Tarentula

Spanish Tarantula. Araneidex.

The male and female Tarantulse used in the provings were collected by Dr. Mariano de la Paz Grsells, at the royal residence of Pardo, Spain, in the month of July, during which time the poison is stronger; dilutions used, 3, 6, 12 and 200; the medicine was prepared from the live spider, all its parts triturated in sugar of milk to complete dryness, and from tliis the alcoholic dilution.

The Mygale Cubanensis, which may be called the Cuban Tarantula, also found in South Carolina and Texas, is a larger spider of a dark-brown color, not so pois- onous, and covered with more hairs than the Tarantula Hispanica. Dr. Howard had some specimens sent from Cuba, and the medicine he uses is prepared by macerating the whole spider in alcohol. We have not had a good proving of it. In the Hah. M., vol. 5, p. 8, something has been done in that direction, and some interesting facts were collected by Dr. Howard.

Provings made by Monge, del Eio, Tejero, Fejedor, Cuesta, Dubost, Perry, Kos, Iturralde, Gonzales and Chategnier, were reported by Nunez, translated by Terry, see Am. Jour, of Hom., N. S., vol. 2, p. 387.

Clinical Authorities. — Insanity, Foote, N. E. M. G., vol. 11, p. 9; Foote, Org., vol. 2, p. 227 ; A. H. O., vol. 13, p. 525 ; Pricking in eye, Berridge, Org., vol 2, p. 320; Diphtheria (16 cases), Martin, T. H. M. S. Pa., 1884, p. 64 ; Diarrhoea Pearson, M. I., vol. 5, p. 430 ; Weakness of sphincter ani, Pearson, M. I., vol. 5, p 430; Urinary difficulty, Pearson, M. T., vol. 5, p 430; Oonorrhcea, Gonzales, N. A

J. H., vol. 21, p. 81 ; , Eaue's Eec, 1874, p. 221 ; Nymphomania, Nunez, N

A. J. H., vol. 20, p. 486; Utenne neuralgia, Firmat, N.

A. J. H., vol. 21, p. 77 Uterine disorder, Swan, N. Y.

J. H., vol. 2, p. 406 ; Uterine disorders, Cramoisy, M. I., vol. 4, p. 421 ;

Uterine disorder, Nunez, N. A. J. H., vol. 20, p. 488 ;

Use in dys- menorrhoea, Bender, Hah. Mo., vol. 7, p. 503 ; Pruritus vulrce, Swan, Eaue's Rec, 1874, p. 237 ; (2 cases).

Swan, Org., vol. 2, p. 446 ; Swan, N. A. J.

H., vol. 21, p. 282; Catarrh of chest, Valdes, N. A. J.

H., vol. 21, p. 79; Affection of heart, Sher- bino, Hom. Phys., vol. 7, p. 339 ; Burning sensation in a mole on neck.

Young, Med. Adv., April, 1889, p. 246; Irritable spine, Farrington, N. A.

J. H., vol. 21, p. 87 ; Coccygodynia, Gonzales, Eaue's Rec, 1874, p 251 ; Gonzales, N.

A. J. H., vol. 21, p. 79; Intermittent nervous affection, Brunn, N.

A. J. H., vol. 20, p. 491; Spasms, Holcombe, Org., vol. 3, p. 91 ;

Nunez, N. A. J. H., vol. 20, p. 488 ;

Hystero-mania, Hendrichs, A. H. Z., vol. 106, p. 46 ; Hysteria, , M.

I., vol. 5, p. 419 ; Epi- lepsy and hysteria, Lopez, N. A. J.

H., vol. 21, p. 75; Lopez, Eaue's Eec, 1874, p. 269 ; Epileptoid, Eartlett, Hah. Mo., vol. 15, p. 167 ;

Chorea (7 cases), Dewilde, Lopez, Gandy, N. A. J. H., vol. 20, pp. 486-494 ;

Dewilde, N. A. J. H., vol. 20, p. 489;

Firmat, N. A. J. H., vol. 21, p. 76;

Valdes, N. A. J. H., vol. 21, p. 79 ;

Gandy, N. A. J. H., vol. 21, p. 82 ;

Terry, N. A. J. H., vol. 25, p. 309 ;

Chacon,

Eaue's Eec, 1875, p. 251, from El. Crit. Med., Aug., 1874; , A. H. Z., vol. 78,

p. 88; Hendrichs, A. H. Z., vol. 106, p. 46 ; Hofmann, T H. M. S. Pa., 1880, p. 211 ; Firmat, Valdez, Gandy, Eaue's Eec, 1874, p. 262; Gandy, Hom. CI., vol. 3,

TARENTULA. . 250

p. 68; Paralysis agiians, Cramoisy, M. I., vol. 4, p. 421 ; Cramoisy, Eaue's Kec, 1874, p. 270 ; Ague, Nunez, N. A. J. H., vol. 20, p. 489 ; Intermittent fever with choreic convulsions, Firmat, B. J. H., vol. 21, p. 85; Carbuncle, Martin, T. H. M. S. Pa., 1886, p. 94; Pruritus, Kent, Horn. Pliys., vol. 6, p. 316.

^ Mind. Complete loss of memory.

Great taciturnity and irritability ; desire to strike himself and others.

Profound grief and anxiety.

