CONIUM

(Hemlock.)

(From vol. iv, 2^nd edit., 1825.)

(The freshly expressed juice of the Conium maculatum obtained from the whole plant at the commencement if flowering, mixed with equal parts of alcohol.)

Hemlock is one of those medicines whose primary and secondary actions are most difficult to be ascertained, and respecting which it is most difficult to form a judgement. Among its symptoms we find several of a somewhat opposite character which should only be regarded as alternating actions (perhaps as a transient secondary action suppressed for some time by the repeated attack of the medicine) On the other hand the sad effects resulting from the long-continued employment of hemlock in increasing doses, as we observe in the results of STOERCK’s LANGE’s EHRHARDT’s, GREDING’s, BAYLIES’, REISMANN’s, COLLIN’s and TARTREUX’s disastrous treatments, are true secondary actions of the depressed vitality overpowered by the repeated attacks of such large doses of hemlock: a dissolution of all the connexions of the fibres combined with asthenic inflammation and the most painful sensitiveness – see 264 to 273, 276, 342 to 345, 349, 350, 205, 207, 209. The opposite of this seems to lie in the primary action of hemlock, which appears to indicate a tension, condensation, contraction of the fibres (and glandular swellings), with suppression of the sensibility - compare 28, 60, 127, 147, 148, 178, 179, 212, 215, 216, 225, 238, 249, 253, 254, 286. These are primary actions which seem to be corroborated by some of my own homoeopathic cures (glandular indurations on the lip, the breasts, &c, arising from a bruise, and two cases of cataract produced by an external blow). These recorded primary actions of hemlock (especially 127, 286), together with the symptoms 10, 11, 115, 117, 293, 333, 359 to 367, point to it as an excellent remedy for that bad kind of hypochondriasis which is sometimes observed in unmarried males who are strictly chaste, where it does not depend on a miasmatic cachexia.

Experience must decide as to the value of hemlock in the morbid long-sightedness (presbyopia) of elderly persons, as indicated in 38, and perhaps it will confirm the curative power here hinted at.

The homoeopathic practitioner will know how to make use if the curative indications given in the other symptoms of the primary action of hemlock.

Coffee has been found to be the antidote of hemlock.

[HAHNEMANN was assisted in this proving by FRANZ, LANGHAMMER, WISTLICENUS.]

The following old-school authorities furnished symptoms:

AMATUS LUSITANUS, Cent. v.

ANDREE, Obs. upon a Treatment by Stoerk, London, 1761.

ANDRY, Quoest. Med. an cancer ulceratus cicutam eludat, Paris, 1763.

BAYLIES, Essays on Med. Subjects, London, 1773.

BIERCGEN, Tal om Kraftskador.

BOERHAVE, Prael. Ad Instit., vi.

CLARK, essays and Obs. Phys and Liter., iii, Edinb., 1771.

COLLIN, Annus Med., iii, Vindob., 1764.

CULLEN, Materia Medica, ii.

EHRHARDT, Diss. de Cicuta, Argent., 1763.

FOTHERGILL, Med. Obs. and Enq., iii. – Works.

GATAKER, Essays on Med. Subj.

GREDING, Verimische Schriften.

HALLE, in Samml. f. pr. Aerzte, xv, iii.

HALLER, in Gotting. Anzeigen, 1775.

KALTSCHMIDT. Progr. De Cicuta., Jen., 1768.

LANDEUTTE, Journal de Medicine, xv.

LANGE, Dubia cicuta vexata, Helmst., 1764.

LIMPRECHT, Acta Nat. Cur., i. Med. Obs. and Enq., ii, Lond., 1771.

OBERTEUFFER, in Hufel. Journal, ix.

PAULLI, SIM., Quadrip. Botan. Pharm. Helv.

REISMANN (reference not given.)

ROWLEY, W., Seventy-four cases, LONDON, 1779.

SCHMUCKER, Chir. Wahrnehm., ii.

STOERCK, Lib. de Cicuta, - Lib. de Colchico. – Lib. de Stram Hyos. et Acon.

VALENTINI, in Hufel. Journ., xxix.

TARTRUEX, Epist apol.

VAN EEMS, in Boerhave Proelect. De m. n. i.

WATSON, Philos. transact No. 473, 1744.

WHYTT, on Nervous Disorders. Zurcher Abhandlungen, tom. ii.

The 1^st edit gives 373 symptoms; only two more are added in this 2^nd edit.: the Chr, Kr. gives 912 symptoms.]

