For provings and toxicological reports which are numerous, see K. A. M. L., vol. 1, p. 278, and Allen's Encyclopedia, vol. 7, p. 173. CLiNicAii Authorities. — III effects of anger, Schmid, B. J. H., vol. 5, p. 271 ; Menial disturbance; Idiocy, Sonnenberg, Schiiler, Kiesselbach, Kiick., Kl. Erf., vol. 1, p. 36; Bigler, Hom. Phys., vol. 6, p. 249; Delirium, Elwert, Eiick. Kl. Erf., vol. 5, p. 8 ; Delirium tremens, Strecker, Weber, Trinks, Eiick. Kl. Erf., vol. 1, p. 146 ; Battmann, Kurtz, Eiick. Kl. Erf., vol. 5, p. 65 ; Apoplexy, Higgins, N. A. J. H., vol. 22, p. 58 ; Scliolz, Schmid, Knorre, Frank, Eiick. Kl. Erf., vol. 1, p. 94 ; Low, Eiick. Kl. Erf., vol. 5, p. 30 ; Stupor, Sawyer, Hom. Phys., vol. 7, p. 337 ; Sunstroke, Espinay, N. A. J. H., vol. 22, p. 80 ; from Bib. Franc , Dec, 1872; Vertlyo, Miiller, Eiick. Kl. Erf., vol. 5, p. 22; Schmid, B. J. H., vol. 1, p. 377 ; Headache, Schmid, 205 OPIUM. B. J. H., vol. 1, p. 378; Eilck. Kl. Erf., vol. 1, p. 190; Meningitis, Hartmann, Hirsch, Eiick. Kl. Erf., vol. 5, p. 46; Cerebro- spinal meningitis, Eaue, Analyt. Therap., vol. 1, p. 248 ; Affection of stomach, vomiting, Hofrichter, Riick. Kl. Erf., vol. 5, p. 319 ; Colic, Welsch, Times Eet., 1875, p. 73 ; A. H. Z., vol. 90, p. 173 ; Flatulent colic, Hirsch, B. J. H., vol. 26, p. 108 ; Lead colic, Eiickert, Fleischmann, Eothhansl.Trinks, Eiick. Kl. Erf., vol 1 p. 758 ; Hnber, Mattoli, Eiick. Kl. Erf., vol.5, p. 369; Ussher, Hah. Mo., vol. 23, p. 601; Horn. World, July, 1888; Intestinal catarrh, Miiller, Eiick. Kl. Erf., vol. 5, p. 425 ; Ileus, Cserno, Eaue's Eec 1872, p. 149 ; H. Kl., 1871, p. 50 ; Intestinal obstruction, Low, Kafka, Eiick. Kl. Erf., vol. 5, p, 374 ; Intestinal obstruction and fecal tumor, Plimpton, Hah. Mo., vol. 10, p. 393; Abdominal complaint, Bartl, Eiick. Kl. Erf., vol. 1, p. 777 ; Constipation, Swan, Horn. Times, vol. 4, p. 275; Stoaks, Horn. Phys., vol. 8, p. 439; Foster, Times Eet., 1877, p. 35; Am. Horn., vol. 1, p. 114; Luchs, Eiick. Kl. Erf., vol. 5, p. 396 ; Lobeth., Hrg., Mschk., Kirsch, Euck. Kl. Erf., vol. 1, p. 817 ; Eafin- esque, Bernard, Bernard and Strong, p. 85 ; Cholera, Hirsch, B. J. H., vol. 26, pp. 107-112 ; Lobeth., Eentsch, Both, Euck. Kl. Erf., vol. 1, p. 952 ; Engelhard, Gers- tel, Eiick. Kl. Erf., vol. 5, p. 479 ; Proctitis, Lindner, Eiick. Kl. Erf., vol. 5, p. 355 ; Retention of stool and urine, Hrg., Eiick. Kl. Erf., vol. 2, p. 28 ; Renal colic, Trinks, Euck. Kl. Erf., vol. 2, p. 28 ; Strangury, Allen, Horn. Phys., vol. 7, p. 212 ; Ureth- ral stricture, Eosenberg, Eiick. Kl. Erf., vol. 5, p. 547 ; Sloughing of scrotum, Sircar, Eaue's Eec, 1875, p. 169; Calcutta M. J., vol. 3, p. 122; 3Ienorrhagia, Weil, Times Eet., 1877, p. 109 ; Menostasia, Gross, Eaue's Eec, 1872, p. 179 ; H. Kl., 1871 ; Constipation during pregnancy, Knorr, Eiick. Kl. Erf., vol. 2, p. 384; Disorders of pregnancy, Wheeler, Times Eet., 1877, p. 113, Mi^ss. Trans., vol. 4, p. 883; Abortion, Griessel, Eiick. Kl. Erf., vol. 2, p 319; Ineffectual labor pains, Afterpaivs, Battmann, Eiick. Kl. Erf., vol. 5, p. 656; Use in labor, Battmann, Eiick. Kl. Erf., vol. 5, p. 34; Paerperal convulsions, Hartmann, Eiick. Kl. Erf., vol. 2, pp. 394, 408 ; Briry, N. E. M. G., vol. 8, p. 348 ; Baer, Eaue's Ec-c, 1874, p. 247 ; from Trans. A. I., 1872, p. 225 ; Bronchitis with dyspncea, Kafka, Euck. Kl. Erf., vol. 5, p. 800 ; Dyspnasa, Morrison, Horn. Eev., vol. 21, p. 157 ; Asthma Millari, Times Eet., 1877, p. 84, Cough, Gross, Eiick. Kl. Erf., vol. 3, p. 46; Hcemoptysis, Lobethal, Eiick. Kl. Erf., vol. 