Oxalicum Acidum

Sorrel Acid. iT^ C^ O4 , 2 ff^ 0.

Introduced by Neidhard in 184-1 ; by Eeil in 1851.

Provings by Koch, Neidhard, Dubbs, Smith, Floto, Williamson, Kitcbing, Hering, Reil, Honigberger, Pebrson and Gosewich. See Hering's Amerikanische Arznei Priifungen. Toxicological reports are numerous.

Clixical Authorities Pain in umbilical region, Moore, Organon, vol. 3, p. 269 ; Burning in abdomen, Okie, Amer. Arznei Priif., p. 552 ;

Colic, Brir}', Or- ganon, vol. 3, p. 362; Inflammation of bowels, Neidhard, Amer. Arnzei Priif., p. 522; Ineffectual urging to slool, Diarrhrea, Farrington, Organon, vol. 3, p. 99 ;

Incon- tinence of urine, W. M. J., Horn. Phys., vol. 6, p. 232 ;

Disorders of pregnancy, Williamson, Amer. Arznei Priif., p. 548; Congestion of I. lung. Pneumonia, Bur- nett, B.

J. H., vol. 35, p. 321 ; Irregular action of heart, C. Hg., Amer.

Arnzei Priif., p. 561; Analyt. Therap., vol. 1, p. 222; Palpitation of heart, Hale, Or- ganon, vol. 2, p. 222 ;

Angina pectoris, Dudley, Hah. Mo., vol. 6, p. 70 ; Cerebro- spinal pains (2 cases), Burnett, B. J.

H., vol. 35, p. 519.

^Mind. Diminished power to concentrate ideas.

I Very much exhilarated ; quicker thought and action.

I I As soon as he thinks about the pains they return.

■ Mania.

Aversion to talk; with headache, fulness in face. ^Sensorium. Vertigo : with darkness before eyes and sweat;

weakness and thirst ; anxiety, headache and sweat ;

when looking out of window; when rising from a seat;

a swimming sensation, when lying down. Sensation of emptiness in head, faint feeling, as if all

blood had left brain. Upper part of body, particularly head, feels as if blood

were coursing upward and outward. ' Inner Head, l l Dulness in forehead in morning. I Dull headache of vertex and forehead, heaviness.

■ Burning sensation at forehead.

■ Headache in spots ; pressing pain on small spots. Compression in head, as from a screw behind each ear. Pain at a spot between vertex and occiput, pressing

inwardly.

OXALICUM ACIDUM. 234

Headache < after wine, lying down, after sleep and on rising; > after stool. ^ Outer Head, i Small spots on head painful to touch. * Sight and Eyes. Type blurs when reading.

■ Vanishing of sight, with giddiness and sweat; I with

nosebleed. Small, especially linear objects appear larger and more

distant. Pain in both orbits, < in left. Bleared eyes. ''Smell and Nose. Sneezing, with chilliness; with watery

coryza. Red, shining swelling of r. side of nose, beginning at

tip and spreading. Stitches in r. nostril on taking a long inspiration. Pimples in r. side of nose; wing of nose swollen. I I Epistaxis, with vanishing of sight. ® Upper Face. ' ' Face pale and livid. Pale color with sunken eyes.

■ Feeling of heat in face.

Feeling of fulness in fjice; face redder. Face covered with cold sweat. ® Lower Face. Drawing pain, with rigidity near angle of

lower jaw, first and longest in 1. then in r. side. ^" Teeth and Gums. Pain in decayed molar. Gums bleed, are painful in spots. Small ulcers on gums. " Taste and Tongue. iSour taste.

Tongue: swollen, sensitive; red, dr}'', burning; swollen, with a thick, white coating; coated white, with nausea, thirst and loss of taste. ^^ Inner Mouth, i Watery saliva or mucus in mouth.

lAphthffi. ^^ Throat. Dryness in throat (morning) after diarrhoea. Scraping in throat, thick mucus accumulates. Deglutition: especially painful mornings ; difficult, with

sour eructations. Mucous secretion in throat increased.

■ Chronic sore throat. I Angina.