CONIUM

Vertigo. [BAYLIES, Essays on Med. Subjects, London, 1773.(Not accessible) – ANDRY, Quoest. Med. an cancer ulceratus cicutam eludat, Paris, 1763.(Not accessible) – ANDREE, Obs. upon a Treatment by Stoerck, Lond., 1761.(Symptoms observed in patients taking conium.) – WATSON, Philos. Transact., No. 473, 1744.(Case of poisoning.) – LANGE, Dubia cicutoe vexata, Helmst.; 1764, pp. 12, 20.(Not accessible ; probably as in note.) – Pharm. Helv., p. 50.(General statement from experience.) – SCHMUCKER, Chir. Wahrnehm., ii, pp. 82, 84.(As in note.) – WHYTT, on Nervous Disorders, p. 22.(Observed in self.) – GATAKER, Essays on Med. Subjects, Intro., p. 8. – FOTHERGILL, Med. Obs. and Inqu., iii, p. 400, and Works, ii, p. 58.(General statement from observation.) – OBERTEUFFER, in Hufel. Journal, ix, iii, p. 77. (Observation.) - CULLEN , Materia Medica, ii, p. 300. (From thirty grains of the powder in an adult.) ]

Vertigo that affects the head. [FOTHERGILL, l. c.]

Vertigo round in a circle , when he rises from a seat.

Vertigo, so that all seemed to go round in a ring with him. [BOERHAVE, Proel. Ad Instit., vi, p. 255. (Observed on self.) ]

5. Staggering. [VAN EEMS, in Boerhave Proelect. De m. n., I, p. 236. (Effects of Cicuta aquatica.) ]

Intoxication. [BIERCHEN, Tal om Kraftskador. (Observation.)]

Heaviness of the head. (During convalescence.) [WATSON, l. c.]

Want of memory.

Loss of memory. [W. ROWLY, Sevent-four cses, London, 1779. (Not accessible.)]

10. Stupidity, the head is confused; difficulty of comprehending what he reads.

Stupefaction; he understands with difficulty what he reads.

After drinking he becomes stupid in the head.

Apoplexy. [LANGE, l. .c p. 20.]

Serious apoplexy. [COLLIN, Annus Med., iii, Vindob., 1764, p. 104. (Symptoms observed in patients taking conium. This occurred in an old woman of 80, ten days after leaving off the medicine.)]

15. When walking in the open air, simple headache; he feels stupid; also in the morning till breakfast.

Violent headache, with vertigo, owing to which she remains seated in one spot, sad, and speechless, for three or four days. [LANGE, l. c., p. 12.]

Sensation in the right half of the brain, as if a large foreign body were therein.

Gradually increasing, semilateral headache, like a pressing downwards, as from something heavy therein, and as if bruised, aggravated by moving the eyes towards the affected side of the head (aft. 2, 3, h.).

On the left side of the occiput (when walking) slow tearing (aft. ¼ h.). [Fz.]

20. In the morning, tearing pain through the temple (4^th d.). [Fz.]

Tearing pain in the temples when eating. [Fz.]

Drawing pain in the temples on touching them. [Fz.]

When sitting bent forward, there occurs from time to time a sensation of weight in the occiput, that often goes off and recurs; it went off every time he raised himself up (aft. 2.1/2 h.). [Ws.]

25. Stitches in the forehead.

(At noon) shooting pain out at the forehead.

Pressive headache above the eyes from within outwards (aft. 4 h.). [Ws.]

Headache (externally), as if contracted, no the upper part of the frontal bone, which goes off by stooping and applying his own hand to the part, with chilliness, vertigo, and peevish want of recollection (aft. 1.1/2 h.) [Fz.]

Aching pain externally on the forehead (aft. 3 h.). [Lr.]

30. Aching stupefying pain externally on the forehead (aft. 11, 54 h.). [Lr.]

On the frontal bone superiorly, pressive pain as from a stone [Fz.]

Sharp pressure on a small spot of the integuments of the head.

A pimple on the forehead with tensive pain per se, touching it causes tearing pain round about it (2^nd and 3^rd d.). [Fz.]

Pimple on the forehead with tensive drawing pain per se (4^th d.).[Fz.]

35. Itching erosion on the forehead, that goes off, but only for a short time, by rubbing (aft. ½ h.). [Ws.]

Dilated pupils (aft. 1 h.). [Fz.]

Contracted pupils (curative action) (aft. 3.1/4 h.). [Lr.]

Long-sightedness (in a shortsighted person): he could see distinctly objects at a considerable distance (aft. 3.1/2 h.). [Lr.]

Greater shortsightedness than usual: he could only see distinctly very near objects (secondary action)(aft. 29 h.). [Lr.]

40. (Illusion of vision: objects red.) [GREDING, Vermischte Schriften, p. 118. (Symptoms observed in patients taking conium. This symptom occurred in a case of cataract, while the sight was improving under the drug.) ]

Weak sight. [GATAKER, l. c.]

Dimness of vision. (In Andree’s case, with giddiness.) [BAYLIES, - ANDREE, l. c.]

Blindness, immediately after sleeping, exposed to the sun’s heat. [AMATUS LUSITANUS, Cent. v, Cur. 93. (Not found.)]

Red eyes. [BAYLIES, l. c.]

45. (Drawing pain in the eyes, with redness of the eyes.)

Trembling of the eyes. [WHYTT, - OBERTEUFFER, l. c.]

Projecting eyes.

Movement of the eyes, as if they were pressed out. [FOTHERGILL, l. c.]

(In the morning) shooting in the inner canthus of the eyes, the lids of which are stuck together.

