Lac Caninum

Dogs' Milk.

The use of dogs' milk in medicine is of ancient date. " Dioscorides, Ehasis, Pliny and Sextus recommend it for the removal of the dead foetus. Sammonicus and Sextus praise it in photophobia and otitis. Pliny claims that it cures ulcera- tion of the internal os. It was considered an antidote to deadly poisons."

The remedy was revived by Reisig, of New York, who used it successfully in the treatment of diphtheria. After Reisig the remedy was used by Bayard and by Swan, to whose indefatigable exertions we owe the present status of this valu- able medicine. Swan's potencies were prepared from Reisig's 17th.

Provings (with potencies from the 30th upwards) by Laura Morgan, Hazlitt, Miss W., Mr. J. L. H., H. K., Mrs. Wheelwright, White, Grant, Swan, Taylor and family, and numerous others. See Swan's Materia Medica of Nosodes and Morbific Products, 1888, arranged by Berridge.

CuNiCAL Authorities ASensatiora oj film before eyes, Swan, Raue's Eec., 1875, p. 61 ; Sore throat, Fowler, Org., vol. 3, p. 102 ; Biegler, Horn.

Phys., vol. 6, p. 410; Hills, Hah. Mon , vol. 10, p. 279 ; Gale, Horn.

Phys., vol. 2, p. 69 ; Diphtheritic sore throat, Carr, Org., vol. 2, p. 204; Baillie, Raue's Rec,, 1874, p. 112; Diph- theria (4 cases), Hiller, Org., vol. 3, p. 339;

Swan, Times Retros., vol. 3, p. 29; Hills, Payne, Cin. Med. Adv., vol. 5, pp. 83, 84 ;

Lippe, Org., vol. 1, p. 364; Finch, Wildes, Wesselhceft, Nichols, Cin. Med. Adv., vol. 5, pp. 178-182;

Croupal diph- theria, Wesselhoeft, Org., vol. 3, p. 362; Affection of stomach, Hiller, Org., vol. 2, p. 238; Syphilitic ulceration of penis, Lippe, Org., vol. 2, p. 342; Injurious effects of tveaning, Granim, T.

H. M. S. Pa , 1884 p. 47 ;

Parenchymatous metritis, Biegler, MSS. ; Sciatica and sore throat. Swan, Hom. Phys., vol. 6, p. 411 ;

Rickets (4 cases), Bernard, Times Retros., vol. 3, p. 29; Sciatica and rheumatism, Hiller, Org., vol. 3, p. 338; Aeide rheumxttism, Lippe, Org., vol. 2, p. 484; Rheuraatism, Butler, Hom.

Phys. ; Nervous affection, Berridge, Hom. Phys., vol. 3, p. 217 ; Acute neuralgia, Hiller, Org., vol. 3, p. 338.

^ Mind. ■ Very forgetful ; in writing, nses too many words or

not the right ones ; very nervous. lOmits final letter or letters of a word, when writing; in

speaking substitutes name of object seen, instead of ob- ject thought of. ■ Very absentminded ; makes purchases and walks off

without them ; goes to post a letter, brings it home in

her hand. I Cannot collect her thoughts; confused feeling. ■Very restless ; cannot concentrate her thoughts or mind

to read ; wants to leave everything as soon as it is

commenced.

515 LAC CANINUM.

Dis impressed with idea that all she says is a lie.

Every time a symptom appears she feels very confident

that it is not attributable to medicine, but that it is

some settled disease.

■ Sensation as if she was going deranged, when sitting

still and thinking; sometimes she has most horrible sights presented to her mental vision (not always snakes), feels horribly afraid that they will take objective form and show themselves to her natural eye.

I I Thinks she is looked down upon by everyone, that she is of no importance in life.

I I Imagines he wears some one else's nose. ^Diphtheria.

I Imagines to be dirty.

■ Imagines she sees spiders. ^Diphtheria.

Woke at daylight feeling that she is a loathsome, horrible mass of disease (while the breasts were affected) ; could not bear to look at any portion of her body, not even hands, as it intensified feeling of disgust and horror ; could not bear to have any one part of her body touch another, had to keep even fingers apart; felt that if she could not in some way get out of her body, she should soon become crazy. I I After inhaling gas for extraction of teeth, very strange sensation in head (such as he felt when going off under gas); sometimes imagines heart or breathing are going to stop, or otherwise frightens himself, and this makes heart beat violently ; occasionally very depressed, and fancies he is going out of his mind.

Sensation or delusion as if surrounded by myriads of snakes, some running like lightning up and down in- side of skin ; some that are inside feel long and thin ; fears to put her feet on floor, lest she should tread on them and make them squirm and wind around her legs; is afraid to look behind her, for fear that she will see snakes there, does not dream of them and is seldom troubled with them after dark ; on going to bed she was afraid to shut her eyes for fear that a large snake, the size of her arm, would hit her in the face.

Worries herself lest pimples which appear during menses will prove to be little snakes, and twine and twist around each other.

On lying down either by day or night begins to think how horrible it would be if a very sharp pain, like a knife, should go through her, and thought of it causes great mental distress.

I I Attacks of rage, cursing and swearing at slightest pro-

vocation.

I I Cannot bear to be left alone for an instant. /^Diphtheria.

LAC CANINUM. 516

I I No desire to live.

Sits and looks under chairs, table, sofa and everything in room, expecting yet dreading to see some terrible monster creep forth and feeling all the time, that, if it does, it will drive her raving mad; she is not afraid in dark, it is only in light where she can imagine that she can see them.

I I Fits of weeping two or three times a day. ^Parenchy- matous metritis.

I I Child cries and screams all the time, especially at night, and will not be pacified in any way.

I I When paroxysms of intense nervousness come on, feels like tearing off her clothes ; takes off her rings ; cannot bear anything to touch her, especially over 1. ovarian region, from which she frequently lifts bed clothes.

I Had to keep her fingers apart from each other.

■ Depression of spirits, doubts her ability and success, thinks she will have heart disease and die of it.

iChronic "blue " condition ; everything seems so dark that it can grow no darker.

I I Gloomy feelings, < as headache gets worse. ^Parenchy- matous metritis.

I I Fears she will become unable to perform her duties.

I I Fear of death, with anxious expression of countenance.

I I Very nervous; constant dread; a feeling as if she was going to become unconscious. ^Diphtheria.

I I Wakes distressed, and obliged to rise and occupy herself in some manner ; fears she will be crazy. ^Parenchy- matous metritis.

Has great fear of falling down stairs at times.

BVery cross and irritable only while headache lasts.

I I When awake, very irritable and cries constantly.

I I Feels insulted because she thinks she is looked down upon by everyone.

I Intense ugliness and hatefulness ; writes to her best friends all sorts of mean and contemptible things.

I I Easily excited. ^Parenchymatous metritis.

I I Too excited to allow examination of throat.

I I Feels weak, and nerves so thoroughly out of order, that she cannot bear one finger to touch another. ^Nervous throat affection.

I I Exceedingly nervous and irritable. ^Parenchj^matous metritis.

1 I Very easily startled. ^Parenchymatous metritis. ^ Sensorium. l Dizzy sensation with slight nausea.

I I After inhaling diphtheritic breath, light headed, with tingling on vertex and slight sore throat.

1 I Constant noise in head, very confusing; < at night and at menses. ^Parenchymatous metritis.

^l'' LAC CANINUM.

1 1 Wakes at night with sensation as if bed was in motion ; noise in head bad beyond description; first thought on waking that headboard was swaying, and so occasion- ing distress, but found it arose from internal causes. ^Parenchymatous metritis. ^ Inner Head, l Frontal headache.

I On going into cold wind, terrible pain in forehead as if It would split open, > on going into warm room.

I I After midnight, very severe frontal headache, and a piercmg pain on vertex. /^Typhoid pneumonia.

• I Headache both frontal and occipital, < by turning eye- balls upwards.

I I Headache over eyes, < when sewing. /^Pharyngitis.

■Headache: in afternoon, principally over 1. eye; over 1. eye on first awaking.

I I Pains and throbbing in temples. /^Dyspepsia.

I I Headaches, mostly through temples, darting, stabbing; sometimes begin on r. side, and sometimes on 1.; always going from one side to other.

B Pains in head during day, first on one side, then on other; seem perfectly unbearable; > on first going into air.

1 I Headache from below eyes over whole head and top of shoulder. ^Parenchymatous metritis.

I I Severe pressure on brain. /^Parenchymatous metritis.

