COCCULUS

(Menispermum cocculus.)

(From vol. I, 3^rd edit., 1830.)

(The tincture prepared by macerating the powdered seeds at a moderate temperature in twenty parts of spirits of wine.)

This vegetable substance, hitherto only used for the purpose of destroying some noxious vermin and for stupefying fish so that they may be taken by the hand, was (like staphisagria) first employed by myself as a medicine after I had ascertained its dynamic effects on the healthy human body. It possesses many curative virtues, as the following symptoms produced by it show, and the tincture prescribed according to the similarity of effect in high attenuation and potency is indispensible for the cure in many cases of common human diseases, more especially in some kinds of lingering nervous fevers, in several so-called spasms in the abdomen, and so-called spasmodic pains of other parts, where the mental state is one of extreme sadness, particularly in the female sex, in not a few attacks of paralysis of the limbs, and in the emotional derangements resembling those that cocculus can itself produce.

Camphor is its principal antidote.

The duration of its action depends on the nature of the disease in which it is used; it quickly passes in acute, but lasts many days in chronic diseases.

[ HAHNEMANN was helped in this proving by BAEHR, FLAMING, GROSS, HAYNEL, HORNBURG, LANGHAMMER, TRINKS and HARTLAUB (from their R.A.M.L.), WAHLE.

The old-school authorities quoted are:

AMATUS LUSITANUS, Cent. iv.

JOHN HILL, Hist. of the Mat. Med.

RUMPF, Ambcin., v.

In the Fragmenta there are 162 symptoms of cocculus, in the 1^st edit. Of the R.A.M.L.

230, in the 2^nd edit. 554, and in this last edition 557.]

COCCULUS

Vertigo as of intoxication and stupid feeling in the forehead, as if he had a board before the head. [Gss.]

Attack of vertigo as from intoxication (when sitting) (aft. 1.3/4 h.). [Lr.]

Tendency to vertigo (the 8^th d.). [Hnl.]

Vertigo for six hours.

5. When he rises up in bed, there occur whirling vertigo and sickness, which compel him to lie down again.

A sick headache, just as if he had taken an emetic, with nausea.

Stupid in the head.

Stupidity in the head with cold sweat on the forehead and hands and aversion from food and drink.

Distraction (want of memory); he easily forgets something he had just thought of. (This S. occurs almost identically in Hb. And Ts. ‘R.A.M.L.’ [Gss.]

10. Stupidity and confusion of the head, increased by reading, so that he must read a passage several times over in order to understand it. [Hnl.]

Heaviness in the head. [Hnl.]

Feeling as if something heavy lay on the head, but without pain. [We.]

Thinking tries his head much. [Hnl.]

In the morning confusion of the head; there is a humming in it, as after a debauch the previous night.

15. Heaviness and confusion of the head, as after a debauch the day before.

Cloudiness of the head, chiefly aggravated by eating and drinking.

Pain in the head as if it were bound up.

Headache as if the brain were constricted.

Headache in the temples, as if the head were screwed in.

20. (Painful shock in the brain when walking, moving the head and speaking.)

A headache compounded of constriction, burning, tearing, digging and boring.

A violent aching through the whole head, chiefly in the forehead (in the forenoon), which increases to unconsciousness by reading and thinking (aft. 60 h.).

Aching headache in the sinciput. [We.]

Aching headache in the vertex (aft. 10 h.). [Hbg.]

25. Dull compression in the right half of the forehead. [Gss.]

Pressive pain in the head, as if the brain were compressed (aft. 5 h.). [Lr.]

In the right temple a pressing inwards as from a blunt body slowly pressed deep into the brain. [Gss.]

In the left temple, a pressing inwards. [Gss.]

Violent pressing downwards in the whole head, especially in the forehead, increased by walking (aft. 6.1/2 h.). [Lr.]

30. In the left half of the forehead, a dull undulating compression. [Gss.]

Tearing throbbing headache in the forehead in the evening (from 7 to 9 o’clock) (aft. 38 h.)

Frequent attacks of headache lasting some minutes on a small spot in the left frontal protuberance, at first if raging, throbbing shooting pain, which then spreads to the right frontal protuberance as a formication and there goes off.

A fine shooting in the temples.

A severe stitch in the head above the right eye (aft. 12 h.).

35. Several stitches in the right side of the brain. (aft. 24 h.). [Hnl.]

Intermitting boring needle-pricks in the right frontal region.[Lr.]

Fine needle-pricks in the left temple (aft. 6 h.). [Lr.]

Headache as if the eyes would be torn out.

Cramp-like pain in the left temporal muscle (aft. 1.1/2 h.). [Lr.]

40. Headache as if something closed the eyes forcibly.

Convulsive trembling of the head.

Shuddering on the left side of the occiput as if the hair would stand in end. (This S. is also in Hb. And Ts. ‘R.A.M.L.’ [Gss.]

On the outer border of the orbit obtuse pressure (immediately). [Gss.]

Aching in both eyes, as if dust had got into them (aft. 7 h.). [Lr.]

45. Aching pain in the eyes with inability to open the eyelids, at night.

Bruised pain in the eyes with inability to open the eyelids, at night (aft. 5 h.).

Stitches in the eyes from within outwards (aft. 24 h.).

(After severe nocturnal headache, in the morning swelling of one eye and of half of the nose.)

Dryness of the eyelids.

50. Dimness of sight.

Flies and dark spots float before the eyes, as if amaurosis were coming on .

She sees a black figure before the eyes that receded from her; when she turns it turns along with her, and yet she saw everything clearly.

Contracted pupils (aft. 5 h.). [Lr.]

Blue rings round the eyes. [Bhr.]

