.—No stool the first day, but very early the second morning/.—The first day no stool, the second it was regular, and the third day, early in the morning, hard stool, with blood/. Urinary Organs.— Urethra. *The urine bums during mictur- ition, and is much less in quantity (after eight days)/.—After passing urine, burning in the urethra (fifth day)/.—Great burning in the urethra when passing uriue (second day)/.—Cutting at the orifice of the urethra, while urinating (third day)/*.—Cutting in the orifice of the urethra, while urin- ating, and continuing even afterwards (seventh day)/*.—Violent cutting in the forepart of the urethra, while urinating (thirty-first day)/*.—r330.] Frequent stitches in the meatus urinarius (first day)/*.—3Iicturltlon. Urging to urinate, with sticking pain in both groins/.—The urine was passed more seldom, and was more scanty than the first day, but after twelve days with burning in the orifice of the urethra/.— Urine. Urine increased, so that she had to get up several times during the night/.—Urine increased in quantity and passed more frequently than usual, the urine also seemed darker (seventh day)/.—Urine seems greatly increased (first day)/. —More urine than usual, with burning sensation when passing it; at night, burning sensation when passing urine increased; is obliged to rise twice during the night on that account (first day)/.—Soon after taking the drug, less urine; but after two hours more/.—Urine rather profuse, with a brick- red sediment (first days)/.—The urine of the evening left a yellow-red sedi- ment (second day)/.—[340.] Urine of the morning has a whitish-yellow sediment (fourth day)/. Sexual Organs.—Male. Erection, with desire, in the morning (second day)/.—Itching on the glans; obliged to scratch (sixth day)/.— Excited sexual desire, in the evening (first day)/.—Female. Some leu- corrhoea/.—Sticking pain in the vulva and vagina, in the afternoon, while sitting/.—Catamenia three days too late; more than usual, and with belly- ache, which she did not generally have/.—Catamenia sixteen days too late, with bellyache and costiveness, or hard stool/.—Menstruation almost at the usual time ; more profuse on the second day, otherwise normal/.— Catamenia flows much when walking, in the afternoon,2.—[350.] Catame- nia flows more again, and is more fluid for a day, before the end of the period/.— Catamenia, very little, without complaints, and at the regu- NATRUM SULFURICUM. 621 m i"16' '—Allanienia every forenoon, for five days ; lumps of coagulated blood, . During catamenia, in the morning in bed, pinching pain; and when moving, walking, in the forenoon, several times passing coagulated dark blood, from the vagina, at long intervals/.—On the third day of the catamenia, in the morning, white bloody mucus instead of blood,2.—The menstrual blood is acrid, makes the thighs sore, and only flows much the first two days/. Respiratory Organs.—Cough and Expectoration. Cough, and want of breath, with sticking pain in left side of chest/.—Generally dry cough, particularly in the morning after rising/.—Tickling in the larynx, with dry cough, night and morning (seventeenth day)/*.f—Dry cough, with soreness in the chest aud rough feeling in the throat, particu- larly at night; she had to sit up and hold her chest with both hands to get relief,2.—[360.] Frequent scraping in the larynx, and completely dry cough (eighteenth day)/*.—Dry cough (twenty-third day)/*.—Dry cough, with tickliug in the trachea, for half an hour/.—Tickling in the throat, provoking a loose cough, in the morning (fifth day)/.—^Frequent cough, with some expectoration ; if he coughs while standing, he feels a sharp stitch in the left side of chest, with shortness of breath?.—After heavy, anxious dreams, much expectoration of mucus (fourth day)/.—Mespiratlon. Short breath, with sticking pain in left side of chest,2.—*Short breath when walk- ing, which is gradually relieved by rest; later, the want of breath continues, eveu while sitting/.—Oppressed breathing, from constriction in the abdo- men, extending to the chest/.—Difficult breathing, with sensation of ful- ness in the stomach, extending up iuto the chest,2.—[370.] Want of breath, with pressure and trembling sensation in pit of stomach,2. Chest.—Wandering paius in the left wall of the chest, especially below the left nipple, not affecting respiration (fifth day)/".—Drawing and pres- sure beneath the left ribs, anteriorly (second day)/".—Drawing and pres- sure in the pectoral muscles (second day)/".—*A pressure on the chest, as of a heavy load?.—*Oj>pression of the chest?.—*Oppression of the chest, in the morning on awaking (fifth day)/.—Cutting pains beneath the right ribs, anteriorly, while sitting (fifteenth day)/.—Sticking in the region of the left short ribs, while sitting (also noticed previously while walking), (fifth day)/.—Stitches below the left ribs, anteriorly (ninth and eleventh days)/*. —[380.] Stitches in the right pectoral muscles, aggravated by inspiration (seventeenth day)/*.—Several stitches beneath the left ribs, anteriorly (fourth day)/.—Violent stitches below the left ribs, anteriorly, aggravated by inspiration and pressure; occurring, and also disappearing, while walk- ing (teuth day)/*.—An internal trembling or quaking in the chest, makes her irritable/.—Front. Pressure in the chest, between the nipples (tenth day)/*.—Pressure between the sternum and right nipple, while sitting, aggravated by pressure and inspiration (eighth day)/*.—Sides. * Pres- sure in the left side, near the lumbar region, aggravated by motion, of the body, and by pressing upon it (thirtieth day)/*.—Sticking pain in the left side of the chest, with cough and want of breath when moving about, 1 p.m., re- lieved during rest/.—Sticking pain in the left side of the chest, when stoop- ing toward that side; but when she stoops towards the right side, the pain is there; this continues all the first day/.—Sticking pain in right side of chest, directly above the nipple, 5.30 p.m., while sitting,'2—[390.] Sticking f Several acquaintances are suffering from the same cough, and I am also treat- ing a hooping-cough.—Lembke. 622 NATRUM SULFURICUM. pain in left side of chest, with irritation to cough, but the pain is so violent that he cannot possibly cough/.—Violent sticking pain in leftside of chest, while coughing when standing/.—Piercing pain, as of a spindle, in left side of chest, when walking fast, towards evening (third day),1.—While yawn- ing, a stitch in the left side of the chest (sixth day)/.—*A stitch in the left side of chest, as from a dull instrument, after meals (second day)/.—Sev- eral times, while standing, stitches in the left si de of the chest (after ten days)/.—A persistent stitch in the left side of the chest, extending up into the ribs, after profuse emission of flatus, while sitting,2.—After emission of much flatus, a continuous stitch in the left side of the chest, which extended along the ribs, while sitting/.—Violent stitches in the left side, below the ribs, anteriorly (eighth day)/*.—A very fine stitch in the left side of the chest, twice in succession, on inspiration (first day)/.—3Iammw. [400.] Itching pain in the region of the left nipple, not aggravated by respiration (tenth day)/*.—Acute stitches in the region of the left nipple, without cough or difficulty of breathing, while sitting (tenth day)/.—Near the left nipple, a piercing, penetrating stitch, while sitting; soon after a renewed dose/. Heart.—An anxious feeling about the heart; a sudden short beat- ing of the heart (thirty-second day)/*.—Pressure in the region of the heart (thirty-fourth day),3*. Neck and Back.—Neck. Stiffness in the left side of the nape of the neck (ninth day)/*.—Pain in the leftside of the nape of the neck (sixth day); with stiffness (thirteenth day)/*.—Pain in the left side of the nape, with stiffness (thirteenth day)/*.—Pains in the left side of the nape, with burning, aud a subsequent feeling of coldness (fifteenth day)/*.—Frequent pain in the left side of the nape, at night (thirty-first day)/*.—[410.] Con- stant pain in the nape, with stiffness (twenty-first day)/*.—Indescribable pain in the right side of the nape of the neck, extending far into the occi- put, so violent that it made her scream; it lasted five minutes, and disap- peared only after rubbing it a long time, while sitting/.—Violent pain in the left side of the nape of the neck ; at first a burning, then associated with a feeling of coldness beneath the skin (third day)/*.—Drawing in the nape of the neck (seventh day),3*.—Drawing in the left side of the nape of the neck (eighth and thirty-eighth days),3*.—Drawing in the left side of the nape, and in the occiput (twentieth day)/*.—Drawing in the left side of the nape of the neck, with pressure (fifth day)/*.—Pressure in the nape of the neck, extending to the occiput, aggravated by moving the neck (first day),3*.—Pressure on the left side of the nape of the neck (tenth day),3*.— Violent pressure in the nape of the neck, extending into the occiput, aggra- vated by moving the head, lasting ten minutes (fifteenth day)/.—[420.] Violent pressure in the left side of the nape (thirty-first day)/*.—Violent pressure and burning in the left side of the nape, extending into the occiput and towards the clavicle, with stiffness, not aggravated by motion, followed by a feeling of coldness and prickling in the skin, lasting more than an hour (fifth day),3*.—A sticking pain in the nape of the neck, continuing a long time (third day and following night)/.—Sticking paiu in the left side of the nape of the neck (fourth day)/*.—Tearing in the nape of the neck (twenty-fifth day)/*.—Tearing in the left side of the nape (ninth and thirty- sixth days)/*.—A pain in the nape of the neck and shoulder-blades, as if bruised, particularly when stretching and yawning, which he had to do often (after two days)/.—Back. Tearing pain down the back ; feeling in the bones as though dogs were guawing them; in all positions (fifth day)/, NATRUM SULFURIC UM. 623 Forsal. Pains in the dorsal muscles (fourteenth day)/*.—Drawing in the dorsal muscles (thirty-first day)/*.—[430.] Drawing between the scap- ulae (thirteenth day)/.—Drawing* below the left scapula, afterwards in the cervical muscles, aud left thumb (tenth day)/.