A native of China and Japan cultivated in our gardens ; flowers in July and' August. Introduced and carefully proved by W. E. Payne, assisted by Dunham, Lilienthal, Gallupe and Savage. Original day book of provings is published in Trans. Am. Inst, of Hom., 1871. Clinical Authorities. — Dementia, Herbert, A. H. O., vol. 8, p. 397 ; Uterine- dementia, Knerr, MSS. ; Headache, Hawkes, Org., vol. 2, p. 114 ; Eye affection, Woodyatt, Org., vol. 3, p. 99 ; Asthenopic symptoms (2 cases), Woodyatt, Norton's- Ophth. Therap., p. 110; Kopyopia hysterica, BuiFum, Norton's Ophth. Therap., p. Ill ; Diarrhoea, N. E. M. G., 1873, p. 221 ; Eaue's Eec, 1874, p. 179 ; Dysentery, Pease, Hom. Phys., vol. 3, p. 380 ; Ovarian pains, Neidhard, Allg. Hom. Ztg.,., vol. Ill, p. 77 ; Ovarian dropsy, Farrington, Raue's Path., p. 743; Chronic metritis,. Wright, Eaue's Eec, 1873, p. 165 ; Anteversion, Miller, Hah. Med., vol. 8, p. 344 ; Prolapsus uteri, Price, Eaue's Eec, 1870, p. 38 ; Howell's, Org., vol. 2, p. 383 ; San- ford, Eaue's Eec, 1871, p. 151; Uterine displacements, Price, Eaue's Eec, 1871,. p. 16 ; Miller, Eaue's Eec, 1874, p. 230 ; (4 cases) Boardman, Eaue's Eec, 1873, pp. 168, 167; Pruritus vidva^, Mohr, Hah. Med., vol. 13, p. 538; Delayed post-- partum recovery, Payne, Hale's Symptoms, p. 405; Eaue's Eec, 1872, p. 194; Func- tional disturbances of heart, Berridge, Org., vol. 1, p. 281 ; Palpitation of heart, Kenyon, Hah. Med., vol. 5, p. 147. ^ Mind. Obtuseness of intellect with inability to find right words in expressing thoughts ; forgets what he is about to say. Ideas not clear, they become more so if he exerts his will; makes mistakes in writing and speaking; cannot apply mind steadily. S3 LILIUM TIGRINUM. Depression, dulness of intellect and thirst precede severe symptoms. I Believes her disease to be incurable; that she has some organic disease that nobody understands. I I Tormented about her salvation. ^Uterine complaints. I Crazy feeling on top of head; wild feeling in head, with confusion of ideas. 1 Dementia produced by business discouragements and sexual excesses. ■ Disposition to weep, with pain in back; has to keep very busy to repress sexual desire. I Disposed to curse, to strike, to think of obscene things ; as these mental states came, uterine irritation abated. I I Aversion to being alone, and yet no dread felt. ■ Loss of appetite, headache, with distress of head and in- disposition to labor; dread of business; indisposition to any exertion of mind or body. I Listless, inert, yet does not want to sit still; restless, yet does not want to walk; hurried manner, desire to do something, yet feels no ambition; feeling as of impera- tive duties and utter inability to perform them ; sexual excitement. I I Depression of spirits: profound; can hardly keep from crying; disposition to weep, with nausea and pain in back ; aversion to food ; weeps much and is very timid ; indifferent about anything being done for her. ■ Anxiety; fearful that the symptoms indicate an internal organic disease; very marked in both male and female. ■Apprehensive, as from impending disease or calamity; fears insanity; fears heart disease; fears she is incurable; often with moderate or subacute uterine or ovarian in- flammation. ■ Doubts her salvation; thinks she is doomed to expiate her sins and those of her family ; tears her hair; walks floor night and day; seeks to escape; consolation aggra- vates. ^Uterine dementia. "^ Sensorium. Vertigo, especially when walking; feeling as if intoxicated ; staggering forward; forgetful; head con- fused and heavy. Faint feeling; fear of falling, < in close warm room, > in fresh air, though he is then chilly. ■ Faint in a warm room and when standing, with cold sweat on hands and feet. ^Prolapsus uteri. ^ Inner Head. iDull frontal headache; < over 1. eye, or alternating from side to side. ■ Pain in forehead. ^Photophobia. ^Blepharitis. ^Astig- matism. Blinding pain in forehead, < in evening; extending into LILIUM TIGRINUM. 54 back of head and down neck, with strange muddled feeling in head, general weakness and desire to lie down ; stinging burning pain in forehead, with sensa- tion as of rubber band stretched over it, with confusion of mind; > by effort of will; pains in forehead and temples, with vertigo, depression of spirits, bearing down pain in region of womb and anus, strangury and in- effectual urging to stool ; shooting in r. temple passing to 1., with a dull heavy sensation in whole front of head ; dim sight; pains in eyes extending to head; dull press- ive aching from 1. temple to occiput; paroxysmal. Drawing hot pain through head and eyes, > by frequent sneezing. Fulness of head, with pressure outward as if contents would be forced through