A bark from Angustura, South America, said to come from Galipea offici- nalis (Hancock), or Bonplandia trifoliata (Bonpland and Humboldt), but according to Schomburgk the tree is not known. Proved by Hahnemann and introduced on account of the horrible poi- soning cases which filled the journals from 1804 to 1815. He published it in 1821, in Part VI. of his Mat. Med. His own symptoms, 93 in number; those of his pupils, 209. A British wholesale druggist had sent a lot of unsaleable bark, coming from the East Indies, to Holland, and from Holland it went all over Ger- many, under the name of Angustura, a bark which had come into fashion for fever and diarrhoea until so many were killed by it that the sale of it was forbidden. It was then found that there were two kinds of the bark in trade, the one the vera the other a falsa. Chemistry showed that the one called /aZsa contained strychnine. In our toxicologies we find eleven cases of poisoning with it. Hahnemann held the erroneous opinion, which he subsequently modified (Mat. Med. Pura, 2d edit., 1827), that the poisonings were due to the massive doses given the sick, and he did not include the symptoms of Angustura falsa, as did Boen- ninghausen some time later. In the last number of his Archives, 1848, Stapf published valuable obser- vations of Dr. Schreter on a sensitive woman, with the 30th centes., in water ; a table-spoonful daily for sixteen consecutive days. Lembke made a proving in 1872. All are contained in Allen's Encyclopedia. For symp- toms of Angustura falsa, see Nucis vomicse cortex (erroneously called Brucea antidysenterica.) ^ Mind. I I Disheartened. No confidence in the use of the voluntary muscles ; could not finish what he attempted. Ill-humored, oversensitive to jokes, slight offences fill him with bitterness. ■ The slightest offence, a mere trifle, irritates, d Caries. Pusillanimity. Great gloom, d Threatening paralysis of lower limbs. Lively, in the afternoon. Thinks about one project and nothing else, with great activity of mind. A kind of waking dream in the afternoon. Kind of absence of mind, wants now this then that thing. Anxiety with outward pressing in abdomen, and outward cut- ting in chest, worse in bed, at night. ANGUSTURA. 286 Easily frightened and starts. ^ Sensorium. Vertigo when crossing a running stream. Vertigo as if he was turned backward and around ; periodicah Vertigo from the occiput forward, with pulsating in temples. Heaviness in head with dizziness. When pressing the head on the pillow, benumbing dizziness. ^ Inner Head. iMegrim. ■ Pressure in both temples, as if about to faint. Pressure in forehead with heat in face. Headache in evening until falling asleep. ^ Outer Head, ' l Drawing of head to the r. side, later to the left. Could not turn the head. Tensive pain in temporal muscles, when opening the jaws. Pains in bones of head. ^ Eyes. Dimness before the eyes from obscuration of the cornea, in the morning. I Shortsightedness. Reading makes dizzy, sleepy, and causes quivering between the brows. Dull aching over the eyes while riding (improved by Coffea). ^ Ears. Hearing more acute. Sensation as of something sticking in ear. Pains now in the right then in left ear. Burning in region of the tympanum. Heat in ears and both cheeks ; in lobe of ear. Cramp in external ear. Behind the ears a throbbing as from the large artery. Tearing pain in an abscess over the right mastoid process. ^ Nose. Inner nose ulcerated. * Face. Tension in muscles of face. Drawing in facial muscles. Crawls over the face after stool. Heat of forehead, during the night. Sweat on forehead, in the morning. I I Heat in face with headache ; heat in forehead at night. Cold cheek while the body is warm. Feels heat in both cheeks and ears without external warmth. The red cheeks turn cold. 1 Acute pains in both cheeks, occasionally darting through eye- balls and temples, <C stooping, stepping, or by mental ex- citement ; debility, depression of spirits, frequent chilly sensations and occasional attacks of nausea and loroseness of bowels. ^ Lower Part of Face. ■ l Exostosis of lower jaw. ■ Trismus neonatorum in cases where much mercury had been given. Tensive pain in temporal muscles, when opening the jaws. 287 - ANGUSTURA. Pain in masseter muscles as if one had fatigued them by chew- ing too much. Cramp-like pain near the articulation of the jaw, in the