Consciousness of unnatural state of mind, hence despon- dency, sadness, moral dej)ression, disgust for everything.

I Mental chorea; hypersemia and hypersesthesia of female sexual organs.

Hysteria, with bitter belching and repeated yawning, > by lying down and by music ; restlessness of hands and legs ; constant motion, cannot remain in one place ; heat in epigastrium.

Fits of nervous laughter.

Desire to joke, to play and to laugh ; extreme gayety.

Great excitement caused by music ; one hour after it, copi- ous and general perspiration.

Singing until hoarse and exhausted.

■ Nervous excitement; hysteria and mania; restlessness and dreaming.

I I Sudden foxlike destructive efforts, requiring utmost vigi- lance to prevent damage; followed by laughter and apologies.

Cross, tendency to get angry and to speak abruptly ; is obliged to move limbs.

Paroxysms of insanity ; restlessness of legs ; threatening words of destruction and death.

I 1 Suddenly sprang away from her attendants and swept ornaments from mantelpiece ; said she was sorry, but could not help it; very mischievous and destructive, amusing and cheerful ; at times j)ain in 1. ovary.

I I Attacks of hystero-mania appearing daily about same hour, beginning with great nervous irritability, despon- dency and quarrelsome mood; sudden transition from this state to one of great exaltation, hits and abuses every one, destroys whatever she can lay hold of, tears her clothing, sings and laughs ; mocks aged people with their old age, if restrained becomes violent ; attacks end in a comatose sleep, during which she answers questions correctly; after waking remembers but little of what has occurred ; during first part of attack pulse is slow, artery greatly contracted ; during second stage pulse frequent and full ; thirstlessness and loss of appetite ; pressure and confusion of head.

251 TARENTULA.

I I While in a highly nervous state from too close applica- tion to musical studies, was operated upon to remove lens of eye by absorption ; this was followed by great nervous depression and prostration, with occasional symptoms of mental aberration ; was then treated sev- eral months for a retroverted and inflamed uterus, with- out mental improvement; severe pain through r. eye extending to occiput and nose; restlessness; cold feet; mahogany-colored and large papular eruption upon face, particularly large in region of malar bone ; sleepless and nervous and very troublesome; retroversion, with swollen uterus ; finally violent, soils bed with feces and urine; furious; sings loud and continuously, with laugh- ter; no sleep for five days; thirst; suddenly springs from bed destroying whatever she could get hold of, this was done so quickly that she could not be pre- vented. /^Insanity. ^ Sensorium. Vertigo : falls to ground without losing con- sciousness; malaise, belching, nausea, bloating of stom- ach, gagging and efforts to vomit, with vomiting of food ; after breakfast, with a bad taste in mouth ; when fixing sight on any object, with headache, severe pain in cere- bellum, accompanied by incomplete erection of penis, and formication in soft palate. ^ Inner Head. Headache, as if a large quantity of cold water were poured on head, and body, > by pressure and rubbing head against pillow; great distress in cardiac region.

Migraine ; cannot open eyes ; tendency of head to incline backward.

Frontal headache, pain in vertex and parietal bones ; > by pressure and fresh air.

Compressive headache, with lachrymation and heaviness of upper lids.

Intense headache with restlessness, compelling to move from place to place.

Pain flies to forehead and occiput, with photophobia.

Neuralgia in temples.

When waking in morning, headache as if head were knocked, < to 9 a.m., afi'ecting throat and neck ; stifi"- ness of neck.

Intense headache, as if thousands of needles were pricking into brain.

Severe headache, < by touch.

Pain in occiput as if struck with a hammer, extending to temples.

Burning, scorching heat in occiput ; pricking and itching over whole body ; convulsive trembling of body ; con-

TARENTULA. 252

vulsions, paralysis, complete retention of urine and feces. ^Meningitis cerebro-spinalis. ^ Sight and Eyes. Right pupil much dilated.

I I Feeling of a hair in 1. eye, which pricked it ; pricking

made her rub it ; < on waking. ^Chronic opacity of

cornea.

^ Upper Face. Pain in angles of inferior maxilla, so severe

as to think he is going crazy.

Pain in inferior maxilla, as if all teeth were going to fall

out ; neither cold nor heat relieves. Pain in direction of r. inferior maxillary nerve, with a tickling sensation in stomach. '^ Inner Mouth. Great dryness of mouth and teeth. ^'Throat. I l Tonsillitis ; high fever, delirium, red face, ton- sils so swollen, suffocation was feared.

I i Tonsils greatly swollen, membrane covering both, also uvula ; neck much swollen, excessive fetor oris, high fever and cerebral congestion. ^Diphtheria. I I High fever, delirium, vomiting, great prostration ; throat swollen externally on both sides, internally entire fauces red, both tonsils covered by a firm membrane, color of pearl ; both sides equally affected ; offensive odor from mouth. ^Diphtheria. I I Hot, fiery-red face, pungent heat of surface of body, drowsy with starting in sleep, throat swollen internally, both tonsils slightly covered with membrane, distinct odor of diphtheria.

I I Tonsils much swollen and well covered with membrane ; violent onset of disease ; high fever ; tendency to vomit. ^Diphtheria. I I High fever and delirium for two nights; throat swollen externally and both tonsils covered by a yellowish mem- brane ; fetor oris. ^Diphtheria. " Appetite, Thirst. Desires, Aversions. ' i Loss of appe- tite, intense thirst ; general prostration; vomiting after eating and getting out of bed ; craving for raw food. ^Disorders of pregnancy.