■Arose m morning with heavy, dull, frontal headache, and at 9 A.M., severe sharp pain on top of head, coming from nape of neck, then stretching across head forward; pain so severe that he presses top of head with hands; neck stiffened; bending head forward, or lying down, causes congestion, increasing pain; again, pains subside for short time, and begin anew, either in front part of head, or in nape of neck, or all over head at once; when pain is frontal it causes lachrymation. ^Acute neuralgia.

! I Frequently wakes with sick headache, which seems to commence at nape. /^Nervous throat affection.

I I Sick headaches, beginning in nape; pain settling grad- ually in r. or 1. forehead.

I I Darting pains from occiput to forehead; beating. dFav- enchymatous metritis.

I I Headaches seem unbearable, and are attended by pain in lumbar region; all pains cease as soon as throat gets worse. ^Diphtheria.

■ Headache < by noise or talking, > by keeping quiet; confused feeling in head. ^ Outer Head. Head very sore and itches almost all the time.

Sore pimples on scalp which discharge and form a scab; extremely painful when touched or on combing hair.

LAC CANINUM. 518

^ Sight and Eyes, i lEyes sensitive to light. ^Rheumatism.

I I Must have light, yet is intolerant of sunlight. (/Diph- theria.

■Tendency in retina to retain impression of objects, espe- cially of colors; or somewhat of object last looked at is projected into next.

"While looking at an object, appears to see just-beyond or out of axis of vision, an object passing across field of sight; but on adjusting eye to see it, is gone; it always appears as a small object, I I like a rat or bird, sometimes on floor, at others in air.

I I Sees faces before her eyes, < in dark; the face that haunts her most is one that she has really seen.

I I Sees big eyes and creeping things. ^Diphtheria.

I iDifliculty in distinguishing objects; in reading, letters run together. ^After diphtheria.

■ When reading, page does not look clear, but seems cov-

ered with various pale spots of red, yellow, green and

other colors. I iWhen looking in a mirror by gaslight, after exerting

eyes, sees a green spot or a green band before her 1. eye,

the band slanting downward from 1. eye to r. cheek.

^Glaucoma. I I Square or round green spots or brown spots before 1.

eye, when sun is bright; sometimes bright spots before

1. eye. ^Cataract. I 1 Frequent sensation of a film before eyes, with vertigo,

and while thus suffering would see a small dark object,

like a mouse or bird, coming up to her left. I I Film over eyes from reading or looking closely. I I Eyes blurred. ^Parenchymatous metritis. I I Heavy pain in eyeballs, with outward pressure. I I Burning in 1. eye. ^Rheumatism. I I Eyes watery and discharging. ^Diphtheria. I lEyes dull and lustreless. ^Diphtheria. I I Dark brown areolae under eyes. ^Retarded menses. I iNon-oedematous swelling of upper and lower lids; pink

color of lower lids, most noticeable. on r. ^Diphtheria. I I Heaviness of 1. upper eyelid, with pain above 1. eye.

■ Upper eyelids very heavy, could scarcely keep eyes open, I I Agglutination of 1. eyelids. ^Rheumatism.

^ Hearing and Ears. ' i Sounds seem very far off.

Pain in both ears; noises; as if ears were full.

I I Deafness from hereditary syphilis.

1 I Green odorless discharge. ^ Smell and Nose. ' ' Nose cold. ^Diphtheria.

■ Fluids escape through nose while drinking. ^Diphtheria. I lEpistaxis: when speaking or swallowing; at 4 p.m., re- turning at intervals. ^Diphtheria.

S19 LAC CANINUM.

■ Considerable sneezing.

I Head so stuffed she can hardly breathe.

I Stuffed feeling in head, as of a severe cold in head.

I I One side of nose stuffed up, the other free and discharg- ing thin mucus at times and thin blood; these con- ditions alternate, first one nostril stopped up and the other fluent, and vice versa. <?Diphtheria.

■ Nasal discharge, excoriating nostrils and upper lip. DiCoryza, with discharge of thick white mucus.

■ Fluent catarrh from both nostrils, with sensation of ful-

ness of upper part of nose.

■ Coryza; constant watery discharge from nose, excoriating

nostrils and upper lips.

I I Profuse nocturnal nasal discharge, like gonorrhoea, stain- ing pillow greenish yellow.

I I Nose became so bad that there was fear of destruction of bones; bloody pus discharged several times daily; nasal bones sore on pressure.

■ Sore on r. side of septum of nose; next day nose sore,

constant inclination to pick at it and get scab off.

I I Two very angry gatherings, one under 1. side of nose, and one on upper 1. nostril; both came to a head, and dis- charged matter and blood, and afterw^ards scabbed over; before discharge shooting pain. ^Sick headache. ® Upper Face, l iFace indicates great anxiety. /^Diphtheria.

I I Countenance pale and careworn. /^Diphtheria.

I I Face very red, and then suddenly pale.

■ Face flushed; cheeks red. ^Diphtheria.

I I Face flushed, swollen and hot; burns, feels dry.

■ Dark brown areolae under eyes. /^Retarded menses.

I I In morning, 1. superior maxillary feels sore; most of tnne there is dull pain, < by exertion; sometimes throb- bmg pain, burning, throbbing, aching heat, sensation of fulness; cannot wear her false teeth from soreness and swelling of maxillary; an exacerbation of pain leaves face very sore; pains > by warm applications, but only cold applications > soreness. ^ Lower Face, i i Red ci rcular spot below r. malar bone, burn- ing to touch. '^Dyspepsia. I I Flushes on 1. cheek. ^Dyspepsia.

■ Lips dry and peeling off; dry and parched, but mouth

constantly full of frothy saliva. I I Seems to affect lower lip most, and blisters and fever

sores on lips are amenable to its influence. I IJaw cracks while eating. ^Dyspepsia. I I Submaxillary glands swollen. /^Diphtheria. I I Swelling of 1 parotid, with sore throat and loss of appetite. I I Parotid gland first attacked, and disease extends to other

LAC CANINUM. 520

glands of neck; throat and sides of neck not tender to

external touch. ^Diphtheria. I I Swelling of parotid passes from r. to 1., but more often

from 1. to r. ^° Teeth and Gums. ' • Paroxysmal gnawing pain in 1. upper

canine, temporarily yields to any cold application. ^Sick

I I Gums swollen, ulcerated, retracted, bleeding, teeth loose;

caused by defective nutrition and exposure. " Taste and Tongue. ' ' Nothing tastes natural, except salt

food. ^Epulis.

■ Putrid taste in mouth. ^Diphtheria.

■ Tongue furred whitish at edges, centre and root darker. I 1 Tongue: heavily coated, and dry to the tip; dirty coated,

yellowish white and slimy ; dry ; thickly coated, grey- ish white. /^/Diphtheria.

■ Tongue coated whitish grey, having an underlying blu-

ish look. I I Slight yellow coating on tongue. ^Diphtheria.

■ Tongue coated brown.

I I Difficulty in articulating, owing to a semi-paretic state of tongue, causing stuttering if she talks fast; has to speak very slowly. ^ Inner Mouth. l ' Peculiar rattle in mouth, right along tongue; on attempting to hawk her mouth clear, mucous rattled along tongue quickly and continually; utterance was so indistinct as to be unintelligible, and every word she tried to speak was accompanied by this quick and continuous rattle along tongue. ^Diphtheria.

I I Breath offensive, putrid. ^Diphtheria.

I I Mouth dry and parched ; drinks little and often.

■ Mouth very dry without thirst.

■ Mucus in mouth, < after eating, and in open air.

■ Mouth full of frothy mucus; inclination to swallow.

■ Increase in quantity of saliva which is slightly viscid.

■ Mouth constantly full of frothy saliva, lips dry, parched. I I Constant spitting and drooling, very profuse, making

chin and breast sore. ^Diphtheria.

■ During sleep, saliva runs from mouth, so as to wet pillow. 1 I Stomatitis; stomacace; cancrum oris; nursing sore mouth.

^^ Throat. ' ' Throat very sensitive to touch externally.

I I Sensation as if throat was closing and she would choke, sensation is between throat and nose; feels as if some- thing in throat was either enlarged or relaxed ; desires to keep mouth open lest she should choke; sometimes

521 LAC CANINUM.

cannot swallow, because there seems to be a kind of muscular contraction in throat.

I I Paralytic symptoms strongly marked; as soon as he went to sleep, would stop breathing, and was only kept alive by keeping him awake ; apparently respiration was kept up by voluntary effort. ^Diphtheria.

I I Talking is very difficult, and there is a disposition to talk through nose. ^Nervous throat affection.

llSwallowing very difficult, painful, almost impossible.

