Lachesis

The Surukuku Snake of South America. Ophidia.

The first trituration, and first dilution in alcohol, of the snake poison, Trio-o- nocephalus Lachesis, was made by Hering, on July 28th, 1828.

The first cases were published in the Archives, in 1835. In 1837 this remedy was introduced into our Materia Medica. See Effects of Snake Poison, by C. Hering, Denkschriften der Nordamerikanischen Akademie der homoopathischen Heil- kunst, Allentown, Pa.

Provings by Hering, and under his direction by Stapf, Bute, Bauer, Behlert, Detwiller, Gross, • Kummer, Eeichhelm, Roenig, Wesselhoeft, Kehr, Koth, Mat- lack, De Young, Helfrich, Schmoele, and Lingen. Later proving-s were made by Eobinson, Fellows (Fincke, not contained in Encyclopedia), Bartlett, Metcalf and Berridge. See Allen's Encyclopedia, vol. 5, p. 432.

Clinical Authorities.— i/fmtaca^ jealousy, Woost, Ruck.- Kl. Erf., vol. 5 p. 6 ; Delirium Iremem, Hering, Riick. Kl.

Erf., vol. 1, p. 143; Melancholy, Guernsey,' Raue's Rec, 1871, p. 49 ; Melancholia after confinement, MSS. ; Mental disorder, Berridge, Raue's Rec, 1872, p. 51;

Horn. Clin., vol. 4, p. 73; Wesselhoeft, Raue's Rec, 1871, p. 47; Smith, N.

E. M. G., vol. 8, p. 314; Weber, Med.

Inv., vol. 5, p. 34; Gross, Riick. Kl. Erf, vol. 1, p. 32;

Irritation of meninges of brain and spinal cord. Pope, B. J. H., vol. 13, p. 479 ;

Brain irritation, Nankivell, A. H. Rev., vol. 13, p. 360 ; Inflammation of brain, Lunzer, Riick.

Kl. Erf., vol. 5, p. 44 ; Sunstroke, C. B.

Knerr, MSS.; Affection of brain. Miller, H(.m. Clin., vol. 3, p. 97;

Encephaloma, Jackson, Gilchrist's Surgery, p. 161, N. A. J.H., vol. 22, p. 363; Vertigo, J.

C. Cummings,MSS.; Headache (4 cases), Neidhard, MSS.; C.

H.Vilas, MSS.; Wesselhoeft, B. J. H., vol. 22, p. 483;

Sawyer, Am. Horn. Obs., vol. 2, p. 138 ; Pope, B.J.

H., vol. 13, p. 478 ; Megrim, Tietze, Peters, Pope, Ruck. Kl. Erf., vol. 5, p. 89 ;

Cephalalgia, Raue's Rec, 187(»| p. 287; Supraorbital neuralgia, Martin, Med. Inves., vol. 7, p. 594; Asthenopia, Norton's Ophth.

Therap., p. 109; Defective sight after diphtheria, MSS.; Post-diph- theritic eye affection, Martin, Org., vol. 2, p. 108 ; Retinitis apoplectica, Norton's Ophth.

Therap., p. 109; Inflammation of eye, Rittenhouse, Trans. Horn. Med.

Soc Pa., 1873, p. 106; Orbital cellulitis, Allen, Norton's Ophthal. Therap., p. 108; Pterygium, Rittenhouse, Trans.

Horn. Med. Soc. Pa., 1873, p. 107;

Partial deafness, Martin, Raue's Rec, 1872, p. 81 ; Affection of ear, Martin, Hom. Clin., vol. 4, 149 ; Lippe, Riick.

Kl. Erf., vol. 5, p. 159 ; Epistaxis, J. S.

Linsley, MSS. ; Coryza, MSS. ; Chronic nasal catcm-h, W. Story, MSS. ;

Affections of nose, Rosenberg, Riick. Kl. Erf., vol. 5, p. 173; Neuralgia of fcx.e, Bnjanus, Raue's Rec, 1871, p. 179;

Tietze,

Note A circular letter issued by Dr. Hering, in 1878, soliciting contribu- tions of clinical matter, provings, etc, for a full collection of reports wherewith to celebrate the Fiftieth Anniversary of the introduction of Lachesis, was freely and generously responded to by numerous members of the profession, whose names ap- pear in the list of Clinical Authorities, followed, by the abbreviation MSS. The author did not live to finish his intended Monograph, but all that is essential and of guiding value in Lachesis is embodied in our arrangement

Eds.

LACHESIS. 560

Euck. Kl. Erf., vol. 1, p. 425 ; Swelling of face, Duncan, Horn.

Clin., vol. 1, p. 24o ; Erysipelas of face, Berridge, Times Eetros., vol. 3, p, 30 ; Parotitis, Smith, Med. Inv., vol. 5, p. 106 ;

Bleeding of gums, Leon, Eiick. Kl. Erf., vol. 4, p. 666 ; GLossomania, Gross B.

J. H., vol. 12, p. 472 ; Sore mouth of nursing women, C. Pearson, MSS. ;

Nursing sore mouth, Raymond, Med. Inv., vol, 5, p. 72 ; Affection of mouth after diphtheria, MSS.; Sore mouth and throat after scarlet fever, Preston, Pane's Pec, 1870, p. 321;

Chronic irritability of fauces, Wessellioeft, B. J. H., vol. 22, p. 488; 2%-oat affection, C. Hering, B.

J. H., vol. 21, }». 370; Affection of throat after diphtheria, MSS. ; Inflamnudion of throat, Paymond, Med.

Inv., vol. 5, p. 72 ; Angina, Stow, Paue's Pec, 1870, p. 142 ; Berridge, Pane's Pec., 1870, p. 142 ; Fielitz, Jahr, RUck.

Kl. Erf., vol. 1, p. 531; Sore throat, Blakely, Horn. Clin., vol. 1, p. 126;

Boyce, Med. Inv., vol. 5, p. 6; (5 cases) Neidhard, MSS.; Tonsillitis, Hirschel, Piick.

Kl. Erf., vol. 5, p. 242 ; Blakely, Raue's Pec, 1870, p. 141 ; Horn.

Clin., vol. 1, p. 232; Epidemic pharyngitis (50 cases). Ward, Am. Hom.

Obs., vol. 6, j). 226; Chronic pharyngitis. Miller, Raue's Pec, 1875, p. 246; Diphtheria, Guernsey, Oehme's Therap., p. 46;

Allen, N. A. J. H., vol. 13, p. 99 ;

Hale, Hom. Clin., vol. 1, p. 184; (3 cases) Hale, Oehme's Therap., p. 48 ; Goodno, Hom.

Clin., vol. 3, p. 140 ; (2 cases) Goodno, Oehme's Therap., p. 49 ; (2 cases) Hirsch, Oehme's Therap., p. 46 ; (5 cases) Wesselhoeft, Oehme's Therap., pp. 47-48 ;

Dunham, A. H. O., vol. 4, p. Ill ;

Tietze, B. J. H., vol. 31, p. 124 ; Oehme, N.

A. J. H., vol. 25, p. 68 ; T.

S. Hoyne, MSS. ; A. M.

Piersons, MSS. ; (3 cases) Piersons, Hah. Mo., vol. 10, p. 212; (8 cases) MSS.;

Von Tunzelmann, Am. Hom. Rev., vol. 17, p. 741; C.

W. Boyce, MSS.; Fellows, Am. Hom.

Rev., vol. 5, p. 412; C. Pearson, MSS.; Rittenhouse, Paue's Pec, 1872, p. 103;

Schmitt, Hom. Phys., vol. 4, p. 190; Beau- mont, Org., vol., 3, p. 93; Syphilitic phagedcena of fauces, Hale, Raue's Pec, 1874, p. 109 ;

Spasmodic stricture of throat, Bartlett, Riick. Kl. Erf., vol. 5, p. 242 ; Foreign body in oesophagus, Herzberger, B.

J. H., vol. 36, p. 376 ; Dyspepsia, Hering, Riick. Kl.

Erf, vol. 1, p. 586; Affection of stomach, Neidhard, MSS.; Affection of liver, Luther, Ruck. Kl.

Erf., vol. 5, p. 339 ; C. Neidhard, MSS.; Affection of spleen, C.

Neid- hard, MSS. ; Typhlitis, Hering, Black, Piick. Kl. Erf., vol. 1, p. 725;

Peritonitis, Wesselhoeft, B. J. H., vol. 22, p. 485 ; Burkner, Riick.

Kl. Erf, vol. 5, p. 669 ; Tumor in I. groin, H. C.

Bartlett, MSS. ; Buboes, Riick. Kl. Erf., vol. 5, p. 560 ;

Diarrhoea, Gross, Riick. Kl. Erf., vol. 1, p. 837; C.

Neidhard, MSS. ; Constipation, Hering, Riick. Kl. Erf., vol. 1, p. 816 ;

Smith, N. A. J. H., vol. 14, p. 176 ;

Croup- ous enteritis, Gerson, Riick. Kl. Erf., vol. 5, p. 420 ; Dysentery, Boyce, Paue's Pec, 1874, p. 174;

Affection of anus and rectum, Morgan, Am. Hom. Rev., vol. 4, p. 409 ; Hemorrhoids, C.

Neidhard,MSS.; Anal fistula, Eggert, Raue's Pec, 1 870, p. 219 ; Med. Inv., vol. 6, p. 143 ;

Strangury, C. Neidhard, MSS. ; Ovaritis, Conant, Times Petros., vol. 1, p. 93; Sacculated ovarian disease, Baer, Org., vol. 3, p. 103;

Ovarian tumor. Dudgeon, Gilchrist's Surgery, p. 161, B. J. H., 1873, p. 183;

Uterine and ovarian f -(mors ; Metritis, J. C. Morgan, MSS. ;

Chronic uterine catarrh, Lindsay, Org., vol. 1, p. 471 ; Leucorrhosa with sterility, MSS. ; Puerperal convulsions, Minton, Raue's Path., p. 902, Hom. Clin., vol. 1, p. 76;

Colby, Raue's Pec, 1874, p. 247 ; G. B., N. E.

M. G., vol. 11, p. 405 ; Ovarian pain after confinement, J. H.

Pat- ton, MSS.; Phlegmasia alba dolens, M., Allg. Hom. Ztg., vol. 108, p. 156;

Vitiated milk, Riick. Kl. Erf., vol. 2, p. 412 ; Aphonia, Knickbocker, Raue's Pec, 1873, p. 88 ;

Affections of larynx, Lobethal, Piick. Kl. Erf., vol. 3, p. 168 ; Spasms of larynx, Knickbocker, Pane's Rec, 1873, p. 89 ;

Spasm of glottis. Smith, N. E. M.

G., vol. 8, p. 310; Croup, Guernsey, Raue's Rec, 1871, p. 80; Membranous croup. Frost, Am.

Hom. Rev., vol. 5, p. 491 ; Bronchitis and aphonia, Stow, Raue's Pec, 1874, p.

5G1 LACHESIS.

145 ; Bronchial catarrh (5 cases), Boyce, Am, Horn. Rev., vol. 4, p. 415 ; Respiratory affections, Hering, Ruck. Kl. Erf., vol. 3, p. 18 ; Dyspnea, Allg. Horn. Ztg., vol.

107, p. 157 ; Asthma, Hart, Raue's Rec, 1875, p. 118 ; Med.. Inv., vol. 11, p. 225 ;

Heriug, Rlick. Kl. Erf., vol. 3, p. 190; Asthmatic cough, Deck, B.

J. H., vol. 31, p. 173; Pdiiis ill chest, C Neidhard, MSS. ; Threatened paralysis of lungs, Trinks, Riick.

Kl. Erf., vol. 5, p. 762 ; Chest affection, Hering, B. J.

H., vol. 2, p. 3(59 ; Lwng affection, Hering, B. J. H., vol. 2, p. 377;

Weber, Med. Inv., vol. 5, p. 33 ; Wurmb, Riick. Kl.

Erf., vol. 5, p. 822 ; Consumption, Hering, Riick. Kl. Erf., vol. 3, p. 380;

Tuberculosis, Wells, Horn. Clin., vol. 4, p. 121 ; ttmith, N. E. M.

G., vul. 8, p. 309 ; CAromc pZewro-pTieitmoreia, C Neidhard, MSS. ; Affection of heart. Deck, B.

J. H., vol. 31, p. 175 ; Hale, Org , vol. 2, p. 220 ; Stow, Raue's Rec, 1870, p. 197;

Cyanosis, Yon Tagen, Raue's Rec, 1871, p. 106; Functional disease of heart, Smith, N. E. M.

G., vol. 8, p. 116; Attacks of dyspnoea and palpitation, Gerstel, Allg. Horn. Ztg., vol. 106, p. 99;

Affection of mammary gland, Oehme, Riick. Kl. Erf., vol. 5, p. 648 ; Mammary tumor, Oehme, Riick.

Kl. Erf , vol. 4, p. 304 ; Ab- scess 0,1 /. side of neck, after scarlatina, W^ells, Am. H.

Rev., vol. 4, p. 362 ; Affection of spine, Seward, Horn. Phys., vol. 3, p. 310; Caries of dorsal spine, Wesselhoeft, B.

J. H., vol. 22, p. 481; Phlegmonous inflammation of hand, M., Allg. Horn Ztg., vol.

108, p 156 ; Gangrene of hand, Allen, Am. Hom Rev., vol., 4, p. 558 ; Affection of r. hand, Flering, B.

J. H., vol. 2, p. 374; Whitlow, Bell, Raue's Rec, 1870, p. 327 ; Panaritium, Kreuss, Stapf, Riick.

Kl. Erf., vol. 3, p. 558 ; Onychia, Wood, Org., vol. 2, p. 106; Contraction of psoas muscle after pelvic abscess, Hale, Eaue's Kec, 1874, p. 109 ;

Paralysis of legs and chest affection, Wesselhoeft, B. J. H., vol. 22, p. 482; Scicdica, Miller, Raue's Rec, 1875, p. 246;

Org., vol. 3, p. 357; Affection of knee, Fielitz, Riick. Kl. Erf, vol. 3, p. 587 ;

Varicose veins of knee, Schiissler, Riick. Kl. Erf, vol. 5, p. 860; Pain below knee, J.

H, Patton, MSS.; Ulcer of leg, J. C. Morgan, MSS.;

Ulcer, with paralysis of I. leg, Baer, Org., vol. 3, p. 103; Syphilitic ulcer on leg, Hafen, Allg. Hom. Ztg., vol. 105, p. 108 ;

Gangrene of leg, Allen, Am. Hom. Rev., vol. 4, p. 557 ; Indolent ulcers on foot, W.

Story, MSS. ; Affection of second toe of r. foot, B. J. H., vol. 2, p. 376;

Pain in joints, 'Riick. Kl. Erf., vol. 5, p. 900 ; Hystefia, B. in D., Riick.

Kl. Erf., vol. 2, p. 286 ; Bahrenberg, Allg. Hom.

Ztg., vol. 101, p. 134 ; Spasms in meningitis, C. Neidhard, MSS. ; Urannic con- vulsions.

Barrows, Times Retros., vol. 2, p. 14; Convulsions (3 cases). Finch, Hom. Clin., vol. 4, p. 30, Raue's Rec, 1871, p. 186;

Chorea, Constantine Lippe, MSS.; Epilepsy, C. Mohr, MSS. ; Tietze, Hering, Pulte, Riick.

Kl. Erf., vol. 4, p. 577 ; (4 cases) Preston, Baker, Times Retros., vol. 1, p. 123; Friese, Raue's Eec, 1872, p. 228 ;

Tetanus, Sircar, Raue's P., p. 890 ; Smith, Eaue's Rec, 1874, p. 264 ; Opisthotonos, Oehme, Allg. Hom.

Ztg., vol. 103, p. 207 ; Catalepsy, C. Mohr, MSS. ; Nervousness, Deck, B.

J. H.,vol. 31, p. 174; Nervous affection, Bahrenberg, Org., vol. 3, p 90 ; General breakdown after repeated attacks of pneumonia, Kenyon, Am.

Hom. Rev., vol. 5, p. 269 ; Neuralgia, Bojanus, Hom. Clin., vol. 3, p.

Ill ; Howard, Org., vol. 3, p. Ill; Post-diphtheritic affection, Martin, Org., vol. 2, p. 1 08 ;

Incipient paralysis; Sleeplessness, C. Neidhard, MSS ; Intermittent fever, Hering, Riick.

Kl. Erf., vol. 4, p. 941; Lippe, Bernreuter, Times Retros., vol. 3, p. 30; Intermittent, with ovarian cd)scess, Linsley, MSS. ;

Ague, Walker, Dever, Jennings, Allen's Inter- mittent Fever, p. 160; C. Neidhard, MSS.; J.

C. Morgan, MSS.; Typhoid, jSIohr, Trans. Hom.

Med. Soc. Pa., 1880, p. 208; Bojanus, Ruck.

Kl. Erf., vol. 4, p. 745 ; Boyce, Brewster, Miller, Raue's Rec, 1874, p. 284; Boyce, Med.

Inv., vol. 5, p. 5; Hydrophobia, Hering, Riick. Kl. Erf, vol. 4, p. 624;

Toothaker, Raue's Rec, 1874, p. 276; Septicemia, result of dissecting wound, Dunham, Dunham's Lec-

VOL. VI. — 36.

LAOHESIS. 562

tares, vol. 2, p. 247 ; Phlebitis, Dunham, B. J. H., vol. 31, p. 124;

(8 cases) Dun- ham A. H. O., vol. 4, p. 110; Rheumatmn, Linsley, Horn.

Clin., vol. 1, p. 44; ^mith, Raue's Eec, 1874, p. 254; Hemorrhage in typhoid fever, Guernsey, Hah. M. vol. 6, p. 175 ; Erysipelas, Gross, Kreuss, Riick.

Kl. Erf., vol. 4, p. 143; Smith, Kane's Eee., 1874, p. 291; Carbuncle, Hering, Riick.

Kl. Erf., vol. 4, p. 183; C. B.

Knerr, MSS. ; Dunham, A. H. O., vol. 4, p.

Ill ; Eerridge, Times Ketros., vol. 3, p. 30; Traamatic gangrene, J. H.

Patton, MSS.; (2 cases) Franklin, Hughes' Pharm., p. 493; B. J.

H., vol 27, p. 322; Simon, Riick. Kl. Erf, vol 4, ]). 1027 ;

Gangrene, Hiatt, N. A. J. H., vol. 13, p. 493 ;

J. C. Morgan, MSS., Gil- christ's Surg., p. 91; Epidemic malignant pustule (8 cases), Dunham, A.

H. O., vol. 4, p. 110 ; B. J.

H., vol. 31, p. 123 ; Dropsy, Wolf, Gross, Riick. Kl. Erf, vol. 4, p. 349 ;

Anasarca, Frost, Am. Hum. Rev., vol. 6, p. 492 ; Syphilis, Hering, Riick.

Kl. Erf, vol. 2, p. 123 ; Morgan, Am. H.

Rev., vol. 4, p. 410 ; Bedscnxs, Strong, Raue's Rec, 1874, p. 285; Measles, Miller, Raue's Rec, 1873, p. 222, Raue's P., p. 1006; Repercussion of measles, Dunham, A.

Hom. Rev., vol. 4, p. 32 ; Malignant scarlatina, Bringham, MSS.; Scarlet fever, P.

P.Wells, MSS.; G. B. Saertelle, MSS.;

Wells, N. A. J. H., vol. 24, p. 411 ;

Gross, Lobethal, Riick. Kl. Erf, vol. 4, p. 58 ; Hughes, B.

J. H., vol. 31, p. 125 ; Allen, Am. Hom.

Rev., vol. 4, p. 556 ; Skin affection, Ber- rido-e Hom. Phys., vol. 4, p. 288 ; Eruption on arm and abdomen, \V.

Story, MSS. ; Itch, Hering, MSS., B. J. H., vol. 2, p. 375;

Eczema, Scott, Hah. Mo., vol I, p. 460 ; Pustular eruption, AVesselhoeft, B. J.

H , vol. 22, p 486 ; Gross, Hering, Riick. Kl. Erf., vol. 4, p. 243;

Herpes zoster, Elb, Allg. Hom. Ztg, vol. 110, (>. 18 ; Boils, abscesses, J.

H. Patton, MSS. ; Ulcers, Griesselich, Gross, Ruck. Kl Erf, vol. 4, p. 284;

Iiulolent idcers, Smith, Gwynn, Raue's Rec, 1874, p. 295; Hall, Raue's Rec, 1873, p. 247; Antidote to bee sting, Boyce, Raue's Rec, 1870, p. 90; Baugh, Med.

Tnves., vol. 6, p. 54; Antidote to Bufo, Weber, Raue's Rec, 1870, p. 91 ; Dog bite, Linsley, MSS. ; Tarantula 6fe, Hardenstein, Hom.

Clin., vol. 4, p. 106; Antidote to bite of rattlesnake, Weber, Raue's Rec, 1870, p. 91.

^ Mind. 'Loss of consciousness.

1 1 Weakness of memory ; makes mistakes in writing ; con- fusion as to time.

c Great dulness of mind with bodily weakness. ^Typhus.

EMind confused and wandering. ^Diphtheria.

I B Quick comprehension ; mental activity, with almost pro- phetical perception ; ecstasy ; a kind of trance.

I No sooner does one idea occur to him, than a number of others follow in quick succession while he is writing.

■Visions and delirious talk as soon as he shuts eyes; < noon till midnight.

BThinks: she is somebody else and in the hands of a stronger power; she is dead, and preparations are made for funeral, or that she is nearly dead and wishes some one would help her off; herself pursued by enemies, or fears medicine is poison ; there are robbers in house and wants to jump out of window; herself under super- human control ; visions real ; he will die.

I Imagines he is followed by enemies who are trying to harm him ; attempts to leave room as if frightened by visions behind him. ^Fistula.

5G3 LACHESIS.

1 1 Delirium at night, muttering, drowsy, red face; slow, difficult speech and dropped jaw.

■ Violent delirium especially after sleeping. ^Typhoid.

■ Delirium ; fears she will be damned.

■ Constant delirium which changes rapidly from one sub-

ject to another. ^Diphtheria.

■ Delirium from overwatching, overfatigue; loss of fluids;

excessive study.

■ iDeKrium tremens, attacks come most in afternoon, or

after sleep; loquacious, jumps from subject to subject, cannot bear shirt or neckband to touch throat.

■ Most extraordinary loquacity, making speeches in very

select phrases, but jumping off to most heterogeneous subjects ; at same time proud, full of mistrust. ^Mania.

■ Religious monomania, fear of being damned.

■ lOne word often leads into midst of another story.

■ Insane jealousy.

■ His mind is disturbed before the attack. ^Epilepsy.

■ After operation for fistula in ano, complained of his head,

particularly pain in 1. temple and occiput ; aching pain in lumbar region; came home from work dizzy, faint and nauseated ; talked incoherently, talked as it were in a strange language; since then quite without mind ; will frequently cry and whine, then laugh in silliest manner; does not sleep at night; sleeps only a minute or two at a time during day ; is often violent, only with difficulty can be kept in bed ; endeavors to climb up bedpost; has an idiotic expression; articulation imper- fect ; tongue lolling about in mouth ; eyes rolling va- cantly ; frequently rises, with great effort and awkward- ness; body when standing bends toward 1., must be supported; drags his feet in walking, direction of steps toward 1.; entirely unable to feed himself; seems in- different to food ; imagines he is followed by enemies who are trying to harm him ; attempts to leave room as if frightened by visions behind him. ^Mental disorder. I I She is tempted to commit suicide. dUania.

■ ■Loquacity; much rapid talking; wants to talk all the

<?Fevers.

■Inclination to be communicative ; vivid imagination; ex- tremely impatient at tedious and dry things.

■Is morbidly talkative and gives a rambling account of her ailments.

■Jealousy, with frightful images, great tendency to mock, to satire and ridiculous ideas.

■ ■Exceptional loquacity with rapid change of subject;

jumps abruptly from one idea to another.

■ Talks, sings or whistles constantly ; makes odd motions

with arm. ^Diphtheria.

LACHESIS. 564

I I Violent laughing for one hour; dyspnoea.

■ Undertakes many things, perseveres in nothing.

I I Disinclined to his own proper work ; complains of trifles.

■ Aversion of women to marry.

;rPerfect happiness and cheerfulness, followed by gradual fading of spirituality; want of self control ; lascivious; felt as if she was clear animal right through, whilst all mental power was dormant ; sensation as if in hands of stronger power, as if charmed, and as if she could not break the spell.

I Quiet, sorrowful, lowness of spirits, > by sighing ; repug-

nance to society and dislike to talk ; solicitude about future, with disgust for life ; inclination to doubt every- thing; mistrusts and misconstrues; indolence; aversion to every kind of labor and motion. ^Melancholia.

I I Feels extremely sad, unhappy and distressed in mind on waking in morning.

iSad; loatliing of life ; suspicious and peevish ; moaning and complaining; skin shriveled and livid; nose, ears and forehead cold; as soon as he shuts his eyes he is delirious. ^Traumatic delirium.

■ Fainting fits with great and almost unconquerable sadness

and gloom ; dreads society ; persistent constijDation with sensation as though anus was closed.

■ ■Great sadness and anxiety, < in morning on awaking.

■ Weak and unhappy, particularly in morning, when she

feels, on awaking, friendless and forsaken; same symp- toms if she awakens at night; appetite poor; consti- pated; feeling of constriction of anus ; urine scanty and dark colored; has had domestic troubles. ^Melancholia.

■ Hopelessness.

■ Dread of death, fears to go to bed ; fears of being poisoned.

■ Discouraged, loathing life. ^Melancholy after confinement.

■ Weary of life, looks at everything from dark side; <

morning, > through day ; least noise disturbs sleep. ■Satiety of life with longing for death. ■She is tormented by idea that her better principles might

be overcome by irresistible desire to suicide. /^Mania. ■Voluptuous, irritated state, fights it. /^Epilepsy.

■ Amorousness; amativeness.

I I Great sensitiveness and anxiety. ^Liver complaint.

■ Irritability; ill humor; sensitive disposition.

■ Peevish, disposed to be morose or quarrelsome.