Opium habit. ^^ Scrobiculum and Stomach. Gastric disturbance; mouth dry ; gums bleed ; tongue ulcerated ; throat sore, swol- len, inflamed, constricted ; great thirst ; flat, bad taste ; appetite lost, with anguish, nausea and vomiting. '^ Hypochondria. Hepatic region painful to touch.

I I Severe burning pain in cancer of liver (relieved). '^ Abdomen. ' l Sharp pain in umbilical region ; violent burn- ing in abdomen and rectum ; stools profuse, dark, fetid, bloody, Avith violent urging; constipation. ^^ Stool and Rectum, i Constipation.

253 TARENTULA.

Stools three or four times daily, very dark, fetid, partly formed, containing much mucus, expelled with difficulty and followed by smarting and burning in anus, but no tenesmus; stools occur immediately on having head washed.

I I Nausea and vomiting; diarrhoea; pain and tenderness in bowels; constant thirst; tongue red; pulse 140; posi- tion on back, limbs flexed ; sleepless and restless ; in- flammation of bowels, probably caused by eating baked beans.

I i Fainting, sinking, chill; great nervousness; vomiting; purging ; severe cramps in bowels and pain in bladder ; pulse weak, 100; no thirst; tongue dark as if stained with nitrate of silver ; excruciating pain in bowels, < at night ; evacuations frequent, eight to ten every night, and four or five by day ; frequent and painful micturi- tion, patient seemed unable to locate pain or to distin- guish whether it was < in bladder or bowels ; stools thin and brown, with very little odor ; great restlessness; desire to change position or to get out of bed and walk floor; face pale and haggard, with perceptible diminu- tion of flesh and strength from day to day. ^After in- jecting nitrate of silver for gonorrhoea.

I I Headache, pain in back and limbs; tenderness in region of liver and bowels; pulse 96; tongue brownish and dry ; bilious diarrhoea ; fifteen evacuations, not painful, in twenty-four hours, over half of these at night; stools dark-brown and thin, with some lumps of feces of same color; abdomen sore; no nausea, but disgust of food.

I I Weakness of sphincter ani, feces appeared to be natural but passed as fast as accumulated. ^' Urinary Organs. Diabetes; profound grief and anxiety; great prostration and pain as if whole body were bruised ; loss of memory and dimness of sight ; constant craving for raw articles ; intense thirst ; disgust for meat and general wasting away; constipation; polyuria, with violent pains in lumbar region and paralysis of lower extremities ; miliary eruptions and furuncles.

Involuntary emission of urine when coughing, laughing, or making any effort whatever.

I I Pain in region of bladder; urination frequent, very pain- ful ; extremely nervous ; could get no relief in any po- sition ; pulse somewhat quickened from pain ; tongue only slightly coated; all symptoms < at night; sleep disturbed.

Cystitis, with high fever, gastric derangement, excruciat- ing pains, and impossibility to pass a drop of urine; bladder seems swollen and hard ; great tenesmus from

TARENTULA. 254

spasmodic action, debilitating patient, who passes only by drops a dark-red, brown, fetid urine, with gravel-like sediment. lUrine hot, thick, much sediment; difficult micturition, incontinence, and pain in kidneys. ^Septic diseases. ^^ Male Sexual Organs. Extreme sexual excitement, lascivi- ousness, almost to insanity.

■ Onanism, followed by prostatic ailments and hypochon-

driasis.

■ Seminal emissions after onanism; imbecility, stupid

laughter, progressive wasting. I i Gonorrhoea ; five different injections, producing great irritation in urethra, particularly when urinating, with smarting, unbearable pains ; redness on tip and edges of tongue, anorexia, dyspepsia and pyrosis, flatulence and stubborn constipation ; emaciation in face, eyes sunken and without expression; dizziness when moving, dyspnoea, and alarming palpitation ; loss of memory so great, he failed to recognize persons with whom he was intimately acquainted ; little perception, inertia and weakness for any mental labor ; full of deep sadness, shy, shuns his friends; nervous agitation, restlessness, in- ability to find a comfortable position ; if sleep was ob- tained, it only lasted for three or four hours ; pains ; getting weaker ; felt a general burning, more in palms and soles, with shaking, twitching and incessant move- ment of lower extremities, especially when quiet ; gon- orrhoea, though not so profuse, stains shirt a light yel- low ; seminal emissions two or three times a week ; want of appetite. ^'Female Sexual Organs. ■ Extreme sexual excitement: menses too early and profuse; pains and spasms of uterus; pruritus vulvee ; leucorrhoea. I I Violent nymphomania; could not suppress lascivious inclination ; < from sexual intercourse ; has suffered since her twentieth year; woman, set. 45.

■ Nymphomania; reflex chorea ; hypersemia and hyperses-

thesia of sexual organs.

Fibrous tumors of uterus, with bearing-down pains.

Displacement of uterus, with retention of urine and diffi- cult defecation.

Sensation of great weight, with burning in hypogastrium and uterus, as if there were not sufficient space, with upward pressure.

Pruritus vulvae; frequent hemorrhages; pale face, con- stant fatigue.