55. A kind of pressive sensation, more stupefying than painful, in the left zygomatic process. [Gss.]

Cramp in the zygomatic process, in the masseter muscles (aft. 2 h.).

Cramp-like pain in the masseter muscles per se, but increased by opening the jaws (aft. 3 h.).

(Heat in the right ear externally and internally, in the morning in bed).

A sensation alternately in either ear, as if they were stopped up and deaf.

60. Rushing sound in the ear, as when hearing through a tube. [Hbg.]

Noise in the ears like the rushing of water, with hardness of hearing. (aft. 1 h.).

It seems to him as if he were hard of hearing in the right ear.

Swelling of the right half of the nose.

Stitches externally in the skin and muscles of the cheek.

65. Flying heat of the cheeks, without thirst (aft. 27 h.). [Lr.]

Redness of the cheeks and heat in the face, without thirst, in a cold room. [Hbg.]

A pustule under the right outer angle of the mouth, with a red areola, with tensive pain on touching it (aft. 24 h.). [Lr.]

Swelling of the parotid gland.

Fine stitches in the external parts of the throat. (aft. 1 h.).

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

Painless glandular swellings under the chin (aft. 8 h.). [Lr.]

Paralytic drawing on the side of the neck and other parts, sometimes almost like intermittent paralytic pressure. [Gss.]

When moving the neck and yawning stiff pain in the cervical muscles. [Gss.]

Fine stitch externally on the right side of the neck. [Hnl.]

75. Pulsating stitches externally on the left side of the neck. [Hnl.]

Weakness of the cervical muscles with heaviness of the head for several days; the cervical muscles seemed unable to support the head; he must lean his head in one direction to another, otherwise the cervical muscles were painful; what gave him most ease was leaning backwards. [Hnl.]

Tearing digging pain in the lower jaw.

Smarting sensation in the upper and lower molars, as after taking a quantity of sea-salt; biting the teeth together causes an agreeable sensation. [We.]

The incisors are as if lifted out and seem to her to be so heavy they must fall out. [Bhr.]

80. The decayed tooth seems to have become longer; it is loose; the gum around it is swollen (aft. 12 h.).

The hollow tooth is painful only when eating even soft food, as if it were quite loose, and yet not on merely closing the teeth wnot eating.

(The gums are sensitive and as if sore.)

(When speaking she has a sort of contraction in the mouth and must speak more slowly.)

In the morning, rough tongue.

85. Dryness in the mouth, at night, without thirst. (This S., without “at night,” is also in Hb. And Ts. ‘R.A.M.L.’)

Dryness of the tongue, with whitish-yellow fur, without thirst (aft. ¼ h.). [We.]

Dry feeling in the mouth with frothy saliva and violent thirst. [Bhr.]

Water runs into his mouth without sickness (aft. 1.1/2 h.). [Hnl.]

Sensation as if water collected in the mouth for a long time, without sickness. [Hnl.]

90. If he puts out his tongue far, he feels pain at the back of it as if bruised. [Gss.]

Dryness and roughness in the fauces and oesophagus; especially observed when swallowing, without thirst.(aft. 2 h.). [Lr.]

In the throat scraping, scratching, which goes off on swallowing. [Ts. Hb.]

Great sensitiveness in the interior of the throat; all the food seems sharp and stinging, as if it contained too much salt and pepper. [Bhr.]

Dryness at the back and upper part of the throat, as if it and the tongue were rough.

95. Dryness in the oesophagus.

Dryness in the throat, with hot sensation in the oesophagus and stomach (aft. 2 h.).

Burning in the palate.

Burning like fire in the oesophagus up to the palate, in the evening, and at the same time shuddering round about the head.

Pain at top of the oesophagus with sensation of swelling at the root of the tongue, which is painful on swallowing.

100. Aching pain in the tonsils, much worse on swallowing the saliva than on swallowing food.

A kind of choking constriction in the top of the oesophagus, which impedes respiration and at the same time excites coughing (aft. 1 h.).

A kind of paralysis of the gullet; the oesophagus is unable to swallow.

Taste in the mouth as if he had fasted a long time.

Metallic taste posteriorly on the root of the tongue.

105. Coppery taste in the mouth.

Metallic taste in the mouth, with loss of appetite. [Gss.]

After eating sourish taste in the mouth. [Gss.]

When coughing he has a sour taste in the mouth. [Bhr.]

Tobacco tastes bitter when smoking. [Hbg.]

110. Slimy tastes in the mouth; the food however has the right taste. [We.]

The food has not its right taste, as if tasteless and unsalted. [Bhr.]

Sensation in the mouth as if he smelt badly from his mouth (aft. 6 h.).

A bitter taste comes on the root of the tongue.

Frequent empty eructation (aft. 3.1/2 h.). [Lr.]

115. Bitter eructation (aft. ¼ h.). [Hnl.]

Very bitter eructation (immediately). [Hnl.]

Acrid, scraping eructation, especially in the evening. [Ts. Hb.]

Empty eructation, which leaves a bitter taste in the mouth and throat (aft. 24 h.).

Eructation, which leaves a bitter taste in the mouth and throat. (aft. 24 h.).

Eructation with taste of food.(aft. 18 h.).

120. In the forenoon he has putrid eructation.

Eructation of musty, foul air (aft. 8 h.).

Attempts to eructate, which cause pain in the stomach (aft. ½ h.).

At every eructation a pain in the scrobiculus cordis, as if he had got a blow or knock there.

When eructating a pain in the scrobiculus cordis, almost like a stitch. [Fz.]

125. When she eructates, she has a pressure on the chest.

First attempts to eructate, and imperfect, baulked eructation, causing hiccup, that lasts for an hour (aft. 3 h.).

