Secale Cornutum

Ergot ; Spurred Bye. A Fungus.

The alcoholic tincture is prepared from the fresh ergot, gathered shortly before harvest.

This remedy awaits proving.

Toxocological reports and efTects of the rye disease are extensive. See Allen's Encyclopedia, vol. 8, p. 551.

Clinical Acthorities Asthenopia, Willebrand, B. J. H., vol. 17, p. 692 ;

Epistaxis, Hrg., Gross, Eiick. Kl. Erf., vol. 1, p. 414; Difficult dentition, Syrbius, Riick.

Kl. Erf., vol. 1, p. 476; Cardialgia, Hamb., Gneyrand, Eiick. Kl.

Erf, vol. 1, p. 659; Hcematemesis, Gross, Drescher, Riick. Kl. Erf, vol. 1, p. 575;

Rummell, Lobeth, Jean, Syrbius, Gross, Behlert, Weigel, Griessel., Eiick. Kl. Erf, vol.. 1, p. 847 ; Von Tagen, A.

J. H. M. M., vol. 1, p. 183;

Sinking spells from diarrhoea. Crow, Hah. Mo., vol. 10, p. 167 ; Cholera, Eummell, Lobeth., Henke, Tietzer, Knorre, Adler, Kurtz, Eiick.

Kl. Erf., vol. 1, p. 960; Hcematuria, Trinks, Eiick. Kl.

Erf., vol. 4, p. 63 ; Hysteralgia, Burnett, B. J. H., vol. 35, p. 87 ;

Prolapsus uteri, Kallenbach, Eiick. Kl. Erf., vol. 2, p. 345 ; Uterine prolapsus, Kallenbach, B.

J. H., vol. 1, p. 407 ; Uterine hemorrhage, Hartm., Hirzel, Griessel., Jean, Gross, Ehrhardt, Diez, Nenning, Eupprich, Drescher, Frank, Bernstein, Thorer, Eiick. Kl.

Erf., vol. 2, p. 332 ; Stens, A. H. Z., vol. 19, p. 153, Trans, by S.

L., A. J. H. M.

M., vol. 3, p. 98; Fisher, Bib. Horn., vol. 8, p. 140; Low, B.

J. H., vol. 16, p. 306 ; Metrorrhagia, Hirsch, B. J.

H., vol. 26, p. 215 ; Euppich, A. J. H.

M. M., vol. 4, p. 150 ; Menorrhagia, Linsley, A. J.

H. M. M., vol. 1, p. 73 ; Frank, B.

J. H., vol. 1, p. 259; Drysdale, A. J.

H. M. M., vol. 1, p. 254; Menstrual colic, Syrbius, Hamb, Eiick.

Kl. Erf, vol. 2, p. 253; Threatened abortion, Lembke, Eiick. Kl.

Erf, vol. 2, p. 386 ; Hendricks, A. J. H.

M. M., vol. 3, p. 98 ; Abortion, Frank, B. J.

H., vol. 1, p. 258; Miscarriage, Euhfus, Stens, A. H. Z., vol- 79, p. 152;

Dystocia, premature labor, Belcher, N. A. J. H., vol. 3, p. 70;

Inertia of uterus, Searle, A. H. O., vol. 7, p. 513; Retained placenta, Fielitz, Bethmann, Eiick.

Kl. Erf., vol. 2, p. 404 ; Violent after-pains and hcemorrhage from irregular contractions, Beckwith, T. A.

I. H., 1871, p. 262; Post-partum hemorrhage, J. F.

E., Org., vol. 2, p. 239," Use in labor, Lobeth., Kurtz, Kallenbach, Diez, Eummell, Ehrhardt, Gross, Nenning, Eiick. Kl. Erf, vol. 2, p. 396; Fetid lochia.

Smith, Med. Inv., vol. 8, p. 116; Puerperal fever, M., A. H.

Z.. vol. 109, p. 76 ; Gross, Eiick. Kl. Erf, vol. 2, p. 454 ;

Cough, GouUon, H. Kl. 1872, p. 4; Hcemoptysis, Hirsch, B. J.

H., vol. 26, p. 216; Palpitation of heart, Mossa, Hom. Kl. 1869, p. 118; Aneurism, Peare, M.

I., 1875, p. 48; Affection of spine, Hirsch, B. J. H., vol. 26, p. 218;

M. I., vol. 10, p. 633; Raue's Eec, 1874, p. 250; Hah.

Mo., vol. 24, p. 390; Kink in back, Schiissler; A. H.

Z., vol. 78, p. 38 ; Cramps in fingers, Kasemann, Eiick. Kl. Erf, vol. 4, p. 613 , Paralysis of legs.

Hale, N. E. M. G., vol. 4, p. 37 ;

Cramps in legs, Syrbius, Eiick. Kl. Erf., vol. 2, p. 386 ; Cramps in calves, Hirsch, B.

J. H., vol. 26, p. 219 ; Offensive foot-sweat, Gallavardin, N. A.

J. H., vol. 15, p. 61 ; Neuralgia, Willebrand, Hom. Kl. 1869, p. 117;

Hysteria, G. B., Eiick Kl. Erf, vol. 5, p. 613 ; Convulsions, Helbig,

SECALE CORNUTUM. 248

Anal. Ther,, vol. 1. p. 185; Tetanus, Navarro, Times Ret., 1876, p. 154; Chorea, Hartmann, Eiick. Kl. Erf., vol. 4, p. 513; Bodenstab, B. J. H., vol. 6, p. 28 ; Epilepsy, Lobethal, Kiick. Kl. Erf., vol. 4, p. 590 ; Paralysis, Laucerosse, Riick. Kl. Erf., vol. 4, p. 484; A. H, Z., vol. 52, p. 112; Post-diphtheritic paralysis. Hall, Horn. Phys., vol. 6, p. 407; Night-sweats, Goullon, M. I. 1875, p. 125; Gangrene, Arnold, Riick. Kl. Erf., vol. 5, p. 861 ; ;S'fl?M7e gangrene, Hendricks, A. H. Z., vol. 105, p. 128.

^ Mind. Stupid, half-sleepy state.

Impaired power of thinking.

Delirium : quiet ; wandering. • Mania : with inclination to bite ; with inclination to drown.

Un comfortableness and depression.

Fear of death.

Anxiety, sadness, melancholy.

Great anguish ; wild with anxiety.

Apathy, indifference.

Constant moaning and fear of death.

Great anxiety and difficult respiration.

Excessive sadness, gradually changes to cheerfulness ; talks and acts foolishly ; rage, followed by continuous deep sleep.

Paralytic mental diseases ; treats his relations contemptu- ously and sarcastically ; wandering talk and hallucina- tions; apathy and complete disappearance of the senses.

1 I Laughs, claps her hands over her head, seems beside herself. ^After miscarriage. ^ Sensorium. Unconsciousness, with heavy sleep, preceded by tingling in head and limbs.

Diminution and loss of senses, sight, hearing, etc.

All the senses benumbed.

Consciousness seems to continue until the last breath, and just before death it seems as if patient would improve.

Stupefaction ; stupor.

Vertigo : constantly increasing ; with stupefaction and heaviness of head ; reeling, inability to stand erect ; peculiar feeling of lightness of head, particularly in occiput ; as from intoxication ; unsteady gait.

Heaviness of head and tingling in legs.

I I Sensation of intoxication while undressing. ^ Inner Head. Pulsations in head with giddiness, she cannot walk.