"Appetite, Thirst. Desires, Aversions. Appetite: in- creased ; wanting, with loss of taste. Thirst, with vertigo, loss of appetite, nausea, colic. ^^ Eating and Drinking. Pain in stomach, > after eating; soup relieves gnawing at stomach. After eating, eructations, nausea, pains at navel, colic,

rumbling in abdomen, urging to stool, weakness. Sugar aggravates pain in stomach ; and wine headache.

235 OXALICUM ACIDUM.

Sugar, coffee and wine disagree. ^® Hiccough, Belching, Nausea and Vomiting. 1 1 Sudden hiccough, witli eructations.

■ Heartburn < in evening.

I I Eructations : empty or sour; of tasteless wind after each meal.

■ Nausea: and frequent vomiting; during pregnancy;

thirst and colic after diarrhoea. '^ Scrobiculum and Stomach. Empty feeling, compelling one to eat. I I Burning pain in stomach and throat. Awakens at night with violent pressive pain, like a heavy weight, coming and going at intervals; flatulent dis- charge relieves. Stomach sensitive; slightest touch causes excruciating

pain. 1 I Gastritis ; gastro-enteritis. *^ Hypochondria. ■ Stitches in liver relieved by a deep breath. Continuous pain in 1. hypochondrium, as if bruised ; stitches ; incarcerated flatus. ^^ Abdomen. ' l Colic: cutting in abdomen ; rumbling (even- ing and night) ; with tenesmus ; < at night, accom- panied by vomiting ; pains seem tg occupy a small spot and radiate therefrom ; < from motion ; from eating sugar.

■ Burning and pain in abdomen; in umbilical region.

I I Burning in small spots in abdomen, return when think- ing of them.

■ Frequent pain and soreness about navel.

■ Colic about navel, as if bruifed, with stitches and diffi-

cult emissions of flatus ; < on moving, > when at rest ; < evening and night. I I Man sufl'ering for a long time from indigestion, was operated on for strangulated hernia two years ago; ever since subject to pain in umbilical region, coming on two houi-s after food, accompanied by much flatus and bitter, sour eructations; pain < at night, is roused by it about 3 A.M. and kept awake by it ; burning sensation from throat downward to region of pain.

■ Enteritis ; chronic inflammation of bowels.

^^ Stool and Rectum, i i Difficult discharge of flatus.

■ Frequent ineff"ectual urging to stool, preceded by a sick,

distressed feeling from navel downw^ard ; < when thinking of it; at times profuse watery, gushing diarrhoea. I I Suddenly seized with distressing feeling in whole abdo- men, twisting around navel, bearing down ; dark, muddy, copious evacuations, 6 a.m.

OXALICUM ACIDUM. 236

I I Morning diarrhoea ; stools soft or watery, with colic around navel and pressing in rectum ; returning as soon as one lies down again. ^Phthisis.

iStool : of mucus and blood ; involuntary.

I I Diarrhoea : as soon as one drinks coffee ; lying down causes return.

I I Before stool : headache ; twisting colic around navel.

I I During stool: micturition; (fainting, vomiting); colic about navel ; violent urging-griping pains in anus, so severe as to cause headache and heat in head.

I I After stool: nausea and cramp in calves; dryness in throat; relief of pain in small of back.

■ Constipation.

I I Pressing and straining in rectum; tenesmus. " Urinary Organs. Pain in region of kidneys.

I Irritation of genito-urinary tract with diuresis. Frequent and copius urination, which is profuse, clear,

straw-colored. Burning in urethra, as from acrid drops. When urinating, pain in glans penis.

■ Thinking of urinating causes necessity to urinate.

I I Nocturnal incontinence of urine ; sharp, shooting pain in 1. chest, close to sternum and parallel to it. ^^ Male Sexual Organs. Great increase of sexual desire.

On lying down, erections without any cause, afterwards testicles and cords pain.

Sexual debility ; spermatorrhoea!

I I Terrible neuralgic pains in spermatic cords, < from slightest motion.

I I Testicles feel contused and heavy ; bruised pain in small of back.

