Sepia Officinalis

Cuttle Fish. Mollusca.

Introduced by Hahnemann.

The cuttle fish is an inhabitant of the European seas, particularly the Mediter- ranean. Its ink bag contains a blackish-brown excretory liquor with which it darkens the water when it wishes to escape its enemies or catch its prey.

The triturations and tincture are made from the pure, dry, genuine Sepia, not from the artificial India ink used in drawing.

Provings by Hahnemann, GersdorfF, Goullon, Hartlaub, Walde, Gross, Archiv fiir Hom., vol. 19, p. 187 ; Robinson, Br. Jour, of Hom. vol. 25, p. 331 ; Berridge, N. Am. Jour, of Horn., 1871, p. 69; Ibid., 1873, p. 193; N. E. Med. Gaz., 1874, p. 402 ; also provings with the higher dilutions and triturations upon twenty-five individuals under the auspices of the Amer. Institute of Hom., see Transactions, 1875.

CLiNicAii AuTHOBiTiES Ilental derangement, Miiller, Kiick. Kl. Erf., vol. 1, p. 46;

Haynel, Analy. Therap., vol. 1, p. 177; Wilson, Eiick, Kl. Erf., vol. 5, p. 11;

Apoplexy, Gerson, Riick. Kl. Erf., vol .5, p. 32; Headache, Hahnemann, Hrg, Kreussler, Tietze, Black, Goullon, Haustein, Hirsch, Schindler, S. in.

K., Eiick. Kl. Erf., vol. 1, p. 198; Miiller, Riick.

Kl. Erf., vol. 5, p. 94; Hansen, A. H.

Z., vol. 108, p. 93 ; Berridge, A. J.H. M.

M., vol. 4, p. 114; Haynel, A. J. H.

M. M., vol. 4, p. 129 ; Lippe, Hom. Phys., vol. 6, p. 429 ;

Price, Med. Inv., Sept., 1876, p. 194; Ockford, Org., vol. 1, p. 468 ; Hemicrania, Kreussler, A.

J. H. M. M., vol. 4, p. 75 ;

Sick-headache, Small, U. S. M. and S. J., Oct., 1870 ;

Matting of the hair, Lembke, Riick. Kl. Erf., vol. 4, p. 317 ; Asthenopia, Bell, H.

M., vol. 6, p. 289 ; Short- sight, Woodyatt, Med. Couns., vol. 1, p. 12 ; Incipient cataract, B.

J. H., vol. 33, p. 331; Cataract, Goullon, I. Pr., 1875, p. 691 ;

Raue's Rec, 1875, p. 59 ; Keratitis, Norton, N. Y. S.

Trans., 1874, p. 432 ; Raue's Rec. 1875, p. 54 ; Ophthalmia, Tietze, Schmid, Link, Riick. Kl.

Erf., vol. 1, p. 241; Bethmann, Wolf, B. J. H., vol. 6, p. 525 ;

Theobald, Org., vol. 1, p. 109 ; Conjunctivitis, Gerson, Riick. Kl. Erf., vol. .5, p. 109;

Norton, T. W. H. C, 1876, pp. 603, 621 ;

Taisal tumor, Reisig, Riick. Kl. Erf., vol. 1, p. 242; Stitches in ear, etc., Schmitt, Hom.

Phys., vol. 3, p. 355; Epis- iaxis, Gerner, Eiick. Kl. Erf., vol. 1, p. 415;

Nasal catarrh, Hansen, A. H. Z., vol. 1 13, p. 61 ; Ozcena, Freytag, Riick.

Kl. Erf., vol. 1, p. 399 ; Facial neuralgia, Beckett, Hah. Mo., vol. 11, p. 584 ;

Warts on face, Jones, N. A. J. H., vol. 17, p. 1 1 ;

Tinea ton- surans, Burnett, H. W., vol. 8, p. 37 ; Fistula of cheek, and cough, Hesse, Hom. Phys., vol. 3, p. 162;

Scirrhus of lip, Hartmann, Riick. Kl. Erf., vol. 1, p. 445; Carci- noma of lip, Kunkel, A.

H. Z., vol. 95, p. 21 ; Toothache, Bcenninghausen, Schind- ler, Riick. Kl.

Erf., vol. 1, p. 477 ; Bcenninghausen, Hom. Phys., vol. 6, p. 372; Goullon, Bolle, N.

A. J. H., vol. 17, p. 224 ; Goullon, Hom.

Recorder, vol. 3, p. 23, from Pop. Zeit., Oct., 1887 ; Chronic affections of throat, Rummel, Diez, Riick. Kl.

Erf., vol. 1, p. 540; Gastralgia, Boyce, Med. Couns., vol. 1, p. 164; Boyce, Org., vol. 3, p. 93 ;

Pressure in stomach, Hesse, Hom. Phys., vol. 7, p. 26 ; Gastric

SEPIA. 296

disturbance, Emmerich, Kreuss, Riick. Kl. Erf., vol. 1, p. 662 ; Guernsey, Bib.

Horn., vol. 8, p. 30 ; Guernsey, H. M., vol. 6, p. 18 ; Dyspepsia, Clifton, Hom.

Rev., vol. 17, p. 159; Catarrh of stomach, Hirsch, N. A. J.

H., vol. 4, p. 341 ; A. H. Z., vol. 83, p. 81;

Raue's Rec, 1872, p. 131; Pains in liver, Hansen, A. H. Z., vol. 113, p. 68;

Berridge, Hom. Phys., vol. 9, p. 149; Functional derangement of liver (2 cases). Dunham Lectures on Mat.

Med., p. 156; Hepatic disorder, Hesse, Hom. Phys., vol. 3, p. 160 ; Berridge, Hom.

Phys., vol. 4, p. 288 ; Icterus, Schmidt, Bcen- ningh., Riick. Kl. Erf., vol. 1, p. 703;

Pain in abdomen, Berridge, Hom. Phys., vol. 9, p. 195 ; Abdominal complaint, Kreussler, A. J.

H. M. M., vol. 4, p. 77 ; Chronic diarrhcea, Tietzer, Riick.

Kl. Erf., vol. 1, p. 849 ; Diarrhoea, Kafka, Riick. Kl.

Erf., vol. 5, p. 432; Clark, Hom. World, May, 1889; Chronic constipation, Nunez, Horn.

Phys., vol. 9, p. 323; Prolapsus of rectum, Colby, Mass. Trans., vol. 4, p. 185 ; Nocturnal enuresis, Boenningh., Riick.

Kl. Erf., vol. 2, p. 45 ; Gauwerky, N. A.

J. H., vol. 3, p. 342 ; Warren, N. E.

M. G., vol. 9, p. 102 ; Incontinence of urine, Wesselhoeft, A. J.

H, M. M., vol. 4, p. 69 ; Cystitis and irritability of bladder, Wes- selhoeft, A. J.

H. M. M., vol. 4, p. 63; Irritable bladder.

Swan, N. A. J., vol. 30, p. 105 ; Urinary difficulty, Swan, N.

A. J. H., vol. 21, p. 109 ; Seminal emissions, B. in D., Riick.

Kl. Erf, vol. 2, p. 63 ; Gonorrhoea, Hansen, A. H.

Z., vol. 108, p. 86 ; Hoyne, M. I., 1876, p. 542 ; Gleet, Lobeth, Seidel, Riick.

Kl. Erf., vol. 2, p. 98 ; ■Condylomata, W. M. J., Hom.

Phys., vol. 9, p 228 ; Sterility, Allen, A. J. H.

M., M., vol. 3, p. 1 ; Ovarian neuralgia, Gerson, Riick. Kl. Erf., vol. 5, p. 618;

Uterine displacement, Jackson, Hom. Rev., vol. 5, p. 320; Jackson, Med. Inv., July, 1875, p. 74;

Proll, A. H. Z., vol. 94, p. 13; Parsons, T.

A. I. H., 1882, p. 180; Pro- lapsus uteri, Tietze, Riick.

Kl. Erf., vol. 2, p. 345 ; Minton, Tr. H.

M. S. N. Y., 1870, p. 535;

Partial procidentia, Goodno, Hah. Mo., vol. 8, p. 63 ; Procidentia, Medley, Med. Adv., Jan., 1889, p. 33 ;

Metrorrhagia, Knorr, Kallenbach, Riick. Kl. Erf., vol. 2, p. 334; Terry, N.

A. J. H., vol. 25, p. 314; Hydrometra, Wells, N.

A. J. H., vol. 3, p. 89; Menstrual disturbance, Simpson, Hom.

Rev., vol. 18, p. 212; Terry, N. A. J.

H., vol. 25, p. 314; Dysmenorrhoea, Goullon, A. H. Z., vol. 80, p. 7 ;

Polle, Hom. Kl., 1869, p. 125 ; Kafka, A. H.

Z., vol. 78, p. 5 ; Amenor- rhoea, Dysmenorrhoea, Bernstein, Diez, Eichhorn, Lembke, Riick. Kl. Erf., vol. 2, p. 254;

Hansen, A. H. Z., vol. 108, p. 86 ; Pain in vagina and rectum, Bsethig, A.

J. H. M. M., vol. 1, p. 161;

Vaginitis, Hedenburg, Mass. Trans., vol. 4, p. 295; Gor- ton, Hah. Mo., vol. 7, p. 514;

Leucorrhcea, Knorr, Green, Riick. Kl. Erf., vol. 2, p. 365; Gardiner, A.

J. H. M. M., vol. 1, p. 79 ;

Minton, Tr. H. M. S.

N. Y., 1870, p. 535 ; Hawley, Hom. Phys., vol. 8, p. 263 ;

Infantile leucorrhoea, Sumner, N. Y. S. Trans., 1874, p. 314;

Pruritus vulvce, Guernsey, T. H. W. Conv., 1876, p. 984; ■Scirrhus mammce (2 cases reported cured), Burdick, Org., vol. 2. p. 228 ;

Gambell, N. E. M. G., vol. 5, p. 558 ;

Disorders of pregnancy, Tietze, Riick. Kl. Erf., vol. 2, p. 387 ; Gambell, T.

H. M. S. K Y., 1870, p. 170 ;

Dystocia, Schmitt, Hom. Phys., vol. 7, p. 260 ; Retained placenta and recurring hemorrhages, Nash, Med. Adv., Feb., 1890, p. 105 ;

Shortness of breath (4 cases), Hesse, A. H. Z., vol. 110, p. 148 ; Dysp- noea, Hesse, A.

H. Z., vol. Ill, p. 44; Asthma, Carr, Med Inv., March, 1875, p. 245 ;

Cough, Kafka, Riick. Kl. Erf., vol. 5, p. 695 ; Nithak, Riick.

Kl. Erf., vol. 3, p. 198 ; Analyt. Therap., vol. l,p. 212;

Kiisemann, Bethmann, Riick. Kl. Erf., vol. 3, p. 27 ; Wesselhoeft, A.

J. H. M. M., vol. 4, pp. 66, 67 ;

T. A. I. H., 1870, p. 250;

Hesse, Hom. Phys., vol. 3, p. 159; Whooping cough, Hartmann, Riick. Kl.

Erf., vol. 3, p. 84 ; Wesselhoeft, A. J. H.

M. M., vol. 4, p. 3 ; Goullon, Raue's Rec, 1875, p. 117 ; Pain in chest and cough, Nichols, Hah.

Mo., vol. 7, p. 115; Pleuritis, Kunkle, Hah. Mo., vol. 15, p. 294; Phthisis pulnionalis, Ehrhardt, Gross, Riick.

297 SEPIA,

Kl. Erf., vol. 3, p. 397 ; Palpitation of heart, Hesse, Horn. Phys., vol. 7, p. 27, from A.

H. Z., vol. 113, p. 138; Perimyelitis, Hirsch, Riick. Kl.

Erf., vol. 5, p. 874 ; Pain in back, Hesse, Horn. Phys., vol. 7, p. 27 ; Crick in back, A.

F. E.., Med. Inv., vol. 6, p. 563; Whitlow, Berridge, Org., vol. 1, p. 132;

Sciatica, Battmann, Eiick. Kl. Erf., vol. 5, p. 906 ; Aching in legs, Berridge, Horn.

Phys., vol. 9, p. 192 ; Erup- tion on legs, Hansen, A. H. Z., vol. 113, p, 69;

Berridge, Org., vol. 1, p. 113; De- bility, Dunham, N. Y. S.

Trans., 1876, p. 87; Hysteria, Havtmann, Lobethal, Eiick. Kl. Erf., vol. 2, p. 289 ;

Bartlett, N. A. J. H., vol. 3, p. 530 ;

Chorea, Piollet, Eiick. Kl. Erf., vol. 4, p. 513; Morbid sweats, Gallavardin, N.

A. J. H., vol. 15, p. 61 ; Gorton, U.

S. M. and S. J., vol. 9, p. 13 ; Gastric fever, S, in K., Eiick.

Kl. Erf., vol. 4, p. 649; Ague, Schmidt, Eiick. Kl.

Erf., vol. 4, p. 988; Eing, A. J. H.

M. M., vol. 1, p. 261 ; Morgan, A. J.

M. M., vol. 3, p. 131; Kunkel, A. H.

Z., vol. 106, p. 189 ; Chlorosis, Riickert, Eiick. Kl. Erf., vol. 2, p. 279 ;

Jones, N. A. J. H., vol. 17, p. 8 ;

Dropsy, GouUon, I. Pr., 1875, p. 695 ; Rheumatism, Wells, Horn. Eev., vol. 3, p. 259;

Berridge, Horn. Eev., vol. 16, p. 495; Hesse, Hom. Phys., vol. 7, p. 26 ;

Articular rheumatism, Kunkel, Hah. Mo., vol. 15, pp. 486-9 ; Boils and offensive foot sweat, Morgan, H. W., vol. 12, p. 71 ;

Brown spots on skin, Scales, Mass. Trans., vol. 4, p. 185 ; Urticaria, Schwarze, Eiick. Kl.

Erf., vol. 4, p. 202 ; Tetter, Williamson, T. H. M.

S., Pa., 1873; Psoriasis, Hesse, A. H. Z., vol. 108, p. 94;

Hall, N. E. M. G., vol. 9, p. 53;

Impetigo, Miller, H. M., vol. 10, p. 162; Pemphigus, Moore, Hom. Eev., vol. 12, p. 304;

Warts, Hartmann, Eiick. Kl. Erf., vol. 4, p. 311 ; Diseases of skin, Hahnemann, Knorr, Schmole, Bethmann, Sommer, Eiick.

Kl. Erf., vol. 4, p. 260.

^ Mind. 1 1 Weak memory.

■ Heavy flow of ideas; inability for mental activity; it is

an exertion to think. iFelt all day as if he did not care what happened ; no de- sire to work, inattentive, absent-minded; indolent mood.

■ Language comes very slowly, has to drag out the words

to express ideas; forget the chief points. Uses wrong words when writing.

■ Great indifierence to everything; no proper sense of life.

■ Every few minutes inclined to cry, without knowing the

cause.

■ Great sadness and frequent attacks of weeping which she

can scarcely suppress.

■ Very sad with unusual lassitude.

■ Sad and gloomy mood, mostly when walking in open air

and in evening.

■ Sad about her health and domestic affairs, discontented

w4th everything.

■ Gloominess; she feels unfortunate without cause.

■ Dark forebodings about his disease in regard to the future. I I Felt that unless he held on to something he should

scream.

■ Depression on awaking in morning.

■ Very nervous; great excitability in company; restless,

fidgety ; wants to go from one bed to another.

SEPIA. 298

■ Nerves very sensitive to the least noise. iFits of involuntary weeping and laughter. 1 1 Aversion to one's occupation and family. iDread of being alone,

1 1 Anxiety : with fear, flushes of heat over face ; about real

or imaginary evils ; toward evening. I iGreat indifference to one's family, to those they love best. lis easily offended. and inclined to be vehement.

■ Great irritability alternating with indifference.

■ Greedy, miserly.

■ After overexertion of mind, bookkeepers, etc.

I I Quiet, introspective, rarely speaks a word voluntarily, sits for hours occupied with her knitting, her answers are intelligent but curt.

■ Propensity to suicide from despair about his miserable

existence.

■ Fears to starve, is peevish, and feels mortified, easily

frightened and full of evil forebodings.

I I After metrorrhagia oversensitive, exalted nervous state; hasty speech accompanied by quick gestures ; eyes fiery and glistening; pulse 110; her movements were like those of a passionate person ; if she could not talk her friends had to relate stories continually in a quick way; at times in the opposite state, gave short answers and desired to be alone; was then moody and feigned sleep ; the nights became more and more anxious and restless; she could not describe how terrible they were.

Contradictory, quarrelsome, complaining about others,

■ Passionate, irritable.

■ Fretful and out of humor for all business.

■ Greatest irritability from slightest causes; very easily

offended.

■ Vexed and disposed to scold.

Impatience when sitting, like an uneasiness in bones.

Violent bursts of anger with furious gestures.

1 I Great nervous irritability, with sadness, despondency and absentmindedness ; everything seems strange to her; least exertion seems a great effort; it seems as if she could not understand anything and would have to learn anew everything she wished to do ; greatest indif- ference to everything, the death of a near relative, or some happy occurrence, leaves her equally unaffected ; no trace of her former love for friends or even for her child ; aversion for social intercourse amounting to con- tempt ; constant ill-humor ; at times headache with anx- iety, < lying down ; head also hurts externally ; confu- sion and throbbing in head ; constant pains in occiput, < lying; oversensitive to noise; frequent pains in back

299 SEPIA.

extending down into legs and feet; circulation and ac- tion of heart weak, sensation as if heart stood still; menses irregular ; at times nervous twitchings ; screams on least provocation ; strength and general condition good; > in a warm climate, also after nosebleed; < after coffee and opium. ^ Sensorium. i Stupefaction of head, mental weakness or dul- ness, can scarcely think. I Painful confusion in head, particularly in forehead.

■ Momentary attacks of giddiness when walking in open

air or while writing.

■ Vertigo: while walking, as if every object were in mo-

tion; with staggering; when drinking; as if objects were moving around one ; as if suspended in air, with uncon- sciousness; when rising from bed in afternoon; after losses of fluids.

■ Congestion of blood to head ; heaviness of head.

^ Inner Head. Drawing pain seeming to be external on fore- head back to occiput, in single drawings.

Single, violent, undulating jerks of pressing headache in forehead.

Tearing in upper part of r. side of forehead.

Tearing in 1. frontal eminence.

Violent stitches outward over 1. orbit, with complete draw- ing together of eye, for three successive days, after ris- ing in morning, continuing until noon, somewhat < in open air.

Stitches in forehead with nausea (she cannot eat), > from lying down.

Fulness in temples and forehead and throbbing of carotids.

Tearing in 1. temple to upper part of 1. side of head.

■ Pressure on vertex, < after mental labor.