Pain and confusion most in occiput.

Congestion to head and chest.

Headache; hemicrania on 1. side. * Outer Head. Hair falls out.

Twisting of head to and fro.

I I Scalp sore.

249 SECALE CORNUTUM.

^ Sight and Eyes. Photophobia.

Dimness of vision ; mistiness before eyes. ^Cataract.

Double or triple vision.

Blue and fiery dots fl3^ing before eyes.

Pain in eyes with feeling as if they were spasmodically rotated.

Stitching pain in eyes ; pressure on balls.

After an epidemic of the rye disease an unusually large number of cataracts occurred in young people, twenty- three of whom gradually became blind (fifteen men and eight women), associated with headache, vertigo and roaring in ears ; of the cataracts two were hard, twelve soft, and nine mixed.

iCataracta senilis.

I I Suppuration of cornea ; < from warm applications.

I I Retinitis diabetica.

Dilatation of pupils.

Suppressed secretion of tears.

Injection of conjunctiva.

Eyes sunken, surrounded by a blue margin.

Paralysis of upper lids, from coal gas.

Immovable state of eyelids after facial erysipelas.

Eyes look fixed, wild, glazed ; staring look.

I I Pustulous conjunctivitis and blepharitis.

I I Exophthalmos with struma. • Exophthalmic goitre. " Hearing and Ears. Undue sensitiveness of hearing, even slightest sound re-echoed in her head and made her shudder.

Confused hearing ; deafness. ^After chorea.

Singing in ears and difficult hearing.

Humming and roaring in ears, with occasional deafness. ^ Smell and Nose. Sneezing.

Nose feels stopped up, yet water}'^ discharge runs from it.

I I Nose stopped up on 1. side as with a solid plug.

I I Nosebleed: blood dark, runs continuously, with great prostration, small, threadlike pulse; in old people or drunkards ; of young women ; from debility.

^ Upper Face. Face: pinched, pale, earthy-looking ; sunken, hippocratic, ashy ; swollen ; contracted, discolored, with sunken eyes, blue rings around eyes ; risus sardonicus ; distorted ; wan, anxious.

Tingling in face.

Muscular twitchings usually commence in face and then spread all over body, sometimes increasing to dancing and jumping.

Spasmodic distortion of mouth and lips.

Forehead hot.

SECALE CORNUTUM. 250

^ Lower Face. Lockjaw.

Lips deathly pale or bluish. '" Teeth and Gums. Looseness of teeth.

Grill ding of teeth.

Bleeding from gums.

I I Difficult dentition ; great weakness; vomiting of every- thing taken ; great thirst ; pale face; eyes dim, sunken; dry heat, with rapid pulse; restlessness and sleeplessness. ^' Taste and Tongue. Tongue : thickly coated with yellowish- white, dry, tenacious substance; discolored, brown or blackish ; deathly pale ; cold and livid ; clean, with dry, red tip ; red tip and edges, centre coated.

Slight but unpleasant warmth on tongue, during day.

Spasm of tongue, projecting it from mouth, forcing it between teeth and rendering speech indistinct.

Feeble, stuttering, indistinct speech, as if tongue were paralyzed. ^^ Inner Mouth. Bloody or yellowish green foam at mouth.

Increased secretion of saliva; ptyalism.

Much acid fluid in mouth.

Spitting of blood.

Fetid breath.

Speech difficult, slow and weak, with a feeling at every motion as if there were some resistance to be overcome.

Dryness of mouth. 13 Throat. Dryness of soft palate, throat and oesophagus, with thirst.

Burning in throat with violent thirst.

Painful tingling in throat and on tongue.

I i Throat sore on 1. side running up into ear.

I Follicular pharyngitis; hawking up of little follicular exudates.

■ Diphtheria: loss of strength ; rapid loss of sensibility ; numbness of extremities ; painful tingling and crawling on tongue; dry gangrene; apathy; dilated pupils; burning pains of affected parts ; stammering speech ; absence of all reaction.

I I Severely paralyzed both in swallowing and speaking ; could scarcely take food without great danger of choking ; speech reduced to a whisper ; could not bear heat or covering and would throw all covering off. ^Post- diphtheritic paralysis. ^^ Appetite, Thirst. Desires, Aversions. Ravenous, insatiable appetite, even when dying from exhausting discharges from bowels.

Hunger as from long fasting.

Disgust for food, especially for meat and fatty things.

Thirst: during all stages of fever; unquenchable; for acids.

251 SECALE CORNUTUM.

Great thirst and dryness of mouth and throat, with burning and tingling of tongue.

Desire for : sour things ; lemonade. ^^ Hiccough, Belching, Nausea and Vomiting. Eructations with disagreeable taste ; sour, tasteless, but with subjec- tive, disagreeable, empyreumatic odor ; empty.

Nausea : inclination to vomit; painful retchings ; constant, < after eating.

Excessive nausea and debility, with very little vomiting of a dark brown coffee-grounds fluid.

Vomiting: of food ; of bile; of mucus; of green, offensive, watery fluid, painless and without effort, with great weakness; immediately after eating; of lumbrici ; of blood ; black vomit.

I Hgematemesis, patient lies still ; great weakness but no pain ; abdomen soft. '^ Scrobiculum and Stomach, i Tenderness of epigastrium.

Anxiety and pressure in pit of stomach, with great sensi- tiveness to touch.

■Severe anxiety and burning at pit of stomach.

Pain in pit of stomach.

Violent pressure in stomach, as from a heavy weight.

Warmth and feeling of repletion.

Burning in stomach.

Painful constriction of epigastrium.

Great distress and oppression of stomach,

I I Bilious vomiting, with cramping pains in stomach; burning in stomach extending up oesophagus; head sunk upon breast, face pale, yellowish, voice weak, pulse small, /^Cardialgia,

I I Attacks of severe pressure and constriction in region of stomach extending through to spine, extremely painful and followed in half an hour by vomiting of tasteless fluid or of contents of stomach, thereupon an intermission of several hours occurred ; during attack region of stomach felt as if contracted, and on percussion gave a tympanitic note; has three to four attacks daily.

■ Hemorrhage from stomach ; lies still with great weakness but no pain; face, lips, tongue and hands deadly pale; skin covered with cold sweat, pulse frequent, threadlike; oppression; abdomen soft, without pain. ^Haematemesis.

I I Hsematemesis ; attacks preceded by pains in epigastrium and nausea, pain going to 1. side when pressure is made in epigastrium ; marked protrusion in 1. hypochondrium, with pain ; blood red, never containing particles of food, and when collected in a basin appears more like bloody serum than pure blood and is of offensive odor, quantity vomited not very large ; frequent chilliness at night,

SECALE CORNUTUM. 252

followed by profuse sweat ; strength not much impaired ; appetite and sleep good. ^^ Hypochondria. Enlargement of liver.

Acute pain in hepatic region.

Inflammation and gangrene of liver; acute pains in hepatic region ; tongue thickly coated with a brown tenacious substance, burning in throat, unquenchable thirst ; great weakness, but no pain ; limbs cold and covered with cold sweat.

Burning in spleen; thrombosis of abdominal vessels. ^^ Abdomen. Distension of abdomen ; tympanitis; meteorism.

Flatulence with rumbling.

Painful sensitiveness and rumbling, with continued nau- sea and confusion of head.

Inclination to colic, diarrhoea, and bloatedness of abdomen.

Pain in lower belly, preventing an upright position, even forcing him to lie doubled up in bed.

