SPIGELIA

(From vol. v, 2^nd edit., 1826.)

(The tincture is made by macerating for a week, without heat and with a daily shaking fifty grains of the powder of the whole plant of Spigelia anthelmia in 500 drops of a alcohol.)

This annual plant, which was first used in South America as a domestic remedy for round worms, became known about eighty years ago to our practitioners, who, however, since that time have made no other employment of it than that which they were originally taught by the simple negroes of the Antilles, viz. Solely for the expulsion of round worms.

It should, however, be remembered that the accumulation of round worms in the intestines is never a peculiar independent disease, but is merely a symptom of some other fundamental disease of man, and unless it is cured, the round worms, though many of them may be expelled, always collect again in the bowels. It would, therefore, be foolish to employ a very powerful medicine like spigelia merely on order to expel these worms, if this plant did not at the same time remove the disease on which they depend. This, however, it is capable of doing, as many observations seem to prove, in which the patient has recovered without the expulsion of any worms whatever.

And yet it has been persistently asserted with a strange want of perception, that spigelia can only be regarded and employed as a vermifuge. But if no more important use has been made of this very remarkable medicine (and the same object may often be easily accomplished by cina seed), this would be to act as injudiciously as if some trivial operation should be performed with a costly tool. The extraordinary and manifold powers of this plant indicate a much higher destiny than to remove a few worms from the bowels, as we are taught by the following manifestations and symptoms of medicinal disease.

If we consider the inconsiderateness of physicians of the ordinary stamp in administering this plant to patients in doses of 60 and 70 grains of the powder, we must acknowledge that medicines could not well have come into more inappropriate and improper hands than those of ordinary physicians, who were content to employ medicines, those inestimable and useful gifts of God, only for those purposes for which common folk imagined them to be adapted, and who gave them in doses dangerous to life which it pleased them to determine at their desks, quite unconcerned as to what was the inward peculiar medicinal quality of each medicinal substance in particular, that is to say, unconcerned about the true dynamic relation of each of them to the human health, as it only clearly revealed in pure experiments on healthy persons.

This plant has this peculiarity, that the primary action of a single unrepeated dose usually increases somewhat daily during the first seven to ten days, so that pure experiments with it on healthy persons should only be conducted that caution, seeing that 60, 80, to 100 drops of the tincture produce violent effects even in otherwise robust, healthy persons.

For the homoeopathic employment the decillion-fold dilution, each diluting phial of 100 drops being shaken not oftener than twice, is almost too strong, even when but a small portion of a drop of it is given for a dose.

Spigelia, even in a small dose, acts for more than four weeks, and on account of this powerful and long-lasting action it ought never to be given as a remedy except after careful selection; in which the peculiarly marked characteristic symptoms of the case of disease are found in great similarity among those of spigelia. When this is so it is capable of removing very severe diseases.

The excessive action of this important drug may be gradually removed by frequent and sufficiently long-repeated small doses of camphor.

[HAHNEMANN was aided by BECHER, FRANZ, GROSS, GUTMANN, HARTMANN, HERRMANN, HORNBURG, KUMMER, LANGHAMMER, MEYER, STAPF, WALTHER, WISLICENUS.]

The following old-school authorities are cited:

BERGIUS, Mat. Med.

RROWNE, PASTRIK, Gentleman’s Magazine, 1751, and Natural history of Jamaica.

CHALMERS, On the Weather and Diseases of South Carolina, Lond., 1776, vol. i.

LINNING, J., in Neue edinb. Vers., pt. i.

MARTIN, in Konigt. Vetenesk. Ak. Handlingar, 1771.

WRIGHT, W., in Samml. br. Abh. f. pr. Aerzte, xiv, iii.

The 1^st edit, has 638 symptoms, this 2^nd edit 672, the additional symptoms being contributed by HAHNEMANN himself.]

SPIGELIA

Vertigo. [J. LINNING, (He employed spigelia Marylandica.) in Neue Edinb. Vers., pt. i. (Essays and Obs. phys. and literary, I, 438, Observations of effects of too large doses in children.) ]

Vertigo: when he stands for a few minutes he is in danger of falling.

Vertigo: when he looks down he thinks he will fall.

Vertigo when sitting, standing, and walking – he is most free from it when lying – the head sinks backwards, with nausea in the palate and discomfort in the abdominal and thoracic cavities; in the abdominal cavity a pinching pain, with feeling as if he must go to stool, during which he loses all consciousness. [Hrr.]

5. Vertigo: when he looks in front of him he is in danger of falling forwards instantaneously. [Myr.]

Vertigo when he turns his head when walking; if he looks straight in front of him he feels nothing – in the open air (aft. 5 h.). [Fz.]

When walking he feels a whirling; all goes round in a ring with him; he must stand still; he feels as if intoxicated.

Vertigo; when walking to staggered as though he would fall to the left (aft. 4 h.). [Lr.]

Vertigo, as if he were intoxicated and could not walk steadily (aft. 14 h.). [Lr.]

10. He sits as if buried in though, and stares at one place (aft. 3 h.). [Kr.]

Weakness of memory: he cannot remember the most familiar thing.

Great forgetfulness, want of memory. [Myr.]

Laziness of mind and great forgetfulness. [Bch.]

His memory seemed to him to be truer and stronger than before (aft. 5 d.). [Bch.]

15. Intoxication. [CHALMERS, (Observations. This symptom is represented in the original by “drowsiness” only.) On the weather and Diseases of South carolina, Lond., 1776, tom. I, p. 67.]

Confusion of the head.

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

Confusion of the whole head and at the same time pressure outwards in the forehead (aft. 5 d.). [Gn.]

Painful confusion of the head. [Stf.]

20. In the evening when walking in the open air, drawing confusion in the occiput (aft. 10 h.). [Fz.]

In the evening, confusion in the whole head, it feels to him quite dazed. [Fz.]

His head is stupefied as from much tobacco-smoking (aft. ½ h.). [Wth.]

Feeling as if emptiness and giddiness in the head, as after intoxication, when sitting (aft. 1 h.). [Htn.]

Constant stupidity in the head, so that every occupation requiring thought is difficult for him. [Hrr.]

25. All occupation requiring an effort of the head is difficult for him. [Hrr.]

Dull pain in the forehead and temples; at the same time a feeling of compression from both sides to the front. [Stf.]

Headache like dazedness.

Dazedness and emptiness in the head at the top of the forehead; the scalp is very sensitive to touch, and the hair seems to stand on end (aft. 3 h.). [Fz.]

Heaviness and pain in the head, when he shakes it.

30. He dares not shake his head; that gives him pain in the brain and makes him giddy.

When he speaks loudly or coughs his head is painful as though it would burst.

He dares not stoop; when he does so he feels as if the brain expanded and would come out in front.

Pain in the forehead. [CHALMERS, l. c.]

Aching pain in the whole sinciput. [Hbg.]

35. A violent pressure in the right temple, spreading gradually more and more (aft. 2.3/4 h.). [Htn.]

Very severe pressure in the temples (aft. 1 h.).[Htn.]

Sensation in the brain as if the head were tightly bound, lasting a long time (aft. 28 h.). [Gn.]

Pressure on the left frontal protuberance from without inwards, outwardly and inwardly in the brain at the same time. [Hrr.]

Pressure outwards in the right frontal protuberance (aft. 1.1/4 h.). [Htn.]

40. In the forehead violent aching and pressing outwards (aft. 2 h.). [Htn.]

Pressure in the cerebrum and cerebellum which makes him dizzy. [Myr.]

Pressive pain in the left half of the brain (immediately). [Gn.]

Pressive pain out at the left side of the forehead (aft. ½ h.). [Gn.]

Persistent pressive headache, worse when stooping forwards (aft. 35 h.). [Gn.]

45. A pressing out in the forehead, when stooping forwards (aft. ¾ h.). [Gn.]

Pressing-asunder pain on the right side of the head (aft. 82 h.). [Gn.]

Pressing in the forehead, as if the brain would come out, which went off for a few moments on holding the hand there. [Myr.]

Tensive pressive headache out at the forehead (aft. 34 h.). [Gn.]

Violent pressure from without inwards in both temples, especially the right (aft. 53 h.). [Htn.]

50. Headache like a weight in the head; when he draws the facial muscles he feels as if the skull would burst asunder at the top.

Pain as if a heavy weight were under the left frontal protuberance. [Gss.]

Violent pressive pain in the crown of the head, on a small spot. [Gn.]

The occiput is heavy and drags down like a weight.

Most violent pressure inwards on the left side of the occiput, during which he could not stoop forward without aggravation of the pains, unless he pressed strongly with his hand on the painful part. [Myr.]