50. Itching pricking in the inner canthus, not removed by rubbing (aft. 1.1/2 h.). [Ws.]

Smarting pain in the inner canthus, as if something corrosive had got in: the eye waters. (aft. 4.1/2 h.). [Ws.]

Aching in the eyes as from a grain of sand, especially in the forenoon; the white of the eye is red and inflamed; the tears forced out make the eyelids smart.

Burning on the inner surface of the eyelids.

Long continued, pricking itching in the right cheek and down the left side of the face, which only goes off by repeated scratching (aft. 2.1/2 h.). [Fz.]

55. A fine stitch darts through the right side of the face, near the zygoma (aft. 2.1/2 h.). [Ws.]

Fine stitches dart through the right cheek, towards the commissure of the mouth (aft. 56 h.). [Ws.]

Swelling of the face. [LANDEUTTE, Journal de Medicine, xv. (Symptoms observed in patients taking conium. This, with S. 146, 172, 200, 234, 336, occurred shortly before death in a man convalescing from suppurative pneumonia, and treated by conium for splenic cancer. ) ]

Bluish swollen face. [STOERCK, Lib. de Cicuta, Cap. 6. (See note to S. 58.) ]

Blue colour of the face. [SIM PAULL, Quadrip. Botan., Cicuta major. (Not found.)

60. Behind the ears and on the mastoid process, painful tension of the skin, even when not removed (aft. ½ h.). [Ws.]

Stitches behind both ears, especially in the mastoid process, followed by obtuse pains in that part (aft. 5 h.).

Sharp blows outwards in the inner ear, especially and more severe when swallowing (aft. ¾ h.). [Ws.]

Violent itching in the external ear (aft. 1 h.). [Ws.]

In the external ear, pain partly drawing, partly tearing.

65. Noise in the ear, as if the blood rushed through the brain.

When she blows her nose, she feels a dart in the ears, and then they seem to be stopped up.

Sensation as if the inner ear were forced asunder.

Twitching in the nose.

Formication on the dorsum of the nose (aft. 1.1/2 h.). [Ws.]

70. Itching formication on the point of the nose and in the nostrils (aft. 3.1/2 h.). [Ws.]

Itching formication in the nose (aft. 1.1/2 h.). [Ws.]

Frequent bleeding of the nose.

Haemorrhage from the nose. [EHRHARDT, Diss. de Cicuta, Argent., 1763 (A list of symptoms from authors.) - LANGE, l. c., p. 15.]

Trembling of the under lip. (See note to S. 58.)[STOERCK, l. c.]

75. Itching on upper lip (aft. ½ h.).

Ulceration of the lips after fever. (See note to S. 58.) [GREDING, l. c.]

On the chin, fine stitches up through the jaw (aft. ½ h.). [Ws.]

Soon after drinking a drawing from the jaws towards the ears and head, not exactly painful.

Lock-jaw (trismus). [EHRHARDT, l. c.]

80. Grinding of the teeth. [Medic. Obs. and Inq., iv, Lond., 1771, p. 44. (Symptoms occurring after the application of conium to a cancerous breast. The patient had attacks of this, with S. 175 and 360, till she died. The reporter has no thought of ascribing them to the conium.) ]

On moving the lower jaw, boring needle-pricks between the left teeth rows (aft. 42 h.). [Lr.]

When eating cold food (not when drinking cold fluids) drawing in the hollow tooth and through the temple (aft. 3 h.). [Fz.]

Impeded swallowing. [EHRHARDT, l. c.]

Spasms in the oesophagus. [EHRHARDT, l. c.]

85. Pain in the tongue. [SIM. PAULLI, l. c.]

Stiff, swollen , painful tongue. (From touching the tongue with the juice of the root.) [STOERCK, l. c., cap. i.]

Difficult speech. [ANDREE, l. c.]

Speechlessness. (In Stoerck’s case. As with S. 86.) [STOERCK, l. c. cap. i.]

Dry tongue. [BAYLIES, l. c.]

90. Dryness of the mouth. [STOERCK, l. c., cap. ii.]

Thirst. (According to Fothergill, with S. 121 and 346.) [BAYLIES – FOTHERGILL, l. c.]

Excessive thirst, without heat, all day (aft. 74 h.). [Lr.]

Ptyalism. (In cases of cancrum oris.) [BIERCHEN, l. c.]

Great flow of saliva. [VALENTINI, in Hufel Journal, xxix, iii. (Symptoms observed in patients taking conium.) ]

95. Immediately diminished appetite for food and tobacco-smoking.

Loss of appetite. [ANDRY, - Pharm. Helv. – Lange, l. c., p.25. – LANDEUTTE, l. c.]

Complete loss of appetite and great weakness of stomach. [LANGE, l. c., p. 9.]

Frequent eructation.

Incomplete eructation, which causes pain in the stomach.

100. Putrid eructation. (Not found.) [SCHMUCKER, l. c.]

Eructation and inclination to vomit. [GREDING, l. c.]

Inclination to vomit and eructation, with exhaustion [GREDING, l. c.]

Nausea, inclination to vomit. [STOERCK. – FOTHERGILL, - SCHMUCKER, l. c.]