Colic with convulsions.

I Pain in abdomen with burning in stomach.

I Pains in hypogastric region.

Pain in loins as from false labor pains.

Continual bearing down in lower abdomen.

Burning in abdomen.

Cold feeling in abdomen and back.

Srong pulsation in umbilical region.

Lumps and welts in abdomen ; in affections of uterus.

I I Aneurism of mesenteric artery, in women. ^° Stool and Rectum. 1 1 Diarrhoea : very exhausting ; perni- cious ; very offensive ; involuntary, profuse, watery, putrid, brown; discharged with great force; very ex- hausting ; urine suppressed ; painful with great pros- tration ; painless with tingling and numbness in limbs; putrid, fetid, colliquative, patient does not want to be cov- ered or to be near the heat, but prefers to be in the air or wishes to be fanned; sudden attacks; of children, dis- charges whitish, watery; chronic in overfed children, great prostration; during August; great stools undi- gested, or watery, at times yellowish, also greenish, with forcible expulsion, accompanied by dischare of flatus ; paralytic weakness of sphincter ani with invol- untary discharges.

Stools : yellowish ; greenish ; brownish ; watery and floc- culent; colorless, watery; profuse; frequent; putrid; gushing; involuntary; watery, slimy; thin, olive green; offensive, watery; fetid, dark colored; thin, involun- tary; watery, yellowish or greenish, discharged rapidly with great force and even involuntarily; painless, with- out effort and with great weakness.

253 SECALE CORNUTUM.

Before stool: cutting and rumbling in abdomen.

During stool : cutting ; great exhaustion ; coldness.

After stool : exhaustion.

I I Five to ten minutes after taking least quantity of food, severe colic which made her bend double and cry out; pain begins between region of stomach and navel, ex- tends thence to sides and rest of abdomen and down to sacral region, accompanied by severe urging and tenes- mus, followed by a thin, slimy, yellowish stool with some relief of pain ; four to five such attacks follow each other, then relief until she eats again ; four to five evac- uations during night ; she compares pains to labor pains ; great thirst; thick mucous coating on tongue; sleep dis- turbed ; prostration. ^Diarrhoea.

I I Uncomfortable fulness of abdomen, with transient pinch- ing pains in upper abdomen as from flatus ; at night severe cutting pains throughout whole abdomen ; rest- less anxious tossing about, with short unrefreshing naps; during night anus firmly closed, "as if locked up;" in morning frequent short watery evacuations, in gushes, preceded by cutting pains in abdomen.

I I Stools yellowish-white, slimy, undigested, escaping in-

voluntarily, < at break of day. ^Diarrhoea.

■ Interminable diarrhoea in Summer, which resists every-

thing, especially in scrofulous children ; putrid, fetid and colliquative; choleraic symptoms, with cold, clammy perspiration ; sinking spells at 3 a.m. (not the restless anguish of Arsenicum).

I I Colliquative diarrhoea.

■ Cholerine with more retching than vomiting.

■ Cholera infantum ; profuse undigested stools, watery and

very offensive, discharged by fits and starts and followed by intense prostration ; pale face, sunken eyes, dry heat, quick pulse, restlessness and sleeplessness ; great aver- sion to heat and to being covered. ^Cholera infantum.

I I Vertigo, cramps or drawing in calves of legs, rumbling in abdomen, nausea, stools in rapid succession, brown- ish or colorless, rapid prostration, coldness of limbs, tongue but slightly coated.

I I Profuse prostrating evacuations, severe painful cramps in feet, toes, hands and fingers which are spread apart or extended toward back of hands ; cramping pressure in stomach ; dry, wrinkled, cold skin ; cyanotic color ^Cholera.

■ Cholera infantum ; cholera morbus ; cholera Asiatica.

I I Patient cold, almost pulseless, with spasmodic twitching of muscles in various parts of body ; spreads fingers asunder; eyes sunken, features pinched; much spas-

SEC ALE CORNUTUM. 254

modic retching although not much vomiting; skin harsh, shrivelled, dry, as if there were no moisture left in system ; urine suppressed ; tingling or formication all over body; stools profuse, watery, ejected with great violence; is cold but cannot bear to be covered. ^Cholera. 1 1 Aversion to heat or being covered, with icy coldness of extremities. ^Cholera.

■ Diarrhoea after cholera.

I Cholera Asiatica, with collapse, sunken, distorted face,

particularly mouth ; crawling sensation as from ants. Paralysis of rectum ; anus wide open.

■ Hemorrhage from bowels.

■ Constipation.

^' Urinary Organs. Retention of urine ; urine pale or bloody; discharge of thick black blood from kidneys; obscura- tion of sight. ^Scarlatina. Diabetes; great general lassitude; heaviness of limbs; loss of strength ; emaciation ; gangrene ; skin dry and withered; furuncles; petechise ; fever, with unquench- able thirst; diminished power of senses; dryness of mouth ; morbidly great appetite ; cardialgia ; costive- ness; diarrhoea; watery urine; increased quantity of urine. I I Hsematuria in a boy suffering from suppuration of glands of neck after scarlet fever; urine also very albuminous; anasarca; great thirst.

■ Passive hemorrhage ; blood thin ; blood corpuscles want-

ing in consequence of dissolution ; or painless discharge of thick black blood in consequence of kidney disease ; coldness of body; cold perspiration on forehead; great weakness. ^Hsematuria.

Urine suppressed ; on introducing catheter a gill of dark, prune-colored urine passed, which appeared to be full of gritty sediment emitting a very disagreeable odor.

Unsuccessful urging to urinate.

Ischuria paralytica.

■ Paralysis of bladder.

■ Enuresis: of old people; pale, watery or bloody urine. Urinary deposit looking like white cheese.

■ Bloody, albuminous urine.

■ Discharge of thick black blood from bladder; kidney

affections. " Male Sexual Organs. After lightn'ess in occiput, violent dragging in spermatic cord causing sensation as if tes- ticle were being drawn up to inguinal ring. After sexual excess palpitation of heart.

■ Weak memory after exhausting coition; impotence. Clonic spasmodic stricture of urethra.

255 SECALE CORNUTUM.

^* Female Sexual Organs. Uterus and r. ovary much con- gested, very sensitive to touch.

I I Pain in ovaries and uterus.

I I Pains of an expulsive character in uterus.

1 1 Prolonged bearing down and forcing pain in uterus ;

thin and scrawny subjects. Burning pains in greatly distended uterus, which felt hard

and was painful to touch.

I I Putrescence of uterus ; abdomen ' distended, not very

painful ; discharge from vagina, brownish, offensive ; ulcers on external genitals discolored and rapidly spreading; burning hot fever, interrupted by shaking chills; small, sometimes intermittent pulse; great an- guish, pain in pit of stomach, vomiting decomposed matter; offensive diarrhoea; suppressed secretion of urine ; skin covered with petechial and miliary erup- tions or shows discolored, inflamed places, with a ten- dency to mortification ; the patient lies either in quiet delirium or grows wild with great anxiety and a con- stant desire to get out of bed. ^Metritis.

I I Metritis; tendency to putrescence; inflammation caused by suppression of lochia or menses; discharge of thin black blood, a kind of sanies, with tingling in legs and great debility. ^Metritis.

I Cancer and gangrene of uterus.

I Uterine ulcers feel as if burnt, discharge putrid, bloody fluid.