■ Proud; jealous, suspicious ; developing into mania. ■Malice; thinks only of mischief

■ Sensitiveness, or general aggravation after mental exertion.

■ A girl, after excessive study, uses exalted language; ex-

ceedingly particular about language she uses, often cor-

5G5 LACHESIS.

recting herself after using a word, and substituting another of very siniihir meaning; talks about being under influence of a superior power. ^Mania.

■ Nightly attacks of anxiety ; afraid of cholera, gets cramps

in calves from fear; nausea, heavy feeling in abdomen, rolling in umbilical region.

1 1 Chronic complaints after long lasting grief or sorrow.

lAfter domestic calamity ; sleepless, or, when overcome by exhaustion, short naps disturbed by frightful dreams; springing up in bed with terror, and suflbcation of chest and palpitation; irritability alternating with loquacious delirium ; nightly hallucinations causing mental suffer- ing; conscious of her state. /^Mental disturbance.

I Mental derangement after vexation.

■ Ailments from fright, disappointed love or jealousy.

■ After a jealous quarrel, she put both hands to her chest

and cried out "Oh! my heart!" then fell down and was in an asphyctic state for nearly twenty-four hours; no pulse could be felt, breathing hardly perceptible; lay on her back. ^ Sensorium. iLeft sided apoplexy, especially after mental emotions, or abuse of alcohol ; blowing expiration, can- not bear neck touched.

■ Stupefaction or loss of consciousness, blue face and con-

vulsive movements, tremor of extremities. ^Apoplexy.

■ Stupid state; complaining of pain and weight in head

at school, on being brought home he generally lies dozing or waking for three or four hours; frequent waking at night; vomiting on alternate nights; face heavy, pupils slightly dilated, forehead hot, pulse 90; tongue clean; head pains through day. ^Irritation of brain.

■ Vanishing of thought, with blackness before eyes, in par-

oxysms. ■So giddy he could not stand; could not see letters, fell against wall; severe pains all over head.

■ I Rush of blood to head : with heat in head; after alcohol ;

suppressed or irregular menses; climacteric period. I Vertigo with heaviness of head, dulness like lead in occi- put. ^Typhoid.

■ sDulnessof cerebral function. ^Diphtheria. ^Scarlatina.

■ Vertigo: early in morning; on waking; in evening; on

looking up; on looking at any object closely; from walking in open air (at climaxis); from suppressed ery- sipelas; with pale face; migraine; momentary on clos- ing eyes; with falling to 1. side; before menses; on stoop- ing; after lying down; on reaching up; with nausea, vomiting, headache; stuj^efying; as before apoplexy.

LACHESIS. 566

^ Inner Head. ■ Frontal headache; faint on rising.

lln forehead: aching; with stitches; dull pain (angina faucium) ; pressing from without inward ; violent head- ache when nasal discharge suddenly dries up.

I Violent darting, stabbing pains, from upper part of fore- head down to centre of head, as if knives were being thrust into brow; < least motion; violent pressure from above downwards. ^Headache.

I Heavy pain in forehead extending to back and sometimes all over head, coming on at any time of day; pain in back part of hip and 1. side, region of spleen, occasion- ally on r. side; abdomen sore, cannot bear least touch; costive; dull pain in legs.

I Headache over eyes and in occiput, morning on rising.

I Dull pain over and in eyes; nausea; pain top of head; giddiness on rising.

I Pain over eyes, mostly 1., with nausea. ^Sick headache.

I I Headache extending into nose.

I Heat in forehead between attacks. ^Epilepsy.

I iThrobbing pain in temple with heat in head, ^Migraine. ■Violent throbing pain in 1. temple, particularly before

■ Temporal nerves on one side painful, with throbbing in

temples; heat in head; vertigo with paleness of face;

pain in 1. ovarian region; bloatedness of stomach. iHeadache frightfully severe, brain feels as if it w-ould

burst skull, especially at temples; generally begins on

rising in morning, seldom in afternoon ; lying down >

pain, but as soon as she raises head, pain is equally

severe whether she sits or walks.

I I Pressing or bursting pains in temples, < from motion, pressure, stooping or lying down.

I Severe, oppressive pain in one or the other temple, < on r. side; nausea; mouth clammy; cannot swallow the saliva; pain comes on at night and lasts till end of next day; usually > after vomiting; after eating, food rises in mouthfuls; frequent risings of frothy phlegm.

iDrawing pain in 1. temple with redness; soreness to least touch ; fever; pulse full and quick.

IHeadache: pain from superciliary ridge to occipital protuberance, intolerable; could not sleep; slightly delirious; pupils dilated; pain intense; cold water externally > somewhat; at midnight, partly insen- sible; tongue stiff and protruding; speech incoherent, or saying same thing over and over; talks like a lunatic; idiotic look; does not comprehend what is said to him ; whenever he rises staggers backwards; walks backwards until he comes in contact with wall, bed

507 LACHESIS.

or table; takes hold of some furniture, and with greatest difficulty pulls himself forward; afraid of everybody, thinks everybody conspires to kill him; afraid of medicine, won't take any; partial paralysis on r. side.

■ Headache in 1. frontal eminence, deep internally.

I Left sided orbital neuralgia; lachrymation ; previous to paroxysm rising of heat to head; during intervals a weak, nauseous feeling in abdomen.

iSemilateral headache on r. side, creeping gradually towards 1., until it goes around head ; twitching in eyes when they are fixed upon an object; menses irregular, one week ahead of time; tardy digestion; constipation; frequent nausea; pain deep in orbit and over eyes, which are red and injected. ^'Cephalalgia.

■ Every three or four days intense headache; pain throb-

bing and oppressive, chiefly in r. half of head, extending down same side of neck, which generally feels stiff and sore; pain < at catamenial period, which is attended with much aching across loins; menses dark and pro- fuse, lasting eight to nine days.

■ One sided tensive headache, drawing from neck over head

to eyes; vomiting; stiffness of neck ; tenderness of scalp.

■ Headache on r. side, extending to neck and shoulders,

with tension in muscles.

■ Tearing pain in whole 1. side of head, from temple to collar

bone; tears flow continually; pain without intermission ; some nightly aggravations; > from warm applications; paralytic state of tongue; it inclined to affected side; could hardly speak; painful weariness of face, head and neck; tongue feels as if bound or tied up. ^Neuralgia.

■ Cutting headache as if a part of r. side of head was cut

off, < after rising or ascending; > from heat and after belching.

■ Hemicrania with giddiness, paleness of face, general sen-

sation of stiffness and pain in 1. side of abdomen.

■ Tearing on top of head from within outward; dizzy, face

pale; faint, numb; face sunken, or bloated and red.

■ Pressure on top of head with hot throbbing of temples;

constipation; any excitement causes headache; no cata- menia for two months. ^Climaxis.

■ Boring pain on vertex, nausea and vomiting. ^Itch.

■ ■Beating headache with heat, < on vertex and r. side,

or over eyes; preceding a cold in head, with stiff neck.

■ Headache which had lasted six weeks; pain at first began

in vertex, then extended over r. side of head and over face, with pricking as from needles in limbs of same side; < in afternoon.

LACHESIS. 568

I Violent pressing, burning pain in top of head, from

I I Dull aching in sinciput.

iBeating throbbing in vertex; with every movement.

I I Weight and pressure on vertex.

■ Congestion to head with other complaints.

I Throbbing in head from least movement; red face.

■ Headache, with rush of blood to head. iPressive headache, with nausea.

I I Dizzy, pressive headache; < on stooping.

B Violent headache, with flickering before eyes.

I I Headache in sun, glimmering sight. I Headache preceding coryza.

■ Headache: catarrhal; congestive; from sunstroke; hys-

terical; rheumatic; menstrual; epileptic.

■ Terrible headache; nightly pain in limbs. /^Syphilis.

■ Pain as if swollen in angle in front of styloid process, <

from pressure.

■ Heaviness like lead in occiput; can scarcely raise it from

pillow, in morning after waking, with vertigo.

■ Boring pain behind 1. ear, with nausea and vomiting.

■ Feeling in back of head as if pressed asunder.

■ Numbness in occiput, with pain in forehead; on touching

throat, darting from throat to occiput; chest feels dry.

■ Headache from occiput to eyes.

■ Headache every eight or ten days; toward evening pain

in back of head, at first dull and gradually concentrat- ing, acute boring behind 1. ear, apparently at juncture of temporal, parietal and occipital bones; when boring pain reaches its height, generally towards morning, vom- iting of food and slime; stitches in chest.

■ Soreness at vertex, gradually spread over r. side of head

and face; same sensation, with pricking pains like pins and needles, in upper and lower extremities of same side; mouth very sore; cannot masticate food without great pain; after desire to micturate cannot retain urine ; coughing produces flow of urine; < in afternoon, when soreness frequently changes to a sudden, darting pain in arm; drops things; slight vertigo.

■ Inflammatory conditions of brain; great vascular and

nervous erethism. * Outer Head. iNumbness and crawling on 1. side of head, as in whole 1. side. ■Painful sensitiveness in 1. temple from vertex down, and in 1. half of face, when touched, or on moving muscles; sensation as if skin had been burnt by heat of sun.

569 LACHESIS.

I Wants head closely wrapped up.

iTumors which perforate skull.

I I Sudden backward throwing of head. ^Epilepsy.

I I Bettered by shaking head.

I Purplish swelling; delirious talk when closing eyes.

^Erysipelas of scalp.

I I Hair falls off, < during pregnancy; averse to sun. I I Does not like hair touched; itching of scalp.

^ Sight and Eyes, l Oversensitive to light.

I I Fog before eyes ; in evening a bluish grey ring, about

six inches in diameter, around light.

I I Dimness of vision: much black flickering before eyes. that seems very near; on waking.

llDefective sight, after diphtheria. I I Shortsightedness.

■ Unsteady look, eyes roll vacantlj\

I Eyes weak and dull, or distorted. ^Typhus.

■ Variety of pains and sensations in and around eyes, es-

pecially 1.; very nervous; < thinking of eyes, using them, and waking in morning. ^Asthenopia.

■ Amblyopia, with lung or heart affections.

■ Hemorrhages into interior chamber, vitreous, retina and

choroid. ! I Pupils at first contracted, then dilated. ^Fever.

■ Retinitis apoplectica; absorbs hemorrhage, controls in-

flammatory symptoms and diminishes tendency to reti- nal extravasation.

I I Phlyctenular keratitis, especially chronic recurrent; moderate redness of eye; photophobia.

■Scrofulous keratitis with eruption on face, considerable photophobia and pains in eye and head, < in morning and after sleeping.

■ Ulcers on cornea; haziness.

■ Sharp, shooting pains from eyes to temples, top of head

and occiput.

■ Stitches as from knives in eyes, coming from head. ■Sticking drawing pain in r. eye, extending to vertex.

■ As if a thread was drawn from behind eye to eye.

■ Eyes feel as though they had been taken out and squeezed,

and then put back again; pains < after sleep; wakens patient from sleep. ^Supraorbital neuralgia.

■ Pressure in orbits, with sensation of drawing from eyes

to occiput.

LACHESIS. 570

■ I Feels when throat is pressed, as if the eyes were forced

out. iStitching, burning and pressing pains in eyes. I I Itching and burning of eyes.

■ Severe pains in and above eyes.

I Intense and constant pain in 1. eye, pain sharp and stick-

ing, and sometimes extending to brow; uncertain, nunib feeling on 1. side of head; marked dimness of vision ; terrific headache over eyes; wide awake in evening and very talkative; could not get to sleep until late, and when she did, would dream all the time; alternately dreaming and awakening; < after sleep, anxiously in- quires why it is so; great prostration; seems exhausted mentally and physically; constantly laying aside bed- clothes to get reUef, they seemed to oppress her; seems as if she would die of exhaustion in morning; > in evening; intense pain in thigh, coming on after sleeping, and wlien gone, leaving a paralyzed feeling; confused feeling in head with vertigo.

I I Whites of eyes yellow. ^Jaundice.

lOrbital cellulitis, following operation for strabismus; eye protruded; conjunctiva chemosed; puiulent discharge; retina hazy and congested; point of tenotomy slough- ing and a black spot in centre; < at night.

! Pterygium.

I Redness of eyes. ^Mania. ^Angina faucium. ^Fevers.

i Inflammation of eyes and lids, Avith pain in them.

I Painful inflammation of 1. eye, frequently recurring, characterized by a bundle of congested vessels extending from inner canthus toward cornea.

I I Eyes watery. ^Catarrhal headache. ^Neuralgia. .

■ Fistula lachrymalis, accompanied b}^ long standing erup-

tion on face. ''Hearing and Ears. IB Sensitive to sounds; rushing and thundering in ears.

■ Painful beating, cracking, whizzing, drumming, with re-

verberation.

■ Whizzing as from insects in ears.

■ Ears feel as if closed from within. ^Angina syphilitica.

■ Ears as if stuffed up.

■ Hardness of hearing, with dryness in ears, want of wax ;

numbness about ear and cheek.

■ After otorrhoea ear remained dry and obstructed, with

almost entire deafness.

■ Diminished hearing.

■ Partial deafness, with dry wax in 1. ear; noise in ear like

tea kettle; sensation of numbness about ear and down L cheek; sense of hunger every day at eleven.

571 LACHESIS.

■ Stoppage or stricture of Eustachian tube.

I In evening, pain deep in 1. ear; < from motion of tem-

poral or masseter muscles; left in a few minutes and appeared just above 1. external malleolus, < on stepping. Iln night earache in r. ear, > by external warmth and lying on r. side.

■ Annoying pulsations in ear. ^Carotid aneurism.

I I Tearing extending from zygoma into ear. 1 1 Pains in ears with sore throat.

llEarwax too hard, pale and insufficient; whitish, like chewed paper.

■ Polypus of ears.

I I Soreness and crusts around ears.

■ Threatened abscess of parotid gland. ^Typhoid.

■ Ears excessively sensitive to wind.

^ Smell and Nose. ■■Nosebleed: dark; with amenorrhoea; before menses; typhus; blowing of blood, mostly in morning; trickling on blowing; from both nostrils; on svyallowing, sensation as if tonsils were sore, like a wound, with stinging through ears.

■ Nasal, indistinct speech. ^Typhoid.

■ ■Coryza preceded by headache; discharge watery, with

red nostrils, herpes on lips.

■ Coryza preceded one or two days by a feeling of soreness,

rawness and scraping in throat.

■ Scabs in nose ; redness of point of nose.

■ Catarrh with sticking headache; stiffness of neck.

I I Swollen nasal mucous membrane; discharge of blood and pus. ^Coryza.

■ Feeling of lump in throat; on swallowing, lump descends

but immediately returns. ^Coryza.

■ Mucous membrane of nose thickened, much sneezing;

dry, stuffed feeling through front of head; gradually passes to fauces and chest; constant cough short and dry, with wheezing, face red and puffed, while eyes seemed almost pressed out. ^Hay asthma.

■ Many symptoms end with nasal catarrh.

■ Obstruction of nose, with buzzing in ears; headache; ill

humor and inability to drink.

■ ■Complaints after suppressed coryza.

■ Undeveloped coryza with headache and mental worry.

■ Thick, yellow discharge in morning, sometimes streaked

with blood, offensive; hawking; falling of mucus from posterior nares; 1. side only; discharge of hard plug of mucus. ^Chronic nasal catarrh.

■ ■Pus and blood from nose.

■ Discharges offensive, sanious, corroding nostrils and lips.

■ Sudden discharge of pus and blood from nose, as from a

LACHESIS. 672

bursting abscess, seems to come from frontal cavities. fi'Ozsena syphilitica. llSoreness of nostrils and lips.

■ Internal soreness of nose, and nose filled with scabs.

^Mercurio-syphilitic cases. ^Drunkards.

■ Inflammation of nose with pimples and blisters.

■ Nose pointed, reddish, as if sore, and always some fluent

coryza. ^Angina syphilitica.

■ Red nose of drunkards.

■ Vesicular eruption about nose.

^ Upper Face. ■Expression: of pain, with sopor; idiotic; epi- leptic; distorted; haggard.

■ Features distorted, face dark and much swollen, appeared

almost in an apoplectic fit; had removed everything from his neck, saying he could bear nothing to touch it; could hardly breathe. OBee sting.

■ Haggard, face of unnatural color, cheeks yellow, with

traces of red vessels visible and spots of circumscribed red; nose pointed and red, as if raw from a sore; nose always stuffed up.

■ Face pale: fainting; headache; before epileptic attack.

■ Blue circles around eyes.

i Countenance deeply sallow. ^Scarlatina. B I Yellow complexion, vermilion redness of cheeks, or small red bloodvessels shining through skin. ^Syphilis.

■ Earthy, livid, cachectic complexion. ^Abdominal troubles.

■ Bluish, purplish appearance of face, inability to bear

anything around neck ; cerebral symptoms. ^Scarlatina.

■ Face not red, but very livid and bluish. ^Puerperal fever.

■ Blue face and lips. ^Emphysema.

■ Li via face. ^Metritis.

■ Face puffed. ■Mania.

■ Red face, as in apoplexy; bloated, red, with headache,

pains in limbs, stomach, etc.

■ ■Flushes of heat. ^Drunkards. ^Climacteric period.

^Constipation. ^Suppresed menstruation.

■ One cheek flushed, the other pale.

■ Severe pain commencing in r. inner canthus, and extend-

ing upwards and outwards in a semicircle, just above superciliary ridge; dull, heav}^ and prevents him work- ing; commences 9 A.M. and goes off in afternoon; skin extremely sensitive to touch. ^Neuralgia.

■ Neuralgia, 1. side, orbital; rising of heat to face before,

and weak feeling in abdomen after attack.

■ Neuralgia of trigeminus; horrible; heat running up in

head previous to attack; weak, nervous feeling in ab- domen during intervals.

■ Tearing pain in whole 1. side of head, from temple down

^73 LACHESIS.

as far as collar bone, so. severe as to cause tears to flow continually; < at night; articulation almost impossible; when tongue is put out it inclines toaltected side; pain- ful weariness of head, neck and face; tongue feels as jf bound or tied up. ^Neuralgia. ■Sensation of warmth rising into head, followed by tearing pain beginning in forehead, but particularly affecting 1. malar bone and parts under 1. eye, and occasionally extending into eye, causing lachrymation ; attack lasts several hours, then disappears for a day or two, and then returns without any cause; weak sensation in abdomen during free days.

■ Feeling of stiffness in malar bone from cervical glands. 1 1 Left side of face and lower jaw swollen, sensitive to touch. I Cheeks swollen, skin tense, hot and crisp, as if it would

crack. ^Peritonitis.

■ Enormously swollen upper lip and nose; surface not

changed from natural color; appearance that of pufh- ness, but hard to feel, much like swelling from a bee sting, or from a blow; vermilion border of lip a trifle more blue than natural ; no pain or heat; menstruating.

■ Erysipelatous eruption beneath 1. eye, which first itches

at night; she was awakened with fright about trifles; in morning skin began to redden and swell, and became < after midday nap; next morning very thick and red, with incessant itching scarcely to be endured; whole lower lid swollen, red and itching.

■ Erysipelatous swelling of face; r. eye almost closed.

■ Erysipelas began close to 1. side of nose, in a red, sore

spot, then it became redder and extended up and down 1. side of face ; extends up as far as 1. eye and is dusky ; she feels languid.

■ Facial erysipelas, in a child a year old; inflammation

partly involving scalp ; on second or third day threat- ened metastasis to meninges; convulsive stifl'ening of child's penis.

■ Face swollen, bluish red or leaden hue; tongue dry,

glossy, tremulous; < from noon until midnight. ^Ery- sipelas from a dissecting wound.

■ ■Erysipelas of face, with burning and itching, < after

siesta; hammering headache.

■ Eruption in face followed by bluish spots.

■Burning, swelling, redness and violent itching in face at

LACHESIS. , - 574

I On opening mouth, cracking in submaxillary joints and

sensitive as if swollen. I Great difficulty in opening jaws. ^Angina faucium.

■ Lower jaw hangs down. ^Coma. ^Typhus.

■ Frothing at the mouth. ^Epilepsy.

■ Lips dry, black, cracked, bleeding. ^Diphtheria. ^Fevers. i Enormous swelling of lips.

■ Furuncular formation on lips, pain and erysipelatous

areola; rapid and excessive loss of strength, patient being reduced from vigor to absolute prostration in twenty-four to thirty-six hours. ^Malignant pustule.

■ Mumps, particularly on 1. side ; enormously swollen, sen-

sitive to least touch; least possible pressure causing severe pain; shrinks away when approached ; can scarcely swallow; excessively peevish ; throat sore internally ; face red and swollen; eyes glassy and wild.

■ Threatened abscess of submaxillary gland. ^Typhoid.

■ ■Submaxillary and cervical glands swollen. ^Diphtheria. I I Red suppurating blotches under jaw.

^'* Teeth and Gums. ■Teeth feel too long when biting them.

■ ■Raging, jerking, tearing, dull sticking in roots of lower

teeth, through upper jaw to ear, periodic, after waking from sleep; soon after eating; from warm and cold drinks.

■ Boring, jerking, twitching, drawing, tearing, cutting,

piercing, beating, pulsating pains in teeth.

■ ■Toothache: from eating; biting; something w^arra;

drinking warm things or cold; during menstruation; when awaking; from getting wet; in the Spring; in Summer; > from external warmth; from cleaning teeth; with chilliness, heat, thirst; in persons who have taken too much mercury ; with headache; with swelling of cheek; teeth too long, blunt.

■ Hollow teeth feel too long.

■ Pain in all decayed teeth during rush of blood to head.

■ Crumbling of teeth.

■ ■Gums swollen and spongy; easily bleeding.

■ Protruding gums, dark purple. ^Dentition.

■ Gums bluish, swollen, bleeding; aching < from warm

drinks. ^Yellow fever.

■ ■Hemorrhage from gums.

^^ Taste and Tongue. iSour taste; everything turns sour.

■ Slow, difficult speech, tongue heavy, cannot open mouth

wide; cannot pronounce some words. 1 I Worse from speaking.

■ Stammering; letters s, b, t and w.

■ Stammering in a child, set. 4; in talking draws face

awry; clones r. or both eyes, opens mouth wide or closes it.

575 LACHESIS.

I Stammering comes with second or third word or not in a whole period; it seems p, v and a had the most influence.

IB Puts tongue out with difficulty; tongue trembles.

I Difficulty of moving tongue, with impossibility of open- ing mouth wide.

iTongue: lolling about in mouth; swollen, coated white; papillae enlarged; dry, red, cracked at tip; red tip and brown centre; mapped; sensation as if it was going to peel; dry, black and stiff; tip cracked and bleeding; a deep red color; a dry stripe in middle; anterior half red, smooth and shining ; black and bloody ; sore on 1. side, wdth sticking here and there; tickling at root, exciting cough ; blistered about tip.

B Blisters on inflamed tongue, change into ulcers, threat- ening suffocation ; gangrene of tongue, on both edges.

iCanker sores on tip of tongue; aphthae.

■ Glossitis with titillation inducing cough.

■ Cancer of tongue.

^^ Inner Mouth. I iBad odor, stench, from mouth. ^Stomatitis.

^Sensation on roof of mouth as if mucous membrane was peeling off.

lA bagging just in front of uvula, very soft, as if contain- ing pus. ^After diphtheria.

■ Burning pain in mouth with swelling of lips and gums.

■ Dryness in mouth with thirst.

■ Dryness of mouth and throat, accompanied by continued

sensation in velum palali as if desquamation was about to take place. ^Hysteria.

■ Much slime in mouth, with flakes of blood of disgusting

taste and smell.

■ iSaliva abundant and tenacious. ^Scarlatina.

■ Constant salivation, which often interferes with speak-

ing; cough; expectoration; if the latter occurs after dinner she frequently vomits her food.

■ Salivation with hawking and coughing. ^Syphilitic ul-

cers in throat.

■ Much slimy saliva, especially in back part of mouth.

■ Aphthous and denuded spots in skin and flesh of mouth,

preceded by burning pain and rawness.

■ Mouth very sore, parched and dry, and tongue somewhat

swollen and covered with blisters on each side.

■ Cannot swallow food after masticating it, because it rests

on back part of tongue and produces a thrilling pain there. ^Cancrum oris.

■ Nursing sore mouth; swelling of tongue and lips, partic-

ularly lower lip; redness and burning sensation of tongue and lips; redness and swelling of gums; at times, dry, shining appearance of inflamed surface, at others

LACHESIS. 576

the parts were moist with increased secretion of saliva on lower lip, small white spots soon coalescing, and forming a continuous white patch; ulcers on sides of tongue; finally nausea and vomiting, followed by loose stools; loss of appetite; inability to take food from ex- treme sensitiveness of mouth and tongue, and distress at stomach after food had been taken; emaciation; debility; at times profuse perspiration ;• pale, sunken face.

llSore mouth in last stage of phthisis.

IlSyphilitic ulceration of mouth and throat. '^Throat. iiThroat and neck sensitive to slightest touch or external pressure; everything about throat distresses, even the weight of the bedcovers.

illf in evening on lying down anything touches throat or larynx, it seems as though he would sufibcate and pain is much <.

llCan endure nothing tight on throat; nausea is at times caused thereby.

iPain in throat on taking hold of it, extending even to nape of neck, with sticking always on swallowing, r.nd scraping on swallowing bread, as if everythiiig was raw; dryness of throat, without actual dryness of tongue.

ElUvula elongated; fauces purplish, swollen, ulcerated.

I Uvula elongated, constant inclination to hawk and scrape ; hacking cough; purplish hue of fauces; tonsils but slightly enlarged; emaciation; face pale and haggard; sleep interrupted ; appetite and strength impaired; feel- ing as if parts were swollen; some soreness on swallow- ing and a frequent sensation as if a small crumb was lodged in throat. ^Chronic irritability of fauces.

iSoft palate, roof of mouth and tonsils much swollen and bright red. ^Angina faucium.

I Constant feeling as of something in throat to swallow.

BiFeeling of lump in throat; suffocative sensation; on swallowing, lump descends, but returns at once.

