Ustilago Maydis

Depression of spirits in afternoon.

II Very sad, cries frequently; exceedingly prostrated from sexual abuse and loss of semen; sleep restless.

Could not bear to see or talk to any one.

Irritability, being asked a question or to repeat anything.

The day seemed like a dream.

Melancholia; depression of spirits; oppression and faintness in a warm room. An aversion to or < from warmth in gen- eral.

Partial or complete loss of control over the functions of vision and deglutition.

Great irritability, mental weakness and depression.

Vertigo in attacks, sometimes with double vision, sometimes white specks blot out everything else, later attacks of vertigo with internal heat.

I Vertigo at climaxis with too frequent and profuse menstru- ation.

Headache: all the morning; at 7 A. m. ; in evening, < fore- head; < walking.

I Nervous headache from menstrual irregularities in nervous women.

Frontal pain: in morning; in forenoon, with smarting in eyes; all day, with aching distress in eyeballs and with fulness of head in morning; with distress in epigastrium.

Scalp dry, head congested, with loss of hair.

Scale-head, watery serum, oozing from scalp.

Prickling in 1. temple.

Loss of hair.

Bursting congestive sensation to the head; and various parts of the body.

USTILAGO. 581

Upward surging of blood with bursting in the head.

Vertigo from such causes, especially at climacteric.

Feeling of fulness with dull pressive headache < by walk- ing.

The headache and vertigo appear to be reflex from ovarian or uterine condition.

Frontal headache, < by walking.

Violent frontal headache as if forehead would burst open.

Sharp flying pains in forehead, congestion of the brain.

Pain on top and side of head; climaxis.

Falling of the hair and nails; complete alopecia, not a hair on the head.

Headache in temples.

ETES. — Attacks of twitching in eyes, they appear to look (revolve) in circles and dart from one object to another.

Continual watery flow from eyes and nose with occasional chills.

Spasms, with vanishing of vision and head seems to whirl.

Aching in eyes and lachrymation.

Aching and smarting in eyeballs, with profuse secretion of tears.

Hot feeling on closing lids.

Weakness of eyes.

Lachrymation in open air.

Lids agglutinated in morning.

Vision of spots dancing to and fro.

Things whirl before the eyes, appear double; white specks come into view and blot all else.

Dull aching pain in r. eyeball.

EARS AND HEARING. — Constant dull pain in 1. ear, caused by extension from inflamed tonsil.

Boil in r. nostril.

Dryness of nostrils in forenoon, with dry feeling in skin.

Bright epistaxis, > pressure.

Rhinitis, bitter taste, ofiensive odor noticeable to patient himself.

Dryness of nostrils as if he had taken cold.

Pains at root of nose, extending in toward canthi, and up and out at each eyebrow.

532 USTILAGO.

Sudden pallor in face when sitting, and in evening.

Burning of face and scalp from congestion.

Flushes of heat; the face becomes red and hot.

Sometimes looseness of teeth.

Aching all day in decayed upper first and second molars, which have ached before.

Shedding of teeth (in animals).

^Tongue coated in morning.

Prickling in tongue, with feeling as if something were press- ing the roots upward, with dryness of nostrils.

Salivation: thin, bitter; profuse.

Taste: coppery; in morning; slimy coppery.

Slimy: slimy, with burning distress in stomach.

Tonsils congested, inflamed.

L. tonsil enlarged, congested, dark reddish, r. painful on swallowing at 2 P. M. ; 1. painful at 9 p. m. ; next morning con- gestion of 1. extending along Eustachian tube and causing pain in ear.

Lancinations in r. tonsil (fauces were somewhat inflamed when the medicine was taken), next day fauces more hot and sensitive to motion.

Roughness of fauces.

Dryness of fauces, with burning dryness in stomach; diffi- cult deglutition.