The uterus that had previously been in a normal condi- tion descended so that it almost protruded, was hot and painful ; os open as large as middle finger ; excessive desire to urinate; labor pains only relieved by wet band- ages or pressure upon abdomen ; lasted three days, did not miscarry though os remained open during this period; afterward uterus gradually ascended, pains diminished, and after five or six days os contracted ; went on to eighth month, when she miscarried.

I 1 Uterus about an inch from labia inferiora, membrane around it felt hard, while rest of mucous membrane of vagina was very much relaxed and gathered into a fold at lower part,

I Partial prolapsus of uterus for eight months after a for- ceps delivery ; dysuria , sense of weight over pubes as if contents of abdomen would fall forward. I Prolapsus of three months' standing; frequent severe cutting pains in abdomen ; occasional nausea. I Dreadful bearing down, dragging out feeling in lower abdomen, so that her life is almost unbearable; every four or five days profuse, thick, yellow discharge from

SECALE CORNUTUM. 256

vagina; hesitation in urinating; rheumatism. ^Hys- teralgia.

Hemorrhage from uterus ; apparent death of newborn child.

I Incessant metrorrhagia.

■ Uterine hemorrhage: when uterus is engorged; with pains in sacrum, extending down thighs and pressing into lower abdomen ; after a severe blow upon abdomen of a pregnant woman; profuse protracted flow; tearing, cutting colic, cold extremities and cold sweat, weak, hemorrhage < from slightest motion, blood thin and black, black lumpy or brown fluid, of disgusting smell; black liquid blood.

I I A woman, set. 45, passed through a normal confinement seven years ago ; miscarried about two years ago, hem- orrhage kept on for five months under allopathic treat- ment, with exacerbation during time of menstruation ; after ceasing for seven months, hemorrhage set in again with slight intermissions of one or two weeks; excessive ansemia ; sunken features ; skin cold and dry ; pulse small and quick ; heavily coated tongue ; loss of appe- tite; headache; since five days, daily ten or twelve pain- less stools, of mucous, watery, sometimes foul-smelling masses ; thin, black, foul-smelling bloody discharges.

1 I Feeble and extremely emaciated, skin flaccid, face very pale and sunken, with an expression of suff'ering, mucous membranes pale and cool, hands and feet deficient of natural warmth, action of heart quickened, breathing short and oppressed, pulse very small, 120; abdomen distended ; os uteri very open, with indented and puffy edges, flaccid and soft, vagina tender and cool ; manual examination caused much uneasiness and flooding ; vio- lent headache limited to one spot, throbbing in temples, roaring in ears, giddiness on slightest movement ; en- feebled nervous system showed extraordinary excita- bility; many times in day, and especially at night, cramps in calves and spasmodic twitchings of limbs, causing exhaustion, remains several hours in bed as if paralyzed ; digestion and sleep disturbed to some extent; hemorrhage still continued, even in horizontal position, and elevation of pelvis caused no diminution in large quantity of blackened coagula which were constantly passing, whilst least movement increased discharge in a very great degree. ^Chronic passive hemorrhage.

I Uterine hemorrhage, flow passive, dark and may be offen- sive; tingling or formication all over body, holds her fingers spread asunder, asks to have her limbs rub- bed; finally lies unconscious and cold.

257 SECALE CORNUTUM.

I I Metrorrhagia; relaxed condition of body; depressed, anxious state of mind ; unusual drowsiness by day; gush of thin black blood on least movement of body ; general feeling of prostration ; diminished temperature of body; wooden, numb feeling in lower extremities.

Uterine hemorrhage; did not wish to be covered, desired windows to be open, though room was very cold and surface of body like a corpse.

■ Painless flooding in feeble, cachectic, dyscratic women,

or such as have long resided in tropical climates.

I I Since last delivery menses too seldom and very irregu- lar, last time rather copious in consequence of unusual exertion ; at night dreamed she was ascending the stairs with a heavy load, and suddenly a clot of blood came away and the blood seemed to gush forth ; the alarm awakened her and she found that she was bleeding fast ; on following morning strength greatly reduced ; lips and whole body, even tongue, deathl}^ pale ; pulse could not be distinguished ; frequent fainting fits ; periodic pains with expulsion of clots of blood and between these attacks constant oozing of thin briglit blood. ^Menor- rhagia.

I I An excessive menstrual flow every two weeks, lasting seven to nine days ; for last four weeks flow is continu- ous; very weak and thin ; has severe pains in loins and uterine region ; bearing down pains as if in labor.

I Menses: too profuse and lasting too long; with tearing and cutting colic, cold extremities, cold sweat, great weakness and small pulse ; or with violent spasms.

■ Menstrual blood : thin and black ; black, lumpy or brown

fluid and of disgusting smell. I I Menstrual colic ; pains so severe as to frequently cause

spasms ; uterine region very sensitive to touch ; high

fever ; pains > when flow appears. I I Menstrual colic; pale face; coldness of limbs; cold.

sweat; small, suppressed pulse; tearing, cutting pains

in abdomen.

■ ■Menses irregular; every four weeks for three to four

days, copious dark-red fluid discharge of blood, with pressing, laborlike pains in abdomen ; constipation ; pressure in occiput; afterward continuous discharge of watery blood, until next period.

Suppression of menses with pain.

I I Gangrene of whole vaginal mucous membrane; on hold- ing apart the labise this membrane was found of a dark slate color, emitting the characteristic odor.

Vagina hot or cool.

■ Discharge from vagina almost black, fluid and very fetid.

VOL. IX. — 17.

SECALE CORNUTUM. 258

I Leucorrhoea : in thin, scrawn}^ women, with prolapsus uteri; green, brown, offensive ; like cream, from weak- ness and venous congestion.

Ulcers on outer genitals, discolored and rapidl}^ spreading. ^' Pregnancy. Parturition. Lactation. Arrested develop- ment of foetus.

Discharge of blood during pregnancy.

1 Threatened abortion : more especially at third month; with copious flow of black, liquid blood ; false labor pains, with bloody discharge ; in feeble, cachectic women, having a wan, anxious countenance, pulse almost ex- tinct, fear of death ; convulsive movements.

i I Extremely violent pains, almost without intermission, she seemed to be in the last stage of labor, but on ex- amination OS was found about the size of half a dollar, thick and somewhat rigid.

i I Extremely violent pressing labor pains, os, however, being only about as large as a ten cent piece ; hysteri- cal convulsions.

i I When advanced about seven and a half months in preg- nancy was taken with labor pains, wriggling and not dis- tinctly intermitting; os tincse open, and about size of a shilling; dulnessand slight aching of head ; despondent.

M Prone to abortion in third month; had passed through five although she kept her bed as soon as pregnant ; some labor pains with bloody discharge; was able to attend to her household duties and went to full term.

i I After lifting a heavy weight during sixth month of preg- nancy severe pains in stomach, abdomen and small of back and a pushing-down sensation; violent movements of foetus ; cold feet ; numbness and tingling in feet ; small, weak pulse.

I After abortus : difficult contraction of uterus ; thin, black, foul-smelling discharge,

I Retained placenta, after miscarriage, especially when oc- curring during early months of pregnancy ; offensive dis- charges ; patient cold and often almost pulseless from loss of blood; uterine contractions very imperfect, or else prolonged tonic contraction.

I 1 During eighth month of pregnancy violent convulsions

with frothing at mouth, etc., followed by variable spasms ; insensibility and clonic spasms, < at every pain; on return of consciousness complained of dull frontal and occipital headache and incessant uterine pains. ^Pre- mature labor.