Profuse menstruation accompanied by frequent erotic spasms; crossness, ennui, and deep dissatisfaction; cata-

255 TARENTULA.

menia too early, pain in lumbar region as soon as menses commence and ceasing with it ; great pruritus in vulva after menses ; hysteria.

I 1 After a fall down stairs complains of pain in lower part of abdomen and hij)s; very sensitive to manipulation, some hardness and swelling in h3^pogastric region and in uterus, which was seat of burning, crampy pains, < by every movement; sanguineous leucorrhcea, constant desire to pass water, which was clear but difficult to void, falling drop by drop, with burning pain ; prsecor- dial anguish, sadness, weeping and fear of death {Conium improved, Tarentula cured). ^Uterine neuralgia.

I 1 Strong bearing-down pelvic pains for nearly a week pre- vious to catamenia ; severe backache extending to hypo- gastric region ; wearying fidgetiness of legs, pains felt more from knees to feet, compelling patient to move about, > by riding horseback ; pains < as menses ap- proach, severest at greatest flow, violent enough to pro- duce convulsive movements; chorealike restlessness, twitching and trembling of muscles, which worked pain- fully from side to side ; draws herself together, legs close to abdomen and head bent forward, hands clutching at bedclothes, immediately afterward seizing something else; motion of inferior extremities almost incessant; hands and feet cold and moist; pains and spasms kept pace with menstrual flow, increasing or decreasing with it; menses usually regular except for last four months, when they were delayed, owing to a slight sanguineous intermenstrual discharge, lasting two days and generally appearing at fifteenth day, which was painless ; flow nearly right in quantity, light-colored and with small dark clots when patient was recumbent, darker and more profuse when rising to chamber; on first day usually a slight frontal headache, increasing second day to a violent, throbbing pain, < from light and motion ; dur- ing headache exacerbation, a remission of pelvic pains, latter reappearing soon with original force, but not re- maining so long ; on third day a brief relief, followed by a return of old pains, lasting a shorter time; mean- time urinary tenesmus, nausea, and bad taste in mouth; occasionall}^ globus hystericus and dry hacking cough; with convalescence great weakness and shooting, grasp- ing pains at heart with occasional interruption of its rhythm, and with increased action ; preceding and fol- lowing menses, j^ellowish leucorrhcea; in morning,hawk- ing up brown mucus, often tinged with blood ; breathing short, painful ; occasionally, at long intervals, a sudden waking from dreamless sleep, under a feeling of suflb-

TARENTULA. 256

cation; violent palpitation and acute pains through heart, compelling upright position ; pulse regular, quick, irritable ; r. heart- ventricle slightly dilated ; infracla- vicular pain in r. side of chest, penetrating to back, so as to catch breath ; since childhood has wanted sand, cuttlefish, ashes, etc., highly spiced food, cigarettes ; > during warm weather, when outdoors; < during cold. ^Dj^smenorrhoea.

I I Engorgement of cervix uteri, with granulations, extend- ing to vagina, whose mucous membrane was highly in- jected ; violent convulsions of whole body during rest.

I I Chronic vaginitis, granulations and excrescences in va- gina and neck of uterus; cancerous ulcer on os destroyed its 1. lateral part ; induration of neck and body of uterus; flushes of heat to face, perspiration, congestion to head, menorrhagia; severe pains in region of sacrum, extend- ing to hips and terminating in uterus; menstruation lasted twelve to fifteen days, followed by pressive, shoot- ing pains in uterus and a fetid, bloody discharge; nausea, anorexia, great thirst, slow and difficult digestion, ob- stinate constipation, general malaise; at 2 a.m., some days after, severe, violent, tearing pains in uterus, ex- tending to sacrum, and along vertebral column, with rigidity of trunk and convulsive movements in head and legs ; icy coldness, chattering teeth, trembling, anxiety and uneasiness; small^ contracted pulse, oppression of chest, dryness of mouth without thirst, and pale face.

Burning smarting leucorrhoea and painful uneasiness in coccyx, > by standing, < by slightest movement, sitting or lying on bed, or by least pressure.

Leucorrhoea: alternating with bloody discharge; follow- ing hemorrhage, with great weakness.

Expulsion of gas from vagina.

I I Sensation of motion in uterus, like a foetus; singing, like a tea-kettle in 1. ear ; obstinate constipation ; stop- page of urine, which is high-colored, with red sediment; pain in region of kidneys; palpitation; sensation of something crawling up legs, under skin, from feet till it reaches uterus, causing great sexual desire, intense pruritus and rubbing, which it is impossible to resist, makes her almost crazy. ^Pruritus vulv£e.

I I Intense, unbearable pruritus vulvae, extending into va- gina, < at night, with dryness and heat of parts ; white, thin leucorrhosa ; thick white sediment in urine ; pain in r. side of abdomen ; nausea ; accumulation of mucus in throat; mouth parched and dry; thirst often and for large quantities ; very restless at night. ^Pruritus vulvae.

257 TARENTULA.

^* Pregnancy. Parturition. Lactation, i i Loss of appe- tite ; intense thirst; general prostration ; vomiting after eating, and getting out of bed ; craving raw food. ^Dis- orders of pregnancy. ^^ Inner Chest and Lungs. Great oppression ; panting per- spiration.