55. Aching drawing in the right side of the vertex and occiput. [Hrr.]

Tearing pressure in the head from the left frontal protuberance to the occiput (aft. 34 h.). [Hrr.]

A drawing pressure at the left temple, frequently recurring. [Kr.]

Tearing pressure externally on the frontal bone (aft. 8 d.). [Ws.]

Boring pain in the forehead. [Gn.]

60. Boring pain on the occiput ad crown, as if it strove to draw the head backwards. [Bch.]

Splashing in the brain when walking; he feels every step. [Gn.]

Sensation of splashing in the brain when walking. [Myr.]

When he moves his head there is shaking and splashing in the forehead. [Myr.]

When walking in the open air there occurs at every step a violent pressure in the head as if thrusting from without inwards towards a point in the middle of the brain (aft. 6 h.). [Htn.]

65. While walking in the open air, at every step violent jerks in the occiput, then in the temples (aft. 28 h.). [Htn.]

In the occiput pain as if the arteries had to pulsate over an obstacle.

The pains in the head are worst in the open air. [Gn.]

The pain in the head is worse when lying, better when walking about.(Alternating action.) [Myr.]

Blows and jerks on the left side of the head (aft. 54 h.).[Htn.]

70. Tearing blows in the right temple (aft. 50 h.). [Htn.]

Tearing pain like thrusting in the forehead, most severe in the right frontal protuberance, which also causes him to fix his eyes involuntarily on the object he is looking at, when standing and sitting (aft. 27 h.). [Htn.]

Very violent tearing in the forehead, occiput, and temples. [Myr.]

Tensive tearing pain in the forehead, especially under the left frontal protuberance towards the orbit (aft. 6 h.). [Gss.]

Fine digging tearing in the brain, particularly severe in the left parietal bone, when moving, when walking, and especially violent on making a false step, towards evening; for several successive evenings (aft. 11 h.). [Hrr.]

75. Digging and digging tearing pain in the occiput, left side of the crown and forehead, aggravated by moving, as also by every loud noise, and when he speaks loudly, or only opens the mouth a little; when lying it is most bearable (aft. 12 h.). [Htn.]

Intolerable bubbling pain in the occiput, which us increased to violence at first by walking, afterwards on the slightest movement, and is most relieved by sitting reclined backwards; lying horizontally aggravated it. [Myr.]

When he holds the head bent forwards for a while, he cannot raise it up again on account of pain in the nape.

Towards morning (about 3 or 4 o’clock) severe pains at (in?) the occiput, and the nape is as if stiff; in the morning he cannot move the head until he has risen and dressed himself – then it is gone.

In the morning after rising from bed, pain in the nape; when he holds his nape still it is painful as if gone to sleep; he must consequently always move it; for it does not hurt him when moving.

80. The occiput is painful as from an external blow.

The occiput particularly is painful; he cannot lie on it well.

Slow tearing stitch on the left side of the head. [Htn.]

An intermittent contractive, tearing shooting pain on a small spot of the left parietal bone more towards the back, which appears to be rather external. [Gss.]

Pressive shooting on small point of the left side of the occiput (aft. 49 h.). [Htn.]

85. Large pulsative stitches in the forehead from evening till morning, so that he could have cried out; at the same time a hammering before the ears.

Acute shooting immediately behind and above the right frontal protuberance. [Gss.]

Violent, but fine pricks as from electric sparks, in the left temple. [Hbg.]

Much heat in the head. [Myr.]

Burning pain in the left frontal bone (aft. 13 h.). [Gn.]

90. Burning pain in the left temporal region and forehead. [Hbg.]

Burning on the left temple, externally. [Gn.]

Burning in the skin of the right temple near the eye. [Gn.]

Burning pain on the right side of the forehead which extends into the eyes, so that he cannot turn them without pain. [Myr.]

Burning pain in the left supraorbital arch. [Gn.]

95. Burning itching in the right eyebrow, that went off on scratching (aft. 26 h.). [Gn.]

A running itching on the forehead, which compels much rubbing.

Itching crawling on the left side of the crown (aft. 32 h.). [Gn.]

Smarting pain in the skin of the left side of the forehead (aft. 34 h.). [Gn.]

The scalp feels to him as if contracted and tense. [Kr.]

100. In the region of the vertex the scalp is painful when touched and also when not touched, as if ulcerated, and there occurs there occasionally an obtuse shooting jerk, which seems to penetrate deep into the brain.

The scalp is painful and the hairs hurt when touched.

Sensitiveness of the whole head when touched, especially when moving the scalp. [Ws.]

(The hairy scalp is full of miliary papules.)

Pain in the left orbit were compressed from above downwards. [Gss.]

105. Swelling of the temporal side of the orbit, with aching pain per se, and sore pain when touched.

Severe pressure above the right orbit, a dull pressive pain in the whole head (aft. 2.1/2 h.). [Htn.]

Obtuse pressure above the orbits (aft. 10 m.). [Ws.]

On the left orbital bone near the temple, down towards the On the left orbital bone near the temple, down towards the zygoma, severe pressive pain, followed by swelling of the bone at that place, which is painful when touched.

He always feels as if there were feathers or hairs in the eyelashes; or as if there were a mist before the eyes; a sensation that is aggravated by rubbing them (aft. 1 h.). [Htn.]

110. Formication in the eyes. [MARTIN, (Not accessible) in Konigl. Vetenesk. Ak. Handlingar, f. a. 1771.]

Itching in the left eyeball, which went off by rubbing. [Gn.]

Itching prick in the right eyeball, which returned after rubbing (aft. 1 h.). [Gn.]

Persistent pricking pain in the right eyeball, also when moving it (aft. 24 h.0. [Gn.]

Violent digging stitch in the middle of the eye and its inner canthus, which does not interfere with vision, but presses down the upper eyelid (aft. 74 h.). [Htn.]

115. In the morning redness and inflammation in the white of the eye; his eyelids are so heavy that he can hardly open them. [Fz.]

Redness of the white of the eye and dilated blood vessels in it. [W. WRIGHT, in Samml. br. abh. f. pr. Aerzte, xiv. iii. (London Med. and Phys. Journal, viii, 217 – Observation.)

Pain in the eyes. [CHALMERS, l. c.]

Pain in and above the eyes. [LINNING, l. c.]

He could not turn the left eye in all the directions without pain. [Myr.]

120. The eyes are painful when moved, as if they were too large for their orbits. [Myr.]

Tensive pain in the left eyeball (aft. 49 h.). [Gn.]

Feeling in the eyes as if they were weeping, which they are not, with slight pressure in them; the sight is at the time affected just as if the eyes were full of tears (aft. 26 h.). [Hrr.]

Pain in the eyes as if sand were in them.

At the sof the right eye a pain pressing from without (aft. 3 h.). [Htn.]

125. Aching pain in the eyeballs.

Intolerable aching pain in the eyeballs, aggravated by turning the eyes; of he attempts to look with the eyes askance he becomes giddy; he must, consequently, when he wishes to look to the side turn the whole head. [Myr.]

A contractive burning pain in the right eyeball. [Gn.]

Burning pain in the left eye, towards the temple (aft. 33 h.). [Gn.]

Dry heat in the eyes in the afternoon. [Kr.]

130. Burning pain in the outer canthus of the right eye. [Gn.]

Burning pain in both eyes, so that he must close them involuntarily, and is unable to open them for five or six minutes, with an anxiety as if he should never be able to open them again; when, after this pain is gone, he could again open them, his sight is impeded by a sea of fire, which has surged up before his eyes in blood-red masses; along with watering of the eyes and great dilatation of the pupils, the visual power returns (aft. 14 d.). [Bch.]

Sparks before the eyes, as before an outbreak of smallpox on measles. [PATRICK BROWNE, (Statements. – In the original this symptom is “the eyes appear bright and sparkling, as they generally do before the eruption of smallpox or measles.” ) Gentleman’s Magazine, 1751, p. 544, and natural history of Jamaica, p. 156.]

The eyes move involuntarily left and right, from irregular actions of the ocular muscles that draw the eye inwards and outwards. (This represents “The musculi adductores et abductores coulorum seem to be greatly affected, from their irregular actions, while the other muscles of the eye, so far as I have had an opportunity of observing, remain unaffected.”) [LINNING, l. c.]

Distortion of the eyes. (Literally, “The eyes seem distented.”) [BROWNE, l. c.]

135. Long sightedness; he can see well at a distance, but not close at hand.

When he directs his eyes upon anything, his sight goes.

He does not see so distinctly as usual, and must strain his eyes very much when writing, as though water stood in the eyes. [Hrr.]

Transient amaurosis. [CHALMERS, l. c.]

Dilatation of the pupils. [CHALMERS, l. c.]