Hiccup (aft. 10 m.). [Hbg.]

Hiccup (immediately) [AMATUS LUSITANUS, (Poisoning of a m n by four grains.) Cent. iv, Curat. 79.]

Inclination to hiccup.

130. Hiccup (aft. 1/8 h.).

No appetite for breakfast; he feels quite full.

Extreme loathing at food, the very smell of food irritates him, and yet he is hungry. [Bhr.]

Feeling of hunger in the scrobiculus cordis, little relieved by eating, almost all day. [Hnl.]

Great thirst at all times of the day, but especially when eating. [Bhr.]

135. Aversion from food and drink.

Want of appetite, and what he eats has no taste.

When smoking the tobacco tastes bitter (aft. 2 h.).

He is very sensitive to sour things; he has an aversion for sour things; bread tastes sour (aft. 3 h.).

In the stomach a feeling as if a worm moved therein. [Bhr.]

140. Nausea as from over-eating. [Hbg.]

Nausea while smoking tobacco (to which he os accustomed), going the length of vomiting (aft. 4 h.). [Lr.]

Nausea (immediately) [AMATUS LUSITANUS, l. c. – JOHN HILL, (General accounts of effects of C.) Hist. of the MAT. Med., p. 504.]

Excitation to vomit. [Hbg.]

When she eats, she becomes sick and inclined to vomit.

145. After each time she drinks, in the afternoon, nausea, that seems to be chiefly in the mouth.

Frequent inclination to vomit (aft. several h.).

When driving in a carriage unusual nausea and inclination to vomit (aft. 48 h.).

In the morning she cannot raise herself up in bed on account of feeling poorly and inclined to vomit (aft. 48 h.).

When he becomes cold, or catches cold, there occurs an inclination to vomit, causing a copious flow of saliva.

150. Inclination to vomit in connexion with headache, and a pain as if bruised in the bowels (aft. ½ h.).

(Vomiting about midnight with attacks of suffocation, he vomits food and mucus, during which he has a bitter and sour taste in the throat.)

Sensation in the stomach as if he had eaten nothing for a long time and his hunger had gone off.

Immediately after eating pain under the stomach.

Gurgling under (in) the scrobiculus cordis. [Gss.]

155. Pecking and gnawing under the scrobiculus cordis. [Gss.]

After eating, aching in the stomach. [Hbg.]

Aching in the scrobiculus cordis. [Hbg.]

Aching pain in the stomach, scrobiculus cordis, and hypochondria some hours after a meal or at night in bed.

A pressure in the scrobiculus cordis, that takes away the breath (aft. 1 h.).

160. Squeezing and tension in the scrobiculus cordis when walking.

Violent spasm in the stomach, clutching in the stomach.

Spasm in the stomach, squeezing in the stomach.

Constrictive pain in the stomach, that prevents him sleeping.

A pinching together in the epigastrium, that takes away the breath.

165. Squeezing, constrictive pain in the epigastrium after a meal, which extends to the left side of the abdomen and the chest (aft. 100 h.).

Aching in the epigastrium.

Under the last true rib of the right side an extremely violent aching pain, increased by bending the body forwards, by coughing and on inspiration, but not by external touch.

(Pain in the hypochondria as if bruised (aft. 12 h.).

Continued fine stitch in the skin of the left gastric region, that went off on rubbing. [Hnl.]

170. On the left, near the navel, intermittent obtuse stitches. [Gss.]

On the right, above the navel, fine nipping. [Gss.]

Pinching pain in the abdominal muscles of the left side. [We.]

She feels empty and hollow in the abdomen, as if she had no intestines. [Bhr.]

Squeezing in the abdomen (aft. ¾ h.). [Hbg.]

175. Audible rumbling in the abdomen. [Hnl.]

Drawing pain in the bowels.

Drawing pain in the abdomen after dinner while walking, with feeling of cold and vertigo (8^th d.). [Hnl.]

Cutting in the hypogastrium up to the epigstrium, alleviated by standing. (In the original “stechen,” evidently a misprint of stehen.”) [Hnl.]

180. Continued stitch in the right side of the abdomen. [Hnl.]

In the left side of the abdomen, several needle-pricks. [We.]

Stitches in several parts of the abdomen, only when stooping (aft. 15 h.). [Hnl.]

Tearing in the bowels.

Burning in the abdomen.

185. Great distension of the abdomen.

Soon after supper, flatulent sufferings; the flatus distends sometimes one, sometimes another part of the bowels, and is expelled with difficulty (aft. 5 h.).

Flatulent colic about midnight; he awakes and flatus is incessantly generated, which which distends the abdomen, causing aching pain here and there and passing off singly without much relief, whilst new flatus continues to form again for several hours; he must turn in bed from side to side in order to obtain ease (aft. 20 h.).

In the lumbar and renal regions, in the morning in bed, whilst lying, a sharp hard pressure, that goes off after getting up.

The flatulence presses upwards.

1. A constrictive pain in the abdomen with pressing towards the genital organs (female), and at the sane time a qualmishness in the scrobiculus cordis with tendency to water-brash.

Nausea (without inclination to vomit) spreading up from the right side of the abdomen towards the navel (immediately). [Gss.]

Constipation for several days.

A hard stool only every day, that comes away with great effort, causing faintness.

195. The occur tendency to and premonitory signs of inguinal hernia (aft. 8 h.).

Dilatation of he left inguinal ring and tendency to the protrusion of inguinal hernia, with sore-pain (aft. 14 h.). Continued stitch in the right inguinal region. [Hnl.]

Painful tendency to inguinal hernia, especially on rising up from a seat. [Gss.]