I I During pregnaucy: frequent and prolonged forcing pains, particularly in thin, ill-conditioned women ; cramps in calv«s. ;

259 SEGALE CORNUTUM.

I Uterine pains prolonged but ineffectual.

I A sensation of constant tonic pressure in uterine region ;

causes great distress ; desires fresh air; does not like to

be covered,

I Hour-glass contraction.

I I During labor: prolonged bearing-down and forcing pains in uterus ; pains irregular ; pains too weak ; pains feeble, or ceasing; everything seems loose and open, no action ; fainting fits.

■ Strength of uterus weakened b}^ too early or perverted

efforts.

■ Thin, scrawny women, skin shrivelled, dry and harsh,

sallow face, weak in labor ; pains seem to be entirely wanting; uterus flabby ; bearing down in sacral region, a sort of prolonged urging feeling in abdomen. I I While the head was passing into lower strait, she was suddenly seized with violent convulsions lasting about three to four minutes, followed by a stupid state with stertorous breathing and uneasy moaning as if from pain.

I Labor ceases, and twitchings or convulsions begin.

■ Puerperal convulsions with opisthotonos.

• Retained placenta, with constant, strongbearing down in abdomen, or with relaxed feeling of parts.

J I After labor, pale, weak; uterus distended, burning pains therein, hard, painful to least touch ; discharge of black, coagulated or brown, water}^, offensive-smelling blood ; throbbing, tearing pains in thighs extending down to toes; pain < from motion; strong pulsations in umbili- cal region, w^hich could be felt by the hand ; pulse at wrist weak and rapid ; frequent yawning.

i I Post-partum hemorrhage, with relaxation of uterus, only temporarily relieved by compression ; after-pains exces- sive, < when child nursed.

I I After-pains: too long and too painful.

J I Violent after-pains with hemorrhage arising from irregu- lar contractions ; the longitudinal fibres alone contract- ing in such a manner as to leave a sulcus in middle, making it appear as if uterus were split open from top to bottom.

I I Cessation of lochia, with fever; inflammation of uterus, subsequently an abscess opened through vagina.

i I Lochia: dark, very offensive ; scan tj'^ or profuse; pain- less or accompanied by prolonged bearing-down pain; suppressed, followed by metritis ; suddenly change char- acter and become of a dirty- brown or chocolate color, with fetid odor, grows sad and melancholy and fears death; of too long duration.

SECALE CORNUTUM. 260

I Fever with frequent watery stools. ^Puerperal fever.

■Strong tendency to putrescence ; discharge of sanious blood, with tingling in legs and great prostration ; urine suppressed ; offensive diarrhoea ; voice hollow with dif- ficult breathing, feeble and inaudible ; burning fever interrupted by shaking chills, does not care to be cov- ered ; cold limbs ; cold sweat over whole body ; gan- grene. ^Puerperal fever.

■ Suppression of milk; the milk will not flow from the

breast.

■ Lack of milk with much stinging in mammae.

■ In women who are much exhausted from venous hemor-

rhage ; thin, scrawny women ; the breasts do not properly fill with milk. Thin, scrawny children with shrivelled skin ; spasmodic

twitchings, sudden cries, feverishness. /^Cyanosis. Pendulous abdomen. ^* Voice and Larynx. Trachea and Bronchia. ■Voice: hollow, hoarse, with difficult breathing ; feeble and in- audible ; weak, unintelligible, stammering. Thickening of mucous membrane of air passages. ^^Respiration.

Respiration: slow; labored and anxious; op- pressed; moaning; constant sighing ; hiccough. Blood is sometimes expectorated during violent efforts to breathe. ^^ Cough. Hard, hoarse cough, with but little expectoration. I I Concussive cough ; profuse perspiration ; sleepless nights ; inclination to colic ; diarrhoea ; bloatedness of abdomen ; emphysema. ^Bronchitis. ■Spitting of blood, with or without cough. ^^ Inner Chest and Lungs.

Cramp in chest.

Pains over nearly whole front part of chest, < from cough- ing and motion. I I Expectoration of dark, frothy, rather viscid blood, brought up by a slight cough and amounting to a tea- cupful in four hours ; a spot as large as a crown piece on r. side of chest to r. of nipple, dull on percussion, with bronchial respiration and mucous nMe over that part. '^^ Heart, Pulse and Circulation. ' i Palpitation ; hot fore- head; inclination to sleep ; spasmodic shocks from r. half of chest into r. arm and leg ; in paroxysms every two or three hours ; oftener in night, after each meal ; less in open air ; coldness and numbness of r. hand, with tin- gling in fourth and fifth fingers ; loss of muscular power and feeling in hand ; after sexual excess.

■ Palpitation of heart: with contracted and frequently

intermitting pulse.

261 SECALE CORNUTUM.

I Pulse : often unchanged even during violent attacks ;

generall}^ slow and contracted, at times intermittent or

suppressed ; somewhat accelerated during heat, small ;

empty, weak ; threadlike, in hemorrhages.

^' Neck and Back. Tumors on neck discharging yellow pus.

Gentle, creeping sensation in back, as if a soft air were blowmg through it.

Tingling in back, extending to fingers and toes.

Pain in small of back.

Stitch in back.

iSudden "catch" or "kink" in back. ^Lumbago.

Pains in sacrum with bearing down as if parts would be forced out, < when moving.

i I Hard, hoarse cough, with but little expectoration; pains nearly all over front part of chest, < from coughing and motion ; for several years tenderness of lower cervical and upper dorsal spinous processes, with stiffness of neck; < from every exertion or strain upon spine; pressure upon diseased portion of spine produces pain there, as well as all through chest, with irritation to cough. /^Spinal irritation.

( I Stitches in upper dorsal vertebrae (between shoulders), constant when sitting, intermittent when standing, at times extending into hands, < by pressure upon verte- brae ; frequent formication through all limbs ; at times rigidity and spasmodic stretching of fingers so that for several minutes he cannot sew ; frequent pressure and swelling beneath epigastrium; pain in back < when sewing.

Violent pain in back, especially in sacral region ; anaes- thesia and paralysis of limbs, convulsive jerks and shocks in paralyzed limbs ; painful contraction of flexor mus- cles ; paralysis of bladder and rectum. ^Myelitis.

■ Myelitis diffusa.

Paraplegia preceded by cramps and muscular pains.

Difficult, staggering gait; complete inability to walk, not for want of power but on account of a peculiar unfitness to perform light movements with limbs and hands ; con- tractions of lower limbs on account of which patient staggers; trembling of limbs, sometimes attended with pains ; formication of hands and feet ; excessive sensa- tion of heat, with aversion to heat or being covered. ^Tabes dorsalis. Spine disease with gressus vaccinus. ^' Upper Limbs. Arms fall asleep. Rough rash all over arm.

Spasmodic jerks of hand, with flexion of hand at wrist or of forearm.

SEC ALE CORNUTUM. 262

I Numbness and insensibility of hands and arms. ^Spinal affection.

Burning in hands.

Hands deathly pale.

Coldness and numbness of r. hand, with tingling of ring and little fingers. . Loss of feeling in backs of fingers.

Loss of muscular power and of feeling in hand.

Fingers convulsively drawn in toward palm, clasping thumb.

I Contraction of fingers.

Fingers bent backward or spasmodically abducted.