140. Pupils dilated (aft. a short time). [Kr.]

Pupils dilated by the smallest side. [BERGIUS. (Observation.) Mat. Med., p. 97.]

Pupils unaltered, only dull and dim in appearance. [Bch.]

The eyes are every dull, with as it were an inward obstruction; whithersoever he directs them, there they remain fixed and he knows not what he is looking at, like one whose sight fails him.

The eyes have a dim and dull appearance (aft. 7 h.). [Ws.]

145. Yellow borders round the eyes. [Kr.]

Dim dull appearance of the eyes, with unaltered pupils. (Same as 142, only not emphasized.) [Bch.]

Pain as if the upper eyelids were hard or immovable; he cannot well raise them.

The eyelids are so relaxed and paralysed that they hand low down, and must be raised by the hand, with very dilated pupils. [BERGIUS, l. c.]

Sensation as of a hard body under the right upper eyelid; this was removed by rubbing (aft. 4 d.). [Gn.]

150. Burning pain under the right eyelid (aft. 3.1/2 h.). [Gn.]

Ulceration and smarting painful soreness of the borders of the lids.

On the border of the left lower lid, a fine painful cutting as with a small knife (aft. 9 h.). [Htn.]

Shooting aching under the lids of both eyes (aft. 2.1/2 h.). [Bch.]

On the border of the right upper eyelid, a very fine but painful pricking like a needle-prick (aft. 23 h.). [Htn.]

155. Single recurring pricks in the left eyelid. [Myr.]

Shooting pain in the inner right canthus of the eye (aft. 11.1/2 h.). [Gn.]

Great watering of the eyes, without sensation.

The eyes run over with tears; much water runs out of the eyes, which is smarting and acrid.

Much gum coming frequently in the eyes all day.

160. In the morning, on rising from bed, the facial muscles are as if distorted and swollen. [Fz.]

On awaking from the midday siesta, he whole face was swollen, puffy, pale and distorted, like a person about to be seriously ill. Without pain or tension, or any other disagreeable sensation; the swelling only went off almost entirely after six hours, but reappeared in a greater degree the next morning after waking, but more round about the eyes. [Stf.]

Burning pain in their right zygoma. [Gn.]

Obtuse pressure on the zygomata (aft. 4 d.). [Ws.]

In the temporal process of the left zygoma a tearing pressure, and like the dull sensation of a swelling when the pain goes off a little. [Gss.]

165. Twitching tearing in the right zygomatic arch (aft. 30 h.). [Htn.]

Violent drawing stitch from the right upper jaw to the crown of the head (aft. ½ h.). [Htn.]

A fine prick in the left cheek (aft. 4 h.). [Gn.]

Burning pain in the left cheek; persistent (aft. 27 h.). [Gn.]

Burning in the skin of the temple in front of the right ear (aft. 75 h.). [Gn.]

170. Drawing pain in the antitragus of the left ear. [Gss.]

On the border of the left auricle pain like earache (aft. 22 h.). [Htn.]

On the posterior part of the right auricle a squeezing pain (aft. ¾ h.). [Htn.]

Quivering in the right auricle. [Gn.]

Itching on the right auricle (aft. 36 h.). [Gn.]

175. Itching in both auricles at once (aft. 5 d.). [Gn.]

Burning pain of the right auricle. [Gn.]

Burning pain in the whole of the left auricle. [Gn.]

An in-pressing pain in the meatus auditorious, gradually increasing (aft. ¾ h.). [Htn.]

There is a pressure as from a plug into the left ear (aft. ½ h.). [Gss.]

180. Aching pain in the left ear (aft. 13 h.). [Gn.]

Aching pain in the interior of the right ear, that spreads over the whole zygoma and into the right molar teeth (aft. 57 h.). [Gn.]

Continual pain in the right ear as if it would be forced asunder (aft. 59 h.). [Gn.]

A drawing pain in the left ear towards the zygoma. [Stf.]

In the internal ear, occasionally, a boring, obtuse shooting jerk, which darts into the throat (through the Eustachian tube).

185. Several times a violent thrusting tearing in the right ear. [Htn.]

Twitching pain, recurring by fits, in the ear, which extends to the eye and lower jaw (aft. 12 h.). [Wth.]

Beating in the left ear. [Gn.]

Boring stitch in the interior of the right ear (aft. 49 h.). [Gn.]

In the left ear, an itching pricking. [Gn.]

190. Itching formication in the right ear . [Gn.]

Itching prickling sensation in the right ear (aft. 77 h.). [Gn.]

When stepping quickly, a lapping sensation, as if water splashed, in the ears (aft. ¼ h.). [Fz.]

Noise in the left ear, as if the wind blew quickly over it. [Gn.]

A constant crepitation and buzzing before the ears extending into the forehead, and an undulating pulsation in them; he gets relief by holding the hands above the eyes.

195. Great humming and bubbling in the ears, especially in the evening.

Flapping in the ears as from a bird’s wing, whereupon a moisture flows the ears and very clear hearing ensues.

When she speaks. It rings like bells in both ears and resounds through the whole head.

Roaring before the ear. [Myr.]

It seems as if he heard some distant ringing before both ears, with a sensation as if the ear were loosely stopped up, or as if there was a great fog before it. [Hrr.]

200. A loud noise produces a painful impression in the internal ear (aft. several d.). [Ws.]

On blowing the nose the ear closes and he does not hear; but when he shakes the finger in the ear, it goes off and he hears again.

In the open air when the wind blows into the ears they become stopped up as with a finger (aft. 5, 6 h.). [Fz.]

In the evening the ears become stopped, as if something lay before the membrana tympani, which feels as if contracted (aft. 14 h.). [Fz.]

The ear feels stopped up, even when she does not wish to hear, or does not speak.

205. Something seems to prevent her hearing.

In the left ear, hardness of hearing, as if the ears were closed by the finger, and at the same time a fluttering noise in it (aft. 2 h.). [Hbg.]

Feeling as if the left ear were loosely stopped up, but without hardness of hearing (aft. ½ h.). [Hrr.]

Disagreeable sensation as from an obstruction in the root of the nose. [Myr.]

Pricking creeping in the nose, which compels scrat, and then it goes off for a short time. [Fz.]

210. Itching on the whole of the right side of the nose (aft. 35 h.). [Gn.]

Tickling on the dorsum of the nose as if the hairs there were lightly touched, or as if a gentle air blew on it, lasting a long time. [Gss.]

Itching on the right ala nasi. [Gn.]

Itching boring in the right nostril, so that he must sneeze (aft. 78 h.). [Gn.]

Tettery eruption, with sore feeling when touched on and in the right nostril (aft. 12 d.). [Hrr.]

215. Burning in the right upper lip, continuing also when it is moved (aft. 12 d.). [Hrr.]

Burning in the upper lip.

Persistent burning tension in the upper lip when at rest. [Gn.]

In the red of the lower lip, a blackish, painless papulae.

Several small pimples on the chin which contain pus, almost without sensation even when touched (aft. 4 h.). [Myr.]

220. On the left side of the chin a great swelling which itches during the midday siesta (aft. 12 h.).

Painful pressure on the right angle of the lower jaw. [Gss.]

(In the maxillary joint, a tensive pain.)

In the lower jaw tearing towards the ear and around the ear extending into the nape, so that he cannot move the head without pain.

Pain as if the right side of the lower jaw were torn out of its joint, only when chewing, when not chewing there only remained an obtuse pain in the maxillary joint (aft. 34 h.). [Hrr.]

225. Shooting pain in the right side of the throat; when swallowing there us shooting in the parotid gland and in the interior of the ear itself, like something between earache and sore throat.

Swelling of the cervical glands.

Coldness in the upper teeth with pricking twitching in them. [Hbg.]

In a hollow tooth drawing pains. [Stf.]

Intermittent twitching through both rows of teeth, but chiefly in a hollow tooth (aft. ¼ h.). [Ws.]

230. Painful jerking in the nerve of a hollow tooth, from the crown to the root, recurring at intervals of about ten minutes, worse in the afternoon; if he brings some water in contact with it, to the air has access to it, the pain is aggravated; tobacco-smoke seems to diminish it (aft. 48 h.). [Ws.]

Throbbing tearing pains in the teeth, which are particularly aggravated by cold water, but go off on lying down.

Toothache like a pressing outwards, worse when he lies on the right side; when eating and drinking he feels nothing of it, but immediately thereafter the toothache recurs, and frequently wakes up at night from the pain.

Toothache on account of which he cannot sleep at night; it drives him out of bed; it is not present during the day, except immediately after eating, not while eating.

In the evening (customary) smoking tobacco causes toothache.

235. Throbbing pain in one of the left molars (aft. 20, 24 h.). [Wth.]

Cramp-like pain in the upper row of teeth, during which the lower jaw seems to be pressed against them in a cramp-like manner, when the mouth is shut. [Fz.]