During a walk, pain and heaviness in testicles, shooting along cords. ^' Pregnancy. Parturition. Lactation. 1 1 Nausea and painful vomiting ; a tormenting, cramplike feeling be- tween pit of stomach and navel ; sour taste, heartburn and waterbrash. ^^ Voice and Larynx. Trachea and Bronchia, i i Nervous aphonia, with cardiac derangement, violent palpitation and irregular action ; change of voice, which becomes weak and hoarse ; no soreness.

Hoarseness; larynx feels swollen, contracted, raw, with tickling in it.

Hoarseness and sensation of mucus in larynx during talking.

I I Alteration of voice. ^^ Respiration, l Great oppression of breath ; slightly spas- modic.

237 OXALICUM ACIDUM.

I I Difficulty of breathing, with constrictive pain in larynx

and wheezing ; oppression more towards r. side. ^An- gina pectoris.

I I Jerking inspiration and sudden, forced expiration, as though he made a sudden effort to relieve intense pain by expelling air from lungs. ^Angina pectoris.

Paroxysms of short, hurried breathing, with intervals of

ease. •

^ Cough. Cough : from tickling in larynx while walking in

open air; larynx feels swollen; dry, on taking violent

exercise; with soreness, stinging, tearing pain in

sternum. Mucus hawked up, thick, yellow white, with central black

lump of size of pea. ^^ Inner Chest and Lungs. iSharp shooting pain in 1. lung

and hepatic region.

■ Sudden lancinating in 1. lung, depriving him of breath. Rheumatic pains in 1. lung ; > lying down.

When breathing, stitches in chest and above hip.

Dull, heavy, sore pain in chest.

Pain in middle of chest, through to back.

■ Congestion or inflammation, localized at base of 1. lung. I 1 Phthisis pulmonalis.

^^ Heart, Pulse and Circulation. Pain in heart; soreness, stitches from behind forward, or from above down- ward.

I I Sharp darting in heart and 1. lung, extending to epigas- trium. ^Angina pectoris.

I I Pain commencing in prsecordial region, extending up sternum and darting out across chest, particularly towards 1. side; sharp stitches or lancinating pains through chest, compelling him to keep perfectly quiet in one position, arms folded across chest; face haggard; trunk bolt upright in chair, and whole manner and appearance indicative of intense suffering ; cramps in musles of extremities ; short, sharp cutting pains in extremities, especially arms and deltoid portion of shoulders ; sense of suffocation ; dyspnoea manifested in short, jerking inspirations, quantity of air inspired being less and less at each successive effort, until at greatest intensity of paroxysm function seemed to be entirely suspended ; paroxysms lasted about one minute, with intervals of about two minutes, during which there was almost perfect relief from pain ; pulse accelerated, some- what irregular in rhythm ; strong conviction that he will die in next paroxysm ; makes feeble effort to rise from chair, saying, " now I must go; "this expression being repeated twice or thrice during each paroxysm ;

OXALICUM ACIDUM. 238

has been troubled with ascarides nearly all his life, now more than usual ; paralysis of lower extremities, lasting throughout attack ; sharp, stitching pain in del- toid confined to a small space ; costiveness ; great pros- tration ; pains mostly on r. side ; pains excited or < by motion ; jerking pains like short stitches, confined to a small space and lasting but a few seconds ; jerking inspiration and forced expiration, as though he made a sudden effort to relieve himself of intense pain by expelling air from lungs. ^Angina pectoris.

■ Heart in a continual flutter.

■ Palpitation: with action of heart irregular in force and

rhythm, alternating with aphonia; for half an hour after lying down in bed at night; when thinking of it; from rheumatic affection.

I I Occasional omission of one beat of heart, felt as "a stopping," causing patient to fear heart disease and sudden death ; after an attack of cholera, cured by Qui- nine, this omission appeared as soon as he was talking or thinking of it.

I I Endocarditis; pericarditis; valvular insufficiency.

Pulse : increased in frequency, almost imperceptible, cold- ness, clammy sweats, livid nails ; more rapid in morn- ing, slower, irregular, weak. ^^ Neck and Back. Pain under point of scapula, between shoulders, extending to loins.