■Sensation as of a lump in throat; awakes from sleep dis- tressed and unhappy, as if from loss of breath. ^Hysteria.

■Feeling of a ball in throat, or as if a button was stuck fast in pit of throat; not perceptible on swallowing food, but on attempting deglutition, and during this it seems to rise and sink, as if it was turned around; it always feels as if she could bring it up, but it will not come; must have whole neck bare.

I I Pain as if something lodged in r. side, stinging; lump moves towards stomach.

■Spasmodic contraction of oesophagus.

■ Constant tickling in throat.

■ Something sticks in throat, causes a hemming, but will

not loosen.

577 LACHESIS.

I A great deal of phlegm in fauces, on opening mouth it

forms big bubbles. t Much hawking up of mucus, which is excessively painful.

I Fulness and soreness in throat. ^Tonsillitis.

■ Sensation of a painful contraction, as if tied, on attempt-

ing to eat. ^Angina fauciura.

I I Feeling as if a crumb of l)road remained sticking in throat, obliging her to swallow, somewhat > by hawking.

■ Sensation in throat as if a morsel had remained sticking

on swallowing.

■ Feeling of a ridge in both sides of throat; constant desire

to swallow saliva; sides of throat externally tender.

■ Feeling like a snake in throat, soreness in 1. side of throat,

with choking like a ball; dryness < after eating; tick- ling and regurgitation of food; eructations of wind; stitch in r. side when walking; throat < by draught of air. ■Spasmodic stricture on swallowing solids, causes a strug- gling— "goes the wrong way," gagging follows.

■ Throat feels ulcerated on swallowing.

■ ■Constant pain swallowing empty, not swallowing food.

■ ■Difficulty of swallowing saliva, not food.

■ ■Liquids cause more difficulty in swallowing than solids,

they escape through nose.

■ iCannot swallow sweet or acrid things. ^Syphilis.

■ Sensation of dryness in throat, with inclination toswallow.

■ Constant desire to swallow. /^Tonsillitis.

■ Much inclination to swallow, although it is very painful,

with spasmodic contraction of throat; < on 1. side and after sleep; cannot bear any pressure about neck.

■ Pain in throat, extending to ears; desire to swallow; <

on deglutition; pharynx swollen, dark red.

■ Dryness in throat: without thirst, at night on waking;

sticking as with a thousand needles that threatens to suffocate her ; impedes swallowing.

■ Pain in small spot in throat at one side of larynx, some-

what posteriorly.

■ iThroat and larynx painful on bending head backward. ■On lying down, pain in top of throat.

■ Pain in 1. side of throat, extending to tongue, jaw and

into ear.

■ ■Pains in throat, in connection with those in ears.

■ Sensitiveness of throat as if sore, as after taking cold,

with pain in 1. side, < in evening.

■ Hawking of mucus, with rawness in throat, after a nap

in daytime.

■ ■Much phlegm in fauces, with painful hawking.

LACHESIS. 578

■ Burning sensation of swelling; dryness in throat.

I Constriction, dryness, stinging and great rawness of throat, especially of pharynx and larynx, with chills and rigors. ^Pliaryngitis.

iMouth and throat get so dry that the act of trying to moisten them, after sleeping, will make patient scowl and cause tears to start. ^Typhoid.

iSudden feeling as if a lishbone had stuck in throat, and some days after felt with increasing discomfort as if a sponge was hanging in throat; seemed to impede breathing, felt as if he could hawk it up, but attempt gave pain and did no good ; felt as if there was a small, dry spot from which pain extended to ear ; continual inclination to swallow, no. pain on swallowing food but during empty deglutition and on applying external pressure ; when he presses throat feels as if eyes would spring out of head, and externally as if he had got a blow on neck; between sternum and glottis a throbbing, choking sensation ; throat > in morning, begins two or three hours after rising and conti]iues till evening.

■Feeling of obstruction in throat on swallowing, every other day, first on r. side ; heat and smarting in 1. throat, with hoarse voice, every day about 11 p.m.; < on wak- ing in morning, goes off about 11 a.m.

I Sore throat, with hoarseness, sensation like a lump in throat, inflammation very deep red; slight cough.

llRight tonsil first afi'ected, then left.

iPain, especially in r. side of throat, < by pressure, as if a thick substance was there, it feels very dry, no difficulty in swallowing solid food, but cannot easily swallow liquids, which get forced into nose on swallow- ing ; pains < when she washes in morning and after sleeping in daytime; pain > in afternoon, at this time throat trouble becomes so prominent, without being painful, as to prevent speech.

■Rawness and difiiculty in swallowing, with sensation of spasmodic stricture about throat. ^Epidemic pharyngi- tis and laryngitis.

■ Swallowing increases pain in ears or it sends pain into

^Tonsillitis.

■ lOn attempting to swallow fluids pass through nose,

^Angina faucium. ^Tonsillitis. ^Syphilis.

■ Chills and nausea, followed by hot flushes and terrible

choking, as though some one was pressing his wind- pipe between thumb and fingers. ^Pharyngitis.

■ Pain in head, < by light, noise and heat; eyes red and

painful ; great pain in back and limbs, did not permit her to lie, stand or sit quiet, must change position fre-

579 LACHESIS.

quently; fever, with dry mouth; sore throat on r. side, with redness and swelling of r. tonsil, finally passing to 1. side; pain in limbs.

1 1 Soreness of throat, commencing on r. side and passing to 1., where it becomes fixed.

Boy, set. 8; very sore throat, horrid pains all over head, back and front, so giddy could not stand, had to be car- ried from school, could not see letters in his book, fell against wall.

I Pain in throat extends to ears, which feel stuffed.

■ Inflamed swelling 1. side of throat, extending over ear,

threatening sphacelus.

■ Phlegmonous inflammation of throat.

■ Angina crouposa or nervosa with children or climacteric

women.

■ ■Chronic angina with periodic exacerbations.

■ Children spit much saliva with sore throat.

■ Empty swallowing is agonizing. ^Angina.

■ Sore throat and mouth following scarlet fever; almost

total inability to swallow ; fluids swallowed easier than solids. ■Feeling of large lump at back of throat ; sometimes feels as if some one grasped him by throat, causing feeling of suffocation ; nausea, retches as if to vomit up lump ; slight soreness of back of throat on swallowing saliva; r. side of neck tender to touch; swallows saliva fre- quently, which makes lump seem to increase and rise higher; feeling of pressure in middle of throat; must clear throat before he can talk; all symptoms < on waking in morning. ^Angina. Inability to swallow, liquids being returned through nose; fauces bright red, tonsils much swollen; face pale; small, hard and very frequent pulse; complete aphonia, incessant effort to cry being heard only as a gasping sound; great exhaustion, head hanging loosely back- ward, could hardly move a limb; mucous memlDraneof throat extremely pale and covered with white shreds of exudation; dysphagia, apparently paralytic.

■ After catching cold, inflammation and swelling of ton-

sils; velum palati and root of tongue inflamed; saliva- tion and fetor oris; swallowing almost impossible, every- thing escaping through nose ; can hardly speak ; sensation as if throat was filled with a lump threatening suffocation; recumbent posture impossible; no sleep.

■ Angina, sudden in onset, appearing every year, causing

great pain and ending with suppuration of tonsils ; velum palati, uvula and posterior wall of pharynx red, swollen and inflamed, [)rotruding from both sides; con- stant desire to swallow, which is difficult.

LACHESIS. 580

iSensation of fulness and rawness in throat ; frequent desire to swallow, which causes pain, extending deep into ear; fluids ejected through nose, with great fear of suffocalic n ; gums, tonsils and uvula dark red and swollen, latter looking as if squeezed and crowded back ; large collec- tion of mucus in mouth, which forms large bubbles when mouth is opened. ^Tonsillitis.

I Fauces inflamed ; r. tonsil swollen ; 1. tonsil first attacked. ^Tonsillitis.

iTonsils swollen, 1. < with a tendency to r. ; inability to swallow, threatening suffocation; or, on swallowing, pain shoots into 1. ear ; cannot bear anything to touch neck.

■ Swollen, congested tonsils, with yellow, small patches on

each; great difficulty to swallow, with pain on 1. side, shifting to r. and upwards to ear; heat and chills, alter- nating; commencing to get <C at 4 p.m. ^Tonsillitis.

iLeft side; choking when drinking, fluids are driven out through nose; < in p.m., aiter sleep, from slightest touch; cannot bear bedclothes near neck. ^Quinsy.*

llChronic enlargement of tonsils.

■ Sloughing ulcer in fauces, from an abscess in 1. tonsil. ■Numerous white spots on pale red surface in 1. throat;

ulcers on mucous membranes; both parotids much swollen, without much pain; pulse frequent and hard. ■Right tonsil swollen; uvula elongated and clinging to r. tonsil ; between the two a yellowish white, part liquid exudation, with no especial tendency to formation of membrane; fauces red; headache; fever; thirst; pain- ful deglutition ; enlarged submaxillary glands; distress- ing thirst. ^Diphtheritis.

■ Pale, distressed face, blue rings around eyes; extreme

prostration; speech and deglutition difficult; fauces pale red; white shreds of exudation on fauces and roof of mouth ; also ulcers with white edges distinct from exuda- tion patches. ^Diphtheritis.

■ Roof of mouth, tonsils and buccal cavity pale red ; tough,

yellow white membrane on 1. tonsil.

■ ■ Pain and soreness begin on 1. side of throat. ^Tonsillitis.

^Diphtheria.

■ Excessive tenderness of throat to external pressure. ^Ton-

sillitis. ^Diphtheria.

■ ■Aggravation by hot drinks; liquids pain more than

solids while swallowing. ^Tonsillitis. ^Diphtheria.

■ Face sickly, pale; dark rings around eyes; swallowing

exceedingly painful; speaking difficult; weakness extra- ordinary; fauces pale red; white exudate on tonsils and

^^^ LACHESIS.

velum, looks like ulcers of mucous membrane with white edges; mmd depressed. ^Diphtheria Ibevere pain m forehead, changing to beating pain in vertex on assuming upright position; dizziness on fix- ing eyes on any spot on wall; severe pain in limbs < about knees and elbows; flesh sore, < moving lim'bs- lassitude; nearly famts on rising; tenderness and pain' in epigastrium; nausea, anorexia, tongue coated with ye low, dirty fur; unpleasant taste; tonsils swollen; patches of diphtheritic membrane half an inch wide dn-ty grey color, on tonsils and extending down out of sight; began on 1. side, which is most painful, < after sleeping or talking; skin at times hot and dry, at other times moist; pulse 90. ^Diphtheria iConstant delirium, changes rapidly from one subject te another; taks, smgs, or whistles constantly; makes odd motions with r. arm, as if reaching for something; throat tilled with membrane of dark color, which developed Jrom {. to r.; no sleep for seventy-two hours, but durino- last twelve hours has occasionally falfen into a li^hl • sleep, which was followed by aggravation of all symp- toms; badly smelling stools; urine high colored and of strong smel ; body covered with bluish red eruption round and elevated. <?Diphtheria. ■ Inflammation and membrane beginning on 1 side- ex- ternal swelling of throat; unbearable fetor; besitted expression; temperature 104 to 105 degrees; pulse 140- epistaxis several times a day, of venous blood; diar- rhoea of blackish feces; could drink nothing hot- con- stant muttering delirium; discharge of yellowish mucus from nose, 1. nostril first. ^Diphtheria "Sore throat, hurts to swallow, with difficulty in swallow- ing; fluid runs out through nose; dislike to have throat touched or examined; flushed face; quick pulse; breath- ing oppressed; membrane commences on 1. tonsil and pharynx, extending to uvula and r. side. ^Diphtheria I Violent pam m throat, swollen tonsils, fever, heat; con- siderable exudate in choanse; in sneezing a tough skinny substance is blown out of nose. ^Diphtheria ' "Diphtheritic deposits first show themselves on 1. tonsil Irom there extending to r. side and then spreading further; neck is stiff", or external throat sore and quite tender to touch ; patient coughs and feels < when awak- ing trom sleep; expectoration very difficult and scantv

f n-^Vi?^"^"^'^^' '^ ^'^^y ^^Pt "1 check by hoarseness! ^Diphtheria.

■ Throat greatly swollen internally and externallv dis- charge from nose and mouth of intensely fetid and

LACHESIS. 582

excoriating fluid ; fauces covered with diphtheritic mem- brane; pulse 110, small; extremities mottled and livid; swallowing almost impossible. ^Diphtheria. I Purplish appearance of mucous membrane of lips, buccal cavity and throat; diphtheritic spot as large as a pin head on 1. tonsil ; tongue pointed and purplish ; pulso weak, 132; skin hot; urine scanty, dirty colored and containing albumen; bowels constipated; four days later submaxillary glands on both sides much swollen ; running of acrid secretion from nose and mouth; diph- theritic stench; throat and even lips covered with thick, grey membranes. ^Diphtheria.

I Diphtheria; membrane covering tonsils and posterior

portion of throat; considerable pain on swallowing; pain < turning head, touching neck and on awaking from sleep; sleep disturbed by dryness of mouth and a feeling as if he would suffocate. iTumefaction of throat slight and redness of mucous mem- brane hardly notice<able; diphtheritic deposits of two or three little patches hardly larger than a pin's head; prostration of strength quite alarming; pulse slow, feeble and compressed; a cold, clammy sweat frequently cov- ered forehead and extremities: breath fetid; appetite gone; patient passed with alarming rapidity into a com- pletely asthenic condition — sometimes prostration quite considerable before local evidence of disease could be detected. ^Epidemic diphtheria.

I I Diphtheritic patches in throat, spreading from 1. to r.; fetid breath; < after sleep; great debility, feeble pulse; clammy sweat; headache and faintness.

I Purple livid color of atfected parts, with dull, dry appear- ance and little swelling, also pain out of all proportion to amount of inflammation. ^Diphtheria.

I Throat rapidly sloughed and presented a bluish hue.

I Girl, £et. 8, throat greatly swollen internally and exter- nally; discharge from nose and mouth of an intensely fetid and excoriating fluid ; fauces covered with diph- theritic membrane; pulse 110, very quick and small; extremities mottled and livid; swallowing nearly im- possible; fetor almost overpowering. ^Diphtheria.

I On 1. side of throat several white exudate spots; mucous membrane pale red; parotids swollen; pulse frequent, hard; great apathy; somnolency, drooping eyelids.

I Yery difficult swallowing; complete aphonia; wheezing, hissing sound, in place of natural crying; excessive weakness; lets head hang; scarcely lifts limbs; fauces pale, covered with, white exudate. ^Diphtheria.

I Velum, tonsils and posterior wall of fauces pale red; on 1. tonsil tough, yellowish white exudate. ^Diphthetia.

5S3 LACHESIS.

llPeculiar hard ache all over, in head, back and legs; could not lie still, but constantly changed position. ^Diphtheria.

■ Membranous deposit in choanse; discharge of a skinny

substance from nose when sneezing. ^Diphtheria. I A greyish ulcerative crust appeared first on tonsils, spread over arch of amygdeli into posterior nares, sometimes downward into larynx, causing strangulation. ^Diph- theria.

■ Tonsils swollen so that they almost meet, and covered

with a tough, cheesy looking substance; feverish and very low. ^Diphtheria.

■ Left tonsil one complete black slough, disease passing to

r. side. ^Diphtheria.

■ Pulse 130; skin hot and dry; face very red; drowsy;

muttering delirium; greyish membrane developed from 1. to r. ^Diphtheria.

■ Sul)jective symptoms much more prominent than ob-

jective; complaints, especially swallowing, much more violent than one would suppose from extent of disease; sensation as of foreign body in throat, with stinging extending into ear; urging to swallow and desire to hawk up something, with attacks of choking; voice weak and hoarse; cough, causing pain in throat, was restrained, therefore it sounded short and suppressed, ^Diphtheria. ■Constitutional symptoms out of all proportion to local manifestations, prostration considerable even before any local evidences of disease could be detected. ^Diphtheria.

■ Diphtheritic inflammation of throat; ulcers on tongue;

suppuration of glands of neck; pleuritic, pericarditic and general dropsy in delayed desquamation, with great oppression; urine almost black; stools badly smelling; fever < in afternoon. ^.Scarlatina.

■ Sensibility of affected parts increased and their motility

essentially diminished. ^Diphtheria. ■After diphtheria speech disturbed, some words she could not articulate, because after a few minutes conversation a curtain seemed to fall down in front of her pharynx; teeth feel as if wedged; tongue feels scalded, cannot yawn because of sharp pain about root of tongue; if eating fast food stays in her throat; pain over eyes and sore feeling in eyeballs.

■ Ulcers in throat: < in wet weather; after mercury; from

syphilis; extend into posterior nares; throat dry, awak- ens choking; soft palate full of cicatrices, with greenish yellow ulcers l)etween; pains shooting; fetid breath.

■ Mercurial syphilis, with ulcerated sore throat, causing

LACHESIS. 584

a constant provocation to cough, with retching; painful deglutition; regurgitation of drink through nose; earthy, yellowish appearance of face, with small red bloodvessels shining through skin; coryza, nose sore; terrible head- ache; nightly pains in limbs. ^Syphilis.

iSyphilitic phagedsena of soft palate and fauces.

1 1 Gangrenous sore throat.

■Secondary ulceration of throat, extending into posterior nares; obstruction of nose ; offensive smell from mouth ; stinging and shooting pains in ulcers; excessive dryness of throat, in spots; throat feels entirely *' parched up" on waking; touching throat produces sensation of suf- focation; sensitive to slightest movement of neck; symp- toms somewhat > after eating. ^Syphilis. ^^ Appetite, Thirst. Desires, Aversions, i Hunger, cannot wait for food.

I At one time good appetite, at another none at all.

I Constant thirst, with dry tongue and skin.

I I Great longing for drinks, but afraid to drink, as it brings on a discharge. ^Diarrhoea.

I Thirst insatiable, with disgust for drink.

I At 10 o'clock every night, with urgent and unquenchable thirst, dryness in throat and mouth, can scarcely breathe for thirst, must continually moisten mouth; drinking does no good and she dreads it; fever begins with rigor on going to bed, and the heat continues till about 4 a.m., with intervals of shivering; sweat toward morning; tearing pain in temples during hot stage, with burning heat in epigastrium; very sleepy day and night, but cannot sleep, except a little towards morning.

I Desire: for oysters; for wine and spirituous liquors ; for coffee, which agrees (dysmenorrhoea). ^* Eating and Drinking. Generally improved when eating.

I After eating: gnawing in stomach >, but returns in a few hours. ^Cancer of stomach.

•After eating: vertigo, languor, drowsiness; gagging and suffocating; dyspnoea; pressing, like a load in stomach; stomach puffed ; eructations; diarrhoea; flashes of heat.

constipation; abdomen sensitive to weight of clothes; flushes of heat; flushes after eating, after mental or physical effort.

■ Better from eating fruit.

■ Fluids go down, but solids, even well chewed, cause a

sensation of choking.

■ Complaints from wine or tobacco.

■ Worse from alcoholic drinks (except the snake bite).

^^ Hiccough, Belching, Nausea and Vomiting. ■Eructa-

585 LACHESIS.

tions: aflfording relief; amounting to vomiting; before epilepsy; at every menstrual effort.

■ Everything sours; heartburn.

I I Always thirsty, but nausea after drinking. ^Itch.

■ Nausea after drinking.

I Nausea: want of appetite in forenoon; in attacks, weak- ness, even to syncope; dyspnoea, palpitation, cold sweat nosebleed (typhus) ; with great flow of saliva (cholera)

TrSick stomach, with terrible retching, but no vomiting, great fulness in head, with a confused, half conscious feeling; flashing before eyes ; numb feeling about head; thinks she is going to die.

■ Vomiting: of bile or mucus; of food; in organic affections,

with hardening of abdominal viscera; of greenish mat- ter; renewed by slightest motion (cholera); of blood and pus. *'' Scrobiculum and Stomach. ■ ■ Pit of stomach sore to touch.

■ Pressure in pit of stomach causes dull, stinging pain.

■ Tickling in pit of stomach causes tormenting cough.

■ Bloatedness of stomach, with belching of masses of wind.

■ Stomach bloated; no appetite; costiveness.

I I Violent pressure in stomach after eating, with feeling

of weakness in knees. ■Stitching extending from stomach to chest.

■ Feeling as though something was gnawing in stomach,

though without pain; followed by gnawing in both sides, extending across under ribs deep in abdomen.

■ Gnawing pressure > after eating, but returning as soon

as stomach is empty. ^Cancer of stomach.

■ Cardialgia; body stiffened from pain, came on slowly and

passed off slowly; brought on by overwork.

■ At every menstrual effort cardialgia.

■ Appetite at one time good, at another poor, sometimes

such a gnawing that he can hardly wait for his meal; after eating, vertigo, heaviness, lassitude, shortness of breath and heaviness in stomach; smothered feeling in chest, stomach full of wind, must belch much, with relief; regurgitation of food ; when he cannot belch be- comes deathly sick; severe and annoying pressure in a small spot between epigastrium and navel, which takes away his breath, > by belching; during day several attacks of nausea with shortness of breath, weakness almost to loss of consciousness, palpitation of heart and cold sweat; at night when in bed if least thing touches mouth or nose respiration seems interfered with and suffocation threatening; sleep disturbed by dreams, fre- quent waking; in morning heaviness and dejection;

LACHESIS. 586

constipation; pale and emaciated; face grey, pale yel- low; after sitting, pain in thighs and stiti'ness of knees. ^Dyspepsia.

II Dyspepsia, < as soon as he eats; costive ; after mercury.

iCancer of stomach: gnawing pressure > after eating, returns in a few hours; sensiveness to contact, especially of clothes, with drunkards. *^ Hypochondria. iAcute pain in liver, extending towards stomach.

I Inflammation and chronic obstruction of liver, sensitive to pressure or touch.

■Catarrhal affection of liver.

■ Abscesses in liver; pain when coughing, as if ulcerated;

excessively offensive stools, whether formed or not. llLiver complaints: at clinjaxis; alter ague; pain as if something had lodged in r. side, with stinging.

■ Gallstones. (After Calcar.)

■ Nutmeg liver; cannot bear tight clothing, loosens jacket,

arms molest; contractive tightness in region of liver.

■ ■Cannot bear any pressure about hypochondria.

■ Contractive feeling in region of liver.

■ ■Ulcerative pain about liver.

■ Pain as if from suppuration under ribs.

■ Fulness and heaviness in region of liver, and at same

time pain in 1, hypochondrium ; coppery taste in mouth ; hard morning cough.

■ Liver swollen and painful in anterior and superior aspect.

■ Sensation of coldness over whole body; fainting spells:

pale, dirty yellow color of face ; appearance of sufier- ing; thick, yellow coating on tongue; dryness of mouth ; great thirst; bitter taste; nausea; diarrhoea; great de- bility; nervous and despondent; great aversion to talk- ing; climaxis. ^Bilious attacks.

■ Shooting pain in region of spleen, particularly on exer-

cise by walking; skin brown near region of stomach ; brown spots on hand; constipation. ^^ Abdomen. ■■Painful distension, flatulence; can bear no pressure, the surface nerves are sensitive.

■ Abdomen distended and hard.

■ ■Is obliged to w^ear clothes, especially about stomach,

very loose, they cause uneasiness ; even in bed obliged to loosen and pull up nightdress to avoid pressure; dare not lay arm across abdomen on account of pressure.

■ Great sensitiveness to contact, especially to that of clothes.

^Cancer of stomach. /^Typhlitis. ^Metritis.

■ Sensitive over lower abdomen, can scarcely allow her

clothes to touch her. ^Melancholy after confinement.

■ Distension of abdomen, with gurgling and rumbling in

bowels before diarrhoea. ^Typhoid fever.

587 - ^ LACHESIS.

1 1 Abdomen distended, much annoyance from flatulence.

iBloated abdomen. ^Mania. ^Megrim. ^Epilepsy. ^Fevers.

I Sensation of incarcerated flatus.

I I Feeling of emptiness in abdomen.

■Pain as if something was lodging in r. side; stinging sensation; sensation as if a ball was I'olling from that side towards stomach.

iSqueamishness in abdomen, alternating with facial neuralgia.

lAt a small spot between navel and epigastrium a sense of unpleasant pressure, taking away breath, > by eruc- tations, an hour after a meal.

I Three months after weaning a six months old child menses had not returned ; severe aching in small of back; every two or three days acute colicky pains low in abdomen, resembling labor pains, coming at various times of day; hard aching pain in uterus; sinking, flut- tering feeling in epigastrium; stools loose; great sleepi- ness, constant desire to lie down, sleep in daytime < abdominal pains; milk very thin before weaning.

■ Tearing pain in abdomen. ^Dysmenorrhoea.

■ Cutting pain in r. side of abdomen throwing her into

fainting flts; painful distension of abdomen; urging to

urinate, but inability to do so except at long intervals.

I Cramplike pains in abdomen, which feels hot. ^Dysentery.

■ Spasmodic colic, > by bending forward.

■ At times pains as if knife was thrust through abdomen.

■ Colic: stomach distended; incarceration of wind, belch-

ing relieves; pains change locality; sensitive to light pressure; with restlessness and fever.

■ Excessive griping, as though about to have diarrhoea.

■ Burning like fire in hypogastric and lumbar regions.

■ Coldness; thirst; abdomen very hot. ^Dysentery.

■ Abdomen hot and sensitive to touch; painful stiffness

from loins down into thighs; scanty, turbid urine with reddish sediment; strangury; constipation; must lie on back with drawn up knees; especially in complications with typhilitis. ^Peritonitis. ■Acute cutting, stinging pains, radiating from navel over upper portion of abdomen, excruciating from slightest touch as well as by motion, with tympanitic distension. ^Peritonitis.

■ Lies on back with knees drawn up; tenderness, pain and

swelling in region of caecum; pain extending from r. lumbar region through sacrum, through inguinal region and forepart of thigh, more especially when swelling is examined; urine scanty, high colored; strangury; bow- els costive. ^Inflammation of csecum.

LACHESIS. 588

I Strangulated umbilical hernia; sloughing.