Beating, very painful headache in vertex, in morning, soon after rising.

Dull aching frontal headache.

Headache in forehead and vertex, followed by anxiety in pit of stomach with trembling, afterward violent nose- bleed.

Heavy pressing pain over 1. eye extending toward side of head about 3 30 p.m.; sensation of great fulness deep in 1. orbit at 4 p.m. ; headache confined to 1. side, > in even- ing and in open air; < by shaking head.

■ Shooting pains from within out, especially over 1. eye,

extorting cries, with vomiturition. Occasionally darting pains extending from 1. eye over side

of head toward occiput. Headache > after meals, < by mental labor. Severe pressure in forehead during menses, with discharge

of hardened offensive matter from nose.

SEPIA. 300

Stitching, pressive headache continuous in lower part of forehead just over eye, < from motion, in house, > when walking in open air.

Headache : all day with great mental depression ; in fore- noon as if brain were crushed ; as from pressure from within outward; as if head would burst; also from coughing; in morning, with nausea, until noon; most severe toward evening, especially when shaking head; following perspiration on r. side of head and face, with a surging in forehead, like waves of pain rolling up and beating against frontal bone.

Headache as from commotion of brain when stepping or when shaking head, > when sitting up or from slow exercise.

■ Pressing or bursting headache as if eyes would fall out,

or head burst, < from stooping, motion, coughing or shaking head ; continued hard motion relieves headache.

I Pulsating headache in cerebellum, beginning in morning and lasting till noon or sometimes till evening; < from least motion, when turning eyes, when lying on back; > when lying on side, when closing eyes, when at rest and in a dark room.

iPainful cracking in occiput.

Jerking pain upward like electric shocks in head.

■ Beating: in head ; in occiput.

■ Paroxysms of hemicrania, stinging pain from within out-

ward, in one (mostly 1.) side of head or forehead, with nausea, vomiting and contraction of pupils; < indoors and when walking fast ; > in open air and when lying on painful side.

■ Boring headache from within outward, forenoon till even-

ing, feels as if he would die ; < from motion and stoop- ing ; > by rest when closing eyes, from external press- ure and sufficient sleep.

■ Sensation of coldness on vertex.

■ Headache with aversion to all food.

■ Hemicrania in hysterical women; pains stitching, press-

ing, tearing or twitching with passive congestion of head ; in chronic cases where the nervous system has long been disordered ; leucorrhoea between menses ; sudor hystericus, peculiar sweet-smelling sweat, partic- ularly in axillse and about soles of feet ; face pale, dirty yellow, slender built.

■ Nervous, rheumatic or gouty pains in head, particularly

in delicate, sensitive women.

■ Frequently recurring tearing, stitching pains in r. side

of head, during pregnancy, i Hemicrania, r. side; drawing, tearing pains and now

301 SEPIA.

and then stitches' as if from needles; < morning and evening; menses scanty and of too short duration.

I Severe pressure in occiput with heat and redness of face; eyes painful; lassitude and tiredness of limbs; inclina- tion to cry ; is not disposed to do anything.

I Sore pain in 1. eye and temple; throbbing, tearing and stitching pains in 1. temple extending downward ; stitch- ing, like in an ulcer, in 1. zygoma and teeth ; hair of head sensitive to touch ; pains < in paroxysms, w^th fainting; shivering; coldness of feet; transient heat; thirst; anxiety; despair of recover3^

■ Migraine after catching least cold; tearing, boring pains and at times stitches ; must lie down and keep very quiet; closes eyes and presses head firmly to painful part; exposure to rough wind brings on an attack; aver- sion to food ; stools pappy ; menses too early.

I 'Severe headaches, 1. side, hysterical in character; tear- ing, drawing pains beginning at 1. parietal region and becoming a pressing, throbbing pain in occiput, accom- panied by nausea and vomiting; could not open eyes or move them ; photophobia ; obstinate constipation ; vio- lent desire for an embrace during attack.

I I Subject to headaches for five or six years; the pain is- shooting, at a fixed point over eyebrow, generally r., but to-day over 1.; pain causes twitching of eyebrow and

' desire to close eyes ; headache is < on moving eyes,. also on walking, every step seemed to jar; attacks come on suddenly and are intolerable first day, but always- leave him very weak and dreading a return for a day or two ; attacks excited by overfatigue, anxiety and vex- ation or overwork in school; occasionally severe sexual excitement with emission, not always with dreams, dur- ing sleep; this precedes but seldom accompanies head- ache; during headache there is inability to read, think or study ; a more frequent attack of bowels, nausea, dis- like to any food except toast or biscuits and tea ; urine increased, nearly colorless; tenderness of bone of side- of head affected and under corresponding supraorbital ridge

' I Vertigo as if intoxicated ; tension in forehead and press- ure as from a w^eight over eyes; pressure and burning in eyes and fog before r. eye (is blind in 1. eye), lassi- tude ; leucorrhoea, milky white, < during day.

I I Violent stitches in forehead, cries out; the}^ distort his face; stitches return every five minutes during the day and night with unabating force, and extend into 1. eye and ear; lachrymation ; painfulness of scalp; cannO't find an easy position for his head ; every noise aggra-

SEPIA. 302

vates his symptoms ; talking in the room is unbearable, cannot sleep.

I I Headache every Saturday for several years; boring pain from within outward, accompanied by nausea and vomiting ; > binding head up tightly and after a good sleep.

I I Periodical headache coming on at 2 p.m., lasting till bed- time.

■ Headache in terrific shocks.

I Dull, stupid headache, with great mental depression; anaemia.

■ Shooting from forehead to vertex and both sides of face.

■ Chronic congestive headaches with photophobia and im-

possibility to open eyes on account of weight on upper lid.

■ Gouty, or nervous headaches, from abdominal plethora

or menstrual disturbances.

■ Headache with aversion to all food.

■ Chronic paroxysmal headaches in women during cli-

maxis ; disorders of digestion, abdominal plethora and leucorrhoea.

■ Attacks of sick headache and sudden obscuration of sight

with each attack.

■ Every time she goes shopping she has a severe nervous

■ Attacks of gouty pains in head, boring in character,

causing patient to scream with pain, accompanied by vomiting.

■ Congestive, gastric, hysteric, nervous and rheumatic

headaches.

■ Clavus hystericus.

■ ■Headache with aversion to all kinds of food, a feeling

of emptiness and goneness in pit of stomach, very distressing; headache occurring every morning with nausea, vertigo, epistaxis ; in women who have moth- patches on their foreheads, of sallow complexion, or who have a yellow streak across bridge of nose and under eyes ; smell of food repulsive.

■ Hemicrania from an affection of reproductive system;

especially in young women in whom the cerebral nerves have excited the sympathetic, producing a long train of hysterical symptoms.

■ Boring stinging over r. eye, < in a thunderstorm, in

cold air, north wind, taking cold on head, etc.

■ Losing hair after chronic headaches.

I I Chronic meningitis, headache < when lying down ; > by remaining in a sitting position ; when pain in- creased a sensation like globus hystericus ; all coverings

^^^ SEPIA.

of neck felt too tight; fulness, pulsation and beating in head; had her fingers continually on dress covering neck even when it was wide, the very touch of il distressed her.

■ Meningitis; the child is in a torpid condition, with great

depression of vital power; urine has a putrid odor and deposits a clay-colored sediment which adheres to vessel or diaper. I Rush of blood to head.

■ Apoplexy: in men addicted to drinking and sexual

excesses, with a disposition to gout and hemorrhoids • in women from affections of reproductive system' venous form; headache coming on in terrific shocks dizziness m walking, with staggering; forgetfulness ^ coldness of feet ; intermitting pulse.

■ Threatening apoplexy in dissipated, middle-aged men

who are plethoric, have a large fat abdomen, and are subject to arthritic and hemorrhoidal complaints- they have usually passed through several slight attacks of apoplexy and are frequently visited by the prodromic symptoms. * Outer Head, l Involuntary jerking of head backward and forward, especially forenoons and when sitting

iFontanelles remain open, with jerking of head, pale bloated lace, stomacace, green diarrhoeic stools.

I Sensation of coldness on vertex, < when moving head and stooping ; > when at rest and in open air

■ Disposition to take cold from dry, cold wind or getting

head wet. ^

External coldness of head.

Swelling on forehead.

Swelling on one side of head above temple, with itching- sensation of coldness and 'tearing in it, < when touch- ing It; > when lying on it or after rising from bed

I Sweat on head smelling sour, with faintish weakness in evening before sleep or in morning.

iScalp pains when touched as if roots of hair were sore

Itching of scalp.

■ Violent itching, like from insects, on occiput or behind

Small red pimples on forehead, roughness

■ Eruption on vertex and back part of head dry, offensive

stmgmg, itching and tingling with cracks; feeling sore when scratching; falling off of hair

■ Sensitiveness of roots of hair, < in evening, to contact, .n ^?^V^^*^^ winds; burning after scratching

■ Dandruff comes m circles, like ringworm, herpes

■ ■Grreat falling out of hair. ^Climacteric period

SEPIA. 304

iScurfs very moist, almost constantly discharging puslike . fluid. iMucli scurf on head; moist scalp; tinea tonsurans.

■ Sensitiveness of roots of hair, < in evening, to contact,

to cold north winds; burning after scratching.

I I A boy, set. 9, had: a bald spot on front part of head as large as a silver twenty-five cent piece, of glossy smoothness, hair around appeared as if cut short near roots, place covered with dry, crusty scales; soon after a similar spot on r. side of head ; finally four bald spots differing in size from a dollar to a quarter.

I 1 The large coils of hair, for a distance of about two inches from head, became kinky so as to make combing of this part. of hair an impossibility; there was no moisture about scalp on these places, nor was the hair itself tangled ; the smaller coils at sides of head showed this condition also in the lower third of their length ; menses absent ; congestion of blood to head and chest ; face red ; headache. ^ Sight and Eyes, i Vanishing of sight; vision impeded by fiery zigzags or sparks (whooping cough) ; flickering before eyes when looking into light ; green halo around candlelight; llblackspots

Candlelight fatigues eyes when reading or writing by causing a contractive sensation.

Cannot bear reflected light from bright objects.

■ Gauze, black spots, or stripes before ej^es.

iDulness of sight; when writing; sees only one-half of object clearly, the other half is obscured.

■ Great sensitiveness to light of day.

■ Prickling of eyes, evening by candlelight.

■ Asthenopia: associated with exhaustion dependent upon

loss of semen ; dependent upon reflex irritation frota uterus (kopiopia hysterica). I I Mr. B., set. 32, sick several months; has abused eyes by reading, writing, sewing; trouble began in r. eye, which is the worse ; sensation as if eye were gone and a cool wind blew out of socket; severe pains and itching around back of eye, when closing eyes flashes of light; mist like a veil or cloud before eye ; < in strong light ; using eyes causes intense headache over them ; desire to spasmodically close eyes, which gives relief; menses regular, accompanied by severe bearing-down pain, with pain in hips and back and sexual excitement; feeling of weight and heaviness of upper lids as if she could not raise them, < in morning. ^Asthenopia.

■ Obscuration of vision dependent upon hepatic derange-

ment.

305 SEPIA.

I I Astigmatism from granular lids, on reading, black seemed grey ; sight > when looking out from under brows, pain on using eyes by artificial light.

I I A lady, set. 67, was suddenly attacked after taking cold,, with pressing pain around ej'es, < in open air; con- stantly sees dark figures before eyes, like spider-web or lace, of size of a hand ; acute pain in orbit of a pressive^ character, < in open air ; r. eye only so affected ; sight had been graduall}^ failing for a long time ; has been subject to sick headaches all her life. ^Incipient cata- ract.

I I Keratitis pust. ; lashes of 1. eye gone and edges of lids- raw and sore, considerable purulent discharge from eyes,, face covered with an eruption, child cries on washing.

I Very large pustules around cornea with much redness,, no pain or photophobia, < in evening, corners of mouth cracked.

■ Keratitis parenchymatosa, with uterine troubles.

■ Pustules on cornea, also fungus hgematodes.

■ Trachoma, with or without pannus, especially in tea

drinkers. The eyes feel tired and look injected ; tendency to keep

< when pressing eyelids together. Pressure in eyes at night.

Great burning of eyes and lachrymation.

Aching over eyes if he goes into bright daylight.

Lids pain on waking as if too heavy to open.

Itching of internal canthus morning after waking ; after rubbing, biting and severe lachrymation and sore sensa- tion in external canthus, which is agglutinated.

Biting in r. eye evenings, with inclination of lids to forci- bly close.

Sticking in 1. eye.

Smarting pain in both eyes.

Burning of eyes mornings with weakness afternoons.

Eyes hot and drj^ ; feel like balls of fire.

Redness of conjunctivae.

■ ■Inflammatory affections of asthenic character, conjunc-

tiva a dull red, some photophobia and swelling of lids,

< in mornings.

■ Acute catarrhal conjunctivitis, with drawing in external

canthus and smarting in eyes, > by bathing in cold water, < morning and evening.

■ Conjunctivitis with muco-purulent discharge in morning

and great dryness in evening.

TOL. IX. — 20.

SEPIA. 306

I Inflammation of eyes, with stitching and pressure.

I I Right eye inflamed ; heat, vessels much enlarged, with a patch of congestion; sometimes feeling of grit in it; eyeball aches at back, smarts when reading ; subject to faceache and indigestion, weight after food and spas- modic flatulent pains.

I I Right side of face much swollen, deep red, covered with

pimples filled with pus and covered with yellow crusts; during day did not open eyes, only raised lids for an in- stant in the dark ; rubbed and scratched cheeks and eyes; lids glued together in morning by thick matter; no ap- petite ; much thirst ; little sleep ; r. eye seemed much smaller than 1.; r. angle of mouth drawn upward.

I I Stitches in eyes; lids swollen; photophobia, can hardly open eyes ; profuse lachrymation ; sensation of heat in eyes; stuffiness of 1. nostril; head confused, dull.

1 I Coryza with ophthalmia and photophobia recurring often without apparent cause ; lids red ; spots on cornea. ^Scrofulous ophthalmia.

I I Eyes agglutinated in morning ; great photophobia and pains in eyes; pustules form on cornea which suppurate and burst, leaving long-lasting maculae ; recurring at- tacks since a year.

I I Conjunctivitis ; photophobia < in morning ; dull red- ness of conjunctiva; lachrymation; swelling of lids and great heat in them.

1 I Pustular inflammation, dependent on uterine troubles, especially when cornea is affected and inflammation is not confined to conjunctiva; drawing, aching, piercing pains, < rubbing, pressing lids together or pressing upon eye; light of day dazzles and causes head to ache; conjunctiva swollen ; eyes agglutinated, morning and evening; considerable purulent discharge; edges of lids raw and sore ; feeling as if lids were too tight and did not cover ball ; eruption on face. ^Conjunctivitis.

I 1 Conjunctiva palp, injected in morning on awaking; discharge of purulent mucus; toward evening gradu- ally increasing dryness of eye ; biting-excoriating sen- sation in lids ; photophobia ; later burning pain ; bleph- arospasmus ; lachrymation suppressed ; pulse hard, rapid ; dull pain in forehead ; during paroxysm cries aloud, and is greatly agitated ; toward midnight spasm of lids ceases, pain decreases and arrested secretions re- appear; brown spots in face; sediment in urine like brickdust. ^Conjunctivitis.

I I Severe conjunctivitis, every Summer for twenty years, from beginning of warm weather in Spring until its close in the Fall; much enlargement of papillae ; marked aggravation in morning and usual 1}^ in evening.

307 SEPIA.

I Phlyctenular conjunctivitis.

I Follicular conjunctivitis, or a mixed form of follicular and trachomatous conjunctivitis, which is observed only during the Summer, or always < in hot weather.

I I Soreness in internal canthi with entropium, eyes < at night and at any time during day on closing them, the lids feel as if they were too tight and did not cover eye ; scratching in eyes.

■ Amaurosis: with contracted pupils; after violent head-

aches.

■ Yellow color of whites of eyes. ^Jaundice.

I I Drawing sensation in external canthi, smarting in eyes > by bathing in cold water, < night and morning.

■ Drooping of lids with dull headache; feels as if he had

not sense enough left to lift them.

■ Heat and dryness of margins of lids.

Eyelids pain on awaking as if too heavy, and as if he could not hold them open.

■ Lachrymation morning and evening, and in open air.

■ ■ Redness of eyelids, with styes.

■ ■Nightly agglutination of eyes or dry scurf on lids on

awaking.

Great itching on margins of lids.

Granulated lids, especially in tea drinkers.

I I Chronic ciliary blepharitis ; scaly condition of lid mar- gins; small pustules (acne ciliaris) on ciliary border.

■ Tarsal tumors.

I I After repeated styes, hard, indurated tarsal tumor as large as a pea, hindering motion of lid ; of two years' standing.

■ Heaviness and falling of under lids as if they were para-

lyzed.

■ Difficulty of opening eyes in morning; paralyzed condi-

tion of lids. ^Ptosis.

I i Spasmodic entropion, with soreness of internal canthi and scratching in eyes, < at night and at any time dur- ing day on closing them ; lids feel as if too tight and did not cover eyes.

I I A boy, set. 12, had many little tumors on lower lids, the result of styes, which impeded movement of lids.

■ Brown-yellowish color of eyelids.

® Hearing and Ears. ■ Oversensitive to noise, and particu- larly to music.

■ Loud sounds and humming in ears followed by loss of

hearing.

■ Sudden attacks of brief deafness. Dragging pain or stitches in ears.

I I Chronic otalgia, one-sided, with toothache, returns after every slight cold.

SEPIA. 308

■ Discharge of thin matter from ear. I Much itching in affected ear.

■ Swelling of and eruptions on external ear.

■ Tetter on lobes of ean, behind ears and on nape of neck.

■ Stitches in parotid glands, which swell, with tensive pain

on turning head. I I Stitches into r. ear, going into brain, commenced sev- eral days ago, at 9 a.m., while working in field, 1. ear affected first; stitches < at night; small pustules on 1. wrist, which, when opened, discharge a milky fluid ; be- fore this had panaritia of 1. thumb and middle finger; since typhoid fever has been more sensitive to changes of weather, for the last few years bee-stings bother him more than they used to do. "^ Smell and Nose. ■Great sensitiveness to odors.

■ Loss of smell, or fetid, subjective smell.

■ Nosebleed: during menses; during menses, in young

girls ; during pregnancy and with hemorrhoids ; after slightest blow or when becoming overheated in slight- est degree.

Nose dry; every symptom of cold in head ; stuffed nose.

Dry feeling in nose and fauces.

Frequent sneezing without coryza.

■ Dry coryza, especially of 1. nostril.

■ Fluent coryza with sneezing, early morning.

■ Blowing of large lumps of yellow-green mucus, or yellow-

green crusts, with blood from nose.