I I Uvula elongated and very much swollen, diphtheritic coating on it; tonsils swollen and coated ; back of throat patched, extending up to hard palate; odor offensive and diphtheritic.

■ Constant inclination to swallow, causes pain extending

to both ears.

■ Pricking sensation in throat, as if full of sticks.

I I Pricking and cutting pains through tonsils on swallow- ing, shooting up to ears. ^Diphtheria.

I Pain in throat pushes toward 1. ear.

I I On swallowing, acute pain at one time on r. side of throat, and again on 1. side. ^Diphtlieria.

I I Throat > after drinking cold or warm; < by empty swallowing. ^Diphtheria.

1 I Throat feels stiff as a board. ^Diphtheria.

t I Throat sensitive. ^Parenchymatous metritis.

■Tickling and sense of constriction in upper part of throat, causing constant dry, hacking cough.

■ Feeling of lump in throat, which goes down when swal-

lowing, but returns ; throat < on r. side.

I I Sensation of ball or round body in 1. side of throat, and feeling that it could be removed with a knife.

I I Marked sensation of lump in throat on 1. side, when swallowing ; pain extends to ear. ^Diphtheria.

I I Sensation of lump in r. side of throat, with a feeling that she could take hold of it with her fingers and pull it out; accompanied by a very annoying pricking, stitch- ing feeling; constant inclination to swallow saliva, which causes soreness of throat.

I I Lump on 1. side of pharynx below tonsil, causing an

enlargement that filled each arch of palate, nearly to r. side.

I I Most pain when swallowing solids, no aversion to cold drink; when swallowing solid food, it seems to pass over a lump, with sore and aching pains extending to and into 1. ear. ^Diphtheria.

■Soreness of throat commences wath a tickling.

■ Throat feels raw.

I I Sensation of rawness, commencing usuall}^ on 1. side of throat. ^Diphtheria.

LAC CANINUM. 522

I Throat feels dry, Imsky, as if scalded by hot fluid.

I I Throat has a burnt and drawn feeling as from, caustic.

I Pain in r. side of throat in region of tonsil. ^Acute rheumatism.

I I Wakes with throat and mouth painfully dry. ^Paren- chymatous metritis.

I I Throat very dry and sore, much inflamed, < r. side; palate red, uvula elongated ; very painful deglutition.

I I Throat sore, oedematous, puffed, tonsils badly swollen.

■ Especially shining, glazed and red appearance of throat.

^Syphilis.

I I Sore throat, pains in whole body and limbs, severe head- ache. ^Diphtheria.

I Throat very sore on 1. side; painful to external pressure both sides.

I I Sore throat on r. side, low down, and extending up to ear; pain when swallowing; sensitive to external press- ure ; slight coryza.

I 1 Throat sore, swollen, red and glistening. ^Diphtheria.

I I Sore spot in 1. side of throat, only at night, removed by 1 A.M.; next night same on r. side of throat; after 1 a.m. returned no more.

iCrusts on skin, with greyish yellow matter under them; mucous follicles of throat raised and swollen, and cov- ered with whitish, cream colored mucus; bloody pus dis- charged from nose several times a day; nasal bones sore to pressure. <?Sore throat.

■ Partial suppression of urine; throat sore and of an oedema-

tous, puffy appearance; next morning, pulse 130; tem- perature 102; tonsils badly swollen; great indisposition to take food or drink. ^Sore throat.

I iSoreness of throat commences with a tickling sensation, which causes constant cough ; then a sensation of a lump on one side, causing constant deglutition ; this condition entirely ceases, only to commence on the opposite side, and often alternates, again returning to its first condi- tion ; these sore throats are very apt to begin and end with menses.

I I Sore throat just before menses for several years ever since diphtheria; small yellowish white patches of exu- dation on tonsil of affected side, with great difficulty of swallowing, and sharp pains moving up into ear; these patches are also present on back of throat and uvula; some are quite yellow and some are white; scraping them off makes them bleed.

I Throat very sore, pain extending to chest; dry and sore; deep red color on either side of throat opposite tonsils.

■ Shortly before going to bed, throat began to feel raw and

523 LAC CANINUM.

sore; did not sleep well; next morning, throat felt full and sore, somewhat < on r. side; this condition con- tinued two days, when it seemed to continue downward to chest.

lOn waking in morning, throat felt as if there were lumps in it like two eggs, and sore all the time, especially when swallowing; cold water seemed to > momentarily; in evening, examination revealed both tonsils much swol- len and very red, 1. most, and distinct patches on 1. tonsil.

I Right tonsil red and swollen; pain in tonsil of gnawing character; < at night; dreams of snake in bed.

llTonsils inflamed and very sore, red and shining, almost closing throat; dryness of fauces and throat; swelling of submaxillary glands. ^Tonsillitis.

I Quinsy, just ready to discharge, disappeared without dis- charging, in an unusually short time; the trouble had been changing from one side to other and back again ; has not returned.

iSore throat, rapidly growing <; fever; difficult swallow- ing; r. side <; r. tonsil intensely inflamed, bright red and greatly enlarged, and a yellowish grey spot on inner surface; whole pharynx, uvula and velum much in- flamed; spot became larger, and others formed in phar- ynx; 1. tonsil became nearly as large as r.; fetid breath; subsequently a bright scarlet eruption on face, neck, hands and chest, like scarlatina; almost total inability to swallow, especially fluids; aversion to liquids, par- ticularly water.

I I Quinsy; suppuration ran from 1. tonsil to r., then from r. to 1., then back again to r., then both tonsils equally; and again one tonsil would > and the other grow <; whole posterior portion of throat was an oedema- tous swelling, rising up like an insurmountable barrier; thick tough pieces of diphtheritic membrane were com- ing away, and new membranes constantly reforming; swelling in throat so large and tense that mouth could not be closed.

I I Mucous follicles raised or swollen, and covered with a whitish, cream colored mucus.

I I Whole membrane of throat swollen, dark red, with grey patches and small, irregular shaped ulcers; membrane peeled off occasionally; articulation and deglutition intensely painful; < after sleep.

M White ulcers on tonsils.

■Sore throat, beginning at 1. tonsil, swollen and ulcerated; throat feels swollen and raw, pricking and cutting pains shoot through tonsils when swallowing; submaxillary glands swollen, sore and aching pain in 1. ear; most

LAC CANINUM. 524

pain when swallowing solids; food seems to pass over a lump, no aversion to cold drink; while drinking, fluid escaped through nose.

I I Sore throat commencing on 1. tonsil, which was swollen

and ulcerated, and presented a depression covered by a white patch; the disease later extended to palate and r. tonsil, the parts red and shining.

II Throat highly inflamed, swollen, almost closed, grey diphtheric spots on 1. side of throat.

I I Sore throat, ulcer on inner side of each tonsil, tonsils red and slightly enlarged, rest of throat dry. ^Diphtheria.

I I Ulcers increase in size and number, but neighboring membrane looks clearer. ^Diphtheria.

I I Small, round or irregular, grey white ulcers on tonsils and fauces, both sides. ^Diphtheria.

I I Tonsils swollen as almost to close throat. ^Quinsy.

I I Right tonsil covered with ash grey membrane extend- ing along free palatine border to uvula, which it had already involved; room loaded with diphtheritic odor; next day membrane had passed centre, involving whole arch of palate, and reaching far down on 1. tonsil.

I I Right tonsil raw, swollen ; grey white membrane there and on fauces. ^Diphtheria.

I I Whole of r. tonsil covered with diphtheritic patch.

I I Both tonsils swollen and covered with spots of exuda- tion, like the mould on preserves.

I i Tongue, fauces, tonsils, all swollen and covered with a dirty coating. ^Diphtheria.

I I On each tonsil a very thick exudation, covering nearly entire surface; while examining a large piece of mem- brane was accidentally detached from one tonsil, fol- lowed by considerable hemorrhage.

I I Throat very sore, tonsils enlarged, especially 1., very large white patches; tonsils and pharynx deep purple red; putrid odor from throat; after patches were ex- pectorated, they left throat very sore, raw and bloody.

I I Throat very sore, < 1. side ; large greenish ulcers on both tonsils, surrounded by grey white exudation, parts not covered are a deep purple red; swelling externally on both sides ; after exudation on tonsils disappeared, a raw, bloody surface was left. ^Diphtheria.

I 1 White patches, like eggs of flies, on both tonsils, extend- ing thence to back of throat ; tonsils enlarged and deep red ; felt she would suffocate at night from full feeling in throat, which prevented sleep ; swallowing toast gave some pain, but seemed to clear throat ; drinking caused more pain in throat, and she had to gulp it down.