In the right inguinal ring paralytic pain, as if something would be forced out there, a rupture-pain only whilst sitting, going off by rising up. [Gss.]

200. Forcing pain in the flanks, as if the catamenia were coming on. [Ts. Hb.]

In the flanks internally all is full and swollen as if stuffed full; only in both sides, not in front; especially when stepping forwards, when it feels as if the swelling was pushed along and as if everything came asunder (aft. some h.). [Ts. Hb]

Soft stool, diarrhoea (aft. ½ h.).

Frequent small evacuations by stool (aft. several h.).

(Every day several bright coloured, pale motions.)

205. (Slimy stools.)

Discharge of hot flatus before the faeculent diarrhoea. [Gss.]

Urging to stool, thin faeculent diarrhoea of a foetid odour. [Gss.]

Soft, thin motion (aft. 1 h.). [Hbg.]

Urging to pass a motion and break wind at the same time, and with the latter rapidly occurs in short fits diarrhoeic faecal evacuations in small quantities. [Gss.]

210. Ineffectual urging to stool with constipation for three days; the fourth day hard stool passed with effort. [Hnl.]

Excitation to stool in the rectum; but the peristaltic movement is deficient in the upper intestines; hence the stool is delayed for 36 hours (aft. ½ h.). [We.]

Creeping and itching in the rectum, as from ascarides.

Contractive pain in the anus, that prevents him sitting, in the afternoon (aft. 20 h.).

Burning itching in the anus.

215. (Retention of the urine for 10 minutes.)

Watery urine (aft. 2.1/3 h.).

(He passes at very short intervals a great quantity of watery urine and the urging is constantly renewed, on account of fulness of the bladder.) [Gss.]

Frequent urging to urinate, every quarter of an hour, with discharge of very little urine, for 30 hours (aft. 4 h.). [Lr.]

During the urging to pass water, pain in the urethra. [Hbg.]

220. Pricking itching in the forepart of the urethra (aft. 13 h.0. [We.]

Tensive aching pain in the urethral orifice when not urinating (aft. 1 h.).

Shooting pain in the urethra (aft. 12 h.).

Shooting pain at the end of the prepuce.

Itching on the scrotum.

225. Itching in the scrotum.

Itching burning in the scrotum. [Hnl.]

Violent pains in both testicles as if bruised, especially when touched (8^th d.). [Hnl.]

Shooting pain in one of the testicles.

Drawing pains in the testicles.

230. Catamenia seven days too soon, with distension of the abdomen, and cutting contractive pain in the abdomen at every movement and every breath; at the same time a contraction in the rectum (aft. 48 h.).

Catamenia eight days too soon with distension of the abdomen and a pain in the epigastrium, not only at every movement – every step gives pain – but also while sitting, as if the internal pats suffered a sharp pressure from a stone; the parts are painful on external pressure as if there was an ulcer internally.

(Metrorrhagia.)

Leucorrhoea.

The catamenia, which had ceased for a year, come on immediately in 2 cases. [Ts. Hb.]

235. Excitation of the genitals and inclination for coitus.

Increased sensitiveness of the genital organs. [Hnl.]

Nocturnal emission of semen (aft. 6 h.).

In the night relaxed genital organs and prepuce retracted behind the glans (aft. 12 h.).

Sneezing. [Gss.-We.]

240. Sneezing.

When walking in the open air, he cannot sneeze.

(She blows bloody mucus from the nose.)

Pain in the anterior angle of the nostril at the point of the nose, especially on touching it.

Severe coryza all day. [Lr.]

245. In the left nostril pain as from an ulcer, when not touched.

Violent coryza for four days.

Viscid mucus adheres to the larynx and compels him to cough and hawk.

Irritation to cough in the upper part of the larynx.

Cough that strains him much on account of an oppression of the chest, that comes on every time when he begins to cough (in 48 h.) [Fg.]

250. In the evening in bed irritation to cough in the back of the larynx; the cough always consists of two impulses.

In a quartan type, every four night, about 12 o’clock, also at coughing it feels as if the glottis were not wide enough.

A suffocating sensation, as if something were there that takes away the breath; the glottis is constricted. [Ts.Hb.]

Audible rattling as if in the left side of the chest, as from an emptiness there, especially perceptible on walking (aft. 3 h.). [Lr.]

255. She has no breath, must always breathe short, gasp. [Ts. Hb.]

Tightness of the chest and difficult respiration. [Hbg.]

Tensive constriction of the right side of the chest, which oppresses the breathing (aft. ½ h.).

Oppression of the chest especially in the upper part of the sternum, which impedes respiration (aft. 4 h.).

A whistling, snoring breathing, oppressed almost to suffocation, especially the inspiration; very slow breathing alternates with complete cessation of respiration, and the face is swollen as in apoplexy.

260. (Rawness and sore feeling in the chest.)

Aching pain in the middle of the sternum with anxiety, afterwards shooting pain in the sternum (aft. 3 h.).

In the middle of the sternum a pain as if a blunt instrument were pressed on it. [Gss.]

In the sternum a sudden pressure, as if from a push with the fist. [Hbg.]

On bending the body towards the right side, when sitting and standing, a dull drawing pain in the right side of the chest as long as the bending is continued. [Hnl.]

265. Reading aloud fatigues his chest to such a degree that he cannot continue reading without great effort. [Hnl.]

265. Reading aloud fatigues his chest to such a degree that he cannot continue reading without great effort. [Hnl.]

Stitches in the interior of the chest synchronous with the pulse, when sitting, lasting continuously for a quarter of an hour. [Bhr.]

When walking, an extraordinary violent stitch through the left side of the chest as far as the back. [Hnl.]

Anteriorly on the right false ribs intermittent blunt stitches. [Gss.]

