SPONGIA

(Roasted Sponge)

(From vol. vi, 2^nd edit., 1827.)

(The bath sponge – the habitation of the animal of the Spongia officinalis, . – is cut into pieces of moderate size and roasted in a tin-plate coffee-roaster, turned round over glowing charcoal until it becomes brown, and can without much labour be triturated to a powder. Of this 20 grains are added to 400 drops of good alcohol, shaken twice a day and allowed to macerate for a week without warmth. Thus a tincture is made which contains a grain of roasted sponge-power in every 20 drops.)

Sponge burnt to black coal (spongia usta, combusta) as it is not seldom prepared, seems to be less powerful. On the other hands, if only roasted brown in the manner described above, it is very odorous, and communicates all its great medicinal powers to the alcohol. If the tincture be dropped into water a milkiness is produced, yet a good deal of it is retained in solution. The sponge is said to contain some iodine.

That remarkable swelling of the thyroid gland of the neck called goitre, which is peculiar to the inhabitants of deep valleys and their termination in plains, which arises from a concurrence of apparently tolerably identical causes, though most of these are unknown to us, constitutes a malady which us almost always uniform in its nature, for which a medicine, if it has in one case been proved servicable, must be so always and in every case (specific).

But the ordinary medical school did not know how to obtain a knowledge of medicines a priori, before their administration in diseases, and knew not for what morbid states they would and must be curative, and consequently to prescribed them in a blind sort of way in diseases, several medicines at once, always in mixtures. Hence the ordinary schoonl was unable to discover any certain remedies for chronic ailments, not even for diseases that always remained the same. Hence common folk had to look to themselves for help, but this they could only obtain in the slowest an most tedious way in the world, namely, by incessantly trying all sorts of simple substances which chance offered them, whereby after some millions of fruitless trials at last a remedy came into their hands, which having once been of use, must assuredly be always servicable in diseases of fixed character and identical nature. Thus medicine has, to thank this thorough trial by the common folk of all conceivable medicinal substances, for the few surely curative drugs for such diseases as are always the same, that is, arising from identical causes and hence of fixed character. The ancient medical school that thinks itself so wise could not do this for itself, as we see.

In this way thousands of years might have elapsed ere the ordinary domestic medical practice, after unnumerable trials of drugs, at length lighted upon roasted sponge as the remedy for this troublesome ailment, the goitre, and found it to be a specific for the disease. At all events, we find it first mentioned a specific for goitre in the thirteenth century by ARNOLD VON VILLANOVA.

The medical art then reaped where it had not sowed, and appropriated this discovery of common folk. But as it has even held simplicity to be dishonourable, it mixed the roasted sponge when employing it as a remedy for goitre with a number of other substances, (in the Pharmacopoeia Angustana, for example, ten other ingredients are added and so the actual efficaciuos remedy, the Spongia usta, deteriorated.) always varying them, in order as if declared in its learned way, to act as adjuvants to the sponge, but in reality this only spoilt its action. The mixture, on account of these perturbing additions, often proved useless, or if it still did good, then in course of time the good effects were ascribed by subsequent practitioners to the auxillary ingredients, so that at length it was not known which was the efficacious ingredient in the prescription. Thus roasted sponge, owing to this quackish but learned addition of other drugs, gradually lost its reputation, and, indeed, sometimes disappeared altogether from the goitre-remedy (As for example in KLEIN’S Selectus Medicaminum, p. 138, compared with p. 183.) (pulvis ad strumas), so that at length roasted sponge was dropped out of many modern works on materia medica as a useless thing. So the distinguished medical school, by means of its learned mixture-art, succeeded once more in destroying and burying in oblivion a truth which the unsophisticated experience of the common folk had discovered by an infinity of tedious trials carried on during thousands of years. This is a little specimen of the benefits which have been bestowed on the human race by the ordinary medical art.

But granting that practitioners of the ordinary stamp knew the original value of roasted sponge in the treatment of the goitre of residents in valleys, how can they apply the other great curative virtues of this medicinal substance in many other morbid states that do not occur in a uniform manner, when they do not know or scorn to follow the only sure way to discover the pure powers of drugs, experimentation on the healthy?

The following symptoms of roasted sponge observed on healthy persons (I would they were three times as numerous) will teach us what further medicinal use this drug, as powerful as it is useful, can be applied to by the homoeopathic healing art.

Where the ordinary practitioner still employed roasted sponge for the cure of goitre he gave it in doses of half to a whole drachm daily, mixed with pepper, lamp-black &c. On the other hand, I found one or two doses of the smallest portion of a drop of the tincture several times diluted quite sufficient for curative objects, I found a still farther dilution of a drops of the decillion-fold dilution-fold dilution for a dose.

The most powerful antidote of roasted sponge is camphor.

Homoeopathy has found the most remarkable remedial employment of roasted sponge in that frightfully acute disease membranous croup, guided there to partly by other symptoms 231. The local inflammation, however, should first be diminished or removed by the exhibition of an extremely small dose of aconite. (The smaller the drug-doses in acute and the most acute diseases, the more quickly do they effect their action. In the case above alluded to one single olfaction of a globule the size of a mustard-seed moistened with the thirtieth dilution of itc-juice, fulfils this object in the best complete manner.) The accessory administration of a small dose of hepar sulphuris will seldom be found necessary.