I I Chronic suffocative catarrh. ^^ Heart, Pulse and Circulation. Prsecordial anxiety, tumul- tuous beating of heart.

Murmurs and palpitation ; alternate acceleration and sus- pension of movements of heart.

Trembling and thumping of heart as from fright.

Prsecordial anguish ; movements of heart not felt ; suffo- cation.

Constant want of air ; heart suddenly ceases to beat and patient fears to die.

Sensation as if heart turned and twisted around, with pain in chest and general perspiration.

Pain in heart as if squeezed or compressed ; also in aorta, under 1. clavicle and in carotids, with violent throbbing of heart and arteries ; rheumatic pains in chest extend- ing to umbilical region.

■ Angina pectoris.

I I Nervous spells with pain in 1. ovary, pain seems to affect her heart and she becomes unconscious, seems to stop breathing; as spell comes on again she begins to breathe short and to call for more air; pulls her dress away from her heart; gasping for air; pulse intermits, weak and slow ; many times she is reported dying. ^*' Outer Chest, l l Brown-colored mole about the size of a grain of wheat on back of neck ; burning, no inflamma- tion ; when touching it complains of needles sticking in it.

I I Carbuncle as large around at its base as a silver dollar, apex studded with small openings on side of chest; no pus discharging; intense burning and stinging extend- ing to mamma and down arm ; had not slept for forty- eight hours. ^^ Neck and Back, l l Abscess in back of neck, burning, ex- cruciating pain, completely banished sleep for six or seven nights; fever, with great thirst and prostration. ^Anthrax.

I I Anthrax in interscapular region, with severe burning pain ; unable to sleep from excessive pain.

I I Anthrax in back of neck; local applications, first emol- lient, then caustic, at last knife was resorted to with stimulants internally, and hydrate of chloral and mor- phine to relieve burning, agonizing pain, all to no effect;

VOL. X. — 17.

TARENTULA. 258

muscular and cellular tissues destroyed from neck to waist, and from shoulder to shoulder, leaving a cavity about six inches long and four wide, at bottom of which several dorsal vertebrae were plainly visible; infiltra- tion of surrounding tissues ; quotidian fever and diar- rhoea ; on third day after Tarantula Cub. line of demar- cation was formed, and two days afterward surrounding mortified tissues came off; with continuance of this remedy and an occasional dose of Sulphur, patient was entirely cured in seven weeks.

I Urritable spine; excessive hypersesthesia, a slight touch along spine provokes spasmodic pain in chest and inde- scribable distress in cardiac region, at times heart feels as if twisted (spiral fibres) ; intense headache, as if thou- sands of needles were pricking into brain; body burned all over; trembled so she could hardly talk ; headache > by rubbing head against pillow, termini of nerves become so irritated that some kind of friction is resorted to in order to obtain relief.

J I Multiple sclerosis in consequence of fright and rheuma- tism ; trembling commenced in 1. hand, always < by mental trouble; after fright it affected all limbs; intense pain during night prevents her rest and sleep, and an itching and crawling of 1. leg make her rise and walk about; bathing < pain, but fresh air >, even at night; intelligence and memory considerably diminished ; trembling and pricking prevent from doing any fine work ; motilit}' and sensibilit}^ unaltered ; neither pa- ralysis, ansesthesia nor hypersesthesia ; head trembles as much as 1. hand and foot, and a slight tremor could be observed on tongue when opening mouth ; no appetite, chronic constipation; since menopause acne in face; slight hypersemia of retina.

1 1 Difficulty of moving legs, they do not obey will ; weak- ness of legs. ^Tabes dorsalis.

I I Burning, smarting leucorrhoea, and painful uneasiness in coccyx, > by standing, < by slightest movement, sitting or lying on bed or by least pressure. ^Coccygo- dynia after confinement. ^^ Lower Limbs. Uneasiness in legs with necessity of con- stantly moving them.

■ Weakness of legs not allowing feet when walking to be placed squarely on ground; difficult walking; inability to kneel down ; difficulty of moving legs, tiiey do not obey will.

I 1 Large hard abscess in r. thigh, exceedingly painful and inflamed, no fever, glands in groin swollen, indurated and j)ainful.

259 TARENTULA.

^' Limbs in General. Rheumatism checked by putting ex- tremities in cold water, panting respiration, anxiety, cramps in heart or twisting pains; pulse full, hard, fre- quent; aorta feels full, tense, stretched, with stitching pains ; morning and night cold extremities. ^^ Rest. _ Position. Motion. Cannot keep quiet in any posi- tion.

Lying : hysteria > ; on back limbs flexed.

Sitting or lying: uneasiness in coccyx <.

Standing : > uneasiness in coccyx.

Walking : difficult from Aveakness of legs.

Riding horseback : > pains in legs.

Great restlessness and agitation, particularly of inferior extremities; has to change position; need of constantly moving hands, feet and head.

■ Trembling of body; limbs agitated. iSt. Vitus' dance.

■ Great restlessness, could not keep quiet anywhere or in

any position ; felt that he must keep in motion though walking aggravated all symptoms. I I Somnambulism ; frequent desire to urinate; clear urine; quantity lessened until secretion ceased ; much excited at night; convulsions, a kind of St. Vitus' dance, with inclination to bite and tear everything that comes near him ; when fit ceases, falls asleep, on awaking is uncon- scious of what has happened; has not voided urine since fifteen days ; exalted state of mind ; could not speak, but could write ; falls every day into a somnambulistic kind of sleep, the exact time of which he states every morn- ing ; this state continued several months.