every aperture; feeling as if blood would issue through nose when blowing it; > by sup- porting head with hands, and at sunset; < when walk- ing in open air. Heavy feeling in head, with morning diarrhoea. Peculiar pressive headache with tremulousness and in- creased micturition. Heavy feeling in head, at times slightly confused, then almost crazed feeling in head, rushing, like some fluid, through head, generally from r. to left. ■ Wild feeling in head as though she would be crazy, with pain in r. iliac region. ■ Terrible tearing, crazing headache; feels as if she M'ould lose her reason ; crazy feeling seems to run up back of head and feels as if whole head would be torn to pieces, with great fulness pressing out, with confused feeling; pain utterly unbearable, makes her wish for death ; pain about heart, running through to 1. scapula; pains and weakness in limbs; feels she has heart disease and can- not recover, or that she will lose her soul. ^Headache. ^ Sight and Eyes. I Blurred vision; with heat in eyelids and eyes; after seminal emissions; with prolapsus uteri; muscse volitantes. iHypermetropia; presbyopia. iTurns head towards 1. side when reading, trying thereby to look with 1. eye out of r. glass of spectacles, in order to see whole of letters like b, p, d, of which he otherwise could see only the straight part, but not the curve. I So-called asthenopic symptoms probably dependent upon spasm of accommodation. I Kopyopia hysterica; burning and smarting of lids, ex- cept in bright light; insufficiency of each internal rectus 2°; eyes always > in open air; lachrymation on looking down; crawling in vertex; stabbing in occiput. 55 LILIUM TIGRINUM. i I Eyes full of water; face flushed and hot, pricking in skin of forehead. I I Eyes painful, sensitive to light. ■ Intense pain in eyes, extending back into head ; dim sight. I Sharp pains over eyes. ■ Burning feeling in eyes after reading or writing; eyes feel very weak. ■Any attempt to work near causes redness of tarsal edges and hot sandy feeling in conjunctiva. ® Hearing and Ears. Rushing sound in both ears. ^ Smell and Nose. Frequent sneezing, relieving a severe burning headache and pain in eyes. Constant desire to pick nose. ^ Upper Face. Pain in r. side of face, r. nostril stopped. Heat and bloated feeling of face and head. Chilly feeling in face in forenoon ; afternoon fever, con- gestion to chest; face and forehead flushed and hot; pricking in forehead. " Taste and Tongue. 1 1 Taste of blood. ^Congestion to chest. 13 Throat. I Hawking of mucus, with constant nausea. ^* Appetite, Thirst. Desires, Aversions. iLoss of appetite. Aversion : to bread ; to coffee. Craving for meat; voracious hunger, seemingly along spine and up to occiput, not appeased by eating. Thirst: drinks much and often; recurring before severe symptoms. ^^ Hiccough, Belching, Nausea and Vomiting. Nausea : constant, with sensation of a lump in stomach, moving at every deglutition; when thinking of coffee; with morning diarrhoea; with pressure in vagina and pain at top of sacrum; from uterine irritation ; retching, but no vomiting; feels like vomiting when she touches her epigastrium. ■Vomiting from malposition of uterus; frequent hawking of mucus from throat. ^^ Scrobiculum and Stomach. Fulness, disturbed feeling, upward pressure^ after eating. Stomach distended, with frequent eructations and escape of flatus per anum. Hollow, empty sensation in stomach and bowels. ^® Abdomen. ■■Dragging down of whole abdominal contents, extending even to organs of chest; must support ab- domen ; as if whole contents were pushing down into a funnel; is compelled to cross her legs for fear every- thing would be pressed out. ■ ■Bearing down sensation in pelvis as though everything was coming into world through vagina. ■Bloated abdomen after a meal, continuing after a diarrhoea. LILIUM TIGRINUM. 56 Abdomen distended, with moving of flatus, > passing wind up or down. ■ Unusual distension of abdomen. Abdomen sensitive to pressure or jarring. Abdominal walls sore, previous to stool. Sensation as if diarrhoea would come on, passing off by urinating. Bloated feeling in region of uterus, extending to hips. Abdomen distended and sore after menses cease. Empty feeling of abdomen and stomach. Weak, tremulous feeling, extending to anus. Skin of abdomen feels stretched and stiff. Tenderness in hypogastric region. ^ Stool and Rectum, l Morning diarrhoea, stools loose, bili- ous; dark, offensive, very urgent, cannot wait a moment; stool preceded by griping pains or great urging, witli pressure on rectum; followed by smarting, burning of anus. ■ Diarrhoea, directly after dinner, sudden and peremptory; discharges copious and bilious, burning of rectum and anus, severe