Stitches from chest into scapula3.

Acute pain in back gradually extending down thighs, with great torture; seeks relief in change of posture.

Pain in small of back, sensation of numbness, or as if broken or bruised.

I I Numbness, pricking, causing a cold sensation ; back feels too weak to support body, ^Angina pectoris.

■ Weakness in loins and hips, extending to lower extrem-

ities. I I Tongue and mouth sore; at times pain in r. side of head, occiput, small of back and calves ; what distresses him most are cold chills across lower part of back and in calves of legs, beginning in spine just above sacrum ; the chills are diurnal, being supplanted at night by heat as if there were warm water between flesh and bones ; pains shoot up to occiput and head.

■ Aching pain in low part of back for three months; pain

between shoulders ; pain and tenderness along cervical vertebrae; pain in occiput, vertex and forehead off and on for weeks ; all these pains are brought on or made < by any kind of movement or exertion. ^Cerebro- spinal pains.

239 OXALICUM ACIDUM.

I I Intense inflammatory pains all through back; men- ingitis. Paralysis from inflammation of spinal cord, limbs stiff";

paroxysms of dyspnoea. ^^ Upper Limbs. Twitch first in 1., later in r. deltoid, with

inclination to move. ■ Numbness from shoulders to tips of fingers. I I Sharp lancinating pains in arms. ^Angina pectoris. I might wrist constantly painful, as if sprained or dis- located. Right wrist feels sprained, w^ants to stretch it; cannot

hold anything. Pain in (r.) metacarpus and fleshy part of r. thumb, with

sensation of fulness, heat and numbness. Hands feel heavy, can move fingers but slowly. Hands cold, as if dead. Arthritic pains in fingers, which are flexed. Twitching of fingers. Fingers and nails livid ; dark nails. ^^ Lower Limbs. Restlessness in legs.

1 1 Lameness and stiffness in lower extremities.

Legs stiff", numb, weak.

I I Legs cold, powerless. ^Angina pectoris.

I I Blueness, coldness and almost complete immobility of

lower extremities. Knees feel tired. Very violent; contracting pain in external tendon of

1. knee. ''* Limbs in GeneraL i ' Extremities heavy, powerless, numb,

weak. ^Myelitis acuta. I I Burning in hands and feet. I I Articular rheumatism. ^' Rest. Position. Motion. Motion and exercise increase

the pains. Rest: colic <. Lying down: swimming sensations; < headache; colic

and diarrhoea return; erections; pain in 1. lung >;

palpitation. Arms folded across chest, trunk bolt upright in a chair ;

angina pectoris. Wants to stretch wrist. Change of position ; pains in back >. Motion: colic; terrible pains in spermatic cords <;

pains <. Inclination to move : with twitches in deltoid. Rising from a seat : vertigo ; headache <. Can move fingers but slowly : heaviness. Slightest exertion : heat.

OXALICUM ACIDUM. 240

'^Nerves, l l Muscular twitchings. ^Myelitis acuta. Trembling convulsions. Numbness of whole body ; crawling. I I Peculiar numbness approaching to palsy. ^Angina

pectoris. Loss of motory power. "I I Paralysis of 1. side. Paralysis from inflammation of spinal cord; limbs stiff;

paroxysms of dyspnoea. ^^ Sleep. Yawning ; sleepy during day.

Awakens at night : with palpitation ; with a violent press- ing pain, like a heavy weight, coming and going at

intervals; > from emission of flatus. Dreams, with fright and fear ; sits up and looks around. ^^Time. Morning: dulness in forehead; dryness in throat;

deglutition painful; diarrhoea; pulse more rapid; fly- ing heat and sweat. 3 A.M. : roused by pain in bowels. 6 A.M. : evacuations. Forenoon : heat in face. During day : sleepy; chill. Afternoon : diarrhoea. Evening: heartburn < ; rumbling in abdomen; colic < ;

sneezing ; shaking chill with red face. Night : violent pain in stomach ; rumbling in abdomen ;

colic < ; palpitation ; heat ; sweat clammy and cold. ^^Temperature and Weather. Open air: while walking

tickling in larynx. *° Fever, l Extremities cold, nails livid.