■ Trembling of body; all limbs agitated; convulsive hys-

teria and chorea, with excessive hypersesthesia.

■ Excessive hypersesthesia ; least excitement irritates.

I I Hysteria of two months' standing in a girl set. 11, par- ticularly characterized by attacks of spasmus glottidis, occurring about every five minutes, and accompanied by a whistling tone.

■ Spasmodic, hysterical symptoms from uterine irritation.

I I Great disorder of motion, convulsive form ; necessity for continual motion; fright, terror, fear of speedy death, with vertigo and prsecordial anguish, with intolerance of pressure and touch, and periodicity. ^Hysteria.

■ Choreic restlessness of limbs ; music has a soothing influ-

ence.

TARENTULA. 260

I I Suffers on account of deep grief; severe convulsions at 8.30, exactl^^, lasting about two hours ; they are pre- ceded by an intense chill all over, beginning with short chills on back and extremities, lasting about half an hour, and followed immediately by convulsions, with severe involuntary muscular contractions, beginning in upper or lower extremities and extending to whole body; consciousness retained during paroxysms, but lost power of co-ordination. ^Intermittent nervous affection.

I I For several months spasms of an extraordinary charac- ter, increasing in intensity and frequency ; attacks pre- ceded by spells of gaping and irregular breathing, then muscular contortions of all kinds, fixed look ; followed by wild shrieks, long-continued coma, occasionally hys- terical outbursts of laughing or crying ; paroxysms most severe at menses.

I I A few days after getting out of bed after fourth confine- ment, violent convulsions of whole body during rest, necessity of moving and walking up and down room ; on attempting to sit or lie down, violent shaking of head and limbs, with bruised pains all over and dizziness, com- pelling her to get up again and walk room ; was unable to sleep for nine days, dreading convulsions every time she attempted to sit down ; want of appetite, great anx- iety and malaise; fear of death; cervix uteri engorged, with granulations extending to vagina, mucous mem- brane of which was highly injected.

I I A boy, set. 14, looks thoughtful and melancholy, shuns his companions and stays most of the time in most re- tired part of house ; lost his appetite, in a few days was taken with chorea; head drawn downward, afraid to look at strangers, idiotic expression of face, great loss of flesh, dirty and ashy color of skin, impetigo around lips, choreic movements of head, movements of r. arm alter- nating with those of head ; all movements ceased in bed; involuntary micturition.

I I Inordinate and irresistible movements, with alternate relaxation and contraction of muscles of 1. hand and foot. /^Chorea.

I I In constant motion ; can better run than walk ; speech impeded ; feels best in bed. ^Chorea.

I I Constant irregular movements of r. arm and leg; is un- able to walk or feed herself; speech difficult, tongue heavy ; frequent epistaxis ; starting during sleep which is light; great thirst; constipation; good appetite; changeable mood ; any observation or steady look was enough to make her cry; dragged leg when trying to walk, steadily getting worse. ^Chorea.

261 TARENTULA.

I I Child can retain its seat with difficulty, arms tossed from side to side, legs cannot be controlled ; walking impos- sible ; head turned violently from side to side ; eyes rotated and eyelids almost in constant motion; frequent hideous grimaces; violent contortions of trunk; every effort to take food causes involuntary movements of tongue, causing her to drop from mouth two-thirds of what she has taken ; movements not so violent at night, but cannot sleep more than a few moments at a time. ^Chorea.

I I Chorea of superior extremities without any appreciable cause ; head thrown with violence in different directions; nervous contractions in muscles of face ; r. leg thrown about with such violence, could hardly keep from falling.

I I Disorderly and irregular muscular movements; limited to 1. arm or leg or to one of these parts; very seldom 1. arm and r. leg ; with grimaces of mouth.

I I Inordinate, irregular movements of hands and feet, which subside almost entirely on hearing notes of hornpipe.

N Chronic irregular movements of superior extremities, also head ; was thrown with violence in different direc- tions; contraction of muscles of face ; legs somewhat affected.

I I Head, r. arm and hand affected, head drawn downward ; involuntary micturition.

I I Falling down unconsciously without any warning, gen- eral rigidity, grinding of teeth, bites her tongue, squint- ing of eyes which remain open during attack, fit lasting two or three minutes, followed by dejection and dizzi- ness for twentj^-four hours ; attacks occurring every eight, fifteen or twenty days. ^Epileps3^

I I Dizziness before fit; great praBcordial anguish.

I I For five years peculiar fits, which begin with a sensation as of a cloud before 1. eye, gradually increasing to com- plete blindness on that side; then follows a numbness of 1. arm and r. leg, gradually increasing until former becomes powerless ; after this, drowsiness, followed by a deep sleep, from which he awakes with a throbbing frontal headache and blindness in 1. eye, these two symp- toms gradually disappear together; urine normal ; fun- dus oculi normal ; longest interval between attacks was five months ; of late, attacks have been coming every week. ^Epileptoid.

I I During attack squinting of eyes which remain open ; after dizziness and dejection for twenty-four hours. ^Epilepsy.