I I Tenderness in 1. iliac region, intolerance of pressure. IIleo-c£ecal region very sensitive to touch; after great

straining discharges a mass of croupous exudation, //Chronic intestinal catarrh.

iThreatened gangrene in strangulated hernia; skin cov- ering hernial tumor mottled and dark; pain across ab- domen; contractive sensation in abdomen; cutting, lacerating, burning })ains; hernia exceedingly sensitive, will not admit handling.

iFor years violent pains over r. groin, drawing from ovary to uterus; pus passing with stool.

■ Violent pain of long standing in r. groin, extending either

towards genital organs or upwards towards liver or chest.

■ Extreme nervous debility; great fear of death; hopeless

of recovery; despair of salvation; desire to pick her fingers raw, or arms, or face, or pick threads from shawl, clothing, etc. ; menses delayed, with general aggravation of symptoms; always < every four weeks for four or five days; fibrous tumor, size of orange, in 1. groin.

■ Contraction of psoas muscle, drawing knee towards ab-

domen ; hectic fever. ^Bubo.

■ Large hard swelling, with fistulous openings in inguinal

region, extending towards abdomen ; hectic fever. f/Bubo.

■ ■Long lasting, suppurating buboes ol mercurio syphilitic

origin. ^° Stool and Rectum. ■Tormenting urging, but not to stool.

■ Wants to pass stool, but jjain is so increased thereby, he

must desist.

■ I Fetid flatus.

■ ■Very offensive stools whether formed or not.

■ Sensation as if feces ascended to chest. ^Puerperal fever.

■ Stools: fetid; cadaverous smelling; frequent; corrosive;

purulent; thin; pasty; bloody, watery; watery, light yellow, fecal; dark, chocolate colored; of decomposed blood, looking like charred straw; mixed blood and slime; < at night, after acids; during warm weather; thin, offensive; thin, slippery lumps; involuntary.

■ Sudden diarrhoea, with great urging, about midnight,

thin, pasty, excessivel}^ offensive, ammoniacal.

■ Diarrhoea every evening for a week, preceded by transient

pain in rectum, followed by throbbing as with little hammers, in anns.

■ Watery stools, with burning in anus, in evening.

■ Painless, brownish yellow diarrhoea, smelling like car-

rion; fluid mixed with small fragments of feces, like millet seeds; diarrhoea brought on by least quantity of food; had eighteen to twenty stools during night; tongue

589 LACIIESIS.

red and dry; longs for drinks, but is afraid of aggrava- tion it causes of the diarrhoea; sleep restless and full oi dreams; hands shriveled and cold; slight twitching of hands; despondent; speech affected (sermo abdomi- nalis); great emaciation and prostration, cannot sit up in bed without assistance.

■ Great inclination for acids; discharges black and frothy;

sometimes vomiting of bile in morning.

I Chronic diarrhoea, with gnawing and pressure in pit of stomach. ^Syphilis.

llDiarrhoea: of mixed blood and slime in warm weather, < by acid fruits; < at night and after sleep; with frothy urine; a few days before or after catamenia, with colic ; during climaxis ; of drunkards, with languor and exhaustion, very excessive in hot weather and with large hemorrhoidal tumors, which protrude after each pappy, offensive stool, with constriction of sphincter and con- tinued desire to evacuate.

I Stool and urine involuntary. ^Fevers.

I I Hemorrhage from bowels; decomposed blood. ^Typhus.

I Flakes of decomposed blood, having form and appear- ance of perfectly charred wheat straw, in longer or shorter flat pieces, portions more or less ground up.

■ Discharges have a penetrating, fetid smell and assume

a purulent character; great heat of abdomen. ^Sum- mer complaint.

■ Discharges chocolate colored, of a cadaverous smell; dur-

ing evacuation burning in anus; cramplike pain in abdomen; coldness; thirst; abdomen very hot; tongue red and cracked at its point, or black and bloody. ^Dysentery.

■ Could not protrude tongue, which caught on teeth; dur-

ing a nap, restlessness, dyspnoea, distress and then stink- ing stool. ^Dysentery.

■ Dysentery; shivering without coldness.

■ Vomiting renewed by slightest motion, and nausea at-

tended by great flow of saliva. ^Cholera.

■ Painful straining, with discharge of croupous exudate.

■ Pressive pains in umbilical region; violent gripes, with

contracted abdomen, or abdomen hard and tympanitic; fetid stools. ^Enteritis.

■ Chronic intestinal catarrh,

■ Soft stools of bright yellow color.

■ Alternate diarrhoea and constipation.

■ Costive, ineffectual urging; anus feels closed; stools

offensive.

■ Long lasting constipation with pressure in stomach and

unsatisfactory belching.

LACHESIS. ■ 590

iStools: scanty, greyish, like potter's clay; hard like sheep •dung; hard and difficult; frequent and hard; hard, scanty and insufficient.

iConstipation with black tongue and lips. ^Scarlatina.

I Constipation without other symptoms.

iFeeling of unhappiness on awaking; sensation of con- striction of anus. ^Constipation.

• Absence of stool in persons suffering from hydrothorax.

■ Weight, fulness and pressure in bowels, with much flat-

ulence. ^Chronic constipation.

IConstipation, with ineffectual effort to evacuate.

iCostiveness, with very hard stools, between catamenia; stool omitted twenty days. 6'Angina syphilitica.

iStools in pieces, frequent, yellow, orange, sometimes tinged with blood. /^Gastric nervous fever.

iLong lasting costiveness, with pressure in stomach and unsuccessful eructations.

iChronic constipation in a young lady, of ten years' stand- ing, was obliged daily to use warm injections; weight, fulness and pressure in bowels, accompanied with a good deal of flatulency.

I Fecal obstructions ;intusussception threatening sloughing.

I No stool nor urine. ^Metritis. ^Puerperal fever.

I Before stool : rumbling; ineffectual urging; constant and very painful pressure in rectum, without stool; con- striction in rectum or sensation of plug in anus.

■ During stool: cramplike pain in abdomen; burning in

anus; tenesmus; pain as if sphincter was torn with effort; tearing pains in rectum from below upward and backward, to point of producing eructations; feces re- main at anus; aggravation of pains, so that it is neces- sary to cease all efforts.

■ After stool: burning at anus; tenesmus; protrusion of

large hemorrhoidal tumors, with constriction of anus and continued desire for stool.

■ Child always awakens in distress. ^Diarrhcea. ■Stool lies in rectum, without urging.

■ Full feeling in rectum, and a sensation of little hammers

beating. ^Fistula in ano. ^Climaxis.

■ Rectum prolapsed and tumefied.

■ Burning, cutting pains in rectum, < while standing

morning till afternoon.

■ Constant and painful pressure in rectum, without stools.

■ Beating sensation in rectum; throbbing. ^Stricture of

■Stitch in rectum or hemorrhoids w^hen coughing or sneezing.

■ Uneven or tuberculated and indurated mass, surround-

591 LACHESIS.

ing and protruding from anus, tlirougli centre of this mass was an irregular, ragged and ulcerated fissure- (the outlet from rectum), from which issued a sanious mucous discharge; stool almost impossible on account of ob- struction and pain; soft and yielding tumors (hemor- rhoidal) nearly filling rectum, as far as touch extended; constant throbbing with itching, shooting and burning in affected region; all symptoms < after sleep; had been diagnosticated as scirrhus of anus and rectum. ^Affection of anus and rectum.

■ Piles for four years, came on first month of pregnancy;

discharge of mucus, excoriating passage; sore, burning pain after every evacuation; very irritable nervous system; craving for pickles; acrid waterbrash.

1 1 Piles protruding or strangulated, or, with stitches up- ward at each cough or sneeze. 6'Climaxis. ^Drunkards.

I riot, bleeding hemorrhoidal tumors.

■ Hemorrhoids : with scanty menses; in climacteric years.

■ Drawing pains from anus to umbilicus.

■ Spasmodic pains in anus internally, short time before

and after stool. ■Visible spasmodic tenesmus in paroxysms, from two to five minutes, extorting cries, passes blood and mucus.

■ Itching at anus, < after sleep.

■ xlnus feels closed; sensation of a plug.

■ Painful constriction of anus, following prolapsus of rectum.

■ Fistulous abscess opened near anus. 6'Scarlatina.

I a Feeling as of a ball rolling about in bladder or abdomen, when turning over. ^Uterine displacement. ^Cystitis.

■ Discharge of offensive mucus during micturition. ^Ca-

tarrh of bladder.

■ Ineffectual urging to urinate; burning when it does pass.

■ Urgent desire to urinate, with passage of much urine.

■ Frequent micturition, urine scanty, dark brown, turbid.

■ Violent burning when passing urine. ^Anginasyphilitica.

■ Painful pressing and burning when making water.

■ Dribbling after urinating.

I I Constant sticking and cutting in forepart of urethra.

■ Urine of strong ammoniacal odor, involuntary; lying

on back. ^Gastric nervous fever.

■ Pligh colored urine of strong smell. ^Diphtheria. ^Scar-

latina.

■ Urine dark, with a brown, gravelly sediment, passing

with a sharp, cutting pain.

■ ■Urine: almost black; frequent, foamy, dark.

LACHESIS. 502

I Urine like coffee grounds. ^Scarlatina,

I Urine dark or scanty, as in typhus. ^Diphtheria.

I I Black, scanty urine, with oedema, after scarlatina.

■ Urine red and hot. ^Angina faucium.

■ Scanty urine with red sediment. ^Typhlitis. I Urine heavily loaded with albumen.

■ Albuminuria with hydrothorax and dropsical enlarge-

ment of 1. side and leg.

■ Strangury. ^Typhlitis.

■ ■No urine, no stool.

■ Urine almost suppressed. ^Scarlatina.

^^ Male Sexual Organs. ■Great excitement of sexual desire.

■ Epilepsy after suffering by lewdness, or morbid excite-

ment of sexual organs, onanism, frequent emissions of semen, or jealousy.

■ Impotence.

■ Nocturnal emissions, with thrill of delight.

■ Excessive sexual desire, constant erections at night;

emissions, with profuse night sweats; cheerful disposition and feeling of ease on awaking, succeeded by increased mental concentration; semen has a pungent smell. I I Sore pain in urethra, in forepart of penis.

■ Indurated foreskin, after chancres.

■ Mercurial syphilitic ulcers on penis.

■Scrotum swollen to enormous size. ^Scarlatinal dropsy.

■ Sycotic ulcers, with bluish areolae.

■ Paraphimosis when constriction causes gangrene, or

threatened gangrene, eruption on glans and mons veneris.

■ ■Gangrene of glans.

■ Phagedenic chancres.

■ I Buboes: with sore throat and headache; indurated or

with fistulous openings and hectic; after mercury ; sup- purating a long time. ^- Female Sexual Organs. iSexual desire excited to the high- est pitch; perfectly insatiable; luxurious convulsive thrills run all through her.

■ Tickling and jerking extending from thighs to genital

organs. ^Nj^mphomania.

■ I Ovarian neuralgia, particularly 1. side; tensive, pressing,

burning or stitching pains.

■ Frequent, troublesome, drawing pain in r. ovarian region,

from near hip bone down to os pubis, sometimes burn- ing. ^Swelling of r. ovaiy.

■ Pain in r. ovarian region increasing more and more un-

til relieved by a discharge of blood. ^Climaxis.

■ Terrible pain in r. ovarian region, with swelling.

■ Induration and suppuration of ovaries.

503 LACHESIS.

iRiglit ovary size of a fist; 1 J inches thick, painful when pressed, attached to uterus by a string as thick as a finger.

■ Sharp, shooting pain in L ovary; constipation; feels <

in morning and after sleep. //Ovaritis. iTensive, pressing pains and stitches; inability to lie on r. side, on account of sensation as if something was roll- ing over to that side ; swelling of ovary ; suppuration ; 1. side. ^Ovaritis.

■ Painful, oblong swelling and induration in r. ovarian re-

gion, < by moral emotions, rapid movements, pro- longed walks and overexertion. ^Uterine displacement.

■ Ovarian tumors; 1. ovary first affected, tending to right.

■ ■Swelling, induration, tumors, neuralgia, suppuration,

etc., of 1. ovary.

■ Menses irregular, dark, dirty looking and offensive; looks

like a pregnant woman at ninth month ; abdomen hard, some parts more so than others; in 1. ovarian region and directly under navel, extending up to stomach, very hard, as though fibrous, all other sections tense and more or less painful; at times dyspnoea and wheezing almost approaching suffocation ; tongue red and glazed ; appetite fickle; great thirst; scantj^ high colored urine, with hse- matin aAd ten per cent, of albumen; constipation, with occasional discharge like horse dung in size, causing pain and weakness from which she would not recover for half a day or more ; constant malaise. ^Sacculated ovarian disease. ■Uterine and ovarian tumors, with profuse and protonged menses; great sensitiveness of lower abdomen; severe, aching pain, anteriorly, in thighs, in branches of ante- rior crural nerve.

■ Uterine region feels swollen, will bear no contact, not

even of clothing; bearing down pains.

■ Pains like a knife thrust into abdomen.

■ Uterus feels as if os was open.

TrGenital parts much distended, swollen and red, every- thing seemed to be rolled out and mouth of womb open ; nymphomania.

■ Laborlike pains as if everything would issue from vulva,

followed by a slight discharge of blood.

■ Menstrual colic beginning in 1. ovary.

■ ■ Sensation as if pains from uterus and abdomen ascended

towards chest.

■ Pain in uterine region as if swollen; displacement.

■ Violent, laborlike pressing from loins downwards during

menses, which are scanty. ^Displacement.

■ ■Pains in uterine region, increase at times more and

more till relieved by a flow of blood from vagina; after a few hours or days the same again, and so on.

VOL. VI. — 38.

LACHESIS. 594

1 1 Uterus does not bear contact and has to be relieved of all pressure; frequently lifts clothes, they cause an uneasi- ness in abdomen, no tenderness.

iWomb enlarged, retroverted, hot and sensitive to touch; OS open and sensitive; menses irregular ; fundus found to be larger posteriorly.

B Chronic metritis: with hypertrophy; menses too scant}^ "~ and difficult; soreness about pelvic region. (Comple- mented by Nitr. ac.)

1 1 Congestion of womb with prolapsus.

■ Displacement in connection with or in consequence of

change of life. llProlapsus during climaxis, with flashes of heat, hot vertex; metrorrhagia and fainting; pain in 1. hypogas- tric and ovarian region.

■ Chronic uterine catarrh, staining linen, rendering it stiff,

accompanied by a severe pain in lumbar region. //Sterility.

■ Uterine cancer, developing at climaxis, or as a con-

sequence of change of life; pains increase rapidly, until relieved by profuse discharge of blood; violent pains, as if a knife was thrust through abdomen, which has to be relieved of all pressure.

■ ■Uterine hemorrhages of the menopause.

■ ■Menses: suppressed at regular time, but too short and

feeble; scanty, with laborlike pressure from loins down- wards; irregular; scanty, blood black; late, scanty and difficult; every two or three months, then profuse; re- appearing during climaxis; blood lumpy, black or acrid.

■ Tenacious and acrid menstrual flow, with laborlike

pains. /^Cancer of uterus.

■ Menorrhagia with chills at night, flashes of heat by day.

■ Amenorrhoea: the smaller the discharge the greater the

pain; with vertigo, headache and bleeding from nose; with pain in stomach, chest and eructations at every menstrual time; swelling in region of 1. ovary.

■ ■Persistent congestions at menopause.

■ Nosebleed and cardialgia instead of menses.

■ Strangulation of prolapsed vagina, parts deep purple.

■ Erectile tumors; hemorrhage vicarious; pain < until >

by flow of blood ; if bleeding returns, pain returns.

■ Fistula vagina ; gangrene.

■ Before menses: desire for open air; vertigo; nosebleed;

laborlike pains, < in 1. ovarian region; bruised feeling in hips; > when flow begins; sudden attacks of cardi- algia; oppression or spasms of chest; eructations; diar- rhoea, with violent straining; colic, with sense of mal- aise; nervous distress; mucous sediment in urine; leu-

505 LACHESIS.

corrhoea three days before, discharge copious, smarting and sHmy, stiffening linen and leaving a greenish stain; pain in back, with abdominal cramps and throb- bing headache.

■ The day before catamenia irresistible desire to go in

open air and run about. ^Dysmenorrhoea.

■ Menstrual colic on first day of catamenia. I Laborlike pains with catamenia.

llDuring menses beating in head and burning in vertex; laborlike pains, as if everything was being pressed out, followed by a slight show ; uterus feels as if os was open ; violent pains first day in small of back and abdomen ; tearing pain in abdomen; bruised feeling in hips; > as flow becomes free; violent cramps in bowels as if cut with knives; pressing pains from loins to privates; uterine pains running up; colic beginning in 1. ovary; tooth- ache < in proportion to diminution of flow; fainting in nervous women ; cardialgia, oppression of chest and eructations; ovarian pain; discharge of blood or mucus from anus; epilepsy <.

■Jealous disposition; craves coffee and feels > after drink- ing it; ulcers on legs with a purplish circumference. ^Dysmenorrhoea.

■With menses a throbbing in rectum and violent pains ; greatly troubled with wind; slime passes, sometimes blood as from an ulcer; pressure; feels as if a stricture was there.

■ Catamenia flow but one hour every day, on stopping,

violent pains follow in region of 1. ovary, alternating with gagging and vomituritio. ^.Dysmenorrhoea.

■ Dysmenorrhoea of eighteen years' standing.

■ After menses: diarrhoea; common, acrid leucorrho^a; pal-

pitation, with pain, as if heart was hanging by a thread, and every beat would tear it off. iLeucorrhoea: from three to eight days before menses; green or thick yellow; copious, smarting, stiffening linen, staining it greenish, milky.

■ Redness and swelling of parts, with mucous discharge.

■ Fungus hsematoides on right mamma as large as a peony;

blood poured out all over it as from a sponge.

■ For last four years stitching and cutting pains in 1. breast,

more or less severe, but always < before, during and after menses ; at flrst pain limited to affected part, but finally extended to 1. axilla, and thence down arm to hand ; peculiar painful sensation of weakness and lame- ness in 1. shoulder and arm, < using arm; occasionally 1. mamma and arm become so painful that use of latter becomes impossible, and she is compelled to lie down;

LACHESIS. 596

on examination no visible swelling, but upon pressure with finger a three-lobed tumor, each lobe about as large as a pigeon's egg, can be detected lying about two inches above and somewhat to 1. side of nipple; tumor movable and painful to pressure; examination causes pain which extends to shoulder and down arm, lasting 5-6 hours; shoulder and arm sensitive to pressure, the pain extending back into mamma; pale and emaciated ; menses regular, lasting 3-4 days, with much pain on first day and day previous to their appearance; chronic fluor albus. I Breast has a bluish or purplish appearace; chills at night and flushes of heat "by day.

I Cancer having bluish or dark base, interspersed with

black streaks of coagulated or decomposed blood.

■ Cancer of breast, with lancinating pains.

iScarlet, shining, herpetic eruption, under mammae, < from scratching; odor offensive.

I I At menopause: flashes, hot vertex; metrorrhagia; faint- ing; uterine displacement; cancer; capillary circulation aftected.

■ Convulsions commenced on 1. side, in face, and continued

longer, and were more severe about neck and throat than elsewhere; sixty-five distinct convulsions. ^Puer- peral convulsions.

■Violent convulsions in lower limbs, with coldness of feet, stretching backward of body, and screaming; puerperal.

■From sunstroke two years previous to confinement had been ever since in bed; two hours after delivery con- vulsions; after twelve hours comatose, great heat in occipital and cervical regions; mouth dry; pulseless.

■ Face turgid; mouth filled with foam and blood; jaws

convulsively set, tongue shockingly lacerated; pulse full and hard; respiration irregular; complete coma interrupted by frightful convulsions; sudden and for- cible protrusion of tongue. ^Puerperal convulsions.

■Face livid, bluish; abdomen swollen; urinary and fecal evacuations suppressed; lochial discharge thin and fetid ; unconsciousness with violent chills daily. ^Puer- peral peritonitis.

■Lochial discharge thin, ichorous; tympanitis. <?Metritis.

■ i Phlegmasia alba dolens.

■ ■ Pains in ovaries after confinement.

■Sore mouth of nursing women, edges of tongue red and cracked, with smarting and aching pains. iLancinating pains in mamma; pains down arm- breast

bluish with blackish streaks. Vlastitis '

"Breast has a bluish or purplish appearance; chills at

night and flushes ot heat by day iThin, blue milk discharging involuntarily; child does not want to nui^e; after child has sucked awhile milk becomes natural in color. jMilk thin, blue; she awakens sad, despairing Mamm^ swollen ; nipples swollen, erect ; painful to touch ^ II Extreme sensitiveness of nipples Voice and Larynx. Trachea and Bronchia. nLossof voice caused by paralysis or oedema of vocal cords i I Paralysis of vocal cords, particularly the left I Unable to utter a loud word for a week; a spot tender nllTties '''' ''''^'''^'^'' P^'^^^'' °^" '^^^^- ^Menstrual irreg-

■ Aphonia in phthisis; sputum tough and green bomething hinders speech; hoarse; hawks constantly

■ Hoarseness and cough; heart beat accelerated by quick

motion or after drinking beer ^ ^

"Hoarseness, rough, dry cough caused by scratching in larynx and trachea, ^eart disease. ^

■ Increased hoarseness while speaking; voice will not

come because something in larynx "prevents ilwhch cannot be hawked loose, though mucus is brought m "Hoarseness, rawness, dryness ; larynx sensitive to touch "bensation as from a skin in larynx

i Feeling as of talons sticking into larynx, < by couehino-

■•Larynx sensitive to least touch, which caules suflocf

tion ; feeling of a lump in throat '^^"

■ Larynx and whole throat painful to touch

■ Great sensitiveness of larynx; hoarseness; *a thick lumo

bronchrtis "''' " '''" -—elated mucus. ^ChroZ

"S'as^?itlTf//""'P ^? P^"^ ^^^^^*' like a button; reels as it it might loosen, but does not

Pdn'^-n ^r^^^'hT' Painful on bending head backward.

■ lain in pit of throat extending to root of tongue and to

pi^^Ltr^r- '■ ''''"'■ "^'"^ '^'"* '* ^'-«"-^

■ ■Feeling as if something was swollen in pit of throat

■Constriction, dryness, stinging and great rawness of

and rloTTp^- ?^ ^^'"T^ """? '"y"^' ^"^ «hil?s ana rigors. C'Epidemic pharyngitis

"Larynx swollen, sore, raw, scraping, somewhat also on

pressing upon it; at same time is obliged to swallow.

LACHESIS. 598

I Catarrh, with little secretion and much sensitiveness; dry cough, coming from sense of tickling in larynx, provoked by deep inspiration, speaking and pressure; sense of fulness in trachea and painful aching in os hyoides. ^Laryngitis.

I Chronic affections of larynx, where parts, without being actually inflamed, are very sensitive; hoarseness; sen- sation as if a large mass of mucus had accumulated in throat.

I Impending croup during diphtheria; awakens suffocat- ing, grasps throat; fears he is dying.

II Croup < after sleep; seemingly sleeps into croupy spell.

iChild seems as if it would choke while sleeping; breathes > after waking. ^Croup.

■Awakened from sleep, apparently in a dying condition. ^Membranous croup.

I Croup in children subject to inflammator}' rheumatism.

I Child arouses with a paroxysm of choking, almost loses its breath, and sometimes goes into convulsions. ^Croup.

■ Membranous croup, last stage; membrane coughed uj)

in pieces like a glove finger; very sore throat.

■ Membranous croup with diphtheritic sore throat, or

malignant scarlet fever; breath very offensive; glands of neck swollen; soreness of neck to touch.

■ ■Suddenly something runs from neck to larynx, stopping

breathing, it awakens him at night. 6'Spasmus glottidis.

■ Constriction of larynx, attended with dryness of whole

throat and mouth, invariably after sleeping.

■ Nightly attacks of spasm of glottis after first sleep; suf-

focation and livid face ; during day sensation of foreign body in throat, with difficulty in swallowing.

■ Paroxysms recur as often as child gets into a sound sleep.

^Laryngismus stridulus. ;rFrightful gasping or grasping at larynx, almost suffocated at night in an attack; she thought she was dying from inability to breathe; rolling from side to side in bed.

■ Sensation as if something was in trachea which might

be raised, comes partly up and then goes back again.

■ After attack of influenza dry, harassing, concussive cough ;

< after sleep. ^Bronchial catarrh.

■ Mucous membrane of nose thickened; much sneezing;

dry, stuffed feeling through whole front part of head; gradually passing to fauces and chest; constant dry, short cough, night and day, sitting, lying or walking; wheezing breathing; face red and puffed; eyes seem almost pressed out. ^Bronchial catarrh.

■ Cough excited by even light pressure on larynx, or as

soon as he falls asleep, often with choking, as if suffoca-

599 LACHESIS.

tion was inevitable; after a long, dry and wheezing paroxysm of cough there is suddenly a profuse expec- toration of frothy, tenacious mucus, which gives great relief. ^Chronic bronchitis.

■ Continued fever, < at night; pulse 150; respirations 70

per minute; red spot on one cheek, frequently changing sides; 1. lung impervious to air; constant cough, < at night; later r. lung affected; uneasy and restless; throws itself in all positions in efforts to breathe ; face dark; constant spasmodic cough with labored breath- ing; on falling asleep for a few moments throat became so dry that a condition like croup came on, and all suffering increased. ^Bronchial catarrh.

■ Can only breathe in upright position, and that with great

labor; thickening of mucous membrane seems to fill luug completely; constant cough from titillatioiis be- hind sternum, seemingl}^ at bifurcation of trachea; no expectoration, yet chest seems full of fluid when cough- ing. (^Bronchial catarrh.

I Dry cough, squeaking rale and aphonia; external throat

sensitive to touch ; soreness, tenderness, sensation of weight in 1. ovarian region; < after sleep; pale, scanty menses, with loss of sexual instinct. ^Bronchitis.

■ Bronchial attacks in subjects of cyanosis and cardiac

disease. ^

^' B.8Spiration. ■ l Constantly obliged to take a deep breath.

I I Desperate fits of suffocation, must sit up in bed; cutting pain in abdomen.