I I Gargling with warm water brought up a stringy mucus.

525 L^C CANINUM.

I I Whole membrane of throat highly inflamed, swollen, and glands enlarged on both sides. ^Diphtheria.

I I False membrane in throat, thick, grey, or slightly yel- low, or dark and almost black, or white and glistening, almost like mother of pearl, or fish scales.

I I Dark red, angry streaks of capillaries in fauces, giving

place to shining, glistening deposit, or tough membrane ; half arches filled with sticky, fetid saliva.

I ! Diphtheritic membrane white like china; mucous mem- brane of throat glistening as if varnished; membranes leave one side and go to other repeatedly ; desire for warm drinks, which may return through nose ; post- diphtheritic paralysis.

B Glossy, shining appearance ; disposition on part of mem- brane to change its position in fauces. ^Croupous diph- theria.

I I Ulcers on throat shine like silver gloss, symptoms went from side to side ; croupy symptoms not well marked ; after exudation was cleared off, a deep excavation was left. ^Diphtheria.

I 1 Diphtheritic deposits look as if varnished; exudations migratory, now here, now there. ^Diphtheritic croup.

1 I Thick membranous mass lying on soft palate, 1. side ; diphtheritic masses covering uvula and posterior wall of throat; next day, membrane on soft palate thicker, dirty brown on uvula and posterior walls and pillars of throat, much more extensive and off'ensive; very diffi- cult deglutition; a large membranous mass, which threatened suffocation, having been removed by forceps; on following morning a second membrane had taken place of first, and walls of throat were covered with a dirty grey exudation ; uvula almost black, and coarse shreds of membrane hanging from it.

I In morning throat very sore; r. tonsil covered with

ulcers and patches, which extended over palate and covered 1. tonsil ; next day membrane extended across posterior wall of pharynx; uvula elongated, accom- panied by chilliness, high fever, pains in head, back and limbs, great restlessness and extreme prostration.

II Throat sore, but little swelling, tonsils very slightly enlarged ; soreness of throat, first chiefly r., then 1.; well marked diphtheritic membrane on both sides of throat situated on an inflamed red base, | inch long, ^ inch wide, J inch thick, and the same length and width as at the base ; anterior edge a dirty yellow ; centre more organized, pearly, glistening, white Kke cartilage; mem- brane on r. side seems more firm and dense, and disap- peared later.

LAC CANINUM; 526

■ Severe chills, headache, pain in back and limbs, restless-

ness and sore throat ; three days later r. tonsil covered with ashy grey membrane, extending along free palatine border to uvula, which it had already involved; peculiar diphtheritic odor in room ; pulse small ; skin clammy ; rapid vital exhaustion ; next day membrane involved whole arch of palate and passed down to 1. tonsil. ^Diph- theria (after failure of PhytoL and Lycop.).

iRoof of mouth and back wall of pharynx coated with a greyish yellow deposit, greater part of which soon disappeared, lasting only about an hour; throat very much > by noon, deposit had nearly disappeared, but < again by night.

I I Throat covered with diphtheritic membrane; uvula elongated, swollen and covered with black and white or grey diphtheritic deposit ; back of throat, extending to hard palate, all covered; breath very ofiensive; 1. side of neck swollen and almost even with jaw ; great diffi- culty in swallowing; after throat began to improve, dis- ease seemed to work through whole alimentary canal, for uvula and parts were very much swollen, and every little while there would be involuntary discharges of diphtheritic matter from uvula and rectum.

■ Patch of diphtheritic membrane appeared first on r. ton-

sil, then on 1., and frequently alternated sides; swelling of neck (submaxillary and lymphatic glands) also alter- nated in like manner ; < during and after a cold storm from northeast; tickling in throat when drinking; one side of nose stuffed up, the other free and discharging thin mucus at times and thin blood ; this condition of nose also alternated ; non-oedematous swelling of eye- lids, pink color of under lid, particularly of r. eye; breathing hoarse and croupy, at times entire stoppage of breath ; often snoring, and only possible through mouth ; obstinate constipation, frequent desire, with darting pains in rectum, no power to expel ; stool large in size, whitish, rough, scaly, hard; could not bear to be left alone an instant ; saw big eyes and creeping things; must have light, yet is intolerant to light of sun ; urine scanty, infrequent, no desire, coffee colored ; 80 per cent, of albumen and much mucus ; quantity less than a gill in twenty-four hours. ^Diphtheria.

■ Fever; bathed in warm perspiration, especially about face,

neck and hands; anxious expression; eyes watery and discharging; wants to sit up in mother's arms; cries and desists at every attempt to nurse ; reaches for w^ater, 3'et refuses to take it; respiration hoarse; crying whis- pered and broken, often no sound at all ; pulse 170 ;

527 LAC CANINUM.

tongue, fauces and tonsils swollen and covered with dirty coating ; drooling from mouth ; throat tender to touch externally ; thick, dirty grey diphtheritic mem- brane, covering free border of epiglottis, and extending off to each side ; child refuses to swallow and sputters out the medicine, some returning through nose. ^Diph- theria.

■ Soreness of throat, accompanied by intense heat; pulse

scarcely to be counted; prostration so complete that patient refused even to make an effort to take medicine; temperature 102.6°; great sensitiveness of throat exter- nally; symptoms < after sleep; very thick exudate, covering nearly entire surface of each tonsil, which, if forcibly removed, is followed by considerable hemor- rhage. ^/Diphtheria (after failure of Laches.).

■ Throat highly inflamed, swollen, almost closed; grey,

diphtheritic patches on 1. side of throat; difficult breath- ing, at times suffocative spells; pulse 140; face flushed, swollen and hot; tongue dry and thickly coated, grey- ish white. ^Diphtheria.

■ On third day r. tonsil swollen and on it a small diphthe-

ritic patch, rest of throat inflamed ; on fourth day both tonsils swollen and covered with diphtheritic patches, with difficult deglutition; high fever, restlessness, cried out and talked in sleep; complained of pains in head, back and limbs; bright scarlet redness on chest and around neck, which, on fifth day, extended all over body and legs; disease now at highest point; skin, in large patches, assumed a dark red color bordering on purple ; whole body swollen ; membrane, swelling and soreness < on r. side; deglutition impossible; refusing to drink while complaining of intense thirst; character- istic fetor in room; soreness on r. side decreased and commenced on 1.; 1. tonsil and posterior wall of phar- ynx covered with membrane; posterior nares invaded; marked sensation of lump in throat on 1. side, when swallowing, with pain extending to 1. ear; tongue coated dirty, yellow white and slimy; absence of prostration; improvement commenced on seventh day and remedy was discontinued. ^Diphtheria.

■ Pains in limbs, small of back and head disappear, and

LAC CANINUM. 528

case; sweat all over; great exhaustion with poisoned feeling; frequent micturition, urine dark; restless, legs and whole body; face burns dry; constant spitting, drooling; ulcers small, round or irregular, grey white; voice hoarse, interrupted by weakness and hoarseness. ^Diphtheria.

I I Throat filled with substance that looked like "smear kase;" throat, tongue, roof of mouth, gums and cheeks completely lined with this substance ; mouth and throat filled with loose particles; horrible odor. ^Post-scarla- tinal diphtheria.

■ Heaviness, and stomach bloated and tender; enlarge- ment of tonsils, 1. tonsil < ; feels weak ; cannot eat or drink anything without pain in pit of stomach; short- ness of breath and general languor. ^After diphtheria.

I I Membrane would leave throat, and a very severe inter- stitial hemorrhage of bright red blood would ensue; hemorrhage would slowly improve, and membrane ap- pear again in throat ; these had continued to alternate for several days. ^Diphtheria.

I I False membrane, thick grey, yellow or dark, surround- ing mucous membrane dark or bright, may be < on either side, or inflammation shift from side to side, gen- erally < on 1.

I I False membrane, thick, yellowish grey, often greenish.

I I Pharyngeal inflammation, with wholesale destruction of epithelium, viscidity of saliva, heat of palms; absolute necessity for constant change of position.

I I Thick, dirty grey diphtheritic membrane covering free border of epiglottis, and extending off" to each side.

I I Uvula pretty free from membrane, but intensely sore and bleeds ^Diphtheria.

■Uvula coated (in seven cases).

I 1 After membrane exfoliates, mucous membrane appears raw and bloody, with increased deglutition.

I I In most cases of diphtheria, the throat symptoms begin on r. side.