Dryness of fauces with difficulty in swallowing, feeling of a lump behind larynx, later frequent efforts to swallow, with feeling as if something had lodged in fauces, afterwards irrita- tion of fauces, and on swallowing feeling of a lump in larynx.

Burning in esophagus at cardiac orifice.

Appetite: craving; poor.

Thirst at night.

Loss of appetite followed by canine hunger.

Eructations: of sour fluid; of sour food.

Cutting in stomach.

Pain in stomach; frequently in afternoon; on full inspiration.

Pain in epigastrium with drawing pain in joints of fingers.

Burning in sternum and cardia.

Distress in stomach in forenoon; in afternoon, < by supper.

Hematemesis: passive, venous, accompanied by nausea, which is > by vomiting.

USTILAGO. 688

Weak, empty, all-gone sensation in the stomach.

Burning in esophagus and stomach; extends to ovaries, heart, face and scalp.

Faint feeling in epigastrium, with pain in region of liver and bowels.

Repeated fine sharp cutting pains in epigastrium.

Constant distress in region of stomach.

Burning distress in sternum and stomach, accompanied by fine neuralgic pains in same region, lasting about three min- utes at a time; come on every ten or fifteen minutes for several hours; sharp cutting pain in stomach.

Periodical cutting in umbilical and hypogastric regions at 6 p. m. , < at 8 p. m. by a constipated stool, after- wards grumbling pain in whole abdomen.

(Pain as if intestines were tied in knots.)

Pain: in r. lobe of liver; in umbilicus; in umbilicus before natural stool; in 1. groin when walking.

Drawing pain in r. hypochondrium all day.

Distress in umbilicus and r. hypochondrium.

Grumbling pains in abdomen all afternoon, followed by dry, hard stool, fine cutting colicky pains every few minutes all day, > by hard constipated stool, followed by dull distress in bowels.

Natural stool at 4 a. m.

Loose stool at 4 a. m., with pain and rumbling in abdomen.

Light-colored diarrhea.

Soft stool, next day dry, lumpy, two days later black, dry, lumpy.

Constipated: black, dry, lumpy stools.

Tenesmus of bladder and incontinence of urine.

Urging, urine light-colored, increased.

No desire, but uneasiness.

Urine: increased; scanty, red; acid, high-colored; scanty and dark.

Frequent urination, with pain at meatus as the last drops were passing.

MALE SEXUAL ORGANS.— 1 1 Spermatorrhea after onanism ; emissions every night, talking about women causes an emis-

684 USTILAGO.

sion; very sad; cries frequently; says he cannot break off habit, has no control of himself when passion is aroused; knows it is fast killing him; cannot work, is so prostrated.

Genitals relaxed.

Erections: when reading at 4 o'clock; frequently during day and night. ' Scrotum relaxed and cold sweat on it.

Pain in testes, < r.

Pain in testes, sometimes neuralgic; in paroxysms, some- times causing faintish feeling.

Desire depressed.

Chronic orchitis, irritable testicle. Erotic fancies.

Seminal emissions and irresistible tendency to masturba- tion.

Irresistible tendency to onanism; frequent emissions; is prostrated, dull, with lumbar backache. Despondent; irritable.

Irritable weakness and relaxation of the male sexual organs, with erotic fancies and seminal emissions.

FEMALE SEXUAL ORGANS.— Yellow and offensive leucorrhea.

Tenderness of 1. ovary, with pain and swelling.

Burning distress in ovaries.

II Intermittent neuralgia of 1. ovary; enlarged, very tender to touch.

I Uterus: hypertrophied; prolapsed; cervix sensitive, spongy.

I Menses: too scanty with ovarian irritation; too profuse and too early; blood clotted; as if everything would come through.

Between periods constant suffering under 1. breast at mar- gin of ribs.

Vascular system of ovaries is most powerfully affected, pro- ducing congestion, enlargement, and great irritatiqp, with ovaralgia, dysmenorrhea and especially menorrhagia.