■ (Obliged to sit up and lean r. side against a pillowed

rocking chair that pain in 1. chest with dyspncea, might be >; frequent small pulse; diminished strength of heart's action; could not bear neck and waistbands fastened.

■ Difficulty of breathing > when sitting bent forward; <

when talking and after eating.

■ Oppression and want of breath : < when walking and

after spiritous liquors; heart disease; at every menstrual effort. ■Shortness of breath and suffocative attacks caused by touching larynx and < on moving arms.

■ I The least thing coming near mouth or nose interferes

with breathing; lying in bed at night slightest covering over mouth or nose produces suffocating dyspnoea.

■ In morning when sitting up quickly, breathing slow,

difficult, whistling. ^Asthma.

■ ■Oppression of chest during sleep.

■ Lays hand upon u])per third of sternum and declares she

cannot <zet her breath below there.

LACHESIS. 600

I Chest stuffed as it were; cannot lie down from a sense of suflbcation and must open doors and windows to obtain

■ air; a suffocating short cough, with scanty and difficult expectoration; head must always be high, and she gen- erally rests it on her hand.

I Great dyspnoea, < in afternoon and after sleep; 1. side; badly smelling stools even if formed. ^Pneumonia.

I iChest feels constricted.

llSuddenly something runs from neck to larj-nx and interrupts breathing completely; it wakens at night. ^Spasmus glottidis.

iCannot sleep, as soon as he falls asleep breathing is im- mediately interrupted. ^Acute rheumatism.

iSutfbcating fits, waking from sleep with throwing arms about; cyanotic symptoms; swelling of liver; black urine. ^Hydrothorax.

lAwakes with fear of suffocation in middle of night.

llDuring heat as of orgasm of blood he is obliged to loosen clothes about neck ; sensation as though they hindered circulation of blood, with a kind of suffocative feeling.

I I Asthma: < from covering mouth or nose, touching throat, moving arms, on awaking, after eating or talk- ing; > sitting bent forward.

iSharp pain through lungs, great dyspnoea; < sitting erect, or lying down, > bending forward and throwing head back; feeling of intense constriction in all parts of chest, as if lungs were being pressed up into throat, caus- ing extreme agony, so that she despaired of life; feeling as though a cord was tightly tied around neck; must loosen clothes at neck and epigastrium; at times sensa- tion as though heart turned over and ceased beating for a moment, tlien commenced again with increased force; lung seems full of mucus, yet none can be raised; face almost purple during paroxysms.

I lOildema pulmonum ; emphysema.

llThreatening paralysis of lungs, greatest difficulty in breathing, with long lasting attacks of suffocation.

I Hay asthma.

I Itching disappears, she is very short of breath and full

of anxiety. ^Itch. ^ Cough. I Constant dry, hacking cough. ^Ovaritis.

I I Dry, hacking cough, caused by touching throat or in morning after sleep.

I Every contact with open air causes a violent tickling cough, accompanied by expectoration of mucus.

I Fluttering, nervous, slight cough, apparently excited by a tickling in larynx.

I Cough caused by pressure on larynx or by any covering

GOl LACHESIS.

on throat; by ca tickling in pit of throat and sternum;

when falling asleep; from ulcers in throat. I Cough, with rawness of chest, difficult expectoration and

pains in throat, head and larynx. iConstant titillation in throat inducing cough; constant

hawking going on to empty retching, without nausea;

seldom any expectoration, but when there is it is brought

up with extreme difficulty and at risk of suffocation. i Crawling in ulcers, irritation to cough. ^Angina sy ph ilitica. ■Short, gagging, very fatiguing cough from tickling in

pit of throat, cannot get anything loose.

■ Frequent attacks of short cough from tickling in pit of

stomach, dry during night; difficult, sometimes watery, salty mucus, which has to be swallowed again.

■ Cough: < during day; after sleeping; changes in tem-

perature; alcoholic drinks; acids and sour drinks.

■ Short, superficial, tickling cough, very exhausting, some-

times causing vomiting; difficult expectoration of thin, tough mucus, or thick, roundish lump^; often coughs, hawks, spits, without bringing up anything; coughs only during day ; cough in open air and after speaking, which seems to make everything dry; in damp weather and after eating fish ; cough seems to originate in epigas- trium, where it produces a tickling sensation and severe pain. ^rSuperficial, nervous cough from tickling in larynx, at 9 P.M. until going to bed.

■ Cough after rising from a lying position.

■ Cough during sleep, without being conscious of it.

■ Bronchial cough, < after sleeping.

■ I Cough after sleep; breath fetid; complete loss of appetite.

■ Dry cough, squeaking rale and aphonia; throat sensitive

to touch; soreness, tenderness, sensation of weight in 1. ovarian region ; < after sleep; pale, scanty menses, with loss of sexual instinct. ^Bronchitis.

■ After influenza, dry, harassing, concussive cough; <

after sleeping, lasting all Winter and following Spring.

■ After occasional attacks of haemoptysis, dry, sore cough,

< at night and in early morning, and also by reclining. ^Phthisis pulmonalis.

■ i Cough as if some fluid had gone into wrong passage.

■ With every cough feeling as of an ulcer in stomach.

■ Gagging, persistent cough, from tickling in throat, under

sternum, or in stomach ; < on falling asleep) or during day, from change of temperature and alcoholic drinks.

■ Hard, racking cough and profuse expectoration. ^Hepa-

titis.

■ Child coughs in evening on lying down, afterwards dur-

ing sleep, sometimes awakened thereby ; faint and weak.

LACHESIS. C02

1 1 Cough most during day.

I Cough excited by increased secretion of fluid in larynx.

I Feels pretty well when she gets up; thinks she will be

■ Coughing or sneezing causes stitching pains in affected

parts. ^Cancer of uterus. OlSympathetic cough of cardiac affections.

■ During cough : tension in head ; pains in epigastrium, ab-

domen and anus; burning in chest; ulcerative pain above and along ribs; stitches in chest; running of water from the mouth; vomiting; discharge of urine; pain in hemorrhoidal tumors.

■ Constant provocation to cough, with retching and gagging.

II With every single cough a stitch in hemorrhoidal tumor. I Pain in aims when coughing or sneezing.

I Cough with hoarseness.

I Paroxysms of suffocating, spasmodic cough, with tickling in larynx.

■ Dyspnoea and cough, with slimy, blood streaked, very

copious sputa. ^Gastric nervous fever.

liSharp pain through lungs with great dyspnoea; < sit- ting erect or lying down ; > bending body forward and throwing head back; feeling of intense constriction in all parts of chest, as if lungs were pressed up into throat; constriction in throat as if cord was tied around, neces- sitating loosening of covering; sensation as if heart turned over and ceased beating for a while, after which pulsations increased in force. ^Spasmodic asthma.

llMustcough hard and long before he can raise.

■ After a long, wheezing cough, suddenly spits up profuse,

frothy, tenacious mucus. ■Spitting large quantities of ropy mucus. /^Diphtheria.

■ Expectoration: scanty, difficult, watery, saltish; must be

swallowed again ; straining and vomiting. ^^ Inner Chest and Lungs. ■ Oppressive pain in chest, as if full of wind, > by eructation.

■ ■ Full feeling of chest and a pushing pressing from within

outward. ^ Heart disease.

■ Contraction of chest waking him after midnight, with

slow, heavy, wheezing breathing, compelling him to sit up bent forward.

603 LACHESIS.

I Pain in chest as from soreness; burning in chest.

■ Stitches in 1. side of chest, with difficult breatiiing.

I Stitching pain through r. side of chest. ^Hepatitis. • I Chest feels as if stutted; cannot lie down, from sense of suffocation ; must open doors and windows to obtain air; suffocating, short cough, scanty and difficult ex- pectoration; fever at 10 p.m., unquenchable thirst, dryness in throat and mouth, can scarcely breathe for thirst, must continually moisten mouth, drinking does no good, and she dreads it; fever begins with rigor on going to bed, heat continues till 4 a.m., with intervals of shivering; sweat towards morning; tearing pain in temples during hot stage, burning heat in epigastrium; sleepy, day and night, but cannot sleep, except a little towards morning; frequent micturition, urine scanty, dark brown and turbid; abdomen distended, flatulence; cannot bear anything upon abdomen; little appetite; frequent coryza; feeling of ball in throat, as if a button was fast stuck in pit of throat; not perceptible on swallowing food, but on attempting deglutition, and during this it seems to rise and sink, as if it was turned around, feels as if she could bring it up Vmt it will not come; must have whole neck bare, cannot endure bed- clothes, nor even tie cap strings. ^Chest affection.

iBurning, stinging, like coals of fire from chest through to shoulders.

I Hepatization, particularly of 1. lung; great dyspnoea on awaking. ^Pneumonia.

I Pulse very quick, wiry, excited and strong; frequent

chills and fever; no appetite; constipation; sputa as if mixed with brickdust ; discouraged, homesick and de- spairing; covers his head with bedclothes, and sighs and laughs by turns, and always thinks there is something wrong. ^Pneumonia.

I I Threatened paralysis of lungs with great dyspnoea and long lasting suffocative paroxysms. /^Pneumonia.

I Dropsy of chest; awakt&ns suffocating; liver swollen; scanty, dark urine; palpitation. Mfter scarlatina.

I I Sibilant rales.

iChronic pleuropneumonia; hepatization; difficulty of breathing; dyspnoea particularly on r. side.

I Measles, followed by whooping cough, inflammation of lungs, bloody expectoration, high fever and terrible coughing spells; intense capillary bronchitis; pulse 135 ; dry crepitation over both lungs, somewhat veiled by co-existing coarse bronchial rales ; finally suppuration of both lungs supervened, with following symptoms; great emaciation, cadaverous appearance, eyes sunken

LACHESIS. 604

and glassy, rattling in bronchi, expectoration of cream colored pus, hectic Hush, pulse rapid, cannot be counted correctly, pijcking and boring 1. nostril, until it is raw . and bleeding; lips parched and dry, tongue dry, dark brown coating at root, tip red; trembling of tongue when attempting to protrude it; cannot put out tongue, it sticks to front teeth ; sordes on teeth ; great prostra- tion; can bear nothing about throat; plaintive moan- ing; after every coughing spell such exhaustion it seems she will die. ■Useful when tubercles follow pneumonia.

■ Woman, set. 26, tall and slender, tuberculous tendency of

family; cough for more than two months; frequent, dry, short and sharp, or harsh sound; loss of appetite and strength; emaciation; prominent clavicles; no respira- tory murmur in posterior superior half of 1. lung.

■ Afternoon fever, chills and flushes alternating; pulse, 112;

copious night sweat wakes him from first sleep; violent titillating cough, sensitiveness of larynx ; difficult expec- toration, in hard lumps, of offensive taste, sometimes salty; burning deep in chest, pleuritic pains, < from coughing; morning cough, vomiting; dulness in 1. infra- clavicular region, sensitiveness to touch ; shortness of breathing, a sense of constriction of chest. 6'Tuberculosis.

■ Difficult expectoration of offensive, purulent sputa, with

straining even to vomiting. ^Tuberculosis. ^ Heart, Pulse and Circulation. ■■Heart feels as if too large for containing cavity.

■ Feeling of constriction about heart.

■ ■Cramplike pain in prsecordial region, causing palpita-

tion, with anxiety.

■ Great pain in heart.

■ Palpitation: with numbness of arm ; choking from slight-

est exertion; > by sitting down or lying on r. side; with fainting and anxiety ; chronic with young girls.

■ Irregularity of beats of heart.

■ She feels beating of hear*, with weakness, to sinking.

■ Palpitation after exertion or sudden excitement > by

lying down; feels sick and faint; his face becomes white, but on lying down symptoms pass off in tv/o minutes; for some time has been unable to lie on 1. side because it caused pain at heart or dull oppression; lying on r. side weight of 1. arm is painful; fulness at heart, as if pressing against side or had not free play. ^Heart disease.

■ Wakes from a troubled sleep of a few moments with a

violent shock in prsecordla and a sensation of suffocative constriction of chest; extreme distress for breath; face livid and covered with warm sweat; visible palpitation of

G05 • LACHESIS.

heart*; heart seems to stand still and then start with a tremendous bound, followed by rapid tremor; pulse ir- regular, intermissions growing more protracted. ^'Func- tional disturbance of heart.

■ Restless, trembling; anxiety about heart; hasty speech;

suffocation on lying down; weight on chest; heart feels constricted. ^Rheumatism of heart.

■ Restless and trembling; hasty talking; great oppression ;

anguish about heart in rheumatism; irregularity in beats of heart. ^Pericarditis.

■ Tremulous irritability of heart after scarlatina or fevers.

■ Constant dyspncea; sense of suffocation in chest and car-

diac region, uninfluenced by position, exercise, etc. ; pulse 160, feeble, small and occasionally intermittent; heart's action ditto; a mouthful of food or drink causes distress, burning and pain till vomited; believes she will not recover, but withont anxiety. ^Heart affection.

■ Obliged to sit up and lean r. side against pillowed chair,

that pain in 1. chest, with dyspnoea, might be >■; fre- quent small pulse; could not bear neck and waistbands fastened. ^Heart disease.

■ Hypertrophy of 1. ventricle, with sensation as if heart

was too large for its containing space.

■ Suffocative attacks on touching larynx or moving chest;

fainting and anxiety from slightest motion of child; purple color of skin ; coldness of extremities. ^Cyanosis.

■ Pericarditis, or endocarditis, after scarlatina ordiphtheria.

■ Favors resorption of exudate in pericarditis.

■ Weight in chest with anxiety; spasmodic pain in heart,

palpitation, feels constricted ; sensation as if heart inter- mitted a single beat, produces slight cough which seems to re-establish circulation ; shortness of breath after every motion, especially of hands; great weariness; in- ability to lie down on account of a suffocating sense of fulness in chest, necessity of removing all pressure from neck and chest and gasping for breath, when > of this lies on 1. side with head high; most adapted to cases where fibrin is deposited on surfaces of heart, valves or investing membrane. ^Rheumatism of heart.

■ Dilatation of r. ventricle.

i I Woman, set. 50, fleshy; dilatation of 1. ventricle, aorta and carotid; when quiet she could lie down and sleep for an hour or two; when excited must sit by open window: bronchiae are readily affected by cold; lungs fill up; could only breathe in upright position with great labor; constant cough from titillation behind sternum, at bi- furcation ; no expectoration, yet chest seems full of fluid.

■ ■Ebullitions in chest.

LACHESIS. • 606

1 1 Cyanosis neonatorum.

iSurface of body mottled; every effort to lift or move babe would cause it to cry out with pain; child's breathing after a crying spell so labored as to almost amount to asphyxia; extremities and feet cold; face and limbs puffed. ^Cyanosis.

iPulse: small, weak and accelerated; unequal; intermit- tent; alternately full and small; weak, slow, small.

I I Pulse weak and empty. ^Intiltration on back.

B Induration of veins and surrounding cellular substance.

I Atheromatous condition of arteries in old people.

I Capillaries fill quite slowly alter pressure on skin. t/iScarlatina. ■"^ Outer Chest. iBlueness of skin. ^

fcjensation of heat like from a hot stove on outer chest.

I I Burning pain as if in flesh of chest, two or three inches below 1. nipple.

I Swelling from above clavicle down to below pectoralis

major, smooth and elastic, not painful, not red. ^^ Neck and Back. iBlueness of external throat from disten- sion of veins.

I I Intolerance of tight neckbands.

I Pain in nape of neck to distraction. ^WerlhofF's disease. I iStiff neck, moves jaw with difficulty ; tearing from nape

of neck up either side, to top of head. iNape of neck painful to toucli, and stiff. I I Stiffness of neck, on r. side, sore to touch, giddiness with

choking in throat. I Nape of neck sensitive to external pressure.

■ Stiffness of nape of neck, with catarrh.

■ Swelling entirely on 1. side; smooth, livid appearance;

suffocative sensations produced by touching neck or swelling. ^Bronchocele.

■ Glands of throat and neck badly swollen. ^Scarlatina.

■ Swelling on 1. side of neck from angle of jaw down-

ward to near clavicle, suppurated and abscess was discharged with lancet; after this patient declined and became much exhausted in strength; face pale, of diity, dingy hue, with puffy aspect; appetite nil; restlessntss day and night; constant hot, dry skin; extremely peevish and whining; abscess formed a large cavity from which there was sloughing of cellular tissue ; no sign of healthy granulations; discharge foul and copi- ous ; pulse 140 and small ; could not eat solid food on account of soreness of neck ; extremely sensitive to all motions of head ; profuse hemorrhage from abscess, at least a pint of blood; great prostration, refused food, discharges more foul, pulse rapid and feeble; constant

C07 LACHESIS.

leakage of dark colored blood from sore. ^After scar- latina.

I Abscess near 1. clavicle, another on 1. side of neck. ^After scarlatina.

Stitches in upper part of back, or along spine from below upward, or in whole back and in nape of neck, with stinging in r. arm and sensation as if it had gone to sleep, with itching on arms, hips and lower limbs.

iFrom cervical vertebrae down to lumbar, whole r. side of back, width of three or four inches, much swollen, elastic, painless to pressure; dull pains intolerable after exertion, has to lie down in a kind of tetanic state. ^Infiltration of cellular tissue.

■ Myelitis.

I Pain in back, with great restlessness, with yawning and stretching of arms and legs; weariness, aslromtoo great exertion, with awkward, tottering gait, with jerks, tak- ing away breath or goiug into abdomen; small, painful spot, low down in back.

tintolerable drawing in small of back and down into legs, especially noticed in ischia, frequently in evening; draw- ing extending from small of back up back; drawing ex- tending from back to hips, with urging to urinate.

iiPain in small of back: as if lame and weak; intermit- tent fever; palpitation; dyspnoea; constipation; dys- menorrhoea.

lAching pain in lumbar region. ^Fistula. ,

SStiffness in sacrum, bending or beginning motion, extend- ing to hip joint and thigh as if sinews were too short.

I Continual pain in sacrum and coccyx.

BPain in os coccygis, when sitting down, feeling as if sit- ting on something sharp.

■ Continual pain in os sacrum and coccj'x; drawing pain,

as if sprained, in small of back, preventing motion; agonizing pain when rising from a seat. ^Coccygodjaiia. B Tenderness in whole spine, most in neck, below occiput; headache in occiput and forehead; on turning or mov- ing head pain in spine of neck into brain; pressure of finger on spine of neck sends pain to brain; pressure on dorsal spine sends pain to stomach; cannot bear to be raised up, and cannot raise herself in bed because of severe pain; little sleep. Mffection of spine.

■ Girl, set. 5 years, since two years of age affected with

caries of dorsal vertebrae resulting in deformed chest, leaving child feeble; lost control of both legs; toes moved sometimes involuntarily; she coughs some dur- ing day, but particularly at night on going to bed ; much thirst; pain in spine, lies only on back; much

LACHESIS. 608

wheezing and rattling of mucus; fever and tliirst at night; respiration feeble and difficult, with blueness of face; each coughing fit produced sweating; expectora- tion impossible; sleep much interrupted.

I Boils half an inch in diameter near spine, with violent burning, throbbing pain.

llCarbuncle in back of neck, purple or gangrenous. ^^ Upper Limbs. ' iPain in r. shoulder joint with headache.

I Lameness in 1. shoulder.

•Soreness of r. shoulder, < when lying on it. ^Hepatitis. iLeft shoulder and arm weak and lame, < lying on arm. iPainful feeling of weakness and lameness in 1. shoulder

and arm, < by using arm; shoulder and arm sensitive

to touch. ^Tumor in 1. mamma.

I I Axillary glands swollen, painless, purplish. B Garlic-like smell of sweat in axillee.

I Left arm nearly double its size, from elastic cellular in- filtration. I Arras so weak that she is unable to raise them, •Makes odd motions with r. arm as if reaching for some object. ^Diphtheria.

• Tetters on arms and hands.

• Brown spots on elbow joint.

• Wrists very painful and swollen; could not study by day

or sleep at night, for burning pain. ^After bee stings on both wrists.

• Left hand and arm numb while pain and redness in foot

disappeared; pain and redness returned to foot, and hand and arm were well. ^Rheumatism complicated with epilepsy.

• Pain in wrist joints as if sprained. B Twitching of hands. ^Diarrhoea.

• Tingling and pricking inl. hand; hands go to sleep.

• Trembling of hands. ^Drunkards.

• The hands are cold as if dead.

• Swelling of hands.

• Phlegmonous inflammation of hand with great swelling

and tendency to extend up arm.

• Dark blue, blackish, hard swelling of back of hand and

fingers, icy cold with a burning feeling, sensitive to touch in attacks every day, come suddenly, disappear slowly; rubbing upwards hastens disappearance ; after touching ice.

• Livid swelling of back of r. hand and fingers; began with

severe itching and "creeping;" hand becomes blue and gradually darker, mottled, very hard; cold, but seems to him burning hot; sensitive to pressure; burning and pricking in finger ends; heat of stove > pain, but <

609 LACHESIS.

creeping sensation; throbbing pain at outside of wrist ; sharp pain extending to elbow; spasmodic pain in elbow, when carrying arm in a sling; pain in one small spot under shoulder, pricking and burning in hand as it slowl}'' goes away. iA laborer had been working among lumber three days before and thought he must have been poisoned; hand commenced swelling two days ago until it was three times its size; very red, pits on pressure, between first and second knuckle, opening as large as a three cent piece, looking like dirty soft soap; around this and along first three knuckles skin bluish black and inflated by gas; skin under black skin looked rotten, separated on opening first and second fingers, showing same soapy appearance, hand burnt (deep in) terribly; pain in red streaks that ran up from wrist; constant thirst; pulse not rapid, but soft.

■ Thumbs bend inwards. ^Epilepsy.

I Rheumatic swelling of index finger and wrist.

I I Panaritium, bluish swelling; stinging, pricking pains intense; erysipelas; necrosis, with fistulous openings; assumes purplish hue, becomes gangrenous.

■Finger much swollen, looks bluish, has fistulous openings from which bony splinters have been discharged, three months in this state, during which time woman twice suffered difficulty in swallowing. ^Sore finger from bite of a drunken man, cauterized.

■ Pricking in extremities of fingers. ^Panaritium.

8 Whitlow with necrosis of tendon, and much discoloration,

■ Right index finger atrophied; fetid sanious discharge

from beneath nail ; integument about root of nail tawny brown, bordering upon purple in parts. ^Onychia.

I Warts and excrescences on hands and fingers.

II Numbness of finger tips (morning).

■ Cold, sweaty hands.

1 1 Bluish, mottled appearance of hands.

■ i Panaritium, pricking, tingling, more than stinging ; blue

far around.

■ Felons, with proud flesh.

^^ Lower Limbs. ' Painful stiffness from loins down to sacrum and thighs. i Contraction of psoas muscle, after abscess.

■ Coxalgia, < 3 p.m. and after sleep.

I I Bruised feeling in hips. ^Dysmenorrhoea.

■ Sciatica for five days, with intolerable shooting pains,

extending from 1. hip down to foot, followed by sensa- tion of intense heat as from a hot iron in parts affected,

VOL. VI. — 39.

LACHESIS. 610

and afterwards by perspiration and general prostration ; pains extorted cries, < after sleeping.

iFeet and legs CBdematous, r. leg <; pale face; tongue yellow; sclerotic yellow; r. sided sciatica at night, awaking him; pains come suddenly and disappear gradually.

I Pain constantly changing locality, now in head, now in teeth, now in sciatic nerve, attended with nervousness, palpitation of heart; burning like fire in hypogastrium, lumbar region and behind sternum. ^Sciatica.

iPain in thighs, as if swollen, in back part.

llGressus gallinaceus.

■ Weakness, especially of legs.

■ Uneasiness in lower limbs.

I I Feeling of weakness in knees after eating, with pressure

■ Sensation as if hot air was going through knee joints,

which were shaky.

■ Left knee feels as if sprained.

iSwelling of knees, tension in bend, difficulty in stretching. I I Pain in legs and stiffness in knees after sitting.

■ Near 1. knee joint a bunch of varicose veins size of a fist;

veins as thick as a thumb and hard as a rope.

■ Contraction of hamstrings, after popliteal abscess.

■ Synovial fluid dried up; pain in knee day and night.

■ On external side of knee bluish redness. ^Erysipelas of leg.

■ ■Much pain of an aching kind, in shin bones only.

■ A half painful sensation of a sore place immediately be-

low lower edge of patella of 1. leg, this trifling thing almost driving him wild; great distress of mind, as if some terrible evil was impending, the evil dreaded being in some way connected with the pain, but how, he could not tell.

■ Pains as if burnt in different places on tibia, at first itch-

ing, but after rubbing there appeared rather sensitive spots as large as a quarter dollar, with dark blue red margins and dry scurf.

■ Caries of tibia.

■ Erysipelas with pustules; leg swollen bluish red, dis-

charged matter from several holes, presenting appear- ance of a large carbuncle, with itching.

■ Erysipelas of leg; restless, could not sleep, least move-

ment or touch on leg almost throwing child into con- vulsions; very angry appearance, dark blue spots on upper part just below knee, rest of limb of a dark, glossy redness.

611 LACHESIS.

I Ulcer on r. leg, with varicose swelling, after a fall.

I Leg below knee terribly swollen, black and spotted.

^Rattlesnake bite on toe.

I I Phlegmasia alba dolens.

■ Hard red patch, with scabs on calf of 1. leg; tender; thin,

yellow fluid discharge from under scabs; itching, espe- cially in cold weather.

■ Legs, from knees to end of big toes, covered with scales,

circular or elliptic, raised and free on circumference, attached in centre and of horny consistence, resting on a purple bluish colored base; < every Spring; itching and burning, especially during warm weather, and when heated, or when warm in bed. ^Eczema. 1 1 Flat ulcers : with thin, offensive discharge and bluish areolae ; become erysipelatous from motion.

■ Ulcers of legs; bottom of ulcers uneven and dirty; dis-

charge thin, odor offensive.

■ After scratching legs at night until raw, rapid suppura-

tion, followed by a large, dirty looking, painful ulcer.

