RHUS

(Rhus radicans, also called Rhus toxicodendron)

(From vol. ii, 3^rd edit., 1833.)

(The freshly expressed juice, mixed with equal parts of alcohol, and diluted and potentized up to the thirtieth development of power (x), as taught in the preface to pulsatilla.)

Careful consideration and comparison of the symptoms of this remarkable and valuable medicinal substance enable us to perceive a great number of characteristic peculiarities in it.

To mention one only: we observe this curious action (which is found in very few other medicines, and in these never in such a great degree), viz. The severest symptoms and sufferings are excited when the body or the limb is at rest and kept as much as possible without movement. The opposite of this, namely an increase of the symptoms by the movement is much more rarely observed. The other remarkable peculiarities will be easily found in the following list of symptoms of rhus, which are truthfully recorded.

When we attentively examine the symptoms of bryonia, we shall perceive, on the one hand, a strong resemblance to those of rhus, and on the other, remarkable contrasts. How striking is the aggravation of symptoms, almost identical with those observed from rhus during movement of the body in the case of bryonia, and their amelioration by avoiding all movement – exactly the opposite of what rhus does! From the symptoms of these two antagonistic sister remedies we can easily understand how both (each in its place) would prove the most suitable homoeopathic remedies for the disastrous pestilence which desolated the countries that were most exposed to the war that raged from the summer of 1813 inwards. No treatment of this typhus that is based upon interferences derived from ordinary therapeutics, al also no other mode of treatment whatever, could do anything for the worst cases (the slighter cases would in any case have recovered by the power of dear nature, though but only slowly and with difficulty). It was only the employment of the medicines homoeopathically suited to them, viz. rhus, in alteration with bryonia (as briefly described by me in the sixth number of the Allgemeiner Anzeiger der Deutchen in 1814), that could cure all cases of the disease, and which did actually cure them in the hands of careful practitioners; whilst the rest of the medical profession only carried on vain disputations respecting the persumed internal nature of the disease, and whilst so occupied allowed their patients in thousands to be gathered to their fathers. If ever there was a triumph for the only true, the homoeopathic treatment, (Of 183 cases treated by me in Leipzig not one died, which created a great sensation among the Russians, then ruling in Dresdon, but was consigned to oblivion by the medical authorities.) this was one.

The duration of the action of large doses of rhus extends over six weeks, that of small doses is less proportionally to the smallness of the dose. On account of this long duration of action the preliminary homoeopathic aggravation of symptoms is also of longer duration than with most other vegetable drugs; so that in the employment of even the smallest doses we often do not observe the amelioration until after the lapse of twenty-four hours after taking the medicine. Hence, as with every other medicine, so especially in the selection of this one, the homoeopathic rule must be strictly followed. The injurious effects of an erroneous selection are often removable by bryonia, sometimes by sulphur, at other times by camphor or raw coffee, according to the untoward symptoms produced.

After multiplied and repeated experience, I can assert that if we would act with certainty we should never employ homoeopathically the pure undiluted juice, not even in chronic maladies or for patients who are otherwise robust. It should only be used in very high dilution (in accordance with careful trials during many years, the decillionfold dilution). The strongest dose should nover exceed a very minute globule moistened with the thirtieth dilution(X). And it is even preferable to employ a single olfaction of a globule, twenty of which weigh one grain, on account of the mildness of this mode of administration, while its curative efficacy is just as great. The ordinary allopathic practitioner who knows nothing about the administration of vegetable drugs unless in drachms, scruples, or at all events, grains and whole drops, may sneer at this in his ignorance. Pure experience and conscientious, unprejudiced observations can and must be the only judge in such an important matter as the treatment of disease.

Of late years multiplied experience has taught me that rhus is the most efficacious and the specific remedy for the frequently fatal effects of over-lifting, inordinate exertions of the muscles and contusions. One single olfaction of a globule, the size of a mustard seed, moistened with the thirtieth potency effects a magical cure.

[HAHNEMANN was aided in this proving by FRANZ, FR. HAHNEMANN, HARTLAUB and TRINKS. HORNBURG, J. G. LEHMANN, MICHLER, E. F. RUCKERT, SCHRODER. STAPF.

The following old-school sources supplied symptoms:

ALDERSON. in Samml. br. Abh. f. prakt. Aerzte, xvii. Annalen der Heilkunde. 1811.

DOSSIE. Institutes of Experimental Chymistry, 1759.

DUDLEY. In Dufresnoy.

DUFRESNOY, Ueber den wurzelenden Sumach, halle, 1801.

DU ROY, Harbkesche Baumzucht, ii.

FONTANA, in Edinb. Med. Comment, ii.

GLEDITSCH, in Beshcaft. D. Berlin Naturf., iv.

LAVINI, in Orfila, i.

MONTI. JOs., in Act. Instit. Bonon. Se. et. Art. iii.

NASSE, in the Preface to Dufrresnoy.

SHERARD, in Dufresnoy.

SYBEL, in Medic. Annalen, 1811.

VAN MONS, in Dufresnoy.

WICHMANN, Ideen zur Diagnostik, i.

ZADIG, in Hufeland’s Journ., v.

In the 1^st edit. Rhus has 743 symptoms, in the 2^nd 936, and in this last edit. 975.]

On getting up out of bed, she is as if intoxicated and thinks she will fall down.

Her head is so much affected that she cannot stand well, cannot keep herself upright.

Violent vertigo on lying down with fear that he will die (aft. 10 h.).

Vertigo: all went round with her; worst when walking and standing. Also (but less) when sitting, but not at all when lying. (Comp. 309.)

5. When walking reeling, unsteady and staggering in the body, without being giddy in the head.

When walking in the open air sensation of something turning about in the head, and yet no vertigo.

Vertigo. [ALDERSON, (Symptoms observed in patients). In Samml. br. Abh. f. prakt. Aerzte, xvii, i.]

Very severe vertigo. [ZADIG, (Effects in a patient.) in Hufel, Journ., v, iii, 194.]

Vertigo, as if he were held up high, while sitting. [Fz.]

10. Absence of thought when walking, after a meal (aft. 28 h.). [Fz.]

Reeling and staggering when walking, without vertigo.[Rkt.]

He always staggers to the right when walking. [Fz.]

Emptiness in the head without decided pain. [Stf.]

Vertigo and stupid feeling in the head. [Fr.H-n.]

15. Dizzy in the head. [Stf.]

Weakness in the head; when she turned her head she lost consciousness; when she stooped she felt as if she could not rise up again. [Hbg.]

Vertigo. [Hb. Ts. From Hufel. Journ., (Collection of observations of effects of handling the plant.) Bd. lxi. Heft. 4, p. 28, in the reine Arzneimittellehre of Hartlaub and trinks, bd. iii.]

When sitting, stupid in the head as if intoxicated, giddy with tendency to fall forwards and backwards. (Comp. 309.)

When walking, giddy as if she would fall forwards. (Comp. 309.)

20. In the morning on rising quite dizzy; he can hardly keep on his legs.

The head is dull and stupid.

A stupefied state, a weakness in the head.

Confusion of the head (immediately). [Fz.]

Confusion of the whole head (aft. ½ h.). [Ln.]

25. Confusion of the head and disinclination for literary work. [Rkt.]

He is relaxed, thinking is difficult, and speaking distasteful, or quite repugnant to him. [Stf.]

Relaxation of the mind for several days, he could not collect his thoughts and was almost stupid. (From moistening the fingers with a strong tincture of rhus.) [Stf.]

Very slow flow of ideas. [Stf.]

Forgetfulness; he cannot remember what quite recently. [Stf.]

30. The memory is very obtuse; he remembers with difficulty even the most familiar things and names, and again they are sometimes distinctly and clearly remembered, when he has no febrile chill. [Fz.]

Weakness of memory.

Absence of thoughts; he seems to be thoughtful, and yet has a deficiency of ideas.

When walking, is dizzy as if he did not see persons who were before hie eyes.

When she has walked, or when she stoops, she feels a whirling, not otherwise.