I I Inflammation, ulcers and swelling shift from side to side, generally < on 1. ^Diphtheria.

I I Appetite and strength failing ; dislike to food, especially fat or greasy. ^Parenchymatous metritis.

No appetite or thirst. ^Diphtheria.

I I Thirst for little at a time, but often, as throat is so dry and hot. ^Diphtheria.

I I Thirst. ^Acute rheumatism.

529 LAC CANINUM.

I I Great thirst for large quantities, often.

■ Desire for highly seasoned dishes, which is very unusual;

and nose nearly ceased, and she almost immediately had

spells of sickness of stomach, and would occasionally

vomit pieces of membrane. ^Diphtheria. I I Frequent attacks of severe vomiting, and when not so,

always feeling of nausea, and fear to eat. ^Sick headache. ^^ Scrobicuium and Stomach. iWeak, sinking feeling in

stomach pit, on waking in morning. I I Gnawing, hungry feeling, not > by eating; everything

she eats, except fish, makes her worse ; the thought of

milk makes her sick. ^Sick headache.

■ Dyspeptic pain, as from a stone, or undigested food, in

stomach pit at 9.45 pm.; followed by a stabbing pain in r. lung, just below nipple.

I Burning in epigastric region ; feeling of weight and press- ure of stone in stomach ; very thirsty; abdomen swollen and burning, with bearing down pains therein ; mu- cous, yellow, liquid stools; pulse lOU; pains and throb- bing in temples; flushes on 1. cheek; red, circular spot below r. malar bone, burning to touch; no appetite, cannot bear food ; jaw cracks while eating, t' Affection of stomach.

I I Stomach tender and bloated ; cannot eat or drink any- thing without pain in stomach pit. ^After diphtheria.

I I Beating in stomach and bowels.

I I Severe throbbing in region of solar plexus; when it be- comes very severe, which it did daily for hours at a time, it would seem to extend or continue upwards to head, when dizziness and lightness of head would super- vene, requiring her to lie down at once, otherwise she would falL violently to the floor.

VOL. VI. — 34.

LAC CANINUM. 530

1 1 Abdomen swollen and burning, with bearing down

■ Pressure from within outwards, as if contents of abdomen

would be forced outwards, just above pelvis, I I Intense sharp pain in 1. side of abdomen, with nausea

while leaning forward. I I Pain and burning in 1. side of abdomen and pelvis, with

weight and dragging on that side; clothes feel heavy. iPain in pelvis, principally in r. ovarian region.

■ Headache over 1. eye on first waking, and great pain in

pelvis, most marked at r. ovary. I Pains in abdomen intermittent.

I I Pain in abdomen, < leaning forward; > leaning back, I I Smarting in r. groin ; pains seem to be in pelvic bones,

uterus and limbs ^Parenchymatous metritis. iVery acute pain in 1. groin, extending up 1. side to crest

of ilium, > by stool; sometimes pain is in track of colon. I I Feeling of tension in 1. groin, do not want to walk or

pains in rectum, no power to expel ; stool large, whitish,

rough, scaly, hard. ^Diphtheria. ^' Urinary Organs. iConstant desire to urinate, urine scanty,

■ Constant desire to urinate, passing large quantities fre-

quently ; at night she dreams of urinating, and wakes to find an immediate necessity. I I Constant desire to urinate, with intense pain. ^Urethral chancre.

■ Constant inclination to urinate, which was restrained as

urination caused intense pain when coming in contact with vulva,

■ Urine unusually frequent and dark,

' 1 Urine frequent : especially at night ; scanty, high col- ored ; red sediment.

I I Urine very scanty and dark. ^Acute rheumatism.

■Urine dark, heavily loaded with thick reddish sediment that adhered in different colored circles to bottom and sides of vessel.

I 1 Great difficulty in urinating. ^Diphtheria.

I I Urinating only once in twenty-four hours, and then copiously, but with some difficulty and slight irritation. ^Diphtheria,

I I Urine scanty, infrequent, coffee colored, no desire to

531 LAC CANINUM.

urinate, quantity less than a gill in twenty-four hours- eighty per cent, albumen, with much mucus.

I I No urine for forty-seven and three-quarter hours, blad, der pretty full, parts fearfully swollen, and irritation on urination very great. ^Diphtheria.

I I Urine partially suppressed. ^Tonsillitis. ^^ Male Sexual Organs, l l Large chancre on dorsum of penis, with a fungoid bacteric mass covering whole of corona glandis, which was first of a glossy, shining, white ap- pearance, and later covered with a fungus, looking like fully developed aphthse; edges of swollen prepuce cov- ered with nodosities and itching.

■ Penis enormously swollen, and a chancre on glans like

a cauliflower excrescence, over half an inch in diameter; it was red, smooth and glistening; no pain; in a week there appeared two more small chancres, deep, sharp edges, clean, and with same shining appearance. ^Syphilis.

I I Small sore at entrance of urethra; kept getting <; pre- puce involved for about half inch, and parts of glans around urethra an open ulcer, exhaling most fetid smell, and with most excruciating pain ; hemorrhage at 10 p.m. every evening, and during day when removing dress- ings; ^constant desire to urinate, with intense pain; no sleep 'for a fortnight, red, glistening appearance.

■Prepuce involved for about an eighth of an inch, and parts of glans penis around urethra an open ulcer exhal- ing most fetid smell ; pain excruciating ; hemorrhages at ten every evening and during day when removing dressing; desire to urinate constant, and accompanied by intense pain; had not slept for a fortnight ; red, glis- tening appearance of ulcer. ^Syphilitic ulceration of penis.

■ Chancre on prepuce 1. side of frsenum, granulating rapidly

from centre to circumference.

I I Buboes and chancres.

I I When gonorrhoea is >, catarrh sets in

I iGonorrhoeal pains, intermittent, in front, middle or pos- terior part of urethra. ^ Female Sexual Organs. Heat in ovarian and uterine region (with menses); inflammatory and congestive con- dition of ovaries before menses, especially of r. ovar}-, with extreme soreness and sensitiveness, which makes every motion and position, even breath, painful.

I I Pain in abdomen principally in r. ovarian region.

I I Sharp pain in r. ovary.

■ In afternoon, sharp pains in r. ovarian region, not con-

stant but intermittent.

LAC CANINUM. 532

■Severe pain in r. ovarian region, > by flow of bright red blood.

■ Pain in 1. ovarian region; across lower part of abdomen.

I I Constant burning pain in 1. ovarian region, extending from 1. leg even to foot. ^Ovaralgia.

I I Sharp pains beginning in 1. ovary, and darting like lightning either towards r. ovarian region, or else up 1. side and down arm, or sometimes down both thighs; but most generally down 1. leg to foot, which is numb ; pains act something like labor pains, and are accom- panied by great restlessness of legs and arms, and great aching in lumbar region ; on fifth day after premature labor.

Ilnflammatory and congested condition of uterus, with extreme soreness and tenderness, that made every mo- tion, position, and even breath, painful.

I I Parenchymatous metritis (two cases), in one, uterus three

times as large as natural, round as a ball, and body very hard, cervix obliterated by altered form of body ; uterus sensitive.

I I Much pain before and after menses, severe headache and entire prostration for first day or so. ^Metritis.

I I Sharp, lancinating pains like knives cutting upwards from OS uteri, and as these were being relieved, sensa- tion as of needles darting upwards in uterus.

1 I Pain in uterine region, passing down inside of thighs, half way to knees, and r. leg feels numb.

iPains in uterine region, all day, no particular direction except down inner side of thigh half way to knees.

I I Severe pain in entire uterine region, with profuse dis- charge of yellow, brown and bloody leucorrhoea, two weeks after menses; intense pain and enlargement of 1. ovary, which could be seen protruding.

■Blood bright red and stringy, hot as fire, coming in gushes and clotting easily ; constant bearing down pain, as if everything would come out of vulva. ^Uterine hemorrhage.

I I Uterine hemorrhage for six weeks; ovarian pains alter- nated sides, as did the chronic headache.

I I Retroverted uterus.

I I Menses: fourteen days too soon, profuse; seven days too soon; flow came in gushes, scanty, intermittent, bright red and stringy, preceded by much flatulence from bow- els; very stringy and sticky, cannot get rid of them.

I I Great engorgment of breasts, with sensitiveness to touch, precede menses.

I I Menses nearly ceased; at menses much pain in r. thigh and uterus, constant desire for stool, very low spirited. ^Parenchymatous metritis.