[HAHNEMANN’s fellow-provers were GUTMANN. FR. HAHNEMANN, HARTMANN. HAYNEL, HORNBURG, LANGHAMMER. J. G. LEHMANN. STAPF. WAGNER, WISLICENUS.

No old-school authorities are referred to.

The 1^st edit. has 316 symptoms, the 2^nd edit, 391.]

SPONGIA

Vertigo when sitting, as if the head would sink to the side, with hot feeling in the head (aft. ¼ h.). [Wr.]

Vertigo, inclining to fall backwards. [Fr.H-n.]

He has whirling in the head, he staggers and must support himself by something, as in intoxication (aft. ½ h.). [Htn.]

Violent rush of blood to the brain, with heat outwardly on the forehead; the cervical arteries beat perceptibly (aft. 1 h.). [Wr.]

5. Increased afflux of blood to the head.

In the forehead sensation of accumulation of blood.

Weakness of the head and an obtuseness that makes him unfit for all mental work, with a sensation of weariness through the whole body.

The head is confused and stupid.

Confusion of the head; he staggers like a person when walking, for an hour (aft. ½ h.). [Hnl.]

10. Heaviness of the head all day.

When she lays down her head on the table before her in order to rest and then lifts it up again, she feels it heavy.

Painful heaviness ion the occiput, as if lead lay in it, whilst walking, which is repeated in jerks (aft. 1.1/2 h.). [Htn.]

Heaviness of the head (aft. ¼ h.). [Wr.]

Heaviness and fulness of the head, increased by stooping. [Wr.]

15. Aching pain in the crown (aft. 5 h.). [Fr.H-n.]

Obtuse pressive pains from within outwards in the right frontal protuberance (aft. 30 h.). [Htn.]

Dull headache in the right half of the br, on coming from the open air into the warm room (aft. 1.1/2, 35 h.). [Gn.]

Pressive pain out at the right parietal bone, when lying. [Gn.]

Dull pressive pain from the front, in the forehead above the eyes, to the occiput and nape, for ten hours, until he goes to sleep (aft. 3 h.). [Wr.]

20. Violent tearing pain in the left temple, close to the orbit, which also sets up a pressive sensation in the left half of that eye (aft. 2 h.). [Hbg.]

Aching pain in the forehead (aft. ¼ h.). [Ws.]

Out-pressive sensation in the right temple (aft. 1.1/4 h.). [Htn.]

Sensation in the head as if all would come out at the forehead.

Violent pressing pain in the left side of the occiput, as if the head would burst there (aft. 9.1/2 h.). [Htn.]

25. Jerking through both sides of the head, especially at the temples up into the top of the head when he moves his arms and at every step (aft. 1 h.). [Ws.]

On the whole side on which the (small) goitre is, a jerking pain; in the head a beating which descends into the cheeks and spreads into the neck as a tearing. [Stf.]

Twitching stitches in the forehead, increased by walking (aft. 5 h.). [Wr.]

Pressive down-drawing pain on the right side of the head and neck (aft. 4 h.). [Wr.]

Violent pressure in the forehead and occiput simultaneously as if the two were pressed together towards one another, at noon (aft. 5 h.).

30. Aching pain over the right eye rather externally (aft. ½ h.).

Aching pricking at one time he moves, with burning hot sensation spreading from the region behind the ear over the occiput to the nape. [Wr.]

Needle-pricks going transversely across on the left side of the forehead (aft. 4 h.). [Lr.]

When walking in the open air boring needle-pricks on the left side of the forehead as from within outwards (aft. 34 h.). [Lr.]

Beating in the left temple.

35. When lying she feels in her head, in the region of the ear, on which she is lying in bed, a noise like a strong pulsation, each time with a double beat; of she lies round on the other ear, she feels it on that side.

Sharp stitches on the left temple externally, extending into the forehead (aft. 6, 14 h.). [Lr.]

Pressure on the left side of the forehead (aft. 8.1/2 h.). [Lr.]

Sharp external pressure on both temples (aft. ¼ h.). [Ws.]

An out-pressing pain on the top of the left side of the forehead, when sitting, which went off after standing up (aft. 6.1/2 h.). [Lr.]

40. Drawing pain in the crown of the head (immediately).

Gnawing pain externally on the upper part of the head (aft. 1 h.). [Ws.]

Disagreeable sensitiveness of the integuments of the head, especially on moving the scalp (aft. ¼ h.). [Ws.]

Burning in the scalp on the right side (aft. 15 h.). [Gn.]

Feeling as if the hairs on the crown stood on end, or as if someone moved them, most severe at any movement of the body (aft. 1 h.). [Ws.]

45. Tensive contractive sensation above the root of the nose (aft. 11.1/2 h.). [Htn.]

A yellow scabby eruption on the left superciliary ridge, where it is only somewhat painful when touched. [Fr.H-n.]

The eyes have a dull look and the eyelids are swollen as after intoxication, or as if he had been reveling all night; at the same time exhausted, tried and sleepy (aft. 3.1/4 h.). [Htn.]

Sudden shooting drawing in the outer angle of the left orbit which spreads upwards and downwards round the eye to the inner angle (aft. 1.1/2 h.). [Ws.]