Frequent nausea and total loss of appetite. [LANGE, l. c., pp. 14, 37.]

105. Inclination to vomit. [CULLEN, l. c.]

Violent vomiting. [EHRHARDT, l. c.]

Frequent vomiting with total loss of appetite. [LANGE, l. c., p. 33.]

Sometimes there occurs spontaneously a bitter taste in the throat (aft. 11 h.). [Fz.]

After eating, inclination to vomit and hiccup thereafter, yet he has a proper taste and good appetite.

110. After eating, the drawing in the head and the numbness of he brain diminishes (aft. 4.1/2 h.). [Fz.]

After eating (in the evening), pain in the umbilical region, as if the bowels were bruised (aft. 12 h.). [Fz.]

Half an hour after eating, drawing pain in the abdomen, in the umbilical region. [Fz.]

Every time after eating, pinching deep in the hypogastrium, with goo appetite.

115. After dinner drawing pain in the hypogastrium when sitting (3^rd d.). [Fz.]

After drinking, a drawing sensation in the abdomen.

In the morning, after eating, belly-ache, and all day a great fullness in the stomach and on the chest (4^th d.) [Fz.]

Cardialgia. [Pharm. Helv., l. c.]

A pressure in the scrobiculus cordis, like a drawing about in it, and then in the side of the chest some stitches, also in the morning.

120. Fine stitches in the scrobiculus(aft. ½ h.). [Ws.]

Spasmodic pinching in the stomach. [FOTHERGILL, l. c.]

Shooting in the epigastrium, in the morning on awaking, aggravated by movement.

Pinching pain in the abdomen, but not immediately before, and not immediately after, the stool.

Cutting pain deep in the hypogastrium, with appetite and sleep at night.

125. Belly-ache. [Zurcher Abhandlungen, tom. ii.(Not accessible.) ]

In the morning, after rising, drawing pain in the umbilical region (3^rd d.). [Fz.]

Oppression in the abdomen.

Pressure and clawing in the abdomen.

When walking he has pains above the hips.

130. When laughing he has pain in the abdomen.

When walking drawing pain in the abdomen (aft. 3 h.). [Fz.]

Pain in the abdomen: drawing bruised pan in the bowels when sitting (aft. 9.1/2 h.). [Fz.]

Violent pains in the abdomen with chilliness. (A patient under treatment by conium for a mammary scirhus had a chill in the streets; got this and S. 144; and died with dysentery.)[STOERCK, l. c.]

The most violent colic pains.[STOERCK, Lib. de Colchico, p, 89. (A woman could not take more than four grains a day (of the extract) without having this.) ]

135. Extremely violent pains in the abdomen. [KALTSCHMIDT, Progr. De Cicuta., Jan., 1768, p. 5. (Not accessible.)]

When not eating, constant pressure deep in the hypogastrium as from something heavy.

In the morning when sitting, drawing in the hypogastrium and pressure up to the epigastrium.

In the abdominal muscles, on the left of and below the navel, sharp stitches dart upwards in short fits (aft. 3 h.). [Ws.]

Fine pinching in the abdominal muscles above the navel on bending the body forwards (aft. 3 h.). [Ws.]

140. Tearing in the pubes, when . [Fz.]

Immediately slight discharge of flatus.

Constant call to stool; but he can only evacuate twice daily, and the motion is thin.

Diarrhoea. [LANDEUTTE – EHRHARDT, l. c.]

Weakening diarrhoea. (See note to S. 133.) [STOERCK, de Cicuta, cap. ii.]

145. Constipation. (In the original, “irregular stools, attended with griping.” [ANDREE, l. c.]

Swelling of the abdomen. [LANDEUTTE, (See note to S. 57.) - EHRHARDT, l. c.]

Swollen mesenteric glands. (Observed after death from a short employment of hemlock in large doses.) [KALTSCHMIDT, l. c.]

(Burning in the rectum during stool.)

150. Red urine. [BAYLIES, l. c.]

(Burning in the urethra, in the morning, immediately after urinating; for half an hour.)

(Violent stitch in the urethra, extending forwards to its orifice.)

Burning in the urethra. [STOERCK, l. c.]

Suppression of urine, ischuria. [BAYLIES, l. c.]

155. Strangury. [LANGE, l. c., p. 16. – EHRHARDT, l. c.]

Diuresis. [BIERCHEN, - GATAKER, l. c.]

Cramp-like pressure in the region of the neck of the bladder, from which lasts many hours, worse when walking than when sitting (aft. 48 h.). [Ws.]

Great pains in the urethra when urinating, which always brings along with it turbid, viscid mucus. [LANGE, l c., pp. 28, 30.]

(A sharp pressure on the bladder.)

160. Diuresis with great pains. [LANGE, l. c.]

After urinating, a smarting urging to urinate (aft. ½ h.). [Fz.]

Haematuria. (In a gouty subject.) [HALLER, in Gotting. Anzeigen, 1775, p. 62.]

Frequent haematuria with tightness of chest. [LANGE, l. c., p. 15.]