Eroding pain in the hollow tooth. [Fz.]

Itching boring prick in the right side of the tongue from behind forwards, with a sourish taste in the mouth. [Gn.]

Fine pricks in the right side of the tongue. [Gn.]

240. The tongue was full of chaps, just as if it would scale off, which go off the following night (aft. 5 d.). [Bch.]

Vesicles at one time on the tongue, at another on the palate, with burning sensation when touched (aft. 4.1/2 h.). [Bch.]

When chewing the tongue was painful as if it were swollen at the back. [Myr.]

Sensation at the back of the tongue as if it were swollen (aft. 12 h.). [Myr.]

Burning pain on the palate.

245. Swelling on the left side of the fauces and pricking there then swallowing. [Wth.]

First shivering and chilliness, towards evening, in the open air, with tensive pain on the left side of the neck below the ear, the following morning at that place, glandular swelling, which is hard and painful when touched; at the same time shooting in the left side of the throat when swallowing, with swelling of the gums and difficulty of opening the jaws; the shooting while swallowing ceased when he pressed the cervical glandular swelling inwards; for two successive mornings he perspired at the same time (aft. 9 d.). [Htn.]

In the throat in the region of the larynx, a frequent pressing stitch which is at first fine, and then becomes always immediately afterwards (aft. 28 h.). [Htn.]

Tongue covered with a white fur.

White furred tongue. [Myr.]

250. Disgusting smell from the mouth, all day, only perceptible to others. [Gn.]

In the morning on awaking, he has much mucus sometimes white, sometimes yellowish, without particular taste, in the fauces and mouth (aft. 22 h.). [Hrr.]

White frothy saliva, of ordinary taste, collects in the mouth, which he must often spit out (aft. 16 d.). [Bch.]

Tickling itching in the oesophagus and sensation as if a semifluid substance would rise from the oesophagus into the fauces, accompanied by a hollow cough and water-brash; all so severe that in his anxiety he feared to fall into a faint, for three minutes (aft. 4.1/2 h.). [Gn.]

He could not swallow his saliva, because it was always brought up again, as if from disgust; he must spit it out. [Bch.]

255. Collection of saliva in the fauces. [Fz.]

Putrid taste in the mouth and he thinks he has foetid odour from the mouth.

Foetid putrid taste in the mouth.

Flat taste in the mouth; but food tastes well. [Gn.]

In the morning immediately after waking, an extreme dryness in the mouth; he felt as if his mouth were full of pains and as if stuck together, without thirst, indeed with much saliva (aft. 24 h.). [Stf.]

260. Late in the evening, great thirst (aft. 28 h.).

Much thirst and no appetite. [Myr.]

He has no wish to eat, but great thirst.

(Whilst eating cool food he becomes hot.). [Stf.]

Very great appetite for food and drink, for three and a half days. [Htn.]

265. No relish for smoking and snuffing tobacco. [Bch.]

Complete aversion from smoking and coffee during the whole duration of the medicine’s action. [Bch.]

Eructation. [Lr.]

Empty eructation. [Fz.]

270. Frequent eructation of air, after every meal.

Empty eructation of air only. [Stf.]

Sour eructation up to the tongue. [Myr.]

Nausea as if he had fasted for a long time; a kind of bulimia with nausea. [Myr.]

Inclination to vomit. [MARTIN, l. c.]

275. Aching in the stomach (aft. 13 h.). [Myr.]

Pressure in the scrobiculus cordis as from a weight lying on it together, which goes off when pressed with the hand and changes into tension and pressure in the chest. [Fz.]

Pressure in the scrobiculus cordis, as if he would eructate and thereby get relief; but on eructation occurred until he swallowed some air. [Myr.]

Stitches in the scrobiculus cordis during expiration, not so much when lying as when sitting and walking.

280. In the evening, under the left ribs, several stitches; so that he was drawn quite crooked.

Troublesome feeling of fulness in the abdomen, after a very moderate meal. [Stf.]

Feeling in the hypogastrium as if a great weight fell down; it seemed to fall down particularly during inspiration (aft. 3 h.). [Myr.]

Pain in the abdomen as from a hard swelling packed together in the umbilical region, in the evening.

Painful pressure in the hypogastrium, as if it would burst outwards, especially in the evening, before a soft stool, after which it is somewhat relieved (aft. 9 d.). [Ws.]

285. In the abdomen, a wandering pressive pinching, which goes off after the discharge of some flatus, on three successive afternoons about 3 o’clock. [Htn.]

Aching pinching pain in the abdomen. [Gn.]

Pinching in the whole abdomen, when lying, so violent that he could not move for pain (aft. 44 h.). [Gn.]

Pinching in the abdomen, as if the bowels were constricted, which causes great anxiety and makes respiration difficult (aft. 4, 7 d.). [Htn.]

Violent pinching in the belly, and immediately afterwards a soft stool, always becoming thinner, which, however, is not evacuated without effort (aft. 49 h.). [Gn.]

290. Sometimes a pinching, sometimes a rumbling and turning about in the hypogastrium, and at each attack of this kind of pain, urging to pass water, which was unaltered, but discharged in greater quan, for six days (aft. 14, 15 d.). [Bch.]

Pinching pain in the hypogastrium (aft. 11 d.). [Hrr.]

Pinching in the umbilical region, on the left (aft. 10 h.). [Myr.]

Pinching stitch in the belly with discharge of flatus; immediately thereafter, urging to stool (aft. ½ h.). [Gn.]

Pinching in the belly, which extended as a stitch to the chest, with discharge of flatus (aft. 84 h.). [Gn.]

295. On the left near the navel, a shooting while walking. [Gss.]

Obtuse stitch in the scrobiculus cordis and oppression of the chest, worse when inspiring. [Gss.]

On the left side of the navel, obtuse stitches during inspiration. [Gss.]

Obtuse intermittent stitches, a couple of fingers’ breadth on the left near the scrobiculus cordis (aft. 1 h.). [Gss.]

Sharp stitches in the abdominal cavity, in the region of the os innominatum, like stitches in the spleen, only when walking, which, however, always go off after taking thirty or forty steps. [Hrr.]

300. On the left near the scrobiculus cordis, intermittent, burning sharp stitches. [Gss.]

In the right side below the ribs, deep inwards, regularly recurring sharp stitches, which go off when he takes a very long deep breath, and return during expiration. [Gss.]

In the right side below the ribs, deep inwards, regularly recurring sharp stitches, which go off when he takes a very long deep breath, and return during expiration. [Gss.]

On walking quickly and jumping, stitches in the hepatic region, which went off on walking more quietly. [Kr.]

Cutting in the umbilical region, on several afternoons (from 5 to 6 o’clock) with chilliness, diarrhoea and profuse micturition.

In the abdomen, severe cutting from both sides towards the middle (in the morning in bed), with discharge of flatus without relief. [Bch.]

305. The cutting and digging in the whole abdomen, which appeared to occur from sitting down, and to proceed from displaced flatulence, became much less painful when he rose up from his seat. [Gss.]

Tearing drawing through the hypogastrium (aft. 5 d.). [Gss.]

Slight burning in the whole abdomen, with tasteless eructation apparently mixed with some watery fluid (aft. 2.1/2 d.). [Bch.]

Itching in the left groin. [Gn.]

Above the groin the hypogastrium, stitches, with stitch-like oppression of the chest.

310. Obtuse stitch in the groin. [Gn.]

In the right groin a tensive pain when touched.

Tensive stitch in the right groin, only when walking. [Gn.]

Boring digging pain in the right groin. [Gn.]

In the region of the inguinal ring, a cutting and shooting; the bowel protruded (which had seldom hitherto occurred) and remained out as a hernia; the part was painful as if sore when touched.

315. Itching eroding pricking in the muscles of the left so innominatum. [Hrr.]

Intermittent obtuse stitches in the left side just above the os ilii. [Gss.]

Posteriorly on the border of the left os ilii near the os sacrum, a burning stitch at every inspiration. [Gss.]

Boring stitch in the os ilii. [Gn.]

320. Crawling in the rectum and anus as from thread-worms (aft. 1 h.). [Myr.]

Itching for many days at the anus and on the coccyx, which was with difficulty removed by scratching. [Gn.]

Itching at the anus which went off by scratching (aft. 4.1/2 h.). [Gn.]

Obtuse pressure in the rectum, independent of stool. [Gn.]

Grumbling in the abdomen, like the croaking of frogs (aft. 4 h.). [Lr.]

325. Audible grumbling in the belly (aft. 4 h.). [Gn.]

Loud grumbling in the abdomen in the left, then also in the right side (aft. ¼ h.). [Kr.]