35. An absence of thoughts, as from vertigo before the eyes, often, as it were, a disappearance of all objects.

Absence of thoughts; e.g. when he wished to write 12, he put down the 1, but could not remember the 2; when he had paper in his hands he must make an effort to remember what it was held in his hands.

Headache as if stupefied, and buzzing in the head.

Confusion of the head (immediately).

The head is confused and as if intoxicated, in the morning (aft. 12 h.).

40. Giddy headache, involving the whole head; when writing his thoughts and memory left him, and he could not remember.

The head is full and heavy, with sensation, on stooping, as if the brain fell forwards. [Fz.]

On shaking the head sensation as if the brain were loose and fell against the skull. [Fz.]

Pain transversely across the forehead. (With S. 7 and 294.) [ALDERSON, l. c.]

Headache in the occiput, which goes off on bending the head backwards. [fz.]

45. When moving the arms energetically, pressive pain in the forehead as with a blunt point (aft. 25 h.). [Fz.]

Pressure and drawing on the left side of the hairy scalp. [fz.]

Confusion of the head, aching in the right temple, and close above and behind the right orbit a downwards pressure as from a weight.

Aching in the temples.

50. Headache, as if the eyes were pressed out of the head, with yawning and chilliness, without thirst.

When he stoops, he feels as if he could not rise up again; something hinders him in the nape; he feels when stooping as if a quantity of blood shot into his brain.

There is always something heavy in the head, and on stooping it feels as if a weight fell forwards into the forehead and drew the head down, whilst the face becomes hot.

A forward-pressing pain behind the left eye.

Head so heavy that she must hold it straight up in order to relieve the weight that pressed forwards in the forehead.

55. Heavy and dull in the head, when he turns his eyes; the eyeballs themselves are painful.

In the temples a heaviness as if there were a painful downward pressure there.

Headache, as if the brain were pressed together from both temples.

After heat, only internally, in the head alone, with dry lips and thirst, violent headache, as if the forehead would be pressed asunder, with an extraordinary weight in it, especially when she comes out of the open air into the room, or on awaking out of the midday sleep; but as soon as she lies down in bed in the evening, the headache goes away.

A burning pressure on the right temporal bone.

60. A pressure radiating upwards in the right temple in the evening in bed, worst when at rest; in order to relieve it he must either sit up, or get out of bed.

A real tearing to and fro in the head, worse when stooping, in the evening from 5 o’clock inwards until he went to bed.

Tearing pain in the right temple(aft. ½ h.). [Mch.]

Simple tearing transversely over the hairy scalp, externally. [Fz.]

Headache, drawing in the occiput and temples, with aching in the eyes, it is so bad that it drives him out of bed quite early(4.30 o’clock)

65. (Headache as from deranged stomach.)

Tearing and pressive pain in the head.

On waking from sleep, when he opens his eyes, he quickly gets a violent headache, at first in the forehead behind the eyes, as if the brain were lacerated, as after drinking too much brandy, aggravated by moving the eyes; then n the occiput, as if the cerebellum were bruised; in the temples there occurs an out-pressing.

(Headache in the left side and in the occiput, as if sore, extending into the teeth.)

When she goes up hill, sensation of rushing into the head, she feels every step in it.

70. Sometimes a splashing in the whole brain.

A running and crawling over the forehead and nose when sitting upright, which goes off on stooping. [Fz.]

When walking a swaying in the brain.

Stitches outwards in the head.

Fine beating in the right side of the head.

75. Burning in the head and fine beating or pecking pain in it.

A burning pain sometimes in the occiput, sometimes in the forehead.

A burning creeping sensation in the forehead.

He feels the pulse at the back of the head.

Some very fine violent stitches inwards in the right temple.

80. Her head feels too full and heavy (with tinnitus aurium), at the same time sometimes stitches out at the left temple.

A weight at the top of the head, after walking.

A single stitch of four minutes duration above the eye, from within outwards, while eating; the nausea and fulness heat rose up from within.

Headache: single jerks in the occiput, in the afternoon.

Soon after eating a tearing painful to the touch sometimes the drawing pain involves the whole head.

85. A painful crawling in the head like scratching with a needle, a fine prickly scratching.

After a walk in the open air, headache like formication.

In the afternoon a formication on a spot of the occiput, as if an abscess would form there.

A formication on the scalp (aft. 72 h.).

Headache as if externally, drawing as it were, the skin together, just as though she were pulled by the hair, and yet the head is not painful to the touch.

90. Hairy scalp very painful when touched and when the hair is stroked backwards.

The head is painful externally when touched and when the hair is stroked backwards.

The head is painful externally when touched, like a boil.

Eroding itching on the hairy scalp, the forehead, the face and round about the mouth, where miliary papules appear.

Towards evening, in the muscles of the nape, pain as if the parts were asleep, and as if the head had been held too long on an upright position.

Paleness of the face. [Fr.H-n.]

95. Appearance of illness, sunken features, blue rings round the eyes (aft. 18 h.). [Stf.]

Sharp-pointed nose, for three days. [Fr.H-n.]

The face is distorted and drawn away; the left side is as if shortened by contraction, the right as if lengthened (aft. 22 h.). [Stf.]

Redness and sweat of the face, without thirst (aft. 1 h.). [Fr.H-n.]

Desquamation of the skin of the face. [Fr.H-n.]

100. Great swelling of the face; the head is twice as big; a kind of phlegmonous pustular erysipelas, which compels him to keep his bed for four weeks. (From the emanations of the plant and from plucking it.) [VAN MONS, in Dufresnoy, (Observations – The French original has been consulted.) Ueber den wurzelenden Sumach, Halle, 1801.]

Erysipelatous swelling of the face and neck. (From the emenations of the plant). [Annalen der Heilkunde, (Not accessible) 1811, April.]

Great swelling of the head, face and eyelids, so that he could not open them for more than twenty-four hours. [DUFRESNOY, l. c.]

Great swelling of the face. [DU ROY, (Not accessible).harbkesche baumzucht, ii, p. 309.]

Swelling of the face, especially of the eyelids and lobes of the ears. [FONTANA, From handling the leaves.) in Edinb. Med. Comment., iim II.]

105. Swelling of the face in some persons. [DUDLEY, (Observations.) in Dufresnoy, l. c.]

Violent burning on the swollen face, eyelids and earlobes. [FONTANA, l. c.]

Intolerable itching on the swollen face, eyelids and earlobes. [FONTANA, l. c.]

Swelling of the head, neck and chest, as far as the navel. [Hbg.]

Stiffness and swelling of the face. [Hb. Ts.]

110. Face and hands so swollen, that he could not open the eyes for eight days, and his face had not a human form. [Hb. Ts.]

Fine scalp on the face (the 11^th d.). [Hb. Ts.]

Redness and sweat of the face without thirst (aft. 1 h.). (Reopetition of 98, except the name of the authority.)

Swelling of the lips and nose, then pale swelling of the face; the third day the facial swelling increased , with burning pain, the eyelids closed by swelling,the eyes watering; the fourth and fifth days the face was studded with vesicles full of yellow water, which burst and let out a little water; the swelling of the face lasted eight days, that under the chin longer; t desquamated like bran. (From wetting the hands with the juice.) [Annalen der heilkunde, l. c.]

Drawing and tearing in the superciliary region, and in the cheek bones. [Rkt.]

115. Inflammation of the eyelids. [DIFRESNOY, l. c.]

A smarting itching in the right upper eyelid (which goes off after some rubbing.) [Fz.]

Twitching sensation in the left upper eyelid (aft. 48 h.). [Fr.H-n.]

A sensation, made up of twitching and contraction, in the right lower eyelid. [Fz.]

The right upper eyelid seems to be swollen and presses, this goes off in the open air (aft. 26 h.). [Fz.]

120. The eyelids are dry and become always closed, as if by sleepiness, in the evening. [Fz.]

Quivering of eyelids and dry feeling in them, during a febrile chill. [Fz.]

Itching in the right outer canthus (aft. 27 h.). [Fz.] (The numbers from this onwards do not correspond with these in the original, several errors of enumeration occurring in Hahnemann’s list, and S. 115 being repeated at this place.)