Fine shooting pain in the right side of the chest (aft. 2 h.). [Hbg.]

Stitches in the right side (aft. 3 h.).

Stitches in the left side (aft. 3 h.0.

Fine stitches in both nipples (aft. ½ h.).

275. Shudder over the breasts (aft. 1/8 h.).

Some stitches in the left side of the chest, near the scrobiculus cordis, in the evening (aft. 24 h.).

In the articulations of the thorax, and in all the vertebrae, a penetrating pain, as if they were dislocated or spasmodically contracted, particularly when moving (aft. 20 h.).

A paralytic pain in the sacrum like weak back.

A paralytic pain in the sacrum with spasmodic drawing over the hips, which hindered him greatly when walking, with anxious timid disposition.

280. In the lumbar region, paralytic aching pain. [Gss.]

Bruised pain in the bones of the sacrum, not increased by touching.

Through the abdomen out to the lower part of the back, several stitches in the morning on bed.

Trembling in the back.

An itching in the back, in the evening after undressing, with an eruption of red pimples.

285. in the side through to the back a drawing pain when talking, walking, and stooping; when lying the drawing becomes worse for a few minutes; then goes off completely.

Aching pains in the back, especially on his left side (when sitting) (aft. 5 h.). [Lr.]

Drawing pains in the back.

Tearing pains in the back.

Boring pains in the back.

290. Pain in the back when standing, as if over-tired or sprained (aft. 12 h.0.

Paiin the spine as if it were broken.

Tearing pain betwixt the shoulders and spine, in the evening before going to bed. (aft. 26 h.0.

Immediately beneath the left scapula, drawing pains when standing and lying, worst in the morning(aft. 6 h.). [Fg.]

Under the left scapula intemittent aching paralytic pain, when at rest. [Gss.]

295. When he moves the shoulders, his back feels stiff and painful. [Gss.]

Shooting pain in the nape on moving the head backwards and forwards. [Hnl.]

Stitches in the scapulae from right to left.

Pressure in the scapulae from right to left.

Pressure in the scapulae and nape.

Painful cracking of the cervical vertebrae when moving the head.

300. After a meal, on raising the arm, a very severe drawing pain in the shoulder-joint and the shafts of the bones of the arm; on touching the parts they pain as if bruised and crushed.

In the shoulder-joint and in the muscles of the upper arm single stitches when at rest (aft. 1 h.).

Itching pricking in the left axilla, as from a flea. [Hnl.]

Under the shoulder a pimple which itches under the bed-clothes. [Hbg.]

Under the right shoulder, a sort of living crawling and throbbing, and a burning which extends to the fingers (aft. 1 h.).

305. In the shoulder and elbow-joints; as also in the shaft of the humerous between them, a pain compounded of crushing, tearing, and shooting, which is intolerable when at rest, with a sensation of heaviness; he dreads moving the arm and yet at rest, with a sensation of heaviness; he dreads moving the arm and yet the pain is alleviated by moving (aft. 5 h.).

Paroxysms of burning pain in the left arm.

Conclusions of the arms with the thumb turned into the fist.

During and after a meal, suffering in the arms as if asleep and paralysed (aft. 4 h.). [Hbg.]

During violent movement of the arms an acute paralytic pain, as if its bones were broken in two. [Gss.]

When he raises the upper arm it pains as if it was broken. [Gss.]

The shaft of humeri, just above the elbows, are as if bruised and have paralytic pains when moved. [Gss.]

The arm on which he lies in bed pains as if bruised. [Gss.]

315. In the shaft of the left humerus, a digging (undulatory drawing) bruised pain. [Gss.]

Drawing in the humerous with bruised pain . [Gss.]

Twitching in the muscles of the left upper arm. [Hnl.]

Pulse-like visible twitching in the muscles of the left upper arm, and immediately afterwards above the elbow of the right arm. [Hnl.]

Stitches in the right upper arm. [Hbg.]

320. On the outer side of the left upper arm below the head of the humerus, intermitting, obtusestitches (like blows). [Gss.]

While eating the right arm gives him great pain, it is very heavy and tired, when he tries to raise it up high.

Sudden; paralytic pain in the bend of the right elbow. [Gss.]

Continued shooting in the left elbow (4^th d.). [Hnl.]

Shooting pan in the outer side of the left forearm down to the little finger. [We.]

325. Pressive pain on the right forearm.[We.]

In the anterior muscles of the forarm, intermitting, very acute, almost tearing, paralytic aching, especially when at rest.

In the radius of the forearm, a pain as from dislocation, when moved or touched.

The forearm gone asleep, with a sensation in the hand, as if it were swollen, and a constrictive pain in the muscles; the fingers are cold, with an internal sensation of icy coldness (aft. 3 h.).

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

330. Sweaty hands (immediately).

Sometimes one hand, sometimes the other, is as if insensible and asleep.

Sometimes one hand, sometimes the other, is alternately hot and cold (aft. ¼ h.).

On the border of the hand where the little finger ends, a blister, which comes on in the night, and the following day bursts (aft. 5 d.).

Her hand trembles while eating, and all the more the higher she raises it. [Bhr.]

335. Spasmodic pain on the outer side of the right hand and the fourth fingers, with some heat of the hand. [We.]

Cramp-like contraction of the finger. [Gss.]

Cramp-like pain in the right little finger when writing. [Lr.]

Cramp-like shooting pain from behind forwards in the right index. [We.]

Painful paralytic twitching through the fingers (6^th d.). [Gss.]

340. Tearing, boring, drawing pain in the fingers.

A deep, penetrating, tickling itching on the ball of the thumb, not alleviated by scratching and rubbing (aft. 16 h.).

