Lyssinum

Sore throat: very severe; all day; in forenoon; > at 6 P.M. ; after supj)er (7 p.m.) ; not able to swallow with- out great pain; as if swelled; as if raw; aches; on r. side; with headache; with soreness in eyes; with in- creased tenacious saliva.

Cooling sensation in oesoj^hagus.

Throat quite sore, headache in both temples, numbness in both arms, slight pain in lumbar region all day.

Pauces and pharynx as far as one can see are slightly in- flamed, there is inclination to swallow, and increase of saliva.

Painful sore throat, throat much inflamed, headache <, tenacious mucus in mouth and throat; great weakness with aversion to move.

Inflammation of throat with foamy saliva.

Violent spasm in throat as if he would suffocate, from 2 P.M. to 9.30 P.M.

Great heat in throat and about heart.

Sudden jerks going from oesophagus to heart.

1 1 Sore throat, constant desire to swallow; much saliva and feeling as if beaten.

■ Periodical spasm of oesophagus, continual painful inclina-

tion to swallow without being able to swallow anything; constriction is most severe when taking water into mouth, if he tried to swallow it forcibly, he had burning and stinging pain in throat, cough and retching which forced fluid from his mouth; difficult speech.

1 Difficulty in swallowing; particularly fluids.

Dryness in throat and difficult swallowing, with slight erysipelatous redness in pharynx.

Stinging sensation when swallowing.

Sore throat at 2 p.m., with difficulty in swallowing fluids; felt as if epiglottis was paralj^zed.

Sore throat with great inflammation, could only swallow with difficulty, fluids returned through nose.

A peculiar sense of constriction in back of throat at 3 p.m., < at 4 p.m., could not swallow without pain ; disappeared at 6 P.M., but returned at 7 and lasted until bedtime.

Sore throat with constriction, particularly when attempt- to swallow fluids, which is painful.

Terrible pain in throat, particularly when swallowing. _

Constant inclination to swallow, or remove phlegm which seems to stick between nose and throat.

■ Constant desire to swallow, painful and ineffectual.

^Spasm of throat. ^Stricture of throat. Some will drink water without difficulty. — Activity to drink is restored before sudden death. — _ Warm drinks, milk, soups and wdne are often more easily

taken than water. —

179 LYSSIN.

Imagines that he cannot swallow anything. —

Difficulty in swallowing can, at first, be overcome by firm resolution. —

Declared he could not swallow for something in throat that interrupted the passage.

Swallowing more difficult at 5 p.m. than in morning (after Bellad.).

Solid food sometimes consumed with great difficulty.

Absolute impossibility to swallow anything, whenever attempt is made, attacks of suffocation and spasms of respiratory muscles as well as of muscles of face, neck and rest of body, with great mental disturbance. —

After some days patient equally abhorred solids as well as fluids ; when importuned to eat, he was thrown into con- vulsions. —

Any attempt to swallow bread occasioned greatest agony.

Often hapj)ens that they succeed in drinking after those who were around them have retired, or when attempt is made with closed eyes and with aid of a straw. —

No disgust for fluids until difficulty in swallowing came on ; when fluid touched fauces it seemed at the peril of his life. —

At 3 P.M. felt a strange constrictive sensation in back part of throat, never experienced before, < at 4 p.m., could not swallow without great pain ; went off at 6 p.m. ; re- turned in an hour, lasting till 10 p.m.

I When taking water into mouth, constriction was greatest. ^Spasm of throat.

■ Periodical spasm of oesophagus. ^Stricture of throat. Attempt to drink water starts convulsions. —

■ Had difficulty in speaking; a connected sentence could

only be uttered after making several fruitless attempts ; palatic letters could not be pronounced at all, or were pronounced wrong. ^QEsophageal spasms.

At 10 A.M. felt a soreness and suffocation in back of throat.

Violent spasm of throat at 2 p.m., feeling as if he was about to be suffocated ; went off at 9 p.m.

A ball, as it were, rises from stomach up to throat, seems to threaten suffocation.

Sensation of a lump in throat, with desire to swallow.

A terrible pain in throat all day, and great pain in swal- lowing.

Pain extended upwards from wounded arm towards throat.

Stitching sensation when swallowing.

Burning stinging in 1. side of chest, with palpitation in afternoon.

■ Burning stinging in throat. ^Stricture of oesophagus.

■ Trying to swallow water forcibly, it caused burning and

LYSSIN. 180

stinging in throat, besides cough and gagging, which forced out contents of moutli. ^Spasm of throat.

Burning down oesophagus.

Great heat in throat and around heart.

lA slight redness of affected parts. ^Spasm of throat.

Intense and deep seated inflammation of mucous mem- brane of mouth, gums, tliroat and larynx, with smart- ing pains on swallowing.

Feels as if he had swallowed a small quantity of red pepper.

^* Appetite, Thirst. Desires, Aversions, i Appetite good,

but digestion deficient ; a portion of nearly everything

he ate passing bowels in an undigested state. ^Chronie

camp diarrhoea.

Voracious appetite; swallowed wheat without chewing.

Little appetite in morning; want of appetite, headache,, depression.

I Want of appetite. ^Hydrophobia of sheep.

■ Could take no nourishment (with spitting), could not re-

main at table. ^Lyssophobia.

Symptoms of digestive organs extremely variable; exces-

' sive thirst, vomiting, constipation.

Thirst and disinclination for food.

I Felt very thirsty and had no aversion to drink, on con- trary drank large quantities of water. ^Lyssophobia.

Thirst much increased, complains of burning pains in throat.

Thirst and desire to drink, but is prevented from doing so- by spasmodic constriction of throat, attempts excite most disagreeable sensations, even spasms.

>Had not been drinking any water for some time, only some hot tea. ^Dysentery.

■ Drank some strong tea at supper, after which salivation

discontinued until 8 p.m., then commenced again. ^Lys-

sophobia. No appetite, except for sour things. Called for burnt brandy and drank it; next day a strong

rising in his stomach and an impossibility to drink.

■ Excessive desire for salt.

First days, smoking unpleasant; after first week, a crazy, insatiable desire to smoke, he does not allow pipe to cool.

Picked up bits of cotton and shreds of cloth ; bits of chip and coal were devoured whenever getting near; any- thing that was within reach and could be grasped by the jaws was gnawed away very quickly ; a dog.

Urine and feces were frequently devoured as soon as they were voided; a dog.

■ Abnormal cravings during pregnancy.

Aversion to water; imagines he cannot swallow; says he- is thirsty, but cannot look at water or hear it poured out..

181 LYSSIN.

I Aversion to water of place he arrived at. —

I Aversion to drinking water, but can take small quantities of chocolate. ^Diarrhoea.

Aversion to fluids ; great sensitiveness to every breath of air and reflection of light.

Since bite she has a frightful aversion to water ; at first she could wash herself by dint of great selfcontrol, but later not at all.

Wine tasted poorly and affected him more than usual.

Aversion to fat food and drink ; there remains a long greasy aftertaste, < after mutton. ^^ Eating and Drinking. Before dinner a very strange sen- sation, a strangeness of whole body.

Warm drinks, such as milk, soups and wine, are more easily taken than water.

Inability to take solid food, or else it is consumed with greatest difficulty.

At times ability to drink is restored before death.

After supper, 7 p.m., feels >, less sore throat, no difficulty in swallowing.

After eating: all cooling, burning, wavelike sensations disappear, also congestion; pressing inward in epigas- trium ; lasciviousness with sexual excitement ; lewdness with a sensation of weakness in parts, but inclined to an emission of semen; increased lassitude and drowsi- ness, slept an hour without making it any better.

After meals very ill disposed, every noise irritates him ; if others eat apples, or hawk, or blow their noses, it brings him beside himself; passes away after siesta and coffee.

After dinner and in evening: disinclined to think.

After supper: pressing in spleen.

Nausea after eating eggs or fat food.

After coffee: more frequent beating of pulse; heat in face.

Tobacco affected him more than usual. " Hiccough, Belching, Nausea and Vomiting. Squeam- ish sensation ; a want of appetite in evening, followed by great lightness of head.

Nausea: with giddiness, headache and pale face; with pale face after diarrhoea ; food does not taste right ; and loss of appetite in evening; 10 to 11 p.m.

Hiccoughing.

Continual belching of wind; convulsive eructations.

Belching in forenoon ; sour, in afternoon.

■ Gagging when he forcibly attempts to swallow water, forces it out of his mouth. ^Spasm of throat.

Rising of bile into throat during day, at same time an un- usual quantity of tenacious saliva in mouth and throat.

Nausea and vomiting, after diarrhoea.

LYSSIN. 182

Vomiting: of food; of fluid while drinking, followed by faintness; of what was eaten at supper, at night in sleep.

Nausea and vomiting of a foamy, mucous, dark colored substance resembling coffee grounds. " Scrobiculum and Stomach. Pressure in epigastrium after eating.

Suffocating pain at pit of stomach.

Distress in epigastrium and prsecordial region with dyspncea.

In epigastric region sensation half coldish, half burning.

Pain in epigastric region, deep in, as if in or behind duodenum.

Aching, with coldness in stomach.

A cooling pain in stoniach, with here and there a sharp and pointed pressure.

A sense of motion in stomach.

Loud gurgling in 1. side of stomach, becomes more con- tinuous, like water from a bottle.

A loud cooing noise in stomach, to 1., and after a while re- peated as a quick croaking.

Great oppression in stomach, has to open her clothes.

A slightly hot, quiet, aching sensation below chest, some- times lower down, often in entire abdomen, as if in in- testines.

Stomach empty, or may contain a dark, opaque substance, frequently resembling coffee grounds; in mucous mem- brane of stomach and intestines, decided injection of bloodvessels; upon former frequently hemorrhagic erosions. ^^ Hypochondria. A pressing pain: in r. side, near last ribs, with breathing; in hypochondria, after quick walking.

Shooting in r. side of abdomen.

Pain in region of liver and r. kidney.

Pain from within outward in r. side.

Fatty degeneration of liver. —

In uper part of abdomen, 1. side (region of stomach and spleen), a continual gnawing pressure in forenoon.

Aching from below waist to feet.

Pain in 1. side, at 8 a.m.

Pressing pain in region of spleen when walking fast.

iPainful throbbing as if an abscess was forming in region of spleen, but very deep in, exact locality is half way be- tween median line and outline of 1. side; it lasted eight days; with it departed remnant of a similar affection in this locality, against which eleven years of allopathic treatment had proved of no avail.