5, p. 805; Pneumonia, Bernrenter, Eaue's Path., p. 392 ; Miil- ler, Eiick. Kl. Erf., vol. 3, p. 310; Heart disease, Knorre, Eiick. Kl. Erf., vol. 3, p. 447; Huber, Eiick. Kl. Erf., .vol. 5, p. 860; Spasms, Epilepsy, Hrg., Attorn., Hro- mada, Knorre, Eiick. Kl. Erf., vol. 4 p. 586 ; Spasms, Pritchard, Eaue's Eec, 1875, p. 248 ; from Trans. N. Y. S., 1873-4, p. 314 ; Convulsions, Ping, Times Eet., 1875, p. 36, from Bib. Horn., vol. 7, p. 79 ; Epilepsy, Groos, Horn. CI., vol. 4, p. 93 ; Stens, Eaue's Eec, 1872, p. 228 ; from A. H. Z., vol. 83, p.l28 ; Spalding, N. E. M. G., vol.8, p. 208 ; Sleep, Sleeplessness, L5w, Eenlsch, Eiick. Kl. Erf., vol. 5, p. 60 ; Cold, Un- derwood, B. J. H., vol. 33, p. 574 ; Ague, Hrg., Gauwerky, Seidel, Euramel, Eiick. Kl. Erf., vol. 4, p. 968; Seidel, Allen's Int. Fever, p. 195; from Plom. CI., Lippe, M. I., vol. 6, p. 345 ; Fischer, A. J. H. M. M., vol. 4, p. 18 ; Typhoidfever, Lobeth., Low, Gross, Hartmann, Trinks, Wislicen., Eiick. Kl. Erf., vol. 4, p. 761 ; Scarlet fever, Hahnemann, Trinks, Hartmann, Eiick. Kl. Erf., vol. 4, p. 58. ' Mind. I I Confusion of mind. iDulness of head ; has no mental grasp for anything and cannot comprehend the sense of what he is reading. I Imbecility of will, as though annihilated. OPIUM. 206 I B Insensibility, accompanied by complete apoplectic res- piration. 1 1 Unconscious, eyes glassy, half closed; face pale; deep coma. iStupid indifference. B Drunkenness, with stupor; as if from smoke in brain; eyes burning, hot and dry. B Sopor: painless, complains of nothing, wants nothing; with delirium ; depression of lower jaw; dilated pupils ; general symptoms of paralysis of brain. B Profound coma; cannot be aroused from stupor; pupils greatly contracted or widely dilated ; face puffed, with dark red or cherry brown appearance ; stertorous breath- ing; pulse full and labored or slow and feeble. BTalkative; glistening eyes and mental activity; inclines to gayety. I I Thinks he is not in his own house; imagines himself living in a locality three hours distant from his house; detains all passers-by and wishes to take them into his house ; will brook no opposition, meets force with force, face flushed; stupor, forgetfulness, he does not at once recognize friends ; anxiety ; wildness ; inclination to sleep without. being able to do so; constipation with meteoric distension of abdomen ; urine retained, a pare- tic condition apparently preventing evacuation ; while smoking forgets to draw; lively and cheerful, yet very drowsy. I iSaid many disconnected things and pointed to masked people who seemed to approach him. BSees frightful ghosts; easily frightened. llShe appears to see most frightful animals and other objects. I Vivid imagination, exaltation of mind. I Imagines parts of body very large. B Thinks she is not at home. B Delirious talking, eyes wide open, face red, puffed up. B Delirium : muttering ; violent, with red face, glistening eyes and great physical activity. I I Constant delirium day and night; declares he is not alone in bed ; when spoken to answers intelligently, but at once becomes delirious again; frenzy; desires to es- cape ; says a regiment of horsemen are upon his bed and that he fears to be trodden upon ; w^hen told that horses are very careful, answered that he feared he would be crushed by the wagons that followed them. ^After pneumonia. B I Mania a potu : with dulness of senses, at intervals sopor, with snoring; in old, emaciated persons; sees animals 207 OPIUM. coming towards him ; people want to hurt him, execute him ; creeping under covers or jumping out of bed; in " old sinners " whose long lives of excess have thoroughly- destroyed their constitutions; in those who have had the disease repeatedl}^, it taking but a small quantity of liquor to throw them again into delirium ; face wears a constant expression of fright and terror; preceded by epileptiform fits; imagine they see frightful objects and are in great fear; believe themselves to be murder- ers or criminals to be executed ; want to run away ; staring look ; twitching of muscles of face and mouth ; lockjaw ; tremor. I Fantastical insanity with frightful visions; talks in a confused manner; commits indecent actions; cheerful- ness and feeling of great strength ; contempt of death ; riotous hilarity with buffoonery and subsequent angry savageness or tearful sorrow; instability and imbecility of will ; indifference to joy and suffering; complete de- mentia, does not recognize his own relatives; excessive debility, stupor, frequent sweats and eruptions on skin; diminished secretion of urine. ^Mental derangement. I I After practising masturbation for many years fell into a state of despair respecting his health, this degenerated into complete idiocy. i Nervous and irritable; tendency to start. IB Ailments from excessive joy, fright, anger or shame. IB After fright, fear of the fright still remaining. Anxiety; apprehension; fear of impending death. I I Started at least noise ;■ a fly ujDon any part of body was a burden to him. I After a fright with fear, convulsions, or a hot head, with twitching about mouth. I I Grief over insults is followed by convulsions. Mendacity.* I I Screaming before or during spasm. I I Dislikes to talk during sweat. ' Sensorium. ii Great sensibility to sound, light and faintest odors I Apoplexy : vertigo, congestion to head, with great roaring in ears ; eyes open, pupils dilated ; face red, muscles twitching; sinking of jaw ; tongue drawn to one side; speech impeded; inability to swallow; slow, irregular, stertorous breathing; limbs cold, paralyzed ; drowsiness; in persons addicted to spirituous liquors or oppressed by care or grief; convulsive motions of extremities or tetanic stiffness of whole body; hot sweat on head; * "Opium eaters are chronic liars." OPIUM. 208 after consciousness is restored cannot retain what he reads and forgets connection of consecutive thoughts; paralysis of r. side. iComa : incomplete insensibility; will be aroused for a mo- ment when addressed in a loud tone of voice and then relapse into stupor ; extremities and face bluish or livid ; loud, stertorous inspirations ; coldness of skin ; ursemic. ■ Sunstroke; unconsciousness ; deep coma ; eyes glassy and half closed. I I After sleeping in sun during afternoon could not be awakened following morning; she slept quietly and normally, pulse regular, skin cool. ^Sunstroke. ■ Passive cerebral congestion, with somnolence after meals in patients predisposed to apoplexy. ■ ■Fainting turns with vertigo whenever he attempts to rise from bed, with sudden return of animation on lying down. ■ Vertigo : with anxiet}^ and delirium ; when rising ; after typhus ; from injuries to head ; as after intoxication ; with darkness before eyes; with dulness of head and stupefaction; sympathetic, accompanying diseases of prsecordial organs, suppressed hemorrhoids, menstrua- tion, heart affections, etc. ; after fright ; with sensation as if he were flying or hovering in air. ■ Sensation in head like that following sleep after excess- ive debauch. ■ Great heaviness of head, making thought