I I Left thumb spasmodically drawn toward dorsum of hand, followed in a few minutes b}^ cramping and flex- ure of rest of fingers toward palmar surface ; hands feel numb, like velvet ; next day both hands became affected and after several days felt a tingling and stitches in legs, followed by heaviness of same, > after walking, gen- erally appearing while sitting, while cramps in hands always appear after using them.

Loss of sensation in tips of fingers.

Numbness of tips of fingers. .

Crawling in tips of fingers as if something alive were creep- ing under skin or as if fingers were asleep, as from press- ure upon arm.

Peculiar prickling feeling in tips of fingers ; they are sen- sitive to cold.

Painful swelling of fingers.

Violent pains in finger tips.

■ Gangrene of fingers; senile gangrene.

^' Lower Limbs. Hammering, tearing pain in both thighs

increased by motion.. Legs heavy and tired. Tingling in legs. Creeping feeling in anterior femoral and posterior tibial

regions. Shufiiing gait as if feet were dragged along. ^

Rheumatic pains of joints. iCramps in calves of legs and soles of feet, disturbing sleep

at night and hindering walking in pregnant women.

I I After an attack of cholera cramps in calves and sensa-

tion of numbness and formication in toes.

I I Cramp in calves. I Burning in feet.

■ The feet seem asleej) and stiff.

I I Toes of r. foot spasmodically drawn upward, continu- ously during day and occasionally at night, causing a peculiar limping gait; this cramp was accompanied by

263 SECALE CORNUTUM.

no pain, but by a verj^ tiresome sensation rendering walking, particularly going up and down stairs, very difficult; tendons running along dorsum of foot to toes were tense as wires and the corresponding muscles of leg larger and harder than normal ; now and then slight sensation of coldness in back and also a peculiar buzzing (formication) in spine.

Swelling of feet with black spots.

I I Beginning senile gangrene; swelling and livid coloring of r. foot extending to malleoli ; foot cold ; severe inde- scribable pains.

I I Senile gangrene commenced in great toe of r. foot and slowly extended ; foot was livid and swollen ; all the symptoms pointed to its complete loss.

I I Dry gangrene of foot with constant severe, burning tear- ing pains.

Severe pains in sole of foot and toes ; black spot on plan- tar surface of heel ; toes livid, blue, cold ; burning pains; foot swollen ; walking impossible. /^Senile gangrene.

I I Profuse, stinking and corrosive perspiration of feet, soft-

ening and bleaching soles and destroying quickly stock- ings and shoes; existing two months in a girl eighteen years old. Tingling in toes.

I I Gangrene of toes.

^* Limbs in General. Lassitude, weakness, heaviness, trem- bling of limbs.

Limbs cold, covered with cold sweat.

Formication; prickling; tingling; numbness; insensibility of limbs.

Spasmodic pains ; drawing and crawling in limbs.

Burning in hands and feet.

I Fuzzy feeling in limbs.

■ Cramps in hands and toes. Painful jerkings in limbs at night.

Most violent convulsive movements of limbs occur .several •times a day ; during intervals fingers are numb and often contracted.

Sudden periodic contractions of limbs, with tensive pain.

Contractions of hands, feet, fingers and toes.

Gangrene of limbs, limbs suddenly became cold, leaden- colored and lost all sensation.

■ Paraplegia.

Internal pain greatly < by heat, whether of bed or atmo- sphere ; somewhat > when exposed to a cooler atmo- sphere, though even then it was scarcely tolerable ; the pain extended by degrees from toes to legs and thighs, and from fingers to arms and shoulders, gangrene super- vened.

SECALE CORNUTUM. 264

Not the slightest pain in gangrenous limb when pricked

or cut, though frequently motion is not entirely lost. Absolute insensibility of tips of fingers and toes. 1 1 Cold gangrene of limbs.

■ True anthrax, rapidly changing into gangrene. Hands and feet swollen with a gangrenous black and sup- purating eruption.

Pain with some swelling without inflammation, followed by coldness, blue color, cold gangrene and death of limb.

The limbs become cold, pale and wrinkled as if they had been a long time in hot watet. ^® Rest. Position. Motion. Must lie doubled up in bed : pain in belly.

Sitting : stitches in vertebrae, constant ; cannot bend for- ward or backward without losing his equilibrium.

Holds hands with fingers spread widely apart.

Standing : stitches in vertebrae intermittent.

Inability to stand erect : vertigo.

Every exertion : tenderness of cervical process <.

Motion : hemorrhage < ; giddiness ; after labor, pains < ; pains over chest < ; pains in sacrum < ; tearing in thighs <.

Walking: heaviness of legs > ; impossible from gangrene.

Every attempt to walk knees sink from under him.

Cannot walk : giddiness. ^® Nerves, i Hypersesthesia of cutaneous nerves, especially of spine.

I I Sensation of soreness in abdomen ; formation of large

lumps and swellings in abdomen; r. hand very weak, particularly fingers, so that she could hold nothing, nor sew with that hand ; when placing open hand to side and taking it away a spasm of hand occurs, the fingers are spread apart and she cannot close the hand ; rapid alternations of heat and cold in hands and feet ; cramps in legs ; icy coldness of knees ; trembling of r. arm and hand while eating, must use the left ; sensation of cold- ness in stomach, > for a short time by warm drinks ; habitual constipation. ^Hysteria.

II Burning: in all parts of body as if sparks of fire were falling on them.

■ Neuralgia, caused by pressure of distended veins upon a

nerve trunk. Spasmodic twitchings. Irregular movements of whole body. Spasmodic distortion of limbs, relieved by stretching them

out. 1 I Expression of countenance varied every moment from

a constant play of the muscles; eyes rolled about, pupils

265 SECALE CORNUTUM.

dilated, tongue jerked out, head moved about from side to side; arms in constant action with most diverse move- ments; snatched objects rather than took hold of them, could hold nothing securely; trunk also in constant motion; urine could not be retained; pulse small, weak, quick ; heart beat tumultuously ; appetite poor ; bowels torpid ; aching in occiput ; sensation of formication in extremities; memory impaired; speech difficult, hur- ried ; no relief at night ; staggered about the house almost all night. ' ^Chorea.

I Chorea associated with menstrual irregularities.

f I The muscular twitchings usually commence in face and spread thence all over body, sometimes increase to danc- ing and jumping. ^Chorea.

Spasms, with fingers spread apart.

Convulsive jerks and starts in paralyzed limbs.

Painful contractions in flexor muscles.

Tetanic spasms, with full consciousness, followed by great exhaustion.

I I Convulsions.

Tonic spasms.

Epileptiform spasms ; epilepsy,

I I Complains of great weakness, constipation, heaviness in epigastrium, formication in legs and cramps; at night while asleep gets epileptiform attacks of which she knows nothing next morning except that she feels greatly pros- trated and has a constant heaviness in head,

<i I After abortus, spasms with full consciousness, afterward great exhaustion ; heaviness in head and tingling in legs.

I I Convulsions first occurring after a fright when a little girl, returned after each confinement.

I I Twitching of single muscles; twisting of head to and fro; contortions of hands and feet ; labored and anxious res- piration. ^Spasms.

i I Numbness of extremities; paralysis of some parts ; pain- ful tingling (like crawling of, ants) on tongue. ^Post- diphtheritic paralysis.

■ Paralysis after spasm, and apoplexy, with rapid emacia- tion of affected parts and involuntary discharges from bowels and bladder.