■ ■Dry coryza; nostrils sore, swollen, ulcerated and scabby;

discharging large green plugs.

■ Swollen, inflamed nose; nostrils sore, ulcerated and

scabby.

■ Tip of nose: inflamed, swelled, scurfy ; painful eruption.

■ Extremely offensive smell from nose, profuse greenish-

yellow discharge ; menses scanty, preceded by yellow, excoriating leucorrhoea, < from motion.

■ ■Large, offensive-smelling plugs from nose, often so large

that they had to be drawn back into mouth and expec- torated, causing vomiting; offensive-smelling, greenish discharge from 1. nostril ; severe throbbing pains in fore- head (relieved by Bellad) ; of thirteen years' standing. ^Ozeena.

■ Catarrh: pressive pain in root of nose; sore feeling in

nose on drawing air through ; nose swollen and inflamed, nostrils angry and ulcerated; small ulcers in nostrils; scurfy nostrils ; discharge of yellow water from nose, with cutting pains in forehead ; dryness in nose and throat; dryness in choanse (though there is much mucus in mouth) with involuntary urging to swallow; catarrhs ^arising from a retrocession of an eruption.

309 SEPIA.

I The smell of cooking nauseates.

I I Yellow saddle across bridge of nose.

^ Upper Face. iFace : puffed ; pale; yellow, earthy; in morn- ing red, in evening pale; red and flushed.

1 1 Yellow saddle across upper part of cheeks and nose, and yellow spots on face; yellow around mouth.

I Pale, sallow, puffiness, with margins around eyes.

.1 Yellowish face with dyspepsia.

I Small red pimples on forehead; rough forehead.

I I Circular spots on face and under chin from quarter to half an iiich in diameter; several appeared in rapid succession; spots at first bright red, later covered with a white scurf, then returning to original red color; spots are very slightly raised above the skin and attended with but little itching or sensibility ; neuralgic pains shifting about in various parts of body, but more per- sistently located in occipital region, < remaining long in one position, at night in bed, in morning on rising; > changing position, and from slight exertion ; con- stant feeling of languor and weariness, making least exertion disagreeable; complete anorexia. ^Psoriasis.

I Eczema narium.

I Herpes, scurfs and black pores on face.

I Tetters around mouth, with itching of face.

■ Swelling of under lip.

I I Inflammation and swelling on one side of face, from root of a decayed tooth.

I I Intermittent prosopalgia, with congestion of eyes and head, jerking pains like electric shocks.

iFaceache: intermittent, with congestion of eyes and head; during pregnancy ; jerking, like electric shocks upward; pain appears in morning immediately on awaking, none in daytime but severe at night, spreading over lower and upper maxillse, radiating to vertex, occiput, neck, arms and fingers; tearing, drawing pains in face and nose, with swelling of cheeks ; pains frequently ex- tend through ear, especially 1.; < by taking either hot or cold things into mouth ; in delicate, sensitive, nerv- ous women, especially when uterine functions are dis- turbed.

I I Paroxysms of facial neuralgia brought on by riding in wind and from excitement; menstrualnisus nearly al- ways attended with neuralgic pains of greater or less severity; when wind is the exciting cause the paroxysm comes on with a chill, and when excitement, it begins with trembling; pains > from pressure, being in a warm room and lying quiet; paroxysms manifest them- selves by a slight chill or trembling; cold chills run-

SEPIA. 310

ning down spine; neuralgic pains commence in 1. tem- ple and run over 1. side of face and down ramus of 1. jaw; pains are throbbing and digging; noise and odors from cooking make her < ; attacks last about a day, usually < in evening; > from sleep; menses last two or three days, are dark, scanty, somewhat stringy ; pain and heaviness in r. ovarian region, > by leaning for- ward; costive; stool alternately hard and soft with strain- ing; emission of urine on coughing, walking or standing on her feet ; urine light-colored and frequent ; abdomen distended ; appetite good ; pain running down r. leg ; < from northeasterly winds, damp weather and excite- ment. ^Facial neuralgia.

I I Neuralgic pains in face, 1. side, from abuse of tobacco.

Jerking of muscles of face when talking. ^ Lower Face, i Yellowness around mouth.

■ Great dryness of lips.

I Moist scaly eruptions on red part of lips and on chin.

llSwelling and cracking of lower lip. ^Herpes.

I I Fistula in 1. cheek in region of lower molars, with ulcerating circumference, size of a ten-cent piece; pain- less, discharges blood and pus, has lasted about a year ; cough, at times with hoarseness, bloody expectoration; has lasted about two years ; fine vesicular rales at 1. apex ; cough < in a drj'^ east wind much more than in damp air or by getting wet; < in morning; is not so well on Sundays, being then at rest and in room, > while at work ; < when lying on 1. side; appetite good, thirsty in evening, sleeps well ; his feet are sweaty and have an offensive odor.

I I Suspicious tubercle on lower lip as large as a bean, of cartilaginous appearance, with a broad base and frequently bleeding, looking very much like a scirrhus.

I lAn epithelial cancer of lower lip far developed, had been excised; the wound healed kindly; after a few months the patient began to emaciate and to exhibit every sign of cancer cachexy ; the decline was alarm- ingly rapid ; eminent surgeons diagnosticated internal cancer; no hope of recovery was entertained.

iSwelling and soreness of lower lip, burning pain and a prickling as from a splinter of wood. ^Epithelioma of

lip- . I I Carcinoma of lower lip was removed three times in the

course of six months ; it had again grown and was of size of a walnut, stony hard, etc. ; tendency to reappear- ance every Spring for three years, i. e., painful cracks in sears left by the operations. I I Appearance of warts on face, one after another, until

311 SEPIA.

there were twelve about mouth and chin; they were rather long, quite roughed at the top, somewhat pedun- culated, and speedily returned after* ligation.

■ Swelling of submaxillary glands. ^^ Teeth and Gums, i ■ Toothache : drawing in upper molars ; in a hollow tooth, extending to ear ; throbbing ; stitch- ing; all teeth painful, particularly in hollow molar, which pains as if elongated and swollen, with swelling of gums and cheeks, with which the pain ceases ; draw- ing < if anything hot or cold is taken into mouth ; during menses drawing from teeth into cheek, which becomes swollen; tearing out through 1. ear, during and after eating ; sticking, she could have cried ; stitches in teeth and jaw extending to ear, she could not sleep at night on account of it and during day had to tie a cloth over it ; with rapid decay of teeth ; and throb- bing in gums during menses ; during pregnancy with shortness of breath, worse from every cold draft of air, when touching teeth, when talking; biting teeth together.

1 1 Paroxysmal, beating throbbing toothache ; can feel beating of pulse all over body ; pains > from cold water, returning as soon as water gets warm ; walks about crying ; when pain is at its height, tingling in fingers of left hand, becoming a tearing pain as it extends up arm and is ended by a spasmodic attack of asthma; eyelids red, burning; blowing of blood from nose ; anxious, despondent, lachrymose ; during pregnancy.

1 iToothache starts from carious teeth of lower jaw, then spreads over whole left side, with tearing pains ; nausea with waterbrash ; > in fresh air, < from cold water and at night; no intermissions, difficulty of speaking or chewing ; fear of trismus ; no swelling or abscess ; hot flashes with cold feet ; during climaxis.

I I Severe pains in teeth for several days, on one side only, extending to r. side of head ; great internal heat ; obliged to keep her mouth half open to cool the mouth, hence great dryness in it; afraid of tetanus.

I I Long-continued severe toothache, caries ; 1. sided, tear- ing, drawing pain; waterbrash during pain ; < during night, especially before midnight, in bed, by cold and eating; nervousness; migraine; leucorrhoea; climaxis.

I Chronic throbbing in teeth.

I The teeth feel dull, are loose, bleed easily and decay rapidly.

■Swelling of gums, dark red, painful bleeding from slightest touch.

SEPIA. 312

I Gums painful as if burned.

Swollen dark red gums, with painful throbbing, as if

beginning to* suppurate, so severe that it was scarcely

endurable. Sore ulcerated gums.

■ Dentition: grinding teeth; dry ringworms make their

appearance, or seem to brighten up at evolution of every fresh group of teeth ; bad smell from mouth ; aggravation of diarrhoea after taking boiled milk ; very exhausting diarrhoea. "Taste and Tongue. ■ Taste: bitter; saltish; putrid or offensive; sour in morning on waking; disagreeably bitter in morning; bitterish sour; unpleasant in morn- ing, mouth dry and slimy ; foul, as from an old catarrh ; slimy, putrid; food tastes too salt; like manure; metallic ; sour after eating.

Tongue and cavity of mouth feel as if scalded.

Tip of tongue feels scalded. ,

Soreness of tip of tongue, little blisters, sore edges.

I Tongue painful as if sore.

■ Tongue pale, flabby and indentated. ^Atonic dyspepsia. Blister on tongue and pain as if burned.

■ Vesicles on tongue.

■ Tongue coated: white; with mucus; dirty yellow;

morning were quite rough.

■ Profuse flow of saliva.

Dryness in fauces; roughness and burning < by hawking. 13 Throat. Dryness and soreness in throat at night, it feels

quite parched. Dryness in posterior nares, yet much mucus in mouth with

involuntar}^ urging to swallow. Pressure in throat in region of tonsils, as if neckcloth were

tied too tight.

■ During first sleep she often imagines she has swallowed

something, which wakes her up in a fright, with a sen- sation as if it had lodged in her throat, sensation re- mains after waking.

• Sensation of a plug in throat.

i ■Much mucus in throat ; hawking of mucus in morning.

Burning of pharynx.

J I Sore throat, with swelling of cervical glands.

313 SEPIA.

I I Soreness and stinging in throat, with swelling of sub- maxillary glands.

I Pain in throat as if raw, when swallowing; also stitch- ing and scraping from empty deglutition.

■ Inflammation of throat : < on 1. side ; with stitching pain

on swallowing; mucous membrane much swollen, but only slightly red; sensation of a lump in throat; secre- tion of tough, sticky phlegm causing constant hemming, with feeling of dryness in throat.

I Chronic swelling of tonsils; sensation like a plug when swallowing.

I Contraction of throat without swallowing.

I I Disposition to inflammation of tonsils, usually ending in suppuration.

iSudden craving, sudden satiety.

Thirstlessness ; or much thirst in morning.

Desire : for vinegar ; for wine.

■ Aversion to food: particularly meat and fat; to bread,

during pregnancy; to milk, which causes diarrhoea; loathing. ^'Eating and Drinking, i Disordered stomach after bread, milk, fat food or acids.

■ During and immediately after eating, pains are renewed

and aggravated. I After eating: acidity in mouth; eructations, empty or

■ Eructations: frequent, with efforts to vomit; bitter; sour;

taste like rotten eggs or manure; after eating but little; cause blood to rise in mouth.

I Heartburn extending from stomach to throat. iWaterbrash after eating or drinking.

I I Nausea: after eating, also in morning, fasting; from smell of food or cooking; when riding in carriage; with anxiety when exerting eyes ; with weakness.

■ Morning nausea as if everything in abdomen were turn-

ing round. 1 1 Morning sickness of pregnancy.

■ The thought of food sickens her, with sense of great weight

in anus.

SEPIA. 314

I Nausea as if viscera were turning inside out; inclination

I I Peculiar faint, sinking emptiness or goneness at pit of stomach.

Pressure in stomach : as from a stone ; as if it were sore internally ; after a meal and from touch.

I I Beating at pit of stomach ; sour stomach ; fiery zigzag before eyes; metallic taste in mouth ; cracking in knee and ankle joints, and painful cracking in occiput.

i Painful sensation of emptiness in stomach and abdomen.

Uneasy sensation in stomach, cannot describe sensation.

Slight pressure on region of stomach causes great pain.

Painful sensation of hunger in stomach ; has to eat some- thing in night or early morning.

Violent pressure under 1. ribs passing off when lying down.

I Pain in stomach after simplest food,

I Cramp in stomach.

■ Stitches or burning in stomach.

■ Beating in pit of stomach.

I I Twisting in stomach and rising in throat, tongue be- comes stiff, speechless, body rigid, ^Hysteria,

■ Pain in stomach < by vomiting; extends to back, with

anxiety,

■ Dyspepsia from injury by overlifting.

Cutting, boring, from region of stomach toward spine.

■ Hardness in pyloric region.

I I Attacks of a severe cramping pain commencing in pit of stomach, pain goes to r, side, under short ribs, comes in paroxysms and when at its height is almost continuous until she vomits a sour and then a thick fluid substance; generally no nausea, nor does she vomit until she takes something to make her vomit; countenance a dirty-yel- low, with distinct eruptions near hair on forehead ; dark urine becomes clear as soon as pain leaves ; after an attack of pain, is very hungry and eats enormously ; the attacks last about six hours or until relieved by vomit- ing ; no day passes without an attack ; when at its -height pain goes through to back, between shoulders; at times pain commences between shoulders; thirst after spell passes off; breath offensive; constipation; stool in hard, green lumps.

■ Acute catarrh of stomach, especially in young people;

315 SEPIA.

pain in forehead ; violent fever heat ; inclination to sleep, with restless tossing about; complete anorexia; white or yellow fur on tongue, without lustre; small blisters on edges, sometimes red spots on* surface.

I rVertigo at night with vomiting of bile and food ; shiv- ering, heat with great thirst; gums sore behind incisors; pressure in stomach; stitches in r. hypochondrium on touch ; constipation, stools hard, difficult, followed by burning in anus ; oppression of chest ; sleeplessness ; itching eruption on hands and thighs. ^Gastric fever.

I I Since several days fever; drowsiness; vomiting of green slime ; lips dry ; smell from mouth as of sour milk ; urine and perspiration have same smell ; perspiration only partial. ^Catarrh of stomach.

I I Digestion poor, frequently disordered ; loss of appetite ; pressure in stomach ; diarrhoea alternating with consti- pation; hemorrhoids bleed profusely; menses too pro- fuse, lasting eight to ten days ; tearing pains in head, teeth and limbs on change of temperature ; gums swol- len, bleeding; frequent pains in throat; at times itch- ing all over body and eruption of small pimples ; eyes red, inflamed ; earthy-colored face ; despondency.

I I Vomits all her food ; painful sensation of emptiness in stomach; sleep broken and unrefreshing ; costive, stools knotty and difficult, has scarcely been moved for two years without an injection; urine cloudy, offensive, a hard crust difficult to scrape from vessel.

I I For some time pressure in stomach, and drawing from stomach through r. chest into shoulder, one hour after eating; > by loosening her dress and eructating; appe- tite good; no thirst; hypochondriasis; falls asleep late ; dreams constantly and feels unrefreshed in morning; tires easily ; feels < in snowy weather.

■ Digestion excites heat and palpitation of heart.

I I Beating at pit of stomach ; sour stomach ; fiery zigzag before eyes ; metallic taste in mouth ; cracking in knee and ankle joints and painful cracking in occiput. ^^ Hypochondria. In region of liver : fulness ; pressing ; sore pain ; dull stitches ; frequent stitches ; stitches when riding.

I Stitches in 1. hypochondrium.

I Pain in liver after moving.

I I Sensation in hypochondria as if ribs were broken and sharp points were sticking in flesh.

I I Sensation as of a strap as wide as her hand drawn tightly around her waist, in evening, after supper. •

I I Dull, aching pain all around body and feeling of some- thing hard boring through liver; spasms in liver, which catch breath ; fulness as if bursting, > by urination.

SEPIA. 316

■ Hepatic neuralgia, with great depression of spirits;

weight, fulness and tightness in region of liver.

I I Stitching, pressing pains in hepatic region, extending thence to region of r. shoulder; vesical tenesmus; yel- low spots on forehead and over bridge of nose ; urine reddish-brown, containing a thick, whitish-yellow mu- cus ; heaviness over eyes and in nape of neck ; uterus anteflexed.

I I Persistent febrile condition; very weak, keeping his bed ; extreme depression of spirits and irritabilit}'' of temper; occipital headache; sudden excessive desire for food, but eats only a small quantity; two or three stools daily and one or two at night, of normal consistency, but clay-colored and offensive ; successive outbreaks of furuncles on nates; on r. side of abdomen, just below arch of ribs, a very tender spot which is the seat of con- stant pain; whole r. hypochondrium tender and heavy; aching in r. shoulder ; restless sleep ; urine has a pink deposit ; heavy sweats at night. ^Functional derange- ment of liver.

I I Remittent febrile condition with evening exacerbations, no chills, pulse at 11 a.m. 96 ; aching weight and sore- ness in r. hypochondrium, and distress and aching in r. shoulder and scapula ; cheeks flushed ; forehead and conjunctivae yellow; irregular yellow patches on fore- head; lassitude; limbs and back ache; obstinate con- stipation; occipital headache ; anorexia, loathes fat and milk; thirst ; tongue flabby and indented; great flatu- lence after food; restless sleep; dry, hot skin; urine scanty and loaded with urates. ^Functional derange- ment of liver.

I I A woman subject to gall-stones, two attacks of shiver- ing, the last at 3 a.m., followed at 7 a.m. by pain in liver, afterward going across to stomach and spleen and around back; liver > by lying on it; pain > by eructations, she feels it would be better if she could pass flatus down- ward.

■ Jaundice, with pain in hepatic region.

I IJaundice, with stitching pains in forehead, epigastrium and small of back; tearing pains in knees and feet; cannot sleep at night, must constantly change position of legs ; lassitude ; great thirst ; urine stains yellow.

I I Mrs. R., set. 51, black hair and thin, has had jaundice for three months; has been for some weeks confined to bed ; when pregnant seventeen years before had same illness for several months ; appetite poor ; no thirst ; stool every day, whitish ; urine like dark tea, with greenish sediment; sleeps badly and has. difficulty in

317 SEPIA.

falling asleep; heat, sweat and twitchings, especially in bed ; liver much enlarged, smooth and not sensitive ; about every two weeks has an attack of gall-stone colic ; she lies upon her back; looks wretched, face yellowish- grey, apathetic and silent. u '® Abdomen. lln abdomen: sensation of emptiness; lax feeling, after stool; soreness and pain as if menses would appear; pain and weight on rising in morning; pain and tenderness ; heaviness ; sensation of a load, during motion ; drawing tensive pressure; bearing down with menses ; feeling of crowding and pressing down- ward ; pressure as if everything would issue through vulva; pressing; cutting; stinging; burning; coldness.

1 1 Feeling of bearing down of all pelvic organs.

I Pelvic distress through night, > by lying on either side, with legs flexed on thighs and thighs on abdomen.

Distress in hj^pogastric region as of overdistended bladder ;

< sitting and lying, > on walking about.

Severe pelvic pain, commencing in sacrum, passing forward and down to r. knee.

■ Bearing down in pelvic region, with dragging pain from

sacrum ; pain extending into loins and down thighs. Frequent attacks of contractive pain in r. side of abdomen,

< in morning; following this, more constrictive pain in stomach; thence the pain extends to chest; > by eructation.

lln r. side of abdomen: severe stitches ; pressing pain.