When not urinating, tearing through the penis (4^th d.). [Fz.]

165. Itching on the penis, mostly on the glans.

Pain as if a knife were cutting through the middle of the scrotum, between the testicles up to above the root of the penis, often returning for a short time (aft. 50 h.). [Ws.]

Uncontrollable sexual desire. [LIMPRECHT, (Poisoning by “cicuta” root, but of what species is doubtful. – Inordinate excitement was present, but nothing is said as to its being sexual.) Acta Nat. Cur. I, Obs. 52.]

Leucorrhoea of white acrid mucus, which causes burning. (Is a very good remedy for the same symptoms.) [BAYLIES, l. c.]

Suppression of the menses. (Checked while on her in Andree’s case; in Greding’s delayed.) – [ANDRY,- ANDREE, - GREDING, l. c.]

170. Frequent sneezing, without coryza (aft. 57 h.). [Lr.]

Frequent discharge of nasal mucus, for several days, as in coryza.

Difficult respiration. (See note to S. 57.). [STOERCK, l. c.]

Slow respiration.

Short, panting respiration. (See note to S. 58.) [STOERCK, l. c.]

175. Tightness of chest. [Medic,. Obs,. and Inquir,. (See note to S. 80.) - LANGE, l. c., p. 21.]

Difficult respiration and violent pains in the chest (after taking it for three or four weeks). [LANGE, l. c., p. 11.]

His breathing, especially inspiration, is very difficult; it feels as if the chest did not expand sufficiently (aft. 4 h.). [Fz.]

In the evening in bed, extremely difficult respiration, slow, difficult inspiration (aft. 17 h.). [Fz.]

180. In the evening, when lying on the side in bed, oppression of the breathing, with much pain in the chest, a drawing and tearing through the whole chest, and hard pressure on the upper part of the sternum, which takes away the breath during inspiration (3^rd d.) [Fz.]

Severe stitches in the chest, like knife thrusts, with loud lamentations over it.

All day, pain in the chest, pressure on the sternum, and a pain , at one time tearing, at another shooting, round the nipple and the mammae, with frequent oppression and shortness of breath (4^th d.). [Fz.]

Agreeable but violent itching on both sides of the chest, aggravated by inspiration (aft. 14 h.). [Ws.]

In the morning, pressive pain on the sternum, with dyspnoea, when standing (3^rd d.). [Fz.]

Cramp-like tearing on the right side of the chest (aft. 3 h.). [Lr.]

Burning in the sternal region. (From injecting a solution of conium into a penetrating fistula in the neck.) [STOERCK, l. c.]

On walking in the open air, needle-pricks in the right side of the chest 9aft. 12 h.0. [Lr.]

190. Shooting itching all over the chest, which was always removed for a short time only by scratching (aft. 1 h.). [Ws.]

On both sides of the chest, fine shooting pressure, worst when he lies in the prone position (aft. 9 h.). [Ws.]

Stitch in the side. (In a case of caries of the ribs.) [STOERCK, l. c.]

Violent pains in the chest. [LANGE, l. c., p. 34.]

Violent pain in the chest, with very severe cough. (Relieved by opium.) [LANGE, l. c., p. 16.]

195. (There is a scraping and crawling in the chest, that causes a dry almost continual cough.)

Dry short cough.(In a case of suppurating mammary scirhus, this and S. 206 coincided with the expectoration becoming thin.) [STOERCK, l. c.]

Nocturnal cough.(Not found.) [STOERCK, l. c.]

Violent cough. [LANGE, l. c.]

Whooping cough, with tightness of chest. [LANGE, l. c., p. 22.]

200. Nocturnal whooping cough. (In the original, simply “urgent cough”, See note to 57.) [LANDUETTE, l. c.]

Whooping cough, with bloody mucous expectoration. (After taking it for several weeks.) [LANGE, l. c., p. 11.]

The most violent cough, that made him keep his bed. (This supervened in a case of tubercle of the breast while taking conium.) [STOERCK, Lib. de Stram, Hyo. Et Acon., .p 93]

Cough as from a tickle behind the middle of the sternum, without expectoration (aft. 24 h.) [Lr.]

More severe cough, as from a tickle in the middle of the sternum, with expectoration (aft. 24 h.). [Lr.]

205. Purulent expectoration from the chest. (In a case of mamarry scirhus, when the lungs were found cancerous after death.) [STOERCK, Lib. de Cicuta, cap. ii.]

Dryness of the chest. (See note to S. 196.) [STOERCK, l. c.]

(Inflammation of the scirrhous mamma.) [LANGE, l. c., p. 33.]

Fine stitches in the chest under the left axilla (aft. ¼ h.). [Ws.]

Caries of the sternum. [KALTSCHMIDT, l. c.]

210. Drawing on the right side of the neck down to the shoulder-joint, when at rest (3^rd d.). [Fz.]

When walking in the open air, drawing in the naps (aft. 1 h.). [Fr.]

(Increased swelling of the goitre.)

Stitches in the sacrum and drawing through the lumbar through the lumbar vertebrae when standing (aft. 3.1/2 h.). [Fz.]