In the right nates a nipping when sitting; it afterwards changes into obtuse blows. [Gss.]

Shooting pain in the left hip-joint, when walking (5^th d.). [Hnl.]

On turning the thigh, a cracking and painful sensation in the left hip-joint, especially observed when walking (aft. 24 h.0. [Hnl.]

345. Repeated stitches on the outside of the left hip-joint.[Hnl.]

Twitching in the muscles around the right hip-joint. [Hnl.]

In the left hip-bone, intermitting aching, paralytic pain. [Gss.]

In the middle of the left thigh, intermitting aching bruised pain. [Gss.]

Shooting pain in the bone of the whole right thigh, only when walking. [Hnl.]

350. When sitting violent pulsating stitches on the outer side of the left thigh, that caused involuntary movements. [Hnl.]

Paralytic numb feeling traverses in paroxysms the left leg from the middle of the thigh downwards.

Numb feeling from the thigh over the knee downwards. [Gss.]

Paralytic drawing in the thighs with weakness in the knees, as if they would bend under him. [Gss.]

Paralytic feeling in the left thigh, worst when at rest. [We.]

355. The thighs feel paralysed and bruised. [Gss.]

When he walks round in a circle towards the left, the inner side of the left thigh pains as if bruised. [Gss.]

When he lifts up the thighs they pain as if broken. [Gss.]

On commencing to walk after sitting, the thighs pain as if bruised. [Gss.]

When he raises the legs while sitting, the thighs are very acutely painful as if bruised. [Gss.]

360. Constrictive not painful sensation done the thigh, sometimes attended by a sensation as if it would become rigid; the constriction then extends downwards in the muscles of the leg below the hough. [Gss.]

Drawing pains in the feet.

Tearing pains in the feet.

Boring pains in the feet.

Paralytic insensibility of the lower extremities (aft. 24 h.).

365. A boil on the inner side of the thigh (aft. 12 h.).

(On kneeling down, a trembling in the thighs.)

Cracking of the knee when moving (immediately).

On rising up after sitting, an intolerable drawing pain in the knee.

Stitches in the knee.

370. In the patella, a drawing, tearing pain.

Violent stitch in the left knee-joint (aft. 27 h.). [Hnl.]

In the outer side of the left knee-joint, a continued stitch, while walking (6^th d.). [Hnl.]

At night when bending the knees, cramp in the calves.

Tensive pain in the calves while moving.

375. While sitting, violent stitches in the skin of the left knee, the calf and the ankle-joint, when walking; it went off when standing, but returned when walking. [Hnl.]

Great lassitude in the knees, as if after a long walk, frequently recurring (immediately). [We.]

Under the left knee, feeling as if he had tied his garter too tightly on the leg. [Gss.]

Constrictive sensation on the outer side of the left leg, more numb than painful. [Gss.]

380. On the outer side of the left leg downwards, a dull, undulating paralytic pain. [Gss.]

While walking after sitting, the left foot falls asleep, and he has pricks in it as with many pins. [Gss.]

While sitting both feet fall asleep. [Gss.]

Swelling of the feet in the evening.

Cold sweat on the feet.

385. Heat and swelling of the feet, with incessant eroding itching.

Itching in the ankle-joint.

Violent pain as if dislocated, in the ankle-joint , when moving.

Bruised pain on the dorsum of the foot, when bending the foot upwards, and when touching it (aft. 3 h.).

Tearing jerks and tearing in the hitherto painless corn, when at rest in the evening.

390. Pain in the proximal joint of the big toe, as if a chilblain were about to come there, and like a boil; painful also when touched.

Tearing pain in the big toe, even when at rest.

Drawing pain in the right toes (aft. 4 h.). [Hbg.]

Eroding pain in the toes (aft. 3h.).

Pain on the inner part of the heel, as if in the heel-bone, just as though it was bruised (aft. ½ h.).

395. The muscles of the limbs are painful when touched (aft. 24 h.).

Here and there burning obtuse stitches. [Gss.]

Here and there in the skin, burning itching pricks as if from fleas. [Hnl.]

When he touches with the fingers the affected part (that was previously swollen and inflamed) he has fine pricks in it, as if he pressed upon it with a pin’s point.

Itching on the skin of the body, especially in the evening, when undressing.

400. When undressing, violent smarting itching, as after profuse sweat, in the skin of the whole body, compelling him to scratch (aft. 16 h.). [Lr.]

Itching in the skin under the bed-clothes; after scratching it becomes more tickling. [Hbg.]

Itching and burning here and there in the skin, especially on the inner side of the thighs, as if from nettles; also eruption of pimples there, which have shooting pain when touched.

At night itching on various parts, after scratching these parts are painful.

At night an itching sometimes on the chest, from the scrobiculus cordis to the neck, sometimes on the tibia and under the shoulders; after scratching serum exudes from the parts (aft. 4 h.).

405. Single pimples which fill with pus and afterwards dry up and disappear, above the nose, on the temples, on the chest and between the scapulae.

Eruption of red miliary papules on the face, on the back and on the chest, which itch in the warmth (not when taking off the clothes).

Pimple-like, hard pustules, which contain no fluid, have a red areola, and all day itch with burning pain, on the limbs, wrist, and back of fingers.

Eruption of red miliary papules on the face, on the back and on the chest, which itch in the warmth (not when taking off the clothes).

Pimple-like, hard pustules, which contain no fluid, have a red areola, and all day itch with burning pain, on the limbs, wrist, and back of fingers.

Eruption of red, shapeless spots on the skin , as if coloured with red wine, over the whole of the chest, and on sides of the neck behind the ears, without heat or other sensation.

Excites tearing pain in indurated glandular swellings.