and writing difficult. ■ Dull, stupid, as if drunk. ■ Congestion of blood to head, with pulsations in it. ^ Inner Head. ■ Headache: pressing pain in temples; ver- tigo, red face, sleepiness; < on closing eyes; congestive, nervous, abdominal. ■ Throbbing of arteries; rush of blood to head. ■ Cerebro-spinal meningitis: stupor; spasms; drawing body backward and rolling from side to side; deep, slow, stertorous breathing; very quick or very slow pulse ; after violent emotions, fear, grief, fright, which acted like a blow, stunning whole nervous system. ■ Meningitis, particularly if caused by insulation or when child has slept near hot stove. ■ ■Traumatic encephalitis. ■ Hydrocephalus acutus: early and late stages; heavy and stupid sleep, with red face ; stupid even after wak- ing; extremely acute hearing; child seems to be afraid of something and starts as if frightened ; constipation, stools resemble small, black balls; chronic. * Outer Head. iHead hot and covered with hot or cold sweat. ^Apoplexy. 209 , OPIUM. lOcciput feels heavy as lead, head falling back constantly. ^Apoplexy. ^Cerebro-spinal meningitis. ^ Sight and Eyes. > Obscuration of sight ; amblyopia. I Scintillations before eyes. • I I The pupils are dilated and insensible to light, con- tracted or sluggish. B Sensation as if eyes were too large for orbits. ■ Eyes: glassy, protruded, immovable ; staring look ; half open, balls turned upward ; red, half closed, burning hot and dry ; red, glistening and prominent. I I Sensation of sand or dust in eye, with burning. I I Swelling of lower lids; lids hang down as if paralyzed. I I Total paralysis of accommodation, with impaired sen- sibility of r. retina, and partial paralysis of accommoda- tion of 1. eye ; supposed to be due to use of cosmetic which probably contained carbonate of lead ; almost constantly frontal headache, vertigo with darting pains from occiput to forehead, distressing feeling of empti- ness in stomach, especially in morning, bowels consti- pated, and a sensation of pain and constriction as of a band encircling her chest in line of pleura. I I Embolism of central artery of retina; arteries blood- less, veins engorged and stagnant, and hemorrhagic spots on disk; after a severe attack of neuralgia; face very red and drawn to r. side, tongue protruded to r. side, speech imperfect, nearly voiceless, except with effort; pain in back ; all pains on r. side. ^Hearing and Ears. iiAcuteness of hearing; clocks strik- ing and cocks crowing' at a great distance keep her awake. iBuzzing, humming and violent roaring in ears. ■ Congestion to ears ; hsematorrhoea. ^ Smell and Nose. ■ b i Loss of smell. I I Stitches in r. nostril on taking a long inspiration. I I Stoppage of nose; dry coryza. ® Upper Face. > iFace : flushed ; red, bloated, swollen ; livid ; pale, earthy, eyes weak, full of water ; pale, clay-colored, sunken countenance and eyes, with red spots on cheeks; bluish (purple), swollen ; of sucklings three or four weeks old, like that of an old man ; affrighted, mania a potu ; debauched, distorted. iTrembling, twitching and spasmodic motions of facial muscles. ■ Muscles of face relaxed, lower lip hangs down; veins distended. ■ Cold sweat on forehead. ' Lower Face. iCorners of mouth twitch; distortion of mouth. VOL. viir. — 14. OPIUM. , 210 I Lips livid ; foam at mouth. ■ Lower lip and jaw hang down. I I Lockjaw. "Taste and Tongue, ii Taste: lost; bitter; sour; disagree- able, sweet (lead colic). I I Paralysis of tongue and difficult articulation. I I Unable to talk with mouth