■ After running nail into foot, for which a salve was given,

small ulcer where nail had pierced, soon followed by others, until whole plantar surface was covered; very little moisture from ulcers, which soon began to dry up, forming a thick, dry scale which covered sole of foot, in some places being a half inch thick.

■ Had been using washes of sulphate of copper, sulphate

of zinc, sugar of lead, etc., for a year ; ulcer at last dried up and patient was discharged as cured ; on tak- ing cold, a few weeks after, her entire foot and ankle broke out into small ulcers, resembling original sore; great pain in ulcers, itching of feet and ankles, almost unbearable; leg < after sleep and > from warmth.

■ ■Chronic indolent ulcers of legs, flat with purple skin;

many small sores around main ulcer, which has an un- even bottom, burning and bleeding, even when lightly touched ; ichorous, offensive discharge.

■ Virulent phagedenic ulcers.

ii Black, gangrenous ulcers and wounds on legs.

■ Chronic ulcers of lower extremities (probably of syphi-

litic origin) in which discharge ceased ; extremity oedematous and hard, slightly red, swelling extending up along course of principal veins ; great and sudden prostration of. strength; low, muttering delirium and general typhoid symptoms. /^Phlebitis.

■ Lacerating, jerking, rheumatic pains in legs as soon as

he falls asleep; irregular action of heart and valvular murmur from rheumatic metastasis; deadly pallor of face. ^Rheumatism.

LACHESIS. 612

I Uneasiness in lower limbs.

I I Trembling of legs.

iConvulsions particularly violent in lower limbs, coldness of feet, stretching backward of body and crying out.

I I Swelling of 1. leg and foot.

I Rose red swelling of ankles. ^Erysipelas.

I Injured ankles; severe contusions and lacerations; gangrene; bluish purple vesicles covering a dirty look- ing ash grey ground.

I Woman, set. 40, who had not menstruated for one year, sprained her foot; after exercise ankle greatly swollen, erysipelatous to knee; sticking pain in ankle when walk- ing; upper part of foot covered with dark lentil shaped pimples.

I Pain in second toe of r. foot; by evening livid swelling to knee, more painful when he walked ; pain in both knees; cannot stretch out foot; toe painful on pressure.

I Foot like marble from varicose swellings.

■ Swelling of feet, < after walking. ^During pregnancy.

I Icy coldness of feet; cold before epileptic attack.

■ Tingling in toes.

I I Gangrenous ulcers on legs and toes; rhagades of toes.

I Proud flesh about ingrown toenails or in old wounds- stinging; purplish appearance.

Ilnflammation and suppuration of old chilblains.

I Rheumatic swelling of index finger and wrist joint ; rheu- matic pains in knees, stinging, tearing and sense of swelling ; swelling of knees with tension in bends of knees, difficulty in stretching limb and pain of thigh (posteriorly I as if swollen; bluish red swellings; pains < after sleeping ; after profuse sweats 1. side most affected ; or the affection commences on r. and goes over to 1. ; arthritic contractions of limbs after abuse of mer- cury and quinine. ^Rheumatism. ^' Limbs in General. nErysipelas of legs or arms; surface bluish, swelling glossy, impending gangrene.

■ Rheumatism, with swelling of wrists and ankles.

■ Three years ago, after great mental emotion, sudden ces-

sation of menstruation, since then, headache, toothache, pain in joints, sciatica; for last year erratic pains in joints, particularly in morning on awaking; nervous irritability, palpitation, burning as from fire in hypo- gastrium, loins and behind sternum ; transient flushes of heat in face, without sweat ; loss of appetite ; white coated tongue ; pressure in stomach; constipation; sev- eral dry, painless varices in anus.

■ Acute or chronic rheumatism, recurring every year.

■ ■Bluish swelling of joints, after sprains.

^^^ LACHESIS.

lODark bluish swelling of cellular tissue, on hands, arms, legs, very sensitive ; impending gangrene.

■ Boils on thighs and fingers.

I fl Nightly burning in palms and soles.

iLimbs stiff, straight or curved, after abuse of mercury

lArm and leg paretic; crawling as if asleep. ^Infiltra- tion on back.

Constant desire to lie down: acute pain in abdomen Must he down: pain in back intolerable Cannot stand, has to lie down: child loses consciousness Lying with body and limbs doubled up: during chill Itecumbent position impossible : from sense of suffocation •

back and limbs. Head always must be high : generally resting on hand feitting: causes pain in thighs and stiffness at knees; con- stant cough; difficult breathing; pain in lungs and dyspnoea <; palpitation >; pain in coccygis; pain in legs; stiffness m knees. ^a ' f

Assuming upright position: pains in head change to

When sitting bent forward: difficulty of breathing >• contraction of chest >. '

LACHESIS. 614

Stooping: vertigo; pressing, bursting pains in temples; dizzy; pressive headaclie <.

Standing: body bends towards 1.; cutting pains in rectum <.

Could not stand: vertigo.

Stretching backwards of body : during convulsions.

Cannot stretch out foot: pain in knee.

Rising: faint; pain in top of head and giddiness ; staggers backwards; pulls himself forward with greatest diffi- culty; cutting headache <.

Rising from seat: agonizing pain in small of back.

Cannot raise herself up in bed: because of severe pain.

Could scarcely raise head from pillow.

Unable to raise arms: on account of weakness.

Cannot use arm: on account of pain in 1. mamma; com- pelled to lie down.

Using arm: pain <; shortness of breath and suffocative attacks < ; weakness and lameness in 1. shoulder and arm.

Raising head: pain in head <.

Turning head: pain in throat <; pain in spine of neck into groin.

Bettered by shaking head.

Turning over: feeling as of a ball rolling about in blad- der or abdomen.

Rolling from side to side in bed : sufiPocating attacks ; from hour to hour.

Makes odd motions with r. arm.

Throws arms about: in suffocating fits.

Throws herself in all positions: to get breath.

Sudden backward throwing of head.

Motion: aversion to every kind; pain in head <; pressing or bursting pains in temples; beating in head; of temporal and masseter muscles < pain in ear; of limbs; flesh sore; slightest, renews vomiting; causes excruciating pain in abdomen ; rapid, pain in r. ovary < ; causes heart beat; symptoms of chest >; causes suffoca- tive attacks; stiffness in sacrum.

Every movement: throbbing in head ; causes fainting and anxiety ; of hands, causes shortness of breath ; of leg, almost throws girl into convulsions; flat ulcers become erysipelatous.

Cannot move: nervous aches all over.

Cannot stand or move legs : except an involuntary draw- ing up of toes.

Difficulty of moving tongue : with impossibility of opening mouth wide.

Stepping: < pain in ear.

615 LACHESIS.

Walking: drags his feet; vertigo; backwards; stitch in r. side; shooting in region of spleen; constant cough; op- pression and want of breath <; sticking pain in ankle; swelling of knee painful; feels like falling forwards; be- fore chill became blind and giddy.

Overexertion: pain in r. ovary <. ^''Nerves. iNervous irritability; restlessness; jerking.

I Restless tossing, moaning; children with sore throat.

II Nervous exaltation; hysteria.

siTrembling in whole body, thinks she will faint or sink down from weakness.

■ Trembling of limbs and internally, with fever and faint-

ness, evenings. 6'Typhoid.

■ Nervous aches all over; hysterical spells of trembling;

cannot move, work or sleep; dark forebodings of future; any news, excitement, or a harsh word makes < ; < after sleep. /^Nervous affection.

■ Cramps in chest and abdomen; with crying and loud

complaining; dryness in mouth and throat; sensation as if epithelium was peeling off gums. t^Hysteria.

■ Child now and then loses consciousness and sight for a

second, turns and twists eyes like one who fights with sleep; closing lids, sinking of head all in a moment; cannot stand, has to lie down.

■ Crawls upon floor, laughs and is very cross by turns;

attacks last from half an hour to an hour; child acts strangely, will not play with other children; exhibits no love for mother; seems to hate her mother and friends, hides; runs away from strangers, looks at them through her fingers; bites and spits at other children; six years ago was frightened by a snake.

■ Spasms of legs.

■ Convulsions, particularly violent in lower limbs; coldness

of feet; stretciiing backwards of body and crying out.

■ Convulsions and other spasms, with violent shrieks.

■ Severe pains in back of head ; violent convulsions, requir-

ing several strong persons to prevent her from injuring herself; attempts to pull hair out of back part of head.

■ Unconscious; hands clenched; 1. hand, 1. foot and r. eye-

lids in constant motion; painless abscess on inside of r. wrist, one inch in diameter.

■ Delirium and convulsions from night watching, over-

fatigue and solicitude.

■ Sudden and forcible protrusion and retraction of tongue.

■ After having ears pierced, chorea; < 1. side; 1. side of

body in continual motion ; cross, irritable; throws away anything she has in her hands at time; ears sore and ulcerated where they had been pierced; finally motion

LACHESIS. 616

very violent, partial paralysis of 1. side; could hold noth- ing in hand; when walking frequent stumbling and dragging of 1. foot; unnaturally loquacious; < after sleep.

■ Great depression of spirits and apprehension of death; neck stiff and sensitive to touch ; blue spots or blisters on skin; epistaxis; hemorrhage from bowels, of decom- posed blood; great prostration. ^Chorea.

lEpilepsy: from onanism or otherwise connected with sexual function after great lewdness, jealousy, fluor albus, or seminal emissions; during catamenia; during climacteric period; during sleep.

B Epileptic convulsions; eyeballs turned upward; cries fall- ing down unconsciously, foam at mouth, sudden and forcible protrusion of tongue; hands clenched; limbs twitching; deep sleep.

I Creeping sensation beginning at back of neck, moving slowly down spinal column. ^Epilepsy.

iBefore attack: cold feet; palpitation of heart; bloating of abdomen; belching; heaviness of head; vertigo; headache; paleness of face. ^Epilepsy.

iHeadache and congestions of blood to head ; before attack absentminded, confused ; throws head back, froth at mouth, clenches hands, throws arras and legs about; between attacks, severe vertigo; constant headache; sensation of heat in forehead ; trembling of limbs, < 1. side; curious dreams at night. ^Epilepsy,

■ Striking about with hands and feet. ^Epilepsy.

lOne week after frostbitten toe which had ulcerated, rigors; shooting pains in back; opisthotonus, in twenty- four hours trismus; remission midnight till noon; after midnight profuse sweat and agitated sleep; throat sensitive to contact, swallowing painful. ^Tetanus.

■ Peculiar tetanic look, half closed eyes and stiffness of

neck; partial lockjaw; rigidity and pain in muscles of back; after cutting oflf two outer phalanges of third r. toe, by being run over by a carriage wheel ; soft parts of toe look gangrenous nine days after accident. ■Stitches in cardiac region, in paroxysms, three or four times a day; hacking cough with blood spitting; pains take away his breath while they last, but cease suddenly ; cough during day and after lying down, none in the night ; raises blood in morning ; opisthotonus with loss of consciousness only for a moment; trismus with constriction of throat, pulls and tears at throat; several paroxysms in quick succession.

■ Hydrophobia.

■ Climaxis; menses irregular; blood scanty, dark, fluid,

and sometimes lumpy ; for a year past frequent catalep-

617 LACHESIS.

tic attacks, preceded by cold, stiff feeling of upper lip, as if she had a moustache of ice. ^Catalepsy.

I Feeling of weariness ; languor; exhaustion as from warm

weather ; inclination to lie down, especially after eating.

■ Great weakness in back, extending into limbs.

I I Great physical and mental exhaustion, constantly sinks down from weakness; < in morning.

llWeakness of whole body, in morning on rising, espe- cially in arms and feet.

■ Weakness in morning in sleep; on waking general sick

feeling, vertigo, feeling of lead in occiput, can scarcely raise head from pillow ; all joints seem sprained.

■ Feeling as though body was overwhelmed by a disinte-

grating tendency, with sinking of all forces. BiTrembling all over; exhausted, faint. 8 a Fainting, with pain in heart, nausea, pale face, vertigo.

■ ■Muscular prostration. ^Diphtheria, ^^carlatina.

■ Heaviness and dulness in head, particularly in occiput;

sensation of heat in head; hands numb; heaviness < from motion, > sitting still; if head is placed ever so high, she thinks it too low; drowsiness in afternoon every other day; starting on falling asleep; heat in head and arms at night, with weakness in epigastrium; sleeps little, and fulness and heaviness in head are < in morning; restlessness, driving from place to place; symptoms change place; now more in 1. arm, now in foot, which is cold as ice; every cold gives her a sore throat; swelling and stiffness, painful when sw^allowing and to touch; now and then a sudden stitch in region of heart, which makes her weak ; hemorrhoidal tumors, very painful during stool; frequent urging; menses too late and profuse, with throbbing headache.

■ No sleep until after midnight; great despondency and

sadness, weakness of memory; headache in sun, with glimmering of eyes; swollen and easily bleeding gums; sore throat, with sensation of fulness, or as of a plug in throat; tonsils enlarged; constant dryness of throat; frequent entire loss of voice; burning pain in regit)n of 1. ovary, menstruation irregular; corrosive leucor- rhcea for ten days after menstruation ; everything sours in stomach, heartburn incessantly; pressing, burning pain in top of head, from within outward; dry, hack- ing cough; palpitation; constipation; cold limbs below elbows and knees. ^General breakdown after rejDeated attacks of pneumonia. ■Menstruation irregular; suppressed for eight months; swelled abdomen ; restless, nervous, morbidly talkative complaining, yet giving a very rambling account; no

LACHESIS. 618

sleep for three nights, partly owing to nervous restless- ness, partly to what she calls shivering and shaking fits which come over her; for some time sleep broken, fol- lowed by headache and despondency ; least worry and excitement puts her into heat and fever; urine scanty, high colored, offensive, passed with much pain ; bowels 1 inchned to be loose; nervous and discouraged after eating; nausea and load at stomach; dress unfast- ened and quite loose at upper part of chest, says she cannot bear it tight, nor can she bear things tight around her waist; faintness and hunger about 11 a.m. ^General prostration after childbearing. iSuddenly eyesight nearly gone; speech disturbed, after a few minutes conversation a curtain seemed to fall down in front of pharynx; teeth feel as if wedged; tongue feels scalded ; cannot yawn because of sharp pain about root of tongue; when eating fast, food stays in throat; pain over eyes and sore feeling in eyeballs; has to read and sew with glasses of an octogenarian ; bagging just in front of uvula, which is very soft and feels like pus; at apex of bag a whitish prominence, as if an abscess was about to discharge. ^Post diphthe- ritic affection.

I Lying with body and limbs doubled up; nose, ears and

forehead very cold; giddiness and blindness; skin shriveled, cold, livid; pulse thready, dying away; i-apid gaping, incessant sighing; blue rings around eyes; increasing stupor. ^Shock from injuries.

I I Awkward gait; 1. side weak. llGressus gallinaceus.

iLeft side of body numb, cold; abdomen and feet also cold; sparks before eyes; on walking feels like falling forward, pain from top of head downwards. ^Incipient paralysis.

I Progressive locomotor ataxy.

I Palsies depending on apopleptic condition of brain, ex- haustion or extremes of temperature.

I I Body when standing bends towards 1., must be supported ;

drags feet in walking, direction of steps towards left.

I I Paralysis: left sided; after apoplexy, or cerebral ex- haustion; painful.

EChild, muttering delirium; yellowish red, dry, tremu- lous tongue; moderate thirst; pulse 70; rational for a little time when awake, then subsides into delirium ; paralysis of motory nerves of 1. limbs.

I After exposure entire paralysis of both legs, cannot stand, or move legs with exception of an occasional involun- tary drawing up of toes; cough < during night and on

619 LACHESIS.

going to bed; thirst during meals, drinks much at a time; pain in spine, lies only on back at night; finally cough more severe and accompanied by fever and thirst; respiration feeble, difficult, with blueness of face; each coughing turn produced perspiration; expectoration im- possible; sleep interrupted. ^^ Sleep. I Great drowsiness.

itSleepiness without being able to sleep.

1 1 As soon as he falls asleep the breathing stops.

I I When falling asleep is awakened by tickling cough.

iCould not sleep on account of strangulation. ^Scarlatina.

I I Sleepy and weak after dinner.

■ Persistent sleeplessness.

I I In evening very wide awake and talkative; lively as soon as the gas is lit.

iSleepless: from anxiety ; especially before midnight, with talkativeness; on account of internal restlessness; ab- domen and chest seem swollen; restless and nervous, burning in soles of feet, stinging all over.

■ Afraid to go to sleep for fear he will die before he wakes. iTossing about, moaning, during sleep; children. ■Restless sleep, with dreams and frequent waking.

■ Awakens at night and cannot sleep again.

■ ■Troubles come on during sleep, and patient wakes in

distress or pain; cough, asthma or spasm.

■ Awoke in a fright about something trifling.

■ lOn waking: vertigo; dry, hacking cough; all symptoms

worse. 1 I Not refreshed after a good sleep. ^Heart disease.

■ Restless sleep, with many dreams and frequent waking.

■ Constant dreaming, frequent waking, and again dozing

and dreams, in morning is heavy and out of sorts.

1 I Amorous dreams. ^Time. Morning: unhappy and distressed in mind; great sadness; heaviness and dejection; vertigo; on rising, ^ headache over e^^es ; heaviness in occiput; vomilmg ot food and slime; epistaxis; thick, yellow discharge from nose; on awakening eyes <; pains in eye and head < ; as if she would die of exhaustion ; blowing of blood ; skiii began to redden and swell; throat >; hard cough; vomiting of bile; pain in rectum < till afternoon; ova- ritis <; difficult breathing; numbness of finger tips; aching in knees ; feels bruised.

9 A.M. : neuralgia in face begins.

Forenoon: want of appetite.

Noon till midnight: visions and delirious talk<; swollen face; erysipelas <.

Day: sleeps a minute or two at a time; symptoms > ; head

LACHESIS. 620

pains; short, dry cough; after a nap, hawking of mucus and rawness in throat; after sleeping, pains in tliroat < ; very sleepy but cannot sleep ; several attacks of nausea, with shortness of breath; sleep << pains in ab- domen; flushes of heat; sensation of foreign body in throat; constant cough ; cough <; restlessness; pain in knee; talks too much; itching in paroxysms. Afternoon: attacks of delirium tremens; headache <; soreness of vertex changes to darting; facial neuralgia goes off; tonsillitis <; fever <; dyspnoea <; violent chill; intermittent fever, < 2 p.m.

8 P.M. : coxalgia >.

Evening: vertigo; pain in back of head; bluish grey ring before eyes; wide awake and talkative; feels nearly well; pain deep in 1. ear; if anything touches throat, seems as though he would suffocate; pain much <; sensitiveness of throat < ; watery stools with burning ; cough on lying down; drawing in back and legs; trembling of limbs; violent chill; heat in hands and feet; burning in palms and soles.

9 P.M. until going to bed: nervous cough.

Night: loquacity; delirium; does not sleej); pain comes on and lasts till end of next day; short, dry cough; tearing pain in side of head < ; orbital cellulitis < ; earache in r. ear; eru[)tion beneath eye itches; itching on face; dryness in throat; comatose; very sleepy, but cannot sleep till towards morning; least touch on mouth and nose causes threatened suffocation; stools bloody and slimy; eighteen or twenty stools; constant erections; menorrhagia with chills; something runs from neck to larynx, stops breathing and awakes him ; almost safib- cated ; constant cough ; fever < ; awakens with fear of suffocation ; dry cough ; perspires very much ; restless- ness; fever and thirst; pain in wrists; sciatica in r. leg; pain in knee; constant dreaming; chills; burning in palms and soles ; heat as from orgasm of blood ; itch- ing intense ; burning in ulcers.

Before midnight: sleepless.

Midnight : became insensible ; sudden diarrhoea ; wakened by contraction of chest.

Open air: vertigo, from walking; desire for, before menses ; causes violent, tickling cough ; symptoms > ; after scarlet fever swelling of whole body ; must open doors and windows ; during suffocating attacks.

621 LACHESIS.

Draft of air: throat <.

Must sit by open window : heart disease.

In sun : headache.

Heat: headache; ulcers >.

AVarm weather : diarrhoea < ; legs burn and itch.

Warm room : chill abates.

Warmth of bed : itching of legs < ; cannot keep limbs quiet.

External warmth : desire for ; toothache > ; pains in head > ; earache > ; wants head closely wrapped up.

Hot drinks : throat symptoms < ; cause toothache ; bleed- ing of gums <•

Heat of stove: pain in hands > ; creeping sensation <.

Change of temperature : cough <.

Damp weather: cough <.

Wet weather: ulcers in throat <.

Getting wet : causes toothache.

Exposed all day to cold, wet weather, at night comatose.

Washing: pains in throat <.

Cold water: headache > ; burning in ulcer >.

Cold or warm drinks : cause toothache.

Cold weather : itching of scabs on calves of legs.

Complaints in damp, warm Spring weather. *° Fever. iShivering without coldness. ^Dysentery.

BCold shudders ascending.

I I Single paroxysms of shivering.

I I Icy coldness of feet.

DCold feet, with oppression of chest.

I Numbing coldness.

■ Violent chill in evening, chattering of teeth and feeling

as in trismus.

I I Chill in afternoon, pains in limbs, pleuritic stitches, oppression of chest and convulsive movements.

Chill runs from hollow of back upwards over shoulders, nape of neck, back of head as far as vertex, with a sen- sation as if drawn at base, goose flesh on parts affected.

E Chill: commencing in small of back; runs up back to head ; beginning across back and shoulders ; > in warm room; desires external warmth.

■Shaking chills in several attacks daily, the almost un- conscious woman is thrown about in bed. ^Puerperal fever.

I I Shaking chill for two hours. ^Erysipelas of leg.

■ Unconscious; livid face; shaking chills; skin hot or

cool. ^Metritis.

■ Rigors, nausea, subsequent fever. ^Epidemic laryngitis.

■ Wants to be near fire and lie down; heat makes him

feel >, but chill continues.

LACHESIS. 622

1 1 Child must be held firmly to > pain in head and chest and prevent shaking ; feels > if held or pressed down.

I After icy cold calves, shaking chill with warm sweat; then strumming through limbs, intermingled with flushes of heat.

I Chill and heat alternate and change place.

I Chills at night, flushes of heat by day. ^Menorrhagia.

I I Shivering during heat.

3 Heat, particularly on hands and feet, in evening. 81 Burning in palms and soles, evening and night.

I I Heat at night, as from orgasm of blood ; throat sensitive.

■ Internal sensation of heat, with cold feet. I Dry, burning skin.

I Heat: with violent headache; livid complexion ; oppres- sion of chest ; deep breathing and sleep ; great loquacity.

B Great inclination to sweat.

i Sweat: profuse, with most complaints; cold, stains yel- low; brownish yellow; bloody, staining red; between paroxysms of fever ; at night; aff'ords relief.

■ Sweat about neck after first nap. ^Phthisis.

■ ■Strong smelling perspiration in axilla, like garlic.

■ Intermittent fever ; severe pain and soreness on pressure

in region of spleen, shooting to breast or 1. side of neck.

■Intermittent fever recurs every Spring, or after suppres- sion in previous Fall by quinine; < in afternoon, 2 P.M.; face red, headache, feet cold ; talking during hot stage; excessive burning and rending pain during relapse into bilious intermittent after quinine.

■Intermittent fever in Spring or begining of Summer.

■Intermittent fever for eight years, suppressed by large doses of quinine in Summer, to return every Spring; complexion when fever was present a grey, ash color.

■ Chills for six months in Summer and Fall, suppressed

with blue mass and quinine, returned following May ; convulsions during chill.

■Sinking chills annually, in August, for nine years, has always been dosed heavily with morphine, brandy and quinine to prevent " fatal third chill ; " drenched in sweat for many days after each attack, takes months to recuperate ; fever always tertian.

iRestlessness; pain in lumbar region; constipation; tongue coated thick, brown, furrowed and tending to dryness ; soreness across bowels; chill comes on at 2.30 P.M.; body drawn up in a heap; tip of nose and ears cold and icy; forehead cold ; skin shriveled and livid ; pulse filiform, dying away; rapid yawning, incessant sighing ; dark areola around eyes, fast becoming darker as she sinks into stupor. ^Tertian ague.

623 LACHESIS.

Ilntermittent fifth day after confinement; chills daily, with great violence, for a week (sewer gas in house); inflammation of 1. ovary; shuddering; prostration; at end of fourth week discharge of pus and blood through abdominal wall.

1 1 Typhus: delirium ; tongue red or black, dry or in fis- sures, especially on tip; trembles when put out, or tip remains under lower teeth or lip.

■ Stools, with sediment of flakes of decomposed blood, hav-

ing appearance and form of perfectly charred wheat straw, in longer or shorter flat pieces, together with portions more or less ground up ; violent epistaxis in morning. ^Typhoid.

■ Alter prolonged quiet; loquacious mood; talks day

and night, if not to those in room, to imaginary per- sons ; jumping from subject to subject; desire to lie in bed with clothing away from neck. ^Typhoid.

■ Great prostration daily increasing, until twenty-three

days had passed without any crisis; complete delirium with muttering, and complete prostration ; the only position was upon back ; if placed on side rolled at once upon back ; tongue dry, black and cracked ; patient evidently sinking. ^Typhoid.

■ On ninth day, profuse, sour sweat without relief; delir-

ium ; headache ; eyes strongly injected, gaze unsteady ; loss of consciousness ; constant unintelligible mumbling; pulse hard, small, 120-140 ; tongue dry, black, cracked and bleeding, can be protruded only with great diffi- culty, then trembles ; lips cracked, black, bloody ; unquenchable thirst; hardness of hearing; abdomen soft, but in all places painful ; stools (lumpy) crum- bling frequent, yellow, orange colored, or tinged with blood; urine suppressed; profuse sweats; finally, in- voluntary escape of stool and strongly smelling ammo- niacal urine; will lie only upon back; dyspnoea and cough with copious expectoration of blood streaked mucus. ^Typhoid.

■ Case had run into fifth week, became thoroughly dyscra-

sic, death seemed imminent from asthma. ^Typhoid.

■ Typhoid fever, third week, with delirium; tongue dry,

black, cracked ; throat dry and cracked ; unable to put tongue out.