Tensive shooting pain in the left outer canthus of the eye, worst on moving the yes; it went off when touched (aft. 4.1/4 h.). [Gn.]

50. Pricking itching under the left eye which is somewhat relieved by rubbing (aft. 5 h.). [Ws.]

Aching round beneath the eyelids.

Itching on the eyelids.

In the morning in bed the lids of the left eye are closed so that she can only open them with difficulty.

Heaviness of the eyelids. [Wr.]

55. Pressive heaviness in the eyelids, just as if they would close (aft. ¼ h.). [Wr.]

Tension in the left eye, near the temple (aft. ¼ h.).

In both eyes shooting and at last aching pain, in the evening (aft. 9 h.). [Wr.]

Aching and shooting in the right eye. [Fr.H-n.]

Burning in the left eye round about the eyeball.

60. Shooting in the eye.

The eyes suppurate.

The eyes are deeply sunk.

Burning pain on the outer surface of the left lower lid. [Gn.]

Redness of the white of the eye. [Fr.H-n.]

65. Great watering of the eye. [Fr.H-n.]

When she looks fixedly at a point, there occur headache and weeping of the eyes.

She can only make out distant objects by a great effort.

Severe heat of one side of the face, which is renewed even by merely thinking of it.

He has red cheeks and yet only the usual warmth in the face. [Htn.]

70. Dull ringing in the ears (aft. ½ h.). [Wr.]

Ringing in the right ear (aft. 10 h.). [Lr.]

Red swelling of the anterior convolution of the right auricle, with a pimple in it, which discharged like an ulcer for nine days; the ear was painful when pressed from without (aft. 24 h.).

In the left auricle, close to the entrance to the meatus auditorious, an inflamed lump, which later on was covered by a scab, remaining for several days painful to touch. [Hnl.]

75. Formation of boils on the left ear which are painful when touched (aft. 1 h.). [Ln.]

Burning in the orifice of the right ear. [Gn.]

Pain in the ear-cartilages per se like soreness – not altered by touching (aft. ¼ h.). [Ws.]

Tensive pain in the swelling at the orifice of the meatus auditories and formication therein, as if it would become an ulcer; sometimes stitches in it (aft. 15.1/2 h.). [Hnl.]

Fine pricks in the right ear towards the outside, as if through the membrana tympani (immediately). [Ws.]

80. Pressure in the ears and forcing in them.

Earache – a contractive pain (aft. 3 h.).

Drawing pain in the interior of the right ear (aft. 9 h.). [Wr.]

Cramp-like pain in the left ear when walking in the open air (aft. 24.1/2 h.). [Htn.]

Hardness of hearing.

85. Formicating pricks in the left nasal bone (aft. ½ h.). [Ws.]

Tearing in the nose.

(Stoppage of the nose mucus.)

Eruption on the tip of the nose and on the lips.

During dinner, after gently blowing the nose, a violent and long-continued epistaxis (aft. 3 d.). [Hnl.]

90. Aching tearing sensation in the right zygomatic arch (aft. ¼ h.). [Htn.]

Itching on the left cheek (aft. ½ h.).

Pricking itching in the left cheek (aft. ¾ h.).

Shooting on the cheek.

Swelling of the cheek.

95. Cramp-like pang from the left maxillary joint down along the cheek, in the evening when eating (aft. five days).

Twitching prick posteriorly from the right upper jaw into the right inner ear, in the evening in bed. [Hnl.]

Cramp-like pain on the left upper jaw (aft. 1.1/2 h.). [Lr.]

On the left upper jaw needle-pricks darting across (aft. 2.3/4, 3.1/2 h.). [Lr.]

The lower jaw is painful when touched.

100. Fine pricks under the lower lip (aft. 7 h.). [Ws.]

Constant violent burning under the right commissure of the mouth, on the chin, as if an eruption were about to come there; on stretching the skin it becomes more violent (aft. 6 h.). [Hnl.]

The left side of the chin is painful to touch, extending to the oral commissure, as if festering (aft. 4 h.). [Ws.]

Sensation as if the cervical glands were swollen (aft. 14 h.).

Pain as if the cervical glands near the larynx and trachea were swollen (aft. 3 h.).

105. Several glandular swellings under the right side of the lower jaw, which interfere with the movement of the neck and have a tensive pain when touched (aft. 38 h.). [Lr.]

Glandular swellings under the left side of the lower jaw, which are painful on touching the neck (aft. 73 h.). [Lr.]

Sensation in the thyroid gland and the cervical glands, on taking breath as if air in them rushed up and down.

In the goitre shooting pain on swallowing, when not swallowing slight pain. [Stf.]

In the goitre, stitches also when not swallowing. [Stf.]

110. Pressive sensation in the goitre, several times daily.

Externally over the pit of the throat constant needle-pricks (in the lower part of the goitre).

Several large pimples under the chin on the neck, which are painful when pressed on (aft. 12 h.).

Stiffness of the neck when bowing and tthe head. [Ln.]

Intermittent, slow pressure on the right side of the neck, as if the skin were compressed between the fingers, the part down the jugular vein was also outwardly painful when touched. [Hbg.]