On the left lower eyelid towards its inner canthus a red hard swelling, like a stye, with aching pain, for six days (aft. 48 h.). [Fr.H-n.]

Sensation of swelling in the right inner canthus. [Fz.]

125. Smarting as from an acrid acid in the right eye. [Fz.]

Weakness of vision: objets seem pale. (From wetting the fingers wit a strong tincture of rhus tox.)

She seems to have a veil before the eyes, she cannot see well.

When he turns the eye, to when it is pressed, the eyeball is painful, he can hardly move it.

Aching in the eye as if dust were in it.

130. Aching pain in the eyes.

Great swelling of the eyelids (4^th d.). [Hb.Ts.]

The eyes closed on account of great swelling, and they became inflamed (4^th d.). [Hb.Ts.]

Pain in the eyes. [Hb.Ts.]

Periodical cutting in the eyes; he has difficulty in opening the eyelids in the morning. [Sr.]

135. Aching in the eye on straining the sight.

Aching as from inflammation in the left eye, which is red in the inner canthus, and in the evening is sealed up with eye gum.

Pressive and contractive pain in the eyes, in the evening.

Burning aching sensation in the eye from evening till morning; it goes off in the morning after getting up.

In the morning the white of the eye is red, with burning aching in it; the eyes seem to be protruded.

140. The eyes are red and stuck together with matter in the morning.

Her eyes are stuck together with muco-pus in the morning.

Inflammation of the eyes.

Blear eyes full of water.

In the evening weeping of the eyes; with burning pain.

145. A smarting in the eyes; in the morning they are sealed up with eye gum.

Smarting on the inner surface of the lower eyelids (aft. 2 h.).

The eyelids in cold air as if sore from salt smarting tears.

Dry sensation of the eyelids, especially in the inner canthus.

In the evening (about 8 o’clock) a heaviness and stiffness in the eyelids, like paralysis, as if it were difficult for him to move the eyelids.

150. Stitches below the eye.

On the inner side of the orbit, in the bone towards the nose, bruised pain.

An aching with fine pricking no the zygoma.

An aching on the frontal bone, which constantly increases and then suddenly ceases. [Fz.]

A dull drawing on the left side of the forehead, through the left cheek, down the jaw, through the muscles and teeth, as if toothache would ensue. [Ln.]

155. Fine painful tearing behind the left ear. [Hbg.]

Ringing in the right ear when walking (aft. 1.1/2 h.). [Mch.]

Two violent cracks in the left ear at short intervals, as if the membrana tympani burst, when lying whilst going to sleep in the midday siesta, so that he started up trembling each time, but then soon went to sleep again (aft. 4 h.). [Mch.]

Painful beating at night in the inner ear.

Earache.

160. A sudden drawing pain in the ears, as if a thread were drawn through. [Sr.]

Before the right ear sensation as if something were blown in or lay before it.

(Roaring in the ear.)

Squeaking before the ears, like young mice.

(An itching creeping in the ears, of something alive were in them; she must bore in them with finger.)

165. Swelling of the nose, ears, and neck. [Hb.Ts.]

Epistaxis frequently, almost only when stooping.

Epistaxis at night (aft. 4 h.).

Epistaxis. [Hbg.]

Feeling of hardness and swelling under the nose, going off when touched. [Fz.]

170. Tension under the right nostril. [Fz.]

The tip of the nose is red, and painful when touched, as if it would fester (aft. 8 d.). [Fz.]

Scabby eruption near the left ala nasi and under the nose (aft. 48 h.). [Fr.H-n.]

Hot burning under the left nostril, so that the breath seems to come out hot, which goes off in the open air. [Fz.]

In the morning epistaxis (aft. 40 h.).

175. Epistaxis on clearing the throat and hawking.

Sensation of excoriation at the nostrils.

A tettery eruption about the mouth and nose, sometimes with twitching and burning itching pain in it (aft. 24 h.).

(On the fold of the cheek a pustule, which, painless per se, pricks like fine needles when touched.)

(Vesicles about the mouth and nostrils which burn.)

180. Coldness in the shut mouth, as if wind blew into it, which roaring in the left ear. [Fz.]

A pimple on the lower lip, in the white skin below the red.

In the morning on rising, in the right side of the lower lip, a pinching point which gives rise to the sensation as if it were bleeding (aft. 48 h.). [Fz.]

Parched dry lips, covered by a red scab. [Fz.]

A conglomeration of pimples at first filled with a watery fluid, not far from both angles of the lips, on the border of the lower lip, smarting as from salt per se, and wit a sore feeling when touched (aft. 10 h.).

185. In the afternoon a fine burning cramp in the right cheek, as if all became ulcerated; at the same time the skin of the cheek became very hot and rough, as if an eruption were breaking out there; he must get out of bed and had much thirst.

Quick needle-pricks in the right cheek. [Fz.]

Cutting contraction in the right cheek. [Fz.]

On a spot of the cheek a cutting pain, thereafter itching and pricking there, which goes off by scratching (aft. 10, 11 h.). [Fz.]

Burning contracted feeling in the right cheek, with aching pain in the crowns of the three upper molars. [Fz.]

190. On the side of the chin pimples, which contain pus in their apices, which cause a pain like a knife blade pressed in, only when touched, and a burning which is persistent.

A pain at the maxillary-joint close to the ear, cramplike when at rest and when moving the part, which is alleviated by strong pressure from without, and partaking of warm things.

Pain is the maxillary-joint, as if bruised or as if it would break, when it is moved (aft. 1 h.).

During spasmodic yawning in the evening, pain in the maxillary-joint as if it would be dislocated (aft. 1 h.).

When moving the jaw to and fro, creaking in the joint (in the morning)(aft. 12 h.).

195. At every movement of the lower jaw, even when drinking, a cracking beside the ear (in the maxillary-joint).

The gland under the angle of the jaw is painful, even without movement, like aching and digging.

Sensation in the lower jaw as if the gums were squeezed in from both sides, with a very musty feeling in the mouth. [Fz.]

Cramp-like pain in the maxillary-joint. [Fz.]

Swollen hard parotid and submaxillary glands. [Hbg.]

200. Swelling of the submaxillary glands, swallowing causes a shooting in them.

In the evening (7 o’clock) a shooting twitching in single jerks, from the temple down into both jaws and rows of teeth, during which he became quite exhausted,with a bruised pain in the left temple; he yawned, but could not go to sleep immediately from fear lest the pain might return.

Slow shooting and at the same time twitching pain in the canine tooth, in the evening.

At night (about 10 o’clock) twitching toothache, it twitched up into the head; it was alleviated by laying a cold hand on the outside.

Twitching in the root nerves of the hollow teeth.

. Twitching in the dental nerve from below upwards, alleviated, but only transiently, by laying on the cold hand.

Aching on the outer side of the gums of the lower molars, and at the same time on the shoulder at the left clavicle. [Fz.]

Dull aching in the lower molars, and on the left shoulder at the clavicle. [Fz.]

Toothache in the right upper teeth, as if at the roots they were drawn into their alveoli. [Fz.]

Toothache in the lower molars: a sharp pressure and an obtuse pain, with feeling in the mouth as from a musty smell. [Fz.]

210. Sensation betwixt the teeth on the right side as if a tough body were betwixt them. [Fz.]

Toothache, like cutting and like a wound.

In the night (2.30 a.m.) intolerable sore pain combined with burning in the gums extending into the roots of the molars, compelling him to sit up in bed, with feeling of heat on the body, and especially on the head, and sweat on the forehead.

At the back of the palate, where the teeth terminate, a cutting throbbing pain, as if an ulcer were forming, per se, but on touching it there is shooting pain like an ulcer.

On the inside of the gums of the front teeth and in the periosteum of the teeth a pressure, moving hither and thither.

215. The teeth are loose, and there is occasionally a formication in them as in a limb that has gone to sleep.

A painful formication in the tooth, like scratching with a needle, a fine prickling scratching.

The teeth are painful only when biting and chewing, as if they were too high and loose, and yet they do not hurt or feel loose when touched.

Toothache (in the evening), first in the hollow tooth, which became higher and looser, then in the other teeth also, in which there was sometimes shooting, sometimes formication.