—Pressure at the sides of the dorsal vertebrae (eighth day)/*.—Pressure on the scapula (twelfth day)/*. Pressure on the right scapula, gradually increasiug and extending above the left shoulder (first day)/*.—Pressure in the sides of the dorsal vertebrae (twelfth day)/*.—Violent pressure in the right scapula, in the morning in bed (twelfth day)/*.—Piercing pain, as of knives, between the shoulders, while sitting, in the evening (sixth day)/.—Stitches in the regiou of the middle dorsal vertebrae (thirteenth day)/.—Tearing between the scapulae, and in the right side of the forehead (thirteenth day)3.—[440.] Tearing in the right scapula (fourteenth day)/.—Tearing in the left scapula (ninth day),3*.—Tearing in the left scapula, and at the same time in left pectoral muscles, extending to the nape of the neck, while walking (thirteenth day)/. —Tearing on the left scapula, together with burning pain, extending to the nape of the neck, several times, aggravated by moving the head (third day)/*.—Lumbar. Pain in the small of the back, with burning urine/. —Bruised pain in the small of the back, from morning till evening, disap- pears after going to bed,2.—Directly after going to bed at night, she has pain iu the small of her back, as if it had suppurated, and almost unbear- able ; it disappears in the morning, after rising,2.—Sacral. Violent stick- ing pain in the middle of the sacrum, while sitting/. Extremities in General.—Twitching, sometimes here, then there, in all the limbs, during the day/.—Twitching of the hands and feet at night, particularly during the sleep after midnight/.—[450.] In the morn- ing, after the nocturnal attack of fever, feels weary in the hands and feet,2. —Pains in the joints (first day)/*; (fourteenth, fifteenth, etc., days)/0.— Pains in the joints of the elbows and feet (twenty-seventh day)/*.—Fre- quent pains in the joints, in the cranial bones, and in the nape of the neck (tenth day)/*.—Many paius in the joints of the great toes and fingers (twentieth day)/*.—Violent pains in the joints, immediately; occurring while walking (first day)/*.—Very violent pains in the joints of the great toe, and in the hands (twenty-second day)/*.—Drawing and pressure in all the joints (second day)/b.—Drawdng in the joints, in the evening (thirtieth day)/*.—Drawing about the left knee and right elbow (second day)/".— [460.] Drawing in the fingers and toes (thirty-sixth day)/*.—Drawing in the left fingers and hand, left side of the nape of the neck, and the muscles of the right leg, even while walking; and in the right ankle (eleventh day)/.—Drawing pain iu the left ankle, right toes, and right shoulder- joint, in the eveniug (tenth day)/.—Pressure in various joints (seventeenth day)/*.—Pressure in several joints (eighth day)/".—Pressure and tearing in several joints (thirty-second day),3*.—Pressure in the joints, especially in the knees, shoulders, and fingers (twelfth day)/*.—Pressure in the joints of the fingers, knees, ankles, elbows, and great toes (thirteenth day)/*.— Pressure in the wrists and ankles, immediately after lying down, in the evening (first day)/".—Pressure in the left knee, right elbow, and right shoulder (thirty-eighth day)/*.—[470.] Pressure in the joints of the fingers, shoulders, knees, and wrists, becoming more frequent and more severe (sixth day)/".—Pressure in the muscles of the right thigh, and in the left elbow-joint (first day)/*.—Pressure in the left knee, afterwards in the right wrist, as if compressed (eighth day)/.—Repeated pressure in the left knee, wrist, and right ankle, in the evening (thirty-seventh day)/*.—Frequent 624 NATRUM SULFURICUM. pressure in the joints of the shoulders, knees, elbows, and feet (thirty-first day)/*.—Violent pressure in the right knee, afterwards in and above the right elbow, several times repeated (twelfth day)/.—Violent pressure about the right wrist, frequently while walking, afterwards in the right ankle, then iu the left pectoral muscles, then in the left hand (fifteenth day)/.— Violent pressure in the left knee, while walking, afterwards in the left shoulder, left fourth finger, right wrist, left zygoma (eighth day)/.—Sud- den violeut pressure on the right shoulder for a few minutes, afterwards in the left and in both knees (second day)/*.—Drawing-pressive pain in the joints (twenty-third day)/*.—[480.] Stitches in the tips of the fingers and toes (twenty-third day)/*.—Sharp stitches in the left knee, and afterwards in the right shoulder (fourteenth day)/.—Tearing on the back of the right foot, and in the left hand, while sitting (tenth day)/.—Tearing in the fingers and toes, while walking (ninth day)/.—Tearing in the left fingers and toes, frequently repeated (eighth day)/*.—Tearing iu the right toes, and left thumb (thirteenth day)/.—Tearing in the right shoulder, left knee, and left toes; in the muscles of the right thigh, and in the left forearm (ninth day)/.—Much tearing in the joints (ninth day)/*.—Twitching-tear- ing pain, here and there, in the limbs during the night/.—Transient, twitching-tearing paiu in all the limbs, sometimes here and then there; also in the face, in the left ear-lobe, evening and night/.—[490.] Pain in the extremities, as if bruised, or as after a long journey on foot, all the forenoon (eighth day)/.—The pains in the joints were more numerous and more severe while walking than while at rest (second day)/".—Motion of the painful joints affords relief for the moment; the pain, however, returns after the motion ceases (seventh day)/". Superior Extremities.—Feeling of heaviness in the right arm, with tearing pain in the middle of the upper arm (tenth day)/.—Transient burning sensation in different places, above and below the elbow (fourth day)/.—Drawing in the arms (seventh day)/*.—Drawing pain in the left arm, starting from the left shoulder (thirtieth day)/*.—Pressure in the left arm (thirty-seventh day)/*.—Pressure in the whole left arm (seventh day)/. —Frequent pressure and bruised pain in the right arm (twenty-secoud day),3*.—[500.] Tearing pain in the middle of the bones of the left upper and forearm,2.—Shoulder. Constant feeling of stiffness in the left shoul- der (second day)/".—Pains in the shoulder-joints (fourteenth day)/*.— Pains in the right shoulder-joint, afterwards in the left (eighteenth day),3*.— Boring in the forepart of the left shoulder (tenth day)/.—Boring in the right shoulder-joint (third day)/*.—Drawing in the shoulders (thirty-first and thirty-third days)/*.—Drawing in the right shoulder-joint (fifth day),3*. —Pressure in the shoulders (thirty-fifth and thirty-sixth days)/*.—Pressure in the right shoulder (eighth day)/*.—[510.] Pressure in the left shoulder (seventh day;/; (tenth and thirty-ninth days)/*.—Pressure in the shoulder- joints (twenty-first day)/*.—Pressure in the shoulder-joint (fifteenth day)/. —Pressing in the left shoulder-joint (first day)/*.—Pressure with a feeliug of heaviness in the right shoulder-joint (eleventh day)/.—Violent pressure in the shoulder and muscles of the upper arm (thirty-eighth day)/*.—Vio- lent pressure in the left shoulder (thirty-ninth day)/*; in eveniug (eighth day)/.—Violeut pressure in the left shoulder-joint (second day); several times (third day)/*.—Violent pressure in the left shoulder and elbow-joint (twenty-fifth day)/*.—Sudden violent pressure in the right shoulder, for a few moments (first day)/*.—[520.] Sudden violent pressure in the right shoulder-joint, afterwards below the left scapula (sixth day)/*.—Sticking NATRUM SULFURICUM. 625 in the left shoulder-joint (eighth day)/*.—Tearing in the shoulders (seventh day),'*; (eighth dav)/".—Tearing in the shoulders and wrists, at 11 p.m. (thirty-sec md day)/*.—Tearing in the left shoulder (ninth day)/*.—Tear- ing in the shoulder-joints (thirty-fourth day)/*.—Tearing in the right shoulder-joint (third day)/*.—Frequent tearing in the right shoulder and elbow-joints (ninth day)/*.—Drawing in the right axilla (seventh day)/".— Sticking pains in the soft parts below the left axilla, extending backwards (fifth day)/*.—[530.] Frequent sticking pain in the left axilla in all posi- tions/.—Violent stitches in the right axilla (third day)/".—A penetrating stitch in the left axilla, while sitting/.—Arm. Compression in the muscles of the left upper arm (thirteenth day)/.—Drawing on the inner side of both upper arms (thirteenth day),3*.—Pressure ou the inner side of both upper arms (twelfth day),8*.—Pressure in the right deltoid muscle (seveuth day)/.—Pressure in the left deltoid muscle (fourth day)/.—Tearing in the inner side of both upper arms (third day),3*.—Tearing pain in the bone of the right upper arm from time to time/.—[540.] Tearing pain in the mid- dle of the left upper arm, it seems to be in the bone, afternoon/.—Tearing pain in the right upper arm, directly under the shoulder-joint, while sit- ting/.—Violent tearing on the inner side of both upper arms (seventh day)/.—Violent tearing on the inner side of the left upper arm (first day)/.—Elboiv. Violeut compression in both elbows, in the evening (tenth day)/.—Violent compression above the left elbow (fourth day)/.— Violent boring in the left elbow (seventh day),3*.—Drawing in the right elbow (tenth day)/.—Pressing above the right elbow (third day),3*.—Pres- sure in the right elbow (first and thirty-fourth days),3*.—[550.] Pressure in the elbow-joint (twelfth day),3*.—Pressure in the right elbow-joint (sev- enth day)/*.—Violent pressure about the left elbow, above and below it (tenth day)/*.—Tearing in the right elbow-joint (fifth day),3*.—Tearing in the bend of the left elbow (fifth day),3*.—Tearing and pinching pain in a tendon above the left elbow, at 3 p.m./.—Bruised paiu in the elbows, with a weary pain in them (thirteenth day),3.—Violent bruised pain in the right elbow (eighth day)/".—Ulcerative pain in the right elbow, and in the ten- dons of the right forearm ; also painful to the touch (first and second days)/.—Eorearm. Compression in the left forearm (tenth day)/.— [560.] Frequent drawing on the flexor surface of the left forearm (fifth day)/-'.—Pressure in the right forearm (fifth day),3*.—Pressure in the flex- ors of both forearms (fifteenth day)/.—Pressive pain in the left forearm, in the afternoon (seventh day)/.