TARENTULA. 262

1 I Paralysis agitans caused by great mental .distress, com- mencing with pain in arms and a continual itching and trembling in 1. leg, with inability to remain in bed; had to walk floor; trembling extended to head and tongue; appetite lost ; sleepless nights.

I I Intelligence and memory diminished; trembling; prick- ing, and peculiar sensation in phalanges of hands and feet, unable to perform any fine work ; motility and sensibility unaltered, neither paralysis, anaesthesia nor hypersesthesia ; head trembled just as 1. foot and arm, and a slight tremor could be perceived on tongue when she opened her mouth ; could only sleep for a few min- utes, pains woke her in spite of her sleepiness ; no ap- petite ; chronic constipation, since menopause acne in face ; a slight hypersemia of retina, excess of uric acid in urine. ^Paralysis agitans.

■ Paralysis; general formication beginning with a severe pain in occiput, followed by numbness of trunk and limbs, and complete loss of motory power. ^'' Sleep. > Sleeplessness.

^ Time. Morning : to 9 a.m. headache < ; hawking of brown mucus ; cold extremities.

Warm weather: dysmenorrhoea >. *** Fever. Constant chill and coldness during four days.

Scorching heat in whole body alternating with icy cold- ness.

I I Scorching heat of skin which is of a scarlet color.

I I Intermittent febrile attacks; during heat continued coldness of feet. ^Hysteria.

llntermittent fever of nervous h3'sterical women.

I I General emaciation particularly of face, icteric color; tongue coated yellowish, w^ant of appetite, no thirst, dry- ness of mouth; constant pain in hepatic region, < be- fore paroxysms, with nausea and vomiting ; severe headache, prascordial anxiety, sadness, taciturnity, de- spair of recovery ; cold stage intense, with shaking; blue color of nails, lasting about two hours; gastric symptoms < at onset of heat ; fever scorching, no thirst ; great dryness of mouth ; hot stage lasted five to six hours, during which time eyes were shut and she lay in a coma- to.se condition ; sweat lasted three to four hours, followed by great debility and prostration. ^Ague.

I I Chills and fever with choreic convulsions ; shakes al- most continuously with involuntary movements in limbs.

263 TARENTULA.

abdomen, chest, trunk and face, < in 1. side; could not speak a word, tongue and pharynx being implicated ; after a severe scolding, or punishment.

iToxsemic fevers of a typhoid or intermittent form ; chilli- ness or burning heat, chilliness predominating. *^ Attacks, Periodicity. Daily at same hour : attacks of hys-

tero-mania. ^^ Locality and Direction. Left: pain in ovary ; feeling of ahairineye; singing in ear ; pain under clavicle; trem- bling begins in hand ; itching and drawing in leg ; al- ternate relaxation and contraction of muscles of hand and foot; chorea of arm and leg; as of a cloud before eye, blindness ; numbness of arm ; trembling in leg.

Right: pain through eye to occiput and nose; pupil di- lated ; pain in maxillary nerve ; heart ventricle dilated ; infraclavicular pain; pain in abdomen; abscess in thigh; glands in groin swollen; choreic movements of arm alternate with those of head ; irregular movements of arm and leg; leg thrown about with violence ; numb- ness of leg. *^ Sensations. As if head were knocked in morning; as if thousands of needles were pricking into brain; as if oc- ciput were struck with a hammer ; as of a hair in 1. eye; as if lower teeth were going to fall out ; as if body were bruised; as if there were not sufficient space in hypo- gastrium; painful uneasiness in coccyx; motion in uterus asofafoetus; singing like a tea-kettle in 1. ear; asofsome- thing crawling up legs under skin from feet to uterus ; as if heart turned and twisted around ; heart as if squeezed or compressed; as of needles sticking into mole on neck when touched ; as of a cloud before 1. eye ; as of insects creeping and crawling.

Pain: in vertex and parietal bones; in angles of inferior maxilla; in r. inferior maxillary nerve; in bladder; in back and limbs; in uterus; under r. clavicle to back; in r. side of abdomen.

Excruciating pain: in bowels ; in bladder; in abscess on back of neck.

Neuralgic pain : in temples; in 1. ovary affecting heart.

Severe pain: through r. eye to occiput; in cerebellum.

Sharp pain : in umbilical region.

Twisting pains : in heart.

Tearing: in uterus; to sacrum.

Stitching pains : in aorta.

Pricking: over whole body.

Shooting pains: at heart; in uterus after menses.

Stinging : in carbuncle on side of chest.

Burning: in occiput; m cancer of liver ; in abdomen and

TARENTULA. 264

rectum; in palms and soles; in hypogastrium and uterus; leucorrhoea ; in carbuncle on side of chest; in abscess on back of neck ; in anthrax between shoulder blades ; all over body, irritable spine ; of skin.

Smarting : in anus ; urethra ; leucorrhoea.

Grasping pain: at heart.

Constriction : in throat.

Cramps : in bowels ; in heart.

Rheumatic pains: in chest, extending to umbilical region.

Pressive pains : in uterus after menses.

Bearing-down pains : in uterus.

Heaviness : in lids ; in hypogastrium and uterus.

Uneasiness : in legs.

Fidgety feeling : in legs.

Trembling: in limbs.

Tickling: in stomach.

Crawling: on 1. leg.

Numbness: of trunk and limbs.

Formication : in soft palate ; with paralysis.