■ Distension of abdomen; puffed after dinner; loud rum-

bling noises ; distension of lower portion. Feeling as of something adherent in abdomen, with hiccough.

■ Spasmodic contractions in abdomen, with terrible bear-

ing down.

■ Flatulence from lack of bile; abdomen very much dis-

tended after least bit of food ; constipation.

■ Colic: with great distension and sensitiveness of abdo-

men ; recurring toward evening ; colic and faintness before menses.

■ ■Pot-belliedness of mothers.

■Soreness of abdomen in pregnant women.

■ ■Many brown spots on abdomen; chloasma.

I I Neuralgia of plexus mesogastricus ; burning, boring pains; abdomen greatly swollen and very sensitive to touch ; terrible anxiety ; attacks came on in evening.

■ Pain in abdomen, > by hot flannels; loss of appetite;

cannot always swallow solid food, must take it out of mouth ; riding causes pain in hj^pochondria, abdomen and lumbar region, with desire to lie down ; full feeling

SEPIA. 318

rises upward in her throat; tongue becomes stiff ; she loses her voice, and whole body becomes stiff; no appetite ; abdomen always tense ; stools irregular ; menses painful, scanty, irregular,

■ Empty, gone feeling in epigastrium, common to patients

with tapeworm. ^ Stool and Rectum, i Stools: jelly-like, with colic and tenesmus ; green mucus ; sour-smelling ; debilitating ; bloody ; oozing almost constantly from anus ; expelled quickly; frequent; not profuse; fetid; sour; putrid; whitish ; grey.

■ Diarrhoea, < after drinking milk; rapid exhaustion. I I Discharge of blood with stool.

I Before loose stool : nausea ; colic.

■ During loose stool: prolapsus ani ; jerking pains from

anus upward through rectum.

■ After loose stool : exhaustion ; debility ; prolapsus ani.

I I Feeling as of a weight in anus, during stool and for an hour after.

■ Stool has a putrid, sourish, fetid smell, expelled suddenly

and the whole of it at once.

I I Summer complaint, sunken eyes and face ; emaciation; heat of palms of hands and soles of feet, green stools, but little pain.

I I Painless diarrhoea, of three weeks' standing, four or five stools in twenty-four hours; evacuations dark brown, pappy, very offensive, coming very suddenly ; loss of appetite, tongue thickly coated ; frequent belching, particularly after eating ; meteorism.

1 I Painful diarrhoea of several years' duration, extreme emaciation ; great disturbance of digestive organs ; whole nervous system greatly prostrated.

I I Chronic diarrhoea in women who suffer from leucorrhoea, hysteria, hysterical hemicrania, sudor hystericus, tran- sient flushes of heat, frequent chilliness, particularly when at stool, and whole facial expression indicates uterine disturbance.

■ Stool insufficient, retarded, like sheep-dung.

■ Pain in rectum during and long after stool; involuntary

straining.

■ ■Constipation: during pregnancy; slow and difficult dis-

charge even of soft stool ; stools hard, knotty, insuffi- cient, scanty, like sheep-dung ; stools difficult, covered

319 BEPIA.

with mucus ; stool retarded with discharge of blood ; in pregnant women and in children where manual assistance must be rendered in consequence of excessive straining ; with dyspepsia and chronic affections of stomach ; chronic or obstinate, especially after failure of Nux vom. and Sulph. ; especially in women, or per- sons subject to rheumatism ; discharge of blood with stools.

■ During constipated stool: pain in rectum extending to

perineum and vagina ; shooting and tearing in rectum and at anus ; prolapse of anus ; sense of weight at anus ; terrible straining to pass stool, which is covered with mucus ; bloody discharge.

I After constipated stool : sensation of weight at anus ; hemorrhoids.

« I Chronic constipation of forty years' standing, in a lady set. 76, had become so inveterate that she never had a* natural evacuation.

1 iNo stools excepting under influence of purgatives; no movement for several days; abdomen swollen; conges- tion to head ; great torpidity of intestinal canal.

■ Hemorrhoids: painful sensation of emptiness in epigas-

tric region ; delicate and sensitive skin ; protrusion of varices and of rectum, with difficult micturition ; heat, burning and swelling of anus when piles do not protrude, defecation excessively painful, stool being rather small, narrowed by diminished calibre of anus; sometimes fecal mass is triangular and very painful ; constant ooz- ing of moisture from anus ; stitches and jerkings from anus upward into rectum and abdomen. I Pain in rectum : extending to genitals; as from contrac- tion ; burning, the entire day ; soreness ; stitches.

I Itching in rectum and anus.

■ Prolapse of rectum, < from smoking. Cancer of rectum.

I I Sense of weight or ball in anus, not > by stool.

■ Soreness in anus.

I 1 Congestion to anus soon after dinner.

■ Heat, burning and swelling of anus.

i I Constrictive pain in rectum extending to perineum and into vagina ; pain in rectum on going to stool, persists a long time after sitting down, and finally an imperfect stool is voided, with sore, smarting pain, weight in anus, like a constant drag. ^Fissure of anus.

I I Anus encircled by a ring of condylomata.

■ Expulsion of ascarides.

■ Oozing of moisture from rectum ; soreness between but-

tocks.

SEPIA. a20

^^ Urinary Organs. Feeling as if bladder were full and con- tents would fall out over pubes, with constant desire to push them back.

Pressure on bladder; with burning after micturition, iu evening ; in morning, and urging to urinate, urine pass- ing only after waiting several minutes ; and frequent micturition with tension of lower abdomen.

Burning in bladder and forepart of urethra.

I I Smarting in urethra.

■ Frequent and strong urging to urinate, with painful bear-

ing down in pelvis, in morning ; sensation referred to neck of bladder ; must rise frequently at night.

liUrine: clear like water; thick, slim}^ offensive, deposit- ing a yellowish, pasty sediment; with much white sedi- ment, fetid ; cloud}^ and dark, as if mixed with mucus ; scanty, red deposit; sour-smelling; high-colored, looks like powdered brick; dark-red ; deposit of a white, ad- herent film ; turbid, clay-colored, with reddish sedi- ment; blood-red, with white sediment and a cuticle on surface ; with dark-brown admixture ; lithiasis.

Occasional stitches along urethra.

I Urging to urinate from pressure on bladder.

I I Involuntary discharge of urine at night, especially dur- ing first sleep. ^Enuresis.

■ Mucous discharge periodical, not at each micturition;

sometimes pieces of coagulated mucus clog up urethra. ■Smarting in urethra, when urinating.

■ Difficulty of urinating especially in morning, a feeling

as if drops came out of bladder.

■ ■Pressure on bladder and frequent micturition with ten-

sion in lower abdomen. ■Annoying itching sensation in region of bladder, with urging to urinate, especially in night.

■ Only through night a drop or so discharges from urethra,

of urine, but periodically.

■ During and after micturition chilliness and heat in head. • ■Intense burning and cutting pain when urinating.

■ Difficulty of urinating, especially in morning.

■ ■The bed is wet almost as soon as child goes to sleep,

always during first sleep.

■ ■Urine passed within space of two hours after going to

bed, during first sleep.

■ Nocturnal enuresis: boys of light complexion; with

onanists. I I Constant pressure on bladder with urgent inclination to

321 SEPIA.

pass water ; sensation as if bladder and urinary organs would be pressed out, > by standing or sitting with legs crossed or by lying down ; if desire to pass water is not immediately complied with, urine passes involuntarily; urine scanty, sometimes only a few drops, sometimes clear, generally thick and muddy, with a very adhesive brickdust sediment; no pain before or during passage of water, but immediately after, a sharp, shooting pain passes from 1. side of urethra to a spot half way between sternum and shoulder on, a level with the second rib on 1. side, a sore pain constantly remaining in that spot, sensitive to touch or pressure; sleep very much dis- turbed at night from having to urinate as often as every half hour ; dreams of urinating, and finds on waking an urgent desire to do so ; w^eakness and aching in small of back. ^Irritable bladder.

I I Very urgent desire to urinate and difficult discharge throughout day and several times each nig'ht, but par- ticularly for some hours after rising in morning, with a feeling of bearing down in region of bladder, above os pubis; constant soreness throughout urethra, bladder and vagina; sore spot to 1. of pubis, above Poupart's liga- ment, near ovarian region, especially tender on pressure; soreness disappears suddenly for a day or two, returns and is most violent during menses, when entire vesical and uterine region burns and aches; constant tickling in bladder; something seems to move in bladder like a worm and causes tickling; sensation of enlargement of bladder (subjective) which seems to fall from side to side; menses appear regularly but very painful, with bearing down; discharge is profuse, blood light-red without clots ; pains resemble labor pains, is obliged to brace her feet ; this condition lasts two days, after which soreness reappears in 1. side mostly; depressed in spirits,, owing to tormenting desire to pass water, which pre- vents her leaving home; sleeps well but has bad dreams;, feels bright on awaking till she rises only to be tor- mented by constant desire to void urine ; appetite good but food causes pressure in stomach, with frequent ful- ness in epigastrium ; later, thirst; oppression of respira- tion, which is sometimes sighing. ^Chronic cystitis and! irritability of bladder. ^^Male Sexnal Organs, i Increased sexual desire with weak- ness of genitals ; profuse sweat particularly on scrotum ; itching around genitals.

Continued erections at night.

I After coition: great weakness; weakness in knees; uretlnu. burns.

VOL. IX. — 21 . /

SEPIA. 322

■ Nightly emissions with sexual dreams; great despon-

dency ; sensitive to cold, damp air, it chills him through and through. • During coition insufficient erection and but little thrill ; after it great weakness.

■ Weak and watery pollutions.

I After emission burning in forepart of urethra, languid and drowsy.

■ ■Emissions after onanism; despondency, relaxation of

body. I I Very debilitating seminal emissions nearly every night ; frequent one-sided stitches in forehead ; constant offen- sive sweet taste in mouth, w^hich is always dry, but with- out much thirst ; stools hard ; pain in abdomen as soon as inclination is felt for stool ; feeling of tiredness and restlessness in legs, particularly calves.

■ Cutting in testes. Swelling in scrotum.

■ Prepuce ulcerates and itches continually ; cracks on fore-

Indolent chancres ; on glans and prepuce. Burning, itching, humid or scurfy herpes prseputialis ;

■ Profuse yellowish-white discharge from urethra. ^Gon-

orrhoea.

■ Gonorrhoea after acute symptoms have subsided ; urine

is loaded with urates, staining everything red and often excoriating and very fetid, associated with prostatitis.

■ ■Gleet: no pain, discharge only during night, a drop or

so staining linen yellowish ; yellowish discharge, no burning on urinating ; painless, of a year and a half's standing, orifice of urethra stuck together in the morn- ing; particularly where sexual organs are debilitated by long continuance of disease or through frequent sem- inal emissions ; of two years' duration.

■ Condylomata completely surrounding head of penis. " Female Sexual Organs. ■Sterility.

■ Sexual intercourse is intolerable.

■ Jerking pains in vagina from below upward in morning

on waking.

■ Contractive pain* or almost continuous stitches in vagina.

■ Tenderness of sexual parts to touch.

■ Redness, swelling and itching eruption of inner labia.

I I Married fourteen years without conceiving, irregular and scanty menses, followed by leucorrhoea; nausea, disgust for food ; frequent desire to urinate ; a bearing

323 SEPIA.

down or drawing pain in lumbar region ; pain in 1. side

of face, disposed to weep and think married life a blank.

Pressure and heavy weight or dull, heavy pain in ovaries.

■ Congestion; stinging in ovary; pain in ovarian region

running outward and backward.

■ Neuralgia of ovaries and appendages; stitching or burn-

ing pains.

■ Indurated ovaries.

■ Induration of neck of uterus. s Dropsy of uterus.

■ Ulceration and congestion of os and cervix uteri.

■ Induration of cervix uteri, with stitching pains extend-

ing upward. I I For three or four months previous to last confinement, suffered from great distension of abdomen with pain and soreness; one month previous to confinement labor- like pains with discharge of serous fluid; pains subsided and returned again every three or four days until her confinement; thinks she must have discharged at least three gallons of fluid during four weeks ; child was alive, after seven months, great distension of abdomen with pressure and bearing down, especially when standing or sitting a long time, a feeling as if contents would issue through external organs ; general soreness through bowels; occasional discharges of serous fluid, similar to those before confinement, gushing out with force; feel- ing of soreness in uterus and external organs; urine scanty, high-colored, with frequent inclination and in- voluntary discharge when coughing or sneezing; dart- ing pricking pains through hips and sides, sometimes shooting down to bones of pelvis ; pains in back and extremity of sacrum ; general debility ; easy perspira- tion from least exercise; night sweats; sometimes flushes of heat at night followed by chill ; poor appetite ; bow- els loose, several thin evacuations daily ; neck of uterus low in pelvis, nearly as large as at eighth month of ges- tation. ^Hydrometra.

■ Burning, shooting, stitching pains in neck of uterus.

■ Constant sense of pressing into vagina ; crossing limbs to

prevent prolapsus.

■ Painful stiflhess in uterine region.

Pressure in uterus, causing oppression of breath ; pressure downward is as if everything would fall out, accom- panied by pain in abdomen ; she must cross her limbs in order to prevent protrusion of vagina, yet nothing protrudes, increase of gelatinous leucorrhoea.

Prolapsus uteri, with inclination of fundus to 1. side, pro- ducing a numb feeling in lower half of 1. side of body ;

SEPIA. 324

dull aching pain ; aching in pelvic region somewhat > by recumbent posture, especially when lying on r. side; tenderness of os uteri.

I I Acne on face < before menses; perspires easily, hands moist, perspiration of strong odor, not removed by bath- ing; urine of very disagreeable odor and depositing sediment adhering to vessel ; almost constant severe backache with pains through both ovarian regions, < on 1.; frequent headache and stitching pain in vagina. ^Displacement of uterus.

I I Frequent urging to urinate, with scanty discharge; stools tardy although soft; fulness and pressure in pelvis; pressure toward genitals as if everything would fall out ; abdomen bloated, as if pregnant; uterus prolapsed, vagi- nal portion lying between external labia ; os uteri open.

I I Vaginal portion of uterus swollen, dry, protruding from between labia ; os uteri open, admitting point of index finger, internal os closed ; body of uterus fills up pelvis ; efforts at manual replacement futile ; during twelfth week of pregnancy.

I I Confined two months ago; womb at vulva; unable to sit up, on attempting it violent bearing down ; emacia- tion ; loss of appetite ; empty, deathly sensation in epi gastrium ; feeling of weight in anus not > by stool ; claylike sediment in urine ; fever in afternoon.

I 1 Face pale ; yellow spots on face and saddle across nose ; throbbing headache every morning on waking and last- ing all day ; desire to urinate very frequently ; abdo- men naturally was very large and she was greatly annoyed by rumbling in abdomen ; all kinds of food disagreed, causing bitter eructations ; full feeling after eating; complete procidentia with dreadful bearing- down sensation, > crossing limbs.

1 I For two years cough and pains in 1. lung; discouraged, sad, thinks she will not recover, feels cross and irritable^ especially in morning ; alternate sensation of burning and coldness (like ice) on vertex ; constant dull frontal headaches, has been subject to sick-headaches, usually pain centres over 1. eye ; empty, gone sensation at pit of stomach ; loss of appetite, even smell of cooking dis- agrees ; constipation ; cutting and burning during mic- turition ; urine deposits a claylike sediment, which adheres tenaciously to vessel ; menses irregular as to time and quantity ; leucorrhoea most profuse before and after menses, of a yellowish color; stitches in cervix uteri ; bearing-down pain, as if everything would pro- trude, must lie down or cross lier limbs; cough dry and hacking, most in morning, no expectoration ; stitches

325 SEPIA.

to 1. scapula, < by coughing, inspiration, touch, > by gentle pressure; weakness of back, it gives out in walk- ing ; much heat and pain in sacrum ; all symptoms < in morning, > in evening. ^Prolapsus uteri. .11 General health much impaired ; nerves weakened ; con- stant pain in back and pelvic region; extremely painful menstruation; general depression of spirits; is convinced no one understands her case, and that she cannot be cured ; uterus retroverted, os uteri pressed high up against os pubis, fundus low down in hollow of sacrum ; slightest attempt to replace organ gave such severe pain as to make all such attempts futile.

1 1 Sensation of weight in rectum not > by an evacuation and a sensation. that limbs must be crossed to prevent everything being pressed out of vagina.

1 1 Prolapsus : of uterus ; of vagina ; with constipation.

1 1 Pain in uterus, bearing down, comes from back to ab- domen, causes oppression of breathing; crosses limbs to prevent protrusion of parts.

I Stitches or shooting, lancinating pains mostly in neck of

uterus go up to umbilicus and pit of stomach. Uterine pains very severe ; the uterus feels as if clutched and then suddenly relaxed, causing nausea.

I I Metrorrhagia, during climacteric age or during preg- nancy, especially fifth and seventh months.

I I Menses every four weeks, very profuse for five days, dark, slimy, flowing more profusely at night when in bed and sleeping; preceded two weeks by severe pain in small of back ; during catamenia a dull, sickish pain in pubic region, with bearing-down pain and aggravation of that in back, which is > by flow when very abundant; after menses, leucorrhoea, yellow and thick and pain in small of back for two weeks. ^Metrorrhagia.

• Before menses: sadness; acrid leucorrhoea; especially in

young women; violent colic, shuddering all over body whole day; sensation as if vulva were enlarged and soreness in perineum.

• Mania from profuse menstruation.

• Dysmenorrhoea in women with scanty menses; half-sided

headache ; weakness of eyes ; nausea ; constipation.

I I Menses regular but accompanied by hemicrania, nausea

. and vomiting, and great prostration, so that she must lie down.

■ During menses: sadness; toothache; headache; obscu- ration of sight; violent pressure in forehead, with dis- charge of plugs from nose ; bleeding from nose ; soreness of limbs; tearing in tibia ; colicky pains.

I I Day before menses frequent chilliness and pressure in

SEPIA. 326

abdomen ; night previous dry heat in body, restless sleep, with frequent starting and screaming ; in morn- ing crampy drawing down along thighs ; some hours previous to appearance of menstrual flow pressure in abdomen becomes a violent pain in umbilical region as if intestines were drawn into a lump ; frequently faints, and pain continues until menses appear ; after menses, mild leucorrhoea. ^Dysmenorrhoea.

1 1 Menses: too late, scanty ; too early, scanty; preceded by violent aching in abdomen ; causing faintness, chilli- ness and shuddering; eight days too early, scanty, ap- pearing only in morning; a week too soon and lasting only one day; five days too late; regular, but scanty and flow dark ; only in morning.