533 LAC CANINUM.

iDysmenorrhcea, abdomen sensitive even to weight of clothing; flatus from vagina.

■ Membranous dysmenorrhoea.

I iSore throats are very apt to begin and end with men- struation.

I Leucorrhoea, very profuse during day, none at night; discharge whitish and watery; pain in small of back; very irritable; < standing or walking.

I I Bearing down as though everything would fall out through vagina, with very frequent desire to urinate, and smarting in urethra.

■ Escape of flatus from vagina.

I I Great swelling of 1. labia and terrible pain while urinat- ing; from gonorrhoea.

■ Itching in 1. side of labia, with rough eruptive condition

on 1. side of vagina, with acrid leucorrhoea; excoriating.

■ Raw and bad smelling sores between labia and thighs, in

folds of skin; < when walking, would rather keep still all the time; sores are covered with disgusting white exudation.

I I Foul smell from genitals. ^Herpes.

I I Pressure on labia causes a slight flow of blood; menstru- ation commenced entirely normal.

■ Intense painful soreness of vulva, extending to anus,

■ Urination causes intense pain in vulva, when even least

drop of urine comes in contact with it.

■ Itching of vulva.

I I Breasts very sore and painful, with sharp, darting pain in r. ovarian region extending downwards to knee, very painful and must keep leg flexed. ^After miscarriage at sixth month.

■ Breasts very sore, sensitive to least 'pressure; dull, con-

stant, aching pain in them all evening.

■ Breasts very painful, but no lumps; pains are caused by

least jar; has to hold breasts firmly when going up or down stairs; breasts < towards evening, presssure of her arm, in natural position, caused considerable pain.

■ Breasts very painful and sore; feel as if full of hard

lumps, very painful when going up or down stairs. I I Soreness and enlargement of breasts.

■ Breasts seem very full.

■ Constant pain in nipples.

LAC CANINUM. 534

I I Knots and cakes in breast, after miscarriage. I I Galactorrhoea.

I I Loss of milk while nursing, without known cause.

I I Serviceable in almost all cases where it is required to dry up milk.

I I Given for an ulcerated throat to a nursing woman, it cured throat and nearly dried up milk. ^ Voice and Larynx. Trachea and Bronchia. 1 1 Loss of voice. ^Pharyngitis.

I I Throat troubles her much if she reads aloud or talks more than usual; it seems almost as though it was stopping up, and she feels very hoarse, but has no sore- ness; there is a feeling of fulness and choking.

I I Unable to speak loud; distressed feeling while speaking.

I I Respiration hoarse, crying was whispered and broken, often no sound at all. ^Diphtheria.

■ Slight hoarseness, with now and then a change of voice, after walking, but soon passing away.

I I Excessive hoarseness, and tickling, choking sensation, > moving about.

I 1 Voice hoarse and husky; interrupted by weakness and hoarseness.

I I Larynx sensitive to pressure. ^Diphtheria.

I I Constriction in lower part of larynx, like a finger across throat; feeling as of a bar across back of throat. ^''Respiration, il Difficult breathing; during evening had several suffocating spells. ^Diphtheria.

I I Terrible dyspncea immediately after sleep, first on 1. side of chest; dyspnoea compelled her to be lifted upright with violent exertion to get breath ; sharp pain in region of heart with each attack. ^Acute rheumatism.

I I Breathing hoarse and croupy, and at times an entire stoppage of breath, when it would resume with a vio- lent effort. ^Diphtheria.

I I Breathing often snoring and only possible through mouth. ^Diphtheria.

I I Short breath. ^After diphtheria.

I I Great difficulty in breathing, could not lie down flat.

I I Breathing very labored.

I I Loud snoring during sleep.

I I Sensation as if breath would leave her when lying down and trying to sleep; has to jump up and stir around for an hour or so every night. ^ Cough. iTickling sensation in throat causing cough ; in afternoon quite hoarse.

I Cough from tickling in upper anterior part of larynx, < talking and lying down.

1 I Cough caused by irritation in upper part of throat, <

^35 LAC CANINUM.

closed doors all over house. ^Diphtheria. I I Cough and dyspnoea.

Wakes with severe pain in lower part of back, it is often five minutes before she can straighten ; pain leaves her when she has been about work a short time, not re- turning till morning. ^Nervous throat affection. I I Intense, unbearable pain across supersacral region, ex- tending to r. natis and down r. sciatic nerve; pain so severe as to prevent sleep or rest; at same time diphthe- ritic sore throat on r. side, with sensation of a lump, could not swallow solid food. Upper Limbs. l Fetid perspiration in axillae, staining linen brown. ■After exposure to draft in evening: sudden violent pains

LAC CANINUM. 536

in r. shoulder so severe that she was unable to raise the

arm, as if disabled by dislocation. ^ Acute rheumatism. 1 1 Pain in 1. shoulder extending across to r. ; could scarcely

on attempting to do so was seized with sharp pains in

arm below shoulder. I iLeft hand bloats and is numb, with trembling, jerking

and fluttering through lungs; numb, pricking sensation

all over body, arms and legs.

■ Sharp pain in 1. hand, 1. arm as if asleep.

t I Trembling of 1, hand, as in paralysis agitans.

I I Fingers extremely cold but not rest of hands.

I I Two warts on little finger. ^ Lower Limbs, l 'Almost constant pain in r. hip. /^Metritis.

I I Pain in r. hip and leg while walking, with a trembling of leg, and slight feeling of uncertainty, particularly on going down stairs. ^Parenchymatous metritis.

I I Articular rheumatism in r. hip and knee joints, espe- cially former; she was seated in an arm chair, unable to move, complaining of bruised, smarting, lancinating pains in both joints and in lumbar region, Avith swell- ing of affected joints; pains < by slightest motion at night, by touch and by pressure of bed clothes; next day pains and swelling had gone to 1. hip and knee joints, leaving r. almost free; the ensuing day they had almost entirely disappeared from 1. hip and knee joints and had again attacked r. hip and knee; com- plaining, moaning and sighing on account of her suffer- ings and probable termination of her illness.

■ Rheumatic pains in 1. hip and along sciatic nerve; wan-

dering pains in nape of neck, with stiffness; pains in one or other shoulder; pain above 1. eye and heaviness of eyelid; burning in eye; agglutination of eyelids; sen- sitiveness to light. ^Sciatica and rheumatism.

■ Intense, unbearable pain across supersacral region, ex-

tending to r. natis and down r. sciatic nerve ; pain so severe as to prevent sleep or rest. ^Sciatica!

I I Partial paralysis of r. leg from miscarriage; has to use a cane; r. ovary sore by spells and pain darts down leg, sometimes to foot ; leg feels numb and stiff, but cannot keep it still any length of time; feels better by flexing it on abdomen.

I I Can only walk with assistance of a cane. ^Hip disease.

1 I Cannot walk any distance; trembling through r. thigh,

537 LAC CANINUM.

and feeling as though entire lower portion of body was giving way; felt as though something was strained across lower part of bowels. ^Parenchymatous metritis.

I I Sciatica.

I I Limbs cold to knees. ^Diphtheria.

■ Bruised pain in soles of feet, stiffness of ankle, knee and hip joints, and occasionally intense pains which move upwards ; pain in ankle joints as of a dull plug pushing ; joints stiff and sore, tender to touch, < from heat and least motion; later knees and then hips became in- volved ; at first the 1. ankle was attacked, and then, after some hours suffering, the r., with relief to 1., and so on with knees and hips; chest affected, terrible dyspnoea coming on immediately after sleep, first on 1. side ; com- pelled her to be lifted upright with violent exertion to get breath, sharp pain in cardiac region; urine scanty and dark; pain in r. side of throat; generally < at 5 P.M. ^ Acute rheumatism.

I I After exposure to cold night air when drunk, sharp, darting pains, < by any motion, with swelling inr. knee and r. ankle ; next day joints.of 1. knee, 1. ankle, 1. hand, extremely painful, moderately swollen, slightly red ; ensuing day, 1. ankle and knee better, but r. shoulder and elbow similarly affected.

iNumb pains chiefly in ankles, < while quiet, with swelling; veins of ankles distended; > while extreme heat is applied. ^Rheumatism.

I I Ecthyma: a sore breaks out on r. leg, excessive itching, inflammation, then swelling, blisters form and suppura- tion sets in; afterwards clear lymph, then discharge of matter; then scabs and scales, turning eventually into a branlike desquamation ; scars have left discolored skin.

I I Restlessness in legs.

I I Cramps in feet. ^* Limbs in GeneraL ' l Aching pains in limbs and back.