■ Muttering delirium ; yellowish red, dry, tremulous

tongue; moderate thirst ; pulse 70 ; rational for a little time when awake, then subsides into delirium ; paraly- sis of motory nerves of limbs. ^Typhoid.

■ Exposed all day to cold, wet weather; at night coma-

tose ; high fever; tongue dry, red at tip, soon becoming

LACHESIS. 624

brown in centre ; pupils contracted, then dilated ; vom- iting of greenish water; restless from colic, requiring three attendants to keep him on bed ; continually throws off bedcovers ; unconscious of external impres- sions; pulse about 120, four beats to one respiration; involuntary stools and micturition.

iFever < in afternoon, sweat without alleviation ; symp- toms < after sleep ; loss of consciousness ; muttering stupor; sunken countenance; dropping of lower jaw dry, red or black tongue, cracked on tip and bleeding in attempt to protrude it, it trembles, or tip remains under lower teeth and does not come out; dry lips, cracked and bleeding ; stools very offensive, whether formed or loose ; dyspnoea and cough, with slimy, bloody expectoration. ^Typhus.

1 1 Yellow fever : delirium at night; loquacious, disposed to quarrel ; slow, difficult speech ; drowsy ; rush of blood to head ; red face ; yellow conjunctiva ; yellow or purplish tint of skin ; blood dark, non-coaguable; small wounds bleed much ; perspiration stains yellow ; lips dry, cracked and bleeding ; tongue heavy, trembling, dry and red, cracked at tip; tip red, centre brown; difficult speech; sour eructations; heartburn; nausea after drinking; vomiting, with palpitation; dyspnoea; anxiety about heart; cannot lie on 1. side; irregular weak pulse ; urine almost black ; persistent sleepless- ness; fainting; trembling all over; sudden flushes of / heat; sensitiveness about neck and pit of stomach against any pressure; < when waking; > after nour- ishment.

I Blood dark and does not coagulate. ^Yellow fever.

■ Cellulitis, particularly of rectum and anus, with burning and blue color of skin. ^Yellow fever. *' Attacks, Periodicity. Periodic : raging through upper jaw to ear; exacerbations with chronic angina.

Attacks : of weakness, even to syncope ; of sensitiveness to touch in hands ; of itching.

After every evacuation : sore, burning pain.

Alternate: heat and chills; squeamishness and facial neu- ralgia ; diarrhoea and constipation.

After few minutes conversation : a curtain seems to fall down in front of pharynx.

At long intervals : urination.

For one hour : violent laughing.

For one hour every day : catamenial flow.

For two hours : shaking chill.

A few hours after eating : gnawing in stomach.

Every few hours or days : flow of blood from vagina.

C25 LACHESIS.

For several hours : tearing pain in head then disappears for a day or two.

For five or six hours : pain in arm and shoulder.

Several times a day : epistaxis of venous blood ; most vio- lent shaking chill.

4 A.M. : heat continues from bedtime.

] 0 A.M. : fever.

Until 11 A.M. : feels well, then faint and weak.

Afternoon : delirium tremens ; vomiting ; fever.

Evening : persistent vomiting.

2.30 P.M. : chill.

Nightly attacks : of anxiety ; hallucinations ; pain in limbs; at 10 o'clock dryness of throat and thirst ; of spasm of glottis; burning in palms and soles; burning in ulcers.

Towards morning : sweat.

First day of menses and day previous to appearance : pain.

Every day at 11 a.m. : hunger ; throat > ; violent chills.

Every day at 11 p.m. : heat and smarting in 1. throat.

Alternate nights : vomiting.

Every other day : feeling of obstruction in throat on swal- lowing ; chill ascending back.

On second or third day : threatened metastasis to meninges.

Every two or three days : acute colicky pains.

For three nights : no sleep.

Three days before menses: leucorrhoea.

Every three or four days : intense headache.

From three to eight days before menses: green, thick yel- low leucorrhoea.

For five days : sciatica.

On ninth day : profuse sour sweat without relief.

Every eight or ten days : headache.

For ten days after menstruation : leucorrhoea.

For twenty days : no stool.

Twenty-three days passed without crisis : typhoid.

For many days, after each attack of chill : sweat.

Third week : typhoid fever with delirium.

The day before catamenia : great desire to go in open air.

Every four weeks, for four or five days, nervous debility <.

For several weeks : partial deafness.

Every two or three months : menses late.

For three months : fistulous opening in fingers, during this time she suffered twice with difficulty in swallowing.

At every menstrual effort : eructations amounting to vom- iting; cardialgia; oppression of chest.

For eight months : no menstruation.

Lasting all Winter and Spring: cough.

In the Spring: toothache; diarrhoea.

VOL. VI. — 40.

LACHESIS. 626

In the Summer : toothache.

Every Spring : lower extremities covered with scales < ; intermittent fever, or after suppression in previous Fall, by quinine ; eruption.

Every Fall: eruption.

Every year : angina ; acute or chronic rheumatism ; in August, for nine years, sinking chills.

For one year: no menstruation.

Sunstroke two years previous to confinement, in bed ever since; two hours after delivery convulsions.

After twelve hours comatose.

Three years ago : after great mental emotion, sudden ces- sation of menstruation ; erratic pains in joints.

For four years : piles ; stitching, cutting pains in 1. breast.

For eight years: intermittent fever.

For ten years: constipation.

Eighteen years' standing : dysmenorrhoea.

For last twenty years : eruption on 1. forearm and on 1. lower abdomen.

For years : violent pains over 1. groin ; succession of carbuncles. ''^ Locality and Direction. Right: pain in side; oppressive pain < on side; partial paralysis; semi-lateral head- ache; as if part of side of head was cut off; soreness of vertex to side of head ; pricking pain in limbs ; se- vere pain commencing in inner canthus, extending to superciliary ridge; jerking in eye; sticking, drawing pain in eye ; pain in ear > lying on side; pain as if something was lodged in side of throat; stitch in side; feeling of obstruction in throat; pain in side of throat ; tonsil swollen; uvula clinging to tonsil; makes odd motions with arm ; as if something was lodged in side ; as of a ball rolling from side to stomach ; tearing in ab- domen; cutting in side of abdomen ; pain from lumbar region through sacrum ; violent pain over groin ; swell- ing of ovary ; pain in ovarian region ; ovary size of a fist; induration in ovarian region; fungus haematoides on mamma ; lung affected ; must lean to side to > pain in chest; stitching pain through side of chest; dyspnoea < ; lying on r. side weight of 1. arm is painful ; dilata- tion of ventricle; stiffness of neck on side; stinging in arm; side of back swollen ; pain in shoulder joint; sore- ness of shoulder; makes odd motions with arm; livid swelling of back of hand and fingers ; index finger atro- phied ; leg oedematous ; sciatica in leg ; knee as if sprained; ulcer on leg; pain in second toe of foot; stitching pain in side of chest; thick patches of exan- them on side from spine to sternum ; immense carbuncle side of spine; rheumatism commences.

C-7 LACHESIS.

Left: pain in temple; body bends toward direction of steps ; apoplexy on side ; falling to side from vertigo ; pain in side; pain over eye; drawing pain in temple' headache in frontal eminence; neuralgia on side- tear- ing pain in whole side of head ; pain behind ear ; numb- ness and crawling on side of head; painful sensitive- ness in temple and in half of face; discharge from nose; pain in eye; orbital neuralgia; tearing pain in head ' tongue inclined to side; tearing pain in malar bone and parts under eye; side of face and lower jaw swol- len; uncertain numb feeling in head; painful inflamma- tion of eye; dry wax in ear; sensation of numbness down cheek; pain deep in ear; erysipelatous eruption beneath eye; erysipelas began close to side of nose ex- tending up and down side of face up as far as eye ; tongue sore on side; soreness in side of throat; heat and smart- ing side of throat ; inflamed swelling side of throat ; tonsil swollen; pain shoots from tonsil to ear; abscess i'n ton- sil; numerous white spots on pale red surface in throat; yellow white membrane on tonsil ; pain and soreness begui on side of throat; inflammation and membrane begnming on side; diphtheritic spot as large as a pin- head on tonsil; side of throat several white exudate spots ; tonsil one complete black slough ; pain in hypo- chondrium; pain in side of abdomen; tenderness in ihac region; fibrous tumor in groin; dropsical enlarge- ment of side and leg; pain in ovarian region; ovarian neuralgia; swelling, induration and other anomalies of ovary; sharp, shooting pain in ovary; suppuration m ovary; enlargement of ovary ; ovarian region hard; menstrual colic beginning in ovary ; pains in breast ; pain in axilla; painful weakness and lameness in shoul- der and arm; convulsions on side of face; pain in tragus ; lung impervious to air; soreness, tenderness and sensation of weight in ovarian region; stitches in side of chest; dyspnoea; hepatization of lung; constant pick- ing and boring of nostrils; no respiratory murmur in posterior superior half of lung; dulness in infraclavic- ular region; lying on side causes pain at heart; weight of arm on side is painful; hypertrophy of ventricle; lying on side with head high > suffocating; burning pain below nipple; swelling on neck; abscess near clav- icle; abscess on side of neck; lameness in shoulder; weakness of arm and shoulder; arm nearly double its size; tingling and pricking in hand; shooting from hip to foot ; knee as if sprained ; near knee joint a bunch of varicose veins ; sore place below lower edge of pa- tella; hard red patch with scabs on calf of leg; flat

LACHESIS. C28

ulcers on leg ; swelling of leg and foot ; rheumatism < side ; side weak ; side of body numb and cold ; paralysis of motory nerves of limb; severe pain shooting up side of neck; veins in whole side of thorax up to throat much dilated; eruption on forearm and side of abdomen ; index finger quadrupled in size; hand and forearm much swollen ; side partially paralyzed ; granular swell- ing on side of throat; parotid enormously swollen; flat open ulcers on leg; paralysis of leg; sensation absent in arm; side of pharynx sore.

First r. then 1. : semilateral headache ; tonsils affected.

From above downwards : violent pressure in head ; stitches in kidneys; pressure from loins; pain from top of head.

From below upward : stitches in spine.

From below upward and backward : tearing pain in rectum.

From without inward : pressing in head.

From within outward : tearing on top of head ; violent pressing, burning pain in top of head ; puffing pressure inchest; cardiac pressure.

From 1. to r. : pain in throat; diphtheria developed ; dis- charge from nose; legs oedematous ; erysipelas spreads ; ulceration in throat; ovarian tumors; rheumatic pain.

Changes locality : rheumatic pains ; sciatica. *^ Sensations. Sensation as if she was somebody else; as if frightened by visions behind him ; as if knives were being thrust into brow; as if brain would burst skull ; tongue as if bound or tied up; as if a part of r. side of head was cut off; as if swollen in angle in front of styloid process; back of head as if pressed asunder; as if skin had been burnt by heat of sun ; flickering before eyes as from threads; stitches as from knives in eyes; as if a thread was drawn from behind to eye; eyes as if they had been taken out, squeezed, and then put back again ; as if eyes were forced out, when throat is pressed ; whizzing as from insects in ears; ears as if closed from within; as if had moustache of ice; ears as if stuffed up; as if tonsils were sore like a wound; as if sore; skin as if it would crack ; submaxillar}^ joints as if swollen; teeth as if too long; as if tongue was going to peel; as if mucous membrane was peeling off; as if desquamation was about to take place in velum palati; as though he would suffocate; as if every- thing was raw in throat; as if parts of throat were swollen ; as if a small crumb was lodged in throat ; as of something in throat to swallow ; as if lump, ball or button in throat ; distressed as if from loss of breath ; as if something was lodged in r. side of throat ; throat as if tied ; feeling like a snake in throat ; choking like

629 LACHESIS.

a ball ; throat as if ulcerated ; sticking as of a thousand needles in throat; as if two lumps as large as fists came together in throat; throat as if sore ; throat as if raw ; as if fishbone had stuck in throat; as if a sponge was hanging in throat ; as if he could hawk it up ; as if there was a small dry spot from which pain extended to ear ; as if he had had a blow on neck ; as if a thick substance was in throat; feeling of large lump at back of throat; as if some one grasped him by throat; retches as if to vomit up lump; uvula looked as if squeezed and crowded, back ; as though some one was pressing wind- pipe between thumb and fingers; odd motions with r. arm as if reaching for something ; teeth feel as if wedged ; tongue feels as if scalded ; pain in liver as if ulcerated ; as if something had lodged in r. side ; as if a ball was rolling from r. side to stomach ; as if a knife was thrust through abdomen ; griping as though about to have diarrhoea; as if feces ascended to chest; throb- bing as with little hammers in anus ; as if from suppu- , ration under ribs ; arms feel as if closed ; as of plug in '[ anus; as if sphincter was torn with effort; as of a ball rolling about in bladder or abdomen ; uterine region as if swollen ; as if a knife was thrust into abdomen ; uterus feels as if os was open ; as if everything would issue from vulva; as if pains from uterus and abdomen ascended, toward chest; as if everything was being pressed out ; as if bowels were cut with kilives ; as if a stricture was in rectum ; as if heart was hanging by a thread, and every beat would, tear it off"; as of a skin in larynx ; as of talons sticking into larynx ; as of a small lump in pit of throat, like a button ; as if a large mass of mucus had accumulated in throat ; choking as if suf- focation was inevitable; as if something was in trachea which might be raised; chest as if stuffed; as though clothes hindered circulation; as if lungs were being pressed into throat; as though a cord was tightly tied around neck; as though heart turned over and ceased beating for a moment; as if some fluid had gone into wrong passage; as though there was an ulcer in stom- ach ; as if lungs were pressed up into throat; as if chest was full of wind ; chest as if sore ; like coals of fire from chest through to shoulders ; as if heart was too large for cavity ; as if heart was pressing against side or had not free play ; as if heart intermitted a single beat ; heat as from a hot stove on outer chest ; burning as if in flesh of chest ; as if r. arm had gone to sleep ; back as if lame and weak ; as if sinews in sacrum were too short ; as if sitting on something sharp ; small of back as if sprained ; wrists

LACHESIS. 630

as if sprained; bands cold as if dead ; as of a hot iron from hip to foot ; thighs as if swollen ; as of a sprain in r. knee; as if hot air was going through knee joints; 1. knee as if sprained ; as if burnt in different places on tibia; burning as from fire in hypogastrium, loins and sternum ; crawling as if asleep in arm and leg ; as if epi- thelium w^as peeling off gums; as of a plug in throat; teeth feel as if wedged ; tongue feels as if scalded ; head as if drawn at base; skin around carbuncle as if too short ; as if flesh was being torn from bones.

Pain : in 1. temple and occiput ; in forehead ; in back part of hip and 1. side; region of spleen; over eyes; lop of head; in 1. ovarian region; from superciliary ridge to occipital protuberance; deep in orbit of eyes; in 1. side of abdomen; in back of head; in eye; deep in 1. ear; in ears; in limbs; in stomach; in throat to nape of neck; on swallowing; in small spot in throat at one side of larynx ; in top of throat; in 1. side of throat ex- tending to tongue, jaw and ear; in epigastrium ; as though something was gnawing in stomach; in liver; in 1. hypochondrium ; in abdomen; in region of cae- cum; from r. lumbar region through sacrum and in- guinal region and forepart of thigh ; in rectum ; in r. ovarian region ; in uterine region ; in hypogastric re- gion ; in stomach; from 1. breast to axilla down arm to hand ; down arms ; in pit of throat to root of tongue and to hyoid bone and to 1. tragus, behind which it shoots out; in 1. chest; pain in hemorrhoidal tumors; inchest; in heart; in nape of neck to distraction; in small of back; in coccygis; in os sacrum; in spine; in r. shoulder joint; in wrists; in wrist joints; in one small spot under shoulder ; in red streak that ran up from wrist; changing locality, now in head, now in teeth, now in sciatic nerve; in thighs ; in legs; in knee ; in a sore place below lower edge of patella; in second toe of r. foot; in joints.

Sensitiveness of internal and external parts.

Intolerable colic.

Tension: from neck to eyelids; and thread, along arms and legs ; in external parts.

Ulcerative pain: in internal parts.

Burning as from fire: in hypogastric region; in loins; be- hind sternum.

Agonizing pain: in back when rising from seat.

Intense pain : in head ; down neck ; in 1. eye ; in thigh ; in arm and hand.

Violent pain: in head; in throat; over r. groin, extend- ing either to genital organs or to liver and chest.

€31 LACHESIS.

from wrist to elbow. Raging: in roots of lower teeth.

Cutting, lacerating, burning pains: in abdomen. Acute cutting, stinging pains : radiating from navel over

upper portion of abdomen. Cutting: in head; in teeth; in r. side of abdomen; in

Throbbing pain: in temple; in vertex: in head; in jaw- bones ; at outside of wrists.

LACHESIS. 632

Darting: from throat to occiput ; inarm.

Hammering: in head.

Pulsating pains: in teeth. •«

Thrilling pain : at root of tongue.

Neuralgia: 1. side orbital ; horrible of trigeminus; in face;

eminence; r. side of head gradually going to 1.; across

loins; from occiput to eyes; in r. ear; in small of back;

in thighs anteriorly; in branches of anterior crural

mouth ; in rectum ; in 1. ovary ; in wrists. Burning heat : in epigastrium ; in hypogastric and lumbar

regions; from hip to foot; behind sternum. Stinging: through ears ; in throat; in r. side; in r. arm;

face; of tongue and lips; of swelling of throat; in

anus; in rectum; when urinating; in chest; in icy cold

hands; in finger ends ; in hands; terrible deep in hand;

regions. Heavy pain : in forehead to back and all over head.

633 LACHESIS.

Dull pain: in forehead; in legs; over and in eyes; in bladder.

Pressing pains: in eyes; in umbilical region; in 1. ovary; from loins to privates.

Tensive pain: from neck over head to eyes; in 1. ovary.

Drawing pain: in 1. temple; from eyes to occiput; in jawbones; in teeth; from anus to umbilicus; in ova- rian region ; intolerable in small of back and down into legs ; up back ; from back to hips.

Spasmodic pains: in anus internally ; in heart; in elbow.

Throbbing: in anus; in rectum.

Soreness: of neck; at vertex; of mouth; in throat; of nostrils and lips ; of internal nose ; of internal throat ; in 1. side of throat; of external throat; about pelvic re- gion ; of larynx ; of r. shoulder.

Soreness : in region of spleen ; across bowels.

Sore feeling : in eyeballs.

Scraping: in throat.

Rawness : of throat.

Bruised feeling: in hips.

Painful pressure: in rectum; when making water.

Gnawing pressure : in stomach.

Laborlike pressure : irom loins downwards.

Violent pressure : on top of head ; in stomach.

Pressure: in orbits; in stomach; severe in a small spot between epigastrium and navel; in bowels; upon bladder.

Oppressive pain : in one or other temple; in chest.

Painful contraction : in throat.

Painful sensitiveness: in 1. temple, from vertex down and in 1. side of face.

Great sensitiveness: of lower abdomen.

Tenderness: of scalp; in 1. iliac region; in epigastrium; in whole spine ; of body.

Peculiar painful sensation of weakness and lameness: in 1. shoulder and arm.

Distress : at stomach.

Painful weariness : of face, neck and head.

Extraordinary weakness : diphtheria.

Weak feeling: in abdomen; in knees; in 1. shoulder and arm ; in legs.

Sinking, fluttering feeling: in epigastrium.

Uneasiness: in lower limbs.

Contractive tightness: in region of liver; in abdomen.

Throbbing, choking sensation : in throat.

Choking sensation: in throat.

Sutibcative sensation: in throat.

Dry, stuffed feeling : through whole front of head.

Stuffed feelinjj: : in ears.

LACHESIS. G34

Feeling of obstruction : in throat.

Smothered feeling: in chest.

Strumming: through limbs.

Twitching: in eyes; of hands.

Jerking : in r. eye ; in lower teeth ; in teeth ; from thighs to genitals; in legs.

Trembling: in whole body; of limbs and internall}^; of tongue.

Pricking: in 1. hand; in finger ends; in extremities of fingers.

Crawling: on 1. side.

Titillation : behind sternum.

Tickling : after blowing nose ; at root of tongue ; in throat ; in pit of stomach; from thighs to genital organs'; in larynx; in pit of throat and sternum.

Tingling ; in 1. hand ; in toes.

Dryness : of mouth ; of throat.

Weight: in head; on vertex; in bowels; in 1. ovarian re- gion; on chest.

Heaviness: of head; in occiput; in stomach; in region of liver.

Confused feeling: in head.

Full feeling: of chest.

Fulness: in throat; in head ; in region of liver ; in bow- els ; in trachea ; at heart.

Dull oppression : in breathing.

Oppression : of chest.

Constriction: of anus; in rectum; of throat; of chest;- about heart.

Dulness : in occiput ; in 1. infraclavicular region.

Paralyzed feeling: in thigh after pain has gone.

Lameness: in 1. shoulder.

Numbness: in occiput; of 1. side; about ear and cheek; of arm.

Numb feeling: on 1. side of head; about head.

Stiffness: of neck; in malar bone; of knees; painful from loins down into thighs; in sacrum; in knees.

Emptiness: of stomach.

Coldness: over whole body; of limbs; of upper lip.

Itching pain : in 1. ovary.

Itching : of scalp ; of eyes ; of eruption under eyes ; of lower lid; of facial erysipelas; of face; of rectum; of anus; on arms, hips and lower limbs; in hands; in different places on tibia ; of eczema on legs ; of feet and ankles ; of pustules in palms of hands ; in internal parts. ** Tissues. I Emaciation, with muscular relaxation ; skin and muscles lax.

I Great tenderness of all flesh ; it is exceedingly difficult to

g35 LACHESIS.

handle the child at all ; the least touch seems to hurt it, and to leave a deeper blueness, like a bruise.

II Hemorrhages, blood dark, incoagulable; typhoid.

I a Affections produced by blood poisoning; pyaemia.

I Venous stasis with a direct paralytic-like affection of

medulla spinalis combined with general anaemia.

I I Bluish color of affected parts ; cyanosis. I Small wounds bleed much.

■ Purpura. (^Scorbutic purpura.

I Inflammation of internal organs with suppuration.

I Veins on whole 1. thorax up to throat much dilated. iMenopausia troubles, especially when capillary circula- tion is affected.

I I Dropsy; froni liver, spleen and heart disease; after scarlatina; urine black, legs oedematous, first 1. then r.

II Cellulitis, with burning and blue color of skin.

llUlcers sensitive to touch; ichorous, offensive discharge; many small pimples surround them ; areolae purple ; > from warmth.

1 1 Gangrene, or carbuncles from blood poisoning.

I Malignant local inflammations, with secondary blood in- fection and nervous prostration.

I Circumscribed gangrene; idiopathic and traumatic; of

tongue ; of foot.

I I Suppuration, particularly in internal parts.

■Traumatic gangrene, restores vitality to parts appar- ently dead and induces renewed circulation without slougfting.

1 1 Malignant pustule.

1 1 Sphacelus.

liGangrena senilis.

I Melanosis, colloid and encephaloid cancer; violent burn- ing, gangrenous spots.

lUlcers and wounds bleed readily and profusely. '" Touch. Passive Motion. Injuries. Touch : cannot bear shirt or neckband on throat ; can scarcely bear clothes to touch lower abdominal region ; temple sore; on throat causes darting; face sensitive; lower jaw sensitive; throat swollen and sensitive; pit of stomach sore; liver sensi- tive; stomach sensitive; slightest, causes excruciating pain in abdomen ; ileo-csecal region sensitive ; uterine region sensiti-ve; womb sensitive; nipple sore; a spot on anterior portion of neck tender; larynx sensitive; pit of throat painful; neck sore; on larynx causes suf- focative attacks ; on throat causes cough; infraclavicu- lar region sensitive; nape of neck painful; shou der and arm sensitive; hands sensitive ; ulcers on legs bleed and burn ; ulcers sensitive ; produces black and bluish spots.

LACHESIS. 636

Taking hold of throat causes nausea.

Cannot bear bonnet strings tied tight.

Does not like hair touched.

Hernia will not admit handling.

Pressure: bursting pains in temples; pain in front of styloid process <; on throat causes sensation as if eyes were forced out; on throat causes severe pain; pain in r. ovary; tumor in breast painful ; larynx sore; cough <; on larynx causes cough; capillaries fill quite slowly; nape of neck sensitive; of finger on spine oi" neck sends pain to brain ; on dorsal spine sends pain to stomach; swelling on hand sensitive; toe painful.

Cannot bear pressure: about neck, hypochondria, abdomen, stomach and 1. iliac region.

Abdomen sensitive to weight of clothes.

Uterus does not bear contact and has to be relieved of all pressure; frequently lifts clothes, they cause uneasiness.

Feels > if held firmly or pressed down.

After scratching at night on calf: an ulcer.

When effort is made to lift or move babe it cries out.

Shock from injuries.

After a fall: ulcer on r. leg, with varicose swelling.

After running nail into foot: small ulcer.

■ Gangrene of hand, ten days after a bullet wound in hand.

■ Wound in hand from explosion ot a pistol; fifth day

gangrene.

■ Hydrophobia.

■ From dissecting wound in finger that member very much

swollen, hand and forearm much swollen and oedema- tous; a hard red line extended from wrist to axilla; axillary glands swollen; arm and hand intensely pain- ful; whole 1. side partially paralyzed ; extreme prostra- tion; low muttering delirium at night; marked aggra- vation on waking; abscesses formed under deep fibrous tissues of finger and hand.

■ Dog bite (seven cases) ; in two adult males who used alco-

holic drinks there were shudderings and flushes of heat at intervals of a few weeks for two years.

■ After compound fracture of leg six or eight gangrenous

■ Gangrene of finger which had been mashed; on fourth

day after injury shooting pains from finger to wrist and up arm; on fifth day fetid odor and some grey

637 LACHESIS.

blisters indicated gangrene ; next day line of demarca- tion formed entirely around finger ; patient restless, cheer- fal beyond reason ; by twelfth day all traces of gangrene had disappeared ; no tissue lost by sloughing. A man a week ago was struck by corner of a heavy box on inner surface of leg and cutting down into calf; leg much inflamed; leeches were applied; severe chill; since chill nothing has remained on his stomach ; severe pains set in, whole of wound and two leech bites gangrenous ; very severe headache ; breath very fetid ; sleepless, his shining eyes constantly in motion; tongue trembling; pulse 110, small and irregular.