I Insufficient or retarded menses in feeble women of dark complexion with fine, delicate skin and extreixie sensi- tiveness to all impressions.

I I Scanty menses preceded by abdominal distress, pain in back and palpitation ; constipation with discomfort in rectum ; itching papular eruption on chin, cheeks and temples.

I I For fifteen months, pain in kidneys, slight leucorrhoea, deficient menses, little appetite, difficult digestion, pro- fuse perspiration of hands and feet, chilliness of lower extremities.

I I Great lassitude and tiredness; loss of appetite; belch- ing of wind ; disturbed sleep ; despondency ; pressure in stomach when eating; pinching pains in epigastrium extending to pubes; menses very irregular, scanty, ap- pearing but three times in twelve months ; sensation as if something heavy would force itself from vagina ; yel- low spots on face and forehead; cervix uteri broad and thick but not sensitive to pressure.

llAmenorrhoea: at age of puberty or later; from a cold; in chlorotic women ; in feeble women with delicate, thin skin.

I I Amenorrhoea: every eight to fourteen days in afternoon and evening, severe burning and stitching pains in cen- tre of chest < from deep inspiration, lasting several hours ; lassitude ; palpitation of heart, when walking rapidly or ascending steps ; bitter taste ; loss of appetite ; constipation ; sensation of fulness and at times cutting pains in abdomen.

I When menses fail to appear in mothers who do not nurse; abdomen remains very large.

1 I For three years in place of menses profuse leucorrhoeal discharge.

lAmenorrhcea and profuse yellowish-green leucorrhoea.

327 SEPIA.

I Between menstrual periods a peculiar offensive perspira- tion (sudor hystericus), with a pungent, offensive per- spiration in axilla and soles of feet.

■ Tenderness of vagina; painful coition; blood from va-

gina after coition.

i I Leucorrhoea of a yellowish, excoriating character, some- times attended with a burning sensation; heat and pain in sacrum; menses a dirty-brown color; offensive, muco- purulent sputa ; abnormal nasal discharge. ^Vaginitis.

I 1 Vaginitis in a blonde child, 5 years old.

I 1 Burning pain in rectum, could hardly sit on a chair, same pain in vagina and at vulva ; constipated, head- ache, vertigo.

Great dryness of vulva and vagina, causing a very dis- agreeable sensation when walking, after cessation of menses.

I Diphtheritic ulcers in vagina and on labia.

I Brown-reddish color of vagina.

I Redness, swelling and itching eruption on inner labia.

Soreness and redness of labia, in perineum and between thighs.

I Pruritus vulva.

■ Troublesome and severe itching of vulva, with pimples

all around ; painless vesicles in outer parts of vulva.

■ Severe itching of vulva; labia swollen with humid

eruption.

I I Leucorrhoea : bloody, slimy ;• yellowish; yellow; like milk; especially profuse after urinating; profuse lumpy, fetid mucus ; acrid, with soreness of pudendum ; look- ing like pus; clear as water; green red ; during preg- nancy ; yellow or greenish water ; of bad-smelling fluids; at climacteric period ; at puberty ; with stitches in uterus ; with itching of vulva and vagina ; < when she has fre- quent eructations and retchings, face pale ; especially profuse after urinating, after making an effort to vomit ; only in daytime, with burning pain ; pains while walk- ing on account of soreness; with bearing down in pel- vis ; stinging pain in ovarian region ; frequent urging to urinate; itching in genitals; with stitches in neck of uterus; terrible pain during coition; between menses ; coming away in starts.

■ Gonorrhoea in women after acute symptoms have sub-

sided.

I 'Thick yellow, acrid leucorrhoea during day, none at night ; fulness, heaviness and tension in abdomen ; con- stant painful pressure in sides as from a burden.

I I A child, set. 5, body emaciated, appetite gone, strength rapidly decreasing, afflicted for fifteen months with an

SEPIA. 328

unceasing exhausting leucorrhoea; discharge sometimes thick and of a yellowish-green color, sometimes thin and always very profuse, running through night dress, sheet, and down into mattress on which she lay at night.

■ Induration and sensation of enlargement in mammary

gland; stitches; carcinoma.

I I Scirrhous tumor of r. breast, about size of hen's egg, hard, nodulated and tender to touch ; stinging pain.

iScirrhus mammae; burning pain.

I I Retained placenta after miscarriage; discharges offen- sive, corrosive, with recurrent hemorrhages.

■ Soreness of abdomen ; feels the motions of child too sen-

si tivel}^

■ During pregnancy : yellow-brown spots on face ; thought

of food sickens her ; sensation of emptiness ; painful feel- ing of hunger ; vomiting ; toothache ; colic ; diarrhoea ; costiveness ; congestion to chest ; papitation ; pain in mammae; swelling of labia; too quick escape of urine; laborlike pains in seventh month ; loose morning cough.

■ Terrible itching of vulva, causing abortion.

■ Labor: os half open, pain insufficient, tenderness of an-

terior lip of mouth of uterus, pain above pubes, as if everything would come out; shuddering with pains, can bear them > when warmly covered ; shooting pains in neck of womb; indurated os uteri, dyspnoea; spas- modic contraction of os; numerous fine needlelike, dart- ing pains, shooting upward from neck of uterus; flushes of heat; cold feet; hour-glass contraction; constant sen- sation of weight in anus ; pain shooting upward in vagina; j)ain felt mostly in back; severe bearing down or forcing in back, occurring in regular paroxysms.

■ Offensive excoriating lochia; very long lasting.

■ Nipples cracked across crown, bleeding and sore, preceded

by itching. ^^ Voice and Larynx. Trachea and Bronchia. ■Reflex or sympathetic aphonia from functional or organic disease of uterus.

■ Hoarseness: with tickling in larynx and bronchi; with

coryza and dry cough from titillation in throat.

■ Sensation of dryness in larynx.

■ Roughness and soreness of larynx and throat.

^^ Respiration. ■Oppression of chest and shortness of breath, when walking.

■ Severe oppression of chest, toward evening.

329 SEPIA.

I After emotions of mind loses breath and gets palpitation.

Awakes in morning with great dyspnoea, covered with sweat.

Oppression of chest and cold sweat.

Is suddenl}^ aroused from a deep sleep by asthma.

Breathing < after sleep.

I iShortness of breath, < sitting a long time, particularly in a stooping posture and after motion; walks rapidly without feeling any dyspnoea, but if he is stopped gets so short of breath that he cannot speak and is seized with a feeling of deathly anxiety which disappears when he resumes his walk; sweats very easily on slightest exertion; very sensitive to cold wind; clothing oppress- ive after eating; very easily irritated.

I I Great shortness of breath, hindering her in her house- hold work, must pause while eating to get breath ; after eating pressure in stomach ; oppression of breathing > in open air, < in room, morning and evening; dancing and running cause no shortness of breath.

I Asthma: short, easy inspiration and long, slow, wheez- ing expiration.

■ Spasmodic asthma. ^^ Cough. iDry cough: especially in evening, in bed, until midnight, frequently with nausea and bitter vomiting; during sleep without waking ; from tickling in larynx or in bronchi, toward morning; whooping and choking, with pain in pit of stomach and scraping sore pain in larynx not felt when swallowing saliva; does not awake from her sleep, but after waking it becomes very severe and continuous ; short, seems to come out of stomach ; hard, concussive; short evening cough, with intermit- tent stitches in r. hypochondrium, with eruptions on skin, with women; as if proceeding from stomach and abdomen or from constipation, or as if something re- mained lodged in stomach that would not pass off; after a meal.

I Cough: especially evening and morning, with salty ex- pectoration; with rattling of mucus in chest; with expectoration only in morning or only during night; only during day ; wakes one at night ; with expectora- tion only before midnight as soon as he gets into bed, not during day; short hacking in evening, after lying down, with much expectoration of pure coagulated blood, once every minute ; wakes her at night, with sensation in chest as if hollow, and smarting therein as if sore; most severe in evening after lying down ; spasmodic ; severe, with little expectoration, with little vomiting, evenings, when lying in bed ; day and night, pain there-

SEPIA. ^ 330

from in pit of stomach ; affects chest and stomach greatly ; from tickling in larynx without expectoration ; every evening, not ceasing until he coughs loose a little phlegm ; loose in morning, with efforts to vomit ; loose especially at night ; with expectoration ; with taste in mouth as of rotten eggs ; with soreness in chest; stitches in chest and back.

Cough < : from repose ; standing and sitting ; lying in bed, or upon (1.) side ; after walking rapidly ; going up stairs; getting wet through; taking cold; cold damp air, as in churches and cellars ; cold north wind ; deep in- spiration ; eating ; sour food and vinegar.

iCough and coryza with sneezing commence every morn- ing before getting out of bed and last until 9 a.m.

I Coughs phlegm loose, but cannot get it up ; is obliged to swallow it.

During evening cough after lying down, he can raise > if he turns from 1. to r. side.

When she cannot expectorate with the cough her breath almost leaves her.

■ Expectoration: profuse; purulent; offensive; fetid; green; tasting salty ; only in morning.

■Dry, fatiguing cough, provoked by a sensation in region of stomach, and seeming to come therefrom ; or the cough comes, as it seems, from the abdomen.

I i Affection of lungs with haemoptysis and cough for six years ; > since appearance in face of a red papular erup- tion, now existing for two years; hard papulse on a red base, without suppuration on her cheeks, forehead, nose and chin, burning, itching and smarting intensely, espe- cially in wet, cold weather ; appetite good, though food causes pressure in stomach ; constipation ; menses too often and too profuse ; easily exhausted ; backache ; cough reappeared dr}^ and hard, slight expectoration on rising in morning; constant desire to clear throat, which feels as if filled with phlegm, which it is impossible to raise ; oppressed feeling through chest after a hard par- oxysm of cough ; nausea during and after cough ; erup- tion not very thick on face; cough seemed to come from stomach, which felt as if it were being scraped.

I I Cough and dyspnoea < in dry air, fog, east and north wind ; in stormy weather she is almost suffocated ; in walking dyspnoea often disappears ; lying on 1. side is disagreeable to her ; she has to lie with her head high, often sitting in bed ; a warm room is oppressive ; expec- toration yellow or green, with salty taste ; appetite mod- erate; no thirst; urine has a blood-red sediment; menses regular but scanty ; always < before and during period;

331 SEPIA.

mood depressed and weeping; formerly had cough, blad- der trouble, hemorrhoids, weakness of memory and melancholic state.

I I Catarrh every Winter with violent coughing; after being ill a draft cough tormenting and dry; severe orthopnoea, had to sit straight up day and night, with horrible anx- iety about a rattling in chest, with soreness as if raw on chest; fears to suffocate.

I I Tickling cough in bed at night, particularly before midnight ; spasmodic, coming in rapid concussions, till breath is exhausted, then expectoration of mucus, with temporary relief.

I Paroxysms of spasmodic cough resembling whooping cough, excited by tickling in chest, from larynx to stom- ach ; daytime without, morning with expectoration of yellow, green or grey pus, or of a milk-white, tenacious mucus, generally of saltish taste.

I I Child cries each time it coughs at night ; can hardly get its breath, the cough coming in such rapid succession ; retching with cough, unless quickly picked up ; very cross and cannot be put to sleep as usual during the day ; soreness in bends of knees and elbows, on neck and be- hind ears, rapidly spreading and exuding an offensive- smelling serum, paining when washed.

I I Cough constant whenever child is laid down, particu- larly violent at night ; with spasm of diaphragm and larynx as in whooping cough.

I I Child, 8 months, blonde and fat; teeth developing rap- idly; cough day and night, but principally at night, with retching and complete loss of breath ; cough comes in rapid succession until the breath is exhausted, then gagging and vomiting of mucus. ^Whooping cough.

■ Sudden severe spasmodic cough at night, cannot get

enough breath, chest constricted, retching, loud crying; early in second stage. ^Pertussis. ' I A poor child growing up under most wretched external conditions; characteristic ulcer on frenulum linguse; complication with bronchitis and later lobular pneu- monia. ^Whooping cough. ^^ Inner Chest and Lungs, i Oppression of chest. Severe pressure in chest, evening in bed.

■ Sensation of emptiness in chest.

■ Great pressure on chest, more 1. side.

iStitch in 1. side of chest and scapula, when breathing or coughing.

■ Sensation of soreness in middle of chest.

I 'Frequent sensation as if a knife were tlirust into top of 1. lung, then turned around with jiaiu streaking off through shoulder.

SEPIA. 332

Itching and tickling in chest.

Fulness and pressure in chest.

Constriction of chest with cough.

Rattling in chest with cough.

iChest s3^inptoms > by pressing on chest with hand.

I I Burning pain in a fixed spot under r. nipple; itching of external chest ; dry cough when reflecting ; pain < reading and thinking ; rarely seminal emissions, which, however, aggravate pains ; difficult expectoration of whitish mucus; sweats at night; cold knees at night in bed; slow digestion especially of acids, with sensation of weight in epigastrium ; has old j)leuritic adhesions in r. chest.

iiPleuritis after a chronic headache had suddenly van- ished.

I I Severe attack of pleurisy in two old men.

I I Pleurisy in a boy, eet, 6; exudation had spread over whole 1. chest.

I I Severe attack of pleurisy in ayoung woman where Phos., though apparentl}^ indicated, failed.

• Chronic pleurisy, threatened phthisis.

■ Congestion of blood to lungs, palpitation and great anx-

iety. * I Tuberculous and other chronic diseased conditions, of central third of r. lung {Arsenicum upper third). ■Stretching or darting pains through central portion of r. lung.

■ Neglected pneumonia, with copious, very offensive expec-

toration.

I I Short, dry cough, titillation in larynx, sometimes a thick, deep voice, without metallic timbre ; sensation of dryness in chest and larynx; dry, screeching, deep, hol- low cough, > lying down ; difficult expectoration of a little mucus, which is tough, slimy or albuminoid. ^Phthisis pulmonum.

I I Sharp darting pain through r. side of chest, rather below centre of r. lung; at times very acute, preventing full respiration, then again more dull, but all the time more or less painful ; after suppression of a cough some months previously.

I iDulness on percussion in r. lung, posterior to third and fourth ribs ; much pain, both dull and sharp, in that region; severe dry cough, < in evening, with expecto- ration in morning; chills, fever and night sweats; greatly emaciated. ^Phthisis pulmonalis.

I I Complete anorexia; sleeplessness; cough with a milky- looking expectoration ; fever ; after a severe paroxysm of cough which lasted two hours coughed up several

333 SEPIA.

cupfuls of blood and a large quantity of offensive-smell- ing pus; this had occurred once before; next day ex- pectoration was again slimy, milky-looking and very profuse, with almost uninterrupted loose cough, respi- ration becoming easier. ^Phthisis pulmonalis. I I After relief of a chronic dyspepsia attended with sick- headache he began to suffer with uneasiness and pain just below centre of r. lung ; pain increased in severity and he soon began to cough ; during a very hot day without unusual effort or exposure was seized with a sense of suffocation, probably from congestion of r. lung; much pressure and sharp pain through central portion of r. chest ; cough night and day ; an abscess broke in lung, and he expectorated more than a pint of fetid matter; at first discharge greenish, then bloody and yelloWy finally grey, excessively fetid, so profuse it came near strangling him ; while abscess was gathering, chills, fever and night sweats ; abscess broke, continued to cough very severely day and night; great emaciation; very pale; pulse 12.0; extremely feeble. ^Phthisis. ^^ Heart, Pulse and Circulation. Heart gives an occasional hard thump. Violent palpitation and beating of arteries in evening in bed.

■ Palpitation: after emotions; with stitches in 1. side; with

anxiety about things which happened years ago ; on

walking fast. I Interruption of beating of heart most after dinner, alarmed,

quivering motion. I Wakes up with violent beating of heart.

■ Nervous palpitation > by walking fast.

I I A man, about 30, stout, healthy-looking, complains of palpitation and constipation; appetite good ; no thirst; after eating, bloatedness of abdomen, anguish and pal- pitation, especially with alvine discharge ; < when sitting down after having had a walk, never during walking or dancing ; flatulency in 1. side of abdomen rising upward, > by pressure; < in cold wind ; cannot lie on 1. side, prefers to walk with head uncovered ; sweats easily, especially on feet, which often feel cold.

■ Affections of heart, with violent intermittent, palpitating

and tremulous motion of heart; violent, rather loud and sometimes intermittent sounds of heart, with dul- ness of percussion over a larger surface ; flushes of heat, redness, determination of blood to head and r. temple, with cold hands and feet; scanty urine; costiveness. Much ebullition of blood in whole body, at night, produc- ing restless sleep.

SEPIA. 334

Orgasm of blood with congestion to head and chest.

She feels pulse beating through body, particularly through

whole 1. chest. llCongestion of blood to chest, with violent palpitation of

Pulse : full and quick during night and then intermitting;

slow during day; accelerated by motion or being angry;

■ Soreness of nipples.

■ Pressure and stitches in r. shoulder blade.

■ Stiffness in small of back and neck.

■ ■ In small of back : pain ; pain and weakness ; at 6 p.m.

pain or great weakness; weakness when walking, from uterine troubles; pulsations; aching; pain as if sprained in afternoons and evening in bed; tired pain; pain par- ticularly with stiffness, > by walking.

During whole menstrual period she could not sleep on account of tearing in back, chills and heat with thirst and painful contraction of chest.

Heaviness in back in morning on awaking as if she could not turn or raise herself, or as if she had lain in a wrong position, almost as if parts had gone to sleep.

■ ■When stooping sudden pain in back as if struck by a

hammer, > by pressing toack against something hard.

■ Stitches in back when coughing.

■ ■Pain in back across hips.

Stitches posteriorly over r. hip, for four days almost con- tinuous; she could not lie on r. side on account of pain, when touching part it pained as from subcutaneous ulceration.

■ Aching pain across loins < on moving.

■ Aching in sacrum in evening, > by pressure.

■ Dull pain in sacrum.

■Soreness and pain in back in sacral region.

■Constant dull, heavy pain in sacrum and abdomen ex- tending to thighs and legs.

Pain in sacrum extending through hips and thighs to below knee, with weakness and lassitude when moving.

335 SEPIA.

especially when going up stairs, as if limbs would refuse to act before reaching top.

■ Pressing, dragging pain over sacrum and at same time

over hips, burning pressure in spine extending across dorsal region and under scapula, like that produced by sewing.

■ Weakness of sacro-iliac region.

■ Belching relieves pain in back.

■ Pains extending from other parts to back.

■ Herpes circinatus r. side of neck, appearing at one time

in front, then at back, then at side of neck, at times they extend about ear, swelling of surrounding parts.

I 'Throbbing in small of back > by sitting upright, < sitting, leaning back ; on turning in bed or stretching out arms a pain catches her there as if something were going to break, stopping breath. ^Rheumatism.