I Pains in limbs as if beaten. ^Pharyngitis.

I I Bruised pains in soles making it difficult to walk; in twelve days pains suddenly left soles, and appeared in r. knee joint, being smarting, lancinating, with light swelling of joint; could not move affected limb, as least motion < pains, as did touch and pressure of bed- clothes; on following day 1. knee joint affected in same w^ay, r. > ; on ensuing day r. again affected, with relief to 1.; afterwards hip joints attacked alternately with same symptoms, alternating like these in pains and swelling, 1. joints one day with > of r., and vice versa; also lancinating pains in 1. side of chest; after four days wrist joints affected, first r., with same symptoms as

LAC CANINUM. 538

those of lower extremities, symptoms of one side of body alternating with those of other; not able to move himself in bed, lancinating pains made him cry out ; constipation, sleeplessness, no fever; pains and swelling

< every evening, night, by movement, touch and press- ure of bedclothes; numb pains chiefly in ankles <.

Lying on back : with hands over face, falls asleep ; sepa- rating knees as far as possible > soreness of vulva.

Lying down: thinks how horrible it would be if a very sharp pain, like a knife, should go through her ; causes congestion; cough < ; does not seem to touch bed.

Could not lie flat: great difficulty in breathing.

Sitting: as if she was going deranged.

Bending head forward: causes congestion.

Leaning forward : nausea; pain in abdomen <.

Leaning back: pain in abdomen >.

Standing: leucorrhoea <.

Cannot find comfortable position in bed, there is no way she can put her hands that they do not bother her.

Motion : painful on account of soreness of ovarian region ; > hoarseness; pains in hip and knee joints < ; sore- ness of joints < ; sharp, darting pains in knee and ankle < ; pain in knee <.

Flexing leg on abdomen : tension in groin >.

Cannot straighten herself: pain in back.

Could not raise arm : pain in shoulder.

Exertion : dull pain in 1. superior maxillary.

Must jump up and stir about to > feeling as if breath would leave her.

Walking : leucorrhoea < ; sores between labia and thighs

< ; pain in r. leg ; felt as if walking on air.

BNo inclination for least exertion, would like to do nothing but sleep; much lassitude.

539 LAC CANINUM.

I I Sinking spells every morning, attended with great ner- vousness. ^Parenchymatous metritis.

I I Often feels as if she would lose use of limbs. ^Nervous throat affection.

I I Child partially paralyzed after diphtheria; could not

walk; pain all over, cough, aphonia, loss of appetite, emaciation.

I I When walking seems to be walking en air; when lying does not seem to touch bed.

I Suffering from very unpleasant nervous symptoms; not in low spirits, but weak, and nerves so thoroughly out of order that she cannot bear one finger to touch the other, and often feels as though she should lose use of her limbs; sensation as if throat was closing, sensation is between throat and nose; feels as if something in throat was either enlarged or relaxed, and has a desire to keep mouth open; talking difficult; disposition to talk through nose; sometimes cannot swallow, because there seems to be a kind of muscular contraction in throat; sleep restless, frequently w^akes with sick head- ache, which seems to commence at nape ; wakes with severe pain at lower part of back; pain leaves when about work a short time, does not return until next morning; nerves very much overwrought, afraid of being unable to perform duties. ^Nervous affection. ^^ Sleep. ' I Great desire to sleep. ^Diphtheria.

I I Cried out and talked in sleep. ^Diphtherial.

I I Sleeplessness from emotional strain, with entire nervous debility.

■ Cannot find any comfortable position in bed ; there is no

way she can put her hands that they do not bother her; falls asleep at last on her face.

■ Very restless at night; very difficult to get into a com-

fortable position ; generally goes to sleep lying on back with hands over head.

■ Sleep disturbed, very wakeful; limbs cold all night.

I I Sleep prevented by being very cold for one hour after retiring, with great nervousness.

■ Very restless all night; could not keep clothes over her. I I Sleepless and crying continually.

I I Restless sleep at night, bad dreams. ^Metritis.

I I Dreamed a large snake was in bed. ^Tonsillitis. _ iGot to sleep late; profuse sweat during sleep; felt fever- ish all night; in morning > in every way.

I I At night lies with 1. leg flexed on thigh, and thigh on pelvis; restless; < after sleep. ^Ovaralgia.

I Dreams frequently that she is urinating, and wakes to find herself on point of doing so, requiring immediate relief

LAC CANINUM. 540

1 I Dreams of going on a journey, and was separated from

party, and had to walk a long distance, and arrived at

feels sore ; nausea, weak, sinking feeling in stomach pit ;

Afternoon: headache; hoarseness; constriction of chest. Evening: abdomen hard and swollen ; intense soreness of

vulva; aching in breasts. 9.45 P.M. : dyspeptic pain in stomach pit. Night: constant noise in head < ; sensation as if bed was

in motion; sore spot in 1. side of throat removed by

1 A.M.; next night same on r. side; pain in tonsil;

gnawing < ; felt she would suffocate; throat < ; dreams

of urinating; urine frequent; rheumatic pains <;

pain in upper canines >. Cold water: sore throat momentarily >. ^^ Fever, l l Severe chills. ^Diphtheria.

I I Fever and chills for a few days, and up and down every

few hours. I Feels feverish.

■ Intense fever on waking in morning, with perspiration. I 1 Fever, and bathed in warm perspiration, especially

I I Fever. ^Diphtheria ^Acute rheumatism.

II High fever. ^Diphtheria.

I I Dry, hot skin. ^Diphtheria.

I I FeVer returning every afternoon. ^Diphtheria.

541 LAC CANINUM.

For several years, ever since diphtheria : sore throat just before menses. *' Locality and Direction. Right: pain in head beginning on side ; pink color of lower lid ; sore on side of septum ; red circular spot below malar bone; acute pain on side of throat; throat < on side; sensation of lump in side of throat; pain in region of tonsil ; throat much in- flamed on side; throat sore; sore spot on side of throat; tonsil red and swollen; side of throat < ; tonsil intensely inflamed; tonsil covered with ash grey membrane; ton- sil raw, swollen ; diphtheritic symptoms begin on side; stabbing pain in lung; burning pain in hypochondriac and iliac region; pain in ovarian region; smarting in groin; sharp pain in ovary; numbness of leg; much

LAC CANINUM. 512

pain in thigh ; pain down sciatic nerve ; pains in shoulder; pain in hip; pain in leg; rheumatism in hip ; partial paralysis of leg ; trembling through thigh ; swelling in knee and ankle ; sore on leg ; swelling of knee joint.

Left: pain over eye; sees green band before eye, slanting downward to r. cheek ; spots before eye ; burning in eye; heaviness of upper lids ; pain over eye; agglutination of lids; gathering under side of nose; superior max- illary feels sore; flushes on cheek ; swelling of parotid ; pain in upper canine ; pain on side of throat; sensation of ball or round body in side of throat; feeling of lump in side of throat; lump in side of pharynx ; pain from throat to ear; rawness on side of throat; throat very sore; sore spot in side of throat; patches on tonsil; diphtheritic spots in throat; large patches on tonsil; thick, mem- branous mass lying on side of soft palate ; neck swollen ; pain crossing from r. iliac region to 1. side of abdomen ; intense pain in side of abdomen ; burning in side of ab- domen; acute pain in groin extending up to side of crest of' ilium; tension in groin; chancre on prepuce side of frsenum ; pain in ovarian region ; sharp pain down leg from ovary, enlargement of ovary ; swelling of labia; itching in side of labia; eruptive condition on side of vagina ; terrible dyspnoea ; pain in shoulder ; partial paralysis of arm; hand bloats and is numb; sharp pain in hand ; arm as if asleep ; trembling of hand; pain in ankle, knee and hand.

From 1. to r. : neuralgic pains in shoulders.

From r. to 1. : swelling of parotid.

From within outwards: pressure in abdomen.