115. Painful pressure over the thyroid cartilage increased by touching (immediately). [Hbg.]

Whilst singing an aching pain in the region of the larynx (aft. 6.1/4 h.). [Htn.]

Tension of the cervical muscles especially on the right side, on bending back the head (aft. 3 d.). [Ws.]

In the goitre sensation as if something waggled and moved about in it as if alive, especially when swallowing. [Stf.]

In the goitre sensation as of a working in it, a distension and pushing, as if all would come out there. [Stf.]

120. Painful tension on the left side of the neck near adam’s apple, on turning the head towards the right side (aft. 1.1/2 h.). [Ws.]

The region of the thyroid gland is as if indurated (aft. 4 d.).[Ws.]

Twitching in the right cervical muscles, when lying (aft. 24 h.). [Gn.]

At various times, twitching pricks externally in the region of the larynx. [Hnl.]

A transient stitch on the left side of the neck (aft. 1.1/4 h.). [Ws.]

125. Coarse slow stitches in the right cervical muscles, immediately on waking from sleep, which went off when swallowing and then immediately recurred (aft. 23 h.). [Htn.]

Transient formication on the neck (aft. 1.1/2 h.). [Ws.]

After opening the mouth wide and biting the teeth strongly together, a painful spasm in the cervical muscles, which drew the lower jaw forcibly down, with heaviness in the maxillary joint as if it were dislocated. [Hnl.]

Drawing needle-pricks through the left side of the neck (aft. 60 h.). [Ws.]

Painful sensation of stiffness on the left side of the nape, when he turns the head to the right side (aft. ½ h.). [Htn.]

130. frequently recurring pressive cracking pain on the left side of the nape, close to the scapula, which it not altered by any movement (aft. 7./12 h.). [Htn.]

On bowing a cracking in the nape (aft. 16 h.). [Hnl.]

Vesicles on the border the tongue with sore pain.

On the inside of the cheek and on the border of the tongue vesicles with shooting and burning, on account of which she could not eat anything solid.

Itching in the upper and lower teeth.

135. Shooting in the upper incisors. [Hbg.]

Pain in the back molars of the right lower jaw, as if the gums and teeth were swollen and the latter raised up, for two days.

Pain as if he bit on something between the teeth.

When chewing food a painful sensation as if the molars were on edge and loose (aft. 6.1/2 h.). [Lr.]

A (burning) pain in the left upper molars (aft. 12 h.). [Lr.]

140. When chewing, painful gums which are swollen.

A burning in the throat, the larynx, and then in the ears.

In the throat, especially after eating, a shooting and on the neck sensation as if something passed out there, in the morning and evening.

Accumulation of saliva (aft. ¼ h.).

Hiccup (aft. 8.1/4, 33, 37, 57 h.). [Lr.]

145. Repeated hiccup (aft. ¼ h.).[Wr.]

Sweet taste in the mouth.

Deep down in the throat, not on the mouth, a persistent bitter taste.

In the throat bitter taste (aft. ¼ h.). [Htn.]

Empty eructation (aft. ½ h.).

150. Eructation several times (aft. 2 h.). [Wr.]

Sour belching (aft. 5 h.). [Htn.]

Bitter eructation (aft. 1 h.). [Wr.]

Thirst for cold water, in the evening (aft. 38 h.). [Lr.]

Increased appetite.

155. Great hunger; she cannot be satiated.

Diminished appetite. [Fr.H-n.]

Water collects in his mouth, with nausea (aft. 24 h.). [Hnl.]

Persistent nausea.

Nausea during (accustomed) tobacco-smoking (aft. 30 h.). [Lr.]

160. Inclination to vomit, without vomiting. [Stf.]

The (accustomed) tobacco, when smoked, tastes scrapy bitter in the mouth and fauces (aft. ½ h.). [Htn.]

Every time he smokes (the customary) tobacco, violent thirst. [Htn.]

Extremely disagreeable sensation of relaxation in the oesophagus and stomach as if he had drunk a great deal of water – for several hours (aft. 23 h.). [Hnl.]

Aching in the pit of the stomach in the afternoon.

165. Aching pain in the gastric region, lasting all the forenoon (aft. ¼ h.).

She cannot bear any tight clothing on the body, especially in the region of the stomach.

Inward sensation of cold in the scrobiculus cordis with fulness in that region (aft. ¼ h.). [Htn.]

During the (accustomed) tobacco-smoking there occurs immediately heat in the belly which goes also up into the chest, without heat of the rest of the body, which on the contrary is chilly (aft. 3 h.). [Ws.]

When sitting painful contraction on the left below the stomach, especially when lying on the right side (aft. 17 h.). [Hnl.]

170. Stitches in the right of the belly, in the hepatic region (aft. 1 h.). [Wr.]

Rumbling in the abdomen and empty eructation (aft. ½ h.).

Pinching in the hypogastrium with loud rumbling (aft. 5 h.). [Gn.]

Frequent pinching in the abdomen, which ceases after discharge of flatus (aft. 14 h.). [Lr.]

After eating a cutting in the upper part of the abdomen in the morning (aft. 26 h.). [Hnl.]

175. After eating distress and fulness in the abdomen, as if digestion would not go on.

In the evening after eating, cutting in the hypogastrium, going towards the left side of the chest (aft. 4 d.). [Hnl.]