■ Is obliged to walk stooping and gets painful stitches in

back by accidentally kicking foot against something,

■ Sudden stitch in back while lifting, cannot move without

great pain.

■ Backache causes nausea and faint feeling while standing.

I I Pains in small of back after exposure to wet and cold

weather; < in morning, sitting or on beginning to move about ; falls asleep late and cannot lie on 1. side or upon back; vertigo in morning when rising; feels uncom- fortable in a hot room or when sitting too long; per- spires easily.

I I After a severe cold, chilliness along back in evening, fol- lowed by a severe pain in back, < slightest motion of back, on account of which she must lie very quietly on back ; great oppression of chest with shortness of breath and violent beating of heart ; pressing pain in region of stomach; > from touch; frequent twitching of arms; pulse tense, 120; loss of appetite; thirst moderate; sweats. ^Perimyelitis.

■ The spine is tender to touch on pressure.

'* Upper Limbs. ■ Swelling and suppuration of axillary glands.

■ Humid tetter in armpit.

■ Pain as from dislocation in shoulder joint after exertion. Paralytic drawing and tearing in arm and armpit to

fingers.

■ Lameness and falling asleep of arms and fingers.

■ Drawing in arms down to fingers.

■ Bruised pain in arms..

SEPIA. 336

■ Herpes on elbow (scaling off). iStiffness of elbow and wrist joints.

I Stitches in joints of arm, hands and fingers.

Tensive pain in metacarpal joints of fingers, particularly during flexion.

I I Red, hard spot on skin covering first and second meta- carpal bones, rapidl}^ spreading over dorsal surface of hand; scales fornied upon the red base falling off in centre and renewed toward periphery.

I Scaly tetter on backs of hands ; < in cold weather.

I White scaly tetter on back of hand and fingers.

I Itch and scabs on hands ; soldier's itch.

I Heat in hands during day, with nervous excitement.

iCold hands even in warm room, and from hands chill through whole body.

I I Profuse perspiration of hands so that all needles rusted and soiled her work ; frequent and severe migraine.

llHands sweat profusely; cold, sweaty hands.

Things drop from hands.

Burning of palms of hands.

■ Cold perspiration on hands. I Skin on palms peels off.

I I Whitlow for six or seven days; last joint of r. thumb inflamed, swollen and itches, with throbbing, shooting and burning in it; redness mostly on dorsal surface of phalanx, throbbing < in palmar surface; the part is dark-red and pus invisible (relieved the pain).

I Panaritium, with violent beating and stitching pains.

• Painless ulcers on tips of finger or on joints.

I Warts on hand and fingers; on sides of fingers; horny.

Many warts of young girls (onanists).

Finger nails yellowish, discolored. ^^ Lower Limbs. iCoxagra with lancinating stitches, must get out of bed for relief; pains < from rising but > from slow walking.

1 I Severe tearing pains in 1. thigh ; along coarse of. sciatic nerve, pain extending to calf of leg and toes; pain 3 to 5 A.M.; during attack veins of affected part are greatly distended, she cannot remain in bed, gets up and walks about room sobbing; lassitude during day ; eight months pregnant. ^Sciatica.

Swelling of limbs and feet; feet swollen and feel as if asleep ; feet burn much at night ; at the climacteric.

Pains in hips and thighs extending to near the knees.

I Cramp: in hip joint and thigh; in buttocks at night in bed when stretching out limb ; in calves, particularly during latter months of pregnancy ; feet mostly in day- time, ankles weak and turn easily when walking.

337 SEPIA.

Pain as if bruised in r. hip joint.

Stiffness of legs to hip joint, after sitting for a short time.

Drawing in thighs.

I Soreness and burning between nates.

I Lower limbs go to sleep when walking.

I Much weakness in lower limbs.

I Lower limbs pain as if beaten ; desires to sit down, when sitting she feels as if she must stand up.

iStitches and sticking, drawing pains, with lassitude, cold- ness of feet or knees ; sweat of feet.

■ Restlessness in legs every evening, with formication.

I Sensation of running as from a mouse in lower limbs.

ilcy coldness of lower limbs.

I Swelling of limbs and feet, < when sitting or standing,

> when walking. iSw'elling of knee, soft and painless.

■ Cracking in knee and ankle joints, stiffness.

I I Acute attack of rheumatism in r. knee, which is semi- flexed, stiff, swollen, red and painful ; < at night; great sense of weakness in joint; external lateral ligament especially sensitive and painful to touch ; extreme sen- sibility to cold air and to every change of weather.

I I For fifteen years, scaly eruption on legs or a dark, dusky redness of skin ; it occasionally improved but never dis- appeared.

I I Papular, dry, scurfy, ring-shaped eruption, on anterior surface of legs, immediately below knees.

I I Aching in calves, extending to knees, with a feeling al- most as if bones were decaying ; excitement and occu- pation of business during morning make him forget his aching limbs; has had much worry lately.

■ Coldness in legs and feet, especially in evening in bed;.

when feet get warm, hands get cold.

I Burning or heat of feet at night.

I Feet swollen, with sensation as if fallen asleep.

I I Feet hot, red, swollen, dorsal surface covered with large pustules, some of which had burst, discharging a thick, yellow greenish pus ; severe tensive pains ; < in r. foot.

I I Heaviness in feet when walking.

I Icy coldness of feet. ^Metritis.

■ Profuse sweat of feet; or sweat of unbearable odor, caus-

ing soreness of toes.

■ Suppressed foot sweat.

■ Tension in tendo-achillis, also swelling of tendon. Ulcer on heel from a spreading blister.

Stitches in heels and corns during day. Crumbling misshapen toe nails. ^* Limbs in General. ■ Heaviness of limbs.

VOL IX. — 22.

SEPIA. 338

■Stiffness and cracking of joints with arthritic pains.

■ Jerking and twitching of limbs and head, during da3\

■ Limbs go to sleep easily after manual labor.

■ Weakness of joints, especially of knees.

■ Patient fears joints cannot bear exertion of lifting.

■ Stinging pains in limbs, inner parts, bones.

■ Neuralgia in limbs going up into head.

I I Painful indolent little boils in armpits and thighs ; irreg- ular catamenia; peculiarly offensive sweaty condition of feet, painful excoriation between toes.

■ Itching in bends of knees, elbows and on hands.

■ Palms of hands and soles of feet burning hot.

boring headache > ; coldness in vertex < ; fistula of cheek < ; neuralgia of plexus mesogastricus > ; cough worse.

Lying : headache with anxiety < ; pain in occiput < ; stitches in forehead > ; an back, headache < ; on pain- ful side, headache > ; on it, swelling on side of head > ; on painless side, roots of hair more sore; quiet facial neuralgia > ; > pressure under ribs; on liver > pain; on back with gallstone colic ; distress in hypogastric region < ; sensation as if urinary organs would be pressed out > ; aching in pelvic region; hacking cough; cough >.

Lying with head high: cough and dyspnoea >.

Lying on side : pulsating pain > ; legs flexed on thighs and thighs on abdomen > pelvic distress.

Lying on r. side: aching in pelvic region >.

Lying on 1. side : fistula of cheek < ; cough < ; is disagree- able to her; cannot, pain in back ; anxious dreams.

Lying on back: impossible; pain in back; very quietly, compulsory on account of pain ; cough with expectora- tion <.

Must lie down : migraine during menses.

Could not be raised from recumbent position without fainting.

Sitting: impatience; headache > ; involuntary jerking of head ; distress in hypogastric region < ; bearing down a long time shortness of breath < ; cough < ; palpita- tion > after a walk; throbbing in small of back, > up- right, < leaning back ; backache < ; too long, feels un- comfortable ; a short time, stiffness of legs ; swelling of limbs or feet <.

Sitting with legs crossed: sensation as if urinary organs would be pressed out > ; to prevent protrusion of va- gina; bearing-down sensation >.

339 SEPIA.

Has to sit straight up day and night : orthopnoea.

Stooping: bursting headache < ; boring headache < ; coldness on vertex < ; shortness of breath < ; sudden pain in back.

Standing : emission of urine ; as if urinary organs would be pressed out; bearing down; cough <; backache causes nausea and faint feeling ; swelling of legs and feet <.

Turning in bed : stretching out arms, catching pain in small of back ; stitches in back.

Turning from 1. to r. side : facilitates raising phlegm.

Could not lie quiet for five minutes : restless sleep.

Rising from bed : pain in swelling on head >.

Rising : pains from coxagra < ; very tired in morning.

Leaning forward: heaviness in ovarian region.

Must bend over : pain in stomach.

Kneeling at church : fainting.

Stretching out limb : cramps in buttocks.

Remaining in one position long: neuralgic pains <.

Changing position : neuralgic pains > ; of legs impera- tive.

Desires to sit down, when sitting must stand up again ; pain in limbs.

Cannot find easy position for head.

Stepping: headache <.

Motion : pain over eye < ; bursting headache < ; pain in cerebellum ; boring headache < ; of eyes < headache ; of head < coldness on vertex ; leucorrhoea < ; fistula of cheek > ; pain in liver after ; sensation of a load in abdomen ; shortness of breath < ; pulse accelerated ; aching across loins < ; weakness and lassitude in sa- crum ; at first < crick in back, continued > ; causes great pain in back ; at first < pain in back ; chilliness ; flushes of heat from least.

Slight exertion : neuralgic pains > ; disagreeable from weariness ; easy perspiration ; fatigues ; irritable and faint ; sweat.

Slow exercise : headache >.

Exertion: pain in shoulder joint.

Hard motion: continued > headache.

Shaking head: headache <.

Walking : vertigo ; hemicrania < ; headache < ; emis- sion of urine; distress in hypogastric region >; back gives out ; after menses a very disagreeable sensation ; oppression of chest ; rapidly no shortness of breath, only when stopped ; cough < ; dyspnoea often disappears ; fast, palpitation ; nervous palpitation >.

Weakness : in small of back ; pain and stiffness in small

SEPIA. 340

of back; slowly > coxagra; ankles turn easily; lower limbs go to sleep ; swelling of legs and feet > ; heavi- ness of feet ; profuse sweat.

A short walk : fatigues much.

Must get up and walk about : sciatica.

Going up stairs : cough < ; as if limbs would refuse to act;, fatigues.

Dancing and running : cause no shortness of breathing, '^Nerves. Very faint all day.

I Great exhaustion in morning during menses.

Great exhaustion and indolence; everything seems an ex- ertion ; the least exertion fatigues, even going up stairs.

I Feeling of prostration; general languid feeling of whole body.

I Feels weary and trembles all over.

I Very tired in morning, when rising from bed.

I In morning on waking weak feeling as from nausea. II A short walk fatigues much.

• Debility usually characterized by a painful sensation of emptiness at pit of stomach; icy coldness of feet and hands.

I I Sudden prostration and sinking faintness.

I Very irritable and faint from least exertion.

I I Great faintness from heat, then coldness ; great exhaust- ion in morning, during menses.

1 Sudden faintness, with profuse sweats and undisturbed consciousness, without being able to speak or stir; rigid like a statue.

■ Fainting: after getting wet; from riding, in a carriage;,

1 1 while kneeling in church ; at trifles. Frequent trembling of whole body.

■ Extreme nervous restlessness ; uneasiness in whole body;

fidgety. I I Feels as if she could feel every muscle and fibre of her r. side, from shoulder to feet, an indescribable sensation.

■ Frequent starts of upper part of body.

■ Jerking and twitching of head and limbs.

■ Cramps in buttocks in bed, at night, when stretching out

■ Twitching of limbs during sleep. General muscular agitation.

■ Hysterical spasms; sensation of a ball in inner parts.

I I Sensation of an icy-cold hand between scapulse, then coldness over whole body, followed by cramping of" chest as if she would suffocate, lasting several minutes ; this is followed by clonic spasms of r. leg with twitch- ing therein, and twitching of r. arm when leg is held,, finally trembling of legs ; sleep frequently disturbed by

^41 SEPIA.

attacks of anxiety, sudden fainting, profuse sweats, and a condition in which she is conscious and can move about but not speak. ^Hysteria, I I In early childhood received a blow upon spine and has ever since complained of tenderness along its course ; whole spine very sensitive, could bear no pressure upon it ; also a spot in abdomen a little to 1. and below umbil- icus extremely tender; pain in 1. shoulder extending down 1. arm and side, at times so severe that she cried out ; at times peculiar sensation in 1. arm, feels very stiff although flexible as ever; constipation; menses regu- lar ; vomiting each meal almost as soon as eaten ; con- tinued in this state for two months, sometimes >, at others < ; then whole 1. side of abdomen became ten- der, could not bear slightest touch, patient stated that a circumscribed redness appeared over painful spot; paroxysms of great pain and anguish every evening in this spot accompanied by vomiting of bloody water and sometimes of pure blood to the amount of several table- spoonfuls; numbness of 1. side and limbs, soon followed by complete paralysis of 1. arm; difficulty in urinating, would postpone urinating for two days, then three or four days, each time having terrible paroxysms of suf- fering; could not be raised from recumbent posture without fainting and aggravation of pains ; had several paroxysms of pain during night, summoning whole household to her bedside by her screams; would roll from side to side panting, speaking only in broken words and sentences, then would become unconscious for sev- eral minutes, slowly recover and vomit some blood; finally lost all desire to pass urine and during five weeks . never passed a drop, suff'ering no inconvenience there- from ; pulse 72. ^Hysteria.

Paroxysm of something twisting about in her stomach and rising toward throat; her tongue becomes stiff; she became speechless and rigid like a statue.

• She is very uneasy about the state of her health; con- stantly worrying, fretting and crying about her real or imaginary illness. ^Hysteria.

I I Violent spasmodic movement of all the limbs of body, and particularly of head, so that most of hair was rubbed off"; talking amounts only to a stutter and is accompanied by twitching of muscles of face; great restlessness, constant desire to change his place and position ; red tettery eruption on 1. thigh. /^Chorea.

< I Convulsive motions of head and limbs; when talking (which is only a stammering), jerking of facial muscles; general muscular agitation ; desire to constantly change

SEPIA. 342

■ Paralysis with atrophy.

■ Great sensitiveness to pain {Coff., Cham., Hep.).

■ Sensitiveness to cold air.

'^ Sleep. ■Sleepiness : in forenoon ; during day falls asleep as soon as she sits down ; too early in evening.

■ Difficult awaking, no desire to rise, weariness of limbs.

■ Talks aloud during sleep.

■ Restless sleep: confused dreams; felt that she had a

weight pressing on her thighs, momentary; on account of anxious dreams and heat; she could not lie quiet for five minutes.

■ Sleep does not refresh, but leaves tired, aching feeling

through whole body.

■ Frequent awaking from sleep without cause or because

he thinks he has been called.

I I During first sleep, she often imagines she has swallowed something, which wakens her up in a fright, with a sen- sation as if it had lodged in her throat.

Awakes at night in a fright and screaming.

■ Twitching of limbs.

■ Ebullitions at night, with restlessness. Nightl}^ delirium.

Awakes in morning at 3 o'clock and cannot go to sleep again.

■ Wakeful, sleepless, from rush of thoughts.

■ Sleeplessness, cannot fall asleep, is nervously oversensi-

tive.

Anxious dreams when l3'ing on 1. side. ^^Time. 3 a.m.: attack of shivering; awakes and c.innot go to sleep again.

3 to 5 A.M.: pains in 1. thigh.

Toward morning: tickling in larynx or bronchi.

Morning: depression; beating in vertex; jiemicrania; heaviness of eyelids < ; itching of inner can thus; burn- ing in eyes ; photophobia and swelling of eyelids < ; acute conjunctivitis ; conjunctivitis with muco-puru- lent discharge; lids glued together by thick matter; photophobia < ; conjunctiva palp, injected on waking; smarting in eyes ; lachrymation ; difficulty of opening- eyes ; fluent coryza with sneezing ; face red ; on rising neuralgic pains < ; prosopalgia appears ; cough < ; sour taste on wakirtg ; bitter taste ; unpleasant taste ; roughness of mouth, throat and tongue; hawking of

343 SEPIA.

mucus; much thirst; in morning vomiting of food and bile ; on rising pain and weight in abdomen ; pain in abdomen < ; strong desire to urinate; difficulty of uri- nating; pain in vagina; cross and irritable <; cough dry and hacking < ; prolapsus uteri symptoms < ; crampy drawing down along thighs ; menses only ; loose cough ; great dyspnoea ; oppression of breathing < ; expectoration ; cough loose, with effort to vomit ; heaviness in back ; pain in back < ; vertigo when ris- ing ; great exhaustion during menses ; very tired ; on waking weak feeling as from nausea ; very cold feet ; after waking sweat ; sweat with anxiety ; paroxysms of ague appear sometimes.

10 A.M.: paroxysm of ague.

From 11 A.M. to 1 p.m.: neuralgia of plexus mesogastricus.

From morning till noon: stitches over orbit; headache with nausea.

Forenoon : as if brain were crushed ; till evening boring pain; involuntary jerking of head; weakness of eyes; sleepiness.

During day: milky leucorrhoea < ; did not open eyes; on closing eyes ; scratching in them < ; prosopalgia disap- pears ; leucorrhoea ; cough only ; no expectoration ; pulse slow; heat in hands; cramp infect; stitches in heels and corns ; jerking and twitching of limbs and head < ; falls asleep as soon as she sits down ; shuddering with- out chill.

All day: headache; shuddering all over bod}^ ; very faint; feet damp and cold.

Day and night: pain from cough.

Afternoon : vertigo when rising from bed ; pain in small of back; paroxysms of quotidian ague; fever <.

Between 3 and 4 p.m. :■ paroxysms of ague.

3.30 P.M. : pain over eye.

4 P.M.: fulness deep in orbit.

6 P.M.: pain and weakness in small of back.

Toward evening : increasing dryness of e3''es ; colic recur- ring; severe oppression of chest; chilliness with thirst; very cold feet.

8.30 P.M. : flushes of heat all over body.

Evening: sad and gloomy; toward anxiety; headache >; hemicrania <; prickling of eyes by candlelight; pust- ules around cornea with redness < ; biting in r. eye ; acute conjunctivitis ; great dryness in eyes ; agglutina- tion of lids ; lachry mation ; face pale ; thirsty ; as of a strap around waist; fever <; attacks of neuralgia; prolapsus uteri symptoms > ; oppression of breathing < ; dry cough ; short cough ; hacking cough ; pressure in chest ;

SEPIA. 344

beating of arteries ; pain in small of back ; aching in sacrum ; chilliness along back ; in bed cold feet ; early, sleepy ; chilliness ; very cold feet ; face heated ; parox- ysms of ague; itching of spot on r. hand; acarus-itch itching <.