open ; answered in a stam- mering manner with interrupted articulation. ■ Tongue: quivering; coated dirty yellow, or white; unc- tuous ; purple black. '^ Inner Mouth. Dryness of mouth, thirst and want of appetite. I I Saliva lessened or ptyalism ; spitting of blood. I I Ulcers in mouth and on tongue. ^^ Throat, l Dryness of throat, I I Inability to sw^allow ; daily attacks of distension and strangulation. ■ Dysphagia becoming true aphagia, as from paralysis of muscles. " Appetite, Thirst. Desires, Aversions. ■Appetite raven- ous or lost. ■ Disgust at food, or food is desired, but no sooner is first morsel swallowed than it is followed by oppression. ■ Violent thirst or absence of thirst. ■ Desire for spirituous liquors ; costive. I I Longing for beer or brandy. ^^ Eating and Drinking. Aggravation from brandy or wine. *® Hiccough, Belching, Nausea and Vomiting. ■ Hic- cough ; sour eructations. ■ Nausea and inclination to vomit when moving and after eating. ■ Retching which has come on in consequence of a moral emotion, as loathing. ■ Unsuccessful vomiturition in drunkards. ■ Vomit: green, bloody or bitter; putrid; stercoraceous ; intussusception, with violent colic and convulsions; first of food then of fecal-smelling substance (hiccough), great thirst, cold limbs, distorted face (ileus, incarcer- ated hernia) ; of enormous masses of mucus intermixed with large bubbles of air, occasionally greenish, accom- panied by great nausea, pressure in stomach, constipa- tion, etc. " Scrobiculum and Stomach, i i Painful swelling in prte- cordia. ■ Violent cutting in epigastric and umbilical region. ■ Constrictive pain in stomach. ■ Heaviness and pressure in stomach. ■ Fulness and oppression in stomach, with shortness and difficulty of breathing. 211 . OPIUM. ■ Digestion slow, disturbed, weakened, with sensation of fulness, heaviness, pressure, constriction and pain in stomach and prsecordium; inactivity of digestive or- gans ; atonic dyspepsia of drunkards ; subacute gastritis. ^^ Hypochondria. 1 1 Swelling of spleen. '^Abdomen. iRumbling in abdomen; griping, grumbling. ■ Abdomen tense, distended, tympanitic, hard, swollen, sensitive to touch. iPressive pain in abdomen, as if intestines would be cut to pieces. I I Tension in hypogastric region, which is extremely pain- ful to touch. I I Pressure and heaviness as from a stone or weight in abdomen, in umbilical region. I I Accumulation of gas in stomach and intestines, causing painful swelling ; > for a time by motion ; if gas passes off it is immediately renewed. ^ I Anxious sensation in epigastrium; colic, with great pressure downward upon rectum and bladder, without any discharge of gas, feces or urine. I I Colic: transient, very violent; griping, with constipa- tion (in sucklings); cutting; flatulent; as if intestines were cut to pieces; from lead poisoning. I I Intestinal spasms; child cried day and night and could not be pacified ; after each attack pale and collapsed ; thirsty, vomits after drinking; stools hard, lumpy, colorless, or thin, j^ellowish or greenish ; passed much urine ; great fearfulness, especially at night ; eyes wide open ; he crouched up and perspired ; whenever he cried scrotum and penis wrinkled up, testicles were drawn up within abdominal ring, and penis completely disappeared. I I Squeezing pains as if something were forced through a narrow space; shooting pains into testes and bladder; restless, anxious, changing position; face hot; pulse slow. ^Nephralgia. I I Severe vomiting, with pains in stomach and obstinate constipation ; great