Rattling as from flatulence here and there in the hypogastrium, occasionally painful. [Stf.]

Rumbling in the bowels before stool, which is evacuated of a pappy character twice in the morning and once in the evening (aft. 6 d.). [Ws.]

On the discharge of flatus, sensation as if at the same time some diarrhoeic evacuation came away, which, however, was not the case. [Stf.]

330. Flatus of the smell of rotten eggs, for several hours. [Kr.]

During the stool of rotten eggs, for several hours. [Kr.]

During the stool and whilst urging to it, a painful bruised feeling on the first four ribs of the left side, which went off every time after the evacuation. [Bch.]

The first day no stool, the second day (after repeating the dose) hard stool, which was only evacuated after much pressing. [Gn.]

In the rectum, a spasmodic urging and pressing; as if he were unable to retain the stool (aft. 3 h.). [Kr.]

After the evacuation of a complete stool, ineffectual feeling of wanting to go to stool in the belly remains for a long time.

335. A frequent call to stool; but he cannot pass anything (aft. 4 d.).[Bch.]

Call to stool: he has an urging to stool; but nothing is evacuated and the desire goes off. [Stf.]

Faecal evacuation, the first half of which is firm, the remainder thin, after its evacuation a couple of pressive thrusts out at the forehead ensue (aft. 26 h.). [Gn.]

White stool, everyday.

For two days diarrhoea of thin faeces, mixed with a viscid, yellow mucus, two to four times each day, at indeterminate times (aft. 3 d.). [Bch.]

340. Masses of thick mucus pass through the anus for two days; he felt as if flatus was passing; the stool itself looked as if composed of sheep’s dung enveloped in mucus.

Every day one or two thin, even watery evacuations (aft. 16 d.). [Bch.]

At night the urine is passed with difficulty, and after it is discharged burning ensues.

Urging to pass water as from a diuretic potion. [Hbg.]

Frequent urging to urinate, with copious discharge of urine without suffering (aft. 3.3/4 h.). [Lr.]

345. Copious discharge of urine, twice in succession, though he had previously made water before taking the medicine (aft. 1.1/2 h.). [Gn.]

Copious and frequent secretion of urine for three and a half days. [Htn.]

He must urinate often and much (aft. 3 d.). [Gn.]

Copious micturition ten times in one night, with pressive pain on the bladder, which always went off when the urine was passed (aft. 12 h.).

(When the bladder was pressed on externally, the urine spurted out.)

350. In the afternoon, when rising from a seat, five or six drops of urine dribble away suddenly and involuntarily, and this occurs four successive times; each time the urine dribbles away there is a burning in the forepart of the urethra.

Watery urine (aft. 2.1/2 h.). [Myr.]

Urine with whitish sediment for several days. [Htn.]

Burning stitch in the urethra with urging to urinate (aft. 59 h.). [Gn.]

Frequent erections of the penis, without internal physical sexual excitement, but with lascivious thoughts (aft. 17 h.). [Htn.]

355. Swelling of one half of the glans penis (aft. 7 d.).

A formication about the glans penis, every day.

Prostatic fluid escaped out of the orifice of the urethra (aft. 20 h.). [Htn.]

Itching prick in the left testicle (aft. 51 h.). [Gn.]

Itching prick in the right testicle and penis, from behind forwards. [Gn.]

360. Burning prick in the right testicle and penis. [Gn.]

Quivering in the scrotum (aft. 4 d.). [Gn.]

Frequent sneezing (aft. 4 h.). [Lr.]

In the morning, after waking, one sneeze with bloody mucus. [Stf.]

Stoppage of the front of the nose, from the posterior nares of which the mucus often flows down into the fauces, for eight days.[Hrr.]

365. Nose stopped up for several days. [Gss.]

Sudden coryza; first stuffed coryza and after four hours fluent coryza, which lasts twenty-four hours.

Catarrh, like catarrhal fever; he was hoarse, and hot to the touch day and night; without thirst or sweat, with protruded eyes, and great flow of coryza, severe headache and lachrymose humour.

All day long he ejects much mucus from the fauces, which comes chiefly from the posterior nares (aft. 24 h.). [Hrr.]

The nasal mucus came away spontaneously only from the posterior nares through the mouth; by vigorous blowing of the nose, very little, extremely viscid, yellowish coloured mucus came away; in addition the anterior part of the nose was constantly dry (from the 16^th till the 26^th d.). [Bch.]

370. The discharge of mucus through the posterior nares into the mouth often occurred very perceptibly and in such a great quantity, that he had to hawk it up immediately to avoichoking, by which he was often wakened up at night. [Bch.]

On snuffing tobacco he had no sensation, no irritation from the snuff in the nose. [Bch.]

Sometimes white, sometimes yellow mucus comes through the nose, at the same time also much comes from behind through the mouth (aft. 7 d.). [Hrr.]

Coryza chiefly of a stuffed character, after eating (aft. 12 h.). [Lr.]

In the morning when the coryza was almost gone, some cough (aft. 48 h.).

375. At night she gets cough and catarrh.

Quite sudden, violent cough from water getting from the mouth into the windpipe. [Fz.]

A kind of suffocative cough as if produced by a quantity of water streaming from above downwards into the glottis. [Fz.]

Dry, violent hollow cough, from an irritation deep down in the trachea excited especially by stooping forwards; the cough takes away his breath.

In the open air he gets a short dry cough causing sore pain in the chest. [Bch.]

380. Sensation on the chest as from excessive hunger, with flow of saliva into the back of the mouth (aft. 4 h.). [Fz.]

Intermittent pain in the chest. [Myr.]

Under the left clavicle a severe pressure on the chest. [Gss.]

(After hawking and clearing the throat an aching pain in the whole chest.)

Towards evening, an excessive hard pressure on the whole chest. [Fz.]

385. On the middle of the chest, a severe, painful, oppressive pressure. [Gss.]

Pressure over the ensiform cartilage when standing. [Fz.]

Aching and at the same time drawing in the chest, when standing. [Fz.]

Tearing constriction of the pectoral muscles, when standing. [Gss.]

Tearing constriction of the lower part of the chest, above the scrobiculus cordis, with oppression, then the same pain also in the upper part of the chest, under the pit of the throat, with palpitation of the heart. [Gss.]

390. Violent pain like that caused by dislocation, in the upper left side of the chest, only when turning the body to the right, on making a false step, or when twisting the left arm, for one day (aft. 7 d.).[Htn.]

Cutting tearing pain which begins under the left nipple and spreads to the region of the scapula and upper arm, aggravated only by inspiration and by taking a deep breath (aft. 11 h.). [Hrr.]

Tearing boring pain, from within outwards, under the right nipple; the pain always spread to the sternum, and becomes a sharp pressive tearing pain (aft. 2 h.). [Hrr.]

Cutting constriction of the chest with anxiety. [Gss.]

Unconnected with breathing a shooting in the chest form within outwards; but he can breathe easily.

395. Quick, drawing, pricking pain downwards near the sternum. [Hbg.]

Tensive stitches in the left side of the chest, more severe during expiration (aft. 27 h.). [Gn.]

Persistent tensive stitch in the right side of the chest and abdomen, lasting during inspiration and expiration, worst when walking, for two hours (aft. 82 h.). [Gn.]

The chest is contracted with stitches, so that he cannot fetch a breath.

Tensive drawing stitch in the right true ribs persisting during inspiration and expiration, aggravated by external pressure. [Gn.]

400. Tensive persistent stitch in the right side of the chest, more severe during inspiration and expiration. [Gn.]

Tensive boring stitches in the left side of the chest, persisting during expiration (aft. 57 h.). [Gn.]

Tensive stitch in the right false ribs, always persisting during expiration. [Gn.]

Boring stitch in the region of the diaphragm on the right side, persisting during inspiration and expiration. [Gn.]

Across the chest, but chiefly in the sternum, stitches as from within outwards, in all positions. [Myr.]

405. Sharp stitches inwards above the left nipple, recurring at various periods, when writing whilst he sat bent forwards; but if he raised himself up they went off quickly (aft. 31 h.). [Hrr.]

Pricking in the right side of the chest as with fine needles (aft. 5 h.). [Lr.]

In the left side of the chest towards the clavicle, a momentary violent shooting pain, which impedes respiration, in the evening (aft. 12 h.). [Stf.]

In the front of the chest a quick fine twitching pain as from an electric spark. [Hbg.]

In the upper part of the chest, under the axilla, a twitching shooting pain (aft. 55 h.). [Htn.]

410. Violent stitch in the left side just below the heart, which for a short time changed into formication, but then returned just as severely as a stitch (aft. ¾ h.). [Htn.]

Pinching stitch on the left side in the diaphragm, so violent that it took away his breath, and he must stand still (aft. 2.3/4 h.). [Gn.]