II Oozing of dark blood, highly coagulated, forming occa- sionally long, black, stringy clots.

II Extreme pain during period; flow very profuse and did not cease entirely until next period; most of time confined to bed.

Suppression of menses.

USTILAGO. 585

Vicarious menstruation from lungs and bowels. Constant aching distress at mouth of womb.

Menses that had just ceased returned, bright colored, sore- ness and bearing down in 1. side preceding the flow and partially ceasing with it.

Menses copious, bright red, not coagulating easily (in a woman who thought she had passed the climacteric, as there had been no discharge for over a year), it stopped as suddenly as it began, no pain, only faintness and confused feeling in head.

I Menorrhagia at climaxis; active and constant flowing with frequent clots.

Bland leucorrhea.

Abortion.

I Deficient labor pains; os soft, pliable, dilatable. Constant flooding.

Puerperal peritonitis.

II Lochia too profuse, partly fluid, partly clotted; prolonged bearing-down pains; uterus feels drawn into a knot.

I Hypertrophy and subinvolution of uterus with great atony*

Metrorrhagia, with vertigo during climacteric.

I Menorrhagia, with displaced uterus.

The ligaments of the uterus are relaxed; prolapsus, with bearing down sensation, as if all the pelvic organs would be expelled.

Flabby, relaxed condition of pelvic organs, a tonic condi- tion of uterus; a state of weakness, relaxation and atony.

Flushes of heat, and disturbances of circulation similar to those ocQuring at the climaxis, or from premature suppression of the menses; ovaries inflamed, irritable, sensitive, and swollen; burning distress in both ovaries.

Sharp pains commence in ovaries and run down the legs.

Aching distress referred to the uterus.

I Metrorrhagia after miscarriage, confinement or at the climaxis.

Discharge of blood on the slightest provocation; after

586 USTILAGO.

digital or mechanical examination; cervix swollen, bleeding easily when touched.

Uterus remains large after miscarriage or confinement; sub- involution delayed.

Hemorrhage bright red, but more frequently dark, clotted and stringy; post-partum oozing from flabby atonic uterus.

Uterus hypertrophied, heavy, feels soft, spongy or boggy.

Complaints of the lying-in woman; profuse debilitating lochia.

Milk deficient or superabundant; nursing increases the lochial discharge.

Acute pain < in 1. ovary, with swelling; pains intermittent; shoot rapidly down legs.

Ovaritis, constant pains in ovary, sharp pains passing down legs rapidly; ovary much swollen and tender, with scanty menstruation.

II Ovaritis; took cold after menstruation; constant dull pain in r. groin and back, three or four times an hour; sharp neu- ralgic pains in ovary; walking painful; bowels torpid, very languid.

II Ovarian irritation, constant pain in 1. ovary passing down hip, has to limp when walking; pains sharp and at times pass down leg with great rapidity; every few days has quite a swelling in 1. groin; cannot bear pressure over ovary.

II Every day from 12 m. to about 4 p. M., constant pain from 1. ovary to uterus; every few minutes, pain in ovary is in- tensely severe, cutting like a knife; pain in r. ovary and hypo- gastric region, but all starting from 1. ovary; ovary can be distinctly felt in groin about as large as a hen's egg and very hard; when pressed upon gives intense pain; every day thinks she has fever with paroxysm of pain, but no chill; slight leu- corrhea; loss of appetite; constipated.

Displaced uterus with menorrhagia; cervix tumefied; bleeds when touched.

II Uterus hypertrophied, sensitive, blood bright, fresh, with- out coagula.

II Subserous or interstitial fibroid of uterus (two cases), fibroid much diminished.

I Cervix tumefied, bleeds when touched.

USTILAGO. 587

For days oozing of dark blood with small coiaigula; uterus enlarged, cervix tumefied or dilated.