tenesinus, followed by extreme exhaustion. ■ Stools frequent, bloody, mucous; always constant urging and much backache; after stool a feeling as if more would pass; wakens about 3 a.m.; mouth dry; constant thirst for large quantities of water; longs to keep quiet, slightest motion makes < ; stools becoming more bloody and occurring every half hour; restless, hurried feeling, as if she must attend to some important duties, but which she is unable to perform; tenderness over region of 1. ovary, with downward pressure, as if everything would come out of vulva, and feeling as if she must hold herself up in that region when at stool; frequent desire to urinate ; uterus prolapsed. ^Dysentery. ■ Stools: dark brown, semi-liquid, fecal; copious bilious; very offensive. ■ Bowels constipated. ■With every effort to evacuate bowels, urine only is dis- charged ; sensation as if hard body was pressing back- wards, downwards and against rectum and anus; < standing, increased desire to go to stool. Before stool: peremptory urging; constant bearing down with pressing in rectum. During stool : tenesmus of bladder and rectum. After stool: acrid smarting and burning in rectum and anus; severe tenesmus; exhaustion. ■ ■Pressure in rectum, with almost constant desire to go to stool. I I Escape of flatus, with great distension of stomach and frequent eructations. 57 LILIUM TIGRINUM. iHemorrhoids after delivery, sore to touch, itching; bear- ing down at stool as if all would protrude through vagina. ^^ Urinary Organs. 1 1 Continuous pressure in region of blad- der, constant desire to urinate, with scanty discharge; smarting in urethra and tenesmus. I Frequent urging, with acrid smarting after every dis- charge; urging < toward morning. nFrequent urination through day; with dull headache moving from sinciput to occiput, finally settling in 1. temple. I I If desire is not attended to, feeling of congestion of chest. S Urine: milky, scanty; increased and dark; hot like boil- ing oil; high colored and scanty. ^^ Male Sexual Organs. Sexual desire increased. _ _ • Lascivious dreams and emissions, followed by irritability, difficulty in fixing one's mind, selecting wrong words. ^ Female Sexual Organs, a Sexual desire increased ; obscene. 1 1 Sharp pain in ovarian region; burning, stinging, cut- ting, grasping pain extends across hypogastriurn ^ to groin, down leg; bearing down when standing; sensitive to pressure; ovary swollen to nearly size of child's head. I Dull pain in r. and sometimes in 1. ovary, with offensive leucorrhoea, and great weakness during menstruation. I Pains in 1. ovary with anteversion; leucorrhcea like white of egg; drawing down sensation in 1. side. ■ Swelling and pain, with sensation of heaviness, in 1. ovary. ■ Bearing down in uterine region, < walking, > holding up abdomen with hands ; tenderness of swollen 1. ovary; stinging, burning pains from ovary up into abdomen and down thigh ; shooting pains from 1. ovary across pubes; urine causes smarting; prolapsed and sensitive uterus. ^Ovarian dropsy. ■ Bearing down in uterus, with pains in 1. ovary and 1. mamma. I I Great distension of abdomen; looks as if about to be confined (since confinement); very distressing dull pains in 1. ovary; constant aching in sacral region, extend- ing into thighs; yellow, mouldy, blotchy look of skin, especially of face and upper chest; prolapsus and partial procidentia. I Pains in small of back, r. and 1. ovarian region, down outside of thighs; very severe when menstruation is at its height, obliging patient to keep her bed; flow bright and clotted, intermitting; between periods a sense of weakness and dragging, occasioning a movement as if uterus fell from r. to 1. ; mouth of uterus to 1. and high up. ^Chronic metritis. ■Unable to move, fearing her womb would drop from her; LILIUM TIGRINUM. 58 great pelvic distress on sitting up; uterus prolapsed, with swelling and tumefaction, os much indurated, hot, tender to touch ; thinks her husband causes prolapsus by rough coition. ^Prolapsus. iFunnel shaped pressure, beginning in throat, and con- verging upon uterus; sick headache every few days, much < at menses; prolapsus uteri of second degree, with general laxity of ligaments. lOs wedged against sacrum, fundus tilted toward pubis; agonizing distress and pressure in rectum; constant desire to defecate and to urinate; urine at times scanty; feels afraid to move for fear everything will drop through; headache over eyes and vertex; menses irreg- ular, scanty, exceedingly painful; thinks no one under- stands her complaint, that it is incurable. ^Prolapsus. ■ Fundus inclined to 1. side of pelvis; hernial sac in 1. in- guinal region of size of walnut; great tenderness of os; uterus swollen