Itching prick under the clavicle. [Gn.]

Itching eroding pricking towards the front at the left axilla (aft. 1.1/2 h.). [Hrr.]

An itching prick in the left pectoral muscles (aft. 10 h.). [Gn.]

415. An obtuse stitch in the left side of the chest, persisting when inspiring and expiring. [Gn.]

Obtuse stitches in the right side of the chest, persisting only during inspiration (aft. 2 h.) [Gn.]

Obtuse shooting pinching pain under the right nipple, in the thoracic cavity, from within outwards, more violent only during inspiration (aft. 8 d.). [Hrr.]

Where the hearts beat is felt, only somewhat more externally, obtuse stitches recurring synchronously with the pulse (aft. 3 h.). [Hrr.]

Obtuse shooting on the place where the heart’s beat is felt (aft. 56 h.). [Gss.]

420. Obtuse oppressive cardiac stitches betwixt the place where the heart’s beat is felt and the scrobiculus cordis (stomach); there is also shooting of the same kind in and above the scrobiculus cordis, and the chest is oppressed. [Gss.]

Unusually strong beat of the heat, so that he not unfrequently hears the heart beating; the heart’s beat can also be seen through the clothes. [Hrr.]

Palpitation of the heart and anxious oppression of the chest. [Gss.]

Palpitation of the heart in the morning after rising, when sitting, with anxious oppression; the heart seems to be a trembling movement. [Gss.]

The palpitation of the heart is always increased by sitting down and bending the chest forwards. [Gss.]

425. When he takes a long breath and holds his breath, the anxiety increases; he gets palpitation of the heart and oppression; the heart beats more strongly and he also feels it beating when he lays his hand upon the scrobiculus cordis. [Gss.]

In the morning after rising from bed as soon as he sits down the heart begins to beat strongly, and above the place where it is felt bating a heavy, painfully pressing weight seems to lie, which causes oppression; at the same time he feels in the hypogastrium a cutting and digging, as from incarcerated flatulence, which lasts than the palpitation of the heart.[Gss.]

Stitches in the sacrum, worse when expiring and inspiring, when sitting (aft. 2.1/2 h.). [Gn.]

Quivering in the dorsal and costal muscles. [Gn.]

In the back, opposite the heart, he feels stitches. [Gss.]

340. When walking, needle-pricks on the back, which spread along the left side (aft. 12 h.). [Lr.]

Needle-prick, pain in the upper dorsal vertebrae (aft. 32 h.). [Gn.]

Itching prick in the right dorsal muscles. [Gn.]

Itching in the back, at the left scapula, which did not go off by scratching. [Gn.]

He felt as if bruised in the spine, even when at rest (aft. 38 h.). [Gn.]

435. Feeling in the left scapula as if the blood force itself by drops through a valve, a kind of gurgling (aft. ¼ h.). [Ws.]

Obtuse, boring stitch, in the left scapula (aft. 70 h.). [Gn.]

On the right scapula, sharp stitches, recurring at uniform intervals. [Hrr.]

Single twitches in the muscles of the right shoulder. [Gn.]

A red pimple on the neck, with sore pain when touched (aft. 10 d.). [Hrr.]

440. On the neck some red pimples with sore pain when touched (aft. 5 d.). [Ws.]

Intermittent drawing in the posterior cervical muscles and along to the occiput. [Fz.]

On the left side of the nape a feeling of paralysis; which, however, does not impede the movement of the head and quickly goes off (aft. 1 h.). [Htn.]

Quivering on the top of the right shoulder. [Gn.]

Tensive pain in the left axilla, when at rest (aft. 38 h.). [Gn.]

445. Burning pain in the left axilla (aft. 31 h.). [Gn.]

Itching in both axilla, especially the left (aft. 13h.). [Gn.]

The left shoulder and arm hang down quite heavy when walking, with tension anteriorly in the upper arm. [Fz.]

Pain as if dislocated, in the shoulder-joint and the proximal joints of the thumb and index.

Pains as if dislocated (or bruised), in the shoulder-joint and the proximal joints of the thumb and index.

450. Trembling of the upper extremities. [Hbg.]

When writing the arm often went to sleep, so that he could not guide the pen.

Feeling of weight in the right upper and forearm when he is at rest, and yet easy movement of the arm when he raises it (aft. 3 h.). [Hrr.]

Drawing pain in the left deltoid muscles, more violent when he presses strongly on it. [Hrr.]

Cutting drawing over the deltoid muscle. [Fz.]

455. Tearing pressure in the middle and inner side of the right upper arm, more violent when touched. [Hrr.]

Quivering in the muscles of the left upper arm (aft. 7.1/2 h.). [Gn.]

Itching prick in the point of the left elbow (aft. 11 h.). [Gn.]

Itching pains like needle-pricks in the bend of the right elbow, compelling him to scratch (aft. 35 h.). [Gn.]

Severe stitches in the bend of the left elbow and in the fingers.

460. Twitching in the muscles of the left forearm, just above the wrist-joint, only when at rest (aft. 55 h.). [Gn.]

Aching pain in the right forearm. [Gn.]

In the right forearm, pain as if both bones were squeezed between pincers, when at rest (aft. 22 h.). [Htn.]

Boring stitches in the right forearm (aft. 52 h.). [Gn.]

Itching on the right forearm (aft. 5 d.). [Gn.]

465. Single shooting jerks over the wrist-joint.

Aching pain over the right wrist-joint, when at rest (aft. 34 h.). [Gn.]

Violent shooting cutting pains over the left wrist, on moving the index finger, when he held the arm firmly against the trunk (aft. 45 h.). [Htn.]

Rhytmical tearing in the joints of the left hand which about upon the metacarpus, soon afterwards an almost cramp-like tearing in the palm, but with free movement. [Gss.]

Cramp-like pain transversely through the metacarpal bones of the left hand from the thumb side to the little finger side, just as if the whole hand were crushed together (aft. 6 h.). [Lr.]

470. Drawing pain transversely through the metacarpal bones. [Fz.]

Single shooting jerks near the proximal joints of the fingers.

Fine tearing in the joints where the metacarpal bones are united to the finger-joints (aft. 40 h.). [Fz.]

Cold hands, with cold sticky sweat, especially on their inner surface.

The hands are pale yellow, as after a long illness. [Myr.]

475. The hands went to sleep when they were at rest, with formication in the tips of the fingers, which went off when he wetted them, or when he firmly grasped something with them. [Bch.]

On compressing the hands a formication in them, as if they were asleep (aft. 12 h.). [Ws.]

Boring formication on a small point of the right palm (aft. 79 h.). [Gn.]

Itching in the palm and the tips of the fingers, just as if they had been frost-bitten. [Fz.]

Burning itching in the middle of the palm (aft. 24 h.). [Ws.]

480. An involuntary drawing of the tendons in the left hand, so that the fingers were all drawn bent, with spasmodic pains in the palm. [Gn.]

A red, hard pimple on a spot in the left palm which the day before was the seat of burning itching; this remained for several days as burning itching sensation. [Ws.]

Painful drawing in the proximal thumb-joint where it is united with its metacarpal bone. [Hrr.]

Tearing pain in the phalanges of the right thumb (aft. 7 d.). [Hrr.]

Rhytmical tearing in the phalanges of the fingers of the right hand (aft. 12 h.). [Gss.]

485. Burning pain on the back of the proximal phalanx of the little finger (aft. 7.1/2 h.). [Gn.]

Burning pain on the left thumb-joint. [Gn.]

Paralytic pain in the right index finger. [Htn.]

On the middle finger of the right hand a pimple, which, in itself painless, exudes a yellow pus when pressed, and disappears the next day (aft. 17 d.). [Bch.]

Aching tearing in the tip of the left little finger (aft. 48 h.). [Hrr.]

490. Itching pricking in the tips of the fingers (aft. 10 m.). [Ws.]

In the tips of the fingers throbbing, obtuse stitches, as if they had been frost-bitten (aft. ¼ h.). [Fz.]

Tensive pain in the left gluteal muscles, when walking (aft. 5 d.). [Gn.]

Great exhaustion of the lower extremities, especially the thighs to below the knee, as after running quickly, even when sitting. [Hbg.]

Bruised pain in the groin and on the inner side of the upper part of the thigh towards the perineum, as after a long ride in one unaccustomed to riding (aft. 3, 4 h.). [Kr.]

495. Drawing pain in the right hip and the muscles of the right thigh. [Hbg.]

Under the neck of the left femur, in the muscles outwards and backwards, in a small spot, intermittent, burning, sharp stitches, when sitting, little diminished by standing up, but more violent than before when he sits down again. [Gss.]