Under mamma a hot sensation, quietly aching, sometimes same lower down or in whole abdomen, as if in intestines.

183 LYSSIK

Tearing from 1. hypochondriac region to right. ^^ Abdomen. A rending pain across abdomen from 1. to r., in

evening when in bed. Pain in r. side of abdomen proceeding from uterus. Pain down 1. side of abdomen. Pressing in abdomen. A drawing in abdomen below navel. Cramp in lower part of abdomen. Painful sensation deep in upper portion of abdomen, as if

behind duodenum ; in forenoon. Colicky pain in abdomen; when it subsides, stinging in

small of back. Severe bellyache, lasting an hour, awoke from sleep at 11.30. Violent bellyache. Sticking: in r. side of abdomen, when taking a breath; in

abdomen above hip; with feeling of motion in lower

part of abdomen. Stitches: in r. side of abdomen; in belly, an inch from

crista ilea. Shooting in abdomen.

A sense of motion, with slight stinging in middle of ab- domen. A burning, waving and surging, proceeding from abdomen,

spreads through entire chest to head. After cooling sensation and scratching in oesophagus had

subsided, there appeared a half cooling, half burning

sensation in entire upper part of abdomen. ■ General soreness in whole of lower abdomen. Distension of abdomen ; every evening. Rigidity of muscles of abdomen. From both loins a drawing downward, followed by cramps

in lower abdomen. Aching : in loins ; into back ; down to feet. Dull })ressing pain above r. inguinal region on a defined

place. Pain in r. groin, with some swelling. Drawing, dragging pain in groins; heavy, bruised feeling

in thighs. Drawing from groins downward, then cramps in abdomen,,

accompanied by dizziness. Aching from groins to feet, in evening. Pain in both groins; in r., two small kernels under skin^

very painful. Inguinal glands very much swollen, they pain for two hours. ^^ Stool and Rectum, i Tenesmus during' and after stool.

1 1 Dysenteric stools with tenesmus; renewed as soon as he

hears or sees water run. • When in morning some water was poured out from

LYSSIN. 184

pitcher into basin, pain and desire to stool returned. ^Dysentery.

■When he sees or hears running water, violent pain and tenesmus return; in a case of dysentery in Summer, of six weeks' standing, in which stools were most frequent in night, consisted of bloody mucus and were followed by pains in rectum and small of back, which forced patient to walk about in spite of great weakness; could neither stand nor lie down ; had drank no water whole time, only hot tea occasionally.

I Stools watery and profuse, with severe pains in lower bowels; frequency of stools not uniform, some days five or six, others fifteen or twenty, usually more frequent in morning. ^Chronic camp diarrhoea.

Diarrhoea: with much pain, most during day, eighteen hours after dose, lasting twenty-four hours, with pain in lower part of bowels; < in morning; followed by nausea as if she would have to vomit; attended with violent pains early in morning; after stitches in side.

■ Chronic diarrhoea contracted in Southern camps.

Difficult passage of flatus as if anus resisted expulsion.

I I Stools of bloody mucus. ^Diarrhoea.

Involuntery stools.

1 Straining to evacuate, causing a violent pain in small of back and in rectum, afterwards compelling him to walk about, although weak. ^Dysentery.

Bowels constipated; stool very dark in color.

Stool became dark and thickish in appearance, mingled with shreds of wool or cotton, bits of wood and coal that had been swallowed; a dog.

Passage of bright red blood from anus, with terrible burn- ing and pricking in it as from thorns.

Difficult stool, piles protrude.

Hemorrhoidal troubles, passes blood from anus during catamenia.

Throbbing in anus externally.

Darting into anus causes contraction. ^^ Urinary Organs. Dull pressure in region of 1. kidney.

Flying pains increase, seize urinary organs; create a diffi- culty and heat in discharging urine.

Some pain about neck of bladder in evening.

A cooling, burning, congested feeling in region of bladder, in evening.

Profuse watery urine, in evening.

In morning and evening urine is yellowish brown, turbid and diminished in quantity; reddish sediment.

Urine dark, brownish, with whitish sediment, visible when urinating upon snow.

185 LYSSIN.

Brighter colored urine and in larger quantities, but not more frequent.

Urine scanty or muddy, often of a dull, greenish yellow color; dog.

A whitish yellow sediment in urine.

Urine scanty, no albumen; dark, cloudy, frequently con- tains sugar, evidentl}^ the result of lesions in medulla oblongata. —

I Urine too scanty and high colored. ^Chronic camp diarrhoea.

Urging to urinate, after a slight accumulation.

■ Constant desire to urinate on seeing running water; uri-

nates a little at a time.

Tickling burning in urethra near orifice after urinating.

After passing feces and urine there is an urging to urinate again, it moves slowly several times from above down- ward without succeeding in passing a drop.

Prostatic juice passes after urinating.

Since fourteenth day after bite says she has passed no water ; passes daily from time to time a little dark blood from uterus, differing in quantity and quality from men- strual flow.

If he passes but a small quantity of urine his sense of weak- ness is increased ; weakness after urinating as if he passed his strength awa3\ ^^ Male Sexual Organs. Inclined to lascivious ideas, although there is not much sexual desire.

Lasciviousness: after eating, with feeling of weakness in parts; with erections in afternoon.

Erections with but little desire.

■ Strong erections, without sexual excitement or thoughts,

in evening while undressing in a cold room. Sexual indifference with erections, even during act of coi- tion, which is perfectly performed.

■ Increased sexual desire. ^Dropsy of spine with sheep.

^Hydrophobia of sheep. Priapism, with frequent seminal emissions.

■ Satyriasis in a stallion; hot breath streamed from nostrils. Insufficient seminal discharge.

■ Semen is discharged too late or not at all during coition. During a very strong and warm embrace excitement dimin- ished at its height, and there followed no emission.

No emission during coition, but afterwards semen escaped

unconsciously in sleep. A seminal emission with dreams, quite unusual. Without being preceded by an erection there is a discharge

of prostatic fluid, smelling salty and musty; the glans

penis is dry.

LYSSIN. 186

Feeling of weakness around and in sexual parts.

After coition, with difficult and tardy emission, there is a

sensation of emptiness and discomfort in parts, lasting

all of next day. Painful urging in penis, as after excessive coition, accom- panied by lasciviousness. Itching and burning on corona glandis, with tickling and

discharge of greenish pus, in afternoon. Glans is dry and sticks to foreskin. Burning and tenesmus as if in prostatic gland and in

urethra; in afternoon. Itching on os pubis, 1. side, extending to root of penis. Increased peristaltic motion of scrotum, all afternoon and

evening ; motion of testicles also increased. Scrotum tightly drawn up for two or three weeks. Hanging down of scrotum on eighth day, while before and

after it was contracted. Painful sensation in testicles. Pain in testicles on day after an embrace, particularly felt

towards noon and first afternoon hours.

■ Hydrocele.

I Atrophy of testicles; testicles diminish in size, first 1., then

right.

I I Complaints resulting from abnormal sexual desire.

^^ Female Sexual Organs. lAphrodisiac sense deficient. ^Pro- lapsus uteri. Pain extending from uterus into breast and r. side of ab- domen.

■ Insatiable heat; with cows.

Pain in 1. ovarian region, uneasiness there.

Bearing down in uterine region.

Sharp pain in uterus, shooting down to labia.

Occasional acute pain in and below uterus ; at times a vio- lent shooting pain in 1. of vagina, extending upward, so severe as almost to cause her to scream.

;rlncrease of uterine sensitiveness, conscious of having a womb.

I With a painful sensitiveness of womb, slight degree of prolapsus, so that after any considerable physical effort there would be a strong conviction that it was prolapsed.

■ Considerable pain in lower part of back, with a soreness

felt through pubic region, which was clearly proved to be in neck of womb by an increase of pain from press- ing finger on neck; principally at point where finger came in contact with womb. ^Subjective prolapsus.

iWomb high up in abdomen, enlarged in top and fundus.

I Abrasion about os tincee (treated with caustic), some tume- faction of cervix and walls of vagina remained, showing a low degree of inflammation. ^Prolapsus.

187 LYSSIN.

I Speculum showed os tincae of size of a small goose quill, smooth and normal, except that there was a string of bloody mucus of size of os hanging from it, so tough and viscid that it was difficult to wipe it away with a sponge. ^Subjective prolapsus.

■ Swelling of womb in all its parts, extending somewhat

into vagina. ^Prolapsus. ■Bright redness of vaginal portion of womb. ^Prolapsus, ■After menses found that prolapsed uterus, a case consid- ered incurable, was in its proper position, and continued so after an interval of two months, though she has done much to test the cure, lifting a heavy child in and out of bed at night, when she w^as necessarily without her supporter.

■ Prolapsus uteri of seven years' standing.

■ Metritis, prolapsus or induration of uterus; in cows.

A girl, £et. 14, and another, set. 21, took the 30th after their catamenia had ceased for three days, next day it re- appeared.

Catamenia appeared (after a few globules of 30th) two weeks before time, and very copious.

■Menstruation, with hemorrhoids, pulsations in anus and weakness of back.

■ Menses rather frequent, protracted, dark, and at times

fetid. ^Prolapsus uteri.

■ During interval of menses "a show" that seemed quite

obstinate. ^Prolapsus uteri.

■ x4.n8emia in consequence of disturbed sexual function. Continual discharge of offensive mucus from uterus for

several months. White discharge like leucorrhoea, which weakened her ;

never had leucorrhoea. Slimy leucorrhoea. ■Severe leucorrhoea, with pains in back and lower part of

bowels ; sore vagina.

■ ■Sensitiveness of vagina rendering coition quite painful.

^Prolapsus uteri.

■ Menses too profuse, at times a little too frequent. ^Pro-

lapsus. Discharge of blood from rectum during menses.

■ Weakness in back, wdth copious catamenia.

■ Tearing, followed by pressing downward, could not make

a hard step during catamenia. ^ Pregnancy. Parturition. Lactation. ■ "During preg- nancy: strange notions, desires or cravings; rush of blood from chest upward; toothache, backache and other complaints; great sense of bearing down; intense pain from inflammation of os and cervix (formerly

LYSSIN. 188

treated with Caustic.) ; great soreness in lower part of back and bowels.