Chilliness : with sneezing (evening) ; after diarrhoea

(afternoon). Shaking chill, with red face (evening). Creeping chill up spine.

Chill all day long, but heat from even slightest exertion. Shaking chill in evening, with small contracted pulse,

red face and a feeling of heat without external warmth,

hands cold, as if dead. Heat : from every exertion ; especially in face and on

hands ; first in face, afterwards in 1. leg. I i Flushes of heat, with sweat.

I I Sensation of an inward heat, most in face, forenoon. Flying heat and sweat in morning, with pain in forehead

and vertex. Sweat: clammy, with weakness; with giddiness; at night,

clammy and cold. Cold sweat covers face, hands and feet, tongue cool. I I Typhoid fever, with delirium and involuntary diar-

rhoeic stools.

241 OXALICUM ACIDUM.

" Attacks, Periodicity. Symptoms recur in paroxysms ; in- termit for hours or a day.

Alternately : palpitation and aphonia.

Last about one minute, with intervals of about two minutes.

Paroxysms of pain in angina pectoris.

For half an hour after lying down at night : palpitation.

Two hours after food : pain in umbilical region.

For three months : pain in back. ^ Locality and Direction. Pains appear in small longitu- dinal spots, or occupy a spot an inch or less in circum- ference.

Right: swelling of side of nose ; stitches in nostrils; pim- ples in side of nose; oppression < on side; pains < on side ; pain on side of head ; wrist feels sprained ; sprain in thumb.

Left: pain in orbit; pain in hypochondrium ; sharp shooting pain in chest ; lancinating in lung ; rheumatic pain in lung; inflammation at base of lung; very vio- lent pain in tendon of knee; ]3aralysis of side; heat in leg.

First 1. then r. : drawing pain in jaw ; twitch in deltoid.

From behind forward : stitches in heart.

From above downward : stitches in heart.

Inwardl}'^ : pains in head. *^ Sensations. Jerking pains, like short stitches, confined to small spots, lasting only a few seconds.

Pains: greatly aggravated by thinking of them.

As if all blood had left brain ; as if blood in head was coursing upward and outward ; as from a screw behind each ear ; as of a heavy weight in stomach ; hypochon- drium as if bruised; navel as if bruised; back as if broken or bruised ; wrist as if sprained ; hands as if dead ; during shaving as from chafing.

Pain : between vertex and occiput ; in both orbits ; in de- cayed molar; in stomach; at navel; in 1. hypochon- drium ; in abdomen about navel ; in region of kidneys ; in glans penis ; in testicles and cords ; in middle of chest; through to back ; in heart ; in prsecordial region; up sternum and out across chest ; under point of scap- ula, extending to loins ; in small of back ; in r. side of head, occiput, small of back and calves ; between shoul- ders; along cervical vertebrse; in r. metacarpus and fleshy part of thumb.

Violent contracting pain : in external tendon of 1. knee.

Intense inflammatory pains : all through back.

Acute pain : in back, then down thighs.

Terrible neuralgic pains: in spermatic cords.

VOL. VIII.— 16.

OXALICUM ACIDUM. ' 242

Sharp darting : in heart and 1. lung.

Lancinating : in 1. lung ; through chest ; in arms.

Sharp stitching pain : in deltoid.

Cutting : in abdomen ; in extremities.

Tearing pain : in sternum.

Shooting pain : in 1. chest ; along spermatic cords ; in 1,

lung and hepatic region. Stitches: in r. nostril; in liver; in chest and above hip ;

in heart; through chest; from chest into scapulae. Constrictive pain : in larynx. Twisting colic : around navel. Griping pains : in anus.