Drawing through the lumbar vertebrae, when standing (aft. ½ h.). [Fz.]

215. Tensive pain in the back. (See note to S. 188.) [STOERCK, l. c.]

Under both scapulae, painful tension in the muscles, when at rest that is very mulch increased by raising up the arms (aft. 24 h.). [Ws.]

In the nape where it passes into the right shoulder, throbbing drawing (aft. 8 h.). [Fz.]

In the upper arm, paralytic drawing pain, when at rest (aft. 1.1/2 h.). [Fz.]

Tearing through the upper arm, in the evening in bed (the first evening). [Fz.]

220. Alternate tearing and shooting in the upper arm, when at rest which goes off by movement, but comes back again (aft. 3 d.). [Fz.]

Heaviness in the elbow-joints, with fine stitches.

Cutting pain the the bend of the left elbow, from within outwards, when at rest (Aft. 50 h.). [Ws.]

Dull drawing in the forearms, more severe when at rest than when moving (aft. 72 h.). [Ws.]

On the outside of the left forearm, bruised pain, most severe when touched (aft. 62 h.). [Ws.]

225. In the muscles of the forearm, cramp-like pain, especially when leaning on the arms (aft. ½ h.). [Ws.]

Itching formication on the forearm, that goes off only for a short time by rubbing (aft. 1 h.). [Ws.]

In the wrist joint, paralytic drawing pain , when at rest (aft. 1.1/2 h.). [Fz.]

Fine stitches in the wrist-joints (aft. 10 m.). [Ws.]

Shooting dislocation – pain in the articulation of the metacarpal bone of the left thumb with the wrist, especially on bending it inwards.)

230. Sharp stitches in the middle joints of the fingers (when at rest). (aft. 8 h.). [Ws.]

Cutting blows in the proximal joint of the thumb (aft. 48 h.). [Ws.]

Long- continued, deep stitch superiorly at the insertion of the right gluteus maximus (aft. 3.1/2 h.). [Fz.]

While sitting, some obtuse stitches on the upper end of the left thigh (aft. 26 h.). [Ws.]

Swollen thighs. (See note to S. 57.) [LANDEUTTE, l. c.]

235. When sitting, needle-pricks in the muscles of the left thigh (aft. 26 h.). [Lr.]

Itching needle-pricks on the posterior aspect of the thigh, most severe when sitting (aft. 8 h.). [Ws.]

Dull drawing in the right thigh, when at rest, which was alleviated by movement (aft. 1.1/4 h.). [Ws.]

When walking in the open air, cramp-like pain in the anterior muscles of the right thigh (aft.13 h.). [Lr.]

Fine clawing-in on the posterior aspect of the thigh (aft. 12 h.). [Ws.]

240. Tearing around the patella, when sitting (aft. 2.1/4 h.). [Fz.]

When walking, and even when standing in the open air, extreme pain, causing him to cry out, round the whole left knee, as if the patella were bruised and smashed, from which when he makes an effort to walk he became hot all over, like the heat of anguish (aft. 10 h.). [Lr.]

Tearing pain around the knee-joint.

When walking in the open air, stitches on the outer tendon of the flexor muscle in the right hough (aft. 1 h.). [Fz.]

Tearing on the tibia, in the evening in bed (the first evening). [Fz.]

245. Cramp like tearing now on the right, now on the left tibia, when walking in the open air (aft. 37 h.). [Lr.]

The tibia pains as if bruised (4^th d.). [Fz.]

On stretching out the leg, when sitting, a throbbing pressure on the tibia (aft. 3.1/2 h.). [Fz.]

A spot on the leg that had been injured (twelve days before by a blow), and was hitherto painless, becomes blue and spotted, and on the slightest movement gets pain like knife thrusts, but when walking and when touched it pains as if bruised.

Tensive stiff pain in the calves.

250. drawing on the inner side of the left calf, and no the dorsum of the right foot (aft. 8 h.). [Fz.]

At first a fine, then a severe, shooting on both ankles of the right foot, which lasted two days, and woke him up at night; it went at last to the calf; when sitting they were slower, when walking more frequent and severer stitches.

At night a twitching and uneasiness in the feet, and, after every twitch in them, shivering.

Numbness and insensibility of the feet.

Numbness and insensibility of the feet. [HALLE, in Samml. f. pr. Aerzte, xv, iii.]

255. Brings on podagra. [CLARK, in Essays and obs. Phys. And Liter., iii, Edin., 1771 (Observation, - In gouty subjects, the author says.)

Tearing on the dorsum of the foot, in the evening in bed (the first evening). [Fz.]

In the morning tearing in the ball of the big toe, when standing and sitting (third day). [Fz.]

In the morning tearing in the ball of the big toe, when standing and sitting (third day). [Fz.]

On treading the sole of the foot is painful like formication; on walking the pain is more shooting.

Tearing in the soles when walking.

260. Itching on the limbs. [STOERCK, l. c.]

Bruised sensation in all the joints, when at rest, but little or not at all when moving.

Formication in the affected part. [COLLIN, l. c.]