—Tearing in the right forearm (twentieth day)/*.—Tearing in the right forearm, below the bend of the elbow, in the bone, in the evening/.—Tearing in the middle of the right forearm, in the afternoon while sitting/.—Tearing on the back of the left forearm, in the evening (fifth day)/.—Tearing pain about the middle of the right forearm, afternoon, during rest/.—Tearing pain in the bone of the right forearm, on the upper side, in the afternoon,2.—[570.] Tearing pain from both elbows into the fingers, with the sensation of having gone to sleep; disappears after rubbing, but soon returns again, in the morning in bed/.— Wrist. Violent pain in the left wrist, immediately after lying down, aggravated by moving it (twentieth day),3*.—Compression about the left wrist (twelfth day),3.—Compression in the right wrist, and left elbow (ninth day)/.— Violent compression about the right wrist, at 4 p.m., repeated several times; after an hour, the same sensation in the right elbow (seventh day)/.—Vio- lent boring in the left wrist (twelfth day)/.—Drawing in the wrist (thirty- third day)/*.—Pressing about the right wrist (third day),3*.—Pressing about vol. vi.—40 626 NATRUM SULFURICUM. the left wrist (third and tenth days)/*.—Pressure in the wrist (sixteenth day)/*.—[580.] Pressure in both wrists (thirty-fifth day)/*.—Pressure in the right wrist (second day)/"; (thirty-sixth day)/*.—Pressure in the left wrist (thirty-fourth day)/*.—Pressure in the left wrist, and in the joints of the fingers (fifteenth day)/.—Pressure in the left wrist, extending down into the fingers, especially into the left thumb (fifth day)/*.—Violent pres- sure about the left wrist (first day)/*.—Violent pressure above the left wrist, extending to the fingers (third day)/*.—Violent pressure in both wrists, frequently repeated, in the evening (twelfth day),3.—Violent pres- sure in the right wrist (first day)/*.—Tearing in the wrists "(fifth day)/*.— [590.] Tearing in the left wrist (fourteenth day)/.—Hand. Trembling in the hands, on awaking (second day)/.—Trembling of the hands, while writing (second day)/.—No strength in the left hand ; if he takes hold of anything heavy it drops from his hand (first day) ; when closing it, or grasping anything, pain in the flexors of the hand and fingers, from the wrist to above the elbow, as if they had been too much extended (fifth day)/.—Sensation in the right hand, as if it were filling with blood, so that the skin feels drawn too tight; it feels too full, and the fingers as if stiff, in the afternoon while knitting, until evening/.—Drawing in the right hand (thirty-ninth day)/*.—Drawing in the metacarpus (first day)/*.— Drawing deep in the right hand, extending to the fingers and to the arm, with a feeling of lameness, weakness, and internal heat (thirtieth day)/*.— Drawing pain in the palm of the right hand, in the evening (tenth day)/. —Frequent drawing deep in the left hand (thirty-seventh day)/*.—[600.] Pressure on the ulnar margin of the left hand (tenth day)/*.—Pressive pain deep in the palm of the hand (ninth day)/.—Sticking pain in the middle of the palm of the right hand, afternoon/.—Tearing in the right hand (fifth day)/*.—Sticking-beating pain on the back of the left hand; when moving the hand it stops for awhile but always returns, forenoon/.— Violent stickiug between the metacarpal bones of the fore and second finger of the right band, evening/.—Fingers. Drawing stiffness in the right fingers (fifteenth day)/.—Violent burning in the tips of the fingers (thirtieth day)/*.—Tension and pressure several times in the left fingers, afterwards in the right arm and left toes (thirteenth day)/.—Boring in the joint of the left third finger (eighth day)/*.—[610.] Boring pain in the second joint of the left thumb (third day)/*.—Violent boring in the joint of the left index finger, repeatedly iu the evening (twenty-sixth day)/*.— Drawing iu the fingers (second day)/"; (fourteenth day)/; (twentieth day)/*.—Drawing in the right fingers (thirteenth day)/.—Drawing in the left thumb (fifth day)/*.—Drawing in the left little finger, and along the margin of the hand (fifth day)/*.—Drawing in the finger-joints (twenty- second day)/*.—Drawing in the right finger-joints and in the wrists (seven- teenth day)/*.—Drawing in the joints of the left fingers and hand (thirty- first day)/*.—Drawing in the left thumb-joint (sixth day)/.—[620.] Vio- lent drawing in the joints of the left fingers (second day)/*.—Violent drawing in the left little finger, and in the hand (fourteenth day)/.—Pres- sure in the right thumb and index finger, and their metacarpal bones (first day)/*.—Pressure in the left thumb-joint (eighth day)/.—Pressure in the joint of the left thumb (eighth day)/*.—Pressure in the joints of the left index finger (third day)/*.—Pressure in the joint of the left middle finger (second day)/*.—Violent pressure in the joints of the left fingers (fifth day)/*.—Violent pressure in the joints of the right index finger (first day)/*.—Violent pressure in the joints of the left middle finger (first day)/*. NATRUM SULFURICUM. 627 —[630.] Violent persistent pressure in the joints of the left middle finger, also on moving it; the same afterwards recurs in the joints of the right index finger (first day)/*.—Sticking pain in the tip of the left thumb, behind the nail, evening/—Fine sticking pain in the points of the right thumb and forefinger, as if the veins were being pulled out, while kuitting at noon/.—Very fine stickiug pain in the tip of the second finger, right hand, while writing, afternoon/.—Stitches in the joints of the left index finger (thirty-ninth day),3*.—Violent stitches through the left thumb, in jerks, almost like pulsations of the pain (first day)/*.—Tearing in the fingers (sixteenth day)/*.— Tearing in the fingers, especially the left thumb (twelfth day)/.—Tearing in the right fingers (sixth day)/*; several times in morn- ing (ninth day)/.—Tearing in the left fingers (ninth day)/.—[640.] Tear- ing in the left thumb (tenth day)/.—Tearing pain along the left thumb, towards the tip, while sitting/.—Tearing in the joints of the right fingers (thirty-fourth day)/*.—Teariug in the joints of the left thumb (third day)/*. —Tearing in the joints of the left fourth finger (fifth day)/*.—Tearing in the joints of the left little finger (tenth day)/.—Tearing pain in the first and second finger of the right hand, afternoon while spinning/.—Tearing pain between the middle and third fingers of the right hand, then back- wards on the back of the hand/.—Tearing pain in front, on the right fore- finger, in the afternoon while sitting; in the last phalanx of the left fore- finger, towards the tip, in the afternoon/.—Cutting tearing iu the left little finger, extending toward the margin of the hand (fifteenth day)/.—[650.] Sticking ulcerative paiu under nail of the right forefinger/.—Beating in the tip of the left little finger, like a pulsation, for several minutes (eighth day)/. Inferior Extremities.—Drawing in the toes, ankles, and knees (tenth day)/".—Hip. Pain in the hip, particularly from some movements; always when rising from a seat, and moving in bed/.—Pain in the left hip-joint, on walking (eighth day)/*.—Pain in the left hip-joint, as after lying in a bad position ; makes it difficult to ascend, also to sit down or get up again; awakes him at night; can bear any position for only a short time; the joint pains so from some movements that he can hardly help screaming; at times, one spot is sensitive to pressure; at times, not/.— Pain in the right trochanter (eighth day)/*.—Excruciating pain in the right hip-joint, when she got out of bed in the morning, continuing all that day and the next, particularly when stooping, and from some motions; when stretching, or walking, she feels nothing; when rising from a seat, or mov- ing in bed, she feels it most?.—Constant pressure, deep in the right hip-joint (thirteenth day)/*.—Violent pressure in the left trochanter (first day)/*.— [660.] After a fall, piercing pain, as of knives, in the left hip, in the ab- domen, and small of the back, only duriug rest; disappears when moving, and from rubbing, but not from pressure/.—Stitches in the left trochanter, in the evening, aggravated by pressure (seventeenth day)/*.—Thigh. between the menstrual periods, in rest *—Drawing in various parts of the right thigh (seventh day), Drawing in the muscles of the right thigh (second day)/".—A pain in the extensors of the left thigh, as if they had been stretched too much (seventh dav^ i —Pressive pain in the muscles of the anterior portion of the left thigh 'while sitting, afterwards in the left knee (sixth day),8.—In the even- ing violent piercing and tearing from the os coccygis into the middle of 628 NATRUM SULFURICUM. the left thigh, in the bone, during rest and motion/.—Bruised pain in the middle of the thigh, aud in the lower part of the leg; all the first day,2.— [670.] A bruised pain iu the muscles of the right thigh, in front, chiefly when walking; for six hours, in the afternoon (third day)/.—Knee. Pains in the knees (first day)/".—Violent pains in the knees, appearing and disappearing, while walking (fourteenth day)/*.—Violent compression in the right knee and left ankle (ninth day)/.—Boring in the left knee, and afterwards in the right (tenth day)/.—Boring in the left knee (elev- enth day)/.—Wandering boring in the joints of the knees (seventeenth day)/*.—Drawing in the knees (second day)/"; (thirtieth day)/*.—Draw- ing in the knees, and left toes (fourteenth day)/.—Drawing in the right knee, extending down the lower leg (sixth day)/*.—[680.] Drawing in the right knee-joint (thirtieth day),3*.—Painful drawing sensation^ in the hol- low of the right knee, while sitting, which disappears from motion/.—Pres- sure in the knees (sixteenth day)/*.—Pressure in the right knee (third and seventeenth days)/*; while sitting and walking (tenth day)/.—Pressure in the right knee while sitting, still worse in the left, and also in the right thumb-joint, in the evening (eighth day)/.—Pressure in the right knee, with a weary pain (second day)/*.—Pressure in the left knee (fifth day)/*. —Pressure in the right knee-joint, rather to the side of the patella (sev- enth day)/.—Pressure in the left knee-joint (first day)/*.