and tumefied ; difficult, painful urination and stools; aching, burning, pressing pains; bowels torpid; menses irregular, scanty, painful; constant leu- corrhoea, mild, profuse, staining linen, greenish yellow; very stooping posture; had used supporters, etc. ^Ante- version. llSevere neuralgic pains in uterus, could not bear touch, not even weight of bedclothes or slightest jar; ante- versioai. ■Great bearing down and distress in pelvic region; pressure upon both rectum and bladder; wears a T bandage "to hold herself together;" "felt as though she would drop asunder;" pale, wretched looking counte- nance; menses almost wanting, except a mere show every two or three months; very painful; leucorrhoea, acrid, dirty yellowish brown color; headache; appetite poor; OS pushed down on pubis; fundus against sacrum. ^Retroversion. llAnteversion and retroversion of uterus; patients nearly all have constipation. ■ Bearing down pains: particularly in walking; as though menstruation would come on ; as if to have passage from bowels; low spirited, weeping, apprehensive; irritable; opposite and contradictory mental states; anorexia; faint in close room and when standing; frequent, scanty, burning urine; pain in sacrum; bloated feeling in ab- domen; limbs cold and clammy. ■Sensation as if a hard body was pressing backwards and downwards upon rectum and ovaries; > walking in open air ; heart symptoms. ■Bloated feeling in region of uterus ; pelvic organs feel swollen; aching apparently around, not in, uterus. 59 LILIUM TIGRINUM. I Intermittent sharp pain across lower bowels. ■ Burning from groin to groin, with morning stool. I Aching over pubes, with pain in knees. I Intermittent, laborlike pains in lower part of back, with a thin, acrid excoriating leucorrhoea, leaving a brown stain ; < afternoon until 12 p.m. I Menses: scanty, flow only when moving about; dark, thick, smelling like lochia; on second day after time to menstruate, cutting in bowels, limbs clammy, followed by profuse, bright yellow leucorrhoea, excoriating peri- neum; accelerated, sometimes recurring in two weeks, though flow is scanty; ceased to flow when she ceased to walk. iDysmenorrhoea: from dislocations; sensation of constric- tion from back around hips, ending in pubes. I Amenorrhoea : with cardiac distress or burning sting- ing ovarian pains; complicated with prolapsus or ante- version. ■ Voluptuous itching in vagina, with feeling of fulness of parts ; stinging in 1. ovarian region. ■ Leucorrhoea: thin, acrid; leaving brown stain on linen; abundant, excoriating ; < afternoon and evening. ■ Dry, mealy spots, about size of lentils, on mucous surface between labia majora and minora, causing intolerable itching; awakes at night to find herself scratching these spots, feels like tearing away flesh, itching seems to be so deep in, generally < before menses ; at times watery discharge from 1. nostril, coming away drop at a time and looking like clear water; spot on septum of 1. nostril similar to eruption on vulva ; partial prolapsus of uterus ; seems as if everything would come out, great desire to place hand on vulva to keep parts up ; > from pressure of hand. ^Pruritus vulvae. ■ Rashlike eruption on genitals; swelling of parts. ■ Cutting in 1. mamma through to scapula; sighing; short breath. ■ Cramplike pain in 1. mamma, shoulder and fingers. ^Pregnancy. Parturition. Lactation, ■ Morning sickness, frequent copious urination ; palpitation. ■Slow recovery after confinement; lochia too long; must support vulva to prevent everything from escaping; < from motion ; subinvolution ; lochia profuse, excoriat- ing ; dragging pains ; smarting in urethra after urina- tion; fears an internal incurable disease. ■ Confined four weeks ago ; has been always troubled with severe constipation; hemorrhoids first week after labor, painful, sore to touch and itching ; profuse, irritating leucorrhoea or continued lochia, with pain in back and LILIUM TIGRINUM. 60 hips ; pain and smarting in urethra after passing urine ; bearing down when at stool, as if- internal organs would pass out through vagina and had to be kept back by supporting vulva with hands; dreads insanity; fears incurable disease. ^ Respiration. Breathing oppressed, with oppression in lower part of chest, < 4 a.m. ; sighing ; frequent desire to take a long breath ; feeling of compression and weight. Chest feels as if too full of blood ; slight relief from sigh- ing; oppressive heat, must go into open air; < in close room ; with taste of blood, faint feeling ; weak heart- beat, blurred sight, fear of falling. ^ Inner Chest and Lungs, i Constant feeling of load or weight in 1. chest ; smothering sensation. ■ Dragging, as if all internal organs hung suspended from