In the evening the glands are painful. (In a case of scirrhous mamma.) [STOERCK, l. c.]

265. Increased intolerable pains in the affected part. [LANGE, l. c., pp. 9, 25, 33.]

Foetid ichor from the ulcer. (Variations of and open cancer of the face while the patient took conium.) [STOERCK, l. c.]

The borders of the ulcer become blackish and discharge a foetid ichor. (Variations of and open cancer of the face while the patient took conium.) [STOERCK, l. c.]

Bleeding of the ulcer. (In mammary cancer.) [GREDING, l. c.]

Increased pain in the ulcer. (Variations of and open cancer of the face while the patient took conium.) [STOERCK, l. c.]

270. Tensive pain in the ulcer. (Variations of and open cancer of the face while the patient took conium.) [STOERCK, l. c.]

Coughing causes pain in the ulcer. (See note to S. 205.).[STOERCK, l. c.]

Sphacelus of a part of the ulcer. (Not found; but if there, probably as in note (In mammary cancer.) ) [GREDING, l. c.]

In the bones, especially in the middle of the bone-shafts, concealed caries, with burning, gnawing pain. (Not found.). [STOERCK, l. c.]

Here and there on the body, slow, itching, smarting (burning) stitches.

275. In the evening in bed, an eroding itching, always commencing with a prick, only on the right half of the body, especially when he lies on it, which causes a restlessness in all the limbs, is readily allayed by scratching, but soon reappears on another spot.

Inflammation of the skin of the whole body, with burning pain. [BAYLIES, l. c.]

Tearing through various parts of the body (4^th d.). [Fz.]

Blue colour of the whole body. [EHRHARDT, l. c.]

Dropsy. [TARTREUX. Epis. Apol., p. 51. (Obervations on patients. – This was the end of a case of mammary cancer.) ]

280. Petechiae. [SIM. PAULLI, l. c.]

Putrid dissolution of the juices. [REISMANN, l. c.(Not traceable for want of reference.) ]

Consumption. [REISMANN, - COLLIN, l. c. (In Collin’s case the end of mesentric disease.) ]

The pains from hemlock mostly occur when at rest and, only as a rare alternating action, during movement. [Fz.]

Nervous weakness. (After taking conium for seven months. [SCHMUCKER, l. c.]

285. Illusion of sensation: when walking he feels as of something opposed his steps, and yet he walked very quickly (aft. 8 h.). [Fz.]

A kind of stiffness of the body; moving to joints of the nape, & c., causes a disagreeable sensation.

Great exhaustion.

In the evening and morning, a remarkable exhaustion in the whole body.

In the morning on waking, exhaustion, that goes off after getting up.

290. Weakness of the whole body. [WHYTT, l. c.]

Sinking of all the forces. (For which STOERCK found cinchona-bark useful.) (In case described in note to S. 196. This and S. 334 supervenced on free purulent discharge setting in. ) [STOERCK, . c.]

Paralysis. [ANDRY, - ANDREE, l. c.]

After a short walk he feels very exhausted and fatigued, and is as if paralysed, whereupon the peevish, hypochondrial humour comes on again (aft. 10 h.). [Fz.]

Syncopes. [LANGE, l. c., p. 9. – Pharm. Helv., l. c.]

295. Pulselessness. [SIM. PAULLI, l. c.]

The strongest and most active persons, when taking hemlock for a length of time, lost all strength and had to keep their bed. [LANGE, l. c, p. 9.]

Loss of strength (even to death). [LANGE, l. c.]

Laziness combined with insensibility (torpor). [SIM. PAULLI, l. c.]

Obtuseness of all the senses. [SIM. PAULLI, l. c.]

300. Frequent yawning, as if he had not slept enough(aft. 72 h.). [Lr.]

When he gets up in the morning, he is sleepy.

Sleepiness by day: he cannot keep awake while reading (aft. 3, 8, h.) [Ws.]

Somnolence. (In Watson’s case this represents “coma” in the original.) [WATSON, - SIM. PAULLI, l. c.]

Drowsiness (in the afternoon): with all his efforts he could not keep off sleep, he must lie down and sleep (aft. 54 h.). [Lr.]

305. In the evening great drowsiness and disinclination for everything (the 3^rd evening). [Fz.]

In the evening in bed, tearing now in one now in another limb (the first evening). [Fz.]

Dreams of serious diseases.

Dream full of being made ashamed.

In sleep, vivid, voluptuous dream-pictures (the first night). [Lr.]

310. Vivid anxiuos dreams (the second night). [Lr.]

Sleep at night full of frightful dreams (the third night.). [Fz.]

Sleep towards morning full of frightful dreams (the first night). [Fz.]

Sleep. [CULLEN, l. c. – (immediately) AMATUS LUSITANUS, l. c.]

Stupefied, too deep sleep, after which the headache, which previously was scarcely noticed, becomes always increased (aft. 2 h.).

315. Sleep quiet, especially in the morning very profound and longer than usual (Curative reaction?) [Fz.]

Interrupted sleep.

He only gets to sleep after midnight.

He wakes up earlier in the morning.

