Timbo Sipo

THIS beautiful liana is commonly found in the woods of Bra- zil; its stem, of a flexible and tenacious wood, furnishes slen- der, slightly pubescent branches with deep parallel furrows. The leaves are alternate, with winged petioles ; they are com- posed of five folioles which are almost sessile, oval-lanceo- late, crenulate, irregularly bizugate. The flowers are small, in spikes, situated on axes that are accompanied by leaf- lets arising from the axillae of the leaves. Calix with five folioles, corolla with four petals, alternating with the folioles of the calix ; eight stamens ; ovary with three uni-ovulate chambers.

Capsule pear-shaped and sharp, divided at its superior part in three tubercles. Root with long fasciculate branches which are a little hairy at their extremity. We employ the fresh root.

First day. — 1. Loathing, tongue thick and doughy, in a few minutes. She dreams about a leprous woman, which disgusts her.

Second day. — Very chilly. Colic 'followed by a reddish

PAULLINIA P1NNATA. 145

diarrhceic stool mixed with slime. 5- Headache as if the head were covered with a cap of lead on which one strikes. Loathing of food. Desire for dainties. Frequent and in- effectual desire to urinate. Pain of the soles in walking, increased by pressure. 10- Lancinating pain in the heel.

Third day. — Sensation in all the limbs as if bruised. Dizzy, her head inclines forwards. The feet feel numb, after going up-stairs. The arms, chest and head, except the ears, are very cold. 15- Desire to vomit. Her tongue feels as if it were as thick as a finger. Burning when urinating. She likes to remain quiet and shut up. Dreams about a leprous patient whose sores bleed. 20- Her chest feels

as if it would open, with a cracking noise. Stitch under the right eye.

Fourth day Shuddering on rising. Sharp pain during stool, as if a penknife had been plunged into the abdomen. Prickling at the left eye, which weeps and is very much in- flamed. 25- Redness of the sclerotica.

Buzzing in the left ear for 15 minutes. Pain in the groin as if the nerves were cut. Crampy pain in the left side of the hypogastrium. Itching and tingling in the throat. 30- Pain at the eye- brows meeting from opposite side at the root of the nose.

Heat in the soles. Oppression and burning in both sides of the chest. Pressure in the hypogastrium. Pain as if a string had been strung round the hypochondria. 35- In- tolerable itching, with sense of burning in the chest.

Beating in the temple and above the left eye. Pain at the navel as Irom a penknife. Painful sensation as from an iron bar, com- pelling the head to incline forwards. Constant ennui. 40- Loathing at the sight of food.

Desire for the taste and smell of coffee. General lassitude.

Fifth day. — Pain in the lower limbs, which become stiff by walking. Cramp in the palm and fingers of the left hand, extending to the arm. 45- Violent pain in the side as if a stone were pressed in. Itching and suppuration be- hind the head.

Sixth day. — Hammering in the vertex, reverberating in the temples. Restless sleep. She dreams that she wishes

146 BRAZILIAN PATHOGENES1S.

to open her chest in order to look into it. 50- Pressure at the chest and sides, as if pressed upon by iron sheeting, and then pierced with penknifes, causing an acute pain. Nausea. Lancinating pain in the left nipple, as if a pen- knife were thrust in, at regular intervals. Sawing pain as if the cartilage of the left ear were cut ; this pain extends to the left side of the neck. Prickings as from a thousand needles in the left thigh, high up, for several minutes.

Seventh day. — 55. Pressure as from an iron band around the waist ; and stitches in the upper part of the thorax, worse during motion. Crampy pain in the left hand, for a moment. Sensation, while talking, as if a stone were burying itself in the stomach. Pain as if a knife were plunged into the right side.

Eighth day. — She dreams that a scabby dog full of sores is walking towards her ; she took hold of the dog, who bit her ; then she uttered loud cries, in the midst of which she awoke with a severe pain in the chest. 60- She feels bruised all over. Headache as if her head would split. Lachrymation, especially of the left eye. Very hungry at dinner. Stabbing sensation in the ovaries, for a moment. 65- Painful stitches in each side of the abdomen.

Ninth, day. — Burning in the chest. Pain at the right ankle, as if sprained. Tingling in the throat. Pain in the loins as if bruised ; she is unable to raise herself after stooping. 70- Pain at the right shoulder, disappearing by friction. Numbness in the shoulder. Intense itching under the arm.

SECOND PROVING.

First day. — Sense of scraping in the throat. Heat in the front part of the chest. 75- Short breathing. Passing

in the region of the liver. Acute pain at the left wrist. Rumbling in the right hypochondrium. Pain in the left hypochondrium. 80- Pain in the right parietal region, as if pressed from within outwards. Internal trembling in the umbilical region and the left hypochondrium. Pain in the whole abdomen, worse when touching it. Pain at the

PAULLINIA PINNATA. 147

heart, at 2 in the afternoon. Lancination in the praecordial region. 85- Chilliness, first of the upper part of the body, and then all over. Alternate heat and chilliness in the face. Dry mouth.