■ Elderly lady was bitten by a pet cat through ball of

thumb ; whole hand and arm swollen and painful ; thumb suppurated and for months resisted all efforts to heal. ^Carbuncle.

■ Bedsores in typhoid fever; ulcers red and inflamed, with

black edges.

■ Small wounds bleed much.

■ Old chronic flat ulcers on lower limbs, with discolored

areolse. ^'^ Skin. ■Itching over whole body, burning; yellow or pur- plish blisters; scabies.

■ Itching intense, almost driving to distraction, mostly at

night, but also by paroxysms in daytime; often chang- ing to a severe, burning stinging sensation. ^Pustular eruption. QSkin dry and burning. ^Diphtheritis. ^Scarlatina.

■ Jaundice. ^Hepatitis. (^Typhoid, I I Red lumps and tubercles.

I iRash all over; small smooth spots size of a needle point. I I Yellow, red and copper colored spots.

■ Ecchymosis; purple or black spots.

■ ■Purpura hsemorrhagia.

■ Bluish black swellings; dark blue blisters.

■ Body covered with bluish red eruption, round and ele-

vated. ^Diphtheria.

■ Child, get. 1, had gums lanced, bled five days, finally flow

arrested, but child became cachectic and dropsical; black and blue spots appeared all over him ; least touch or pressure produced them ; much < after sleeping ; ex- treme deathly paleness. I I Small reddish spots on face, neck and arms.

■ Miliary eruption; rash appears slowly or turns livid or

black; comatose.

■ High fever ; stitching pain on r. side of chest and back ;

thick patches of exanthema on r. side, from spme to sternum, and from fifth to ninth ribs; at first erup-

LACHESIS. C38

tion vesicular, then pustular; whole surface of skin occupied by eruption, very red and swollen, especially intense around margin of each patch; high fever, ady- namic in character, slight morning remission ; on fifth day pains in back unbearable; several groups of pus- tules near spine have a hemorrhagic appearance, gradually spread from one group to another until it reached axillary line; sufferings of patient almost un- endurable; will take no food except a small quantity of soup and wine; great prostration from loss of sleep, from pain. ^Herpes zoster after external application of Rhus tox.

iFor last twenty years, eruption on 1. forearm and on 1. lower abdomen; eruption begins as a small boil which disappears, leaving a dry, scaly, itching eruption; then other boils appear successively, all going through same process; this goes on until most space between elbow and wrist, and a space as large as palm of hand on lower abdomen is covered with itching dry eruption ; > for a few weeks, when little boil reappears and same process is gone over.

I I Old reddish herpes, with thick scurf in region of whis- kers ; reappearance of suppressed herpes in face.

iPale, chlorotic, emaciated ; blackish or bluish blisters with sanious, fetid contents. ^Herpetic ulcers.

■Vesicles large, usually of yellow color first, and then turn- ing dark with much pain ; vesicles break and leave an excoriated surface, which burns when touched; erup- tions every Spring and Fall; < from acids. ^Herpes.

1 I Vesicular eruption, with a red crown.

I I Red spots, with vesicles on fingers and thighs.

I I Eruption of yellow or purplish blisters.

1 1 Bullae dark from bloody serum within. ^Pemphigus. 1 1 Gangrenous blisters.

■ New pustules and at same time many of older ulcers and

scabs surrounded by blue halo; veins of legs enlarged from pregnancy, unusually blue and knotty, almost ap- pearance of incipient gangrene ; itching, burning and stinging pains.

■ Pustules size of pea to five cent piece, on back, legs and

particularly about ankles; isolated pustules, rapidly filled with sero-purulent matter and surrounded by an inflamed halo came in small crops ; these pustules soon dried into hard, dry scabs easily knocked off, leaving red moist surfaces sensitive to contact with atmosphere or bedclothes.

■ Confluent smooth, round, white pustules of size of a mus-

tard seed in palms of hands; they contained a white fluid and itched intolerablv.

639 LACHESIS.

Ilndex finger of 1. hand quadrupled in size; hand and forearm mucli swollen and oedematous, a hard red line extending from wrist to axilla; axillary glands swollen ; arm and hand intensely painlul; whole 1. side partially paralyzed; extreme prosliation, causing disease to be at first mistaken for typhus, low muttering delirium at night; marked aggravation of suffering and prostration on awaking from sleep; abscesses forming under deep fibrous tissues of finger and hand. ^Septitsemia, result of dissecting wound.

■ Swelling assumes a purplish hue, and patient commences

to be delirious as soon as he closes his eyes; bloated red face, attended by heat; coldness of extremities; tend- ency to faint, with numbness; swelling of part is not great, but firm ; suppuration occurs in spots, does not discharge, but dries up into cheesy mass, which is revealed by skin covering it drying up and peeling oft'; sometimes bullae containing dark colored serum. ^Ery- sipelas.

■ Erysipelas contracted while dissecting; has been sick a

week; face swollen, bluish red, or leaden hue; tongue dry, glossy, tremulous; < from weight of clothes, from noon until midnight.

■ sDark red, very large and thick swelling, soft as dough

when touched.

■ I Varicose veins ulcerate.

■ Bedsores in typhoid fever; ulcers red and inflamed,

with black edges.

■ Furuncular formation, generally upon lower lip, at-

tended with severe pain and frequently surrounded by erysipelatous areola; rapid and excessive loss of strength, reduced from vigor to absolute prostration within twenty- four hours. ^Epidemic malignant pustule.

■ Bluish color of pustule, and red streaks along lymphatic

vessels. /^Malignant pustule.

■ Immense carbuncle, six inches in diameter, appeared in

dorsal region to r. of spine, attended with rigors, noc- turnal sweat, fever and prostration. ^'After bite of a cat.

■ Dark redness around sore, which discharges dark, bloody

pus ; tension of skin around carbuncle, as if too short ; nightly burning in ulcer, obliging one to rise and wash it with cold water. ^Anthrax.

■ Black and blue spots ; ecchymoses all over body; least

touch or pressure produces them ; tenderness of body ; deathly paleness of face; < after sleep. ^Anasarca.

■ After scarlet fever, upon going out into air before des-

quamation had occurred, swelling up of whole body, scrotum as large as child's head, urine diminished, res-

LACHESIS. G40

piration oppressed ; on 1, side of throat glandular swell- ing, extending up behind ear.

llnflammation slow; skin over dead cellular tissue little disposed to ulcerate, and w^hen finally perforated in three or four places, discharge scanty, thin, sometimes bloody; great prostration. ^Carbuncle.

■Man, had suffered for several years from a succession of carbuncles and indolent boils; lately four successive carbuncles, none of which ran a complete course ; after each of these carbuncles patient's health deteriorated, until, after last, took to bed, with hectic fever; an ab- scess deep in adductor muscles of thigh being opened, discharged about a quart of pus; formation and discliarge of pus continued profuse; patient rapidly growing feeble, with severe hectic; loss of appetite; great local suffering. ^'Carbuncle (seven weeks afterwards remnants of four carbuncles inflamed, abscesses formed and sloughs were discharged ; abscesses occurring in inverse order of original appearance of carbuncle).

■ Purplish color of affected part; erysipelas spreads from

1. to r. ^Erysipelas neonatorum.

I iMarked swelliug and redness of throat, with difficulty of swallowing, elevated papillse on tongue, severe pain in head, flushed and turgid appearance of face, great rest- lessness, eruption of miliary character, or when it fails to come to the surface. ^Scarlet fever.

llSore throat and great difficulty in swallowing ; fever; pulse 120, quick and small ; throat sore to touch exter- nally ; as yet no eruption. ^Scarlet fever.

■ Pleuritic, pericarditic and general dropsy in delayed des-

quamation, with great prostration. ^Scarlatina.

■ Scarlet fever and scarlet eruptions, with swelling of cervi-

cal glands, black lips and reddish tongue.

■ I Throat symptoms assume a virulent character; signs of

blood poisoning and prostration. ^Scarlatina.

■ Lies on back with open mouth; 1. parotid enormously

swollen; tongue dry and loaded with drying, offensive mucus, extending back upon pharynx, obstructing passage of throat; nose stopped with bloody mucus, hav- ing dried down, thoroughly impacting both nasal pas- sages, high up; eyes turned back; could not be aroused in least from most profound stupor; pulse compressible and small. ^Malignant scarlatina.

■ Cankerous ulcers spread from mouth to near chin, with

sanious discharges from nostrils and throat; constantly recurring spasms of almost entire muscular system ; vibratory movements in spasms, short and tremulous. ^Scarlatina.

641 LACHESIS.

llScarlatina maligna, advanced stages, typhoid states, threatening gangrene; destructive decomposition of both fluids and solids.

I Boy, set. 9, had scarlet fever under allopathic treatment, survived swelling on 1. side of neck followed, which sup- purated, abscess opened with lancet, afterwards boy declined in flesh, strength and appetite; much ex- hausted; face pale, dirty, dingy; puffy, no appetite; rest- less, hot, dry skin; peevish and whining; abscess dis- charging foul and copious pus; very sensitive to all motions of head ; a large cavity, no appearance of healthy granulations; pulse 140 and small; motions of jaw in masticating solid food could not be borne.

BAlternate deUrium and stupor; irrational, slow mutter- ing dehrium; pulse soft, wavy, quick; calor mordax; respiration attended by moaning; rapid, whistling; oc- casional single cough ; grasping at throat, as if to tear away clothing from it; pupils widely dilated; urine scanty, constipation; countenance cadaverous; breath putrescent. ^Repercussion of measles.

I Girl, set. 9, had, during previous winter, scarlatina very severely; it left her delicate and deaf; was ex- posed to measles; six days after, rash appeared with a copious discharge from ears; two days later, discharge suddenly ceased and rash disappeared; immediately be- came feeble and prostrate; wild, muttering delirium; great thirst, drinking little at a time; singularly biting heat of skin next day; pulse soft, wavy; hardly to be counted; calor mordax; moaning respiration, rapid, whistling; occasionally a single cough with a moan after each cough, and a grasping at throat, as if to tear away clothing from it; pupils widely dilated ; no stool for two days; urine scanty and seldom passed; countenance ca- daverous; breath putrescent.

I Livid eruption ; countenance almost black ; tongue coated

dark brown, sordes on teeth, inability to protrude tongue. ^Measles.

I I Black measles.

I Itching on whole body, hands and feet; after burning pains there appeared vesicles, with much itching, throb- bing, heat, there formed a diffuse, red swelling, some vesicles as large as a nut, at first filled with water, but afterwards containing pus; a good deal of inflammation about parts; some pustules dark blue, with burning, throbbing pain in swelling, as if flesh was being torn from bones; pains attack head, teeth, breast, back; severe, burning pain in head, causing sense of sickness and nausea; throbbing in head at every movement; stu-

VOL. VI. — 41.

LACHESIS. ' 642

pefied sleep after attacks ; pains < at night ; constant thirst but drinking makes her sick; sometimes itching goes off, tlien she is short of breath and full of anxiety. ^Itch. lAfter scratching at night on calf, an ulcer size of a dollar, discolored, very painful.

■ Peculiar bluish red or livid appearance of ulcers.

I Malignant ulcers; bleed readily; discharge bad smelling ichor; deep, filthy suppuration; gangrenous; indolent, with blue color.

■ Flat open ulcers on 1. leg, with erysipelas.

llUlcers, surrounded by pimples, vesicles and smaller ulcers.

lAreola of ulcer assumes a bluish color. ^Sycosis.

1 Ulcer dried up by washes; on taking cold a few weeks after her entire foot and ankle broke out into small ulcers, resembling original sore ; great pain in ulcers; itching of feet and ankles, almost unbearable ; leg < after sleep and > from warmth. ^Indolent ulcer.

■Chronic indolent ulcers of legs, flat, with purple skin; many small sores around main ulcer, which has an un- even bottom, burning and bleeding, even when lightly touched; ichorous, offensive discharge.

■ Ulcers small and scattered about upon neck and face.

■ Skin around ulcers and wounds is yellow, green, lead

colored, bluish red or black. ■Superficial ulcers, foul at bottom, with red crowns.

■ Brownish red areola about ulcer became blackish blue.

■ Flat ulcers with a bluish white base.

■Spreading, superficial, shallow ulcer; paralysis of 1. leg.

■ Burning in ulcers at night.

■ Chronic indolent ulcers, with an uneven bluish bottom

and offensive odor. ■Painful ulcers, sometimes with proud flesh.

■ Pain in old cicatrices of ulcers; old red scars reopen. ■Spongeous ulcerations of syphilitic origin. ■Cancerous ulceration, putrefaction, flesh falls off piecemeal. I I Boy, set. 10, large sore on centre of forehead, covered

with a hard black, scab, tissue around hard and in- flamed ; puffy sweUing extended down on both sides of neck, which was much swollen, as were his lips; on taking a swallow of water grasped throat and evinced greatest pain; face very red but mottled white; ears burn- ing hot to touch yet pulse but 85, irregular and softish ; picked at hair continually; every few minutes twitch- ing of arms ; throat swollen and red ; next morning ton- sils covered with dirty white membrane; in evening abundant scarlet rash ; bleeding of dark blood from nose and mouth.

643 LACHESIS.

I I Chronic ulcers of legs (probably of syphilitic origin) ; discharge ceased, extremity cedematous; a hard, slightly red swelling, extending up course of principal veins; great and sudden prostration ; low muttering delirium, general typhoid symptoms. ^Secondary phlebitis.

liCarbuncles, with purple surroundings and many small boils around them; must rise at night and bathe to allay burning; also when suppuration is tardy and systemic weakness obtains; cannot bear bandages.

I Malignant furuncles, very painful, turn blue and spread.

llSore spots become fungoid, dark red to brownish, with whitish spots; burning on wiping.

B I Fungus hsematoides.

I Spots yellow, green, red, lead and copper colored, pale, livid.; hard and pale swelling; ulcers surrounded by nodes and vesicles ; muscles fall off in shreds from bone; loss of sensation; toes fall off. ^Leprosy.

I I Sensation absent in 1. arm ; toes fall off; 1. side of phar-

ynx sore, with suppurating ulcers ; menstruation alter- nately profuse and absent. ^Leprosy.

I I Bedsores, with black edges.

I Scars redden, hurt, break open and bleed.

I Warts. "^ Stages of Life, Constitution, i Affections of meagre, weak, melancholy persons, or of those who are chlorotic, with sickly complexion; women at climacteric period, with frequent metrorrhagia and hot flushes, burning vertex, headaches, pain in back, or hot flushes by day and cold flashes by night, insomnia, < in afternoon, evening and after sleep; throat diseases commence on 1. side — rheumatism on right.

B I Better adapted to thin and emaciated than to fat per- sons; or adapted to those who have been changed both mentally and physically by their illness.

OSuits people with a vivid imagination.

D Melancholic or choleric temperament, with phlegmatic constitution; with dark eyes and disposition to lowness of spirits and indolence.

I Bilious temperament.

I I Women of choleric temperament, freckles and red hair. I Dark eyes, disposed to sluggishness and indolence.

■ iClimacteric ailments; hemorrhoids, hemorrhages, hot

flushes, burning vertex headaches ; especially after ces- sation of flow. I Women who have not recovered from change of life, " have never felt well since that time."

■ Drunkards; headaches, hemorrhoids; prone to erysipela-

toid inflammations.

LACHESIS. 644

lanced, obstinate hemorrhage ensued, which was finally

of lungs. Boy, set. 4; diphtheria. • Boy, set. 5, attends school, previous good health, suffering

six weeks; brain irritation. Girl, set. 5, dark straight hair and blue eyes, when two

years old had caries of dorsal vertebrse ; paralysis of

legs and chest affection. Boy, set. 5, in good health and spirits, has abscess on wrist;

and cheerful when well, after having ears pierced ;

chorea. Girl, set. 9, a few months ago had scarlatina, which left

her delicate and deaf, nine days ago exposed to measles,

two days ego rash appeared along with copious dis-

645 LACHESIS.

charge from ears, now rash and discharge both disap- pear; repercussion of measles.

Girl, set. 9, frightened when three years old by snake; affection of mind.

Boy, sdt 9, fair skin, dark eyes, short stature, well devel- oped, healthy; after scarlatina abscess on 1. side of neck.

Boy, «t. 9, pale, weakly, subject to epileptiform spasms; diphtheritis.

Girl, set. 9 ; diphtheria.

Girl, set. 10; pharyngitis.

Boy, £et. 10, suffering from scarlatina, upon going out be- fore desquamation; dropsy.

Boy, set. 10 ; scarlatina.

Boy, sdt 10, highly nervous temperament, psoric taint ; scarlet fever.

Girl, set. 10; diphtheria.

Boy, set. 12 ; affection of knee.

Girl, set. 12, healthy looking, suffering eight days; affec- tion of throat.

Girl, set. 13 ; typhoid fever.

Boy, set. 14; tonsillitis.

Boy, set. 16, strong and active, red hair, dark eyes, freckled complexion; peritonitis.

Girl, set. 16, light complexion; typhoid.

Girl, set. 16; tonsillitis.

Boy, set. 17, subject to inflammation of throat; angina.

Girl, set. 18, governess, robust constitution, suffering a week without perceptible cause ; neuralgia.

Girl, set. 18 ; diphtheria.

Girl, get. 20, blonde, slim, mild disposition; erysipelas.

Weakly girl, set. 20 ; diarrhoea.

Girl, set. 20, bilious temperament, full habit, from sittmg on stool and practicing at piano, suffering four years ; affection of spine.

Woman, eet. 20, after giving birth to child which died on fourth day of erysipelas ; peritonitis.

Girl, set. 20, blonde, thin, mild temperament ; erysipelas on leg and foot.

Woman, set. 20, strong; angina.

Young man, tall, active, dark hair and eyes; diphtheria.

Young man, scrofulous, weak, has had_ for several years eczema on arms and leg ulcers; tonsillitis.

Young lady, bilious lymphatic temperament, suffermg ten years; constipation.

Young woman, delicate, nervous temperameiit; diphtheria.

Young woman, married, refined sensibilities; mental disturbance.

Young man, phthisical habit, had been coughing two months; pulmonary tuberculosis.

LACHESIS. G46

Young man, weakened by disease and medicine and fur- ther by fracture of clavicle; affection of r. hand.

Strong young man; affection of second toe of r. foot.

Young man, after excessive study; glossomania.

Young man, phthisical habit, emaciated, six months ago had pneumonia ; lung affection.

Young, robust sea captain, previously suffered from abscess of throat; affection of throat.

Girl, set. 20, after taking purgative medicine for some digestive troubles; diarrhoea.

Man, set. 21, scrofulous; angina.

Man, set. 22; pharyngitis.

Man, set. 22, physician, result of wound incurred during post mortem examination of a case of puerperal perito- nitis ; septicaemia.

Man, get. 23; pneumonia.

Girl, set. 23; epilepsy.

Woman, set. 23, slender build, premature labor; puerperal convulsions.

AVoman, set. 24, multipara, small, fair, nervous, sanguine temperament; puerperal convulsions.

Man, set. 24, wears glasses; asthenopia.

Woman, set. 24, brunette; facial neuralgia.

Man, set. 25, medium height, fair complexion, muscular, and accustomed to outdoor exercise; chronic irritability of fauces.

Girl, set. 26; diphtheria.

Man, set. 28, small, brown hair, during childhood frequent convulsions, after being cured of caries; epilepsy.

Woman, set. 28, sunstroke two years previous to confine- ment, from which she had ever since been confined to bed; puerperal convulsions.

Woman, set. 28, suffering several weeks; partial deafness.

Man, set. 29, suffering since fourteenth year; epilepsy.

Woman, set. 30, medium height, dark complexion, black hair, subject to swelling of glands and morbid discharges from mucous membranes, had three abortions, now in eighth month of pregnancy; pustular eruption.

AVoman, set. 30; chronic affection of larynx.

Woman, set. 30, brunette, nursing 5 months; thin milk.

Woman, set. 30, married, weak constitution, tuberculous tendency; tumor in breast.

Man, set. 30, another 23; fever.

Man, set. 30, laborer, after injury; gangrene of leg.

Woman, set. 30, single; pharyngitis.

Married woman, set. 30, tuberculous, weakly constitution, somewhat emaciated and pale, skin dry ; since ten years no child ; tumor in 1. mamma.

C17 LACHESIS.

Woman, sst. 31, unmarried, suffering for many years;

Woman, set. 32, married, after night watching; convul- sions.

Woman, set. 32, brunette, choleric temperament ; mania.

Man, set. 32, sanguine nervous temperament; ague.

Countess V., set. 33, after rubbing a mixture of Rhus tox. and alcohol upon abdomen for a strain of uterine liga- ment; herpes zoster.

Man, editor; typhoid fever.

Man, plethoric, tendency to hydrothorax; periodic asthma.

Man, after mercurial treatment; syphilis.

Lady, worn out with solicitude and care of a sick friend, had delirium followed by convulsions.

Woman, set. 40, one year without catamenia; erysipelas on foot joint.

Woman, slender form, menstrual irregularities; aphonia.

Woman, married; effects of domestic troubles; melancholy.

Woman, weakly, sensitive mind, during climacteric, after grief at death of husband and loss of fortune; affection of throat.

Woman, after taking charge of child with itch; itch.

Woman, married many years, but never pregnant ; chronic uterine catarrh. (Afterwards bore a child.)

Woman, post diphtheritic affection.

Woman, subject Spring and Fall to acute pneumonia ; had been treated for many years allopathically ; ovaritis.

Woman, wasted, slim, pale ; ulcers on legs.

Woman, set. 35, sickly and weak, slim, strong bones, bilious constitution, mild temper; infiltration on the back.

Man, set. 35, pharyngitis.

Man, set. 35; diphtheria.

Man, set. 39, dark complexioned, emaciated, eight weeks ago operation for fistula in ano, suffering four weeks; mental disorder. ' Woman, set. 40, single, large and fleshy, subject to attacks of catarrh for fifteen years; bronchial catarrh.

Woman, set. 40, suffering 20 years; hysteria.

Man, set. 40; gangrene of hand.

Man, set. 40, after receiving wound on head by falling off horse; gangrene of wound.

Woman, set. 40, has not menstruated for one year; ery- sipelas.

Woman, set. 40, tall, slender, pale; ulcers on legs.

Woman, set. 40; indolent ulcer.

Man, set. 40, phthisical; ulcers on legs.

Man, set. 40; bee sting.

Woman, set. 42, mother of two children, sanguine bilious temperament; asthma.

LACHESIS. 648

Woman, set. 42, sanguine bilious temperament ; asthma.

■Woman, get. 43, married; irritation of meninges of brain and spinal cord.

Woman, set. 43 ; ulcers on leg.

Lady, set. 43, slim, large, cachectic, scrofulous ; intestinal croup.

Woman, widow, set. 43; catalepsy during climaxis.

AVoman, set. 45, full habit, nervous, light hair, blue eyes, lively disposition, suffering for years; headache.

Married woman, set. 45; chronic nasal catarrh.

Woman, set. 48, 18 months after climaxis, catamenia had been copious, very dark, had been subject to congestion towards head and chest; swelling of r. ovary.

Woman, set. 48, bilious, nervous temperament, has for many years, every Spring and Fall, had acute pneu- monia, for which she was salivated, bled, blistered and purged ; general breakdown.

Woman, set. 49, seamstress, for three years; cephalalgia.

Woman, climacteric period; anal fistula.

Man, set. 45, suffering three weeks; spasm of glottis.

Man, set. 45, full habit and bilious temperament ; func- tional disturbance of heart.

Man, set. 48, subject to follicular pharyngitis; pharyngitis.

Man, set. 49, light complexioned, suffering five days ; sciatica.

Woman, set. 50, just passed critical period, suffering six months; affection of anus and rectum.

Woman, set. 50; itch.

Woman, set. 50; chronic affection of larynx. ■

Woman, set. 50 ; foreign body in oesophagus.

AVoman, set. 50, phlegmatic, sanguine temperament, small stature, father and brother died of heart disease; attacks of dyspnoea and palpitation of heart.

Woman, set. 50, large and fleshy, at critical period, had suffered several years with dilatation of 1. ventricle, aorta and carotid artery ; bronchial catarrh.

Woman, set. 51, after sudden suppression of menses by a mental emotion; rheumatism of vagus.

Woman, set. 52, married, leuco-phlegmatic, very fat, suffer- ing for twenty years ; eruption on arm and abdomen.

Woman, set. 52; sacculated ovarian disease.

Woman, set. 53, plethoric, robust, choleric ; ulcer on leg.

Woman, set. 56, passing through climacteric period; affec- tion of liver.

Man, set. 57, nervous bilious temperament, dark hair and skin, suffering thirty-five years; eczema.

Man, set. 60, married, subject five years to occasional at- tacks of severe pains in back of head ; convulsions.

649 LACHESIS.

Man, aet. 60, strong, well built, full chest, blue eyes, suffer- ing since he was six years old ; headache.

Elderly woman, thin and cachectic ; phthisis pulmonalis.

Lady, set. 60, tall, dark, leathery skin, feeble, thin, nervo- bilious, fond of good living; tertian ague.

Man, set. 60, strong, well built, blue eyes ; headache.

Woman, set. 65, stout, fleshy, for many years periodical attacks from hepatic apostema.

Woman, set. 69 ; ulcers on legs.

Woman, set. 70, suffering six months ; bronchial catarrh.

Woman, set. 76, suffering a long time from suffocative cough ; chest affection,

Man, set. 80 ; vertigo.

It antidotes: effects of Bufo, CrotaL, Rhus tox.

Compatible : Aeon., Arsen., Bellad., Bromum, Carbo veg., Cinchona, Hepar, Hyosc, Kali bich., Lac canin., Lycop., Mercur., Nitr. ac, Nux vom., Oleand., Phosphor., Pulsat., Silica, Sulphur, Tarent.

Incompatible: Acet. ac

Hepar, Lycop., Nitr. ac

LACHESIS. 650