Alternating sides: throat symptoms; articular rheuma- tism in lower limbs; bruised pain in ankles; pains in ankles, knees and elbows ; swelling and ulcers.

llErratic disposition of symptoms; pains constantly flying from one part to another. ^ Sensations. As if she was going deranged; as if surrounded by myriads of snakes; as if bed was in motion; as if forehead would split open ; as if ears were full ; as if throat was closing; as if something in throat was either enlarged or relaxed ; throat as if full of sticks ; as if a lump was in throat; as of a ball or round body in 1. side of throat ; as of a lump in r. side of throat, with a feeling that she could take hold of it with her fingers and pull it out ; throat as if scalded by hot fluid ; throat as if burnt by caustic ; throat felt as if there were lumps in it like two eggs; diphtheritic deposit looks as if var- nished ; pain as from a stone in stomach pit ; as if con-

543 LAC CANINUM.

tents of abdomen would be forced outwards; as of needles darting upwards in uterus; as if everything would come out at vulva; breasts as if full of hard lumps; as if throat was stopped up; as if a finger was across throat; as of a bar across back of throat; as if breath would leave her when lying down; 1. arm as if asleep; as of a dull plug pushing in ankle joint; pain in limbs as if they had been beaten ; feels as if she would lose use of limbs; when walking, as if walking on air; when lying' in bed, as if she did not touch it; as if throat was closing; as if an insect was crawling on shoulders, neck and hands.

Pain: over eyes; in temples; above 1. eye; in both cars; in r. side of throat ; in whole body and limbs; in chest; in tonsils; in head, back and limbs; in })it of stomach ; in 1. side of abdomen and pelvis; in ovaries; in abdo- men; in track of colon; in uterine region and down thighs; in r. thigh and uterus; in sujuU of back; in nipples; in chest and throat; in back of neck; from 1. shoulder to r. ; in r. hip and leg ; in labia.

Excruciating pain: in prepuce.

Unbearable pain: in head ; across supraorbital region.

Violent pain: in r. shoulder.

Terrible pain: in vertex; in 1. labia while urinating.

Very severe pain : in forehead ; in head ; in r. ovarian re- gion; in entire uterine region; in lower part of back.

Intense pain: in urethra; in 1. ovary; in vulva.

Intense sharp pain: in 1. side of abdomen.

Acute pain : on r. side of throat then in 1. ; in 1. groin, ex- tending to 1. side to crest of ilium.

Sharp, incisive pain : between scapulae, passing through to sternum.

Sharp pain : on top of head coming from nape of neck ; in arm below shoulder; in 1. hand; in cardiac region; in r. ovarian region ; beginning in 1. ovary and darting like lightning either towards r. ovarian region, or else up 1. side and down arm, or sometimes down both thighs, generally down 1. leg to foot; in region of heart.

Sharp pains like knives: cutting upwards from os uteri.

Lancinating: in chest.

Cutting : through tonsils.

Stabbing : in r. lung.

Darting stabbing : from one side of head to other.

Darting: from occiput to forehead; in rectum; in r. ova- rian region; in knees and ankles.

Shooting: to ears; in abdomen ; down into thighs.

Piercing : on vertex.

Beating: from occiput to forehead; in stomach and bow- els; in small of back.

LAC CANINUM. . 644

Throbbing: in temples; in region of solar plexus. Bruised, smarting, lancinating pains : in both joints and

part in back ; in 1. ovarian region. Aching: in throat; in 1. ear; in lumbar region; in breasts;

in neck; in whole spine; in arms and shoulders; in

limbs and back. Rheumatic pain: in r. hip; knee joints ; 1. hip; along

hands and feet. Soreness: of head; of pimples on scalp ; on r. side of sep- tum of nose; of 1. superior maxillary; of throat; of

and legs.

^^^' LAC CANINUM.

Tingling : on vertex.

Tickling: in throat; in upper anterior part of larynx. Iremblmg: otl. hand; of leg; through r. thigh Weak, sinknig feeling : at stomach pit Itching: of head; of prepuce; in 1. side of labia; of sore on r. leg. '

■ Herpetic eruption in both axillaj, with light brownish

scab, extremely painful when washing; eruption most m r. axilla, and in both instances appeared day previous to pain in labi«, which was followed by a discharge of blood from vagina. I I On face hands, neck and chest, bright scarlet eruption exactly like scarlatina. ^Diphtheria. '

■ Throat full of large foul, grey yellow patches; deglutition

especially painful after sleep and from swallowing fruits (acid) ; lumpy sensation felt in middle of throat • unrest delirium with undefined fears; considerable bright red' fine eruption on face and chest; itching with dry skin' t'bcarlatina.

I I Bright scarlet redness on chest and around neck; next day all over body except legs, which were, however covered that night ; skin in large patches assumed dark red color bordering on purple, as seen in malignant cases, while whole body seemed swollen. ^Diphtheria

I I Diphtheria with or following scarlatina.

I I Ichthyosis, with branlike desquamation of skin.

■ Shilling, glazed and red appearance of ulcers on shin and

wrist. ^Syphilis.

■ Very small blotches like fieabites. <?Diphtheria.

LAC CANINUM. 546

Girl, eet. 4 ; diphtheria.

M. Y., set. 5; diphtheria.

Girl, eet. 7, slender, tall, bony, with enlarged cervical lym- phatics and tonsils ; had diphtheritic croup six years ago.

Boy, set. 9, three days before had spent several hours on ice skating, also had been exposed to some fatal cases of diphtheria ; diphtheria.

Boy, set. 12 ; convalescent from diphtheria.

Girl, set. 13; diphtheria.

Girl, set. 15; diphtheria.

Girl, set. 18; affection of stomach.

Man, set. 20, chancre which was cauterized ; syphilis.

Man, set. 22; acute neuralgia.

Young man, brother died of diphtheria ; sore throat.

Young woman ; nervous affection.

Woman, set. 28, dark hair and eyes, full habit, has sore throat before menses, sometimes begins on one side, again on the other, has had it for several years, ever since she had diphtheria; diphtheritic sore throat.

Miss Z. G., set. 28, tall, slender ; parenchymatous metritis.

Woman, after exposure to draft; acute rheumatism.

Woman, set. 40, strong, healthy, dark, now nursing a nine months' boy.

Woman, set. 50, suffers after each attack of quinsy ; acute rheumatism.

Man, set. 50, had syphilis twenty-five years ago, first dis- covered a small sore at entrance to urethra, for two months rapidly growing < ; syphilitic ulceration of penis.

AVoman, set. 90; sensation of film before eyes. ^^ Relations.* "Acts best in single dose; if repeated, should be given at exact intervals." (Nichols.)

Memory weak : affects only what she has read {Laches., Natr. mur., Staphis.); forgetful, in writing uses too many words or not right ones {Bovisia, Graphit., Hepar, Laches., Lycop., Natr. carb., Natr. mur., Nux vom., Sepia); absentminded {Anac, Caustic, Conium, Dulcam., Laches., Natr. mur., Sepia); cannot speak correctly half the time {Calc. ostr., China, Graphit., Hepar, Laches., Lycop., Natr. carb., Natr. mur., Nux vom., Sepia) ; substi- tutes name of object seen for that which is thought {Amm. carb., Calc. carb., Sepia, Sulphur); very restless, cannot concentrate her thoughts or mind to read; wants to leave everything as soon as it is commenced {Nux vom., Silicea, Sulphur) ; crying, fearing she was contract- ing consumption {Calc. ostr., Paullin., Sepia); exalted feeling of sensorium {Platinum).

* The names of corresponding remedies were, with a few exceptions, added by Lippe for Swan's Materia Medica.

547 LAC CANINUM.

Weak feeling in head, feeling as if a headache was com- ing on {Ambra, lodam, Phosphor., Stramon., Thuja). On going into cold wind felt a terrible pain in forehead

as if it would split open, > on going into warm room

{Aurum, Nux vom., Rhibs tax.). Headache < by noise or talking, > by keeping quiet ;

confused feeling in head ( Calc. ostr.). Must have light, yet is intolerant of sunlight; diphtheria

{Aeon., Amm. mur., Bellad., Calc. ac, Calc. ostr., Gelsem.,

Ruta, Stramon.). Difficulty in distinguishing objects ; in reading, letters run

Lycop., Mercur., Natr. mur., Phosphor., Staphis., Zincum).

Gensitive to touch externally (Laches.); < by

empty swallowing {Ignat). Breasts sensitive: to pressure {Calc. ostr., Murex); to deep

pressure {Mercur.); as if full of very hard lumps, very

painful when going up or down stairs {Bellad., Calc. ostr.,

fauces {Merc jod.). Coarse shreds of membrane in throat ; diphtheria [Kali

bich.); discharges of diphtheritic matter from vulva

and rectum {Apis). Empty, weak feeling in stomach pit {Digit, Ignat., Petrol.,

Sepia) ; pain as from a stone or undigested food in

does not seem to touch bed {Asar., China, Coffea, Natr.

mur. , Nux vom., Opium, Rhus tox. , Spigel. , Stram on. , Thuja). Dreams of going on a journey {Lac deflor., Laches., San-

Sulphur, and Psorin. had failed).

LAC DEFLOEATUM. 548