Itching in the skin, more of the thighs than of the legs, frequently recurring after scratching (aft. 11 h.). [Gn.]

Constant eroding itching on both thighs, as if an eruption would break out, not removable by scratching, but not observed at night in bed. [Gn.]

Formicating itching on the right thigh, going off by scratching. [Gn.]

500. Tension in the muscles of the anterior aspect, (Qu of the thigh?) only when walking . [Gss.]

Tension in the right thigh, when sitting (aft. 36 h.). [Gn.]

Itching persistent prick on the left thigh. [Gn.]

Tensive persistent prick in the left thigh, when walking, which ceased when standing, and afterwards recurred when sitting (aft. 4 d.). [Gn.]

Drawing tearing in the right thigh, when sitting (aft. 29 h.). [Htn.]

505. Pressive tearing outwards in the left thigh, from the knee up to the os innominatum, as if in the periosteum; where the bone can be immediately pressed on the pain was more violent (aft. 11 d.). [Hrr.]

In the anterior muscles of the thighs bruise pain, only when walking.

Aching pain in the right thigh, more violent when pressed (aft. 5.1/2 h.). [Gn.]

Aching pain over the right knee, when sitting, which goes off on moving (aft. ¼ h.).[Htn.]

In the knees a compressive pain mingled with drawing and shooting; the longer he walks the worse the pain becomes.

510. Boring pain over the right knee-joint, only when at rest. [Gn.]

On the outside of the left knee-joint, when he is going upstairs, at every step a tearing tension (aft. 76 h.). [Gss.]

The knee pains as if bruised when touched.

Bruised pain in the interior if the knee-joint on bending the knee.

A digging and great restlessness in the left knee; he could not sleep on account of it, and must sometimes bend it and sometimes straighten it, and lay it here and there (ft. 4 h.).

515. Tearing pain, like dislocation. In the left knee-joint, only when walking, so that he must sometimes limp because he cannot bend the knee sufficiently. [Hrr.]

Single jerks in the patella.

On the right patella a sharp, deep needle-pricking, when sitting. [Gss.]

Severe needle-pricks going through the middle of the knee, when bending it, interrupted momentarily only when walking (aft. 5 d.). [Htn.]

In the right leg a (transient) feeling of heaviness, when sitting (aft. 9 h.). [Htn.]

520. A drawing down the legs, with feeling of warmth, or as if warmth extended to it; the feet also were warmer then.

Itching digging in the left tibia, when at rest. [Gn.]

Tensive stitch in the left tibia, when at rest (aft. 4 d.). [Gn.]

Shooting in the calf, together with twitching and pulsation in the patellae of both legs, when the knees are held stretched out stiffly (aft. 13 d.). [Bch.]

Sensation in the right calf as if the blood pressed through a valve by drops – a kind of gurgling (aft. ¼ h.). [Ws.]

525. Digging pain in the right calf on the inner side, more violent when walking. [Gn.]

Cramp in the left calf (aft. 11 h.). [Gn.]

Tensive drawing in the left calf, when walking. [Gn.]

A formication in the calves.

Sneezing causes a movement through the thighs, as if from above downwards, almost like a trembling chilliness. [Gss.]

530. Burning pain over the right inner ankle (aft. 37 h.). [Gn.]

Fine boring stitchin the right inner ankle, when at rest (aft. 33 h.). [Gn.]

On bending the foot up and down a pain as if the tendons about the ankle-joint were too short – a cramp-like sensation (aft. 10 h.). [Htn.]

In the ankle-joint a sore drawing, combined with a feeling of excoriation (aft. 4 h.). [Fz.]

Single shooting jerks over the ankle-joint.

535. In the ankle-joint a hard pressure, as from a hard stone, with drawing in it at the same time, when standing. [Fz.]

Twitching tearing on the dorsum of the foot (aft. 45 h.). [Htn.]

Intermittent tearing in the metatarsal bones of the left foot (aft. 12 h.). [Gss.]

Itching on the dorsum of the left foot, when at rest, which is not removed by scratching. [Gn.]

540. Itching boring prick in the dorsum of the right foot, when at rest, causing him to scream out loudly (aft. 79 h.). [Gn.]

Burning pain in the dorsum of the left foot (aft. 56 h.). (Though no name is attached to this symptom it is not one of the symptoms observed by HAHNEMANN himself; probably it belongs to Gn.)

Aching digging in the muscles of the left foot there occurred in a wart-like elevated growth, without sensation, which disappeared in three days and left behind a white cicatrix (aft. 17 d.). [Bch.]

Itching prick in the second right toe. [Gn.]

A formicating running in the tips of the right toes, only when at rest (aft. 53 h.). [Gn.]

In the morning on first treading the soles of the feet are painful as if festering.

Itching prick in the right sole, continuing when moving. [Gn.]

550. Violent stitches in the left sole, when sitting (aft. 4 d.).[Htn.]

Boring stitch in the balls of the second and third toes. [Gn.]

On treading a sensation on the left sole as if the parts were too much stretched and were too short, on account of which there was a pricking pain (aft. 29 h.). [Htn.]

Itching formication in the right sole (aft. 77 h.). [Gn.]

When walking he feels every false step; a pain darts through all the limbs.

555. The lower extremities feel heavy, there is tingling in them, he drags them along with difficulty; walking is very disagreeable to him.

Everything hurts him as if bruised, and when he rises from a seat he is giddy and unsteady in the legs, like vertigo.

Trembling first of the lower then of the upper extremities. [Hbg.]

After scratching on the lower extremities some lumps (wheals) arise. [Gn.]

Great sensitiveness to touch of the whole body; when he gets a knock on any part a painful crawling runs quickly through the whole body up to the head. [Myr.]

560. Painful sensitiveness to touch of the whole body; at the slightest knock on any part there occurs pain and as it were a shivering about the part; even when treading there occurs a disagreeable shock in the body (aft. 3 d.). [Ws.]

(After moderate walking) (needle-pricks on various parts of the body, when going upstairs. [Hrr.]

Fatigue in all the limbs, chiefly when walking; the spine feels to him as if bruised.[Gn.]

He feels unwell in the whole body, attacked by a heaviness and lassitude in the limbs, with disinclination for work and yet without uncheerful disposition (aft. 6 d.). [Gn.]

Tearing in the limbs, either immediately above or somewhat below the joints, on the bones, as if they were scraped. [Myr.]

565. Great heaviness in the upper and lower extremities; after going upstairs he must breathe with an effort. [Myr.]

Great exhaustion of body and mind, especially after standing.

Great exhaustion especially observable on going upstairs (aft. 2 h.). [Kr.]

Great exhaustion in the morning; such a weight in all the limbs that he has unwilling to move (aft. 7 d.). [Ws.]

Exhaustion when walking, standing and lying he is hardly able to do the slightest thing with his hands not even to dress himself. [Myr.]

570. Along with weakness and faintness of the whole body, trembling of the hands when he attempts to grasp or hold fast anything (aft. 13.1/2 d.). [Bch.]

Writing is a trouble to him on account of great heaviness of the arm, and walking is trouble on account of great heaviness of the lower limbs . [Myr.]

During moderate exercise he is over come by a great intolerable heat, which is particularly obvious in the face; during stronger exercise sweat all over the body (aft. 14 d.). [Bch.]

He is very sensitive to cool air. [Bch.]

Great exhaustion of the body after a walk. [Bch.]

575. When hungry he is overcome by great exhaustion.

When walking in the open air he is at first vigorous and strong; but he very soon becomes weak and exhausted, especially in the muscles of the thighs, with an anxious pressure on the chest, so that he would like to eructate, which, however, he cannot do; after this relief in the abdomen ensues from urging to stool and discharge of flatus (aft. 5.1/2 h.). [Fz.]

In the open air, in the evening, he feels very ill and anxious with inward heat, and he must hasten to get within doors, where, however, he does not feel much better (aft. 11 h.). [Fz.]

He is so exhausted and faint, after slight exercise, that he imagines his end is near (aft. 24 h.). [Bch.]

In the afternoon all the symptoms are aggravated.

580. Convulsions – death. (In two lusty children.) [CHALMERS, l. c.]

Yawning without sleepiness. [Myr.]

Almost incessant yawning (immediately).

Frequent inclination to sleep, which, however, he can resist. [Bch.]

Drowsiness with yawning as if he had not slept enough (aft. 5 h.). [Lr.]

585. In the evening as long as he remained up, irresistable drowsiness, but after going to bed he could not fall asleep for a considerable time. [Htn.]

Every night before midnight, no sleep, yet without pains.

After lying down in the evening, he lies awake till late at night and cannot go to sleep. [Gss.]

Exhaustion in the morning on awaking.

Weariness in the morning; shortly after getting up out of bed he cannot when sitting help falling asleep (aft. 7 d.). [Ws.]