confusion of head ; tongue coated ; metallic taste in mouth ; intolerable pains in abdomen, as if stabbed with a knife ; umbilicus spasmodically retracted; pulse tense, hard, slow; skin dry. ^Colic. IlVer}' severe twitching-tearing or lightning-like pains shooting in all directions through abdomen, even ex- tending down to testicles and at times involving blad- der; pains do not remain long in one place, but con- stantly change locality, and are not < from -external pressure ; no indications of inflammation ; stool and urine normal ; pulse normal. ^Colic. OPItFM. • 212 B Flatus accumulates in upper part of bowels, causing dis- tension of abdomen, especially in umbilical region, with antiperistaltic motion, belching and vomiting. 1 1 Constant severe constricting pain in abdomen, day and night, compelling him to bend double ; constipation ; loss of appetite ; great lassitude ; lower limbs heavy as lead. ^Lead colic. I I Delirium, with severe convulsions; complains of no pain; skin very hot; pulse 120; pupils greatly dilated, sensitive to light ; at night complains of sudden loss of vision ; later, pain and sensation of lameness in lower limbs, with constriction in abdomen. ^Lead colic. I I Colic in a printer from handling type; pain so severe as to compel him to lie on floor and make a great out- cry ; constipation. I I Painter's colic. iCrampy intestinal motions; rolling up as of a hard body in r. hypochondrium. ^Ileus. , I Strangulation of bowels; violent colicky pains and fecal vomiting, B Digestive organs inactive ; peristaltic motion reversed or paralyzed ; bowels seem closed. B Paralysis of intestines from lead poisoning. BLaxness of abdominal organs. B Incarcerated umbilical and inguinal hernia; fecal vomit. ""Stool and Rectum. BiStool: involuntary, especially after fright ; pasty ; fluid, frothy, with burning in anus and tenesmus; excessively offensive; watery; black, fetid; unsatisfactory, hard; hard, preceded by griping; hard, dark-brown or grey; hard and crumbly; BBhard, round, black balls; in small hard knots, accompanied by bearing-down pains, or with sensation as if rectum were closed ; hard, dry, in black balls, like sheep clung ; in large masses; hard, alternated with liquid, frothy stools ; come down and recede ; retained spasmodically. B Diarrhoea : occasioned suddenly by fear, a cold, or other slight causes ; after sudden joy ; persistent, in those treated with- large doses of the drug; last stage of in- fantile, with characteristic stools and convulsions; dur- ing typhoid. BDysentery: patient drowsy and stupid; urine scanty and retained ; no appetite ; rapid emaciation ; strong resemblance to second stage of typhus. BB Cholera infantum: with stupor, snoring and convul- sions ; contracted pupils ; tonic spasms ; face pale or red ; fatally advancing stupor ; pupils react very slug- gishly or not at all ; disease seems to begin by involv- ing brain, as yet there is neither vomiting nor diar- 213 OPIUM. rlicea, child appears as if drugged; lack of vitality; well-selected remedy refuses to act; patient either slug- gish or drowsy. ■ Cholera Asiatica: from emotional causes, fright at seiz- ure or death of relatives; after failure of Verat. or Arsen.; when too large doses of Camphor have been given, and there is great congestion to head and threat- ened apoplexy; typhoid symptoms; asphyctic stage; icy coldness and blueness of surface; pulseless; no reaction ; disturbances in circulation and respiration in consequence of violent and sudden implication of solar plexus, with cyanosis and