—Pressing in the muscles above the right knee (first day)/*.—[690.] Persistent pressure in the left knee, in the evening, while sitting (fifth day)/.—Violent pressure in the right knee (thirteenth day)/.—Violent pressure in the right knee, lasting a long time, while sitting (eighth day)/*.—Violent pressure in the left knee (second day)/*.—Violent pressure on the inner side of the left knee (sixth day)/*.—Tearing in the knees (fifth and ninth days)/*.—Tear- ing in the left knee, extending down the leg (ninth day)/*.—Violent tear- ing in the right knee (twenty-fifth day)/*.—Bruised pain in the right knee, while walking (tenth day)/.—Leg. The legs feel very weak, and as if bruised, during rest or motion/.—[700.] Violent compression in the left leg, followed by sticking in all the toes of the left foot (seventh day)/.— Drawing pain in the legs, when standing and walking/.—Drawing pres- sure in both legs, while sitting, afterwards in the right knee, iu the even- ing (eighth day)/.—Tearing on the outer side of the left leg (third and twelfth days)/*.—Throbbing, deep in the right leg, on walking, as if it were swollen, or as if an excessive amount of blood had collected there; repeated several times (seventeenth day)/*.—Violent boring in the right tibia, several times, while walking (thirteenth day)/.—Breaking and tear- ing pain in the right shin (sixth day)/.—Drawing in the tibiae (seventh day)/".—Frequent acute drawing on the left tibia (third day)/b.—Tearing in the forepart of the right leg (thirtieth day)/*.—[710.] Tearing in the tibiae (fifth day)/*.—Tearing in the left tibia (thirty-seventh day)/*.—Vio- lent compression on the lower portion of the calf (first day)/*.—Contrac- tion, like a cramp, in the muscles of the left calf, while walking (twenty- first day)/*.—Drawing in the calves (eighth day)/.—Drawing paiu upwards in the teudons and calves, when standing (10 a.m.)/.—Drawing pain in the Achillis tendons, then in the calves/.—Pressure in the left calf while standing (fourth day)/.—Violent pressure in the right calf (fifth day)/.— Violent sticking in the muscles of the leg (fifteenth day)/.—[720.] Tear- ing and drawing pain in both calves, as if in the teudons, which makes it hard for her to step; during rest and motion/.—Painful tearing in the calf of the right leg into the hollow of the knee, in the evening, while spinning, NATRUM SULFURICUM. 629 relieved four times by hard rubbing/.—Ankle. Boring in the left ankle (sixth day)/*.—Drawing in the ankles while sitting, also while walking (eighth day)/a.—Drawing in the right ankle (thirty-ninth day)/*.—Draw- ing in the left ankle (thirtieth day)/*.—Drawing behind the left inner mal- leolus (thirtieth day)/*.—Pressure in the right ankle, extending to the tibia (second day)/".—A pressure in the left ankle (first day)/*.—Pressure in the left ankle, while walking, afterwards above the left knee, with weary pain in both knees (thirteenth day)3.—[730.] Pressure iu and below the left external malleolus (third day)/*.—Persistent pressure in the left ankle, aggravated, at first, by moving the joint, or steppiug upon it, but continu- ing during rest (fifth day)/.—Violent pressure in the right ankle, while sitting (thirty-ninth day)/*.—Violent pressure in the left ankle (first day)/*. —Violent pressure on the left inner malleolus (sixth day)/*.—Pressive and weary paiu above the left aukle, while walking, disappearing after a few minutes, and then occurring in the left knee, and then in the right knee (twelfth day)/.—Sensation in the right ankle, as if sprained ; could not step well on it until after he had walked up and down the room several times, in the morning, when getting up (fourth day)/.—Tearing in the ankles (sixteenth day)/*.—Tearing in the left ankle (fifth day)/.—Tearing in the left ankle, and in the toes, in the morning, on waking (fourteenth day)/.—Foot. [740.] Great weariness in her feet, at night, makes her often change their position/.—Pressure in the right foot (fifteenth day),*. —Pressure on the right foot (thirty-fifth day)/*.—Tearing in the left foot (third day)/*.—Frequent tearing in the outer margins of the feet (sixth day)/".—The feet are sensitive, sore, and heavy as lead, in the morning, when awaking (second dav)/.—Boring on the back and outer side of the left foot (fourth day)/.—Drawing on the back of the right foot (thirty- eighth day),3*.—Tearing ou the back of the right foot (thirtieth day)/*.— Tearing on the back of the left foot and in the right knee, immediately after lying down in bed, in the evening (first day)/.—[750.] Burning sen- sation'in the sole of the left foot, all night/.—Sticking pain in the sole of the left foot, so that it made her twitch while standing, relieved by rub- bing/.—Tearing in the right sole and in the toes (sixteenth day)/*.—Vio- lent persistent tearing in the sole of the right foot, while sitting, not ceas- ing on standing (ninth day)/.—Tearing pain in the right heel, when standing, relieved by rubbing, afternoon/.—Sticking and tearing pain in the right heel for two minutes, while walking, relieved by rubbing/.— Coarse sticking and tearing pain in both heels, so that she cannot help screaming; nothing will relieve it; 9 p.m., while spinning/.—Sharp, stick- ing pain in the left heel, afternoon, while sitting/.—Ulcerative pain in the right heel, so that she can hardly step on it?.—Toes. Pain in the left great toe, in the evening (fifth day)/.—[760-] Pain in the right great toe and ankle (eighteenth day)/\—Violeut burning in the tip of the right great toe, beneath the nail (fifth day)/*.—Boring in the articulation of the right great toe (third day)/*; (eleventh day)/.—Boring in the joint of the left great toe (fourteenth day)/.— Persistent and violent boring in the joint of the left great toe, alternating with the same pain in the right; and pres- sure above both eyebrows (thirteenth day),'.—Violent itching boring in the joints of the left" great toe (eighth day)/".-Drawing pains in the toes (third twentieth, and thirty-third days)/*.—Drawing in the right toes (first and twelfth days)/*; (second day)/", etc.-Drawing in the right toes and on the outer margin of the foot (twelfth day)/-Drawing in the left toes (thirty-eighth day)/*.—[770.] Drawing in the joints of the left great toe 630 NATRUM SULFURICUM. (twelfth day)/.—Pressure in the left toes (second day)/".—Pressure in the right great toe (eighth day)/.—Pressure in the toe-joints, on waking at night (twentieth day)/*.—Pressure in the joints of the toes (tenth day)/*. —Pressure in the joints of the right great toe (twentieth day)/*.—Pressure in the joints of the right great toe, and burning in the tip under the nail, on waking at night (sixteenth day),3*.—Violent pressure in the right great toe (tenth day)/*.—Violent pressure in the left little toe (thirty-first day)/*. —Violent pressure in the joint of the left, afterward of the right, great toe (second day)/*.—[780.] Violent pressive pain in the joints of the right great toe, lasting a quarter of an hour, and impeding walking (first day)/*. —Sticking pain in the second and third toes of the right foot, when step: ping on them (first day)/.—Sticking in the left toes, several times repeated (seventh day)/.—Sticking pain in the fourth toe of the left foot, while sitting/.—Sticking pain in the joints of the left great toe (fourth day)/*.— Sticking in all the left toes, in the evening (eighth day)/.—Sticking in the joint of the left great toe, worse on pressure; not aggravated by motion (thirteenth day)/.—Sticking in the tips of the great toes, beneath the nails, at night (thirty-fourth day)/*.—Sticking in the tip of the right great toe, afterwards in the left (tenth day)/*.—Stitches in the tips of the toes (elev- enth day)/*.—[790.] Stitches in the great toes (thirty-first day)/*.—Stitches in the tips of the great toes (first day)/".—Sudden stitches in the right great toe (thirty-ninth day)/*.—Violent stitches in the left great toe (elev- enth day)/.—Tearing in the toes (eighth day)/".—Tearing in the right toes (fifth day)/*.—Persistent pain by jerks in the joints of the right great toe (twenty-sixth day)/*.—Tearing in the toes and knees, noticed on waking, at night, but not preventing sleep (ninth day)/*.—Tearing pain in the little toe of the right foot, and at the same time in the left forearm/. General Symptoms.—Objective. In spite of the pains, I am not weak or depressed, but, on the contrary, am more than usually inclined to mental and physical activity (twenty-second day)/1.—[800.] Trembling of the whole body, with spasmodic, visible motion of the muscles; most violent in the left side of the chest, with great apprehension and fear of a misfortune (third day)/.—Weary, feeble, tired, as if she was going to be very ill,2.—Weariness of the whole body, particularly in the knees, that it seems as if they can hardly bear him (third day)/.—Weariness, with dulness of the head, towards 9 a.m. (second day)/.—Weary and sleepy all the afternoon (fifth day)/.—Great weariness of the whole body, more in the afternoon, and particularly about 3 p.m., so that he had to lie down; he felt better when walking/.—Very great weariness and burning headache/.—After vomiting, extreme feebleness and a burning headache/.—Subjective. Sticking pain, as if of a needle in different places, with burning/.—No pains in the evening after lying down (eighth day)/.—[810.] No pains during the night (tenth day)/.—It was remarkable that during a violent storm, without rain, but with a cloudy sky, there were scarcely any pains (sixth day)/1. Skin—Eruptions;, Fry. A pimple on the chin, with a burning tensive pain when touched/.—Two small pimples appear deep in the skin, on the right side of the lower jaw/.—A number of small pimples on the inner surface of the right hand, which tempts him to scratch/.—Itching pimples on the inner side of the right forearm, that burn after being scratched, and disappear next day?.—Eruptions, Moist. Several itching pimples on the right forearm, that burn after being scratched, and contain limpid water, during the catamenia/.—A blister, with inflamed NATRUM SULFURICUM. 631 dav^— g a ,1urning Pain- on one side of the left upper lip, lasting five ys, . femall vesicles break out on the under lip, which disappear after a - iort time,-.