Ferrum Phosphoricum

Mind

Early in the evening loss of courage and hope; better since sleeping (second day). Feeling constantly as though a stimulant were needed (none taken since the sixth day, relieves when taken); a feeling of "letting down," inertia, indifference to ordinary matters, with inward craving for brandy, and feeling as if energy would be renewed by it, yet no real muscular debility, more a feeling of indolence as to ordinary matters only (eighth day). Evening, impetuous feeling, yet obstacles cause annoyance and hesitation, and trifles seem like mountains, still intolerant of hindrance and annoyance (ninth day).

All the morning under pressure of influences of contradictory sort, no lack of firmness (tenth day). Afternoon, recurrence of the intolerant feeling (fourteenth day); hasty, intolerant feeling in the afternoon (fifteenth day). Indignation for causes followed by oppression of left chest and stomach (fifteenth day).

Walking in a quiet part of the city after dark had a soothing, pleasant effect, ceasing on returning to the bustle of the central streets. At one time this afternoon cross words of another party about an absent stranger created a feeling of momentary shrinking and timidity (fifteenth day).

Marked increase in resoluteness and precision of mind; less of "exhausted" feeling from dealing with opposition and hindrance than for awhile past; less "intolerance" at the same time (seventeenth day). In street-car conversation of fellow-passengers, especially when earnest or excited, was unendurably annoying, was glad to change my seat. This intolerance passed off during the afternoon, and the buoyancy and energy returned by evening (nineteenth day).

Head

[10.]

Head feels as if sleep had been insufficient, with desire for sleep; 4.30 P.M., fell asleep at my table (not having lost sleep last night) (eighth day).

While reading, headache from right brow to right ear (second day). Top of head, aching dulness, extending towards orbits and sides of head as a pressure; worse when holding the head down in writing; not noticed when going about; but whilst walking in the street, more in occiput; when rising and walking, etc., most in top of head, just as the force of the circulation most impinges; always dull and oppressive, without throbbing altogether, it seems in the subcutaneous cavities of the head (tenth day).

(Old symptoms get worse, as of fatigue of brain from long study), (tenth day). In the afternoon, twinges of pain from right vertex to right supraorbital foramen (sixteenth day). Dull right-sided headache (third day). At 11 P.M., sharp twinge over the whole left side of the head (thirteenth day).

All day a dull headache, slightly, mainly right side; most on first thinking of it (fourteenth day).

(Less tired aching in the occipito-cervical region than usual, in the morning), (second day). During this afternoon every concussion (as of coughing, and even sudden and hard smacking of the lips) is felt as a dull painful sensation in the posterior part of base of skull (the cervico-occipital region), (seventeenth day).

Eye. [20.]

Late in the evening, when riding, neuralgic ache at inner left eyebrow, and down left side of nose (ninth day). 7.30 P.M., sharp ache at outer edge of left orbit, as if in the bone. At 8.30, similar, but slight pain on right side, both transient (thirteenth day). Painful smarting in edges of right eyelids (second day).

Ear.

In a few minutes aching sticking in right ear.

Sticking in right ear (second day).

Went to bed with sticking in right ear, as if a large pointed stick were lodged deeply therein, extending as a dull headache over that side; seemed to be subaponeurotic in location (as if above periosteum), (fourth day); dull feeling on right side of head still observable (fourth day).

Nose

Painful smarting in anterior right nasal passage (second day). After the last dose, painful smarting of right posterior nasal passage, especially during inspiration, better by expiration (had been asleep), (second day).

Face

After moderate tepid bathing, mostly with sponge, lips look blue (seventh day). Grumbling in lower jaw, near (filled) molar, left side (seventeenth day).

Mouth

[30.]

Light coat on tongue not unusual, but increased, with a yellowish tint increasing towards the base (eighteenth day).

Throat

Constant working down of phlegm behind velum palati; also loosing from below (fifth day). Speedily, a general liberation of pharyngeal and tracheal and nasal mucus (after first dose, fourteenth day).

Stomach

Appetite and Thirst. On sitting down to supper at 7.30 P.M., indifferent to food, but ate fairly, food tasting good (tenth day).