Rough tongue with sensation as if larger. Ob- nubilat'ion. 90- Lancination, as after chewing cloves ; a constant symptom. Numbness of the arms. Trembling of the lower limbs.

In walking, she feels as though she were walking backwards. Lazy, not disposed to work. 95- Desire to lie down." Rough voice. Yellowish, bitter, diffi- cult and tenacious expectoration. No appetite.

At 6, the pain at the heart extends to the last ribs. 100- Acute pain in the middle of the head, on the right side. Headache, on the left side. Out of breath, with desire to vomit. Pain above the eyes, penetrating to the brain.

Pain at the left breast. 105- Pain in the right side of the chest, at half past 7 in the evening. Melancholy. Pain in the right temple. Weakness and heaviness in the lower limbs. 110- Numbness in the sole of the right foot and at the knee.

Pain in the shoulder-blades. Red spots in the face and on the chest. Shooting in the jaws. Sadness and drowsiness all day.

Second day. — 115- Desire to vomit on waking. Pain at the left groin, at 8. Weak feeling in the chest. Pain in the left temple.

Pain in the left arm, extending to the back. 120- Pain in the middle of the head as if a nail were thrust in. Itching in the hand and fingers, obliging one to scratch until the skin is off. Deep ennui. Acute pain in the right side of the chest, at 4 in the afternoon.

Pain in the left thigh. Pain in the right teeth. Contusive pain in the region of the liver, in touching the right ribs ; worse when walking. Chilliness all over in the evening. 130- Pain near the right elbow ; at 9 in the evening.

Third day. — Acute lancinations under the right arm. Pain at the neck. Lancinations in the left side. Heavi- ness of the head ; with pain in the right temple. 135. Heat in the face. Lancination under the right breast, at one o'clock. Dull pain in the left ear, at 2. Lancinations in the liver. Headache at night.

148 BRAZILIAN PATHOGENESIS.

Fourth day. — 140- Pain in the whole abdomen. Extraor- dinary desire for coffee and fruits. Constipation, for two days. Toothache continued. Pain under the right arm. 145- Pain at the internal part of the right arm. Lancinations in the right side of the chest, at 4 in the evening.

Fifth day. — Dreams about dead persons. Vision of dead persons. Headache, in the region of the right temple. 150. Pain from the arm to the chest, at 8 in the morning. Heat in the chest, around the breast, which feels as if pressed together by an iron band. Staggering gait. Bitter mouth. Profuse saliva. 155- Shortness of breath. Pain in the left arm when stretching it. Pain in the neck, less in the open air. Pain in the right side of the chest, below the clavicle and the right axilla, at 6 in the evening. No sleep.

Sixth day. — 160- Diarrhoea. Pain in the right side of the chest. Rheumatic pain in the knees. Pain around the navel. Pain in the chest. 165- Headache all day. Desire to walk. Lancinations in the splenetic region, at noon, Pain in the right shoulder, at one o'clock. Chilliness, at 3. 170- Shuddering with drowsiness and arthritic

pains. Lancinations in the right side of the chest, at half past 3. Lancinations in the right breast, at 6 in the evening. Heaviness of the head and forehead.

Seventh day. — Short breathing. 175- Pain under the sternum. Pain in the right wrist. Pain in the joints. Pain in the right ear. Blood-streaked saliva. 180- Headache in the evening, with inability to stoop. Violent cough, with inflamed throat. Fear of being phthysicky. Sad dreams.

Eighth day. — When drawing breath, the chest feels as if opened. 185- Dry and short cough.

Ninth day. — Headache in the morning. Weariness of the lower limbs. Pain in the left side of the chest, as far as the arm, as if the parts were scratched.

Tenth day. — Pain around the umbilicus. 190- Lanci- nations in the right side of the chest. Lancinations in the right eye, with lachrymation. Heat all along the back. A good appetite all day. Dreams about dead persons, with tears on waking. 195- Dry and short cough.

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Eleventh day. — Oppression on the chest. Dry cough. Pain in the right side of the chest. No appetite. 200- Ulceration at the lower limbs, with itching.

ARRANGEMENT ACCORDING TO HAHNEMANN.

MENTAL AND MORAL: 1. She likes to be alone and quiet. Ennui. Melancholy. Dizzy, her head inclines forward. 5. In walking she imagines she is walking backwards. Staggering gait. Vision of dead persons.

150 BRAZILIAN PATHOGENESIS.

BRONCHIAL : 60- Blood-streaked saliva. Cough with in- flamed throat.

BLATTA AMERICANA. 151

BLATTA AMERICANA (LAM.)

BLATTA. KAKERLAT AMERICANA (SAR.) PORTUG. : BARATTA.

152 BRAZILIAN PATHOGENESIS.

We triturate the whole insect, if possible alive, for 15 minutes ; after which we take two or three grains of this paste and rub them down with 100 grains of sugar of milk in order to obtain the first trituration.

DELPHINUS AMAZONIDUS. 153

HAHNEMANN'S ARRANGEMENT.