Cramp : in calves ; in muscles of extremities. Tormenting cramplike feeling: between pit of stomach

and navel. Bruised pain : in small of back. Rheumatic pain : in 1. lung Arthritic pains : in fingers. Drawing pain : near angle of lower jaw. Aching: in vertex and forehead; in lower part of back. Pressing pain : on small spots in head ; in stomach. Dull, heavy, sore pain : in chest. Stinging : in sternum. Pricking : in back. Soreness: in sternum; in heart; of tongue and mouth;

about navel. Burning: in forehead ; in stomach and throat; in abdo- men ; in umbilical region ; from throat to umbilical

region ; in urethra ; in hands and feet. Heat : in face ; in r. thumb. Pressing: in rectum. Fulness: in face ; in r. thumb. Dulness: in forehead. Scraping : in throat.

Sick, distressed feeling: from navel downward. Tickling : in larynx. Dryness : in throat. Stiffness : of lower extremities. Lameness : of lower extremities. Emptiness: in head. Numbness: in back from shoulders to tips of fingers; in

r. thumb ; of legs ; of whole bod3^ Cold sensation : in back. Coldness: of hands; of legs. Itching: on neck and fingers. ^^ Touch. Passive Motion. Injuries. Touch : small spots

on head painful ; slightest, causes excruciating pain. Shaving : skin sensitive.

243 OXALICUM ACIDUM.

■'^ Skin. Sensitive during shaving, as from chafing.

Exceedingly sensitive skin, with vesicular eruption; < from sweats.

Itching: on neck or fingers; eruption, with redness.

Smarting and soreness.

Skin mottled in circular patches; marbled skin.

Warts. '^Stages of Life, Constitution. Child, a^t. 5; chronic inflammation of bowels.

Boy, set. 10, fair complexion, blue eyes, has been under all sorts of treatment and taken much patent medicine for several years ; incontinence of urine.

Ann _W., set. 16, suffering several months ; cerebro-spinal pains.

Man, aet. 36, laborer, three years ago had hygroma of patella, brought on by much kneeling at work, has never felt the " same man " since this was backed by local applications ; cerebro-spinal pains.

Man, set. 45, carpenter, spare built, nervous bilious tem- perament, of good health generally, temperate in all his habits ; angina pectoris.

Woman, a^et. 50; congestion of 1. lung; later pneumonia.

Man, set. 50, fleshy ; irregular action of heart.

Man suffering a long time from indigestion, operated on for strangulated hernia two years ago, since then suf- fering ; pain in umbilical region.

Mr.^F., wealthy man ; omission of heartbeat.

Antidoted by : Carbonates of Lime and Mag- nesia.

P^ONIA. 244

PiCONIA.

Peony. Banunculacese.

^ Mind. Anxious, afraid to talk with any one ; much affected

Tenacious mucus in throat, inducing hawking. *^ Scrobiculum and Stomach. Pressure in pit of stomach,

as from great anxiety. ^^ Stool and Rectum. Papescent diarrhoea, with qualmish- ness in abdomen, burning in anus after stool, followed by internal chilliness. ■ Hemorrhoids with fissures in anus; intolerable pains

during and after stool. I I Hemorrhoids and ulceration of rectum for eighteen years ; subject to several operations ; constipated, nerv- ous and emaciated; diagreeable smell from body; anus and surroundings purple and covered with a thick crust; at verge and entrance, of rectum several fissured ulcers with elevated and indurated edges, exquisitely painful ; whole mucous membrane at verge and higher up studded with ulcers, cracks and rhagades ; coating of rectum purple and congested.

245 P^ONIA.

■ Very painful and sensitive ulcers and rhagades in

I Very painful ulcer, partly in integument, round, sharp- cut edges and exuding much moisture. ^Ulceration of anus.

I Atrocious pains, with and after each stool, recurring after an hour or two and lasting twelve hours, preventing sleep, must walk floor nearly all night ; exudation of offensive moisure. ^Fissures of anus.

■ Fissures, with much oozing, constantly keeping anus

damp and disagreeable ; great soreness and smarting. I Six months previously had abscess just below coccyx, large as hazelnut, which soon opened, but wound, in place of healing, remained open and there resulted a funnel-shaped ulcer, about one centimeter deep and same in circumference; bottom and walls of bright red color, a purulent secretion constantly exuded ; sitting posture very painful.