Night: pressure in eyes; smarting in eyes < ; scratching in eyes < ; stitches in ears < ; neuralgic pains < in bed ; very severe prosopalgia ; toothache < ; throat parched; has to eat something; vertigo; heavy sweat; pelvic distress; involuntary discharge of urine; much disturbed from having to urinate; gleet discharge only; menses more profuse ; no leucorrhoea ; expectoration ; wakes with feeling as if chest were hollow ; cough < ; spasmodic cough ; cold knees; much ebullition of blood in whole body; pulse full and quick; burning of feet; cramp in buttocks ; rheumatism in knee < ; paroxysms of pain ; awakes in a fright and screaming ; cold sweat < ; itching and burning of skin in bends of elbows and knees.

Before midnight : cough with expectoration ; tickling cough.

Toward midnight : spasms of eyelids cease. '' Temperature and Weather. In hot weather: conjunctivitis always <.

Becoming overheated : nosebleed.

Hot flannel : > pains in abdomen.

Warmth: was unbearable during violent headache.

Warm room: facial neuralgia >; oppressive; feels un- comfortable; cold hands ; internal chilliness; fine rash over body remains ; nettlerash disappears.

Warm climate: nervous irritability >.

Warmly covered : can bear labor pains better.

In room: oppression of breathing <.

In bed: toothache <.

Open air: sad and gloomy; while walking, vertigo ; stitches over orbit > ; headache > ; pain over eye > ; in head > ; coldness on head > ; pressing pain around eyes < ; acute pain in orbit < ; lachrymation ; toothache > in fresh air ; oppression of breathing > ; chilliness ; while walking profuse sweat ; urticaria appears. - In dry air, fog, east and north wind : cough and dysp- ncEa <.

Change of weather: rheumatism of knee very sensitive.

In a thunderstorm : boring stinging over eye <.

After a thunderstorm : ringworm-like eruption >.

Wind : riding in, brings on facial neuralgia.

North wind : boring stinging over eye <^.

Northeasterly wind : facial neuralgia <.

345 SEPIA.

Rough wind : exposure to, brings on migraine ; walking

itches and smarts <. Cold water: acute conjunctivitis > ; smarting in eyes > ;

back of hands < ; rheumatism of knee very sensitive ;

with thirst, toward evening, followed by night sweat;

for many nights ; internal, in warm room ; with the

pains. External warmth was unbearable to her during violent

headache, yet she was chilly.

■ Coldness: over whole body; between shoulders, followed

by general coldness and convulsive twitching of r. side and difficulty of breathing; begins in feet and rises upward. I Chill frequently setting in after previous heat.

■ During chill more thirst than during heat.

I Cold hands and feet, with frequent flushes of heat to head

and face.

I I Hands generally cold but moist with perspiration.

Icy coldness of both hands, in warm room they send a

chilly feeling through whole body. Very cold feet, particularly in evening, mainly in bed, and

afterward, when this passes off, very cold hands.

■ I Very cold feet with headaches, especially toward evening

and in morning. Feet damp and cold all day, feeling as if they stood in cold

water up to ankles. iHeat with attacks of chilliness, with thirst.

SEPIA. 346

iFace much heated: from talking; with heat in evening, in head.

Painful heat in head, frequently, with flushes of heat over bod3^

Hot flush over face and whole head lasting but a few sec- onds, followed by slight perspiration.

Flashes of heat all over body about 8.30 p.m.

Attacks of flushes of heat, as if hot water were poared over one, with redness of face, sweat of whole body and anx- iety without thirst, yet without dryness of throat.

■ Flushes of heat from least motion. I Heat ascends.

■Sweat: during sleep, particularly on head; profuse, while walking; especially in bends of joints; while walking in open air even against cold wind ; over whole body, in morning, after waking, profuse; with anxiety in morning; from least exertion; every morning in bed, after awaking, mostly on lower limbs; of the feet; on upper part of body ; continuous, debilitating; pungent, offensive in axillae, and soles of feet, causing soreness.

■ Night sweat : cold on chest, back and thighs ; from above

downward to calves, every third night; smelling sour; offensive or like elder blossoms.

I I Paroxysms appear 10 a.m.; shaking chill with thirst and vomiting ; then severe laborlike pains, > after cold stage, which varies in duration and is followed by pro- fuse sweat with headache in forehead and occiput and palpitation, also night sweats, throbbing in temples, op- pression of chest and pain along spine (all during sweat); thirst only during chill, but water is then immediately vomited; falls asleep during night sweat; after parox- ysm > although greatly prostrated ; mouth full of white mucus; irritable during parox3^sm ; constipation; urine dark ; loss of appetite and irritability of stomach ; is three months pregnant. ^Ague.

I I Paroxysms appear in afternoon, begin with heat in head, redness and stitching pains in temples, pressure in occi- put; then shivering and chilliness along back, lasting an hour and a half, with thirst, dry cough, stitches in hypochondria and swelling or r. submaxillary gland ; fever ; has had six paroxysms. ^Quotidian ague.

i I Tertian ague; paroxysms appear sometimes in morning, sometimes in evening; chilliness and shivering, fol- low^ed by heat, then sweat, particularly in face ; thirst in all three stages ; loss of appetite ; bitter taste in mouth ; thirst; itching of forehead ; vertigo, causing him to fall; stitches in splenic region, also during cough, with ex- pectoration of blood -streaked mucus; epistaxis; stitches in back on turning in bed ; rumbling in abdomen.

347 SEPIA.

I I Paroxysms between 3 and 4 p.m.; chill preceded by thirst; during chill, thirst; severe tearing pains in upper and lower limbs; hands and feet blue, icy-cold, hands seem dead; cough, with scanty expectoration, lasting through hot stage; heat predominates, is of two hours' duration and is followed by sleep and finally cold sweat, particularly at night ; during apyrexia, paleness of face ; tearing pain in head from ear to ear, also in forearms from elbows into fingers and both knees ; cold hands and feet with weakness; no food seems salted enough; cough with scanty expectoration, particularly when lying on back. ^Quartan ague.

I I A girl, set. 16; every four weeks, to the day, taken in morning with severe chill, lasting two or three hours, followed by very high fever, lasting as long as chill, this is succeeded by profuse sweating ; the attack was re- peated a second and third time with an intervening well day, after which the ague disappeared until expiration of four weeks from commencement ; ague did not return at expected time ; instead of it a rather copious men- struation appeared and returned monthly, with entire restoration to health.

I I Quartan ague chill beginning in legs ; preceded by a small, hard lump in 1. breast, above nipple, sore to touch; each time (twice) it waked her at 4 a.m.; one hour later, chill ; constant cold, damp feeling in front of chest ; air seems damp. ^Ague.

I Heat ascending, or sensation as if hot water were poured over him. ^' Attacks, Periodicity. Alternately : hard and soft stool ; diarrhoea and constipation ; burning and coldness on vertex.

Periodical: headache from 2 p.m. till bedtime; discharge of mucus from urethra.

Every minute: expectoration of pure blood.

Every five minutes: during day and night, stitches in forehead.

Every half hour: having to urinate at night.

Several times a day: rolling in abdomen.

Several paroxysms during night: of pain.

Every morning: headache with nausea; sweat in bed; cough and coryza with sneezing last till 9 a.m.

Every evening: cough; restlessness in legs; great pain and anguish in spot in abdomen.

Nightly: emissions with sexual dreams; delirium.

Every Saturday for years: headache.

For two days: postponed urinating.

Every third night: night sweat.

SEPIA. 348

Every three or four days : laborlike pains.

For four days : stitches over hip.

For several days : pain in teeth.

Eight or ten days : menses.

Every eight to fourteen days in afternoon and evening ; amenorrhoea.

For many nights : chilliness.

Every two weeks : gallstone colic.

Of three weeks' standing: painless diarrhoea.

Every four wrecks : to the day taken wuth severe chill, then fever and sweat.

For five weeks : passed no urine.

For three months: jaundice.

For four months : menses suppressed.

Every Spring : for three years, tendency to reappearance of carcinoma of lip ; ringworm-like eruption.

Every Summer: for twenty years, from beginning of warm weather in Spring until its close in the Fall.

Every Winter: catarrh with cough.

Since a year: recurring attacks; agglutination, photopho- bia, pustules, pain.

A year and a half standing : gleet.

Of several years' duration : painless diarrhoea.

Of two years' standing : hard, indurated tarsal tumor on lid; costiveness; gleet; eruption on face.

For five or six years : headache ; affection of lungs.

Eight years' standing: crick in back.

Of thirteen years' standing: ozaena.

For fifteen years : scaly eruption on legs. "Locality and Direction. Right: tearing in side of fore- head ; headache follows perspiration on side of head ; stitching pains in side of head ; hemicrania ; boring stinging over eye; as if eye were gone and cool wdnd blew through socket; pressure in eye ; biting in eye; eye inflamed; side of face much swollen, deep red; eye seemed much smaller than left ; angle of mouth drawn upward ; stitches into ear ; heaviness in ovarian region; pain running down leg; stitches in hypochon- drium ; drawing through chest into shoulder; pain from hepatic region to shoulder ; tender spot on side of abdo- men ; hypochondrium tender and heavy ; aching in shoulder; pelvic pain to knee; pain and stitching in side of abdomen; scirrhous tumor of breast; stitches in hypochondrium; pain in spot under nipple; pleuritic adhesions in chest; diseased condition of lung; stitch- ing darting through lung; pressure and pain through chest; determination of blood to temple; stitches in shoulder blade; stitches over hip; could not lie on side.

349 SEPIA.

stitches in hip; herpes circinatus on side of neck; last joint of thumb inflamed; acute rheumatism in knee; as if she could feel every muscle and fibre of her side; clonic spasm of leg; twitching of arm when leg is held; twitching of side; swelling of submaxillary gland- a roundish bright-red spot on ball of hand.

Left: tearing in frontal eminence; stitches over orbit; tearing in temple and side of head ; pressing pain over eye; fulness deep in orbit; shooting over eye; sore pain in eye and temple; pain in temple downv^^ard; stitching in zygoma ; severe pain in head ; pain beginning in parietal region becoming throbbing in occiput; violent stitches in forehead; lashes of eye gone, edges raw and sore; sticking in eye; stuffiness of nostril; small pustules on wrist; panaritia of thumb and middle finger; dry coryza in nostril; offensive greenish discharge from nostril; neuralgic pains commence in temple over side of face; fistula in cheek; rales at apex; tearing through ear; tingling then tearing in hand; toothache; inflammation of throat < ; violent pressure under ribs ; stitches in hypo- chondrium; pain from side of urethra to a spot between sternum and shoulder; inclination of fundus to side; numb feehng in lower half of side of body; pain in lung; stitches to scapula; pressure on chest; stitch in side of chest and scapula as if knife were thrust into top of lung; flatulency on side of abdomen ; cannot lie on side on account of flatulency; feels pulse beat through chest; aching under scapula into lung; severe pains in thigh- of umbilicus, tender spot; pain in shoulder and under arm ; peculiar stiffness of arm ; numbness of side and limbs; paralysis of arm; tettery eruption on thigh- humid tetter in axilla. '

From within out; pains over 1. eye; stinging pain in side of head; boring pain in head.

From below upward: pain in vagina; coldness.

From above downward: night sweat. ^^ Sensations. As if heart stood still ; as if every object were in motion; as if suspended in air; as if brain were crushed ; as if head would burst ; as of waves 6f pain rolling up and beating against frontal bone; as if eyes would fall out; stitches as from needles in head; vertigo, as if intoxicated; as of a weight over eyes; as if roots of hair were sore, as if cut short near roots; as if eyes were gone and a cool wind blew out of socket ; eyes as if bruised ; as of a grain of sand in eye ; as if hds were too heavy to open ; eyes as if balls of fire; as if eyelids were too tight and did not cover eyeballs;

SEPIA. 350

as if eyelids were too heav}' ; as if lids were paralyzed ; hollow molar as if swollen and elongated ; gums as if burned ; gums as if beginning to suppurate ; tongue and cavity of mouth as if scalded ; as if something had lodged in her throat; as of a plug in throat; throat as if raw; as if everything in abdomen were turning around; as if viscera were turning inside out; as if stomach were sore internally ; as if ribs were broken and sharp points were sticking in flesh ; as of a strap as wide as her hand drawn tightly around her waist; liver as if bursting; as if menses would appear; as of a load in abdomen; as if everything would issue through vulva; as of something adherent in abdomen; as if something alive were in abdomen ; as of a weight in anus ; as if bladder were full and contents would fall out over pubes ; as if drops came out of bladder ; as if bladder and urinary organs would be pressed out; as if ever^^hing would fall outof uterus; uterus as if clutched; as if vulva were enlarged ; as if something heavy would force itself from vagina ; as from a weight in sides ; as if mammary glands were enlarged ; as if cough came from stomach and abdomen ; as if something remained lodged in stomach ; chest as if hollow ; chest as if sore; throat as if filled with phlegm ; as if stomach were being scraped ; as if knife were thrust into top of 1. lung, then turned around ; as if intestines were drawn into a lump; small of back as if sprained ; back as if she could not turn or raise herself, or as if she had lain in a wrong position, almost as if parts had gone to sleep ; sudden pain in back as if struck by a hammer ; pain in back as from subcutaneous ulceration ; as if limbs would refuse to act; as if something were going to break in back ; as if shoulder were dislocated; feet as if asleep; r. hip joint as if bruised ; lower limbs as if beaten ; as of a a mouse running in lower limbs ; as if bones of legs were decaying ; as if she could feel every muscle and fibre of her r. side from shoulder to feet ; as of a ball in inner parts ; as of an icy hand between scapulae ; as if she would suffocate; something twisting in stomach and rising to throat ; as of a weight pressing on thighs ; as if feet stood in cold water up to ankles ; as if hot water were poured over one. Pains : in occiput ; in back down to legs and feet ; in hips and back ; in lids ; in r. ovarian region ; down r. leg ; in stomach ; in liver ; in tender spot in side of abdo- men ; in liver going across to stomach and spleen and around back ; in abdomen from sacrum ; in rectum ; in rectum into genitals; in 1. side of face; in back and ex-

^^1 SEPIA.

tremity of sacrum, through both ovarian regions; in uterus; in small of back; in kidneys; in mammse; above pubes; between shoulders and down back; in small of back ; in back across hips ; in sacrum, through hips and thighs to below knee ; from other parts to back; m hips and thighs; in 1. shoulder and down 1. arm ; along spine; in hypogastric region.

Terrific shocks : of pain in head.

Severe pain: in teeth; in pelvis; in small of back; in back ; in stomach.

Acute pain : in orbit.

Violent single, undulated jerks of pressing headache: in forehead.

Throbbing pain: in temple; in forehead; in teeth; in head.

Tearing : in upper part of r. side of forehead ; in frontal eminence ; in 1. temple to upper part of 1. side of head; stitching in r. side of head ; in 1. temple; in swelling on side of head; in face and nose; in arm; in teeth; in hmbs; in knees and feet; in rectum and anus; in tibia; in back; in arm and armpit to fingers; in 1. thigh along sciatic nerve to calf and toes; in upper and lower limbs ; from ear to ear ; in forearms from elbows into fingers and both knees.

Shooting: over 1. eye; from forehead to vertex and sides of face; in rectum and anus; from 1. side of urethra to sternum down to bones of pelvis; in neck of uterus; in last joint of r. thumb.

Lancinating stitches : with coxagra.

Stitches: over 1. orbit; in forehead; in eyes; in ears; in parotid glands ; in ear going into brain ; in stomach ; in r. hypochondrium ; in region of liver; in 1. hypo- chondrium; in abdomen ; in rectum; along urethra; in vagina; in cervix uteri; in mammary glands; in chest and back ; in 1. side of chest and scapula; in breast; in shoulder blade; in back; posteriorly over r. hip; in joints of arms, hands and fingers; in heels and corns; m splenic region ; in back ; all over body.

Stitching, pressive pain : in lower part of forehead. Stitching pain : in temple ; in 1. zygoma and teeth ; in throat; in forehead, epigastrium and small of back ; in female urethra; in cervix uteri; in neck of uterus;

^ m vagina; in centre of chest; through r. lung. Cutting pain: in forehead; from stomach to spine; in

abdomen ; in testes. Darting pains: from 1. eye toward occiput; through hips

and sides ; through r. lung. Pressing, throbbing pain : in occiput.

SEPIA. 352.

Jerking pain : in head ; in vagina.

Pulsating pain : in cerebellum.

Dragging pain: in ears; from sacrum to lumbar region; over sacrum.

Boring pain : in head ; over r. eye ; from region of stom- ach to spine ; through liver.

Gouty pains: in head.

Laborlike pain : in abdomen.

Pinching pain : in epigastrium.

Griping : in prsecordial region.

Severe cramping: in stomach.

Cramps: in stomach ; in hip joint and thighs; in buttocks and calves; in feet; of chest.

Neuralgic pains; in 1. temple and side of face to ramus of jaw in plexus mesogastricus ; in limbs.

Sore pain: in 1. eye and temple; in nose; in region of liver; in larynx.

Stinging pain : in one side of head or forehead; in throat; in abdomen; in ovaries; in tumor of breast; in limbs.

Burning: in eyes ; of pharynx; in stomach; in anus; in abdomen ; at rectum and anus ; in bladder and urethra; in forepart of urethra ; in neck of uterus ; on vertex; in centre of chest; in rectum; in vagina; in vulva; in mammary tumor; in a fixed spot under r. nipple; be- tween nates; of feet; of palms of hand ; in last joint of r. thumb.

Smarting pain: in both eyes; in anus; in urethera; in chest.

Pricking pains: through hips and sides.

Bruised pain: in arms.

Soreness: in external can thus; at internal canthi; of lower lip; of gums; of tip of tongue; r. hypochondrium ; of abdomen of pregnant women ; in rectum ; between but- tocks; in 1. side; in uterus, and external organs; in perineum; of limbs; of nipples; of labia, in perineum and between thighs; of abdomen; of larynx and throat; in bends of knees and elbows; in neck and behind ears; in middle of chest ; in sacral region; between nates; of feet.

Tenderness : in abdomen ; of sexual parts ; of os uteri ; of vagina; along spine; of spot below umbilicus.

Sensitiveness: of roots of hair; of abdomen.

Burning pressure: in spine, across dorsal region and under scapula.

Drawing pain: on forehead back to occiput; in 1. parietal region; in external canthus; in face and nose; in upper molars; from stomach through chest into shoulder.

Aching: over eyes; in eyeball; in r. shoulder; in small

353 SEPIi^.

of back ; in pelvic region ; between shoulders and under 1. scapula; in small of back; across loins; in sacrum; in calves ; through whole body.

Dull aching pain : all around body.

Bearing down : in pelvis.

Dull heavy pain : in ovaries ; in sacrum and abdomen, into thighs and legs.

Contractive pain : in r. side of abdomen; in rectum; in vagina ; in chest.

Constrictive pain : in stomach.

Dull pain: in sacrum.

Heavy pressing pain : over 1. eye.