masti- ■ cator muscles, especially when at rest ; the pain is diminished by opening or closing the jaws. Lips dry and warm. ^^ Teeth. Drawing in upper teeth palliated by a cold finger. '' Tongue. Stitches in tip of tongue, very painful even without moving the tongue. Burning like from pepper near the left edge of the tongue. Ton2;ue white, feels rough. Bitter taste after dinner, from smoking. Foul or flat taste in mouth. Dry tongue, at night. '^ Inner Mouth. Dry, without thirst. Tough, foul mucus in mouth during evening sleep ; could not drink enough. Saliva runs out of mouth. Spits an acidulated saltish fluid, '^ Palate and Throat. Roughness and dryness on palate and in fauces without thirst, worse when swallowing. ' ^^ Appetite. Aversion to solid food, desires nothing but warm drink. I I Thirst without desire to drink. ■ Irresistible desire to drink coflee. ^Caries. I I Aversion to meat, especially pork. Thirst for cold water, could not drink enough during the eve- ning. See 12 and 40. Wants now one thing, now another, which are refused when off'ered. He cannot get satisfied, without having much appetite. ^' Eating. Crawls and uncomfortable feeling before a meal. On commencing to eat, a cutting pain in stomach like a sore, disappears while eating. ■ Cutting and stitches in belly after taking warm milk. Nausea while eating. After dinner : bitter taste and belching ; cutting tearing in pit of stomach; increases when moving the trunk. Heat in face after supper. After drinking warm milk. See 19. '® Nausea and Vomiting. Empty or bitter belching. Hiccough after cough. Nausea in morning with gulping up of a watery fluid. Nausea while walking out-doors, with faintness and great weak- ness ; the nausea seemed to rise up into the head, and he got hungry. Incomplete eructation with a full feeling in the chest. '^ Stomach. Painful tension in pit of stomach and abdomen. ANGUSTURA. 288 A contraction from region of stomach up to r. shoulder. After siesta, hollow and empty feeling in stomach, with rising of tasteless water. Cutting pains. See 15. Spasmodic pinching below scrobiculum in evening while sitting. Dyspepsia. See 29. I Gastric derangements, indicated by acidity, coated tongue, pappy, unpleasant taste and loss of appetite. ^^ Hypochondria. Sensation as if something was too short in r. hypochondrium, contracting pressure. Cutting under short ribs in r. side when moving the trunk. Fleeting dull stitches in left side, shaking him to and fro. Sensation as if " asleep " in left hypochondrium. ^^ Abdomen. Very loud rumbling ; in abdominal complaints. ■ Distension of belly. ^Arthritis. ■ Cutting in abdomen, with diarrhoea. ■ Indescribable pain extending in a line from the navel up to the scrobiculum and into the sternum. 6* After inflamma- tion of bowels. Dull stitches near the navel. Stitches»followed by drawing. Pressure and cutting from within outward. I I Feeling as if diarrhoea would set in. Throbbing over left groin. Right side of abdomen and lower limbs as if beaten, and in walking breaking down from rheumatic pains. Cutting across the os pubis, with a pressure toward the rec- tum ; cutting and rumbling after drinking warm milk. Spasmodic pressure while sitting as if something was boring outwards ; periodic throbbing and contracting. See 23. A drawing crampy sensation in the pelvis when walking. Cramp-like pain on crest of ilium, towards the spine. Dull stitches at short intervals on the left os innominatum, behind the hip-joint, increased with every motion. ^^ Stool. I Diarrhoea, day and night. ■ Whitish discharges; very copious thin stools. Shivering passing over the face, with goose-flesh, after every stool. ■ Cured whole families of diarrhoea preceded by cutting in ab- domen and nausea in the morning, d Summer complaint, 1850. I I Diarrhoea consisting of nothing but stools of slime. 