The front teeth are loose, and are painful from cold and warm drinks.

220. Pain in the front teeth on knocking against them with the tongue.

Visible looseness of the first two molars, of both canine teeth, and of the four lower incisors, with formicating pain in the gums, also when not chewing.

Looseness of the lower incisors, she cannot bite on them.

Great looseness of the four lower incisors; the gum recedes from these teeth, it can be pulled away from them and touched without pain, except when the teeth themselves are painful.

Water collects in his mouth; he must frequently spit it out.

225. Internal inclination to spit out, as if she had too much saliva in the mouth.

While sitting asleep in the afternoon the saliva runs out of his mouth.

In the afternoon sleep the mouth becomes full of water.

In the morning in bed the mouth was full of salt water.

He must spit out much saliva and mucus all day; at the same time something tasting sour comes up from the stomach into the mouth.

230. In the morning frequent hawking of mucus.

She must hawk much in the morning only, and the more she rinses the mouth the worse it is with the mucus in the throat.

In the morning the mucus and tongue are salt

Dry feeling in the throat.

Thirst and dryness in the throat. [Hb.Ts.]

235. The tongue is not furred, but very dry, which incites to drinking.

Dry feeling on the tip of the tongue (without visible dryness), and to this he attributes the thirst.

Thirst owing to feeling of dryness in the mouth, which remains in spite of drinking ever so much, in the afternoon and after midnight.

Perceptible dryness of the mouth, dry feeling with extreme thirst. [Stf.]

Accumulation of saliva.

240. Flow of saliva in the mouth after (customary) tobacco smoking. [Fz.]

Much saliva flows into the mouth. [Stf.]

Frequent spitting of very viscid mucus. [Stf.]

Much mucus in the mouth, without unusual taste. [Fz.]

Viscid mucus in the throat, which goes off after hawking a little, but leaves a kind of roughness.

245. Feeling of swelling in the throat combined with bruised pain, per se and when speaking, but on swallowing pressive pain as if swollen, with a prick as if something sharp had stuck in there (aft. 3 h.).

When swallowing and yawning there us a prick in her throat, as if she had swallowed a needle.

She cannot drink; every time she swallows liquids she chokes, just as if the epiglottis did not act or were paralysed; at the same time dry feeling in the back of the throat.

Severe pricks, which at their onset are obtuse, but and sharp and pointed, in the throat in the region of the epiglottis, not when swallowing but always removed by swallowing.

Sensation in the left tonsil, like roughness and excoriation, when swallowing (aft. 6 h.). [Fz.]

250. When the throat is dry he has pricking in it, but when it is moist aching in it, when swallowing.

When swallowing an aching in the throat, not so bad when swallowing food as during empty deglutition.

Throbbing pain in the back of the throat.

A pungent bitter-sour taste in the mouth.

A coppery taste in the mouth and a scrapy feeling extending deep down into the throat.

255. In the morning, after waking and after eating, a putrid taste in the mouth, but without bad smell from the mouth.

A greasy taste in the mouth, but the food tastes all right.

In the forenoon taste in the mouth as of putrid meat, as if the stomach had been deranges with putrid meat, but the food tastes all right and nice (after eating the putrid taste did not return).

Putrid slimy taste in the mouth, she must pit much.

Slimy taste in the mouth; the mouth feels as if covered with mucus. [Stf.]

260. Food is relished (in the evening) with the exception of bread, which tastes rough, dry, and scrapy. [Fz.]

Bread tastes bitter and rough. [Fz.]

Beer is not relished. [Fz.]

Flat taste in the mouth. [Stf.]

Bread and food generally are repugnant to him. [Stf.]

265. Aversion to meat and meat soup for several days. [Stf.]

Longing for cold milk, he swallows it hastily. [Stf.]

After a glass of wine he feels full; he gets a loathing at wine and at the same time heaviness of the head. [Stf.]

(All day long bitter in the mouth, the food even tastes bitter.)

In the morning bitterness in the mouth, which goes off on eating.

270. (Bread tastes bitter.)

(Sour things taste bitter to her.)

After partaking of milk a sourish taste comes into the mouth.

Aversion to coffee.

No relish for tobacco, and yet no loathing at it.

275. Frequently sudden appetite for dainties.

Complete want of appetite. [Fr.H-n.]

Complete anorexia for several days. [Hbg.]

Want of appetite; he eats little, is immediately satiated and yet has hunger.[Stf.]

At the time when healthy hunger might be expected there came complete anorexia, with much saliva in the mouth of a flat slimmy taste. [Fz.]

280. Anorexia in the palate and throat, with empty feeling in the stomach and at the same time ravenous hunger, which goes off after sitting for some time.[Fz.]

A peculiar heaviness in the abdomen, which seems to be quite empty with hunger, when sitting (aft. 24 h.). [Fz.]

In the morning he was hungry, but when he sat down to table food was immediately indifferent to him, and it was all one to him whether he ate or not. [Fz.]

In the morning natural hunger, at noon indifference to food, which, however, he relished. [Fz.]

Appetite greater than usual (Curative action) (aft. 4 d.). [Fz.]

285. Little appetite, but at the same time hunger, with sensation as if the hunger affected the chest. [Fz.]

Occasionally a shudder of loathing and nauseous shaking all over the body without feeling of chilliness.

She has no appetite, but the food tastes all right; but when she has swallowed a mouthful a putrid taste comes into the mouth.

A fullness in the sub0steral region, with a feeling as if all appetite were for ever gone.

Complete loose of appetite for all food; nothing tasted well, neither food nor drink, nor tobacco (aft. 16 h.).

290. She ate without any desire to eat, and it tasted well.

Though food is tolerably relished yet she has no appetite for it, and her stomach always feels full.

Food will not go down in the morning on account of internal fulness.

He felt squeamish and sick, as if in the chest, in the morning after rising. [Fz.]

Nausea. [ALDERSON, l. c.]

295. Nausea, as if in the throat. [Fz.]

Nausea in the chest, with ravenous hunger, after sit the nausea went off. [Fz.]

Nausea in the stomach and qualmishness in the chest, which become worse on stooping (aft. 26 h.). [Fz.]

After moderate eating fulness and eructation.

A kind of ravenous hunger, and yet he has a soapy taste in the mouth; everything tastes like straw and is eructated, and after the smallest quantity of food the appetite is immediately gone, and he feels full.

300. A creeping in the stomach and excessive eructation, which was only allayed by lying, but every time he raised himself up it returns.

After eating and drinking there is empty eructation.

In the evening very violent eructation of wind, followed immediately by hiccup without sensation (aft. 36 h.).

Eructation from the stomach, which seems to be transferred to the right side of the chest, as if it settled there. [Fz.]

Frequent eructation, also of what had been eaten.

305. A sort of burning eructation.

Soon after eating giddy in the head.

Soon after dinner (drawing) toothache in an undecayed tooth (aft. 30 h.).

Mostly after eating an anxiety in the abdomen, with flatulent distension.

After dinner (when standing) suddenly such a weakness in the head and vertigo, that he thought e would fall forwards. (Comp. 4, 18, 19.)

310. Immediately after eating, headache (tension in the whole sinciput).

Soon after eating, headache.

(Immediately after eating, cough.)

(Immediately after eating, very tired.)

Immediately after eating, extraordinary drowsiness he could not refrain from sleeping.

315. Immediately after eating, enormous distension of the abdomen.

On drinking beer headache.

On drinking beer it goes to his head, as if it caused heat there.

Especially after eating shivering.

After eating stomachache, for several hours, as from indigestible food.

320. After eating and drinking some pinching in the upper part of the abdomen.

After eating and drinking and drinking some pinching in the upper part of the abdomen.

After eating and drinking nausea.

After eating and after coffee nausea and flow of saliva into the mouth.

(During dinner she got stomachache, which delayed her getting to sleep; after waking it was gone.)

In the morning after rising he got warm and qualmish as though he should vomit; after lying done again the nausea went off.

325. After a meal he became exhausted and giddy. [Fz.]

Pressive drawing forwards in the left hypochondrium, with anxiety and nausea on the chest (aft. 63 h.). [Fz.]