—Small itching vesicles between the left thumb and forefinger, tnat contain water?.—Sen sat tons. [820.] Going to sleep of the great toe, right foot, in the morning, while sitting/.—Burning, with redness, on the back of both hands, as of nettles, afternoon till evening/.—On the out- side of the left foot, near the little toe, a glow, as of fire, in the afternoon (second day),.—Drawiug in the skin on the right zygoma (eighth day)/3. —LJrawing m the skin of the left leg (tenth dav)/.—Several stitches like fleabites m the left side of chest, and then again in the right side of the forehead, .-—Tearing and sticking paiu on the external surface of the hu- merus, in the evening, disappearing after rubbing/.—Crawling sensation in the finger-tips of the right hand, as if they were going to sleep, or becoming numb (first evening and second mornine)/.—Crawling, as of insects, on the back of the nose, several times (seventh and twenty-sixth days)/*.—Sensa- tion as though an insect were crawling on the back of the nose, not entirely relieved by wiping, and immediately becoming worse, lasting half an hour, while walking in the evening (eighth day)/.—[830.] Externally on both wings of the nose, itching, which makes him scratch and rub (second day)/. —Itching in the edges of the nose, as if an eruption were about breaking out, evening/.—Itching on the perinaeum; he was obliged to scratch (second day)/.—Itching of the lower surface of the prepuce; he was obliged to scratch, after which it ceased, forenoon and afternoon (third day)/.—Itch- ing on the scrotum and the lower part of penis (seventh day)/.—Itching ou the scrotum for a minute; after scratching the place burns/.—Itching on the mons veneris, in the afternoon (first day)/.—Itching on the back, when undressing, in the evening (third day)/.—Alternating itching on the sole of the foot and the toes (fourth day)/.—Itching of the toes, and be- tween them, in the evening, when undressing, which was increased by rub- bing (fourth day)/.—[840.] Itching of all the toes, so that he had to scratch, which relieved it, in the evening, when going to sleep (first day)1.—Itching on the balls of the toes, with a feeling as if it drew them together, relieved by rubbing (after ten days)/.—Frequent itching in the face, sometimes here and then there (after five days)/. —An irritating itching on the top of both feet, from the ankle to the toes, which made him scratch, but this increased the itching, in the evening, while undressing (second day)/.—Violent itch- ing between the fingers of the right hand, burning after scratching/.—Dis- tressing itching on the scrotum, seldom removed by scratching, frequently/. Sleep and Freams.—Sleepiness. Stretching and yawning, with internal coldness (fourth day)/.—Sleepiness; he fell asleep while reading, in the forenoon (second day)/.—Great sleepiness after dinner2.—Lazy, sleepy, directly after breakfast; had no inclination to work; fell asleep while thinking about something (fifth day)/.—[850.] While writing iu the forenoou he grew very sleepy (seventh day)/.—At 9 p.m. he grew sleepy, earlier than usual, but he also woke up earlier (second day)/.—Sleep- lessness. Restlessness at night, which keeps her awake a long time,2.— Very restless night; she wakes at times from violent headache/.—Restless sleep; he awoke often ; had heavy anxious dreams, aud afterwards raised much mucus (fourth day)/.—When she is hardly asleep she starts up, with- out waking up entirely/.— Dreams. Dreams often, but does not remem- ber what/.—Dream of gardens, flowers, delightful picnics (after eight days),2. —Dream that she bought beautiful bouquets of flowers in the market (fourth nio*ht)/.—Dream of a wedding procession that passed by her (seventh night),2. 632 NATRUM SULFURICUM. —[860.] Dream of a lottery; he saw the numbers which he had taken/.— Ouly anxious dreams; for instance, that she poured boiling lard into the fire/.—Anxious dream that priests had discovered that she had committed crimes,2.—Dream that a gentleman she knew lay sick in her house/.— Dream that wood was being floated down the neighboring stream, which might be the cause of much damage/.—Dream that she was sailing on the Danube, and was very much afraid/.—Dream of a great expanse of water, into which her daughter went, and then cried for help/.—Dream that her daughter had been struck by paralysis, which frightened her so that she woke covered with perspiration/.—Anxious dreams of falling from a height, etc., which made her start up/.—Dream that she was flying in the air, and" always feared to fall to the ground/.—[870.] Dream, before midnight, that she was thrown from a carriage/.—Dreams that an acquaintance was going to cut off the great toe of his right foot; the fear of it awoke him, and he felt a violent pain, as though knives were sticking in this toe, for one minute, after midnight/.—Dream that her daughter had vexed her (third day)/.—Vexatious dream that a young gentleman of her acquaint- ance slighted her/.—Dream that he was much hurt and provoked because he had been insulted/.—Dream that insults had excited him so that he be- gan to fight/.—Dream of a mob fight, in which he became engaged/. Fever.—Chilliness. Cold shuddering chilliness, with thirst; he drank much water; the chilliness did not last long, and was not followed by either heat or sweat; the thirst lasted all the forenoon (third day)/.— Chilly towards evening; she thinks she will get the fever/.—In the even- ing he is always chilly, without any thirst; he longs to be near the stove/. — [880.] Chilly in the evening in bed, so that he could not get warm all night (after twelve days)/.—In the morning, immediately after rising, chill without thirst, but with external coldness/.—Chill without thirst, afternoon, during catamenia/.—4 p.m., chill with icy coldness and gooseflesh, increases until 8 p.m.; after going to bed it disappears, without being followed by hot stage ; at 4 a.m., sweat without thirst, during catamenia,2.—Chill with- out thirst at 6 p.m., which ceases after lying down, and is not followed by sweat/.—Chill in the evening, which ceases after lying down, without heat or thirst,2.—Chill at 7 p.m., for a quarter of an hour, not followed by heat or sweat (second and third days)/.—In the morning, after walking, on an empty stomach, coldness and violent shaking chill, with a feeling of inter- nal heat in the head and a pale face; she believes that her head must also be hot externally; the coldness lasts all day till evening, when moving or resting, but disappears after lying down/.—Internal coldness, with stretch- ing and yawning (fourth day)/.—She awakes about 1.30. a.m. shaking all over, and her teeth chatter as though she were out in the cold, with anxiety, for eight minutes, then she falls asleep again/.—[890.] She woke about 1.30 a.m. with shuddering over the whole body and chattering of the teeth, as if in the cold ; it lasted eight minutes, with anxiety, but afterwards she fell asleep again/.—Violent chill up the back, with chattering of teeth and shaking, without external coldness/.—Heat. After vertigo, heat, rising from the body towards the head, constantly becoming more violent until sweat broke out on the forehead, after dinner (first day)/.—She often has sudden flushes of heat towards eveuing/.—Dry heat all over the body, as if perspiration would break out, several afternoons/.—During chill fore- head and hands are warm/.—Both legs are so hot that they burn up to the knee, in the evening, before going to bed, and the next morning/.—Sweat. Profuse sweat, without thirst, or subsequent weakness, during three nights/. NICCOLUM. 633 —While sitting after a meal, some perspiration appeared on the face, with slight oppression of the chest; at the same time the right eye was filled with water, so that he had to wipe it (first day)/.—Sweat on the scrotum, while sitting, towards evening (fifth day)/. Conditions.—Aggravation.—(Morning), Irritability; until break- fast, out of humor, etc.; headache from occiput; particularly when exposed to cold air, tearing in zygoma; no taste, etc.; expectoration of mucus; after rising, burning, etc., in stomach ; when getting up, sprained sensation in ankle; on waking, tearing in ankle, etc.—(Forenoon), Loose feeling in brain ; while sitting, jerk in head ; beating on back of hands.—(Afternoon), Towards evening, the pains/; dryness, etc., of eyes; tearing in forearm ; while writing, sticking in second finger; towards evening, flushes of heat; dry heat.—(Evening), The pains/*; thirst; sticking in thumb; itching in edges of nose; itching ou back ; chilliness.—(Night), Pain in left side of nape ; pain in small of back ; twitching of hands, etc.; sweat.—(After eat- ing), Pressure iu forehead ; grumbling, etc., in abdomen ; stitch in left side of chest.—(Rest), Tearing in occiput; piercing in hip, etc.—(Sitting), Pres- sure between sternum and nipple ; sticking in sacrum ; pain in upper arm ; tearing along thumb; pressive pain in muscles of thigh, etc.; drawing in hollow of knee; pressure in legs, etc; sticking in toe.—(Walking), Sensi- tiveness in region of liver ; pains in joints ; pain in hip-joint; burning, etc, in bend of thigh ; bruised pain in muscles of thigh; bruised pain in knee; boring in tibia ; pressure in ankle. Amelioration.—(Evening), After lying down, the pains/.—(Night), The pains/.—(Open air), The pains/; *general feelings?.—(Cold air), Toothache.—(After dinner), Many symptoms.—(Motion), Most symptoms/. —(Sitting), Tearing, etc, in tendons on throat; pain in left chest.—(Dur- ing violent storm), The pains/*.—(Tobacco-smoke), Toothache.—(Walking), Weariness. NICCOLUM. The metal (Nickel), or the Carbonate. Preparation, Triturations. Authority. Nenning, Hartlaub and Trinks, Annalen, 3, p. 353. 31 hid.—Emotional. Very angry and quarrelsome mood; she was inclined to quarrel with and contradict every one, in the evening (second day)/.—Quarrelsome and impatient; she could tolerate no contradiction ; only better towards evening (third to sixth day)/.—Very anxious on every movement, as if sweat would break out (fourth and fifth days)/.—Very anxious, with excessive thirst day and night (first and second days)/.— Apprehensive, despondent; she does not even know herself what is the matter, in the afternoon (second day)/.