In the morning after eating, violent cutting in the abdomen, so that he must bend up the abdomen; at the same time great urging to stool, when the evacuation is normal but scanty (aft. 5 d.). [Hnl.]

Spasms in the abdomen (aft. 6 d.).

Bellyache, pinching in the whole abdomen. [Stf.]

180. Pinching deep in the abdomen, when sitting, which compels him to get up, because he thinks he has a call to stool; but immediately after getting up the pain lessens and goes off entirely when standing in a stooping posture (aft. 10 h.). [Htn.]

Fine prick externally at the navel (aft. 2 h.). [Ws.]

Tensive pain in the upper abdomen when walking, but worse when stooping (aft. 1 h.). [Gn.]

Tensive pain in the upper abdomen when sitting. [Gn.]

Tense abdomen (aft.24 h.).

185. Digging shooting in the hypogastrium, on the left side, only observed when expiring, and worst when stooping (aft. 10.1/2 h.). [Gn.]

Sensation like fine digging as from something alive under the abdominal integuments above the left hip, in the left side on which e lies in bed, in the morning (aft. 22 h.). [Ws.]

On the left side of the abdomen a strangling sensation which is aggravated by the pressure of the hand (aft. ½ h.). [Htn.]

Deep in the abdomen, a strangling sensation which is relieved by the discharge of some flatus, but soon increases again (aft. 7 h.). [Htn.]

Obtuse stitch in the right lumbar muscles (aft. 6 h.). [Gn.]

190. Cramp-like pain in the left inguinal region, when sitting (aft. 1.1/2 h.). [Htn.]

Glandular swelling in the right groin, which has a tensive pain when walking. [Lr.]

Pain in the inguinal ring, as in a hernia.

Only when sitting, aching tearing pain in the region of the inguinal ring, on both sides, at various times. [Hnl.]

Qualmishness in the abdomen, together with frequent liquid stools like diarrhoea. [Ln.]

195. White diarrhoea (aft. 48 h.).

Discharge of flatus and a soft stool without suffering (aft. 6 h.). [Gn.]

(The first part of the stool is hard, the second soft.)

Hard motion seven hours too late (aft. 9 h.). [Wr.]

During the stool pressure from flatulence in the lumbar regions (aft. 36 h.). [Ws.]

200. Tensive pain from the middle of the hypogastrium out at the anus (aft. 11 h.). [Gn.]

During the evacuation of the stool sore pain for some days (aft. 2 d.). [Hnl.]

Tenesmus with every stool.

Bruised pain at the anus, almost like sore pain.

Before every stool stitches in the anus and rumbling in the belly.

205. During the stool tenesmus at the anus, as if diarrhoea would come on (aft. 4 d.). [Ws.]

Every day many thread-worms come away; every evening there is creeping in the rectum.

Frequent discharge of urine (aft. 1.1/2 h.). [Lr.]

(Inability to retain the urine.)

The clear bright yellow urine on standing deposits a yellow sediment (aft. 23 h.). [Gn.]

120. (The urine is foamy and frothy.)

The urine deposits a thick greyish-whitsediment.

(Pain in the neck of the bladder as a hint to urinate.)

Very thin stream of urine.

A voluptuous itching on the point of the glans penis, for several hours, which forced him to rub it (aft. 52 h.). [Lr.]

215. Itching burning in the scrotum and the body of the penis, several times. [Hnl.]

Drawing painful stitches from the body of the penis through the glans (aft. 4 d.). [Hnl.]

Simple pain of the testicles, also when touched.

Squeezing, contusive, strangling pain in the testicles.

Coarse rather obtuse stitches which dart from the testicles into the spermatic cord.

220. Aching painful swelling of testicles (aft. 10 h.).

Swollen painful spermatic cord.

Before the appearance of the menses first pain in the back then palpitation of the heart, all day.

During the menses drawing in the thighs and legs.

The menses come on too soon and too copiously (immediately). [Stf.]

Cough and coryza, very severe.

Scrapy burning and constriction of the larynx. [Ln.]

Dryness in the region of the larynx, aggravated by hawking (aft. ½ h.). [Wr.]

230. Hoarseness.

Difficulty of drawing the breath, as if a cork were sticking in the larynx and the breath could not penetrate through the narrowed orific of the larynx (aft. ½ h.). [Ln.]

Slow, deep breathing, as after exhaustion, for several minutes (aft. ½ h.).

After some exertion she suddenly became exhausted, the chest especially was affected; she could hardly speak, got heat in the face and nausea; after some hours heaviness in the head.

After a dance frequent gasping for breath, very quick panting respiration.

235. Hollow cough with some expectoration, day and night. [Fr.H-n.]

When coughing in the chest and trachea, with roughness of the throat.

Continued cough from a spot deep down in the chest, where there is pain as if it had become sore and bloody from coughing (aft. ½ h.).

When coughing painful aching under the short ribs (aft. 1 h.). [Htn.]

Hacking up of mucus (aft. 25 h.). [Lr.]

240. Dry cough (aft. ¼ h.).

Dry cough, day and night, with burning in the chest, as if she had something hot inside her; after eating and drinking the cough goes off.