Pressing pain : around eyes ; in root of nose ; in hepatic region, thence to r. shoulder ; in side of abdomen ; over sacrum ; in region of stomach.

Tensive pain : in metacarpal joints of fingers ; in feet.

Violent pressure : under 1. ribs.

Beating : headache ; at pit of stomach.

Tired pain : in small of back.

Sticking: in 1. eye.

Biting : in r. eye.

Painful stiffness: in uterine region.

Painful cracking : in occiput.

Painful confusion : of head.

Tingling : in fingers.

Tickling : in bladder ; in larynx and bronchi ; from larynx to stomach.

Heat : in eyes ; on margins of lids ; of palms and soles ; in head ; in sacrum ; in hands.

Painful emptiness : in stomach and abdomen.

Distress: in r. shoulder and scapula; pelvic, in hypogas- tric region ; in abdomen.

Anxiety : in pit of stomach.

Oppression : of chest.

Pressure : on vertex ; in forehead ; in occiput ; over eyes ; in eyes ; in stomach ; in region of liver ; drawing, ten- sive in abdomen ; on bladder; in ovaries; into vagina; in pelvis ; painful, in sides ; in chest ; in r. shoulder- blade.

Drawing: in arm and armpit to fingers; in thighs.

Constriction : in throat ; of chest.

Paralytic drawing : in arm and armpit to fingers.

Heaviness : of upper lids ; in r. ovarian region ; over eyes and nape of neck; in back ; in feet; of limbs.

Fulness: in temples and forehead; great, deep in 1. orbit; in region of liver ; in epigastrium ; in pelvis ; in chest.

Weight : in upper lids ; in anus ; aching, in r. hypochon- drium ; in abdomen ; at anus ; in ovaries ; in rectum ; in epigastrium ; in part from which blood flows.

VOL. IX. — 23.

SEPIA. 354

Tightness : in region of liver.

Tension : in forehead ; painful, in parotid glands ; in lower abdomen ; in tendo-achillis.

Throbbing: in gums; in teeth; in small of back; in last joint of r. thumb ; in temples.

Jerking : from anus into rectum and abdomen.

Twisting: in stomach.

Restlessness: in legs.

Discomfort: in rectum.

Uneasiness: in stomach.

Empty, deathly sensation : in epigastrium.

Emptiness; in epigastric region; in chest.

Empty, gone sensation : at pit of stomach.

Goneness : in pit of stomach ; in epigastrium.

Weakness: in knees; in small of back; of sacro-iliac re- gion ; in lower limbs.

Lameness : of arms and fingers.

Stiffness: in small of back; of elbow and wrist joints; of legs to hip joint ; in knee and ankle joints ; of tongue.

Dryness: of margin of lids; in nose and fauces; in throat; in choanse; of lips; of mouth; of tongue; in posterior nares ; of vulva and vagina ; in larynx.

Numbness: of 1. side and limbs.

Numb feeling : in lower half of 1. side of body.

Itching : of scalp ; on occiput or behind ears ; of internal canthus ; on margin of lids ; in ears ; of face ; of erup- tion on hands and thighs ; over whole body ; in rectum and anus; in region of bladder; around genitals; of prepuce ; of eruption on inner labia ; of eruption on chin, cheek and temples ; of vulva ; in chest ; of exter- nal chest; in bends of knees, elbows and on hands; of forehead; in face; on tip of nose; on arms, hands, back, hips, feet, abdomen, genitals ; of pimples on chin ; in various parts of body ; in ulcer ; of nipples ; in hands ; of elbows ; on posterior part of elbow ; of ringworm on face ; of tetter ; of warts.

Coldness: in vertex ; of feet; in swelling on side of head ; in abdomen; in hands; of lower limbs; in legs and feet; over whole body. *^ Tissues. 1 1 Uterine troubles.

I Bad effects from loss of fluids ; bleeding from inner parts.

■ Sensation of weight in part from which blood flows.

■ Considerable swelling of veins of affected limbs, i Disposition to gout and hemorrhoids. ■Painless swelling of lymphatic glands.

■ Erysipelas, generally pustulous.

■ Rheumatism, chronic cases, or obstinate remains of acute.

■ ■Arthritic affections of joints; lithiasis.

355 SEPIA.

I Crippled nails.

Pressure : boring headache > ; of eyelids together, eyes < ; facial neuralgia > ; slight, on stomach causes great pain ; spot on 1. side sore; gentle, > symptoms of prolapsus uteri ; with hand on chest, > symptoms ; flat- ulency > ; of back against something hard > pain ; aching in sacrum > ; spine tender.

Binding head tightly : sick-headache >.

Loosening chothes: > pressure in stomach.

Rubbing : pressure in eye < ; biting of internal canthus and lachrymation ; yellowish-brown spots about neck scale off.

Scratching : eruption on vertex feels sore ; roots of hair burn ; itching changes to burning ; does not > itching of spot on r. hand ; pimples become dry.

Riding in a carriage : nausea ; fainting.

Riding: stitches in region of liver; causes pain in hypo- chondria ; hurts back severely.

■ Seasickness.

Jar : hurts back severely.

Misstep : hurts back severely.

Slightest blow : nosebleed.

From a blow upon spine : tenderness along whole course.

Accidentally kicking foot against something causes pain- ful stitches and must walk stooping.

Injury from overlifting: dyspepsia; crick in back. *® Skin. I Delicate skin ; least injury tends to ulceration.

I Itching: on face; on tip of nose; on arms, hands, back,

hips, feet, abdomen and genitals; pimples on chin ; in various part of body > by scratching, after which there is a pinkish color ; in ulcer ; of nipples, at times bleed and seem about to suppurate ; in bends of elbows ; on posterior parts of each elbow. Hitching often changes to burning, when scratching.

I I Soreness of skin ; humid places in bends of knees.

SEPIA. 356

llHerpetic eruption on lips and about mouth.

Red herpetic spots on both sides of neck witli much itching.

Yellowish-brown spots about neck that scale off on rub- bing.

Red spots on glans penis.

Reddish herpetic spots above hips.

Lentil-sized brown spots on elbows, surrounded with a herpetic-looking skin.

A roundish bright-red spot on ball of r. hand, with violent itching not > by scratching, evening.

Fine rash over body, particularly about bends of elbows and knees; prickling, tingling and itching; in a warm room it remained out and she felt well, if she passed into a cold room it disappeared and she had the most severe rheumatic pains in and about these joints.

Moist pimply eruption at margin of vermilion border of upper lip.

i Vesicular eruption on back; humid tetter in 1. axilla.

Itching eruption followed by desquamation.

1 1 Herpes circinatus.

I Ringworm-like eruptions every Spring on different parts of body.

I I Numerous bullae, on face near mouth, on wrists and backs of hands ; two largest were on wrists, symmetri- • cal in position and size; smaller blebs on arms and

below knees ; considerable itching and irritation of der- mis beneath vesicles ; bullae on wrists were as large as a hen's egg. ^Pemphigus.

1 I Urticaria ; burning, stitching, itching appearing every time she went out into open air; first appeared on face, neck and forearm, five years ago, gradually spread over whole body, with the exception of back, abdomen and lower legs; attacks preceded by nausea and pressing headache; face swollen as in erysipelas.

iNettlerash : most on face, arms and thorax; breaks out during a w^alk in cold air, disappears in a warm room.

I Brownish spots on chest.

I I Brown-red herpetic spots on skin.

1 1 Brown spots on skin with leucorrhoea.

II Uneasiness in presence of strangers, a slight quivering of whole system when approached ; although she strove to appear calm her face flushed up suddenly but soon returned to its usual sallowness ; skin disease of long standing ; at night an itching and burning of skin in bends of elbows and knees, small pimples would rise up, discharging a small quantity of serous fluid, on scratch- ing they would become dry, leaving skin roughened with brown herpetic spots here and there ; chlorotic

357 . SEPIA.

look; pulse soft; starting at trifles ; dreams with good sleep; more fever in afternoon; decayed teeth; tongue coated with thick, slimy fur, dark at root, lighter near edges, clearing off in patches, leaving exposed surface very red; immediately after eating, severe pains in stomach causing her to bend over, with vomiting of food and considerable amount of slimy fluid ; even when pain was not so severe, and when she did not vomit she spat a great amount of this fluid, after her meals ; lived almost entirely on crackers with as little drink as possible; constipation; menses suppressed for nearly four months; slight pains in hypogastric re- gion most of time; back and limbs very weak. ^Chlo- rosis.

I I Red spots and papules isolated and in large oval patches covered with shining, white, adhesive scales, looking like stearine, on head, face, chest, back, arms and legs, particularly on extensor surfaces (used sapo viridis locally). ^Psoriasis.

I Large suppurating pustules constantly renewing them- selves. ^Acarus itch.

lAcarus itch, after previous abuse of sulphur; itching < evenings; especially in women.

■ Eruptions during pregnancy and nursing.

■ Dry ringworm, especially on face of children ; dry off'en-

sive eruption on vertex and back of head ; itching and tingling, with cracks behind ears.

■ Pruritus, with vesicles on acrid base over all parts of body,

face, eyelids, hands, feet, armpits, vulva, anus, ears, hairy scalp, etc.

■ Itching, crusty tetters. I iTettery eruptions.

■ Stitches all over body, with breaking forth of little

pustules.

■ Eruption very moist, almost constantly discharging pus-

like matter ; the child often jerks its head to and fro.

■ ■Humid tetter with itching and burning.

■ Ringworm; boils; pustules; pemphigus.

■ Ulcers: painless, on joints and tips of fingers, stinging

and burning ; flat with a bluish-white base.

■ The least injury tends to ulcerate, in thin, delicate skins.

■ Warts: on hands; on neck with horny excrescence in

centre ; small, itching, flat on hands and face.

■ Large, hard, seed warts; dark color and painless.

■ Varicose veins.

" Stages of Life, Constitution. ■■Suited to persons of dark hair, rigid fibre, but mild and easy disposition.

■ Especially suitable for persons with dark hair and for

SEPIA. 358

women, especially during pregnancy, in childbed and while nursing.

I Children take cold readily when the weather changes.

■ Scrofulous persons.

I Men who have been addicted to drinking and sexual ex- cesses.

I Pot- bellied mothers, yellow saddle across nose, irritable, faint from least exertion, leuco-phlegmatic constitutions.

Girl, £et. 5 months ; cough.

Child, aet. 8 months, blonde, fat, teeth developing rapidly, had measles three weeks ago, attending cough had never quite subsided ; whooping cough.

Infant, £et. 1, suffering several weeks; cough.

Boy, set. 2 ; conjunctivitis.

Girl, set. 3 J, fleshy, leuco-phlegmatic, suffering three years; impetigo.

Child, set. 4, strong, healthy ; ophthalmia.

Child, set. 5, blonde; vaginitis.

Girl, set. 5, delicate, face pale, waxen, emaciated, suffering fifteen months ; leucorrhoea.

Girl, set. 5, father scrofulous as a child, suffering three months ; eruption on legs.

Boy, set. 6 ; catarrh of stomach.

Boy, set. 7, ill three weeks, said to be suffering from inter- mittent fever ; functional derangement of liver.

Girl, set. 7, delicate; epistaxis.

Girl, set. 8, light hair, blue eyes, fair complexion, of scrof- ulous parents ; warts on face.

Girl, set. 10, strong, well built, brunette ; incontinence of urine.

Girl, set. 11 ; scrofulous ophthalmia.

Boy, set. 12 ; tarsal tumor.

Girl, set. 14, blonde, delicate skin, subject to eruptions of skin, not yet menstruated ; eruption on hand.

Boy, set. 14, blonde, lymphatic-nervous temperament, slen- der, delicate white skin, subject to herpetic eruption every Spring ; chorea.

Girl, set. 16, tall, slender, fair complexion, light hair and eyes, suffering six months ; ague.

Girl, set. 16, sanguine-nervous temperament, tall, slender, fine sensitive skin ; chlorosis.

Girl, set. 16, delicate ; hysteria.

Girl, set. 17, blonde, fair hair, pale, delicate, sensitive skin ; displacement of uterus.

Girl, set. 18, blonde, stout, began menstruating a year ago, menses absent, when a child had tinea capitis; matting of the hair.

359 SEPIA.

Girl, set. 19, sanguine temperament, brunette, rheumatic ;

Miss L. S., set. 20, dark complexion, hair and eyes, and living in affluent circumstances, suffering six years; cystitis and irritablity of bladder.

Young country-woman, set. 20; sweating of hands and feet.

Girl, set, 20, scrofulous, ill several years ; nasal catarrh.

Miss P., set. 20 ; psoriasis.

Cigarmaker, set. 21 ; gonorrhoea.

Woman, set. 22, single ; ophthalmia.

Girl, set. 22, menses always scanty, suppressed three months after catching cold ; chlorosis.

Man, set. 22^ dark-brown hair, short build; quotidian ague.

Man, set. 22, after catching cold, tertian ague, was given quinine, etc., two years later quartan ague, China given, attacks would cease for a time but always reappear ; ague.

Man, set. 22 ; eruption on feet.

Young lady, sanguine, married ; ague.

Woman, pregnant, blonde, delicate, gentle disposition ; toothache.

Woman, set. 23, four months ago miscarried in her third month ; menstrual disturbance.

Man, set. 23, greatly debilitated by onanism, from which he rid himself two years ago ; seminal emissions.

Washerwoman, set. 23, affected since 3 years old ; profuse sw^eating of hands.

Artilleryman, set. 24, irritable disposition, blonde; icterus.

Woman, set. 24, single, brunette, menstruation normal, suf- fering five years ; urticaria.

Man, set. 24, dark-brown hair, suffering four days; oph- thalmia.

Woman, set, 24; perimyelitis.

Man, set. 24 ; gastric fever.

Mrs. M., set. 25 ; leucorrhcea.

Man, «t. 25, light hair, rough scurfy skin; tertian ague.

Woman, set. 25, single, strong, healthy ; dysmenorrhoea.

Man, set. 25, blonde, slender; fistula of neck and cough.

Woman, set. 25, dark hair, pale sallow face, suffering sev- eral years ; oppression of breathing.

Girl, set. 26, after heavy lifting ; uterine displacement.

Woman, set. 26, eight months pregnant; sciatica.

Girl, set. 27, dark hair; boils and offensive foot sweat.

Woman, set. 27, nervous temperament ; hemicrania.

Woman, cet. 27 ; headache.

SEPIA. 360

Miss H., fet. 28, dark brunette, sisters died of consumption, six years ago had an affection of the lungs and haemop- tysis, is a nurse; cough.

Woman, get. 28, of sedentry habits ; cardialgia.

Schoolmaster, set. 29, suffering five or six years; headache.

Woman, set. 29, single ; amenorrhoea.

Mrs. J., set. 30, scrofulous habit, since two weeks ; cough.

Woman, set. 30, suffering several years from loose cough, a few days ago delivered of her first child which died, had pneumonia during pregnancy ; phthisis pulmo- nalis.

Woman, set, 30, blonde, sanguine temperament, mother of several children, twelve weeks pregnant; prolapsus uteri.

Woman, set. 30, brunette, choleric temperament, married several years, three weeks ago delivered of a child, after exertion ; prolapsus uteri.

Man, set. 30 ; scirrhus of lip.

Woman, set. 30, single, three years ago lifted a heavy arti- cle, since then suffering more or less ; uterine displace- ment.

Man, set. 30, dark-brown hair, after being rapidly cured of an ulcer on leg ; headaches.

Man, set. 30, suffering four weeks; pains in back,

Man, set. 30, palpitations of heart.

Lady, set. 30, ill ten days, her disease is said to have been pronounced remittent fever and prescribed for as such ; functional derangement of liver.

Mrs. B., set. 32, sick several months; asthenopia.

Woman, set. 32 ; headache.

Woman, set. 32, mother of several children, now three months pregnant, first attack of ague when twelve years old, since then frequently recurring, and always sup- pressed by quinine ; ague.

Woman, set. 33, brunette, suffering several weeks ; leucor- rhoea.

Mrs. S., set. 35, nervous temperament, has had three chil- dren, the youngest seven months old, suffering since last pregnancy ; hydrometra.

Woman, set. 36, blonde, sanguine temperament, no child for last ten years, now seven months pregnant ; disorders of pregnancy.

Woman, set. 36, small stature, suffering many years ; gas- tric disorder.

Man, set. 36, gunner on ship ; psoriasis.

Miss E., set. 37, lymphatic temperament ; vaginitis.

Woman, set. 37, mother of five children, last one still-born four years ago ; amenorrhoea.

361 SEPIA.

Woman, set. 37, dark hair, pale face, mother of four chil- dren; pemphigus.

Tailor, set. 37, dark hair, pale, lean ; rheumatism.

Mrs. P., set. 38, black hair and eyes, married, mother of three children, says she has been under treatment most of the time for the last four years. ^Falling of the womb.

Woman, set. 38, tall, slim, dark hair and eyes, bilio-nerv- ous temperament, married fourteen years, has never con- ceived ; sterility.

Jewess, set. 38, blonde, plethoric, in poor circumstances, suffering since last childbirth three years ago ; amen- orrhoea.

Mrs. H., set. 40, suffering nine years; facial neuralgia.

Miss St., set. 40, suffering several days; toothache.

Woman, «t, 40, single, tall, slim, mild disposition, first no- ticed growth six months ago ; scirrhus of breast.

Farmer, set. 40, hardworking, robust man, dark complex- ion, jovial temperament ; stitches in ear, etc.

Woman, set. 40, suffering since fourteen years old; head- aches.

Woman, set. 41, married, no children ; pain in liver.

Mrs. H., set. 43 ; gastralgia.

Mrs. R., set. 45, large, fat, light complexion ; urinary dif- ficulty.

Man, set. 45, dark hair, muscular; dyspnoea.

Woman, set. 48, is said to have passed through four attacks of meningitis since fifteen years old ; since last attack, mental disturbance.

Lady, set. 49, stout and fleshy ; cough.

Woman, set. 49, corpulent, when five years old had scarlet fever, since then hoarse, and in Winter afflicted with a loose cough, after repealed exposure to drafts cough be- came dry ; severe cough and orthopnoea.

Woman, set. 50, single, good health until five years ago, when she ceased menstruating ; headache.

Mrs. R.,set. 51, black hair, thin, jaundiced for three months; hepatic disorder.

Mrs. M., set. 52 ; pain in vagina and rectum.

Mrs. W., set. 55, caught cold six or eight weeks ago, since then ill ; pain in abdomen.

Mrs. W., set. 56 ; procidentia.

Lady, set. 67 ; cataract.

Man, set. 75, afflicted fifteen or sixteen years; eruption on legs.

It antidotes: Calc. ost., Cinchon., Mercur., Natr. mur., Natr. phos., Phosphor., Sarsap., Sulphur.

SEPIA— SILICA. 362

Incompatible: Lachesis.

Natr. mur.