I All changes of position that tilt or rotate to a moderate extent the os uteri cause much pain. ^During preg- nancy.

iSpasms excited whenever she attempts to drink water, or if she hears it poured from one vessel into another; sight or sound of water affects unpleasantly, even though de- siring water. ^Puerperal convulsions.

■ Since childbirth more pain with coition and a dislike to it. ^Subjective prolapsus.

■Since cessation of lochia a severe leucorrhoea; pain in back and lower part of bowels ; soreness of vagina.

Both breasts swollen when waking in morning, she can hardly get up; three mornings in succession; same swelling of breasts at night when opening her dress. ^^ Voice and Larynx. Trachea and Bronchia. Voice al- tered in tone; tones much suppressed; hoarse; rough; harsh and weak (last stage); shrill, inarticulate sounds; shrill sounds of utmost despair, or occasioned by violent expirations ; very shrill and piercing bark, changing near its termination into a distressing, continuous howl (dogs).

Epiglottis crisp and dry. —

Inflammation or redness in superior part of trachea.

I Pain next to larynx, on r. side, felt on turning neck and on pressure. ^^ Respiration. The breath is hot ; sulphurous. —

I Hot breath streams from nostrils. ^Satyriasis in a stallion. On inspiring: a cooling sensation; stinging in 1. side. Can scarcely speak from weakness.

Weakness of chest ; tired from talking or reading. When breathing, stitches in r. side of abdomen. Breathing accelerated or rattling in last stage. — Asthmatic sensation, air going through larynx makes a

kind of wheezing. Sighing and groaning respiration, may be occasioned by

violent expiration. Frequent sighing and sobbing. A general feeling of discomfort in chest forces him to deep

breathing or to emit sighs, which alleviate.

I I Sighing, with pain in heart.

Now and then he has to take a deep breath, with coldish

feeling far back and deep in throat, followed by great

relief. At 9 A.M. suffocating feeling in chest, had to sigh several

times, lasting till 10| p.m., when he fell asleep. Breathing laborious and difficult, quickly repeated, and

attended with a constant and peculiar kind of hawking,

189 LYSSIN.

in order to expel breath, which has been taken for an imitation of bark of a dog.

■Dyspnoea: with flatulency, cough and rattling in chest; with sighing, groaning respiration ; from cardiac pain; < lying down.

Constriction about breast and difficulty in breathing be- come so extreme, that on a blast of air blowing on them they are seized with greatest distress, cover their mouths, seem ready to expire, as if struggling for breath.

On attempting, at request, to drink a little water; a vio- lent spasm of muscles of neck and throat came on, pre- ceded by a deep sigh or gasp, as if she might just have plunged into cold water.

Difficult breathing and spasmodic sensation in trachea.

Suffocative spasm in throat.

Convulsive breathing and spasm in muscles of throat, either come on together or breathing precedes throat- spasms.

The convulsive breathings during paroxysms are very sim- ilar to those produced by a sudden cold water bath, and are always combined with spasms in throat muscles.

Oppression in breathing before a severe suffocative attack occurs, induced by spasmodic contractions of respiratory muscles, combined with spasmodic, alarming constric- tion of pharynx.

Breathing during paroxysm gasping, irregular and usu- ally quite rapid, often with decided dyspnoea. ^ Cough, Barking like a dog, with a sort of noisy cough;

■ Coughing when attempting to swallow water forcibly, forces it out of mouth. ^Spasm of throat.

B Cough and gagging. /^Stricture of throat. ^^ Inner Chest and Lungs. Chest and abdomen feel ex- panded; expanding chest seems to invigorate him, though usually it fatigues.

Pressing in chest; between tenth and eleventh ribs, r. side.

Rheumatic pain across chest when drawing her breath.

Pain as if in nerves, from side of chest up to throat.

Cramplike pain and stitches in 1. side, followed by diar- rhoea and afterwards nausea and inclination to vomit.

Pinching pain: at fourth rib on r. side.

Stinging in lower part of chest.

Stitches under 1. mamma, going towards left.

Shooting between 1. mamma and last ribs.

Shooting, flying pains through 1. chest.

Burning surging through chest.

Burning stinging in 1. side of chest when taking a deep breath.

LYSSIN. 190

Burning like heartburn in r. side of back, in region where ribs end.

Blood mounts from chest to head.

Extending to chest, pain in uterus.

Great weakness in chest, particularly when walking and reading aloud, chest feels fatigued ; some deep pain in 1. side.

Upon pleura is often seen a soaplike deposit, as in case of cholera.

■ Gangrene of lungs, caused by pneumonia and sexual excitement. ^Satyriasis in a stallion. ^^ Heart, Pulse and Circulation. Pain in 1. chest on a small spot in region of heart; more backwards and to 1. in chest.

Dull pain in heart all day, with a pinching pain about fourth rib, r. side.

Constant pain in lower part of heart.

A very strange and unusual feeling in heart, something like bands compressing it, in middle of chest, and as if needles were sticking in it, a dull kind of stitching pain, very painful, alarming and disagreeable.

Pain in heart entirely gone, but every two or three hours has a twitch there.

Painful shock or jerk from lower and hind part of oesoph- agus towards heart and front of chest.

7 P.M., slight, dull shooting pain in heart, lasting till he went to sleep at 10| p.m.

Considerable pain in heart, and a corresponding pain in r. side; a severe sticking and shooting pain, producing shortness of breath and sighing.

At 11 A.M. two or three stitches of a shooting kind in heart, lasting a few minutes.

Stitches in and around heart. —

Pricking sticking pain in heart. —

Stinging, sharp pain in heart. —

Sticking pains at intervals in heart.

Sharp, shooting pains in region of heart, lasting four hours.

At 9 P.M., violent pain of a sticking character in heart and to 1. of it.

Stitches in heart from ringing of church bells.

I Stitches in heart, more while walking; they would kill him if they continued.

■ Heart had for three months not been free from a sticking, drawing, squeezing pain, result of an attack of rheuma- tism and cold, together with a palpitation and difficulty of breathing.

Violent pain in heart, as if it would burst or had needles running into it.

191 LYSSIN.

While writing, a burning ebullition and gurgling from upper part of abdomen through chest and head, at first followed by a pain in ear; now a pressing stinging in inner upper vertex to r. ; as if a hot, wavelike stream was moving on and spreading outward, but not extend- ing to spine or limbs.

Heart palpitated violently and felt as if it was coming up into throat; drank several mouthfuls of water, which relieved.

Palpitation causes anxiety.

Feels beating of pulse through whole body, and from time to time like a slow rising w^ave through throat into head, followed by a sensation of a momentary rush of blood.

Pulse: steady, but rather full and hard, about ten beats above normal standard (80); slightly accelerated and hard, being more frequently saiall than full; quick and irritable; 160; becomes gradually weaker and quicker, especially after paroxysm, 120 to 180 ; frequently irreg- ular, becoming variable in its rate, and this variation takes place with great rapidity ; unequal, some beats stronger, some quickened ; weak, quick, intermitting ; very small, irregular and very rapid (last stage) ; weak, quick and intermittent (latter period); becomes con- stantly more rapid and smaller, until at length it is threadlike, and finally no longer can be felt. — '" Outer Chest. The clavicles feel as if they would slip from their sockets; has to place arms akimbo.

Quivering about sternum.

Spasmodic tearing pain under 1. ribs ; at same time it runs to anus, where it causes a constriction ; also at same time a tearing between skin and flesh down thigh to knee.

Pressure: on sternum between mammae ; between last ribs on r. side. • Stinging in 1. breast (between mamma and last ribs).

Chest as if beaten, in evening.

Soreness across chest, both breasts sw^ollen ; when waking in raorning can hardly get up ; three mornings in suc- cession. '^ Neck and Back. Constant pain in neck.

Going to neck : pain from head and from back.

Pressing in neck and up back of head.

LYSSIN. 192

From neck heat passes to ear and face.

Pressure and drawing pain in neck.

A stitch in nape of neck.

Muscles of neck and breast, frequently entire muscular

system, contract spasmodically. With inward heat, pains in neck, < if headache is >, or

and throat. Pain in muscles of neck and along cervical portion of

spinal column. From nape of neck a heat draws over r. ear into r. eye

awhile, it is difficult to raise. Neck feels more comfortable when, in sneezing, she throws

head back. Emphysematous swelling of subcutaneous cellular tissue

of lower part of neck ; may extend along upper portion

of breast and into mediastinum. Sterno-cleido mastoid muscle on each side stands out like

a thick cord ; a look of mingled anxiety and terror on

countenance. Head feels lopsided and as if something was drawing it

towards shoulder. At 2 P.M. laid down, found his head twisted to 1. side ;

under ordinary circumstances would very soon have

changed position, but to his surprise found it quite com- fortable and fell asleep ; woke at 4 p.m., felt a numbness

in 1. side of head, and flesh of lower part of body looked

into nape of neck, thence into muscles of 1. upper arm. At 2 P.M., severe pain across back between shoulders and

waist. A pain or ache in and between both shoulders, as if a

heavy weight was there, lasting two hours.

1^^ LYSSIN.

Pressing, running from between shoulders to occiput and across r. ear, in morning.

Below r. shoulder blade a pressure ; not pressing from out inward or > by bending backward.

Pressure in back, five inches below point of r. shoulder, one inch from spine ; had same sensation during each of her pregnancies, always on r. side, inward from low- est rib to breast bone.

Stinging: below r. shoulder blade; in cervical vertebrse.

Severe backache all day, and numbness of hands.

Spine aches; r. side of throat sore.

I Backache and headache.

Pain in back across hips, lasting all day.

Pain in back and both groins.

Burning in back near last ribs, r. side, like heartburn.

Pressing m region of kidneys; dull pressure in region of left.

At 4 P.M. violent pain in r. kidney, lasting an hour.

Pam from 4 a.m. till evening in both kidneys and across hips, severe and a little burning, > at 9 p.m.

Back extremely sore; as if beaten, in evening. Pains with cutaneous hyperassthesia along vertebral column.

Could not bear least touch along whole vertebra; slightest touch produced an irritability akin to convulsions.

iSheep turn and wriggle their backs because they cannot bear heat of sun ; increased sexual excitement; symp- toms pointing to madness; scratching their backs ap- pears to be agreeable to them, as they remain quiet and make a peculiar motion with their mouths, which does not express pain.

Going to back from heart, sensation with sinking.