Heat: in occiput; in vagina; of skin ; scorching.

Itching: on 1. leg; of skin. *' Tissues. Termini of nerves become so irritated that some kind of friction is necessary in order to obtain relief; must move hands or legs ; must rub head against some- thing; must roll something between fingers; must put fingers in mouth.

• Weakness of all limbs ; rheumatic pains ; restlessness; formication ; paralysis ; spasmodic paralytic aff'ections : neuralgia; rheumatism; nervous diseases where func- tions of vagi are more or less disturbed.

I Anthrax; carbuncles; atrocious pains.

Touch : headache < ; hepatic region painful ; pain in mole on neck, as of needles; along spine provokes spas- modic pain in chest and distress in cardiac region.

Rubbing: head against pillow > headache.

Pressure: headache > ; uneasiness in coccyx.

After a fall down stairs: uterine neuralgia. ^'^Skin. iTerrible pruritus, a sensation as of insects creeping and crawling.

Outer parts feel as if worms or insects were boring and crawling, no relief from cold or heat; continual irrita- tion and titillation.

■ Malignant ulcers and unhealthy skin ; anthrax and gan- grene.

265 TARENTULA.

lltching: burning; formication; ecchymosed spots; pain- less vesicular and especially pustular eruptions. '*'' Stages of Life, Constitution. Nervous, hysterical patients, subject to choreic affections.

Foxy, mischievous and destructive tendency.

Boy, eet. 2; diphtheria.

Child, set. 3 ; diphtheria.

Boy, set. 5 ; diphtheria.

Boy, set. 5, light complexion, nervous temperament; diph- theria.

Girl, set. 6, stout ; diphtheria.

Girl, set. 6, delicate; diphtheria.

Girl, set. 6 ; chorea.

Girl, set. 7, nervo-lymphatic temperament; chorea.

Girl, sets, bright, healthy, intelligent-looking; weakness of sphincter ani.

Boy, set. 8, delicate, scrofulous, two children in same fam- ily died of the disease ; diphtheria.

Girl, set. 9; tonsillitis.

Boy, set. 9, suffering a year ; chorea.

Girl, set. 9, nervous temperament; chorea.

Girl, set. 9, fleshy, lymphatic temperament, ansemia, suf- fering four months; chorea.

Girl, set. 10; diphtheria.

Boy, set. 11, suffering five years; epileptoid.

Girl, set. 11, suffering two months; chorea.

Girl, set. 11 ; severe burning in mole on neck.

Girl, set. 11, thin, delicate, nervous ; intermittent fever and choreic convulsions.

Girl,8et. 12,weak constitution, belongs to poor class; chorea.

Girl, set. 14, suffering four months ; hystero-mania.

Boy, set. 14 ; chorea.

Young lady, set. 18, dark complexion, slender, delicate, consumptive; diarrhoea, etc.

Miss B., set. 19, nervo-lymphatic temperament, after a fright; chorea.

Man, set. 21, dark complexion, large, strong ; diarrhoea, etc.

Girl, set. 24, tall, slender, lymphatic, nervous temperament, with scanty menstruation, irritable mood ; epilepsy and hysteria.

Negro, set. 26; abscess in thigh.

Woman, set. 27 ; insanity.

Miss M., set. 27, confirmed dyspeptic for years, a musical amateur, suffering with myopia, amblyopia and incipi- ent cataract, while in a highly nervous condition from overstudy, was operated on to remove opacity of lens of r. eye by absorption ; insanity.

Mrs. , set. 30, affected two years; insanity.

TARENTULA. 266

Woman, set. 32, single, blonde, blue eyes, cheerful, weak and emaciated frame, suffering ten years; dysmenor- rlioea.

Lady, set. 32, widow, blonde, lymjDhatic temperament; uterine neuralgia.

Man, set. 32, nervous temperament, gastro-hepatic diathe- sis, after great grief; intermittent nervous affections.

Man, set. 34, nervo-sanguineous temperament, gonorrhoea.

Madam B., set. 36, lymphatic temperament, after fourth confinement; spasms.

Unmarried lady, set. 36, slim, bilious, nervous, of irritable character, and scanty menstruation, suffering since 18 years of age ; attacks of chorea.

Woman, set. 36; carbuncle.

Lady, set. 40, blonde; urinary difficulty.

Mrs. C, set. 40 ; irritable spine.

Mrs. , set. 40 ; affection of heart.

Mrs. R., sanguine temperament, full habit, suffering since last confinement, four years ago ; coccygodynia.

Lady, set. 45, good constitution, profuse menstruation, suf- fering since 20 years of age; nymphomania.

Widow, set. about 45, suffering sixteen years ; pruritus vulvce.

Mrs. F., set. 48, sanguineous constitution, mother of seven children ; uterine affection.

Man, set. 50, dark complexion ; diarrhoea.

M^oman, set. 51, past climacteric, thin, spare body, delicate constitution ; anthrax.

Mrs. K., set. 61, strong constitution, menstruation ceased at age of 52 ; paralysis agitans.

Mrs. S., set. 68, strong constitution, suffering eighteen months; ague.

Man, set. 72, good constitution; abscess back of neck.

Woman, set. 84, delicate constitution ; anthrax back of neck. ^^ Relations. Compare Laches., which is said to be antidotal.

267 TELLURIUM.