< I Suddenly fell to ground, but without loss of conscious- ness; on every attempt to walk the knees would sink from under him, especially r. ; while sitting cannot bend forward or backward without losing his equilibrium ; arms slightly weak, sensation of touch not affected ; gen- eral dulness; difficult speech; inclination to weep; 'com- plains of headache and pain in lumbar region; sleep

SECALE CORNUTUM. 2t)(>

poor; urine and feces escape involuntarily; no stool for several days; at times oppression of breathing. ^Pa- ralysis.

I I Paralysis of lower extremities, in a woman past climac-

teric ; a hard, sensitive tumor in one of her breasts had been developing for several years, but for the last year or two had rapidly increased in size and become very painful ; by continued application for several months of a yellowish salve the tumor was enucleated ; in about a month after ceasing to use the salve a peculiar torpor or deadness was felt in great toes, which extended to whole foot and ankle joint; feet seemed large and heavy and could be moved only b}^ moving whole limb ; gait shuffling as if feet were dragged along by lifting legs; slight numbness in hands.

■ Paralysis, with rapid emaciation, with relaxation of sphincters.

Mj^elitis and softening of cord.

Trembling ; unsteadiness of whole body.

I I Restlessness; extreme debility and prostration. Loss of power of voluntary motion.

I I Sinking spells from diarrhoea, at 3 a.m.

I I Collapse from choleroid diseases, etc., with cold skin^ yet unable to bear warmtli.

'^ Sleep. Frequent yawning. ' -

Inclination to sleep; drowsiness; deep, heavy sleep, stupor.

Sleep at night disturbed by frightful dreams.

Restless and sleepless. < '

^^ Time. At 3 a.m. : sinking spells.

At break of day: diarrhoea.

In morning: frequent short evacuations.

During day: warmth on tongue; unusual drowsiness ; toes drawn up continuously.

During night : anus firmly closed ; cramps in calves and twitchings of limbs ; dreamed she was ascending stairs ; palpitation ; toes drawn up occasionally.

Jerkings in limbs ; staggered about house with chorea ; ulcers <. '^ Temperature and Weather. Open air : palpitation less.

Wants to be in air or be fanned : with diarrhoea.

Warm applications: suppuration of cornea < ; ulcers <.

Warm drinks: coldness of stomach <.

Does not wish to be covered ; diarrhoea ; uterine hemor- rhage.

Heat : could not bear it and would throw off all covering, in post-diphtheritic paralysis ; with diarrhoea, did not wish to be near; aversion to, with cholera; internal pain much < ; gangrene <.

267 SECi^LE CORNUTUM.

Wet bandages ; > labor pains.

Cold : ulcers ^ ; gangrene > . *** Fever. Disagreeable sensation of coldness in back, abdo- men and limbs.

Skin cold, with shivering.

Coldness of surface of bod}^ particularly extremities.

iViolent chill of but short duration; followed soon after b}^ internal burning heat, with great thirst.

I Chill with thirst.

I IViolent shaking followed by violent heat, with anxiety^

delirium and almost uncjuenchable thirst.

I I Intense, icy coldness of skin, with shivering; pale, sunken face.

I Cold limbs, cold sweats, great weakness. (Jold stage preceded by vomiting, succeeded by moderate sweating.

■ Severe and long-lasting dry heat, with great restlessness

and violent thirst. I I Heat with thirst and hot skin.

■ Burning heat, interrupted by shaking chills, then inter-

nal burning heat,' with great thirst.

■ Sweat: all over body, except face; profuse cold, cold

limbs ; from head to pit of stomach ; especially on upper body; cold, clammy over whole body ; colliquative. I I Exhausting perspiration, accompanied by evening fever and alarming cough.

■ Cold surface; sunken pale face and blue lips; will not

be covered ; tingling in limbs ; holds hands with fingers widely spread apart; cold, clammy sweat; speech feeble, stuttering. ^Ague.

■ ■Aversion to heat or to being covered ; may feel cold but

does not wish to be covered.

■ Great tendency to typhoid. ^Intermittent.

" Attacks, Periodicity. Sudden attacks : diarrhoea. Alternation : of heat and cold, in hands and feet. Five to ten minutes after taking least quantityof foo d

severe colic. Every two or three hours : paroxysms of palpitation. Several times a day : convulsive movements of limbs. For several weeks: formication in tips of fingers. Every two weeks : excessive menstrual flow ; lasting seven

to nine days. For two weeks : profuse corrosive foot sweat. For four weeks : flow is continuous. During August : diarrhoea. In Summer: interminable diarrhoea.

For several years: tenderness of cervical processes. "Locality and Direction, ivight: ovary congested ;

a spot

SEC ALE CORNUTUM. 208

on side of chest dull on percussion ; spasmodic shocks from half of chest into arm and leg ; coldness of hand ; toes drawn up ; swelling and livid coloring of foot ; gan- grene in great toe of foot ; hand very weak ; trembling of hand and arm.

Left : hemicrania ; nose stopped up ; throat sore ; protru- sion in hypochondriura ; thumb spasmodically drawn toward dorsum of hand. ■*^ Sensations. As if intoxicated while undressing ; as if eyes were spasmodically rotated ; as of a solid plug in nose ; as if tongue were paralyzed ; as if there were some resist- ance to overcome in speech ; as of a heavy weight in stomach ; region of stomach as if contracted ; anus as if locked up ; as if testicles were being drawn up to in- guinal ring ; uterus as if burnt ; as if contents of uterus would fall forward ; as if soft air were creeping through back ; as if sacrum would be forced out; as if something alive were creeping under skin ; as if fingers were asleep ; as if limbs had been a long time in hot water; as if sparks of fire were falling upon different parts of body; in lumbar region ; as if mice were creeping under skin.

Pain : in occiput ; in eyes ; in pit of stomach ; in epigas- trium; in lower belly; in abdomen; in hj^pogastric re- gion; in loins ; in ovaries and uterus; in sacrum, dow^n thighs and into lower abdomen ; over front part of chest; in small of back; in sacrum.

Excruciating pains: in spine.

A^iolent pain : in back ; in finger tips.

Acute pain : in hepatic region.

Severe pains: in stomach ; in abdomen and small of back ; in sole of foot and toes.

Cutting: in abdomen.

Tearing pains : in both thighs ; in foot.

Throbbing, tearing pains: in thighs.

Tearing, stinging pains: in extremities.

Pinching pains: in abdomen.

Forcing pain : in uterus.

Stitches: in upper dorsal vertebrae.

Stitching pains: in eyes; in legs.

Stitch: in back.

Sudden catch: in back.

Throbbing: in temples.

Cramps : in calves of legs ; in feet, toes, hands and fingers ; in chest.

Cramping pains : in stomach.

Cramping pressure : in stomach.

Rheumatic pains: in joints.

Tensive pain: in limbs.

269 SECALE CORNUTUM.

Drawing pains : in calves of legs.

Drawing: in limbs.

Dragging: violent in spermatic cord; in abdomen.

Stinging: on mammse.

Burning: in throat; of tongue; at pit of stomach; in spleen ; in abdomen ; in uterus ; in hands ; in feet.

Soreness: of throat; in abdomen.

Tenderness: of epigastrium ; of lower cervical and upper dorsal spinous processes.

Distress: of stomach.

Painful constriction : of epigastrium.

Painful jerkings : in limbs.

Jerking: under skin.

Pulsations : in head.

Pressure: on eyeballs; in pit of stomach; in occiput; in uterine region.