II Menses every three weeks, with dark coagulum; profuse, with gushes of bright-red blood when rising from a seat, or after having been startled or frightened; two days before menses, a heavy backache with sharp pain across abdomen from hip to hip, followed by expulsive pains; pains diminish after flow commences and stop with it; between menstrual periods heavy dragging backache on exertion; pain shooting up back from hips to shoulder; abdomen tender to touch; ex- cessive bearing down; pressure in head; sensation of contrac- tion in vertex, and feeling as if head were lifting off; vertigo; excoriating, albuminous leucorrhea, < before menses; raven- ous appetite; excessive tired feeling; pulse 80 and weak; mental depression.

II Subject to profuse menstruation; childless; large, fleshy, flabby, bloated-looking, with a very sallow complexion, in- clined to be (and formerly had been) dropsical from excessive loss of blood; profuse menstruation, which seems to her to be principally water and clots; says there is no outward flow when she lies still, but clots and water pass out of uterus when she gets up; feels so full in uterus that she must rise to get rid of clots; flowed fearfully during night; very low, scarcely able to speak aloud.

1 1 Severe menorrhagia for past twelve years at every men- strual period, lasting a week or ten days, sometimes longer; pale, thin, weak, very nervous.

1 1 Profuse discharge of dark, clotted blood of fetid odor, with pain and tenderness in one or both ovaries.

I Dysmenorrhea of a congestive character, with much ova- rian irritation; severe pain in ovaries; uterus and back every few minutes; scanty, pale flow accompanied by false mem- branes; poor appetite, thickly-coated tongue.

Subject to headaches ever since menstruation appeared at

588 USTILAGO.

age of fifteen; headache mostly on top of head; appetite poor; pain in 1. chest with some cough; total suppression of menses for last eight months; severe pain in back, is unable to ride in carriage; pain in uterine region, especially over ovarian region, < 1. side; vomiting of mucus and blood daily; no sleep; some leucorrhea; hysterical; no uterine displacement, but great congestion in pelvic region.

I Suppression of menses without apparent cause; trouble- some cough; considerable expectoration; sometimes also dry cough; stitching pains in chest, especially 1. side; night sweats; loss of appetite; pain in ovaries, especially 1; general debility, headache; leucorrhea; chlorotic; anemic, as if in first stage of consumption.

II Menses suppressed for last fourteen months; very irri- table and depressed; uneasiness in region of stomach; pain in ovarian region, especially 1. ; skin hot and dry; constipation, stools dry and hard; no appetite; stitching pains in chest, < worse in 1. side; constant hacking cough; considerable expec- toration; night sweats; general prostration; great uneasiness in lower extremities.

1 1 Mild leucorrhea.

I Climaxis: vertigo; frequent flushing; metrorrhagia.

II Has aborted a number of times at third month; is now about three months pregnant; for last ten days has had more or less hemorrhage every day, some days quite bad; not so much at night ; blood passes a number of times through day, in dark-colored clots.

I Post-partum hemorrhages from a flabby, atonic condition of uterus.

I Constant flooding; every few minutes, expulsion of a large clot of bright red blood, with bearing-down pains.

I Persistent hemorrhage of brownish blood, with want of uterine contraction.

II One and a half hours after delivery commenced to flow violently.

USTILAGO. 589

Passive hemorrhage after miscarriage, blood in lumps, flooding for days and weeks.

II Severe flooding two weeks after labor; large bright-red clots; no pain; very weak.

Very profuse lochial discharge, very dark in color, almost black.

II Agalactia; chronic inflammation, and induration of mam- ma.

II Puerperal peritonitis; aborted about two days since, at about three months: constant fever; pulse 120; cannot bear least pressure on any portion of bowels; about six times to- day has had sharp, cutting pains in 1. ovary; has flowed con- stantly for two days; blood dark, not copious, nor attended with bearing-down pains; cannot move in bed; is compelled to lie upon her back; constant, dull, frontal headache; loss of appetite, tongue furred.