1 I Insufiicient stool. OiFensive flatus. ■ Chronic diarrhoea, with debility and loss of flesh. ■ Costiveness. Urging in rectum, with crawls over the face. Pressing, I I contracting, tickling in rectum and anus. 289 ANGUSTURA. With hard knotty stool, hemorrhoidal tumors come out with increased contracting pain, lessened by applications of wet cloths. ^^ Urine. Frequent scanty urination. Urine frequent, copious and clear ; after it urging. Urine becomes black. While urinating the pimples on vagina burn. ^^ Male Sexual Organs. Seminal emissions two nights in suc- cession. Voluptuous itching of tip of glans, which forces one to rub, when walking in open air. Violent itching on male organs. Drawing and jerking in left testicle and cord, with a crawl in the scrotum and thigh. Itching on scrotum. Stitches on the foreskin. ^^ Female Sexual Organs. Pressure in r. ovary. Occasional sensation as if the uterus was swelling. Sensation as if the uterus was falling over. Dull motions as if the uterus was beating against the r. ovary, and in the r. hip. A kind of emission in the morning sleep; afterwards vexatious. Burning in all the sexual parts. Periodic throbbing and contraction above the mons veneris, with a transient irritation in the parts and a contraction seemingly in the ligaments. Uterus came down the vagina in the morning after rising, with quickly following stitches, relieved by cold washing. A milk-like fluid passes from the vagina. Yellow discharge a day before the catamenia. Delayed catamenia. Several nights before catamenia, very restless ; one leg on which the other was resting fell asleep, and the little finger was as if dead, waking her after midnight. On the morning of her catamenia all her former symptoms ap- peared ; sacrum as if lame, could hardly move or stoop. Unpleasant tickling in the genitals, has to scratch; after some blood appears it passes over. Instead of catamenia, itching pustules appear on the left outer labium, burning when urinating ; on the inner labium some larger pustules, itching when touched. 2" Voice, Larynx and Trachea. Voice louder and stronger. Hoarseness from mucus in trachea. A slight stitch in the epiglottis. Tickling irritation first in upper part of larynx, makes him cough, later lower down. ^® Respiration. Chest feels very light, as if expiring with more ease. 19 " ANGUSTURA. 290 Difficulty in breathing, with headache. Intermitting spasmodic breathing. Pleaving, breathing, groaning and closing eyes. I I With every inhalation, a sharp cutting pressure. I I Oppression when walking fast, followed by backache and uterine symptoms. Hiccoughing, pressing, cutting or shooting in chest, worse with inhalation. ^^ Cough. Dry cough, with scraping and rattling of mucus in chest. I Every afternoon, 3 o'clock, loose cough; in a very old woman. I Whooping-cough. I Cough with belching. I I A dry, hacking cough from a scratching in throat or from an irritation in windpipe or behind sternum ; later a copious yellow expectoration. ^^ luuer Chest and Lungs. Cramp in chest as if one had sud- denly taken a violent cold. Cutting pressure in both sides of chest, first only during in- spiration ; afterward changed to cutting thrusts, which con- tinue even on holding the breath. ■ Pressure in upper part of chest, like after violent running. ■ Constriction of the lungs. Contracting pressure on chest, on the ribs above hypo- chondria. Pressure on chest when lying on belly. Constriction of chest increased by the slightest motion, on go- ing up stairs, to a spasmodic asthma, with anxious palpi- tation. Chest complaints with headache. Irritation from behind sternum felt through to back, as if the whole right side of chest and belly were pressed together front and back, with a sharp cutting all along the sternum, in the spine, worse from inhalation and moving the body. '*' Heart, Pulse and Circulation. Violent beating of the heart with oppression after going up stairs. Violent palpitation in the evening when lying on the left side, in bed, better when sitting up. Violent palpitation when sitting bent over, with a painful sen- sation as if the heart were constricted. I Sudden attack as if the heart was swollen, with great fear of dying, better lying on left side, d Dyspepsia. A pushing pain like a concussion in region of heart. Pulse accelerated, spasmodic, irregular at times, intermitting. ^^ Outer Chest. Painful spasm in pectoral muscles. Painful sensitiveness of the chest, even to the slightest touch. A spasmodic sensation like that where the chest is attacked after sudden exposure to extreme cold. 291 ANGUSTURA. Burning pressure on the sternum. Cutting in sternum, stitches. Pectoral muscles ache when she moves in bed, and when cross- ing arms. Sharp stinging itching on last rib, r. side. Pain in r. side of chest when lifting the arm. ^' Neck and Back. I ■ Drawing in the neck. ■ Sensation of tremulousness and uneasiness in muscles of