In the morning after rising nausea, with a kind of anxiety which gradually went off in the open air (aft. 27 h.). [Fz.]

Nausea, which became a little better after eating, but returned, with hunger without appetite. [Fz.]

After a moderate meal fulness in the stomach, as if it were overloaded, with persistent great appetite.[Fz.]

After a moderate meal fulness in the stomach, as if it were overloaded, with persistent great appetite. [Fz.]

330. Ravenous hunger and emptiness in the stomach, with anorexia in the palate and throat, which goes off after sitting for some time. [Fz.] (Repetition of 280, the ‘which” must refer to the “hunger,”)

In the night during sleep, she often rises up and heaves as though she would vomit, but nothing comes.

In the morning accumulation of saliva in the mouth, with nausea nearly coming to vomiting, and yet at the same time hunger.

In the evening several times a rising from the scrobiculus cordis to the pit of the thraot, which almost took away her breath for instants.

A pressure in the scrobiculus cordis, as if it were swollen there, which makes the breathing difficult (in the evening).

335. A pressure in the scrobiculus cordis as if a too large morsel had been swallowed.

An oppression in the stomach towards evening, as if all were drawn together in the region of the scrobiculus cordis (aft. 6 h.).

A kind of squeezing, as if full and tight in the scrobiculus cordis.

Aching in the scrobiculus cordis on moving.[Fz.]

A shooting pain in the scrobiculus cordis (aft. ¼ h.). [Ln.]

340. Simple shooting in the scrobiculus cordis at the right hypochodrium (aft. 10 h.). [Fz.]

Pinching in the scrobiculus cordis and thence quickly into the hypogastrium on a small spot (aft. 3 h.). [Stf.]

Violent beating under the scrobiculus cordis.

Pain in the stomach. (In the original, “slight stomachache.”) [DUFRESNOY, l. c.]

A lump seems to lie in the stomach after a meal, especially when standing. [Fz.]

345. Under the diaphragm, above the stomach, painful pinching, afterwards deeper, in the stomach itself. [Fz.]

A severe beating in the region of the stomach.

On the right side towards the stomach, a contractive pain.

A pushing forwards in the hypochindrium, with anxiety, as if about to die, when sitting in a stooping posture (aft. 9 h.). [Fz.]

A pushing in the abdomen as if the bowels were raised up towards the heart, when sitting (aft. 25 h.). [Fz.]

350. On rising up after stooping, a feeling as if the abdomen were distented, with warm feeling on the chest. [Mch.]

A pushing in the left side under the ribs. [Fz.]

Shooting from the right side towards the stomach.

Pressive shooting pain in the region of the stomach (whereby deep breathing was prevented).

Pain in the abdomen, like a lump lying oppressive and heavy in the belly.

355. When lying no pain in the abdomen, but when sitting the abdomen is painful as if it were pressed,

A pressive pain on a small apot in the abdomen, as if flatulence were displaced there, only when turning the body strongly, e.g. when going upstairs, but not when touching it.

Pinching in the right side of the umbilical region, with rush of chilliness in the upper arms. [Fz.]

Pinching in the abdomen when sitting with oppression rising up (aft. 25 h.). [Fz.]

A pinching in the right side under the ribs, which soon extended towards the umbilical region, as if he had worms in the abdomen, when sitting (aft. 2.3/4 h.). [Ln.]

360. (In the afternoon) when walking in the open air, pinching in the abdomen with displaced flatulence, which is not freely discharged (aft. 25 h.). [Fz.]

Almost twitching pinching in different parts of the abdomen. [Fz.]

During the evacuation of a natural stool, extraordinary pinching in the abdomen (aft. 25 h.). [Fz.]

Flatulent distension of the abdomen in the umbilical region, with violent pinching.[Ln.]

Digging pain in the right side of the abdomen. [Fz.]

365. A shooting from the navel to the cardiac region, as if a stitch darted up, repeated at every pulse (aft. 2.3/4 h.). [Ln.]

A shooting above to navel. [Fz.]

Drawing extending downwards from the umbilical region towards the pubes (aft. 27 h.). [Fz.]

Pain as from contusion below the navel. [Fz.]

A visible contraction in the middle of the abdomen above the navel, so that the abdomen below and above this contracted stripe was distented, hard and stiff to the feeling (aft. 3 h.). [Ln.]

370. A cramp-like drawing in the umbilical region. [Ln.]

Cutting in the left side of the navel on expiration while sitting. [Fz.]

In the morning, on getting a slight chill, spasmodic pains (spasms)in the right side of the abdomen, with moaning, timorous, disconsolate humour (aft. 24 h.).

First cutting in the abdomen, then a shooting in the right side of the abdomen.

Bellyache compounded of cutting, tearing and pinching, which involves the whole of the bowels without indication of much flatulence and without distension of the abdomen, and is worse when moving, but becomes gradually better when at rest (aft. 24 h.).

375. Painful distension of the abdomen, with pain in the belly as from much incarcerated flatulence, soon after a meal.

Enormous distension of the abdomen immediately after eating.

Up the abdomen a scarlet redness to four fingers’ breadth below the navel (the 11^th d.). [Hb.Ts.]

The abdomen was distented all day long; there was a welling in it like fermentation.

Fermentation in the abdomen.

380. Very foetid flatus.

Burning in the abdomen and thirst.

A digging and twisting pain in the abdomen as if a worm moved in it.

In the left side of the abdomen a drawing pain when breathing.

Grumbling and rumbling in the abdomen with blows towards the pubes (aft. 36 h.). [Fz.]

385. Fulness and ferin the abdomen with hunger which all went off after eating (aft. 26 h.). [Fz.]

The flatulence excites a twitching in the abdomen. [Fz.]

Easy discharge of much flatus which seems to be produced only in the rectum (aft. 1 h.). [Fz.]

Much flatus in the abdomen which is not discharged, in the evening. [Fz.]

Rumbling, flatulent sufferings and pinching in the abdomen, without discharge of flatus. [Stf.]

390. Twitching and pinching pain in the abdomen. [ALDERSON, l. c.]

When walking the abdomen seems to be so relaxed internally, that there is a shaking in it at every step. [Fz.]

In the morning immediately after rising, on stretching the body, the abdomen is painful as if ulcerated, and the abdominal integuments seem to be too short (aft. 24 h.). [Fz.]

In the right side of the hypogastrium a drawing pressive sensation, and in the abdominal integuments a feeling as if a cobweb were spread over them, when sitting (aft. ¼ h.). [Mch.]

Pressing on the pubes. [Fz.]

395. In the pubes sensation as if stretched, when walking in the open air. [Fz.]

In the region above the inguinal ring a drawing transversely across, when sitting.[Fz.]

In the left flank a tension with shooting. [Fz.]

In the left flank sensation as if a part (hernia) were protruded. [Fz.]

Outstretching in the right groin, as if a hernia would occur. [Fz.]

400. In the left flank, when walking, a weight as if a boil hung down there. [Fz.]

An out-pressing in the right groin, with ravenous hunger, and rumbling in the abdomen (aft. 11 h.). [Fz.]

Contractive pain in the left groin.

On the mons veneris two red excoriated spots from bursting of blosters (11 d.). [Hb.Ts.]

Pain and contraction in the abdomen, so that she must walk in a stooping attitude.

405. In the middle of the abdomen, before noon, cutting; at the same time she must often go to stool, when the evacuation was normal; the pain was alleviated by bending the body together, aggravated by walking (aft. 16 h.).

Constant urging to stool, with nausea and tearing in the bowels; the call to stool often resulted in nothing, often in a small quantity of watery fluid.

Along with greater pinching and digging in the hypogastrium frequent rapid evacuations, extremely foetid, first more consistent, then watery, mingled with flatus (aft. 1-1/3 h.). [Stf.]

After the faecal evacuation, remission of the pains in the abdomen, which, however, soon returned, exciting new evacuations. [Stf.]

Diarrhoea. [ALDERSON, l. c.]

410. Diarrhoea several times in an hour, for sixty hours (aft. 30 h.). [Fr.H-n.]

Stools mixed with blood. [Hbg.]