Want of strength in back, must lean against back of chair m sitting.

Weakness in region of kidneys, loins and sacrum.

I Great weakness in back, as if it would split and fall apart. ^Lyssophobia.

I A sore lameness in back, with some degree of soreness in lower abdomen. ^Prolapsus uteri.

Pain in lower part of spine severe.

I Considerable pain in lower part of back, with a soreness lelt through to pubic region ; pressing finger on neck increased it.

Pressing pain in sacrum, r. side; later it moves to middle of back (repeated eight times).

Shooting through small of back.

■ Disease peculiar to sheep, termed the " gid ;" dropsy of spine. ^ "^

'' Upper Limbs. Pain on top of r. shoulder joint.

VOL. vii._13.

LYSSIN. 194

Pain in 1. shoulder joint, as if beaten and paralyzed ;

lameness in 1. axilla. All day a tearing, then a stinging in 1. shoulder joint, as

if in middle of bone, down arm and into finger ; and

after getting up from bed, for one hour in r. arm, then

all day in left. 1 P.M., slight pain in r. shoulder joint; also in head. Has a lump in r. axilla.

bones of arm to fingers. Sudden sharp, darting pain, in bitten hand, extending up

arm to shoulder and base of brain. Pain down wounded 1. arm ; generally in afternoon and

start all over (dogbite). Felt two shocks down wounded arm as from a galvanic

too great an exertion, and he allows arm to drop. , After some pain in arm (finger had a small wound exposed

during dissection of a mad dog, forty days ago), feeling

of malaise and fatigue, followed by death. In 1. upper arm, about axilla, pain as if beaten and lame;

the same near elbow, several minutes after in wrist ;

in evening. Her arm has felt very sore, although wound is almost

healed. A cold flush goes down arm as if ice water was being

in 1., > in a horizontal position and when allowing fore- arm to hang ; soon after in 1. knee.

195 LYSSIN.

To right of r. elbow a black and blue spot.

Throbbing pain in r. forearm on flexor side.

Muscles of forearm, as far as hand, painful when pressed,

or taking hold of anything. Blueness in streaks down r. forearm.

Hand trembles so much he can scarcely write. Trembling of 1. hand when taking hold of anything or

pressing with it; muscles hurt most on upper side of

forearm down to hand. Trembling of 1. hand.

The ball of r. hand hard, cramped and swollen. After counting copper coin, violent pain in r. hand, be- tween third and fourth metacarpal phalanx, in some

finger, nail turned quite blue. ^^ Lower Limbs. nA pressive pain in r. hip bone, goes

to rest with hands on hips to > the feeling. Something runs round and round several times in flesh,

in region of hip, then down leg to knee. Pain in thighs, particularly in anterior portion ; as if

extending into it. Tearing pain from middle of anterior portion of r. thigh

to knee.

LYSSIN. 196

Tearing in 1. thigh to knee.

Knees ache; tearing, drawing pain.

Stinging in r. knee.

Knees tremble at every step.

Laming pain in r. knee joint when getting awake in night;

contraction of hamstrings and relaxation of ligaments.

of ankle joint and flexors of toes. A curious feeling in legs, as if calf was heavier than usuaL Cramp in r. calf.

bite at all ; lately much < and quite severe. ^Lysso-

phobia. Sharp, biting pain in 1. ankle.

Painful lameness ink ankle joint in night while lying in bed. Heavy feeling in lower limbs, as if a weight was attached

to ankles. Pain from heel into thigh.

menia; at times extremely painful to move foot; does-

not pain much when walking upon side of foot; L

slightly troubling at times.

197 LYSSIN.

Extending to feet, pain from groins.

Pain extends from ankle bone to great toe.

shooting from fourtli toe to foot.

Some pain in toe next to little toe of 1. foot ; shooting into foot.

Tearing in first joint of 1. little toe.

Toes of both feet troublesome, feel as if nails were too long and broken ; pain in small of back and r. temple.

Each dose he has taken has made him feel as if he was getting corns on every toe, his real corns felt remark- ably well and did not pain him at all.

Her corns have troubled her but on one occasion since the proving; where she felt as having corns, she had twinges. ^* Limbs in General. Pain like rheumatism; shooting and stinging from knees down; stinging in palm of r. hand to finger ends, as though she had fallen on it.

Aching in knees and shoulders.

Shortly after pain in shoulder joint, afternoon third day ; pain goes into knee joint of same side.

Feeling of pressure on shoulders and weight in legs.

Pains or aches in all his limbs ; feeling of languor and extreme fatigue.

Weight and heaviness of legs and shoulders.

Heaviness of limbs.

A convulsive trembling of limbs during attacks.

When_ lying in bed, an unusual morbid contraction and tossing about of limbs.

Severe twitches in arms and legs, much resembling chorea.

Shaking or convulsive trembling of limbs.

He felt a severe, bruiselike pain in shoulders, chest, back, arms and legs.

All_ muscles feel bruised in morning, can neither sit nor lie down.

After moving, turning, or stooping, feels as if head would burst.

Very little exertion wearies him, and he feels quite languid.

All day had a disposition to straighten herself up.

Had to rest with hands on hips to > feeling as if hip bones would slip out of their sockets.

Horizontal position: pain in elbows >, also when allow- ing forearm to hang.

Lying down: thinks she is unable to move head; like a shock in upper part of brain ; rush of blood to head ; pains up neck and down spine ; impossible, pain in rec- tum and small of back; dyspnoea: impossible in dysen- tery; could not sleep.

LYSSIN. 198

Lying in bed: contraction and tossing about of limbs.

Parts on which he lies: burning heat.

Does not wish to rise.

Can neither sit nor lie: all muscles feel bruised.

Sitting: dizziness; must lean back, want of strength in

dull pain along sciatic nerve. When rising: rush of blood to head; tearing stinging in

occiput <. Stooping: inclination to fall to r. ; aching in bones above

eyes <; pressing in vertex and forehead; violent head- ache <; painful rush of blood to head; aching over

blade. Standing: pain in rectum and small of back; impossible,

head ; continual change (dog); that would tilt or rotate

five minutes after, sharp pain above eyebrows and up

nose ; quickly, causes pressing pain in hypochondria ;

pain in region of spleen ; enforced by terrible pain in

rectum and small of back ; great weakness in chest ;

stitches in heart ; impossible on account of pain in legs ;

painful on account of soreness of heel ; on side of foot,

instep not so painful. Going up stairs : pain in thighs ; weakness of legs ; very

weak.

199 LYSSIN.

After a short walk : exceedingly fatigued and weary.

Stirring about : violent headache < ; painful rush of blood to head.

Swallowing : difficult, particularly fluids ; stinging sen- sation ; causes constriction of throat ; causes terrible pain ; bread causes greatest agony; stitching sensation. ^^ Nerves. Until dinner time he felt so strangely in his whole body as never before, without being able to define the feeling.

In all motions of her body and in her looks is expressed a peculiar erethism.

All things affect him more, tobacco included.

Irritability; violent agitations.

I He could neither lie down nor stand up for any length of time. ^Dysentery.

Great restlessness, anxiousness, distress ; tossing about.

In afternoon whole body trembles, she can scarcely speak ; stinging in one of cervical vertebrae; when stooping feels dizzy on r. side.

Afternoon tremulous in whole body and very weak, can hardly talk.

■ Continual trembling sensation through whole body. ^Lyssophobia.

I The strange feeling changed during night into a trem- bling, and he is full of fear. ^Lyssophobia.

Twitchings of muscles throughout entire body (last stage). —

Twitching of tendons, with tendency to general con- vulsions. —

Severe nervous twitches in whole body all day.

Felt quivery all over.

If during great restlessness she attempts to sit down and work, she has alternately twitching in arms and legs.

Nervous twitching, with trembling of r. hand.

Starts now and then.

Muscular contractions appear with various degrees of in- tensity, from slightest convulsion to those of most severe and clonic form ; frequently tetanic convulsions. —

Spasms of individual muscles, as well as of muscular system in general, clonic, rarely tetanic. —

The spasms have the character of reflexed spasms ; their proximate causes are: attempts to swallow ; speaking; a current of air; sight or idea of fluids; sight or sound of running water; coming in contact with another per- son ; a bright light ; sight of shining objects or of some strange person ; a loud noise or strong odors. —

Sensations of convulsive actions in different parts; distress at epigastrium ; heaviness of limbs and general prostra- tion. —

LYSSIN. 200

Exertion is frequently succeeded by convulsions. -^

I Attacks returned every few minutes, for five hours, until they were arrested; pain passing down spine to loins and hips, and from thence to knees.

Convulsions conjoined with an exalted state of sense of smell, taste and touch. —

Spasms of legs and arms, occasionally very severe. —

Clonic convulsions; decided tetanus or trismus not ob- served; opisthotonos in rare cases.

In quick succession violent epileptic attacks. —

Spasms so violent that four strong men could hardly hold him and prevent him from hurting himself. —

Every day at 9 p.m., convulsive startings. —

She struck, snapped and bit at everything and every person. —

Pain commencing in cicatrix of bitten thumb, producing slight spasm, and still greater disposition to snap and bite and to grind teeth, which were entirely beyond his control, causing him to fall on floor. —

Suddenly a severe pain in bitten thumb, after nine days, instantly passing up spine and thence into brain, pro- ducing a violent, nervous convulsion for a few moments, with a disposition to snap and bite; passed off in two or three minutes. —

Convulsions came on and lasted for a short time, then per- fectly placid for some time before death. —

I I Convulsions daily; rolls head from side to side; wink- ing and rolling eyes; attempts to bite others; pelvis and legs are turned to one side as far as possible. ^Child, eet. 2, after scarlatina.

Feels as she did when she got up from a nine days' illness ; feels so heavy and sore.

Great debility and disinclination to move about, lasting till 2 P.M., gradually diminishing.

Feeling of malaise and debility at 3 p.m., great disinclina- tion to move.

Does not wish to rise.

Very soon a sensation of weakness, a kind of flabby lassi- tude, like days after great exertion, or after a fever or other disease.

Great weakness and restlessness, does not know where to turn, would prefer to lie down, but it affects his breathing.

Such weakness that knees tremble at every step, and she feels as if she would fall.

Weakness: with sore throat; after urinating; of sexual organs.

During exhaustion more nimble and active.

201 LYSSIN.

Fatigue and heaviness in legs.