1 P.M. had a desire for, and drank ale; at 3 P.M. no appetite for dinner, but desire for brandy, of which took about a teaspoonful; afterwards ate with good relish (the same yesterday; the same desire before breakfast) (sixth day). Very little or no desire for stimulants since yesterday, the last taken (thirteenth day). Studying till 2 A.M., rose in the morning somewhat below par, desire for brandy, took a teaspoonful with good effect (sixteenth day).

At 1 P.M., not having eaten since breakfast, somewhat exhausted, with desire for brandy (not taken), (seventeenth day).

Thirst for cold water and for brandy, in the morning (eighteenth day). Eructation and Hiccough. Irritating rising, not sour, but somewhat greasy in flavor (half an hour after second dose, fourteenth day). [40.]

Noon, hiccough after sitting bent towards the floor (eleventh day). Hiccough once when respiration compressed the stomach, repeated some time after seventeenth day). At 9.30 P.M., sitting at table bent forward reading, most intense heartburn, with rising so irritating it made me cough and hem for some time; irritation in throat and behind left of mid-sternum. The later risings of fluids have a slightly greasy flavor, still provoking repeated cough; they come up with eructations of gas (partook at supper of stewed oysters and very aromatic good tea), (thirteenth day). Nausea. Rose this morning with a nauseated feeling (eighteenth day).

Stomach

Pinching in epigastrium (after a few minutes).

Abdomen

Leaning, standing over the table, repeated emission of fetid flatus, continuing while undressing (first day).

At breakfast, bending forward, colicky in transverse colon; repeated while standing, using the arms moderately towards the left. In a few minutes after a dose again colicky in transverse colon (third day). 3 P.M., colicky feeling in transverse colon (eighteenth day).

Threatenings of diarrhoea from colon to rectum (twentieth day).

Stool

Soft, but consistent, decidedly yellow, easy stool (fifth day).

Urinary Organs

[50.]

The urine which, before taking the drug, was yellow, became limpid, abundant, and pale after taking, the weather being warmer; the past two days the weather being cooler, the urine is darker, less copious; when pale, a few drops crystallized on glass examined by the microscope presented several crystalline forms the principal being hexagonal plates answering to cystin, as figured in Frey's microscopical technology; also tablets answering to uric acid and chloride of sodium, but not numerous (seventh day). Urine pale, the quantity being somewhat copious, the weather cool (fifteenth day).

Chest

Pain in chest, in the morning (third day).

Heart And Pulse.

Sitting writing, palpitation (third day).

Palpitation while sitting (soon after second dose, eleventh day). Accelerated pulse (eleventh day).

Neck And Back.

Pain in neck, in the morning (third day).

Aggravation of a habitual aching in the dorsal spine all day, especially when standing or sitting, better by going about, and by leaning back against the chair, supporting the spine; these symptoms are habitual, but are more conspicuous and constant and annoying; also better by change of position, even by brief bending forward (when standing), (fifteenth day). Sitting in church, in the evening, right lumbar region felt tired; needed support (seventh day). Dull pain (when walking bent forward) in left lower lumbar region (seventeenth day). [60.]

Walking in the street at 1 P.M., after standing, aching at sacro-iliac symphysis; better by pressure (eighteenth day).

Superior Extremities. After writing, rheumatic feeling in right wrist, extending downwards in the course of the dorsal tendons, most when resting it; then the pain seems to ebb and flow at short intervals. When writing, it occasionally extends up the forearm, mostly on dorsal and ulnar aspects; on rising, felt in little finger to first phalanx; better by external warmth and wrapping (after twenty minutes, sixteenth day).

Generalities

(Old symptoms get worse, as frequent change of position in bed on waking in the morning, and much of the times since, because of aching in neck, throat, and occiput), (tenth day).

(Less tired feeling (than usual, in the morning), (second day). Malaise all the evening (eighth day). All the evening sensitive to cool air (eighth day). Noon, very sensitive to cool air, 65° F.; desire to be in a warm room (tenth day). Cool air disagreeable, but tolerable (seventeenth day).

Sleep

4.30 P.M., drowsy; eyes feel it much; the feeling extends upward into the head; soon after had to lie down and take a nap (eleventh day). Waked wearily (third morning).

Fever

[70.]

Heat and dryness of face and palms while sitting (soon after second dose, eleventh day). About 6 P.M. observed that face and hands were again heated and dry whilst reading; also the throat and upper chest (twelfth day). Dry heat of palms (eleventh day).