Heaviness: of head ; in epigastrium.

Lightness : of head.

Peculiar prickling feeling: in tips of fingers.

Tingling: in face; in throat and tongue; of legs; on tongue; in limbs; all over body; in fourth and fifth fingers ; in back ; in toes.

Crawling: on tongue; in tips of fingers; in limbs; all over body ; between skin and flesh ; in upper lip ; all about mouth.

Formication: in face; in gums; in extremities; in tips of fingers; over whole body.

Gentle creeping sensation: in back.

Fuzzy feeling: in limbs.

Dryness : of soft palate, throat and oesophagus ; of mouth.

Numbness : in limbs ; of feet ; of r. hand ; of tips of fingers.

Cold feeling: in abdomen and back; in limbs; of body; of r. hand ; in stomach.

It destroys the activity of the cord ; convulsive twitchings and shocks, painful contractions, tetanic man- ifestations ; perfect paralysis, with increased reflex ac- tivity ; most excruciating spinal pains, especially in sacral region ; paralysis of bladder and rectum ; ten- dency to gangrene ; rapid emaciation.

Dissolution of blood corpuscles ; blood thin ; passive hem- orrhages.

Anaemic state, either from exhaustive diseases or artificial depletion ; the blood is thin and does not coagulate.

Thrombosis of abdominal vessels.

■ Neuralgia caused by pressure on nerves by a distended

vein. Tumefaction of glands.

■ Lymphatic tumors.

SECALE CORNUTUM. 270

1 1 Collapse from choleroid diseases.

I Rapid emaciation of paralyzed parts.

Malignant pustule.

Emphysematous swellings.

Passive hemorrhage; blood dark and red, in feeble and cachectic persons, accompanied by tingling in limbs and prostration; desire for air; does not like to be covered; wishes to have limbs extended ; skin cold.

Rheumatism (j)eliosis rheumatica of Schoenlein) generally is found in cachectic individuals, with j)urpura ; affects joints, especially of lower extremities ; thrombosis of abdominal vessels.

I Ulcers: bleeding; becoming black; feeling as if burnt;

■ Dry gangrene of extremities, parts are dry, cold, hard and

Pressure : upon abdomen > labor pains ; upon vertebrae stitches <.

After lifting heav}^ weight : duri-ng sixth month of preg- nancy ; severe pain in stomach, abdomen and small of back.

External injuries : gangrene. ^

Skin dry and cool.

Cold and dry; dingy, w^rinkled, dry and insensible; des- quamation. ..■.:■■ :

I I Formication : with a sense as if mice were creeping under skin ; on face, gums and other parts of body ; in extremities with tearing, stinging pains ; in tips of fin- gers, lasting several weeks, with a partial loss of sensi- bility ; over whole body.

I Crawling: all over body; between skin and flesh ; and jerking under skin.

Violent crawling and prickling over whole body, espe- cially in upper lip and at times all about the mouth.

■ Bloody blisters on extremities, becoming gangrenous, llBoils, small, painful, with green contents, mature very

slowly and heal in same manner ; very debilitating.

271 SEC ALE CORN UTUM.

I Carbuncles ; extensive ecchymoses. • Petechia and miliary eruptions.

I I Purpura hemorrhagica.

I Cachectic females, with rough skin; pustules showing a

tendency to gangrene. lA^arico^e ulcers and enlarged veins in old people. I Ulcers turn black, copious vomiting of a mixture of a

thick, black, pitchy, bilious or shiny matter.

■ Indolent ulcer, ichorous, offensive pus, > from cold. General desquamation in scarlatina.

■ Variola pustules of abnormal appeai'ance, either fill with

a bloody serum or dry up too soon. *' Stages of Life, Constitution. Irritable plethoric subjects.

,Nervous temperament.

Women of very lax muscular fibre.

Feeble, cachectic women ; thin, scrawny.

Very old, decrepit persons.

Women of very lax muscular fibre; passive hemorrhages, copious flow of thin, black, watery blood; the corpuscles are destroyed.

Hemorrhagic diathesis ; the slightest wound causes bleed- ing for weeks (Phos.) ; discharge of sanious liquid blood, with a strong tendency to putrescence ; tingling in limbs and great debility, when weakness is not caused by pre- vious loss of fluids.

Strumous child, set. 18 months, suffering three weeks; diarrhoea.

Boy, let. 5, suffering from suppuration of glands of neck after an attack of scarlet fever ; hsematuria.

Girl, set. 10, suffering four years ; hsematemesis.

Boy, set. 13 ; amaurosis.

Boy, set. 17, slim, pale and thin, father a weaver ; chorea.

Mrs. P., set. 18, sanguine temperament, healthy, well-de- veloped muscular system, primipara ; dystocia.

Man, set. 18, shoemaker's apprentice, weak, pale face, light hair, flabby muscles, fat cheeks ; cramps in fingers.

Girl, set. 18 ; offensive foot sweat.

Woman, set. 20, gentle disposition, lymphatic temperament, gave birth to a child several weeks ago ; hsematemesis.

Man, set. 20, tailor's apprentice, strong,; well nourished; cramps in fingers.

Girl, set. 22, sanguine temperament, robust; menstrual colic.

Mrs. A., set. 25 ; hysteralgia.

Woman, set. 28 ; menstrual colic.

Woman, set. 28, lymphatic-sanguine temperament, pale, leuco-phlegmatic, has had three children and been pre- viously healthy; menorrhagia following an abortion.

SECALE CORNUTUM. 272

Man, set. 30, strong, well nourished, short neck, addicted to drink ; epistaxis, r. side.

Woman, set. 30 ; prolapsus of uterus.

Woman, set. 32, blonde, weak, after labor; uterine hemor- rhage.

Woman, set. 32. well built, married, no children ; metror- rhagia.

Man, set. 32, married ; spinal affection.

Mrs. W., set. 35, mother of three children, very weak and thin; menorrhagia.

Woman, set. 35, mother of three children ; metrorrhagia.

Man, set. 40, choleric temperament; dark complexion; diarrhoea.

Woman, ^et. 40, mother of seven children, weak, cachectic- looking, suffering from prolapsus uteri ; hysteria.

Woman, set. 41, large frame, feeble and emaciated, sufif'er- ing since her return from the tropics ; metrorrhagia.

Woman, set. 41, had metritis after a forced labor, followed by leucorrhoea, latter cured by Stannum ; epilepsy.

Architect, set. 42, robust constitution ; spinal affection.

Woman, set. 45 ; uterine hemorrhage.

Woman, set. 45, weak, formerly suffering from hemor- rhoids ; menorrhagia.

Forester, set. 50, strong, suffering three months ; paralysis.

Man, set. 53, nervo-bilious temperament, suffering many years with gastric disorder ; gastralgia.

Woman, set. 62, suffering four days ; epistaxis.

Woman, set. 70, gouty ; diarrhoea.

Woman, set. 80; senile gangrene.

Woman, set. 82; senile gangrene.

Girl, sanguine temperament, healthy but delicate, menses normal, suffering several weeks ; cardialgia.

Mrs. E., dark complexion, sickly yellow countenance, nervo-lymphatic temperament ; dystocia.

Mrs. , nervo-bilious temperament, dark complexion,

short, thick-set, has had four children ; dystocia.

Woman, just past climacteric, had tumor in breast which was enucleated by applications of a salve, since then suffering ; paralysis of legs. ^^ Relations. Compatible: Cinchon.

273 SELENIUM.