—Apprehensive and despondent, as if some misfortune were impending (second day)/.—Lachrymose and ap- prehensive (second day)/.—She was very apprehensive and lachrymose in the forenoon (first day) ; on the second and third days she was very fretful, and was better only on the fifth day/.—Tremulous, fearful, with inclination to be alone all day (after three days)/.—[10.] No inclination to talk, and when compelled to do so he is very fretful (third day)/.—No inclination to talk, and very fretful humor (fourth day)/.—Constant good and joyous mood ; all passions are quiet/. jlead.—Confusion and Vertigo. Dull and confused in the head, as after intoxication, in the morning (sixth day)/.—Vertigo all day, 634 NICCOLUM. especially after rising from stooping (eleventh day)/.—Vertigo in the morn- ing on risiug from bed ; she staggered to and fro (third day)/.—Vertigo in the morning on rising; he stumbled from side to side (eighth day)/.— Vertigo in the morning on rising from bed, as from weakness, soon disap- pearing (seventh day)/.—Vertigo all the afternoon, worse in the open air; it constantly seemed as though the feet would slip from under her (second day)/.—She woke with vertigo, nausea, and inclination to vomit at 10 p.m., in bed ; she was obliged to rise from bed and go into the open air, when she felt better (seventeenth night)/.—General Head. [20.] Head- ache, especially in the house, after walking in the open air (fourth day)/. —Headache in the morning after rising, constantly increasing till towards noon, with pressure on the vertex and dulness in the head (third day)/.— Sensation as if the brain were loose and fell from side to side (sixth day)/. —Fulness of the head, and not at all good humor, in the forenoon (first day)/.—Feeling of fulness and heaviness in the head, with a sensation as if cut to pieces, ou stooping; and in the occiput a sensation as if beaten and sore, and a stupefied feeling in the head generally, lasting three hours (twenty-fourth day)/.—Head thick and dull, as from loss of sleep, in the morning (third day)/.—Heaviness in the head, as from loss of sleep, in the morning after waking (third day)/.—Heaviness of the head in the morning in bed, disappearing after rising (twelfth day)/.—Feeling of heaviness and dizziness in the forehead, in the morning in bed, and also after rising till 10 o'clock, relieved in the open air/.—Heat of the head, so that he could not remain in the house, but was obliged to go iuto the open air, with thirst, lasting two hours ; it seemed as though sweat would break out, which was not the case, at 3 p.m. (eighth day)/.—[30.] An unusual agreeable warmth in the whole head, especially in the house, in the afternoon (third day)/.—A beating iu the whole head, as with a small hammer, on motion, in the forenoon (first day)/.—Tearing in the whole head, that often becomes intolerable (eighth day)/.—Tearing in the head aud in the left eye, fre- quently intermitting and returning (second day)/.—At first, sticking in the upper part of the head, with great sensitiveness and a bruised sensation, so that she could not bear to have the hair combed, lasting an hour, in the forenoon, recurring more violently in the afternoou ; the pain frequently extended to both sides of the head and to the forehead, with a feeling as if the frontal bone would burst out, only gradually disappearing, with great fretfulness (first day)/.—Headache ; a fine sticking and a sensation of shud- dering in the head (fourth day)/.—Fine stitches in the upper part of the head, rather externally, also drawing pains in both ears, extending into the head, lasting longer in the ears (seventh day)/.—Stitches here and there in the head, especially on stooping, in the forenoon (first day)/.—In the morning the head feels screwed iu and pressed ; afterwards slight stitches, as with needles, in the right side of the forehead (third day)/.—The whole head is painful, as if beaten, especially in the occiput, all day (tenth day)/. —Forehead. [40.] A whirling in"the forehead, as if she would be sick, lasting half au hour/.—Feeling of heaviness and dizziness in the forehead while standing, 'from forenoon till afternoon, with slight interruptions (first day)/.—Sensation of heat in the forehead, with heaviness, in the afternoou till evening (fifth day)/.—Pain like a twisting and boring into the sinci- put, in a small spot in the forehead (fourteenth day)/.—Sensation in the forehead after stooping, as if the brain would fall out, in the morning (seventh day)/.—Pecking, as with a small pointed hammer, on the right side of the forehead, in the forenoon (first day)/.—Temples. Stitches, NICCOLUM. 635 as with needles, in the left temple (tenth day)/.—Fine tearing in the right temple, while sitting, iri the forenoon (third fay)?.—Vertex. Pressure on the vertex, as with the hand, lasting two hours, in the forenoon (second t l'T n la the t0P of the head, as if a nail were sticking in it (seven- teenth day),1.—Parletals. [50.] Headache in both sides, as if it would burst, all day (eleventh day)/.—Stitches in the right side of the head, to- gether with a bruised sensation in the right temple, in the forenoon (first dayy .—Violent tearing in the right side of the head, while sitting, in the evening (eighth day)/.— Very painful tearing and sticking in the right •t vi d' m the afternoon (tenth day)/.—Jerking roaring in the right side of the head, especially violent in the right ear, at night (first day), .—Violent stitches in the left side of the head, in the morning in bed (thirteenth day)/.—Tearing in the left side of the head and in the left side of the nose (fourth and fifth days)/.—Occiput. Heaviness in the occiput (second day),.—Painful boring and gnawing in the occiput, worse on the left side, in the afternoon (third day)/. Eye.—Objective. Violent twitching of the left eye, that nearly pre- vented vision (twelfth day)/.—[60.] Painful twitching in both eyes, with a feeling as if they would turn around (eighth day)/.—Twitching in the right eye frequently recurring (third day)/.—Subjective. Violent burn- ing in the eyes, in the morning after rising; with frequent lachrymation (second day)/.—Burning in the eyes, in the morning on waking, with a sensation as if swollen and agglutinated, disappearing after washing/.— Burning in the eyes, as if they were full of sand, in the afternoon (fifth day)/.—Burning in the eyes, in the afternoon, so that she could read with difficulty, during the menses/.—Frequent burning in the eyes, especially towards evening?.—Burning in the eyes by the light, in the evening (ninth day)/.—Burning in both eyes with profuse lachrymation and swelling of the meibomian glands, in "the evening/.—Burning in both eyes and the margins of the lids seem swollen ; the eyes are watery, in the evening (first day)/.—[70.] Burning in the left eye and tearing in the left inner canthus, extending down along the side of the nose (fourth day)/.— The eyes seem very weak, especially in the evening; they give out on any exertion and burn ; for many days (after fifteenth day)/.— The eyes seem very weak, espe- cially in the evening, for a long time/.—Violent itching in both eyes, so that he rubbed them until almost sore, with redness of the lids as if injected or inflamed (fifteenth day)/.—Lids. Violent twitching in the left upper lid (fourth day)/.—Twitching in the left external canthus, so violent that it caused lachrymation (seventh day)/.—Violent biting in the inner can- thus, that disappers after rubbing a long time but returns (eleventh day)/. —Sticking in the left external canthus as with a needle, of short duration (ninth day)/.—Sensation as of a drop of cold water in the right external canthus, together with tickling boring into the right ear (fourteenth day)/. —Tearing in both inner canthi (sixth day)/.—[80.] Agglutination of the inner canthi, usually in the morning (after five days)/.— Vision. The eyes are very watery and dim, in the morning, and objects are seen as through a fog (third day)/.—On looking at a distant stone statue it seems larger than natural, in the morning (twenty-sixth day)/.—Fog before the eyes, preventing vision, in the morning (seventh day)/.—Dimness of vision ; eyes red and sensitive for three days; somewhat relieved after washing with cold water (after twenty-four hours)/. Ear.—Objective. Two pimples as large as peas behind the right ear, with tensive pains only on pressure (sixteenth day)/.—A blister as 636 NICCOLUM. large as a pea in the left external meatus auditorius, without sensation (after twenty days)/.—Subjective. Tearing and stickiug jerking in the right ear (third and fourth days)/.—Intolerable tearing in the right ear, together with toothache/.—Some sharp stitches in the left ear, to which she was very sensitive (fifth day)/.—[90.] Dull stitches in the right ear, from within outward (ninth day)/.—Ringing in the left ear while walking, disappearing on digging into the ear (sixth day)/.—Chirping as of a cricket in the right ear (first day)/.—Sudden loss of hearing, at 8 p.m., with roar- ing and buzzing in the ears (fourth day)/. Nose.—Violent bleeding of the nose for over an hour (first day)/.— Frequent violent sneezing for several days, in the forenoon/.—Sneezing about 5 a.m., daily, and also frequently in the forenoon/.—Frequent sneez- ing without coryza, several mornings in succession, through the first part of the proving/.—Violent sneezing, in the evening after lying down (sev- enth day)/.—Dryness of the nose, without stoppage of it (sixth and seventh days)/.—[100.] Stoppage of the nose at night (second day)/.—Stopped coryza (second and third days)/.—Nose at one time stopped, at another opeu, though without sensation of coryza (third day)/.—Stoppage of the nose at night; she could get no air through it (after ten days)/.—Although some mucus was constantly secreted yet there was a stopped sensation in the nose (first day)/.—A bruised sensation in the root of the nose (second day)/.—Fine tearing aud sticking in the upper part of the middle of the nose (seventh day)/.—Painfulness and violent tearing in the angle of the left side of the nose on pressure (seventeenth day)/.—The anterior portion of the nose is red and swollen, with burning and tearing in it (sixth day)/. Face.