Great physical relaxation; whole bod}^ feels fatigued; tired all over.

Felt irritable, tired and nervous.

With the numbness of paralytic symptoms the violence of all others increase.

I At times a singular sensation, a kind of "die away" feel- ing, quite instantaneous, cannot describe it; seems to extend through heart to back, ax3companied with quiv- ering around breast bones and pain in nerves, from 1. side of chest to throat and 1. jaw; fluttering about heart.

Felt stiff and tired ; required an effort to draw his breath.

After singing, suddenly falls down as if dead, with eyes shut, face red, quick breathing, pulse 100. —

A stage of general paralysis ; an abatement of most dis- tressing symptoms ; a freer respiration ; a diminution of reflex excitability; less impediment to deglutition; a rapidly increasing debility and prostration before death. — ^^ Sleep. _ Inclination to yawn, with stiffness of lower jaw.

Felt inclination to gape and stretch.

Felt drowsy ; in afternoon ; irresistable drowsiness, 9 p.m.

Sleepy after a meal, slept one hour without relief

■ Frequent yawning, without sleepiness, particularly when

■ Passed most of his nights sleeplessly, walking up and

down in despair. ^Lyssophobia.

Restless night, with stupefaction in head.

Sleep fitful, position continually changed ; dog.

Excited, cannot sleep.

Felt as he did some years since, when sitting up with a sick relative three nights out of five, unable to sleep during day from nervous anxiety.

When lying down could not sleep, eyes open, unless he purposely closed them, when they reopened involun- tarily.

Went to bed at lOJ p.m. (as usual), could not sleep (a very unusual circumstance) ; dozed and heard various noises till 3 A.M., which caused him to get out of bed to ascer- tain what they were ; started frequently ; slept soundly from 7 to 8J a.m.

Went to bed at 10 p.m. in great pain all over; woke up at 11| p.m. with very severe pain in stomach, lasting one hour.

After 10 P.M., while in bed, all symptoms more severe.

Had a restless night, woke repeatedly and felt tired.

LYSSIN. 202

Woke several times in night with pain in wounded arm.

Starting in sleep, afternoon.

Has to scratch whole body, and has no sleep for it all night.

Became more restless night before death. —

Dreams : of influential persons to whom he occupies posi- tion of servant or subordinate ; of a Latin debate with students of law, astonished at facility and fluency with which he spoke Latin, it being far greater than he was capable of in a waking state; of dogs all the time, but they are different dogs from the one that bit her ; of fighting, of high places, of insane asylum, of churches; disagreeable, when she falls asleep, night or day ; only in first half hour.

Jumped up in bed.

■ During night slept but little; was disturbed by disagree- able, disconnected dreams; felt strangely. ^Lysso- phobia.

On waking stands perfectly still for a time ; head fixed as if gazing at some distant object; a dog.

Sleepiness when unable to sleep, and sleeplessness when she might otherwise have slept; generally restless at night.

On waking is morose, inclined to be angry.

Late getting awake, and difficulty to recover from sleep.

Slept from 4 to 6 p.m., woke up and felt dreadfully nervous; had a great fear as if something was going to happen.

In morning, after exciting dreams, much fatigued, feels tired in sacrum and back.

If inclined to sleep, it is short, disturbed, with frightful dreams, and on awaking is apt to fall into slight con- vulsions. ,

On awaking from siesta, numbness in head. ^ Time. 2 a.m. : did not sleep more than thirty minutes until after.

3 A.M : became cold in bed for one hour.

Morning : violent vertigo, with chill and headache ; after rising, slight frontal headache < ; when getting awake, boring in temples ; woke with burning, aching headache ; severe headache ; lid puffed up like an eggshell ; on awak- ing lids feel paralyzed before rising ; on hearing water poured, obliged to have an evacuation ; pressing in fore- head early; frequent sneezing; (6 a.m.) tickling in 1. cheek ; heat in face ; bitter taste ; swallowing less diffi- cult; little appetite; stools more frequent ; diarrhoea, with violent pains ; urine yellowish brown ; both breasts swollen ; muscles stiff; pressing across r. ear ; wrists as if strained < ; pain in 1. knee ; all muscles feel bruised ; much fatigued.

203 ' LYSSIN.

8 A.M. : pain in 1. side.

9 A.M. : severe headache begins ; suffocating feehng in chest

lasting till lOJ p.m.

At 10 A.M. : began to spit a great deal; soreness and con- striction in throat.

At 11 A.M. : soreness in throat till noon ; stitches in heart for a few minutes.

In forenoon : sore throat ; belching ; gnawing pressure in 1. side ; painful sensation in upper part of abdomen.

Towards noon : headache with increase of saliva ; pain in testicles <.

At noon : shght headache, lasting rest of day ; pain in r. elbow.

Until dinner time : felt strangely in his whole body.

After dinner: disinclined to think; headache very severe ; pressing in epigastrium ; sexual excitement.

Afternoon : very severe headache ; dull pain in forehead, with stupid feeling ; pressing in vertex and forehead ; dull pain in forehead; sick headache; dull heavy pain in head ; headache, with nausea and sore pain around heart ; stinging pressure behind ears ; ranula, with dry- ness of mouth < ; stinging in chest, with palpitation ; sour belching ; erections ; itching and burning on corona glandis; burning and tenesmus as if in prostatic gland and in urethra ; increased peristaltic motion of scrotum ; first hours pain in testicles < ; pain in wounded 1. arm; painin shoulder joint; whole body trembles; drowsy; starting in sleep ; fever.

1 P.M. : slight pain in r. shoulder joint.

2 P.M. : intense pain in head ; sore throat ; violent spasm of throat ; laid down and found head twisted to l.side, found it quite comfortable ; felt numbness in 1. side ; severe pain across back ; pain in 1. elbow.

3 P.M. : headache very severe ; peculiar constriction in back

of throat ; feeling of malaise and debility. Until 4 P.M. : feels as if he had heard or would hear un- pleasant news ; pressure on upper part of head.

4 J>.M. : constriction in throat < ; violent pain in r. kidney lasting one hour.

5 P.M. : swallowing more difficult ; woke with stinging in forepart of index finger.

During day: rising of bile into throat; diarrhoea, with pain < ; unable to sleep from nervous anxiety ; disagree- able dreams when falling asleep, only first half hour.

All day : felt depressed and weak ; spitting of saliva; head- ache with dizziness; sore throat; intense pain in head; violent headache < ; a peculiar sensation in head ; itch- ing in nose; spitting; very severe sore throat; slight

LYSSIN. 204

pain in lumbar region ; terrible pain in throat ; sensation of emptiness and discomfort in sexual parts after coition ; dull pain in heart ; difficulty in moving head ; severe backache and numbness of hands ; pain in back across hips ; a tearing and stinging in 1. shoulder joint ; weight on shoulders ; feeling of weight in legs ; severe nervous twitches in whole body ; had to lie in bed, with severe pain in all bones. • Evening : fretful, hypochondriac mood ; vacillating motion of head ; dull pain in forehead ; pain above 1. ear ; shoot- ing to eyes ; pressive burning in r. concha; late, frequent sneezing ; drawing in side of face; disinclined to think ; want of appetite, followed by great lightness of head ; when in bed, rending across abdomen ; aching from groins to feet ; pain about neck of bladder ; cooling, burning, congested feeling in region of bladder ; profuse watery urine ; urine yellowish brown ; strong erections without sexual excitement or thoughts ; increased peri- staltic motion of scrotum ; chest as if beaten ; back ex- tremely sore; pain in wounded 1. arm ; pain in 1. arm and wrist; legs tired and aching; late, less inclined to chilliness. After supper : pressing in spleen ; lewdness, with weakness of parts, but inclined to an emission.

6 P.M.: sore throat >.

7 P.M. : sore throat ; slight, dull shooting pain in heart till 101 P.M.

8 P.M. : salivation recommended.

9 P.M. : severe shooting pain in head ; curious stinging pain in 1. eye; spasm of throat > ; violent pain in heart; irresistable drowsiness ; a dripping, warm perspiration from wrist to nails of r. hand.

10 P.M. : pressing pain in head ; pain in wounded 1. arm < ; stinging pain in r. hand ; pains severe until that time.

After 10 P.M.: while in bed all symptoms more severe. 10.30 P.M. : numbness in r. arm ; went to bed, could not

sleep ; dozed and heard various noises till 3 a.m., started

frequently.

11 P.M. : as if she was going to have a fit.

11.30 P.M. : awakes from sleep with severe bellyache.

After going to bed : intense pain in back of r. heel ; pain in heel.

Night : delirium < ; tempted to bite her pillow ; incessant talking; disturbed dreams ; stupidity with restlessness; on hearing water poured, obliged to have an evacuation ; hears various noises ; vomiting in sleep ; stools most frequent ; swelling of breasts ; laming pain in r. knee joint when getting awake ; pain in legs goes off"; cramp

205 LYSSIN.

in calves of legs ; while lying in bed, laming pain in joint of 1. foot; painful lameness in 1. ankle joint; strange feeling changed into a trembling, generally sleepless ; walking up and down in despair ; stupefaction in head ; woke several times with pain in wounded arm ; sleep- less on account of scratching of whole body ; more rest- less ; disagreeable dreams ; itching quite severe ; intoler- able itching in lower part of body to feet; stitches in heart ; pain in back ; itching on lower half of abdomen. ^^ Temperature and Weather, i Burning sensation in bitten place > by hot steam striking against it. ^Lyssophobia.

lUnbearableness of heat of sun. ^Dropsy of spine with sheep. —

The damp, warm weather oppressed him.

Expressed a desire to go into bath ; after a warm bath more irritable to external air, the most distressing symptom that occurs. —

Great sensitiveness to every breath of air. —

A very gentle stream of air projected from lips on to patient's forehead, and continued only for a few seconds, brought on a violent spasm. —

Asked her mother to beg him not to breathe upon her face again, as it distressed her so much (after Bellad). —

Air, of agreeable temperature, feels cold and disagreeable.

Continually directs a window to be closed which is not open.

Draft of air, or opening or closing door, brings on spasms. —

Extreme sensibility to cold or least variation in tempera- ture of air. —

Heat of sun : cannot bear it.

Warm drinks : more easily taken than water.

As soon as he gets warm in bed : itching in inner sides of thighs and knees ; compelled to scratch.

Open air : headache > ; feels a chill strike r. arm.

Breath of air : sensitive to.