410. Excites shooting pains and heat, in cold glandular swellings, at least when they are touched.

All the symptoms and sufferings, especially in the head, are aggravated by drinking, eating, sleeping, and speaking.

The symptoms are exceptionally aggravated by smoking tobacco.

The symptoms are increased by coffee.

After drinking, flying heat in the face.

415.The symptoms, especially the headache, are much aggravated by cold air.

Haemorrhages. [RUMPF, Amboin., (General statement of effects of C. This symptom not found.) v, p. 35.]

He shuns the open air.

The open air feels too cold to him.

Intolerance of cold and warm air.

420. Intolerance of the open air, with heat and redness of the cheeks (aft. 4 h.).

Pain of the limbs when moving, as if they were crushed or broken.

Subsultus (palpitation) of single muscular parts, especially on the lower extremities, as after a long journey on foot. [Gss.]

Here and there in the limbs an acute paralytic drawing, continuous and in jerks, as if in the bone. [Gss.]

425. Internal pain of the limbs, increased by touching and external presture (aft. 24 h.).

Drawing pain in the limbs of the left side.

Drawing pain in the limbs and abdominal muscles, as after taking cold.

Cracking and creaking in the joints.

The joints crack when walking. [Hbg.]

430. Painful stiffness of all the joints, at one time in the hands and fingers, at another in the knees and ankle-joints, for two days (aft, 24 h.). [Fg.]

Painful stiffness of the joints (aft.1 and 8 h.)

Falling asleep of the feet and hands alternately, in short paroxysms.

Tendency to tremble (aft. 1 and 6 h.).

Trembling in all the limbs.

435. Want of vital spirits.

The limbs are as if paralysed.

Paralytic immobility of the limbs with drawing pains, apparently in the bones.

Attacks of paralytic weakness with backache.

Hemiplegia of the left side.

440. A kind of epilepsy; he comes into the room with a cheerful countenance and sits down, when he feels as if intoxicated; thereupon he becomes quiet and stares long at one point, not replying to questions; he then falls unconscious to the ground and curls himself up with unintelligible whinings: “Ah! Au! Au! Ah! Brr,” &c. The urine comes away involuntarily; the limbs and all the body are shaken by spasmodic starts, and the outstretched hands are bent convulsively inwards; at the same time he has choking of a jerking and spasmodic character in the throat, with mouth half open, as if he were about to vomit, with frothy foam at the mouth; the hands are cold, the face covered with cold sweat ands spasmodically contorted, the eyes glassy and protruded. He then stands up, but does not answer questions, but shows his teeth and bellows at those questions, but shows his teeth and bellows at those questioning him; will not allow himself to be touched, but endeavours to strike those about him and wrestle with them; the expression of the countenance is that of furious rage; at last he grunts and groans, until after a quarter of an hour he gradually recovers and regains consciousness. This is followed by disinclination for all food, even such as he formerly liked best (aft. ¼ h.). [Gss.]

The slightest movement causes loss of strength; the least thing fatigues him.

Very exhausted by a short walk.

She is so weak that she must sit down to an easy work she used to do standing. [Bhr.]

The knees are like to give under him from weariness; when walking he staggers and would fall to one side. [We.]

445. Painful paralytic feeling in the arms and legs; she can hardly rise from the seat; at the same time loss of appetite. [Gss.]

Exhaustion of the body, especially when sitting. [Hnl.]

Extraordinary weakness of the body when walking. [Hnl.]

Great exhaustion of the body, so that it was an exertion to him to stand steady. [Hnl.]

In the morning, about 9 o’clock, such heaviness in the limbs, and such great fatigue in the whole body, that she cannot ward off sleep – for several days at the same time. [Bhr.]

450. Syncope. (Not found.) [JOHN HILL, l. c.]

On moving the body, syncope, with spasmodic distortion of the facial muscles.

Extreme weakness.

Laziness with silence.

The slightest interruption to sleep causes loss of strength; he misses every hour of sleep.

455. Desire to lie down.

After lying down in bed, constant yawning and stretching of the limbs. [Hbg.]

Interrupted, short yawning, for which he cannot draw sufficient breath.

Much yawning towards evening.

Violent yawning.

460. Forcible yawning with a cracking in he internal ear.

Somnolence (sopor).

Unconquerable, waking sleepy stupefaction (coma vigil).

(Whilst sleeping he lies prone on the abdomen.)

When asleep he lays one arm under the head (aft. 4 h.).

465. Frequent waking out of sleep, as from fright. [Lr.]

He frequently wakes up at night with a sensation of being too warm.

At night sleepless, restlessness in the whole body; pricking and stinging here and there.

Many ideas about his daily business prevented him sleeping for an hour; he woke about 1 o’clock and could not go to sleep again. [Hnl.]

470. He wakes up at night with fear, as if he were afraid of ghosts.

Very vivid, fear-exciting dreams (aft. 2 h.).

Dreams of dying and of death.

Dream of having done something bad.

Vivid, unremembered dreams. [Lr.]

475. He dreams that his knees are swollen and painful. [We.]

She cries out anxiously in her sleep, calls her mother and sisters, with rapid, anxious respiration; she clutches with her hands about the bed, and strikes out with her hands; at the same time she opens her eyes and distorts them, without waking up, and moves her head about constantly, especially towards the left side. [We.]

The sleep is interrupted by frequent starting up and waking.

Frightful anxiety like a dream, which frustrates every attempt to fall sleep.

He would like to sleep until the day is advanced, and is also very sleepy by day.

480. He sleeps in the morning until late in day; the eyes will not open in the morning; he is awake but cannot get up nor open the eyes.

In the morning after waking laziness and disinclination to speak. [Hbg.]