Stools with mucus, red, and yellow, like jelly and liquid. [Hbg.]

Quickly occurring, thin, yellow, frothy stools, with hardly any smell, not preceded by pain in the abdomen; the first portions pass involuntarily, as in paralysis of the sphincter ani (aft. 24 h.). [Stf.]

Connected but very soft whitish yellow stool (aft. 45 h.). [Stf.]

415. Before every stool a burning in the rectum.

Before every stool the child screams after each it is quiet.

She has four ordinary stools in rapid succession (aft. a few h.).

Seven diarrhoeic motions like jelly, yellow streaked with white, without pain in the belly (aft. 20 h.).

Three or four almost watery stools with much flatus (aft. 24 h.).

420. Diarrhoea.

(Thin stool, several times a day, followed by empty pressing, tenesmus.)

Diarrhoea, pinching before each stool (aft. 40 h.0.

Diarrhoa, stool as if chopped up.

(Perfectly white stool, neither too soft nor too hard.)

425. (Constipation)(aft 3 d.).

(Stool somewhat bloody).

Frequent call to stool, but he can pass only very little (aft. 68 h.).

After a soft stool, sore projecting piles; blind haemorrhoids (aft. 24 h.).

Sore pain at the anus at other times than when at stool.

430. When standing a labour-like drawing towards the uterus.

Drawing down the back, and tension and pressing in the rectum, as if all would come out there.

Creeping in the rectum, as from thread-worms (aft. some h.).

Itching deep in the rectum.

Itching pain at the anus, as from piles.

435. Burning pain posteriorly at the root of the urethra, when urinating.

When urging to urinate stitches from both sides upon the bladder.

He must pass urine every minute during the day.

Great discharge of urine (aft. 14 h.).

He must rise up three times to urinate at night.

440. When passing water he gets eructations.

Hot urine.

Dark urine.

The urine is already cloudy when it is passed.

Dark urine that soon becomes turbid.

445. Cloudy white urine, that became always more cloudy white the longer he urinated, so that the last drops were the most turbid, like flakes (aft. 24 h.).

Urine like water, with snow-white sediment.

(The urine passed in a double stream.)

Pain in the inguinal glands, only at night in bed, when she moves, on turning and rising up.

At the inguinal ring a simple pain, as if a hernia would protrude there.

450. Frightful eruption on the genitals, (From smearing the hands with the juice, and probably wetting the genitals with it.) closure of the urethra by swelling.(And death.) [Annalen der heilkunde, l. c.]

A profusely exuding eruption (From smearing the hands with the juice.) on the scrotum and swelling of the prepuce and glans penis. [Annalen der Heilkunde, l. c.]

Stiffness and swelling of the genitals (3^rd d.). [Hb.Ts.]

Tympanitic swelling of the genitals, especially of the scrotum, with much itching(This and the previous symptom occurred in the same subject. He phrase “tympanitish” is applied only to the accompanying swelling of the face.)

Down from the scrotum a dark scarlet redness, without swelling, becoming streaky at the middle of the thighs (11^th d.). [Hb.Ts.]

455. The scrotum became always more swollen and harder, and itched intolerably, especially towards the perinaeum (4^th d.) [Hb.Ts.]

The scrotum felt like thick pigskin (11^th d.). [Hb.Ts.]

With the aid of a magnifying glass a miliary eruption as seen on the scrotum, which exuded moisture where the scrotum touched the thigh and in the perinaeum (11^th d.). [Hb.Ts.]

In the left testicle a cutting drawing. [Fz.]

Red spots on the inside of the prepuce, near the fraenum.

460. The glans was painful because the swollen prepuce formed a paraphimosis. [Hb.Ts.]

The prepuce was darker than usual (11^th d.). [Hb.Ts.]

On the top of the glans an exuding vesicle. [Sr.]

A large blister under the prepuce on the glans, which burst the following day (6^th d.). [Hb.Ts.]

Swelling of the prepuce close to its junction with the glans.

465. Great smarting on the front part of the urethra, continuing during and after micturition, worse when at rest then when walking (aft. 5 h.). [Ln.]

In the morning on rising swelling of the glans, with simple pain when it is touched, at the same time smarting in the urethra, during and after micturition (aft. 12 h.). [Ln.]

Shooting itching inside the prepuce (aft. 9 h.). [Fz.]

Towards morning violent erection of the penis, with frequent discharge of urine. [Fz.]

At night frequent erection of the penis, with frequent discharge of urine. [Fz.]

470. Irresistable excitation to seminal emission after 3 a.m. (aft. 20 h.).

Large nocturnal seminal emission (aft. 6 h.).

Violent labour pains, as if the menses would instantly come on, deep in the hypogastrium (immediately, for four hours).

Shooting in the vagina, not increased by touching.

In the evening soon after touching, pain in the vagina, as if excoriated.

475. In the vagina, in the evening, sore pain, per se, for two successive evenings.

Discharge of blood from the womb (menses)(aft. 7 h.).

Some discharge of blood from the womb without pain, in a pregnant woman, at the new moon (aft. 72 h.).

On the third day of the menses in an elderly woman (She was 50 years old, and the menses were usually too long continued, so that after three days they always caused many morbid symptoms. The suppression was therefore curative action.) the discharge ceased all at once, and not a drop more came.

Return of the menses that had long been absent, the discharge is copious (aft. 7 h.). [Fr.H-n.]

480. Brings on the menses that had been delayed eleven weeks. [Hbg.]

The mdischarge causes a severe smarting pan on the genitals. [Fr.H-n.]

Frequent, very violent, almost spasmodic sneezing.

Severe sneezing (aft. 4 h.).

Hoarseness deep in the trachea.

485. A scraping rough feeling in the larynx causing hoarseness.

In the throat and trachea a roughness, as if the chest were raw and sore.

Roughness in the throat, causing short cough (aft. 3 h.). [Stf.]

Nasal mucus runs in profusion involuntary out of the nose, as in the most severe coryza, though he has not got coryza, in the morning after rising from bed.

(Nose sometimes stopped, as in stuffed coryza, worse in the room, better in the open air.)

490. A hot vapour rises up out of the throat (out of the lungs).

Cough and coryza, with expectoration. [Hbg.]

During expiration feeling of coldness in the throat, as if a cold breath came away. [Fz.]

Weakness on the chest, so that talking is difficult for him, after walking in the open air. [Fz.]

He feels very full in the chest; at the same time hunger without appetite. [Fz.]

495. In the left side of the chest, not far from the scrobiculus cordis, a pushing, while sitting in a stooping posture (aft. 25 h.). [Fz.]

Palpitation of the heart, so bad when he sits still that the body is moved by every beat of the pulse.

A disagreeable feeling of weakness of the heart, trembling of the heart.

An itching on the mammae.

Itching on the left nipple, in the evening after lying down in bed.

500. The milk disappears in the mammae (aft. 12 h.).

Contractive sensation in the sternum, with shooting jerks in it.

(In the morning in bed) pain in the chest, as if the sternum were pressed in ; after rising it went off.

Feeling of constriction of the chest.

In the evening tension over the chest; very short breath and weakness in all the limbs.

505. On the chest and in the upper molar teeth a feeling of insensibility (numb and stiff). [Fz.]

The left side of the trunk from the axilla to below the ribs is swollen and painful. [Fr.H-n.]

Oppression of the thoracic cavity (aft. 2 h.). [Ln.]

Aching oppression on the chest. [Fz.]

Oppression on the chest, as after violent weeping. [Fz.]

510. The chest feels constricted, and he is squeamish and sick. [Fz.]

At night an oppression of the chest with shooting pains, especially on fatching a breath (aft. 5 h.).

Short breathing, especially when at stool.

She cannot sit, must breathe deeply as if she should be suffocated, especially after every meal.

Nausea with inclination to vomit under the short ribs, which oppresses the breath.

515. Oppressed and anxious, as if she could get no breath.

In the pit of the throat sensation as if the windpipe were stopped up and constricted; it went off for a short time by eating and drinking, but soon returned,

When he has walked a little the breathing becomes difficult.

Scraping and burning in the chest, also when not breathing.