Blast of air : causes greatest distress.

Wet weather: aching in 1. side of head <.

In cold room, while undressing : strong erections.

Cold air : > headache ; headache, with nausea and sore pain in heart >. ^° Fever. Paroxysms of intense coldness with pain in spine.

During paroxysm, limbs cool and livid.

Attacks of vertigo, chilliness, sometimes chills; at least one a day for several days, not always accompanied by vertigo, though always accompanying it.

Late in evening less inclined to chilliness.

Chilly feeling, more down r. (bitten) arm.

Felt chilly and cold all over; shaking.

LYSSIN. ' 206

Became cold in bed at 3 a.m., although covered with four blankets; lasted about one hour.

Chills intermixed and followed by heat and cold sweat.

A fever, sometimes preceded by slight shiverings, gener- ally very mild.

Face sweats, with flushes.

Temperature of body 100 to 104° Fahrenheit, seldom rises to 105 or 106. —

Cannot bear heat of sun.

Fever in afternoon.

Slight fever, with flushes of heat.

Fever every evening, commencing at dusk and lasting until bedtime (midnight).

Sensation of burning heat in parts on which he lies.

He feels the pulse's beat through body; from time to time there is a surging through throat into head, like a slow wave.

Great fever, no chill; pulse 160; no appetite; thirst, drinks cold water ver}^ often ; stupid and sleepy.

Feverish heat, with headache.

Sensation as if a hot wave, fine, like vapor, surged through body, taking an outward course, yet not reaching sur- face or extending into limbs.

Heat, with pressure in forehead and back.

After drinking some coff'ee, a strong heat in r. side of face, followed by aching in front of upper part of head; after this again heat from nape of neck up head over ears and r. side of face ; with heat in eye from within out- ward and tickling in ear.

Sensation of heat felt internall}' and externally through entire body, no external warmth, it forces perspiration out on face as from weakness, and is accompanied by lassitude and aching in legs.

At 9 P.M., a dripping, warm perspiration from whole r. hand, from wrist to nails; afterwards hands and fingers stifii", she can hardly bend them. —

Skin covered with a clammy sweat (last stage). —

Skin moist, even covered with sweat; during spells, limbs cold and livid.

Much better after perspiring.

■ Intermittent fever. ^^ Attacks, Periodicity. " Other diseases, when poison is ab- sorbed, have their periods; the canine poison depends on climate and constitution and difi'erent periods, from first day till nineteen months." —

Took several drojDS of 300, after having been bitten in nose; symptoms next day and the following, and well the third day, first symptoms returned on the twelfth day.

207 LYSSIN.

to loins and knees. Periodical : ranula ; sjDasm of oesophagus ; dull pain along

1. sciatic nerve. Alternating : of heat and headache ; twitches in arms and

breasts swollen. First days : smoking unpleasant, after first week a crazy,

brain, nervous convulsion for a few moments, passes off

in two or three minutes. Forty days ago : small wound exposed during dissection

of mad dog, feeling of malaise and fatigue, followed by

hearing or seeing running water. For several months : offensive mucus from uterus.

LYSSIN. 208

For three months: sticking, drawing, squeezing pain in heart.

For seven years : prolapsus uteri. *^ Locality and Direction. Right then 1. shoulder: rheu- matism.

Right to 1.: headache.

Right: inclination to fall to side; dulness on side of head, over eyebrow; drawing above eye; headache extending into eye ; headache very severe in temple ; tearing pain in temple; boring in temple; occasional stitches; press- ing weight on parietal bone; piercing pain in side of head ; pressing stinging on side of vertex ; heaviness in vertex; stiff feeling of side of head; darting in vertex; drawing, beating pain over eye ; aching over eye; pain over eye pressing inward ; pressing sensation in upper part of r. orbit; throbbing over eye; curious, stinging pain over eye; occasional stitches in temple; as if blood rushed to ear; buzzing in ear; temporary stoppage of ear; rending pain in ear; shooting and stitches in ear; pressive burning in external ear; tearing pain a few inches from ear; stiffness in side of neck; gnawing and crawling sensation in zygoma ; tearing in upper and lower jaw and ear; darting pains in side of face; a sensation moves about side of face and across fore- head; heat in side of face and ear; chilling, biting, burning on inner side of upper lip to nasal cavity; teeth hurt more on side; sensation shoots into lower jaw; chilling painfulness in teeth; aching in gums on side; throat aches; pressing pain near last ribs; shoot- ing in side of abdomen; pain in kidney; pain from with- in outward in side ; pain in side* of abdomen from uterus; sticking in side of abdomen; stitches in side of abdomen; above inguinal region pressing pain; pain in groin ; in groin two small kernels under skin ; pain in side of abdomen; pain in side of larynx; stitches in side of abdomen; pressing in chest; pinching pain in side; burning like heartburn in side of back ; pressing sting- ing in upper vertex on side ; pressure between last ribs on side; side of neck stiff; heat over ear into eyes; cramp- like pressure under shoulder blade ; pressing pain under shoulder blade ; pressing, with heat near shoulder blade; pressing across ear; pressure below point of shoulder; stinging below shoulder blade; side of throat sore; vio- lent pain in kidney; pressing pain in side of sacrum ; pain on top of shoulder joint ; slight pain in shoulder joint; has a lump in axilla; rheumatic pain in shoulder; aching in arm ; slight twitching in arm ; numbness of arm; arm becomes heavy and inactive; feels a chill

209 LYSSIN.

strike arm ; as if fleas were running over arm ; pain in elbow as if paral3'zed; to r. of elbow, black and blue spot; throbbing pain in forearm; blueness in streaks down forearm ; stinging pain in hand ; soreness in hand ; hand numb; hand swollen; ball of hand cramped and swollen; violent pain in hand; smarting in palm of hand ; pain in first joint of ring finger; stinging in fore- part of index finger, nail turned blue; pressive pain in hip bone; pain in anterior part of thigh; twitching in femur as if some one was pulling from below; tearing pain from middle of anterior portion of thigh to knee; stinging in knee; laming pain in knee joint; numbness in knee; leg falls asleep; cramp in calf; intense pain in back of heel ; pain in heel ; intense pain in heel ; pain in sole, extending to ankle : severe pain in instep ; tear- ing in first joint of little toe; pain in temple; dizzy on side ; chilly feeling more down bitten arm ; strong heat in side of face ; itching in hand. Left: bite in calf of leg; pain above eye; tearing from middle of forehead toward side; sharp pricking in temple; dull pain in forehead < ; pressing pain in side of head, then to side of forehead and orbit ; dull pressure on side of head ; dull pricking pain in side from head to waist ; side of head most severely affected ; severe pain one and a half inches above ear; burning aching from side of occiput down neck ; numbness of side of head ;: eye exceedingly sensitive to light and water ; curious stinging pain in eye ; sound as of rushing waters in ear;. pain most severe above ear ; transitory drawing in side of face ; neuralgic pain down side of face ; heat and sore- ness in middle of cheek ; tickling in cheek ; as if she had been bitten in cheek ; pain on cheek near nose ; pain in side of throat ; burning stinging in side of chest ; loud gurgling in side of stomach ; loud cooing noise in stomach ; in region of stomach and spleen, gnawing press- ure; pain down side of abdomen; dull pressure in region of kidney ; itching on side of os pubis ; pain in ovarian region; pain in side of vagina ; stinging in side ; cramp- like pain and stitches in side ; stitches under mamma ; shooting between mamma and last ribs ; shooting, fly- ing pains through chest ; burning stinging in side ; pain deep in, in side, in chest; violent pain to side of heart; spasmodic pain under ribs; stinging in breast; head twisted to side ; numbness in side of head ; pressure, with heat into upper arm ; dull pressure in region of kidney ; pain in shoulder joint; lameness in axilla; tearing and stinging in shoulder joint ; rheumatic pain in shoulder ; pain down wounded arm ; in upper arm pain as if beaten VOL. \^I. — 14.

LYSSIN. 210

and lame, then in wrist; pain in elbow as if paralyzed; trembling of hand ; intense pain in forefinger ; hip aches in bone ; along sciatic nerve a dull pain ; laming pain inside of thigh, above knee joint; tearing in thigh to knee ; paralyzed pain in knee ; laming pain in knee ; pain going down leg; coldness on side of leg ; calf of leg ached as if it had been cramped ; sharp biting pain in ankle ; laming pain in joint of foot ; painful lameness in ankle joint ; pain in toes ; pain in instep ; pain in nerves from side of chest to throat and jaw ; itching in foot ; herpes circinatus on leg below knee. From without in : boring stitches in head ; stitches in ear. From within outward : darting to scalp ; pain in r. side ;

heat from nape over ear ; heat in eye. From 1. to r. : tearing in hypochondriac region ; rending

stretched. — Feels sore all over.

A sensation of burning heat in parts he lies on, it feels as if it was from a hot stove, most in region of kid- neys, loins and sacral region.

211 . LYSSIN.

Numbness occasionally over whole body.

The local neuralgia generally has the peculiarity of shoot- ing out from bitten part towards trunk. —

Burning pain in forehead and heart, and in back of head and neck, r. ear and 1. arm and leg.

Nose feels stiff.

Throbbing most severe in r. temple.

All bones feel as if broken, has to remain in bed.

Bruised feeling, with sore throat.

Pressing here and there in chest, abdomen and region of kidneys.

■ Drawing from neck to forehead, immediately followed by sparks before eyes and vanishing of sight ; red face; involuntary grinding of teeth ; second attack ; the first was felt in head after washing in moraing; seven days after bite of mad dog (Bellad.,^^^ three doses, Hyosc. in- terpolated once a day).