(Frequent cough at night, with burning in the chest, as if she had something hot inside her; after eating and drinking the cough goes off.

(Frequent cough at night, lasting two minutes, and cross expression along with it.)

(Great tightness of the chest)(aft. 10 d.).

Boring stitch in the right costal muscles, continuing during inspiration and expiration (aft. 7 h.). [Gn.]

245. Severe needle-pricks on the right side of the chest from within outwards (aft. 56 h.). [Lr.]

When sitting with the back somewhat bent, but especially during slow deep inspiration, drawing stitches in the left side of the chest (aft. 5 d.). [Hnl.]

Severe intermittent stitches on the left side of the chest (aft. 1.3/4 h.). [Lr.]

Drawing stitches under the second rib of the left side of the chest, only when walking (aft. 8 h.). [Hnl.]

Transient, painful stitches on the right side of the chest; if he rubs on the spot he feels as if a weight were drawn downwards under the skin there (aft. 50 h.). [Lr.]

250. Pricking itching on the left side of the chest towards the shoulder (aft. ¼ h.).

Outwardly on the chest and arms fine pricking for several days.

In the left side of the chest an aching cutting pain on taking a deep breath; at other times he feels but little of it (aft. 3 d.). [Ws.]

Shooting pinching crawling in the left side of the chest, in the region of the sixth and seventh ribs, which becomes more painful when pressed from without (aft. 10 h.). [Ws.]

Sudden pain simultaneously in the pectoral and dorsal muscles of the left side, as if a broad body furnished with points forced itself up-a broad pressure with much pricking (aft. 3 d.). [Ws.]

255. An aching in the left side if the chest, and sometimes several stitches in it, when moving and when at rest. [Hnl.]

Pinching jerk in the left side of the chest towards the interior (aft. 20 m.). [Ws.]

Dull pain in the seat of the junction of the right os ilii with the os sacrum, when standing (aft. 27 h.). [Hnl.]

Pressive sensation going up and down through the spine, when sitting erect (aft. 6 h.). [Htn.]

Feeling of coldness on the back in the region of the last ribs (aft. ¾ h.). [Ws.]

260. Severe stitch in the sacrum.

An aching pain in the sacrum only when walking, particularly when treading with the left foot (aft. ¼ h.). [Hnl.]

Fine tearing upwards on the os sacrum, from the right to the left side, only when sitting (aft. 5 d.). [Hnl.]

The sacrum and buttocks are very numb.

At night a burning itching exciting scratching, especially on the back; he only slumbers and tosses about constantly, with thirstless heat all over the body, especially towards morning. [Ws.]

265. Excessively painful transient stitch on the right scapula (aft. 17 h.). [Hnl.]

Pain on the scapulae, as if something pointed were stuck in there – a constant shooting pain combined with sore pain (aft. ¼ h.). [Ws.]

Muscular twitching about the left shoulder-joint. [Gn]

Burning on the left shoulder (aft. 16 h.). [Hnl.]

Fine pricks in the axilla (when sitting)(aft. 1 h.). [Ws.]

270. A constant prickling itching in the left axilla, when sitting (aft. 5 h.). [Hnl.]

Shooting drawing through the upper arm (aft. ¼ h.). [Ws.]

Stitches in the elbow-joint on moving.

When bending the arm, a stitch in the point of the elbow and then tearing in the joint as long as he keeps the arm bent.

Aching pain at the point of the left elbow (aft. ¾ h.).

275. Under the elbow-joint on the upper part of the forearm a cramp like pain with slow gurgling, especially when leaning on the arm (aft. 3 d.). [Ws.]

Pain in the left forearm as if the bone were compressed (aft. 1 h.).

In the internal muscles of the right forearm, severe out-boring stitches (aft. ½ h.). [Lr.]

Great blisters on the right forearm.

Heaviness in the forearms (aft. ½ h.). [Ws.]

280. Drawing pain in the forearms.

Trembling of the forearms and hands (in a few m.). [Ws.]

(Burning in the arms and hands.)

Several stitches in the right wrist, when at rest (aft. ¼ h.).

Drawing aching pain over the right wrist (aft. 6 h.). [Htn.]

285. Tensive pain in the left wrist, when at rest and when moving (aft. ¼ h.).

Severe drawing in the left wrist-joint (aft. 3 d.).

A tired feeling in and behind the wrists (aft. ¾ h.). [Ws.]

Swelling of the hands; she could not bend the fingers.

An in-drawing pinching on a point in the middle of the palm (aft. a few m.). [Ws.]

290. The tips of the index fingers lose feeling without becoming pale (aft. ¾ h.). [Ws.]

The middle joint of the left middle finger became swollen and red and was stiff when bending it.

Aching pain in the proximal finger joints of the right hand (aft. ¼ h.).

Itching in the ball of the left thumb, not removed by rubbing (aft. ¾ h.).

Cramp-like pain in the ball of the left thumb only when moving the hand, all day (aft. 6 h.). [Lr.]

295. Painful drawing in the proximal phalanx of the left thumb extending into the forearm (aft. 1.1/2 h.). [Hnl.]

Cramp-like pain in the ball of the right thumb, which lasts all day, an on moving the hands extends also into the thumb itself (aft. aft. 1, 14.1/2, 25 h.). [Lr.]