She becomes peevish and falls asleep (aft. ½ h.).; during sleep twitchings in the arms and hands, the eyes are staring open and toll about.

320. Sleeplessness. [REISMANN, - LANGE, l. c., p. 9.]

Trembling. [BAYLIES, - CULLEN, - EHRHARDT, l. c.]

Trembling of the limbs (Not found in Schmucker.) [FOTHERGILL,- SCHMUCKER, (Sometimes life-long) l. c.]

Constant trembling. [ANDRY, l. c.]

Subsultus tendinum. [EHRHARDT, l. c.]

325. Convulsions. [ANDRY,- WATSON,- CULLEN, l. c.]

Convulsions of the affected part and of all the body, with danger of suffocation. [LANGE, l. c., p. 14.]

Shivering (immediately).

Shivering. (See note to S. 58.) [STOERCK, l. c.]

Chilliness, with trembling in all the limbs, so that she must always remain in the sun.

330. On several successive days, in the morning (about 8 o’clock), shivering for half an hour.

Rigor all over the body, without either accompanying or subsequent heat (aft. 15 h.). [Lr.]

Rigor all over the body, without heat or thirst (aft. 50 h.). [Lr.]

In the morning, coldness and chilliness of the body, with giddy constriction of the brain, and indifferent, dejected humour (aft. 2, 3 h.). [Fz.]

From time to time shivering all over the body, followed by quick pulse with heat and thirst. (See note to 291.) [STOERCK, l. c.]

335. Fever, ANDREE,- COLLIN, l. c.]

Fever for one day. [LANDEUTTE, l. c.]

Large, slow pulse, betwixt which several small quick beats follow without regularity.

Slow, weak pulse. [SIM. PAULLI, l. c.]

Pulse irregular as to strength and rapidity. (See note to S. 58.) [STOERC, l. c.]

340. Quick pulse. [EHRHARDT, l. c.]

Several fits of fever. (See note to S. 279. The words of the original are, “after various fevers the woman died dropsical.) [TARTREUX, l. c.]

Lingering fever with complete anorexia. [LANGE, l. c., p. 25.]

Acute (fatal) fever. [LANGE, l. c., p. 32.]

Fever: great heat, with profuse sweat and thirst, with loss of appetite, diarrhoea, and vomiting. [GREDING, l.c.]

345. In the afternoon flush of warmth all over the body, without thirst. [Fz.]

Heat [BAYLIES,- FOTHERGILL, l. c.]

Sensation of internal and external heat (after sleep.)

Continual heat.

Great heat. [STOERCK, l. c.]

350. Internal heat, especially in the face, and redness of it, without thirst (aft. ¼ h.). [Ws.]

He became red in the face and all over the body, without particular heat, but perspired all over, especially on the forehead.

Excessive heat. [BAYLIES, l. c.]

In the afternoon (5 to 6 hours after rigor and coldness) a feeling comes over him of growing heat in all the limbs, whereupon the numbness of the head and the different and humour goes off, and in place thereof he takes the liveliest interest in all around him (aft. 7, 8h.). [Fz.]

Transpiration. (I. e. Slight perspiration.) [GATAKER, l. c.]

355. Night sweat.

On awaking from sleep he finds himself in a gentle perspiration all over the body (the third night). [Lr.]

Profuse sweat after midnight.

Local. Foetid, pungent perspiration, with eruption of white, transparent papules, which, filled with an acrid fluid, change into a scab, like scabies. (Critical, in a gouty patient.) [STOERCK, l. c.]

Anxiety. (Not found.). [SCHMUCKER, l. c.]

360.Hysterical anxiety. (See note to S. 80.) [Medic. Obs. and Inquir., l. c.]

Attack of hysteria, with chilliness and a kind of spasmodic movements. (Not found.) [GREDING, l. c.]

Anxiety in the region of the scrobiculus cordis. (See note to S. 58.) [STOERCK, l. c.]

Extremely peevish and anxious thoughts after a meal, in the morning, with confusion of the head ion the forehead (aft. 29 h.0. [Fz.]

When walking in the open air, hypochondrial indifference and dejection (aft. 1 h.). [Fz.]

265. Sunk in deep thought, he cogitated timorously about the present and the future and sought solitude. [Lr.]

Cross temper: everything about him made a disagreeable impression on him. [Lr.]

Peevish disposition; he knows not what to occupy himself with, the time appears to pass too slowly (aft. 8 h.). [Ws.]

Constant ill-humour and crossness.

Disposition devoid of all agreeable feelings.

370. Cheerful disposition; he was inclined to speak. (The previous opposite state of the disposition went off by curative reaction of the organism.) (aft. 10 h.). [Lr.]

In the morning, well, cheerful and strong. (Alternating curative reaction of the organism.) (aft. 24 h.). [Fz.]

Disposition cheerful and free (Curative reaction of the organism. (3^rd, 4^th d.). [Fz.]

Confused thoughts. [VAN EEMS, l. c.]

Delirium. [ANDRY, l. c.]

375. Mania, delirium. [CULLEN, l. c.]

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