As if two entirely different trains of thought influenced her at the same time; felt as if he had received joyful intelligence ; as if something unpleasant would happen; as if he could do nothing; as if she was going to have a fit ; as if she was going to clie ; as if she was going to sink away; as if he momentarily lost consciousness; as if something was drawing around in a circle; as if she could not hold her head straight ; as if she would fall; as if a small leaden ball was rolling about in brain; as if something was moving in forehead; tearing as if in bones of head ; as of an invisible hammer striking upon back of head; as if head, nose and teeth were soldered to- gether; as if head would split ; as if head would burst; as if something drew head towards shoulders ; as if r. side of head would become numb; bones of head as if shattered and sore; as if parts of head would become insensible; as if a cast was pressing down on vertex; aching as if in bones over eyes; eyes as if glued to- gether; as if blood rushed to r. ear; pressure as from a dull knife in ear; pressure as if from a dull point in r. ear; sneezing as if a coryza would begin; draw- ing in face as if in muscles ; as if needles were run into brain; as if she had been bitten in 1. side of face; as if she would have mumps; as if corroding acid had touched Hp; head feels as if filled with air to bursting ; teeth as if on edge ; as if root of tongue was swollen, as if there were lumps in it ; as if uvula was too long ; throat as if swelled or raw ; as if he would suffocate with violent spasm in throat; feeling as if beaten ; as if epiglottis was paralyzed ; as if a ball rose from stomach into throat ; as if he had swallowed red

LYSSIN. 212

pepper; pain as if in or behind duodenum, aching as if in intestines ; as if an abscess was forming in region of spleen ; as if slie would have to vomit ; pricking as if from thorns in anus ; as if he passed his strength away when urinating ; burning and tenesmus as if in pros- tate gland ; as if struggling for breath ; as if she might just have plunged into cold water; pain as if in nerves of chest ; as if needles were sticking in heart ; as if heart would burst; as if a hot wavelike stream was moving through abdomen and chest; as if it was coming up into throat ; as if a slow rising wave passed through throat into head ; as if clavicles would slip from their sockets; chest as if beaten; as if heavy weight was in shoulders; back as if beaten; as if back would split and fall apart; as if shoulder joint was beaten and paralyzed ; pain in shoulder joint as if in middle of bone down arm and into finger; feeling as if weather was going to change; pain as if beaten in 1. upper arm; as if ice water was being poured upon arm; as if fleas w^ere running over r. arm ; elbows as if paralyzed ; 1. knee as if paralyzed ; wrists as if strained ; as if first joint of r, ring finger was going to gather; as if hip bones, would slip out of their sockets; thighs as if fatigued;, pain in thighs as from a bruise ; as if there were several pounds of lead in tibia of each leg ; as of pressure with a dull point in joints of feet; as if he had rheumatism in legs ; as if thighs were too heavy ; as if calf of leg was lieavier than usual ; as if calf of 1. leg had been cramped; as if a weight was attached to ankles ; as if nails of toes were too long and broken ; as if he was get- ting corns on every toe; as if she had fallen on her hand; as if she would fall; falls down as if dead; head fixed as if gazing at some distant object; tearing as if in bone; as if every bone had been broken or violently beaten. Pain : in head ; in heart ; in nose ; in occiput ; over eyes ; in temples; above 1. eye ; in a small spot above r. eye- brow ; from mouth up through head and down back of neck; in bones of skull; on top of head and in teetli, running into each other; in nape of neck ; in 1. cheek, near nose ; in root of tongue and 1. side of throat ; in limbs ; in throat when swallowing, particularly fluids ; from wounded arm into throat; in epigastric region ; in region of liver and r. kidney; from within outward in r. side ; in 1. side ; in r. side of abdomen from uterus ; down 1. side of abdomen ; in r. groin ; in two small ker- nels under skin ; in inguinal glands ; about neck of bladder ; in testicles ; from uterus into breast and r. side.

^13 LYSSIN.

of abdomen ; in 1. ovarian region ; in lower part of back ; in back and lower part of bowels; next to larynx on r. side ; in heart ; in side of chest up to throat ; in uterus ; deep in, in 1. side ; in 1. chest on small spot in region of heart ; in ear ; from head and back to neck ; in cicatrix ; in muscles of neck and along cervical portion of spinal column ; in back across hips ; in groins ; with cutaneous hypergesthesia along vertebral column ; on top of r. shoulder joint; in 1. shoulder joint; down wounded 1. arm ; in first joint of r. ring finger; in thighs ; in anterior part of r. thigh; in all joints of feet; in legs; going down 1. leg ; from heel into thigh ; in r. heel and toes of 1. foot ; in sole of r. foot to ankle ; from groins to feet ; from ankle bone to great toe ; in toe next to little toe of 1. foot; in small of back and r, temple; in shoulder joint; passing down spine to loins and hips, thence to knees ; in cicatrix of bitten thumb ; in nerves from 1. side of chest to throat and jaw; in spine.

Unspeakable torture : in back.

Unbearable pain : in head.

Intolerable pain : in head to end of nose and into teeth.

Maddening, outward pressing pain : in forehead.

Intense pain : in head from forehead to organ of firmness, then to top of head and eyes; from inflammation of os and cervix ; in forefinger of 1. hand ; in r. heel.

Terrible pain : in throat when swallowing ; in rectum and small of back.

Dreadful pains : up neck and down spine.

Intolerable, snappish headache.

Violent pain: in head ; in back ; from temple to temple ; in temples and forehead ; in heart ; in r. kidney ; in r. hand.

Very severe pain : in head.

Severe pain : in temples and above eyes ; in eyes and in all his joints ; from mouth upward through head and down neck ; in abdomen ; in lower bowels ; across back, between shoulders and waist ; in back ; in both kidneys and across hips ; in r. instep ; in bitten thumb ; in stomach.

Acute pain : in and below uterus.

Horrible pain : in head.

Terrible burning and pricking : in anus.

Very violent aching pain : in side of and all over chest.

Violent shooting pain : in 1. of vagina.

Severe shooting pains : in head, over eyes and in temples.

Violent sticking pain : in heart and to 1. of it.

Severe bruiselike pain : in shoulders, chest, back, arms and legs ; in all muscles.

Tearing : from middle of forehead towards 1. side ; in r.

LYSSIN. 214

temple ; from jaw to temple ; a few inches from r. ear ; in r. lower and upper jaw into ear; from 1. hypochon- driac region to r. ; between skin and flesh down thigh to knee; in 1. shoulder joint; from middle of anterior portion of r. thigh to knee ; in 1. thigh to knee ; first joint of little toe.

Rending pain : in r, ear; across abdomen from 1. to r. ; in neck.

Tearing, drawing pain : in knees.

Tearing, stinging : in occiput.

Spasmodic tearing pain : under 1. ribs to anus.

Shooting pain : in upper part of face ; to eyes ; in r. ear ; in upper jaw ; in r. eyetooth ; in teeth ; in r. side of ab- domen ; in abdomen; between 1. mamma and last ribs; in r. side; in region of heart; in neck; through small of back ; from fourth toe to foot.

Shooting, flying pains : through 1. chest.

Flying pains : in urinary organs.

Pressing, shooting : in vertex.

Sharp darting pain : in bitten hand ; up arm to shoulder and base of brain.

Darting : from within outward to scalp ; on r. side of ver- tex ; in side of face ; into anus.

Sticking, drawing, squeezing pain : in heart.

Piercing pain : in r. side of head.

Boring : in temples.

Boring stitches : in head.

Stitches: in r. temple; in heart; in r. ear; in both ears; in r. side of abdomen ; in belly ; in 1. side ; under 1. mamma ; in nape of neck.

Occasional stitches : in r. temple.

Sharp pain : above eyebrows and up nose ; in uterus shoot- ing to labia.

Beating pain : in forehead, parietal bone, occiput and nape of neck ; in r. temple and above r. eye.

Pressing beating : in vertex.

Throbbing pain: in head; in forehead; in vertex; in occiput; in 1. temple; in nape of neck; over r. eye; in anus; in neck; in r. forearm on flexor side.

Painful throbbing : in region of spleen.

Pinching : in 1. temple.

Pinching pain : at fourth rib, r. side.

Sharp, biting pain : in 1. ankle.

Severe pressing pain : in 1. side of head.

Neuralgic pains : in gums.

Constant pain : in lower part of heart ; in neck.

Burning pain: in forehead; in 1. side of head and down neck; in throat; around heart; in neck; down wounded arm.

215 LYSSIN.

Burning, neuralgic pain : down 1. side of face.

Stinging pain: in throat; in Iieart; in 1. breast; in neck; below r. shoulder blade; in cervical vertebrae; in 1. shoulder joint; in r. hand ; in forepart of r. index finger; in r. knee; from knees down; in palm of r. hand to finger ends ; in one of cervical vertebrae.

Suffocating pain: at pit of stomach.

Sting: in sore arm.

Pricking sticking pain : in heart.

Sticking: in r. side of abdomen; in r. side.

Stitching sensation : when swallowing.

Chilling, biting, burning sensation: on inner side of r. upper lip, passes up and back to r. nasal cavity.

Stinging pressure: behind ears.

Pressing, stinging: r. side of vertex.

Burning, stinging: in throat; 1. side of chest.

Pressive burning : in r. external ear.

Stinging sensation: in throat; in small of back; in middle of abdomen ; in 1. side of chest.

Burning: in eyelids; in vertex; in ear; from eyetooth down oesophagus ; in urethra ; in r. side of back ; in heart; in back near last ribs ; in both kidneys and across hips.

Burning heat : in parts on which he lies.

Burning, surging : towards head from abdomen ; through chest.

Tickling, burning : in urethra.

Great heat : in throat and about heart.

Inward heat: in neck.

Heat : in ear ; in r. side of face and r. ear ; from back of neck, also into eye; in middle of 1. cheek; in face; in heart ; from neck to ear and face ; in forehead and back ; internally and externally through entire body.

Itching, burning : on corona glandis.

Itching heat : in eyes.

Smarting pain : on swallowing ; in palm of r. hand.

Sharp pricking : in forehead ; in 1. temple.

Biting : in various parts of body.

Sore pains : in heart.

Extreme soreness : of back.

Soreness : of throat ; in eyes and above them ; of jawbone ; in middle of 1. cheek; of mouth; in back of throat; in whole of lower abdomen; through pubic region; of vagina ; in lower part of back ; across chest ; of r. side of throat ; in arm ; in r. hand ; of balls of heels.

Drawing, beating pain : over eye.

Drawing, dragging pain : in groins.

Rheumatic pain : across chest ; first in r., then in 1, shoul- der ; from knees down.

LYSSIN. 216

Cramplike pain : in 1. side of chest.

Colicky pain : in abdomen.

Pressing pain : in head ; in forehead ; in r. side, near last ribs ; in hypochondria ; in region of spleen ; under r. shoulder blade and between scapulse; in sacrum, r. side; in r. hip bone, thence to sacral bone.

Cramps : in abdomen ; in arms ; in back and limbs of bit- ten side ; in calves.

Dull stitching pain : in heart.

Dull shooting pain : in heart.