Short anxious painful cough, which often wakes him before midnight from sleep, with very short breath.

520. Frequently a tickling irritation in the air passages as though he would cough, which makes his breathing short, this goes off after moving moderately.

In the evening especially a tickling cough, caused by dryness in the throat.

Cough with disagreeable tension on the chest.

In the evening, after lying down, frequent hacking cough with bitter taste in the throat, until he went to sleep, and in the morning the same hacking cough and the same taste in the throat until he gets up.

When coughing perspiration all over.

525. (Cough in the open air.)

Spasmodic cough, causing a shick in the head.

The cough shakes the whole chest, as if all its contents were loose.

When coughing pain in the stomach.

(Vomiting of the food when coughing, in the evening.)

530. During the cough she gets a taste of blood in the mouth, but does not cough up blood.

At night he cannot sleep well on account of the cough, which plagues him much.

Before midnight dry cough, which caused shooting in one side of the loins.

Cough about 3 a.m., most severe after waking.

Cough particularly severe after waking.

535. (Some cough, especially in the morning, with black viscid expectoration.)

When coughing stitches in the left side of the chest.

Disagreeable feeling of heat in the chest when walking in the open air.

A pricking, oppressive pain on the sternum, which impedes respiration, with a constant short cough without expectoration (aft. ½ h.). [Mch.]

Very fatiguing cough with expectoration of white mucus, by day and night. [Mch.]

540. Some severe pulsating stitches over the region of the heart, so that he cried out loudly, when sitting, in the evening (aft. ½ h.). [Ln.]

Boring pain in the left side, in the evening in bed (aft. 5 h.). [Fz.]

A slow drawing down the left side of the chest, per se, not when breathing.

On the right side of the chest to the half of the back an eruption of pimples, which is painful as if sore and excoriated, with fine stitches darting outward.

On both side of the sternum deep stitches, when sitting in a bent posture.

545. In the evening a violent shooting in the left side under the ribs until midnight.

Boring stitches in one of the lowest ribs, when standing.

A tearing stitch from the right side of the chest to the left side of the abdomen, in the evening.

Shooting in the left side when speaking and breathing deeply.

Frequent stitches in the side.

550. Frequent stitches in the right side.

Stitches in the side when walking in the open air.

The nape is painful on moving as if stiff and tense.

Itching pricks, like flea-bites, in the nape. [Fz.]

Aching in the muscles of the nape, on moving the head forwards. [Fz.]

555. Pressure on the upper part of the nape; the pat is as if numb (aft. 10 h.). [Fz.]

When stooping drawing over one side of the nape. [Fz.]

Rheumatic stiffness in the nape. [Rkt.]

Stiff in the nape (aft. 4 h.). [Fr.H-n.]

Stiffness of the whole neck, so that when she tries to move the head she must complain loudly of pain in the nape. [Fr.H-n.]

560. Itching on the neck and on the forearms. [VAN MONS, in Dufresnoy, l. c.]

The left shoulder is as if paralysed. [Fz.]

Tensive cutting across the scapulae. [Fz.]

Bubbling twitching and contractive sensation in some parts of the left scapula and over the right knee. [Fz.]

On the left scapula a pain as from strong pressure with the finger (aft. ¼ h.). [Ln.]

565. Contraction of the skin in the left scapula (aft. 54 h.). [Fz.]

Twitching in the side close to the left scapula when sitting. [Fz.]

Drawing from below upwards and pressure under the left scapula in the side of the back. [Fz.]

Drawing and pressure under the right scapula, which tightens the breath. [Fz.]

Pressure on the right scapula. [Fz.]

570. Pain in the nape, as from a heavy weight, like lead, on account of which he cannot lie (aft. 4 d.).

Tearing between both shoulders, and drawing together as if were from both sides.

Violent rheumatic pain between the scapulae, neither relieved nor aggravated by movement or by rest, only alleviated by warmth, but increased by cold (aft. 48 h.).

When stooping shooting in the back (in the evening).

Pressive stitches in the back, worse when walking than when sitting; also when stooping, but more when raising himself up again.

575. In the evening drawing pain in the back; he must sit up straight.

Drawing pain in the back when sitting; ot goes off when walking.

When sitting a constrictive pain in the dorsal muscles, diminished by leaning back, increased by bending forwards.

When sitting the sacrum is painful, as from too much stooping and bending the back.

Pain in the sacrum as if bruised wen he lies still upon it, or sits still; he feels nothing when moving.

580. Shooting jerks in the sacrum (when walking).

Stiffness of the sacrum, painful when moving.

Pain in the sacrum when grasping it, as if the flesh were torn away.

In the right side of the lumbar vertebrae and in the sacrum, sensation as if bruised. [Fz.]

Sacrum as if bruised. [Fz.]

585. Stiffness in the sacrum. [Fz.]

Across the sacrum a pressure as with a knife, when standing and bending backwards. [Fz.]

At the bottom of the sacrum a burning point tthe right side.

Heaviness and pressure in the sacrum, as if he had had a blow there, when sitting (aft. 6 d.). [Fz.]

Drawing twitching shooting, as with a nail, in the coccyx. [Hbg.]

590. (When walking and standing a kind of tearing and drawing from the hip to the knee.)

When he lies on the side the hip is painful, and when he lies on the back the sacrum is painful.

Shooting in the shoulder when lying, which goes off on moving.

Swelling of the axillary glands, painful when touched and when not touched.

From the shoulder down into the hand a sensation as if something rolled down in it, but it os neither warm nor cold.

595. On the left shoulder, near the clavicle, sensation as if someone pressed there. [Fz.]

Tearing in the shoulder-joint and the top of the scapula. [Rkt.]

Burning shooting under the left axilla, on the arm. [Fz.]

When raising the left arm a drawing under the axilla, which goes down into the middle of the upper arm. [Fz.]

Sensation as if hot water ran through the arm. [ALDERSON, l. c.]

600. On moderate exertion of the arm a trembling of it.

In the arms, from the shoulder downwards, drawing stitches.

Needle-pricks in the left upper arm (aft. 5 d.). [Fz.]

A violent stitch on the right upper arm, as if it came from without. [Fz.]

In the open air tension in the left upper arm (aft. 10 h.). [Fz.]

605. Twitching sensation in the left arm. [Fz.]

Boring stitches in the upper arm (when standing).

Tearing in both upper arms; it becomes worse when working, she must let the arm hang down; it is still more painful when under the bedclothes, and when it is touched the bone is painful.

Pain and swelling of the arms. [Hb.Ts.]

On the upper arm single, small round, red spots. [Hb.Ts.]

610. On the left elbow a painless throbbing.

A drawing and tearing from the elbow-joint to the wrist-joint.

Tension in the elbow-joint when she extends the arm; she could with difficulty raise the arm.

On moving, a cramp-like drawing in the left elbow-joint (aft. 76 h.). [Fz.]

Burning itching pain on the left elbow, which compels scratching, and goes off after scratching (aft. ½ h.). [Mch.]

615. In the left forearm, on moving, a digging pain in the bone and twitching in the right wrist; the whole forearm feels stiff. [Fz.]

Powerlessness and stiffness of the forearms and fingers on moving them (aft. 25 h.). [Fz.]

Coldness of the forearms. [Fz.]

Eroding burning in the right forearm (aft. 4 d.). [Fz.]

Twitching tearing in the elbow-joint and wrist-joint, even when at rest, better when moving (aft. 5, 6 h.). [Rkt.]

620. In the arm violent tearing pain, worst when lying still. [Fr.H-n.]

Feeling of powerlessness in the upper part of the right forearm when moving, and a pain as of dislocation in the wrist on grasping (aft. 27 h.). [Fz.]

The left forearm is painful as if bruised (aft. 48 h.). [Fz.]

Erysipelas, swelling. Pustules with burning and itching on the arms and hands. [FONTANA and DUFRESNOY, l. c.]

Sensation on the skin of the left forearm, as if it were rubbed with a woolen cloth or scraped with a knife, accompanied by a cold feeling in it. [Fz.]

625. In the upper side of the left wrist, on flexing it sensation as if it were sprained. [Fz.]

A tearing shooting in the left wrist.