590. All the forenoon, irresistible desire to sleep, with yawning (aft. 2 h.). [Htn.]

Such great drowsiness in the morning that his head falls forwards and he must close the eyes (aft. 2.1/2 h.). [Kr.]

Very long, unusual midday sleep, and when he awoke he could not prevail on himself to rise up, but always fell asleep again. [Stf.]

Night sleep with many, but unremembered dreams. [Fz.]

Sleep. (As from opium, Browne says.) [BROWNE, - WRIGHT, l. c.]

595. At night constant restlessness in all the limbs; every instant he must put one limb or another in a different position, sometimes flex, sometimes extend them, and in consequence cannot get a moment’s sleep (Gold took away this affection in a short time.) (aft. 10 h.).

Very restless sleep disturbed by frequent waking, full of anxious, frightful dreams, e.g. that lightening knocked off his shoulders.

Restless sleep. [Myr.]

Heavy stupefied sleep. (From a very small dose, as he tells us.) [BERGIUS, l. c.]

Sleep not refreshing; in the morning he is more tired than when he went to bed the previous evening.

600. Very restless sleep, disturbed by vivid but unremembered dreams; he only falls asleep late on account of excessive liveliness of the mind; after midnight he frequently wakes up, tosses about, and is as if in a half-waking state. [Stf.]

Confused dreams, in which he is so busy, that in the morning he feels tired; on awaking he knows nothing about the dreams, and cannot recall them, or only imperfectly. [Hrr.]

Vivid dreams of well-known past events – long about one single subject. [Kr.]

Dreams at night which he only dimly remembers. [Ws.]

Very restless sleep; he tosses from one side to the other, has vivid dreams of fire and quarrelling and strife, and at 1 a.m., imagines it is time to get up. [Gn.]

605. Very vivid anxious dreams of a great conflagration and of ghosts appearing to him. [Gn.]

Anxious dreams at night. [Myr.]

In the morning shortly before awaking, during a lascivious dream (an unusual thing with him), seminal emission not followed by weakness. [Stf.]

Lascivious dreams with seminal emission (the first night). [Gn.]

Voluptuous dreams with seminal emission, without erection of the penis. [Gn.]

610. The pulse at the wrist beats weakly and irregularly, sometimes quick sometimes slow (aft. 7 h.). [Hrr.]

His pulse, which is usually 72, at the period of the morning fever is only 54 (aft. 24 h.). [Gss.]

Chilliness every morning after rising from bed. [Hrr.]

In short intervals of two to ten minutes, a shiver running all over the body, which seems especially to proceed from the chest. [Gss.]

Sometimes the chilliness spreads from the scrobiculus cordis only to the belly and lower limbs, but sometimes also, at the same time, to the back (aft. 24 h.). [Gss.]

615. Very slight movement of the body brings on chilliness. [Gss.]

Immediately after dinner, severe chilliness and coldness; he must on account of that lie down in bed.

In the morning rigor, without thirst, with tolerable facility in the movements of the fingers and wide awake condition of the mind. [Fz.]

Chilliness every morning, after getting up from bed, off and on for a couple of hours. [Hrr.]

Chilliness in the whole body, without thirst, only in the morning (aft. 2 h.), for several successive mornings, recurring by fits, and spreading from the feet upwards. [Hrr.]

620. A severe chill spread through all the limbs all day, without thirst for two successive days.

Every morning chilliness rapidly running over him, sometimes only on the feet, sometimes on the head and hands only, sometimes on the back or on the chest and belly, sometimes, also all over the body, without thirst (aft. 72 h.). [Gss.]

In the afternoon he has first chill then he becomes very hot, and has great thirst (for beer).

Slight chilliness in back spreading to the abdomen as far as the umbilical region (aft. 2 h.). [Stf.]

Shivering, running all over the body, without heat or thirst (aft. 1 h.). [Lr.]

625. Sensation on the right thigh as if goose skin spread over it, but without feeling of chilliness. [Fz.]

Severe chill over the arms and shoulders.

On the arms feeling of chilliness and occurrence of goose skin; he durst not bring his arms close to the body on account of a disagreeable shivering sensation (aft. 4 d.). [Fz.]

Cold shiver runs over all the body, except the arms, with sensation as if the hair stood on end. [Htn.]

A shiver runs over the whole body and yet at the same time heat over the whole body, without thirst (aft. 7 h.). [Lr.]

630. When he lies down in the evening, he has in bed, first half an hour of chill, then immediately afterwards heat with perspiration all over, almost all night.

Cold feeling on the whole body , without actual coldness; he was warm to the touch all over warmest on the chest. [Hrr.]

Fever: in the evening chilliness with cold hands and distended abdomen, without thirst; thereafter at night he lay on the back, he had bruised pains in all the joints while lying quietly, vivid, urgent dreams, talking in sleep, and dry heat on the body, with dryness of mouth, nose, and eyes, without thirst.

Inward matutinal fever: chilliness running over him, recurring at intervals if five to ten minutes, with externally perceptible almost increased warmth; the chilliness seems to come from the scrobiculus cordis and to spread over the trunk, head, and upper extremities, without thirst (aft. 24 h.). [Gss.]

The tips of the fingers are cold, yet the rest of the hand is moderately warm (aft. 3 h.). [Lr.]

635. Cold hands, with hot face, without thirst (aft. 5 d.). [Ws.]

Though he has a feeling of heat on the whole body, and heat especially in the face, yet (in the evening) he longs for the warmth of the bed (aft. 7 d.). [Ws.]

When he lays his hands in his face they appear cold to his face, whereas to one another they seem more warm than usual; in the palms only they somewhat sticky. [Gss.]

Feeling of heat in the face and hands, whilst the hands held to the face appear cold to the face and the face appears cold to the hands (aft. 8 h.). [Lr.]

Cold feeling and hot feeling alternated with one another only on the left side of the forehead, but externally on change of temperature was perceptible. [Myr.]

640. For five successive days at the same hours, first chill in the morning after rising from bed, and at noon (five hours later) heat chiefly on the trunk, but still more severe in the face, with redness, without particular thirst. [Hrr.]

Chill and heat alternating all day long, with redness of face.

Alternate heat and chill, the chill showing itself chiefly on the back, whereas the heat is in the hands and face. [Myr.]

When he gets into bed in the evening chill comes on immediately, and he then has perspiration of a disagreeable odour, so very profuse that he is wet all over. [Myr.]

Feeling of heat in the body, in the forenoon, without externally perceptible heat.

645. Heat with great thirst for beer. [Myr.]

At night feeling of inward heat, with dryness of the mouth, without thirst.

After slight exercise very great heat all over the body, with sweat, especially on the head, without thirst (aft. 1 h.). [Htn.]

Increased warmth in the back; the hands, abdomen, &c., seem to him, to judge by his sensations, burning hot, and so he becomes hot all over. [Stf.]

Flying heat over the back, after supper. [Myr.]

650. A hot feeling in the whole spine. [Gn.]

At night heat only on the lower extremities, without sweat or thirst.

A flush of heat over the face, but no redness (aft. ¼ h.). [Htn.]

Though but lightly covered he immediately got into perspiration.

Want of attention. [Gn.]

655. He does not speak willingly (aft. 7.1/2 h.). [Myr.]

He cannot enjoy himself with others though he is not sad (aft. 7 h.). [Htn.]

Anxiety and anxious concern about the future (aft. 10 d.). [Ws.]

Profound reflection about his future fate (aft. 24 h.). [Lr.]

Anxious forebodings about the future, at the same time with an intolerant humour disposed to crossness. [Bch.]

660. Restlessness and anguish; he could not remain in one place.

Disposition sad, and at the same time discouraged and apprehensive (aft. ½ h.).[Wth.]

Disposition sad, and at the same time very cross. [Myr.]

Sad and cross (with redness of face).

Great dejection, in the evening; he could have killed himself – with chilliness of the body (aft. 8 d.0.

665. Serious humour, he gets cross of the slightest joke is attempted on him [Gn.]

He is very cross and sensitive to everything that he thinks not good, for many hours. [Myr.]

He is easily roused to anger. [Kr.]

At first for three hours gloomy, then cheerful and in good spirits; in the afternoon again gloomy. [Fz.]

Cheerfulness, contentment with his state and trustful humour – alternating with conditions of palpitation of the heart and anxious oppression of the chest. [Gss.]

670. Cheerful, insouciant, tranquil, and contented disposition (Formerly he was nearly always of care and suspicion – therefore secondary action, reaction of the organism, curative action.) during all his pains and sufferings. [Hrr.]

After the first day he is livelier in mind and more active than usual. (Curative reaction of the life.)

Almost extravagant cheerfulness of disposition. [Stf.]

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