Dull pain : in forehead ; in heart ; along 1. sciatic nerve.

Laming pain : on inner thigh, extending to knee ; in r. knee joint, then in 1. knee ; in joint of 1. foot.

Curious stinging pain : in 1. eye to forehead, over r. eye.

Dull pricking pain : in 1. side from head to waist.

Aching: in bones above eyes; in occiput; in jaw; over eyes; aching of r. ear; in ear, extends to teeth ; in lower jaw; in all the teeth; in carious root of a molar; on r. side of throat; in stomach; from below waist to feet; in loins, into back down to feet; in and between both shoulders; in spine; in back and head; in arms; in 1. hip bone; in knees; in legs below knee; in legs; in knees and shoulders; in all his limbs; in front of ujDper part of head.

Slightly hot, quiet aching sensation: below chest, often in entire abdomen.

Quiet aching: in front of upper part of head.

Aching dulness: in teeth.

Dull heavy pain : in forehead.

Cooling pain: in stomach.

Chilling painfulness: starts in teeth of r. side, behind and below in bone of lower maxilla and passes upward.

Painful coldness : shoots into teeth.

Painful sensation: deep in upper part of abdomen; in testicles.

Painful dulness: in occiput.

Painful desire to swallow.

Painful urging: in penis.

Peculiar pain : at root of tongue.

Disagreeable kind of pain: in cheek and deep in upper part of jaw.

Slight pain : in lumbar region ; in r. shoulder joint; in head.

Painful pressure : on upper part of head.

Gnawing pressure: in region of stomach and spleen.

Cramplike pressure : under r. shoulder blade.

Pointed pressure : in stomach.

Dull pressure: on 1. side of head and on vertex; above r. inguinal region; in region of 1. kidney.

217 LYSSIN.

Pressing: in forehead; from nape of neck into ear; inward in epigastrium ; in spleen ; in abdomen ; in chest ; in neck and up back of head ; with heat in back near r. shoulder blade into nape of neck, thence into muscles of 1. upper arm; running from between shoulders to occi- put and across r. ear; in region of kidneys.

Pressure: in 1. side of occiput; in upper part of head and forehead; in upper part of r. orbit; in 1. side; in r. ear; on sternum between mammse; in neck; below r. shoul- der blade ; in back, five inches below point of r. shoul- der, one inch from spine; on shoulders.

Pressing heaviness : on top of head ; in r. parietal bone ; in r. side of head.

Pressing inward, throbbing or drawing : above r. eye.

Heavy bruised sensation : in thighs.

Cooling, burning, congested feeling : in region of bladder.

Bruised feeling : in nose.

Scraping sensation : on palate.

Sensitiveness: of scalp; of teeth ; of uterus; of vagina.

Drawing : in gums ; in abdomen below navel ; from groins downward ; in neck ; in back and limbs of bitten side.

Gnawing sensation : in r. zygoma.

Pinched feeling : of scalp.

Bearino; down : in uterine region.

Peculiar sensation of constriction : in back of throat.

Peculiar sensation : in vertex.

Lameness with soreness: in back; in 1. axilla; in 1. uj)per arm and near elbow, then in wrist.

Lame feeling : in wrist.

Prickling sensation: in lower limbs.

Pricking sensation : under tongue.

Painful lameness : in 1. ankle joint.

Transitory drawing : in 1. side of face.

Strange sensation : in head ; of whole body ; in heart.

Curious feeling : in legs.

Discomfort: in chest.

Suffocative spasm : in throat.

Cramped feeling : in ball of r. hand.

Spasmodic sensation : in trachea.

Contraction : of hamstrings.

Contracted feeling : of scalp.

Constrictive sensation : in throat ; about breast.

Suffocating feeling: in chest.

Surging: towards head, felt deep in brain; in vertex.

Expanded feeling: of chest and abdomen.

Sense of emptiness and discomfort: of parts after coition.

Lightness: in head.

" Die away " feeling : extends through heart to back.

LYSSIN. 218

Great distress: in epigastrium and prsecordial regions.

Paralyzed feeling: in eyes.

Stupid feeling: in forehead.

Sinking: at heart.

Great weakness : with aversion to move ; in chest; in back.

Weakness: in sexual organs; of back; of chest; in region

in front of nose; in 1. cheek; in throat and root of

side of neck ; of lower jaw; of neck ; in muscles of neck

and throat ; of r. hand ; of fingers and hands. Numbness: of 1. side of head; in both arms and hands;

whole body. Quivering : in face ; about sternum ; in hands ; all over ;

in region of hip, then down leg to knee. A sensation moves about r. side of face and goes across

forehead ; from heart to back. A sense of motion: in stomach; in lower part of abdomen;

in middle of abdomen. Crawling sensation : in r. zygoma.

219 LYSSIN.

A sensation half coldish, half burning: in whole epigastric region.

Chilly feeling: in limbs; down bitten arm; all over.

Coldish feeling: far back and deep in throat.

Cool feeling: on tongue; in oesophagus.

Coldness: in stomach; in 1. side; in spine.

Intolerable itching: in lower part of body down to feet.

Itching: in locality of acquisitiveness; in a small spot in upper part of both ears; in nose; on os pubis, extend- ing to root of penis; all over arms; in r. hand ; in r. foot ; in various parts of body. ** Tissues. Affects principally the nervous system. —

Great blueness of veins and redness of arteries on wounded arm.

Tearing and shooting as if in bone.

Supraorbital bones feel shattered.

Aching in bones; every bone seems bruised and sore; as if every bone had been broken or violently beaten; never had such pains, had to return to bed and lie there all day.

All his joints cracked on least motion, and pain was quite severe till 10 p.m.

Lost flesh, getting thinner all over.

Quick tendency of bodies to putrefaction. —

When water (in bath) was least ruffled, so as to touch a fresh surface, convulsions were excited. —

Faceache after puncturing a pimple on cheek.

A lacerated wound on r. cheek, behind ramus of jaw, one and a half inch, and three lines of abrasion on front of same cheek. —

Local sensations of pain in wound or scar continue often after prodromic stage, in an increased degree in higher stage, but are in last scarcely heeded. —

Peculiar sensations are frequently experienced at seat of bite, or in adjacent parts; like a sensation of pricking, boring or burning, always proceeding from wound. —

Complained of a pain in r. arm (bitten part); no inflam- mation or enlargement of glands of axilla could be dis- covered. —

Tearing pains often proceed from wounded parts, frequently attributed by patients to effects of a cold and to rheu- matism thereby induced. —

Shooting out from bitten part towards trunk, less frequently extending outward from sensorium, or in some locality other than part injured. —

LYSSIN. 220

Wound in exceptional cases appears inflamed and swollen;

healed. — The wound healed without irritation kindly in course of

generally slight, while pain thereby produced is mode- rated. — Even after application of strong caustics, wounds manifest

a strong tendency to skin over without granulating. — Never saw a wound more disposed to heal; he was abroad

in five weeks, yet afterwards affected by hydrophobia. — The ready healing of the wound made b}^ the bite of a

rabid animal is similar to the rapid healing of wounds

in those affected with leprosy. Touching scar is said to produce peculiar sensations, a

turned into malignant ulcers; surrounding bluish red

edges, raised and hard, bases badly suppurating and

ichorous, with redness and hardness. I Scars from a bite in nose swollen and red for fifteen

months. lUlcers remaining after bite of evil disposed dogs.

■ Pain on spot bitten became burning, and extended over

whole body, and he felt very strangely. ^Lyssophobia.

■ Felt a continued pain in spot on r. calf where he was

bitten, but without a lesion. ^Lyssophobia.

■ Wounds from bite of dogs, in sheep.

■ A cow bitten by a dog in foot joint had a large swelling

of part, and animal got very restless. —

■ Two puppies, bitten by their rabid mother, did not get

mad after taking Lyssin. It may be a prophylactic to hydrophobia, but never with- out at the same time applying radiate heat to the part bitten, and frequent sessions in hot room of Turkish bath; during the attack remedies are to be applied according to symptoms.

221 LYSSIK

Slightest touch : brings on convulsions ; along whole ver- tebrae causes irritability akin to convulsions.

Touch: on head makes it ache; small pustules on frontal eminence; nose very sensitive; pimple on eminence of forehead painful; pain on cheek <.

Pressure: on neck of bladder; causes < pain in neck; causes pain in larynx ; muscles of forearm painful; vio- lent pain in r. hand.

Disposition to press hand against lower jaw.

Presses head against wall; headache.

Rubbing: headache >; causes ear to pain.

Gentle scratching: headache >.

Many underwent smallpox subsequent to reception of bite, and after their recovery died with hydrophobia

Biting, itching in various parts of body, < by scratching.

Very slight headache and biting itching all over body and legs.

Itching quite severe during night.

Had to scratch frequently, or rather rub.

Through night intolerable itching in lower part of body down to feet.

Itching in r. hand, 1. foot, and in various parts of body.

I Bluish discoloration of bitten place (after Laches.).

Itching as soon as he begins to get warm in bed, particu- larly on inner sides of thighs and knees ; after scratch- ing there appeared small, red spots in a circle.

When in bed he is compelled to scratch ; cannot sleep all night.

■ Pustules: on forehead; around inflamed eye; on finger

(after bite).

■ Malignant ulcers from bite of a dog. I Red scar from bite of a dog.

■ Cancerous sores.

Herpes circinatus appeared on 1. leg, below knee and livid

yellow complexion gave way to a healthy color. ^^ Stages of Life, Constitution. Persons have undergone

diseases (particularly smallpox) between time bitten

and hydrophobia afterwards. — Man, set, 40, robust, otherwise good health; spasm of

Mary M., set. 32, full habit, healthy, robust, bitten by a

mad dog in r. hand ; treated recklessly. —

LYSSIN— MAGNESIA CARBONICA. 222

Bitten by a mad dog in sixth year in several places; be- came somnambulistic ten years after.

A woman, ajt. 36, white skin, blonde, blue eyes, small, quiet temper, not very sensitive to medicine. —

Girl, get. 12, same way. —

JEt. 24, same constitution. —

A girl, set. 11 ; symptoms after a bite. ■^^ Relations. lAntidotes: Bellad., Hyosc, Stramon.

Compatible: Nat7'. mw. follows well; after Tabac, in head- ache; after Arg. nit., in uterine disease; after iStannum, in neuralgia

Canthar.