■ Small ulcer on perineum, near anus, constantly oozes

moisture of very offensive odor; is painful for eight days.

Violent shootings vertically from collar bone down through heart to diaphragm, < in walking.

Dull shooting from front to back through heart. ^" Outer Chest. ■ Ulcer about a centimeter in diameter on lower part of 1. breast, consequent upon an abscess which had never healed. *' Neck and Back. Stinging in shoulder-blades.

I Ulcers below coccyx.

I I Ulceration of seat from decubitus, in a bed-ridden patient.

I Sacral sores; vitality of skin destroyed by pressure. ^^ Lower Limbs. ' ' Ulcer on anterior surface of r. tibia, caused by a violent blow she had received six months ago.

I I Chronic ulcer of r. leg of ten years' standing, serpiginous, crept slowly on destroying a vast extent of skin ; a por- tion of this cicatrized and became covered with a thin, violet, shining pellicle, whilst ulcer continued to spread four centimeters in diameter ; severe shooting pains hindering walking by day and rest by night.

P^ONIA. 246

I I After wearing a tight boot a blister appeared on dorsum of foot beneath which skin had ulcerated, and showed no tendency to heal; three centimeters long by two broad ; edges perpendicular and very irregularly in- dented ; its soft and fungoid surface was covered with a brick-red sanies mingled with violet and black streaks from admixture of venous blood.

I I Rolling on floor from pain. ^Fissures of anus.

Sitting posture: painful from abscess below coccyx.

Motion : vertigo.

Walking : < pain from collar bone to diaphragm. ^'' Sleep. 1 1 Nightmare.

Dreams : of a figure, or ghost sitting on his chest ; anxious ; vivid; frightful; amorous; quarrelsome. ^^Temperature and Weather. Coming into warm room

after a walk in cold air he gets nausea and feels faint. ^' Attacks, Periodicity. An hour or two after stool : pains recur and last twelve hours.

For ten years : ulcer on leg.

For eighteen years : ulceration of rectum. *^ Locality and Direction. Right: violent tearing around eye ; throbbing through chest ; ulcer on tibia ; chronic ulcer on leg.

Left : ulcer on breast ; ulcer on great toe. ^^ Sensations. Intolerable pain : during and after stool.

Tearing : around r. eye.

Shooting : from collar bone through heart to diaphragm ; through heart ; in ulcer on leg.

Pinching: in nape of neck.

Throbbing : through r. chest ; nape of neck.

Stinging : in shoulder-blades.

Biting : in anus.

Burning: in eyes; in face; in throat; in anus.

Heat : in head ; in throat.

Pressure : in pit of stomach.

Heaviness : in head.

Dryness : in eyes.

Pressure : destroyed vitality of skin ; of boot caused ulcer.

Blow : caused ulcer on r. tibia.

247 P^ONIA— PALLADI UM.

^•^ Skin. I Sensitive, painful ulcers on lower parts of body.

■ Chronic ulcers, particularly those seated on parts of body below umbilicus. ^^ Stages of Life, Constitution. Children with spasmodic affections.

Engineer on railway, set. 22, case not complicated by syphilis or varicose veins ; ulcer on dorsum of foot.

Lady's maid, set. 27, after receiving violent blow six months previously ; ulcer on leg.

Officer of African army, set. 28, after wearing ill-fitting boots, no history of syphilis ; suffering five months ; ulcer of great toe.

Miss H., £et. 37, chambermaid, robust, but complained frequently of gastralgia, pituitous vomiting and chronic constipation ; high living ; suffering three months ; fis- sures of anus.

Woman, set. 50, laundress, otherwise healthy; ulcer of coccyx.

Man, set. 52, suffering eighteen years; anal and rectal fissure.

Woman, set. 60, suffering four months; ulcer of breast.

Miss M., set. 84, affected for nine months with osteo- sarcoma of 1. femur ; ulceration of seat from decubitus.

A poor old man, suffering ten years ; ulcer of leg. *^ Relations. Antidotes: Aloes and Eatanhia.