II For last year vertigo every day, some days so bad she has to go to bed; menses every three weeks for last year; last about ten days and profuse; flows as much again as she did when in health; constant aching distress under 1. mamma; rheumatic pains in shoulders and back; very weak, not able to work.

Fibroids and induration of os.

Discharge of blood from uterus, bright-red, partly fluid, partly clotted; passive congestion of uterus, so that there is a slight oozing of blood after each examination; tissues of uterus feel soft and spongy; os patulous.

Gave Mrs. Ustilago Im., four doses, for aching distress

540 USTILAGO,

Spasmodic tearing at top of 1. side and passing to sixth or seventh rib, at 3 p. m. when standing or reading, < breathing.

Pain in 1. infraclavicular region in morning.

Drawing pain in 1. inframammary region, waking me at 8 A. M., > turning on back from r. side.

Aching, burning distress in sternum and under it in stom- ach, with neuralgic pains.

Oppression along median line.

Constriction with pain.

Heat and pressure.

Sudden flying pain from heart to stomach, arrest- ing breathing.

Burning pain in cardiac region.

RESPKATORT ORGANS.— Feeling as if there were a lump be- hind larynx, which produces constant inclination to swallow.

Pain in back extending to extreme end of spine.

Severe rheumatic pain in lumbar region, < by walking; aching distress in small of back.

Pain in back of neck.

Pain in region of r. kidney, < sitting still; next day in re- gion of 1. kidney, > moving about, with heat, fulness, sore- ness on deep pressure (but it relieved the pain), with uneasi- ness in 1. thigh, frequent desire to urinate, stream very small, the following day it requires considerable effort of will to empty the bladder, which is done slowly, pain and soreness in 1. loin continue; heavy in lumbar region, in bed with uneasi- ness about bladder (had had no desire to urinate on going to bed), woke early in morning with distended feeling in blad- der, micturition slow and difficult, urine scarcely colored, pain in back < next night, < lying on face, > lying on r. side.

Bearing down in sacral region as in dysmenorrhea, chang- ing to 1. ovarian region and gradually extending through hip.

UPPER LIMBS. — Pain in both shoulders, especially in raising arms.

USTILAGO. 541

Pain in shoulder joints; rheumatic, in muscles of r. shoul- der, all night.

Intermittent, numb tingling sensation in r. arm and hand every day.

Stiffness in shoulder-joints on bringing down the arms on waking — arms extended over head when sleeping.

Pain in r. elbow, < by motion.

Stitching along metacarpal bone of r. index.

Rheumatic drawing pain in finger-joints, < second joint of r. index, all afternoon.

I Hypertrophy or loss of nails.

Rheumatic pains in arms, hands and fingers.

Dull rheumatic pains in r. elbow joint on motion.

Severe drawing pains in joints of all fingers.

Fine, sticking pains along metacarpal bone of r. forefinger, every few seconds.

Sharp, cutting pains along metacarpal bones of r. hand.

LOWER LIMBS. — Pain in 1. knee when walking, increasing to cramp, obliging me to lean upon the arm of a friend; the pain, with occasional cramps, lasted all the evening, < raising foot so as to press upon toes.

Cramp-like stiffness in 1. leg, < raising foot so as to press upon toes.

Feet swollen in morning.

Cutting in bones of r. hand and foot.

Frequent rheumatic symptoms in arms, fingers and legs.

Rheumatic pains in legs.

Flying rheumatic pains in metatarsal bones of r. foot.

Great pains in bones all over body, and especially in calves which are somewhat cramped.

The scalp became one filthy mass of inflammation, two-thirds of the hair came out, the rest matted together, with oozing of watery semen from scalp, eruption like rubeola on neck and chest, gradually extending to feet, thickest on chest and joints, itching < night, rubbing any part brought out the eruption, on face and neck it was in patches like ring- worm, but not vesicular.

Tendency to small boils.