—Sensation as if the face were swollen ; it seems heavy, with some lachrymation (ninth day).1.—[110.] Swelling of the right side of the face, during the sore throat/.—Pain in the swollen cheek constantly woke him at night, and was relieved by cold ; night restless/.—Twitching in the right side of the upper lip, like a shuddering, for a long time but intermit- tent (first day)/.—Small pimples on the inner surface of the upper lip that burn while eating (fourteenth day)/.—A broad stripe in the red margin of the lower lip (fifth day)/.—He could not open the mouth well on account of painfulness and cramp in the right maxillary articulation (eleventh day)/.—On attempting to talk the right maxillary articulation was paiuful as from a swelling; during the sore throut (tenth day)/.—Violent tearing in the left lower jaw, at 7 p.m., lasting all night; the next morning large swelling of the gum, which was aggravated by pressure and by the air/.— Tearing in the right lower jaw, in the evening, at night, and even on the following day/. 31outh.—Sour offensive water exudes from all the molars on sucking them (first day)/.—[120.] Feeling of looseness of a left upper back tooth (thir- teenth day)/.—Painful boring and gnawing in a right lower molar, disap- pearing and reappearing at intervals (seventh day)/.—Toothache in the right lower side for several evenings, at first rather slight, lasting a quarter of an hour, then becoming violent till 10 o'clock; relieved in bed ; a painful gnawing as if the tooth were too large and elongated (twelfth day)/.— Gnawing sensation in a right lower molar, from which a sourish offensive water exuded on sucking the teeth, in the evening (sixteenth day)/.— Toothache in the right lower side; preceded by violent tearing lasting all night, on account of which she was able to sleep but little (sixteenth day)/. —Toothache in the left lower jaw; tearing and a feeling as if ulcerated, lasting all day, after 8 a.m. (fourth day)/.—A left lower molar was painful NICCOLUM. 637 only when touched and on biting upon it, in the afternoon (third day)/.— rain in the first left lower molar, only in the house, at 6 p.m., and at night on falhng asleep/.—Painful tearing in the left lower teeth (after half an hour), .—Confined to the bed on account of the feverish condition; the swelling of the gum that continued about the left lower anterior molar rfinio °Ver the anterior Sum> and towards the right side (fifth day)/.— [130.] Swelling of the gum (fourth day)/. —Constant dryness of the mouth,. Dryness of the mouth, in the morning after waking, soon disap- pearing (fifteenth day)/. —Mouth slimy, in the morning after waking (seventeenth day)/.—Profuse sweetish saliva coustantly collects in the mouth, so that he can not sufficiently spit it out (third and fourth days)/. —Offensive odor from the mouth which he himself did not notice (first day)/.—Disgusting taste and odor in the mouth (second day)/.—Disagree- able taste like meal in the mouth, in the morning on waking, lasting an hour (fourth day)/.—Taste of burnt meal in the mouth during eructations (twelfth day)/.—Bitter taste in the mouth, in the morning on waking, dis- appearing after rising (fourth day)/.—[140.] Bitter taste in the mouth with bitter eructations (first day)/.—Painfulness of the palate anteriorly behind the gum (after a few days)/. Throat.—Sore throat, three evenings in succession, on talking and yawning, but not on swallowing, lasting till the next morning (after seven- teen days)/.—The whole throat seems ulcerated internally, especially on swallowing; with yawning and shaking chill, in the morning (fifth day)/. —The sore throat that had lasted for some days became worse aud very sensitive to touch on the right side; also the right tonsil was swollen, with inflammation of the right side of the throat internally (ninth day)/.— Pain in the throat from evening till the next forenoon, near noon, some- times only on yawning and talking, at other times also on swallowing (twenty-fourth day)/.—Sticking in the throat; he dreaded to swallow on account of the violent pain in the right side, in the morning (fourth day)/. —Sticking in the throat, as if in the uvula, only on swallowing (first aud second days)/.—Rawness in the throat all day (second day)/.—Rawness in the throat, relieved by cough (second day)/.—[150.] Feeling of con- striction in the throat, so that he gasped for air, in the afternoon and night (first day)/.—Spasmodic choking and constriction iu the throat and stick- ing on swallowing (third day)/.—Tickling in the throat causing a dry hacking cough, in the evening (fifth day)/.—Tickling in the throat that provokes cough, in the evening after lying down, though soon disappearing (fifth day)/.—Thick mucus constantly collects iu the throat, with stinging pain (fourth day)/.—Sensation of heartburn in the throat, in the evening and night (twelfth day)/.—The thyroid gland was very sensitive to pressure, with a sensation on swallowing as if there were a membrane across the throat (eleventh day)/. Stomach.—She had no desire for anything; she tried to think of what she wanted (fourth to sixth day)/.—Thirst all day (first day)/.—Great thirst, day and night (second to fifth day)/.—[160.J Thirst in the after- noon/.— Thirst in the evening (second, third, eighth, and ninth days)/.— Thirst at night (fourteenth day)/.—Thirst without previous heat or sweat (sixth day)/.—Bitter and sour eructations, with pressure in the stomach, for half an hour, in the forenoon (tenth day)/.—Empty eructations (soon after a dose)/.—Tasteless eructations (third day)/.— Violent hiccough, for several evenings?.—Frequent violent hiccough, in the evening, renewed from time to time for several days (after six days)/.—Hiccough nearly every 638 NICCOLUM. evening/.—[170.] Hiccough, in the evening in bed, lasting an hour (sixth day)/.—Nausea in the stomach, from morning till noon (first day)/.— Nausea in the stomach, in the forenoon (second day)/.—Nausea in the stomach and dulness in the head (fourth day)/.—Nausea in the stomach, as if she would eructate water, with pressure and retching from 7 to 10 p.m., frequently intermits and is relieved by eructations (fifth day)/.— Nausea in the stomach, as if she would vomit; nausea and frequent eruc- tations of sour-tasting water, in the forenoon (twelfth day)/.—Nausea and qualmishness, in the morning after rising from bed, soon disappearing (fifth day)/.—Nausea and qualmishness in the stomach, in the morning during the sore throat; the inflammation and pain lasted four days, but was im- mediately relieved by emollient applications and smelling camphor, though it was so severe that it threatened to suppurate and he could scarcely swallow; with great thirst/.—Pain in the stomach as if hungry, though without appetite; food has a natural taste, but does not cause disturbance, on the contrary she seems rather better after eating (fourth day)/.—Vio- lent pains in the pit of the stomach, with stitches as if knives were cutting, lasting a quarter of an hour, relieved by no position, at 3 p.m. and also in the forenoon (fourth and fifth days)/.—[180.] Pain in the stomach and nausea as from weakness of the stomach, disappearing after breakfast (seventeenth day)/.—A very disagreeable sensation in the stomach, almost like an emptiness or a sensation of fasting, in the morning (fifth day)/.— Sensation of emptiness in the stomach though no actual hunger (fourteenth day)/.—Pressure in the stomach, in the morning after waking, disappear- ing after the morning soup (sixteenth day)/.—Painful pressure in the stomach, lasting an hour, in the afternoon (thirteenth day)/.—Pressure in the stomach, relieved by eructations, lasting three hours (twelfth day)/.— Pressure in the stomach, as if a stone were lying in it, it seems as though it would be relieved by eructations, but is aggravated thereby/.—Feeling of fulness in the stomach after a very moderate meal (first day)/.—Burning in the stomach, at noon (first day)/.—Sensation of constriction or digging in the stomach or as if fasting, in the forenoon (eighth day)/.—[190.] Pinching in both sides of the stomach, after dinner (third day)/.—Painful sensation in the stomach as if it were twisted together, in the forenoon (first day)/.—Painful sensation like a sticking in the stomach, lasting an hour, at 1 p.m. (third day)/.—Stitches about the sides of the stomach, fre- quently recurring, in the afternoon (sixteenth day)/.—Pain like a sticking, so violent that she started up, extending through the stomach to the back, together with a stitch iu the forepart of the chest, in the afternoon (seveuth day)/. Abdomen.—Cutting pains extending from both hypochondria towards the navel, at 4 p.m., frequently intermitting (secoud day)/.—Pinching about the navel, lasting a quarter of an hour, during the usual stool (fifth day)/.—Pinching about the navel, nearly all day, with desire for stool (eighth day)/.—Violent biting internally and externally about the navel, causing her to start up, at 7 p.m. (seventh day)/.—Biting or pinching above the navel woke her from sleep, at 5 a.m. (fourth day)/.—[200.] Sensitive- ness of the glands when touched aud when not (second day),1.—Violent pinching in both flanks, with cutting and dragging, desire for stool, and emission of odorless flatus, in the evening (first day)/.—Fine stitches in both flanks below the ribs (first day)/.—Some violent kuifelike stitches in the right flank, while standing/.—Pinching and jerking in the right flauk, which seems to extend in a narrow line down from the right breast, before NICCOLUM. 639 midnight (first day)/.—Violent stitches in the left flank, from 9 to 10 a.m., while sitting, relieved by lying on the same side (thirteenth day)/.—Two single coarse stitches as with an awl, above the left flank (first day)/.— Constant pains in the abdomen and diarrhoea twice (sixteenth day)/.— Cutting and digging in the abdomen, soon followed by a soft stool, in the evening (eighth day)/.—Pinching in the whole abdomen, from 1 to 3 p.m., followed by a hard stool/.—[210.] Violent pinching in the abdomen, from 10 a.m. to 2 p.m., during the menses/.—Frequent slight griping, now in the upper, now in the lower abdomen, as from a purge (seventh day)/.