threatened suffocation. ■ Constipation : from fright or fear; nervous and irritable, passes nothing but hard, black balls from bowels; from arrested secretions; from ileus or paresis from intes- tines;_ almost unconquerable; for weeks with loss of appetite ; not more than one motion a week ; from in- activity of intestines ; the most active purgatives have lost their power; decreased peristaltic motion ; paraly- sis of intestines in consequence of a protracted attack of diarrhcea in subjects leading a sedentary life and also in robust, healthy men; associated with incarcerated hernia ; want of sensibility, hardly any inconvenience is felt from accumulation of feces ; of corpulent, good- humored women and children ; from spasmodic reten- tion in small intestines, with feeling of pressing asunder; from lead poisoning; after abuse of cathartics ; bowels impacted with feces ; resulting from pressure upon rec- tum in consequence of a gravid uterus or abdominal tumors; of nursing infants, aged persons, and those of a torpid or plethoric habit; absence of expulsive efforts; accompanied by hysterical symptoms; at one time, after stool had remained absent eleven weeks, fecal vomiting occurred. ■ Before stool: no desire, or with desire to go to stool there is a sensation as if anus were closed. ■ Proctitis during course of peritonitis (metritis); anus greatly retracted. ■ Sensation of occlusion of anus; constriction, anus spas- modically closed during colic, with obstinate constipa- tion ; very difficult emission of flatus. " Urinary Organs, l i Diabetes mellitus; dulness, sadness, weak memory ; after mental shocks or injuries; irenal colic; pressing squeezing pains as though something had to force its way through a narrow space ; shooting pains from different places into bladder and testicles ; vomiting of slime and bile; obstinate constipation; dysuria; greatest anxiety and restlessness; constantly changing position; face hot ; pulse slow. OPIUM. 214 • iHematorrhoea. lUrine retained: from fright; from contraction of sphinc- ter or paralysis of fundus of bladder; bladder full; post-partum ; nursing children after passion of nurse ; in fever or acute illness ; chiefly caused by blunting of lining of membrane of neck of bladder so that fulness is not recognized by patient. I Urine: suppressed; passes with difficulty, as from atony; seldom and scanty, dark brown, brickdust sediment; red and cloudy; lemon colored, with much sediment; bloody. ■ Frequent interruption of stream of urine, which com- mences to flow alter waiting a long time, on account of a cramp in sphincter vesicae. ■ Cutting in urethra. iStrangury and retention of urine from excessive use of tobacco. ■ Involuntary urination. ■ Nocturnal enuresis; urinates very often. ^^ Male Sexual Organs. ■Excitement of sexual organs with violent erections ; impotence. I I Voluptuous fancies, with erections during sleep and impotence after waking; nightly emissions with amor- ous dreams. I I Emissions without erections, followed by debility and great relaxation of parts. ■ Spasmodic stricture after drinking poorly-fermented liquor ; also in drunkards. I I Painful sensation in testicles. I I Inflammation and sloughing of scrotum following at- tacks of malarious fever. "Female Sexual Organs, ii Great excitement of sexual organs, with sexual dreams and orgasm. I I Perfect loss of sexual desire from lack of nutrition. ■ Softness of uterus, with fetid discharge. ^After metritis. ■ Prolapsus uteri from fright. ■ Severe laborlike pains in uterus, with desire to go to