Drawing pain in the right palm.

On the wrist, which is normally warm, sensation of coldness, as from a cold wind.

The back of the hand is covered with chaps and hot; the skin is hard, rough, and stiff.

630. In the evening hot swelling of the hands and face.

(A fine twitching lasting several hours in the right hand between it and the thumb.)

On the hands hard pimples, with burning eroding itching.

Burning in the flesh betwixt the left thumb and index (aft. 11 h.). [Fz.]

Involuntary painless jerking inwards of both thumbs, only on and third fingers of the left hand. [Mch.]

Shooting on the back of the index, as after having gone to sleep. [Fz.]

Over the middle joint of the ring finger an inflamed lump, with itching burning pain, which sometimes changes into a slow prick; not removed by rubbing and scratching.

Blisters on the right wrist-joint, which continued to increase, on a pale red surface of four fingers’ breadth; they were mostly the size of a pin’s head or a lentil, and increased to the size of a pea, and became so numerous that not only was every salient point covered, but all seemed to present the appearance of a big bunch of grapes, the several depressions of which – intervals they could not be called- had a brownish shining look, owing to the dried secretion which the patient pressed out of the blisters in the form of water as clear as crystal (5^th d.). [Hb.Ts.]

640. Four fingers’ breadth round about the wrist there was an appearance as if a blister had been applied to a stiff skin, in the form of a bracelet, which had caused vesicles to be heaped upon vesicles. The nearer they were to the hand the more separate they were; some bright and clear on the outer border of the hand, and these had no red areola; when opened they poured out the clearest lymph, and this immediately forms a shining yellow gum on the parts on which it flowed (11^th d.). [Hb.Ts.]

Violent itching of the hands (4^th d.). [Hb.Ts.]

First betwixt the fingers, then on the whole hand, small vesicles, which exactly resembled Willan’s water-blebs (pompholyx), except that there was more swelling with them (2^nd d.). [Hb.Ts.]

On account of great swelling the fingers could only be moved with pain (4^th d.). [Hb. Ts.]

On the inside of the wrist and on the lower part of the cheek, papules like itch, which are the seat of burning itching, and after scratching are sore.

645. (On the backs of the fingers, on the outer parts of the arms, and on the back of the head, nipping and pinching.)

Fine pricking pain in the fingers. [ALDERSON, l. c.]

Sensation in the tips of the fingers (in the warm room)as if they were too full of blood, with cold backs of the hands (aft. 10 h.). [Fz.]

Creeping like gone-to-sleep state in the tips of the fingers. [Fr.H-n.]

(Spasmodic drawing inwards of the fingers.)

650. In the morning the index and middle finger of one hand were as if numb and gone to sleep.

Tearing in all the finger-joints. [Rkt.]

Drawing pain in the right natis just below the sacrum, which goes off on pressing on it. [Fz.]

Cramp-like contraction in the right natis. [Fz.]

Cramp-like pain in the left natis, when standing (aft. 29 h.). [Fz.]

655. Cramp in the left natis and thigh. [Fz.]

In the groin at the left hip, when sitting, a tension, as if the skin were insufficient. [Fz.]

In the right hip a pain compounded of tension and drawing. [Fz.]

Tension in the left hip-joint when sitting. [Fz.]

A down-drawing tension in the left thigh, down from the joint. [Fz.]

660. Tearing pain on the middle outer part of the thigh when sitting, which went off by moving. [Mch.]

In the upper part of the right thigh, internally towards the groin, a sensation like what is felt on spreading out the fingers when the wrist-joint is sprained or dislocated (aft. 58 h.). [Fz.]

On crossing the legs a tension on the posterior aspect of the thigh (aft. 6 d.). [Fz.]

In the right thigh pain as if bruised and drawing (aft. 56 h.). [Fz.]

On the right thigh under the groin on a spot, a cramp-like pressure, when sitting. [Fz.]

665. A burning point on the right thigh, on the inner side near the testicle (aft. 2.1/2 h.). [Fz.]

In both hip-joints an aching pain at every step, and like a paralysis in the anterior muscles of the thigh.

On the right hip a red very hot spot with burning pain.

Twitching in the thigh, with trembling of the knees.

Stitches in the thigh outwards.

670. Boring stitches in the thigh when standing.

Sometimes a pain in the thigh like a drawing, so that she must crouch together, when rising from a seat and when standing, but not when sitting (aft. 96 h.).

In the right thigh, a little above the knee, a twitching tearing (aft. 96 h.).

When he sits down after walking there is a humming and tingling in the knees and houghs.

Stiffness, especially in the knees and feet.

675. A drawing and tearing from the knee to the ankle-joint.

Drawing pain in the knee.

On the iside of both knees red burning spots and streaks, with small blisters that soon dry up. [Annalen der Heilkunde, l. c.]

On the inner side of the right knee a crawling, with tension of tendons (aft. 2.1/2 h.). [Fz.]

On the inner side of the right knee a stretching, with tension of tendons, which causes restlessness in the leg (aft. 2.1/2 h.). [Fz.]

680. Tension in the left knee and in the ankle-joint, chiefly when at rest. [Rkt.]

A drawing in the right hough when bending the knee (aft. 27 h.). [Fz.]

Tearing in the knee and in the ankle-joint, chiefly when at rest. [Rkt.]

Shooting just below the right knee. [Fz.]

Shooting whilst walking, first in the interior of the left, then of the right knee. [Fz.]

685. On the side of the knee an out-shooting when walking.

In the evening when drawing off the stockings great itching in the tendons of the hough; scratching caused pain.

Cramp-like aching in the left tibia on bending the knee, followed by burning. [Fz.]

Coldness on the left tibia. [Fz.]

Aching on the right tibia, followed by burning. [Fz.]

690. On account of the stiffness of the lower limbs he can scarcely walk in the street; he staggers in the street always towards the right (in the forenoon). [Fz.]

A drawing in the whole leg, like paralysis, when sitting.

In the morning in bed a great inclination to stretch out the thigh and leg.

In the houghs and calves such a great weight that he cannot bring the leg forwards.

The lower limbs are as heavy and tired as if she had had a long walk.

695. (In the afternoon) when walking in the open air very tired in the legs; he could hardly move them forwards, so heavy and bruised were they, but after sitting for an hour all the weariness was gone.

Fine pricking on the outer side of the leg (aft. 11 h.). [Fz.]

Pricking itching in the left calf. [Fz.]

In the interior of the right calf a drawing, which made the leg restless. [Fz.]

Feeling of tension of the skin of the calf, with shooting in it when sitting, which went off on walking. [Fz.]

700. Spasmodic drawing up in the left calf to the hough. [Fz.]

When walking tension in the calves, as if the ligaments of the knee were too short.

Twitching in the calves.

In the legs heaviness and tension when sitting, but when he walks merely weariness.

Painful weariness in the legs when sitting, which went off by walking (aft. 36 h.).

705. Tension in the knee as if were too short.

A heaviness in the legs when sitting, which went off by walking (aft. 36 h.).

705. Tension in the knee as if it were too short.

A heaviness in the legs from the region just above the knee to the ankle-joint, so that she cannot stand, which is diminished when walking and unobservable when sitting.

He only feels weary in the feet, so that she cannot ascend readily, just as if she had been running too quickly.

She is as if paralysed in the lower limbs (aft. 12 d.).

710. Cramp in the calf after midnight, when lying in bed and when seated after walking, it goes off on bending the knee.

Cramp in the calf when sitting, which goes off immediately on rising up and moving (immediately).

Just above the calf, in the tendons of the hough, a stitch during energetic moving, when getting up from a seat, and when the part is touched.

(In the outer side of the calf a throbbing for several hours.)

A tearing shooting on the tibia, at the same time exhausted and tired.

715. When she stands up after sitting she feels a stitch over the knee.

(In the affected leg, towards evening (6.30 p.c., suddenly a pain for half an hour a general throbbing and creeping, combined with cramp-like pain (something like an ulcer at the finger0nail), even per se, but increased by moving, and worst when touched externally; it went off suddenly.)

On the tibiae and loins an eruption with swelling and hardness,