A persistent stitch combined with sore pain in the distal thumb-joint (aft. 1.1/2 h.). [Ws.]

On the right natis, quick muscular twitchings. [Hnl.]

The lower extremities felt quite stiff.

300. backwards pressing pain on the inner side of the right thigh above the knee (aft. ¼ h.).

A very acute prick in the skin of the inner side of the right thigh above the knee (aft. 54 h.).[Hnl.]

On the front of the right thigh near the hip, severe out-boring stitches (aft. 8 h.). [Lr.]

Persistent drawing stitches on the upper part of the left thigh just below the groin, especially when walking (aft. 2.1/2 h.). [Hnl.]

A tickling itching on the left side close to the groin, compelling rubbing (aft. 2.1/2 h.). [Lr.]

305. At the upper end of the thigh at every step, a tension as if a muscles were too short, each time accompanied by a stitch (aft. ¼ h.). [Ws.]

In the morning in bed, pulsating sharp stitches through tright thigh above the knee (aft. 22 h.). [Ws.]

Aching shooting pain above the right knee (when sitting)(aft. 4 h.). [Htn.]

Severe drawing in the left knee; thereafter profuse sweat, at night.

Heaviness in the knee-joints, felt when walking (aft. 1 h.). [Ws.]

310. When walking a weakness in the knees as if they would knuckle under him, though he plants the foot firmly down (aft. 4 h.). [Htn.]

On the left hough a jerking drawing pressure, which only occurs on flexing the knee, and alternates with a similar sensation in the axilla (aft. 6 h.). [Htn.]

In evening when lying, an obtuse shooting in the left knee, (continuing also when moving), for quarter of hour (aft. 41 h.). [Lr.]

When walking, a persistent prickling itching in the houghs, which compels scratching (aft. 5 h.). [Hnl.]

Aching pain in the external tendon of the flexor muscle of the right hough, more violent when walking than when sitting (aft. 7, 9 h.). [Hnl.]

315. After a short nap at noon, first the right then the left leg goes to sleep; on attempting to walk the left leg was drawn spasmodically up to the thigh; even when sitting he could not keep it extended – it was then also drawn spasmodically backwards (aft. 5 d.). [Hnl.]

Sharp stitches on the right calf, when walking (aft. 1.1/2 h.). [Ws.]

Great irritation and restlessness on both legs, he must often change their position (aft. 16.1/4 h.). [Hnl.]

Tearing in the tibia, all the afternoon.

Tearing heavy feeling in the left tibia close to the ankle (aft. 34 h.). [Htn.]

320. When walking quickly, a sensation at the lower part of the left tibia as if a weight hung to it (aft. 3 d.). [Ws.]

Tearing in the ankles; the feet are as heavy as lead, up into the tibiae.

Drawing tearing from the right ankle-joint to the knee (aft. 8.1/2 h.). [Hnl.]

Drawing pain from the right foot to the thigh (aft. 1.1/2 h.). [Hnl.]

Formication in the left foot, coming on when walking and not going off when sitting (aft. 1 h.). [Ws.]

325. (After a long walk pin-pricks in the heels, when sitting, for an hour.)

Severe intermittent needle-pricks on the left heel from within outwards, when standing, which went off on moving (aft. 1 h.). [Lr.]

In the right heel needle-pricks going upwards, when sitting (aft. 6 h.) [Lr.]

When standing, a severe needle-prick out at the right heel (aft. ½ h.). [Lr.]

A pressive pain on the right heel, which increased when walking (aft. 1.1/2 h.). [Lr.]

330. In the morning on awaking a voluptuous itching on the back of the toes of the right foot, which compels scratching (aft. 24 h.). [Lr.]

At all times of the day on any, even a small part of the body, often only for a minute, at first a creeping in the skin, then the spot becomes red and hot, then there is eroding-itching, like a flea moving about (not biting), and on the spot miliary vesicles arise – the eroding itching is not allayed by scratching, on the contrary, that seems to make it last all the longer (aft. 2 h.).

Causes itching eruption on the skin and red, itching spots.

When he scratches an itching spot, there occurs itching on many other parts.

The occurs, especially when she feels cold, an itching erosion on the chest, scrobiculus cordis, back, and under the upper arms – at the other times only on the feet; by rubbing the part becomes red and the erosion becomes more severe for a short time; vesicles appear on the spots, which, however, soon go off.

335. Itching all over the body, as when sweat breaks out, which compels him to scratch, and always returns, in the morning on waking (aft. 48 h.). [Lr.]

All over the body, now here now there, a persistent itching prick, as with a very fine needle, which compels rubbing, but this does not remove it. [Ws.]

Painful stitches on several parts of the body, that compel him to scratch (aft. 49 h.). [Hnl.]

On the upper part of the body, as if bruised (aft. 24 h.).

He awakes with bruised pain all over the body.

340. Numb sensation on the lower half of the body.

Weariness in the lower extremities (aft. ½ h.). [Wr.]

Weariness in the whole body, especially the arms.

Such a heaviness of the body that when walking in the open air he was obliged to sit down on the ground, without drowsiness (aft. 9 h.). [Lr.]