—Grip- ing iu the whole abdomen, at 3 p.m., followed by four thin stools with much yellow mucus, very forcibly evacuated, with much flatus, not followed by relief of/he pains, lasting an hour (sixth day)/.—Painless rumbling and motions in the abdomen (fifteenth day)/.—Movements in the abdomen, nausea in the stomach, emission of flatus, and afterwards a soft stool/.— Sudden distension, with rumbling and gurgling in the abdomen, lasting an hour, at 7 p.m. followed by a hard stool (twenty-sixth day)/.—During the flatulent distension of the abdomen, violeut stitches in the left groin, which was also sensitive externally/.—Flatulent distension and tension of the whole abdomen, as though it would burst, with movements in it, and emis- sion of flatus, during the menses/.—Flatulent distension of the abdomen after eating, soon disappearing (third day)/.—Flatulent distension and emission of offensive flatus, also a thin stool/.—[220.] Moving of flatus in the abdomen, that could find no escape, in the afternoon (fitth day)/.— Profuse emission of odorless flatus, the whole afternoon (sixth day)/.— Emission of much offensive flatus all day (third and fourth days)/.—Sud- den griping in the right groin a few times, on stretching out the body, causiug her to start, and taking away her breath, at 4 p.m. (first day)/.— Burning stitches in the skin above the right inguinal region at intervals (twelfth day)/.—Cutting pain deep in the lower abdomen, during w'hich the menses flowed more profusely; worse while sitting, relieved by motion ; lasting six hours (after four days)/. Rectum and Anns.—Extremely violent indescribable pains, ex- tending from the rectum to the pudenda, during a hard stool, in the evening (tenth day)/.—Violent pressure and straining during a stool that was not at all hard (twenty-fifth day)/.—Renewed ineffectual desire after a stool/.— Constant feeling as though she should go to stool, but the desire was always ineffectual (first day)/.—[230,] Normal stool with painful sticking in the rectum (after ten days)/.—Itching in the anus after a stool (teuth day)/. Stool.—Diarrhoea with tenesmus after taking milk (twenty-third day)/. —Diarrhoea of thin faeces five times without pain, followed by burning in the anus/.—Diarrhoea, with tenesmus and excessive burning, during and for sometime after a stool, as if grains of barley were sticking in the anus/. —A sudden very violent cutting pain in the abdomen, immediately fol- lowed by a soft stool, with burning in the anus, four times at intervals of half an hour, in the morning (third day)/.—Stool soft, though accompanied by violent pains in both flanks, groins, and small of the back, together with an indescribable pain consisting of sticking and pinching (fourth day)/.— Stool soft but evacuated only with effort (fifth day)/.—Stool that had pre- viously been hard became soft (after a few days)/.—The first portion of the stool is hard, the last soft, with great pressure (fourth day)/.—[240.] Constipation (first, second, third, and thirteenth days)/.—Stool very hard (first day)/.—Stool very hard, only evacuated with great exertion; only two small pieces were passed (thirteenth day)/.—Stool very hard aud de- 640 NICCOLUM. layed (first day); thin (second morning)/.—Hard stool, delayed, in the evening/.—The stool seems too hard aud retarded (primary action)/.— Stool hard, with white and yellow mucus and burning in the anus (seventh day)/. Urinary Organs.—Increased micturition, in the morning (fifth day)/.— Urine passed frequently and profusely though she drank but little/.—Urine passed frequently and profusely with burning duriug mic- turition, in the afternoon (ninth day)/.—[250.] He was obliged to rise at night to urinate and passed much (fourth and ninth nights)/.—She passed urine frequently and profusely, even at night (fourth day)/.—Urine infre- quent and scanty, with burning at the orifice of the urethra (sixth day)/. —Micturition very infrequent and scanty, without pain (twelfth day)/.— Increased discharge of urine; much was passed during the afternoon, with burning in the tip of the urethra during micturition (first day)/.—More urine than usual (ninth and tenth days)/. Sexual Organs.—3lale. Itching in a small spot on the scrotum for half an hour, not relieved by scratching (fifth day)/.—Erections after dinner (third day)/.—Erections in the forenoon (first day)/.—Erections (first aud sixth nights)/.—Female. [260.] Itching on the pudenda, relieved after rubbing (ninth day)/.—Menses three days too early/.— Menses five days too early, with paiu in the abdomen and small of the back/.—Menstruation that had already stopped for one day reappeared profusely, again disappeared the following day ; after a new dose it again reappeared/.—Menstruation generally too scanty and too short/.—Menses nine days too late/.—Leucorrhoea (sixteenth day)/.—Profuse leucorrhoea (second and third days)/.—Very watery leucorrhoea, especially after urin- ating (sixth day)/. Respiratory Organs.—Larynx. Hoarseness, in the evening of sixteenth day and morning of seventeenth day/.—[270.] Hoarseness, so that he could scarcely talk (first day)/.— Cough. Cough dry, but infre- quent, day and night, caused by tickling in the trachea (third and fourth days)/.—Violent cough at night, so that he was obliged to sit up and hold the head (fourth day),1.—Cough from time to time, even at night (after thirteen days)/.—Some paroxysms of cough, from time to time, though without expectoration, for several days/.—Some violent paroxysms of cough with some expectorations of mucus (fifth day)/.—Respiration. Very short breath, when at work while sitting ; it disappears on walking (fourth day)/. Chest.—Pressure upon the chest, with rather heavy respiration, and frequent hacking cough all day (twenty-sixth day)/.—Pressure in the chest, from 2 p.m. till evening, aud a feeling of internal soreness/.—Fre- quent distressing though very transient heaviness in the chest, in the after- noon/.—[280.] Painfulness within the chest, in the afternoon (sixth day)/. —The chest seems cut to pieces and sore, in the afternoon ; recurring for two evenings ; following this pain, itching iu the same place, that only disappears after violent scratching (after eleven days)/.—Pain in the chest as if sore, without cough, and without effect upon the respiration, in the after- noon (ninth day)/.—Sore pain in the chest/.—Violent stitches in the chest, especially on becoming erect (first and second days)/.—Sharp stitches in the sternum, in the afternoon while sitting, lasting till evening (eleventh day)/.—Many burning needle-like stitches in the middle of the sternum (third day)/.—Sharp stitches with tension in the right side of the chest, in the afternoon (second day)/.—Some sharp stitches in the right side of NICCOLUM. 641 the chest on raising the arm (twenty-fourth day)/.—Some violent stitches externally on the right lower ribs (after two hours)/.—[290.] Twitching in the right lower costal region on raising the arm, in the evening (third day)/.—Stitches below the right axilla, while laughing (fifteenth day)/.— Small intermitting stitches, as with an awl, in the right side of the chest (fourteenth day),1.—A very violent stitch beneath the right breast (tenth day)/.—Stitches in a spot as broad as the hand, in the left side of the chest, especially violent after rising from stooping, in the afternoon (second day)/.—Burning in the left side of the chest, posteriorly on raising the arm (the thirteenth day)/.—Burning in the left side of the chest, on the ribs, at 1 p.m. (third day)/.—Fine stitches extending into the left breast (twelfth day)/.—Violent stitch, extending deep inward beneath the left breast, taking away her breath (tenth day)/.—Violent stitches in the left side of the chest causing to start, with burning on raising the arm (first day)/.—[300.] Violent sticking in the left side of the chest while laugh- ing ; she could not laugh on account of the pain (after twenty-four days)/. —Violent stitches in the left chest while walking, aggravated by inspira- tiou, in the afternoon (twenty-fourth day)/.—Fine sticking in the left side of the chest externally, as if in the flesh (third day)/. Neck and Back.—Pain as from a sprain, in the nape of the neck ; on becoming erect after stooping, with cracking, lasting two days (after seventeen days),1.—Fine stitches and a feeling of tension in the nape of the neck, on motion (second day)/.—Sharp stitches in the back, extending to the pit of the stomach, at 4.30 p.m., while sitting (first day)/.—Tension in the back, and pinching in the navel, before dinner (sixth day)/.— Twitching on the left scapula, frequently repeated, in the evening (third day)/.—Tearing pain in the whole left scapula, so violeut that it seemed as though it would be torn from the body, waking her from sleep; even in the morning the part was painful to touch; pain relieved by lying on it (after five days)/.—Sharp stitches beneath both shoulders, during rest and motion, in the afternoon (second day)/. — [310.] Stitches between the shoulders while standing, disappearing on motion/.—Violent stitches on the next to the last left rib, near the spine, frequently, more violent at intervals, but never entirely disappearing, worse while sitting, so that it frequently took away her breath, after dinner, lastiug till evening (first day)/.—Pain in the small of the back, during rest and motion, at night, and in the morning (sixth day)/.—Some painful stitches in the small of the back, in the afternoon (third day)/.—Painful gnawing in the small of the back, during rest and motion (first day)/.—Pinching in both lumbar regions, followed by some emission of flatus with relief/. Extremities in General.—A sensation in the whole left arm and leg as if they would fall asleep, in the afternoon while sitting (third day)/. —Heaviness of the hands and feet as if weary, relieved by motion (fourth dav)1. 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S , A' ^ '\ Xr J 'A-- \ >__Ax,___i2iV___2__Jjz— s X~'~ x Pi8 NATIONAL LIBRARY OF MEDII !8f.. mm" Pjtfv Wl XXX ■ -■' *. ■ xXxyX ■■'■" -I'- X ^XtX'>Wi .-■'•: i;. >r:: i: ^*r i;-a-.; i^itf^;- h^^-'.' ri^.f^ Ash;f.sd . ;..: ,.-y■ ;\^r^[^m^%%.imm^vm mmmmmmm ■V&*>^:ix8 .•■'•^■VVw >*<".; Owv Ay-'^,* NLM DD13T7Gb 3 NLM001397063