Boils on nape.

542 USTILAGO.

Congested feeling in skin.

Skin dry and hot; congested.

Painful, destructive disease of nails.

Paresthesia of the skin; pricking, burning, itching, a marked erythema of the skin of the uncovered parts of the body, fol- lowed by a parchment-like, dark brown skin with rhagades < by warmth.

Roullin observed loss of hair and sometimes the teeth oc- curred both in animals and men; that mules fed on it often cast their hoofs, and that fowls laid eggs without shells; it has caused loss of hair on animals, and cured complete alopecia.

Pustular ulceration of the skin, scald-head and various forms of eczema.

Copper-colored spots on skin; secondary syphilis; macula.

Negro, urticaria of six years' standing, troubled more or less all the time; every night itching, scratching parts produces large pale welts on body, arms and legs.

Difficult falling asleep and then unpleasant dreams.

Restless night; with fever; with troubled dreams.

Sexual dreams; without emission; and disgusting, waking him, arose and urinated with difficulty and tenesmus.

Chills running up and down back.

Heat at night, during sleep.

Internal heat; with vertigo; < eyes, which are inflamed and sensitive to light, eyeball sore to touch; intermittent; pulse normal.

Burning in face and scalp.

Skin dry; at night; and hot.

Relapsing agues; very profuse sweat; slight nausea; op- pression of chest; cerebral disturbance, and great irritability.

Thirst for cold drinks.

Chilly externally, but not internally.

Neuralgic pains in forehead, hands and feet.

Rheumatic pains all up and down 1. side, with cutting in 1. knee and calf if I pressed any weight upon toes or flexed knee with any weight upon it.

Rheumatic pains in muscles of arms, hands, fingers, and small of back, those in back < walking.

USTILAGO.

Symptoms of a cold.

Malaise as if I had taken cold; felt sick with a cold, con- tinual watery flow from nose and eyes, with occasional chills.

Languor: during the day, with headache, < noon, and with burning frontal headache at 9 p. m. ; in morning on ris- ing; at 2 p. M.

Faint feeling at 11 A. m. in a warm lecture-room.

Faint spells beginning in epigastrium, with small pains in hypochondrium and bowels.

USTII^AGO.

Bnming; in aU parts of the body, as if sparks of fire were falling on patient.

< warmth, covering affected parts; < from heat, all diseases.

Adapted to thin, scrawny, feeble, cachectic women; irritable, nervoas, pale, snnken countenance.

Hemorrhage; copious, thin, black, watery, decomposed, bloody; hem- orrhagic diathesis; the slightest wound may bleed for weeks; defi- brinated.

Burning; in esophagus, stomach, ovaries, heart, face, scalp; less on the skin.

Paintnessand oppression in a warm room; < from warmth less marked.

Adapted to weak, relaxed, atonic patients; irritable, despondent, weak mentally.

Hemorrhage; passive, oozing, dark, clotted, bloody, forming long, black, string clots; partly dark, partly clotted and stringy, or thin and watery.

Compare: Mel., Med., Mez., Psor., Vine, m., in crusta lactea and other scalp affections of childhood; Bry., Ham., Mill., Phos., in vicarious menstruation; Agar., Mur., Sep., in bearing down and uterine collapse; Helon., Lys., Natr. h..

Sec, delayed subinvolution; Malan., Sec, affections of the hair and nails; Act., Caul., Thuj., Sul., Vib. o., in 1. ovarian pain; Bo v., Elaps, Graph., Ham., in intermittent flow;

Sang., Urt. ur., pain and rheumatic affections of r. shoul- der; Sang., 1. inframammary pain extending to scapula; Lac c, Kali bi.. Puis., erratic rheumatic pains;

Sul., faint all-gone sensation at 11 a. m. ; Cob., backache and seminal emissions; Bov., flow midway between the periods; Canth., Pyr., Sec, in expelling foreign bodies from the uterus.