Extreme exhaustion of body and mind; she preferred to do nothing and rest.

345. Persistent exhaustion and bruised feeling of all the limbs, especially of the muscles of the lower extremities (aft. 2 h.). [Wr.]

After every exertion of the body, however slight, she becomes weak, the blood surges up in her chest, the face becomes hot, the body commences to glow, the blood-vessels are greatly distented, and her breath leaves her; she can only recover after a long rest.

After moderate exercise in the open air she suddenly becomes weak and sways about on her seat; with great anxiety, nausea, pale face, short, panting breath, there is a surging from the heart up in the chest as if it would burst out above; at the same time her eyes close involuntarily, almost spasmodically, and tears are forced out between her closed lids – she retains her consciousness, but her will is incapable of acting on her limbs.

When she rests in a horizontal position she feels best.

Great weariness and inclination to sleep (aft. 1 h.). [Hnl.]

350. Drowsiness with yawning, without inactivity, in the afternoon (aft. 8, 33 h.). [Lr.]

Sad dreams.

Fatiguing dreams.

Vexatious and lachrymose anxious dreams.

Sleep broken by dreams. [Lr.]

355. Sleeplessness until midnight.

He could not sleep, and as soon as he felt swollen and was painful to the touch, an aching pain above the eyes, increased by stooping, as if all would come out at the forehead; he felt chilly and as if cold in the back – this lasted, with chilliness, twenty-four hours.

He passed the night almost without sleep, with frightful dreams about murder and assassination (6^th night). [Hnl.]

At night frequent waking as from fright. [Lr.]

At night in her sleep she spoke out loud several times, but not in an anxious manner.

360. Four successive nights, very short sleep, with many dreams; he awakes about midnight, but cannot fall asleep again from restlessness; until the morning he had but to close his eyes, when though still awake visions immediately hovered most distinctly before him; sometimes it seemed to be in flames, sometimes scientific subjects forced themselves upon him – in short, a number of subjects interested one another in his imagination, which all vanished as soon as he opened his eyes, but reappeared when he closed them. [Hnl.]

In the morning on waking he lay bathed in sweat (aft. 25 h.). [Lr.]

Cold hands.

Cold feeling in the lower extremities.

Along with heat on the whole body, coldness, paleness and sweat on the face.

365. Violent chill in the back, which did not go off by the heat of the stove (aft. 1.1/2 h.). [Hnl.]

Shivering and chilliness all over the body but especially in the back, though he stood near the warm stove, without thirst, lasting two hours (aft. ½ , 22.1/2 h.). [Hnl.]

He has a feverish feeling in the limbs; he is disposed to stretch himself (aft. 30 h.). [Gn.]

Stretching of the upper and lower extremities (aft. ¼ h.).

Stretching of the arms (aft. ¾ h.).

370. Fever: in the morning; at first headache and belly-ache, then severe rigor with cold bluish hands and some thirst; then, when lying, a dry burning heat with some thirst and much restless slumber for thirsty-six hours; all night, on waking and moving, nausea and vertigo – between times, every twelve hours slight sweat, when the heat was occasionally mitigated; thereafter, tearing and shooting in the left eye and left cheek and eruption on the lips.

In the afternoon, pain in the occiput, like a weight and a stitch there, when he turned his head, with heat in the face, hands and feet, and chilliness in the rest of the body, and tendency to coryza, at the same time exhaustion of the body and bitterness in the mouth; in the evening after undressing, rigor, and a quarter of an hour thereafter, in bed, heat in the whole body, with thirst.

Quicker, fuller pulse (aft. ½ h.). [Wr.]

Feeling of burning heat on the forehead, without heat perceptible outwardly, wiquick hard pulse for half an hour (aft. ¼ h.). [Wr.]

375. Great heat on the forehead, alternating with shivering in the back, without thirst, in the afternoon (aft. 10 h.). [Wr.]

Flying heat in the face and in the blood and nervous excitement.

Every day several fits of heats, with anxiety, pain in the cardiac region, weeping and inconsolableness; she would like to die there and then.

He becomes suddenly anxiously warm all over the body, with heat and redness of the face and perspiration (aft. ½ h.). [Stf.]

In the evening when sitting cool sweat in the face and at the same time increased sensation of warmth throughout the body.

380. Headache, anorexia, drowsiness, lassitude throughout the body, cross; everything was distasteful to her. [Stf.]

She is very timorous and particularly pursued and incessantly plagued by a frightful picture out of a melancholy past.

Anxious, as if a misfortune threatened him and he had a foreboding of it.

She is very much given to be frightened and starts at every trifle, which goes every time into her feet and leaves therein a weight.

She is not satisfied with her work; she cannot do her work properly, she is not successful with it.

385. Monosyllabic and discontented humour.

Insolent, obstinate, rude humour.

Ill-humoured; she spoke and answered very unwillingly . [Wr.]

He is ill-humoured and idle; he prefers to rest, and is but little disposed to speak (aft. 3 h.). [Wr.]

An irresistable inclination to sing, with excessive gaiety, for half an hour (aft. ½ h.); thereafter distraught and indisposed for all work, for an hour. [Gn.]

390. Pert witty humour.

Alternate gay and lachrymose and cross quarrelsome humour.

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