In the morning he has not slept enough and yawns incessantly. [Hbg.]

Shivering in the evening in the back.

Chill in the back, as if it was touched here and there with ice, which is not removed by the warmth of the stove.

485. Shivering on the lower part of the body (very soon).

In the afternoon rigor over the whole body.

In the morning (about 8 a.m.) rigor for half an hour, with out thirst and not followed by heat.

General coldness, without rigor, with bluish hands (the first h.).

Repeated though short shiverings, especially through the lower extremities (immediately).[Gss.]

490. Shiver running through the whole body. [Gss.]

In the evening, along with longing for stimulating strengthening food, he is suddenly affected with internal chilliness, so that he trembles, and yet he is not externally cold to the touch. [Gss.]

The hands feel cold when held to the face, but warm to one another. [Gss.]

Trembling in all the limbs, always with chilliness, which does not go off in the warm room, especially in the evening. [Fg.]

He has a cold shiver over the back, although sitting near the warm stove (8^th d.). [Hnl.]

495. Chilliness and cold feeling on the back. [Hnl.]

Chilliness which does not go off with the heat of the stove, with violent cutting in the abdomen (8^th d.). [Hnl.]

Severe chilliness over the whole body, in the evening (7^th d.). [Hnl.]

Cold feeling without perceptible external coldness, on the shoulder (aft. 4 h.).

Fever: frequent rigor, followed by flying heat on the head.

500. Fever: alternate heat and chill of the body (aft. some h.).

(Fever: gradually increasing chilliness, with little or no thirst, warm forehead, cold cheek bones, cold nose, and icy-cool hands; when heat with great anxiety, as if he could not get breath enough, with nausea and great thirst, until perspiration came on; the perspiration was slight, quite cool, almost confined to the head and hands, the anxiety continuing all the time.)

Fever: frequently during the day he begins shuddering, as when one warms oneself at the fire in the cold; he then again becomes hot, exhausted, must lie down, but all without thirst and without perspiration.

Fever: in the afternoon (6 p.m.) hot hands, with sensation of dry heat all over the body; sleeplessness until 4 a.m., then shivering and cold hands all day.

(External heat of the body, without feeling hot and without thirst) (aft. 5 h).

505. Burning heat in the cheeks with quite cold feet.

The pulse is not quicker, but very small and hard.

Heat in the forehead.

Increased feeling of heat, quick pulse (aft 24 h.). [Hnl.]

Redness of the left hand with drawing in the middle finger (4^th d.).[Hnl.]

510. Glowing heat of the cheeks at the same time chilliness of the whole body. [Hnl.]

Rapid alteration of heat and chill; she is suddenly attacked by great heat rising up from the feet and spreading all over the body; at the same time a sensation as if the blood rushed into the face; but withal she is more pal than red; after a few minutes she is overrun by icy coldness from the head down to the feet, and the heat is momentarily suppressed – attacks which come on several times during the day. [Br.]

Quick and severe flushes of heat.

Frequent transient attacks of a disagreeable during heat and redness of the cheeks, such as are wont to occur when one gets angry or receives disagreeable news.

Heat and redness in the face with thirst.

515. Thirst for cold drinks, especially beer.

Perspiration on the body (immediately) from evening till morning, with cold sweat on the face.

General perspiration in the morning, chiefly on the chest and the part affected.

Transpiration and slight perspiration over the whole body on the slightest exertion (aft. 1 h.).

Dejection.

520. The thoughts are fixed on a single disagreeable subject; she is absorbed in thought and notices nothing about her.

He is sunk in the saddest thoughts, and insults he has received he takes deeply to heart.

She sits in deep reverie.

Time passes too rapidly with him, several hours appear to him as short as one hour. (This S. also appears in hb. Abd Ts.’R.A.M.L.’

Continual sad thoughts, just as if he had received insults. [Fg.]

525. He has no inclination to do anything, and fins no pleasure in anything.

Weeping.

He has no desire for any work.

Ha has no pleasure in anything, and no inclinations to do anything.

Great discontent with himself. [Hbg.]

530. He is extremely serious, afterwards he breaks out in complaints.

Serious, and though caring little about his own health, he is very anxious about the illness of others.

She dawdles; in business she cannot accomplish anything nor finish anything with contracted pupils (aft. 12 h.).

Busy restlessness.

Anxiety.

535. In the morning, anxiety respecting the incurability of a trifling malady.

Anxiety as if she had committed a great crime.

Great anxiety as if he had done something bad (aft. 29 h.). [Lr.]

Cardiac anxiety, mortal anguish (The original is simply “anxietas.”) (immediately). [AMATUS lusitanus., l. c.]

Palpitation of the heart.

540. Sudden, extreme anxiety.

Despairing disposition.

Hypochondrial, especially in the afternoon.

Over sensitiveness (aft. 24 h.).

A slight noise goes through all his limbs.

545. He dreads any sudden surprise.

He is easily startled.

Great sensitiveness of disposition; everything offends him.

He cannot bear any interruption in conversation, nor noise.

Too great irritability of disposition; every trifle makes him angry. [Hnl.]

550. Everything angers and vexes him; after a few hours he becomes lively and disposed to make jokes. [Hbg.]

Easily annoyed; he takes everything in bad part (aft. 24 h.).

Extreme inclination to be annoyed and to take every trifle in bad part (aft. 1 h.).

She is annoyed at the merest trifle even to weeping; when the pupils are contracted; after the weeping want of appetite.

He is very indignant and annoyed at slight faults and fibs of others.

Joyous, contented, merry; he becomes witty and makes joke. (Partly curative action.) (aft. 3 h.).

Happy humour, and contented with himself. (Curative action.)

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